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Anthroposophic medicine in the treatment of pediatric pseudocroup: A systematic review
Melanie Schwermer1, Alfred Längler2, Katharina Fetz3
1Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313 Herdecke, Germany.
Insights
Anthroposophic medicine offers various treatments for childhood pseudocroup, with remedies like Aconitum, Bryonia, and Spongia frequently recommended. However, more clinical trials are needed to validate these anthroposophic therapies.
Area of Science:
- Pediatric Medicine
- Complementary and Alternative Medicine (CAM)
- Anthroposophic Medicine
Background:
- Limited integrative pediatric wards exist in Europe, with two German hospitals specializing in anthroposophic medicine.
- Pseudocroup is a common condition treated with both conventional and anthroposophic therapies in these specialized centers.
- Current anthroposophic treatment effectiveness relies on physician experience, lacking robust clinical study data.
Purpose of the Study:
- To systematically review anthroposophic therapy approaches for pseudocroup in children.
- To identify commonly used anthroposophic remedies and assess reported adverse effects.
Main Methods:
- Conducted a systematic literature search across general (Cochrane, PubMed, OVID) and CAM-specific (CAMbase, CAM-QUEST®, Anthromedics) databases.
- Screened search results for anthroposophic treatment options for pseudocroup.
- Performed hand-searching of anthroposophic guidebooks for relevant information.
Main Results:
- Identified one retrospective study and five experience reports detailing anthroposophic treatments from 157 articles.
- Commonly mentioned anthroposophic remedies include Aconitum, Apis, Bryonia, Hepar sulfuris, Lavender, Pyrit, Sambucus, and Spongia.
- No adverse effects were reported with the appropriate use of these remedies.
Conclusions:
- Anthroposophic medicine provides a wide range of remedies for pediatric pseudocroup.
- Aconitum, Bryonia, and Spongia are frequently recommended anthroposophic treatments.
- There is a significant need for clinical trials to investigate and validate the effectiveness of these anthroposophic therapies.
Background:
In Europe only few integrative pediatric wards exists and there are two German hospitals focusing on anthroposophic medicine as part of complementary and alternative medicine (CAM). Whilst the most common pediatric diseases are treated here, pseudocroup patients make up a large group in these hospitals, receiving conventional as well as anthroposophic therapies. However, effectiveness of these therapy concepts mostly based on physicians' experiences but clinical studies are hitherto missing.
Methods:
A systematic literature search identifying therapy approaches for pseudocroup in children was conducted in general electronic databases (Cochrane Library, PubMed, OVID) and in CAM-specific databases (CAMbase, CAM-QUEST®, Anthromedics). Search results were screened for anthroposophic therapy options. In addition, anthroposophic guidebooks were handsearched for relevant information.
Results:
Among 157 articles fulfilling search criteria one retrospective study, and five experience reports describing anthroposophic treatments were identified. Several medications for the treatment of pseudocroup were mentioned such as Aconitum, Apis, Bryonia, Hepar sulfuris, Lavender, Pyrit, Sambucus and Spongia. During appropriate use no adverse effects were reported.
Conclusion:
Anthroposophic medicine harbors a broad spectrum of remedies for the treatment of pseudocroup in children. In particular, Aconitum, Bryonia and Spongia are frequently recommended; however, clinical trials investigating the effectiveness are sparse. Therefore, development and validation of therapy strategies are required.
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