Intended for healthcare professionals

Rapid response to:

Primary Care

Use of ultramolecular potencies of allergen to treat asthmatic people allergic to house dust mite: double blind randomised controlled clinical trial

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7336.520 (Published 02 March 2002) Cite this as: BMJ 2002;324:520

Rapid Response:

The distortions of language

The "Conclusion" in the abstract states "Homeopathic immunotherapy is
not effective in the treatment of patients with asthma". The last sentence
of the article itself states "In conclusion, in this double blind,
randomised controlled trial of homeopathic immunotherapy we have failed to
confirm that this treatment is therapeutically efficacious in allergic
asthma.."

These two conclusions are NOT the same.

The conclusion of the article is a reasonable one to make. In THIS trial
WE HAVE FAILED TO CONFIRM captures the point exactly. To extrapolate that
to the conclusion quoted in the abstract suggests that NO homeopathic
immunotherapy is EVER effective in patients with asthma is not logical.

What if a different potency or different frequency of dosing were to show
a difference for example? This trial only used 3 doses of 30c over 24
hours. There are many other different regimes used in practice. This trial
actually doesn't show that those other regimes don't work.

Sadly, this loose use of language then generates front page headlines like
the one on today's BMJ "Homeopathy for dust mite allergies? No, it's a
waste of time." which further extrapolates from the conclusion of the
abstract to claim that ANY USE of HOMEOPATHY in treating dust mite
allergies is "a waste of time". This is an even less defensible position.

So, from article, to conclusion, to conclusion of abstract, to front page
headline we lose the truth and develop generalisations with are not only
wrong but are unscientific.

Competing interests: No competing interests

01 March 2002
Robert W Leckridge
Associate Specialist
Glasgow Homeopathic Hospital G12 0XQ