Hekim ve bitkisel ilaç; bilmek ya da bilmemek!
Hekimlerin sıklıkla karşılaştıkları durumlardan birisi, hastaların allopatik tedavi yöntemleri dışındaki uygulamalara yönelmeleridir. Bu uygulamalar arasında en yaygını; bitkilerin toplum ve hastalar tarafından tedavi amacıyla kullanımıdır. Toplumun bu eğilimini maddi kazanca çevirme arzusundaki kişiler, bu tür uygulamaları medya ve reklam aracılığı ile sürekli gündemde tutmaya çabalarlar ve bu dünya genelinde çok yaygın bir durumdur. Bu girşimlerden toplumun etkilenmemesi mümkün değildir. Hekimlerin bitkisel uygulamalar karşısındaki tutumu nasıl olmalıdır? Yazıda bu soruya cevap aranmaktadır
Medical doctor and herbal medicine; to know or not!
One of the frequent issues observed by medical doctors is the inclining of patients to applications other than allopathic therapies. The most common method among these applications is the usage of herbs for the purpose of therapy by patients and public. People who try to provide benefit from this incline of public, try to keep this kind of applications on agenda by the way of media and advertisements and this is a very common issue worldwide. It is impossible to be uninfluenced from these attempts. How should be the attitude of medical doctors for herbal therapeutic applications? The answer for this question is searched in this review.
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- 1. Weiss RF, Vintelmann V. Herbal Medicine. 2nd edition. Georg Thieme Verlag, 2000.
- 2. Guyatt GH, Sackett DL. Cook DJ. Users' guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Evidence-Based Medicine Working Group. Journal of the American Medical Association, JAMA 1993; 270(21): 2598-601.
- 3. Sackett D. Evidence-based Medicine: How to Practice and Teach EBM. 2nd edition. Churchill Livingtone, 2000.
- 4. Coon JT, Pittler MH, Ernst E. Trifolium pratense isoflavones in the treatment of menopausal hot flushes: a systematic review and meta-analysis. Phytomedicine. 2007;14(2-3):153-9.
- 5. Pittler MH, Schmidt K, Ernst E. Hawthorn extract for treating chronic heart failure: meta-analysis of randomized trials. American Journal of Medicine. 2003; 114(8): 665-74.
- 6. Yeşilada E. Novel Drug leads from Turkish medicinal plants with diverse pharmacological effects. Drugs of the Future. 2008; 33: 673-680.
- 7. Yeşilada E. Phytotherapy, Lecture Notes for Medical Students. Yeditepe University, 2008.
- 8. Wagner H, Ulrich-Merzenich G. Synergy research: Approaching a new generation of phytopharmaceuticals. Phytomedicine. 2009; 16: 97-110.
- 9. Eder M, Mehnert W. Pflantliche Begleitstoffewervolle Hilfsstoffe oder überflüssiges Ballast? Pharmazeutiche Unserer Zeit. 2000; 29: 377-84.
- 10. Butterwick V, Lieflaender-Wulf U, Winterhoff H, Nahrstedt A. Effects of the total extracts and the fractions of Hypericum perforatum in animal assays for antidepressant activity. Pharmacopsychiatry. 1997; 30 (Suppl.): 117-24.
- 11. Butterwick V, Jürgenieck-Wolff KG, Nahrstedt A, Winterhoff H. Flavonoids from Hypericum perforatum show antidepressant activity in the forced swimming test. Planta Medica 2003; 68: 577- 80.