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== "Recommend against" ==
==Merge: Biopsy and Nature Cure==
[[Biopsy and Nature Cure]] seems a bit out of place for a stand-alone article. It seems that it reflects a particular view of something that was be better suited here. -[[User:AED|AED]] 05:21, 22 August 2006 (UTC)


The above conversation has digressed, so starting a new section about one specific statement: {{tq|Naturopathic practitioners commonly recommend against following modern medical practices, including but not limited to medical testing, drugs, vaccinations, and surgery.}}
:'''Oppose''' - the content would be better placed in [[Natural Hygiene]] as that is the closest to 'Nature cure' (the redirect should also be fixed to point there). --[[User:Apers0n|apers0n]] 05:58, 22 August 2006 (UTC)<br>


There are four sources currently supporting that statement. Three of them are studies of students, not naturopaths, and one of them says the opposite: {{tq|Most chiropractic and naturopathic students are not averse to vaccination.}} The Skeptical Inquirer source doesn't seem to support the statement at all. None of them mention recommending against surgery or medical testing that I can see.
:'''Oppose''' - This is not taught in the accredited naturopathic programs. How else would you rule out a ddx? Also, how would a pathologist know the stage and grade the tumor if a biopsy wasn't done? Not advising your patient to get a biopsy would be bad medicine, and might get an ND in serious legal trouble. Solution: Nature cure should have it's own page, and the views on biopsy be one aspect of that article.--[[User:Travisthurston|Travisthurston]] 06:26, 22 August 2006 (UTC)


That's a pretty bold statement painting with a very broad brush, so unless the sources support it, this sentence should be removed, in my opinion. [[User:Pyrrho the Skipper|Pyrrho the Skipper]] ([[User talk:Pyrrho the Skipper|talk]]) 16:50, 19 October 2023 (UTC)
::'''Comment:''' "[[Nature cure]]" in [[Biopsy and Nature Cure]] redirects here. How about [[Natural Hygiene]]? -[[User:AED|AED]] 06:29, 22 August 2006 (UTC)
:I can see some arguments either way about sourcing this to studies of naturopathy students, although to the extent that those sources are about what naturopaths are taught, what training they have when they go into practice, they may be legitimate. However, the SI source ([https://skepticalinquirer.org/2014/05/selling-pseudoscience-a-rent-in-the-fabric-of-american-medicine/]) is chock-full of examples of naturopaths rejecting modern medical practices. So I don't read it the way that you do. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 16:58, 19 October 2023 (UTC)
::Are we reading the same SI article? I just read the whole thing again and I still don't see anything like that. Practicing alternative therapies and promoting them is one thing. It's a very different thing to ''recommend against'' getting surgery or a vaccine. That implies a level of malice would require some good sources. [[User:Pyrrho the Skipper|Pyrrho the Skipper]] ([[User talk:Pyrrho the Skipper|talk]]) 17:36, 19 October 2023 (UTC)
:::"Being a naturopathic physician, I believe in the body’s ability to heal itself. The body can do this very effectively when it is kept healthy. By taking extra good care of yourself and possibly working with a natural health practitioner, you can stay resistant to colds and the flu every winter. Remember, there are many routes to immunity besides obtaining a flu shot." One can quibble that this isn't a formal recommendation not to get a flu shot, but it's clearly recommending against getting one. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 17:46, 19 October 2023 (UTC)
::::Even if you accept that logic for that one person's statement, where do we get "commonly"? and "surgeries?" [[User:Pyrrho the Skipper|Pyrrho the Skipper]] ([[User talk:Pyrrho the Skipper|talk]]) 18:05, 19 October 2023 (UTC)
:::::Seems to be a lot of sourcing on this e.g.[https://www.washingtonpost.com/national/health-science/natural-doctors-face-skepticism-from-practitioners-of-conventional-medicine/2018/04/09/0c148bf4-3351-11e8-8abc-22a366b72f2d_story.html] I guess they want to sell what they can (which doesn't include surgery), while also being dishonest about it (we don't oppose surgery!). Why not strengthen the sourcing if you feel the point isn't made well enough? [[User:Bon courage|Bon courage]] ([[User talk:Bon courage|talk]]) 18:10, 19 October 2023 (UTC)
::::::We could also tweak the wording of the sentence, instead of completely removing it. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 18:16, 19 October 2023 (UTC)
::::::That's a Consumer Reports owned contributed piece with no named author, so not sure how reliable. I can't imagine finding a reliable source for this since it seems like a somewhat exceptional claim that would need something more than a consumer reports PR piece. They commonly recommend against surgery when? In what cases would they tell a patient or the public to not get surgery? Maybe I'm completely wrong. And as Tryptofish suggested, I'd be fine rewording it somehow. Like, they "commonly prefer alternative treatments to conventional medicine, in general, including resistance to surgery and vaccines depending on the patient's needs or the practitioner's opinions." [[User:Pyrrho the Skipper|Pyrrho the Skipper]] ([[User talk:Pyrrho the Skipper|talk]]) 19:27, 19 October 2023 (UTC)
:::::::Alternatively: they "commonly encourage alternative treatments that are rejected by conventional medicine, including resistance to surgery or vaccines for some patients." --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 19:34, 19 October 2023 (UTC)
::::::::@[[User:Tryptofish|Tryptofish]] I think this is great, for what it's worth. It'd be nice to have better sources, but this wording seems much more accurate to me. [[User:Pyrrho the Skipper|Pyrrho the Skipper]] ([[User talk:Pyrrho the Skipper|talk]]) 19:40, 19 October 2023 (UTC)
:::::::::Does anyone have any objections to going ahead with that wording? --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 21:03, 20 October 2023 (UTC)
::::::::::No. —[[User talk:Alalch E.|Alalch E.]] 21:04, 20 October 2023 (UTC)
::::::::This seems more encyclopedic in tone, and is better supported by the sources. I say go for this. >> [[User:Subtleache|<span style="color:#ffffff; background-color:#000000">boodyb</span>]] [[User talk:Boodyb|<sup><span style="color: #000000; border:1px solid #000000;">talk</span></sup>]] 17:40, 17 November 2023 (UTC)
:::::::::It's already been implemented, but I guess nobody said so here. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 21:22, 17 November 2023 (UTC)
:::::::The straining at the least to whitewash the page in the face of the sourcing is puzzling. The ''WaPo'' source is fine. Nothing exceptional about quacks quacking. [[User:Bon courage|Bon courage]] ([[User talk:Bon courage|talk]]) 19:39, 19 October 2023 (UTC)


== Semi-protected edit request on 18 December 2023 ==
::'''Comment:''' It has now been changed to redirect to [[Natural Hygiene]] --


{{edit semi-protected|Naturopathy|answered=yes}}
[[User:Apers0n|apers0n]] 11:57, 22 August 2006 (UTC)
Add links to give a mire balanced overview.
https://www.webmd.com/balance/what-is-naturopathic-medicine [[Special:Contributions/105.209.150.182|105.209.150.182]] ([[User talk:105.209.150.182|talk]]) 06:24, 18 December 2023 (UTC)


:[[File:Red question icon with gradient background.svg|20px|link=|alt=]] '''Not done:''' it's not clear what changes you want to be made. Please mention the specific changes in a [[WP:EDITXY|"change X to Y" format]] and provide a [[Wikipedia:Reliable sources|reliable source]] if appropriate.<!-- Template:ESp --> [[User:Deltaspace42|'''<span style="color:orange">Delta</span>'''<span style="color:green">space</span><sup style="color:#013220">42</sup>]] ([[User talk:Deltaspace42|talk]] • [[Special:Contributions/Deltaspace42|contribs]]) 08:09, 18 December 2023 (UTC)


== Restructuring the lead ==
[[User:NouraRaslan|NouraRaslan]] ([[User talk:NouraRaslan|talk]]) 17:45, 17 May 2008 (UTC)NouraRaslan


I visited this article to gain further knowledge on the subject as a layperson. However within 2 seconds into the article I sensed an acute force deterring me from proceeding. I attribute such experience to the blend of descriptive and judgemental statements upon inspection.
'''Delete''' or merge. [[User:211.30.80.121|211.30.80.121]] 13:09, 23 August 2006 (UTC)


In the leading section the first paragraph already imposes the subject a generally dissuading tone. With the pejorative word "pseudoscientific" being the first blow, the next two ambivalent statements (Difficult to generalize...; The ideology...) are then followed by a negative judgement (The ethics...) culminating with the even scathing "quackery".
== Protected page status ==


I acknowledge my limit as a layperson and I have no intention in altering the wording but I do recommend a restructuring. It would be optimal if the descriptive and judgemental statements be separated into discrete paragraphs with the former preceding the latter. Inserting judgemental statements early on can be perceived as shoving in opinions and, as worded in an earlier discussion, setting an agenda. I cite the French version article as a good example for reference. [[User:Seanetienne|Seanetienne]] ([[User talk:Seanetienne|talk]]) 16:56, 1 March 2024 (UTC)
I have added protection to the current state of this page and hereby propose that WE ALL work here, within this discussion page, to work out or ideas and disagreements before changes are made.
Is anybody not OK with the protection status? Speak here. If enough people here want to change it back, we'll do that. <br>One thing we shouldn't have to do is keep checking this page on a daily basis to keep people from adding their biased points of view. <br>Thanks! --[[User:Travisthurston|Travisthurston]] 01:40, 23 August 2006 (UTC)
:{{declined}} - This page has not been protected at this time. This edit war is unbelievably lame: it's over a category! Can you guys please ''not'' add or remove the category until consensus is reached on this talk page? Or perhaps ask for a [[WP:3O|third opinion]] if you really can't make a decision here. But do not add or remove the category until you have consensus or a third opinion! If you keep reverting each others' changes you will be blocked. —<span style="font: small-caps 14px times; color: red;">[[User:Mets501|Mets<small>501</small>]] ([[User talk:Mets501|talk]])</span> 20:30, 25 August 2006 (UTC)
:'''OK''' - That's what makes this site so great. The organic and fluid nature of wikipedia. Let’s continue to work on '''voting as a group''' before controversial changes are made.<br> Thanks community! --[[User:Travisthurston|Travisthurston]] 18:45, 28 August 2006 (UTC)


:Hi, {{u|Seanetienne}}, we do have an agenda already set, see [[WP:PSCI]] and [[WP:LUNATICS]]. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 17:02, 1 March 2024 (UTC)
== Formatting Help ==
::And that's utter disrespect from you, Mr @[[User:Tgeorgescu|Tgeorgescu]]. It is a consuming job to ward off conspiracy theorists and anti-science groups alike. However this time you have clamped down on the wrong person. I have no particular interest in alternative medicine and my attitude is ambivalent.
::I have seen elegant treatment of problematic subjects and I regret that the equivalent cannot by be applied here. By your passive-aggressive wording labelling me a "lunatic charlatan" and cherry-picking my word choice it is apparent that you are already blinded by deep prejudice.
::I hereby reject all your insinuation of all sorts. I shall not be commenting until someone tries to understand first instead of dismissing right away. I have done my fair share of input as an minor editor. [[User:Seanetienne|Seanetienne]] ([[User talk:Seanetienne|talk]]) 18:06, 1 March 2024 (UTC)
:::Hi, {{u|Seanetienne}}, I have never called ''you'' a lunatic charlatan. I made previously no reference to your own person. Unless you are actively an author of medical pseudoscience, you have no reason to feel offended by the words of Jimmy Wales. I never said that the words "lunatic charlatans" apply to you, nor did I say I am Wales. It is difficult for me to comprehend why do you think that the essay [[WP:LUNATICS]] applies to your own person. Wales's opinion is Wales's opinion. You seem to take it personally when either it isn't me who wrote the opinion (I'm not Wales), or I am simply not writing anything at all about your own person. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 21:13, 1 March 2024 (UTC)
::::Sorry this got off-topic from the intention of the opening post, but it's probably not a good idea to link to the "lunatics" essay in these kinds of discussions. [[WP:PSCI]] (as well as [[WP:MEDRS]]) are probably better choices. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 21:46, 1 March 2024 (UTC)


== Recent edits ==
I added an "alternative medicine box" that links to other NCCAM categories. Can someone help me move the existing CAM box to a better location like under the NCCAM box? I can't get the html to look right.
We also need to find some sources on the history section... Thanks! --[[User:Travisthurston|Travisthurston]] 01:16, 30 August 2006 (UTC)


I think the recent major rewrite of the page, [https://en.wikipedia.org/enwiki/w/index.php?title=Naturopathy&diff=1212238026&oldid=1211392710], may have seriously introduced a false balance and may not have consensus. For the moment, I won't revert it myself, but I think it may have to be reverted if other editors besides me object. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 21:19, 6 March 2024 (UTC)
::Not sure if it's because I'm using Explorer, but the formatting is still wacked for me. If someone could fix it again, that would be great. :) --[[User:Schwael|Schwael]] 19:22, 21 September 2006 (UTC)
: I object as well, but the content seems to have already been reverted. Perhaps the editor will come here to seek consensus? [[User:JoJo Anthrax|JoJo Anthrax]] ([[User talk:JoJo Anthrax|talk]]) 06:20, 7 March 2024 (UTC)
::With three of us objecting, I'm happy with the revert, for now. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 22:41, 7 March 2024 (UTC)
:::Hello, I was the one editor that made recent changes. To be clear, I am not a paid editor and I don't have a strong bias on this topic. In fact, I am generally skeptical of alternative medicine though have recently become more curious about it as I personally explore some health issues. I was very surprised when I found both this page and the functional medicine page on Wikipedia to be so completely lacking in neutrality on the topics. In no way did I attempt to hide or minimize the many criticisms of naturopathy, but it seems plainly obvious to me the article in its current format really does not follow Wikipedia guidelines. I spent some real time researching legitimate sources that could help provide a more balanced. My goal in doing so was to help the article be more in line with the pillar [[Wikipedia:Five pillars|"Wikipedia is written from a neutral point of view."]]
:::This pillar states: ''We strive for articles with an impartial tone that [[Wikipedia:Neutral point of view|document and explain major points of view]], giving [[Wikipedia:Neutral point of view#Due and undue weight|due weight]] for their prominence.'' ''We avoid [[Wikipedia:Advocacy|advocacy]], and we characterize information and issues rather than debate them. In some areas there may be just one well-recognized point of view; in others, we describe multiple points of view, presenting each accurately and in context rather than as "the truth" or "the best view"''
:::The editor who reverted my edits seems to think that this topic has just one well-recognized point of view, or that that the view that naturopathy is only "quackery" has such prominence any disagreement with this violates the principle of due weight. This is not backed up by credible claims but rather seems like the editor has an axe to grind on this topic. This also seems to be contradicted by the fact that many US states and other nations offer formal license and regulatory frameworks for traditional medicines, which I also cited by linking to a list of states that currently license. It had previously read that "Naturopathy is prohibited in three [[U.S. states]] (Florida, South Carolina, and Tennessee) and tightly regulated in many others. Some states have lax regulations, however, and may allow naturopaths to perform minor surgery or even prescribe drugs." This is not neutral, not does it give any credence to the legitimacy that a regulatory system confers.
:::In introducing a more balanced tone I was careful to cite from legitimate, mainstream and credible sources such as a report published by the World Health Organization (WHO). Indeed, in this report, the WHO Director-General writes that "Traditional and complementary medicine (T&CM) is an important and often underestimated health resource with many applications." In flatly rejecting this, the editor completely ignores whole huge segments of the global population who very much do rely on traditional medicines. Implying that there is consensus that it is "quackery" seems to be a very western centric point of view.
:::I am going to revert back to the changes I made because I stand by them and believe that I was meticulous in my observance of rules and made a good faith effort to improve the article. [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 12:37, 8 March 2024 (UTC)
::::{{tq|I am going to revert back to the changes I made}} You shouldn't. There are three editors objecting to the changes so there is no [[WP:consensus]] for them. Wait and see how the discussion develops. [[User:Robby.is.on|Robby.is.on]] ([[User talk:Robby.is.on|talk]]) 12:41, 8 March 2024 (UTC)
:::::It was problematic from a whitewashing/[[WP:GEVAL]] perspective. So not a good idea. [[User:Bon courage|Bon courage]] ([[User talk:Bon courage|talk]]) 12:42, 8 March 2024 (UTC)
::::::I think we're now at five editors objecting to the change, and one supporting it, so this is [[WP:1AM]]. Also, believing that one is "right" is not an accepted reason to edit against [[WP:CONSENSUS]]. And I want to explain that the [[WP:NPOV]] policy does not say that we have to give similar prominence to every POV, and thus editors here are not claiming that the "quackery" perspective in the ''only'' recognized POV. We're saying that we should give [[WP:DUE]] weight according to the preponderance of reliable (in this case, [[WP:MEDRS]]) sources.
::::::I'm open to the possibility that we should include some increased coverage of favorable perspectives, but I would want to be able to examine them one-by-one. I'm perfectly willing to discuss making some changes, here in talk, as opposed to just putting the changes ''en masse'' on the page without prior consensus. Wikiwriter, if you'd like to list here the changes that you think are most likely to gain consensus, with sourcing, I'd be happy to discuss them. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 18:18, 8 March 2024 (UTC)
:::::::{{tqred|"ignores whole huge segments of the global population who very much do rely on traditional medicines"}}&mdash;yup, the rely on such medicines because effective medicine is very expensive and many countries would go bankrupt through making it widely available to their population. Sad, but true. And it does not stop 99% of the traditional medicines from being quackery. E.g. the Cambodian government recognized that [[cupping therapy]] is [[WP:CB]], but also that it is widely used in their country. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 18:42, 8 March 2024 (UTC)
::::::::There are reasons for relying on tried and true medicine over generations, especially if cost is a factor, when we know that iatrogenic disease is one of the leading causes of illness. This is especially the case in the USA [https://pmc.ncbi.nlm.nih.gov/articles/PMC4923397/]https://pmc.ncbi.nlm.nih.gov/articles/PMC4923397/
::::::::[https://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx]https://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx [[User:EDA2Z|EDA2Z]] ([[User talk:EDA2Z|talk]]) 20:36, 27 October 2024 (UTC)
:::::::::Yes, mainstream medicine can be misused. But that only proves it is very powerful. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 21:27, 27 October 2024 (UTC)
:::::: Echoing the comments of Tryptofish I suggest, Wikiwriter43103840, that you present your desired content on this Talk page, one item at a time, so that it can be discussed amongst interested editors and a consensus - one way or another - achieved. Throwing everything into the article at once is simply not going to work. I note also that you should restrict your comments to ''content'', and not on your opinion(s) of other editors, as your comment above ({{tq|seems like the editor has an axe to grind on this topic}}) is unhelpful and could easily be interpreted as a personal attack (see [[WP:PA]]). [[User:JoJo Anthrax|JoJo Anthrax]] ([[User talk:JoJo Anthrax|talk]]) 20:12, 8 March 2024 (UTC)
::::::: Agree. Wikiwriter43103840 would be best off working on this talk page making [[WP:ER|edit requests]] or something similar, identifying all changes in POV and the references that support such changes. --[[User:Hipal|Hipal]] ([[User talk:Hipal|talk]]) 20:40, 8 March 2024 (UTC)
::::::::OK, apologies for just reverting without further discussion.
::::::::Here are the changes that I made and why I made them:
::::::::# The current opening reads as follows: " A wide array of [[Pseudoscience|pseudoscientific]] practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as '''naturopaths'''. Difficult to generalize, these treatments range from the thoroughly discredited, like [[homeopathy]], to the widely accepted, like certain forms of [[psychotherapy]]." Not only is this non-neutral, but it also is self contradictory. How can it be both "a wide array of [[Pseudoscience|pseudoscientific]] practices" and also include "widely accepted" treatments? I suggested opening with a description that acknowledges the debates about it but does not immediately draw a conclusion. I included reference to the WHO report to back up my suggestion that a more positive POV deserves prominence alongside what is already there.
::::::::# The claim that "The diagnoses made by naturopaths often have no factual merit" is not supported by the citations provided. The citations could be good sources to legitimize a claim that naturopathy does not rely on the scientific method, or even that what it advises is often not supported by medical research, but to flatly claim that the diagnoses often have no factual merit seems to misrepresent the citations, unless I am missing something.
::::::::# The following is also problematic: "Naturopathy is prohibited in three [[U.S. states]] (Florida, South Carolina, and Tennessee) and tightly regulated in many others. Some states have lax regulations, however, and may allow naturopaths to perform minor surgery or even prescribe drugs." '''Why not just acknowledge that some states permit it and regulate it while others prohibit it? It does not seem like the purpose of this article to pass judgement ("lax") on public policy relating to the topic, the role of the article should be to describe public policy from a neutral perspective, and then describe various lobbying efforts focused on changing policies.'''
::::::::The language I replaced it with attempts to explain that naturopathy is not one single approach or way of doing things. It includes fully licensed medical doctors who are also trained in naturopathy and use it as a form of complimentary medicine to totally dangerous anti-vax crazy people who are peddling things that could hurt people. I tried to encompass all of that, and to explain that it is debated. In my mind this was expanding on what is already here. What do you all think? [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 21:20, 8 March 2024 (UTC)
:::::::::NPOV isn't half-way between science and pseudoscience. NPOV sides with science and shuns pseudoscience. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 21:31, 8 March 2024 (UTC)
::::::::::I don’t think a Wikipedia article is about “siding” at all. It’s about explaining the world as it is. The purpose is not to stake out a position. I’m not sure why you seem to have it out for me. [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 00:36, 9 March 2024 (UTC)
:::::::::::You have the mistaken idea that {{tq|NPOV sides with science and shuns pseudoscience}} is open for rational debate, and that you would be allowed to disobey it. No, it is a matter of website policy, namely [[WP:PSCI]], you might want to read it.
:::::::::::Wikipedia has no unfettered access to {{tqred|the world as it is}}. But it has unfettered access to scientific publications. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 17:59, 9 March 2024 (UTC)
::::::::::::You are unkind. [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 02:15, 10 March 2024 (UTC)
:::::::::::::What I am saying is that Wikipedia has [[WP:RULES]], so our [[WP:RULES]] are not open to rational counter-argumentation, at least not at this talk page. This is not the place for changing the [[WP:RULES]]. Editors at this talk page cannot change the rules of the game. Not being aware that Wikipedia sides with mainstream science is extremely naive. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 19:15, 10 March 2024 (UTC)
::::::::::::: One last time, {{yo|Wikiwriter43103840}} ''per'' [[WP:PA]], please restrict your comments here to ''article content'', not on your opinions about other editors. [[User:JoJo Anthrax|JoJo Anthrax]] ([[User talk:JoJo Anthrax|talk]]) 06:47, 11 March 2024 (UTC)
::::::::::::::I feel the need to say, also, that tgeorgescu should be more willing to engage collegially with suggestions by Wikiwriter, who I feel had a somewhat valid reason for feeling treated unkindly. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 20:00, 11 March 2024 (UTC)
:::::::::::::::The few past days, I did not really engage with their positive claims, but I was sensing that they do not understand how Wikipedia works. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 01:48, 12 March 2024 (UTC)
:::::::::Thanks for this post. My recollection of the edit was that more was changed than what those three points refer to, and what you've posted is more of a rationale than a proposal for revised text. But I'm happy to work with it for now, focusing on more limited corrections if any are needed.
:::::::::# I could support rewriting those sentences to "A wide array of practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as '''naturopaths'''. Difficult to generalize, these treatments range from the [[Pseudoscience|pseudoscientific]] and thoroughly discredited, like [[homeopathy]], to the widely accepted, like certain forms of [[psychotherapy]]." I could also support "A wide array of often [[Pseudoscience|pseudoscientific]] practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as '''naturopaths'''. Difficult to generalize, these treatments range from the thoroughly discredited, like [[homeopathy]], to the widely accepted, like certain forms of [[psychotherapy]]." The second of those simply introduces the word "often" before the word "pseudoscientific".
:::::::::# I could support rewriting that sentence to "The diagnoses made by naturopaths often have no basis in science and are often not accepted by mainstream medicine".
:::::::::# I could support rewriting the second sentence to "Some states, however, allow naturopaths to perform minor surgery or even prescribe drugs."
:::::::::I'm very pro-science, but I can agree that there is some editorializing in the current versions of those three passages, and I'd be willing to go that far if other editors agree. I don't think any of the changes I described really shift the POV significantly, but they make the language more encyclopedic and professional. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 21:50, 8 March 2024 (UTC)
::::::::::Thanks. I think this a good start. I need to spend more time on this and when I can I will be glad to propose further changes here in this discussion. Thanks for this. [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 00:37, 9 March 2024 (UTC)
::::::::::Regarding the suggestions of Tryptofish, I like the first sentence of point 1, and the sentences in points 2 and 3. They are accurate and, importantly, carry an encyclopedic tone. [[User:JoJo Anthrax|JoJo Anthrax]] ([[User talk:JoJo Anthrax|talk]]) 06:29, 11 March 2024 (UTC)
::::::::::Naturopathy, or naturopathic medicine, encompasses a variety of treatment methods, including dietary and lifestyle changes, stress reduction, the use of herbs and dietary supplements, homeopathy, manipulative therapies, exercise therapy, practitioner-guided detoxification, and psychotherapy and counseling. Naturopathy often finds itself at the center of debate because its practices frequently lack a rigorous scientific basis.
::::::::::Many in the scientific and medical communities categorize it as an alternative medicine form, emphasizing the pseudoscientific nature of some of its methods, such as homeopathy, which are widely discredited. Despite these challenges to its validity, naturopathy is also recognized by some, including the World Health Organization (WHO), which advocates for an integrative approach that combines the best of traditional and conventional medical systems.
::::::::::The field of naturopathy employs a diverse array of practices, described by practitioners as "natural," "non-invasive," or promoting "self-healing." This diversity ranges from methods without scientific support to those accepted within some regions of mainstream medicine, like specific forms of psychotherapy. The spectrum of practices complicates the generalization of naturopathic medicine's efficacy and scientific standing.
::::::::::The basis of naturopathy includes various sources, from accredited educational programs to traditions rooted in vitalism and folk medicine. Its controversial nature stems not only from the debate over its scientific validity but also from differing regulatory landscapes across the globe. For example, the practice faces outright prohibition in a few states in the United States. In contrast, others offer licensure or registration that may permit a range of activities, including minor surgery and prescribing medications. [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 11:45, 11 March 2024 (UTC)
:::::::::::Sorry my intro got cut off. Here is my attempt at a re-write. Thoughts? [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 11:46, 11 March 2024 (UTC)
{{od}}
I prefer the revised sentences presented above by Tryptofish. [[User:JoJo Anthrax|JoJo Anthrax]] ([[User talk:JoJo Anthrax|talk]]) 12:29, 11 March 2024 (UTC)
:Tryptofish's rewrite takes on a more encyclopedic tone. @[[User:Wikiwriter43103840|Wikiwriter43103840]], you have done a lot of rewriting which may necessitate new source requirements, and a bit too wordy for these purposes, IMO. [[User:Pyrrho the Skipper|Pyrrho the Skipper]] ([[User talk:Pyrrho the Skipper|talk]]) 16:11, 11 March 2024 (UTC)
::I've enacted those edits: [https://en.wikipedia.org/enwiki/w/index.php?title=Naturopathy&diff=1213229536&oldid=1212553661]. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 20:11, 11 March 2024 (UTC)
::Yes, some of the current sources would suffice and others would take some digging to be exact (I have them in mind but would want to find specific page numbers, etc). Before I did that work I wanted to bring this draft to this group. Could you help me understand what is not encyclopedic about my re-write? Is there anything that in there that others think would be additive to the current article, even without using the entirety of it? [[User:Wikiwriter43103840|Wikiwriter43103840]] ([[User talk:Wikiwriter43103840|talk]]) 14:06, 12 March 2024 (UTC)
:::You're writing is fine, in my opinion. I just meant that your style was a little wordier, for example, {{tq|Naturopathy often finds itself at the center of debate because its practices frequently lack a rigorous scientific basis.}} Your thoughts were heard and considered, and these types of articles are difficult spaces, as they tend to draw editors who have strong opinions/feelings about how the subject is presented, so no reason to be discouraged. [[User:Pyrrho the Skipper|Pyrrho the Skipper]] ([[User talk:Pyrrho the Skipper|talk]]) 14:50, 12 March 2024 (UTC)
:::I provided an answer to your question on your Talk page, as doing so here might be inconsistent with [[WP:TPG|article Talk page guidelines]]. [[User:JoJo Anthrax|JoJo Anthrax]] ([[User talk:JoJo Anthrax|talk]]) 16:32, 12 March 2024 (UTC)
:::I read JoJo's reply on your talk page, and I think it's a very reasonable explanation.
:::I'll try to add some further explanation to the comments already made. The first thought I have when reading your suggested text is to ask myself: why would we need these changes? You can see from the changes that I recently enacted on the page, that I approached it as trying to fix things where I believed there was a valid reason to fix it. A lot of what you propose here moves content around, but I'm not seeing what problem it solves.
:::For those things where I do see the reason why, I'm having the same reaction as Pyrrho and JoJo. The sentence that Pyrrho quotes just above strikes me as a little bit [[WP:PEACOCK]], because "center of debate" comes across a little like "center of attention", and I think that's hyperbole. The paragraph that begins "Many in the scientific... " is where I particularly see a false balance of POV. First, "many" is an understatement. Second, by saying that they "emphasize" the negative aspects, it comes across as implying a little bit that there is a choice happening to emphasize those things while ignoring more positive things, which isn't supported by most sources. Third, when you say: "Despite these challenges... ", you make it sound like we would be saying, in Wikipedia's voice, that the "truth" would be breaking through. Although I'm not opposed to giving ''some'' additional weight to the WHO position (somewhere on the page, not sure about the lead), I wouldn't want to give it equal [[WP:WEIGHT]] with the more critical views. After all, after the recent corrections, we already do make it clear that there are things like some types of psychotherapy that are accepted as mainstream. None of what I've just described is ''really bad'', more like just not enough of an improvement on what we have now. And in subtle ways, it seems to me like POV-pushing, because the changes in tone and emphasis trend in one direction. --[[User:Tryptofish|Tryptofish]] ([[User talk:Tryptofish|talk]]) 19:52, 12 March 2024 (UTC)


== Semi-protected edit request on 10 October 2024 ==
== Restoring unexplained link deletion ==


{{edit semi-protected|Naturopathy|answered=yes}}
I have restored this link: http://www.futurehealth.ucsf.edu/pdf_files/Naturo2.pdf which was deleted without explanation by [[User:Havermayer|Havermayer]] ([[User_talk:Havermayer|Talk]] - [http://en.wikipedia.org/enwiki/w/index.php?title=Special:Contributions&target=Havermayer Contribs]) as it seemed like a useful link. --[[User:Apers0n|apers0n]] 07:07, 7 September 2006 (UTC)
Change "Difficult to generalize, these treatments range from the pseudoscientific and thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy." to a more accurate and respectful way to describe Naturopathic Medicine. That is to refer to it as "A holistic, evidence-informed approach to healthcare. It emphasizes the body’s innate ability to heal itself, focusing on natural therapies such as nutrition, lifestyle modification, herbal medicine, physical medicine, and, where applicable, modern medical diagnostics and interventions. Licensed Naturopathic Doctors (Licensed NDs, NMDs) are trained in both conventional medical sciences and natural therapies, allowing them to blend modern diagnostic tools with a broad range of natural treatments to support whole-person health." [[User:EDA2Z|EDA2Z]] ([[User talk:EDA2Z|talk]]) 17:29, 10 October 2024 (UTC)
: '''Not done.''' The requested content is [[MOS:FLOWERY|flowery]] [[WP:SOAP]], and is inconsistent with the independent, reliable, secondary sources. [[User:JoJo Anthrax|JoJo Anthrax]] ([[User talk:JoJo Anthrax|talk]]) 18:01, 10 October 2024 (UTC)
::As a leading paragraph, the language around this profession must be in line with the integrative form of medicine it is. It is preventative and functional at the core. It is not pseudoscientific at the core, but rather some of the schools are connected with top research centers. For example the Sonoran University's Plant Medicine Research Center (https://www.sonoran.edu/research/ric-scalzo-institute/) connected with Biology Research centers at Arizona State University and other institutions. Here are some of the research projects at this institute alone https://www.sonoran.edu/research/projects/. Therefore, my question is what would be recommended here to incorporate a more accurate introductory paragraph? Also, why isn't this page being monitored and corrected by the professional Naturopathic Medical association, rather than those who are not connected with this profession?
::Here is another possible change from the national professional association (https://naturopathic.org/page/AboutNaturopathicMedicine):
::"The past 30 years has seen an extraordinary increase in consumer demand for safe, effective, and cost-effective natural health care. Naturopathic medicine has emerged as the health-care profession best suited to meet this demand, with naturopathic doctors trained in the art and science of both natural and conventional medicine. Naturopathic medicine is recognized as one of the original systems of medicine offering safe, effective patient-centered care that is a vital part of healthcare in the twenty-first century." [[User:EDA2Z|EDA2Z]] ([[User talk:EDA2Z|talk]]) 20:04, 13 October 2024 (UTC)


:::[[Pharmacognosy]] research about plants is important, but generally it's not what naturopathy does.
== naturopath ==
:::Also, Wikipedia isn't a PR venue, see [[WP:SOAPBOXING]]. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 20:15, 13 October 2024 (UTC)

::::Understood about soapboxing. However, the difference between Naturopathic Medicine from licensed professionals, is not the same as the overarching term "Naturopathy", and it is not pseudoscience. If the term Naturopathic Medicine is included on this page, then the lead paragraph is slandering the profession and not allowing correction to be made. The same can be said for the Alternative Medicine page. The word "pseudo-science" written in the lead paragraph will persuade people in a very clear direction, rather than providing facts around what these forms of health care are actually about. [[User:EDA2Z|EDA2Z]] ([[User talk:EDA2Z|talk]]) 21:02, 13 October 2024 (UTC)
does anyone know what the theory behind naturopath is or what the belief behind it is?
:::::Our official stance: [[WP:LUNATICS]]. In other words: Wikipedia is biased for mainstream science and the medical orthodoxy.

:::::And the truth is that naturopathy is to a large extent obsolete due to huge progress in mainstream medicine. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 22:14, 13 October 2024 (UTC)
:That would depend on what you mean by "theory behind". The article [[naturopathic medicine]] can give you a good starting point in understanding the tenets, scope of practice, etc. A naturopath is not necessarily a medically trained physician, and anyone can live a naturopathic lifestyle. But in order to be a naturopathic physician and truly practice naturopathic medicine with a full scope of practice, you have to graduate from on the the six naturopathic medical schools in North America, pass the board exams, complete a residency or internship and practice in a licensed state. I think the article will be sufficient in helping you understanding beliefs and theories, but for more info, you can go to my schools website ([http://ncnm.edu ncnm.edu]) or continue a discussion by emailing me using the “Email this user” link on my page [http://en.wikipedia.org/wiki/User:Travisthurston here.] Thanks for asking. --[[User:Travisthurston|Travisthurston]] 01:10, 15 September 2006 (UTC)
::::::The modalities used by Licensed Naturopathic Doctors, and other Integrative Doctors, including Allopathic Doctors who have integrated with those modalities, are proven to be no where near obsolete. They, in fact, are continuing to increase in use each year as the general population of multiple countries have found that it is better to approach a healthy lifestyle before needing a doctor. It has been a bonus for these people newly entering the world of Integrative and Naturopathic medicine, when they find out that their illnesses can also be treated in this way. "Traditional, complementary and alternative medicine (TCAM) includes products (e.g. herbal medicines, dietary supplements) and therapies/practices (e.g. chiropractic, acupuncture), and is a popular healthcare choice for many people. This study systematically reviewed national surveys of TCAM use around the world. We identified studies carried out in 14 different countries and one continent (Europe) on the extent of use of TCAM in the general population. TCAM use was found to be substantial, ranging from 24 to 71.3%" [https://pubmed.ncbi.nlm.nih.gov/35788539/]https://pubmed.ncbi.nlm.nih.gov/35788539/

::::::[https://pubmed.ncbi.nlm.nih.gov/36103571/]https://pubmed.ncbi.nlm.nih.gov/36103571/
'''Medical Practice Acts & Naturopathy'''
::::::It's even increasing in veterinary medicine [https://pubmed.ncbi.nlm.nih.gov/34157762/]https://pubmed.ncbi.nlm.nih.gov/34157762/ [[User:EDA2Z|EDA2Z]] ([[User talk:EDA2Z|talk]]) 20:56, 27 October 2024 (UTC)

:::::::Chiropractic? Means how to get cervical arterial dissection.
Use of the title "physician" is protected in states where naturopaths are not licensed. Where naturopaths claim to "diagnose" or "treat," they are likely to be in violation of that state's Medical Practice Act and should be reported to the state board of medical examiners. [[User:HealthConsumerAdvocate|HealthConsumerAdvocate]] 23:40, 26 November 2006 (UTC)
:::::::Acupuncture? Means how to get infected or perforated lungs.

:::::::Just because naturopathy is broadly used, it does not mean it isn't quackery.
'''Re: Medical Practice Acts & Naturopathy'''
:::::::And frankly, I had a dislocated shoulder, very painful. Basically, I had to choose between ingesting opiates and no treatment. I decided that no treatment was the better option. That's why sometimes naturopathy is the preferred treatment: since no treatment is the preferred treatment option. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 21:12, 27 October 2024 (UTC)
To be more precise: The use of the title "physician" is protected in each of the United States of America. In states where naturopathic physicians are licensed, the state government has passed legislation which grants naturopathic physicians a certain scope of practice as primary health care providers and thus the protected use of the title "physician". In states where licensure has not yet been granted, naturopathic physicians can neither treat nor diagnose disease. If a consumer is interested in naturopathic health care but resides in an state that does not license naturopathic physicians, the consumer may be able to consult with a naturopathic physician. In doing so, the consumer should be very cautious and confirm that any physician they consult with has graduated from a four-year, acredited, naturopathic college and passed the NPLEX exam. This processes is simplified by consulting the American Association of Naturopathic Physicians (AANP) at www.naturopathic.org. [[User:Stephenmeeneghan|Stephenmeeneghan]] 09:28, 7 December 2006 (UTC)StephenMeeneghan
:::::::So, in that respect Reiki or chamomile tea are in fact substitutes for no treatment. [[User:tgeorgescu|tgeorgescu]] ([[User talk:tgeorgescu|talk]]) 11:02, 7 November 2024 (UTC)


'''naturopathy'''
Okay I made some changes without consulting this page (typical of a doctor?). I have trouble with being excluded from the traditional naturopath category just because I have clinical training. The licensable degree of ND is not differentiated from the mail order degree by belief in medicine, but by degree and scope of training in it. The major distinction as I see it is that we are trained on actual human beings (we must work a certain number of hours with humans to graduate) where they are not. This doesn't mean that they are useless or even untrained with humans (I have met many nurses that have gotten the "other" ND who have as much (although different) clinical training as I do). It simply means that you do not know based on this degree if they have any training or not in diagnosis or practical training in treatment. I also recommend the www.naturopathic.org website- use the find an ND feature to see who is in your area (even if you are in an unlisenced state- these people are at least lisencable). [[User:Anna Abele, ND|Anna Abele, ND]] 07:10, 29 January 2007 (UTC)Anna Abele, ND

== The healing power of nature ==

Anyone who believes natural medicine to be gentle has never weathered a hurricaine. Herbs can kill as easily as drugs. They can also heal as powerfully and sometimes more powerfully.''' (This statement does not mean anything. Please define what you mean by "healing more powerfully.''')[[User:198.11.27.53|198.11.27.53]] 14:51, 18 April 2007 (UTC)P.C. 4/18/07 No one thinks that digitalis as an herb is better than the drug (I hope). It is too changeable (strength depends on waterfall and sun exposure and location of the plant) and can build up in the body to create toxic side effects (including death). The therapeutic window (benefit is derived before toxicity is reached) is too narrow and the possibility of serious harm is too great. Digitalis as a drug however (where all of these variables are controlled) is very useful.

Sometimes the herbs indicated for a given condition are more gentle than the available drugs (if there are any). eg. Herbal COX 2 inhibitors do not have the same side effects in the liver and heart as the pharmaceutical ones. '''(please give a reference for this claim. Which "herbal COX-2 inhibitors"? also provide an actual study which carries out a direct comparison of known COX-2 inhibitors and any herbal variety and specifically addresses the toxicities you refer to)'''[[User:198.11.27.53|198.11.27.53]] 14:51, 18 April 2007 (UTC)P.C. 4/18/07. Garlic has far fewer side effects than statin drugs when lower cholesterol is your goal. Sometimes this gentleness translates to decreased efficacy, and sometimes not. '''(Please offer some quantitative analysis relating "gentleness" and efficacy, including indepth and extensive data defining just how "gentle" and efficacious the preperation is.)'''[[User:198.11.27.53|198.11.27.53]] 14:51, 18 April 2007 (UTC)P.C. 4/18/07

Let us not make the mistakes of modern medicine and throw out all of the information gleaned before we arrived. Much of scientific western medicine is useful, most of it can be used better than it is currently. It is not always about willing the mosquito away, but using something short of a sledge hammer to kill it. [[User:Anna Abele, ND|Anna Abele, ND]] 06:48, 29 January 2007 (UTC)Anna Abele, ND

"The information gleaned before we arrived"? Just how much information do we have? Throughout history, people have drawn correlations in their own minds between imagined causes and observed outcomes. Look at Greek mythology and how much of the workings of the world were attributed to to the whims of a petulant crew of imagined deities. Simply because a belief has been held for thousands of years, doesn't make it so. Also, just because some herb or other might serve as good treatment for a headache, doesn't mean it doesn't also cause liver failure. Show me the autopsies of all those taking herbal preparations throughout history and we can begin to discuss whether or not they are safe. At the end of the day, the prescribing of herbs is an unregulated practice which does not demand any proof of efficacy or safety. Anecdotal claims of efficacy and safety founded in the tired old argument of "these have been around for thousands of years" are deceptive, negligent, and, in many cases, fraudulent.

For any "herbal COX-2 inhibitor" which is truly a COX-2 inhibitor, I can guarantee you that dose dependant toxicities exist and that they can be reasonably expected to mirror those of Vioxx and others. There simply is no-one demanding that detailed clinical trials be carried out on herbal remedies. If you come across two caves and thoroughly inspect one to find that a lion lives there, is it necessarily safe to walk into the other and bed down? Of course not. You have to conduct an equally thorough search to make sure that there isn't a lion, or a bear, or a rabid mongoose living in the second cave.[[User:198.11.27.53|198.11.27.53]] 14:44, 18 April 2007 (UTC)P. Cogan; April 18th, 2007.

Still waiting for anyone to address my above requests for substantiation. If you can't offer any real support for your claims, please remove them, for they are fraudulent.[[User:206.48.58.110|206.48.58.110]] 04:29, 12 May 2007 (UTC)P.Cogan

Cogan, you want an answer to what question? You're looking for substantiation for what "fraudulent" claim? Is it safe to bed down in a cave? Are there cox-2 inhibiting herbs? Should their doses be monitored and should there be more clinical trials conducted? You may not know that the ND community in the states and India are always conducting clinical trials on these herbal remedies that have been used for centuries. If the information you are looking for is not readily available, maybe I can find it. Please clarify your question. I would be happy to try to answer. --[[User:Travisthurston|Travisthurston]] 18:37, 12 May 2007 (UTC)

Travis, glad to see someone is watching this. Check out the bold print comments in Anna Abele's above statement. She has made lots of claims as to safety and efficacy, but has not offered any support for these claims. I'm simply looking for any evidence to suggest that what she has claimed can be confirmed. Western medicine and naturopathy are playing by two different sets of rules. Whereas western medicine is required to substantiate any claims on safety and efficacy with literally truck loads of data, the purveyors of herbal remedies are under no such obligation and can claim whatever they want without any substatiation. It is a double standard. Also, keep in mind that the FDA requires ANY untoward symptoms that arise during a clinical trial to be reported as a side effect, even if they don't appear with any more frequency than they would in the general public and may have absolutly nothing to do with the drug being tested. Even if various herbs are undergoing clinical type studies, no one is requiring the same stringency in reporting of potential side effects, hence the common claims that herbs are safer than traditional pharmaceuticals. This is one of the most frustrating aspects of addressing claims of alternative medicine, in particular herbalism; its supporters appear to hold that lack of evidence is proof of safety.[[User:209.59.88.141|209.59.88.141]] 15:07, 14 May 2007 (UTC)P.Cogan

Anyone care to comment? Travis? Have I lost your interest?[[User:204.188.174.99|204.188.174.99]] 21:29, 7 June 2007 (UTC)P.Cogan

== POV problems ==

We really need to cover the Evidence-based medicine side. We can't just ignore it, and all criticism. [[User:Adam Cuerden|Adam Cuerden]] <sup>[[User_talk:Adam Cuerden|talk]]</sup> 02:12, 14 March 2007 (UTC)

:Yes, it needs reworked with [[WP:RS]] to explain where science is. [[User:Arbustoo|Arbustoo]] 23:32, 18 May 2007 (UTC)

::It's dangerous to have it in the article without citeing any sources though. I propose removing the criticism unless you can source it.

== This article has only links to criticisms?! ==

I come from a pro-science background.

I agree with the last comment, to the extent that I understand it. I believe that the primary reason that people look up articles on Wikipedia is to seek information ''stated on'' the Wiki page (although some do come for just the external links, and external links+citations are also great).

This article is almost entirely void of any criticism or quality critical editing. An example of this can be seen in the with the ambiguity in the very first sentence: "treat disease chiefly by assisting the body's innate capacity to recover from illness and injury". What is this 'innate capacity'? Is this referring to the immune system, or some non-science backed, possibly spiritual 'innate capacity'? (I do not intend to set up a straw man with innate capacity, but the such ambiguity, I believe that the poor-wordedness justifies my assumption).

As a ''first step'' to making the article even resemble one which uses evidence drawn from a critical analysis, I very much advocate a criticism section, because external links alone do not suffice in a Wikipedia article. <small>—The preceding [[Wikipedia:Sign your posts on talk pages|unsigned]] comment was added by [[Special:Contributions/70.69.14.35|70.69.14.35]] ([[User talk:70.69.14.35|talk]]) 02:21, 1 April 2007 (UTC).</small><!-- HagermanBot Auto-Unsigned -->

:I just looked at this article for the first time, having seen it criticized on another website. I agree with the foregoing comment. The article is a disgrace. Wikipedia's principles mean that the claims of these quacks must be reported fairly, but those claims should not be adopted as fact, and the criticisms made about naturopathy should also be reported fairly. By way of example, the article about [[Homeopathy]] states in its second sentence that homeopathy is "widely discredited in scientific circles". [[User:JamesMLane|JamesMLane]]<small>&nbsp;[[User_talk:JamesMLane|t]]&nbsp;[[Special:Contributions/JamesMLane|c]]</small> 11:58, 15 May 2007 (UTC)

:The article needs massive work, but that is a problem of a lack of citations. I removed the huge link farm. Links must comply with [[WP:EL]]. We don't need a link to every Naturopath organization in the world. [[User:Arbustoo|Arbustoo]] 23:31, 18 May 2007 (UTC)

::The "claims of these quacks"? I'm glad your working hard to remain unbiased and objective while trying to help improve the wiki. Please refrain from contributing until you are more prepared to aproach the topic without preconceived ideas. Homeopathy is one of the many schools of naturopathy, and much of naturopathy is scientifically sound. Please don't use umbrella statements when refering to individual aspects. [[User:58.110.136.169|58.110.136.169]] 03:53, 7 August 2007 (UTC)

:::I very much agree with the previous statement. It becomes impossible to discuss the neutrality of an article when uninformed accusations are being tossed around. Saying "the claims of these quacks must be reported fairly" is borderline vulgar; saying it as an argument for neutrality is downright paradoxical, and consequently offensive to people who actually know what they're talking about. As to the neutrality of this article: I believe this article is written in a neutral style, and that it treats the methods and controversy against naturopathy in an encyclopedic fashion. It's through omission, however, that this article becomes biased. The specifics of naturopathy are discussed, but not in relation to the controversy. There's a vibe of reading a news article about the controversy, then hearing the prosecutor's statements, but finding out that the defendant's statements are mysteriously unavailable. Also, people who discuss this page should be pro-correct above all, and leave polarizing, tunnel-vision-based affiliations such as "pro-science" and "pro-nature" for message boards. Naturopathy isn't anti-science, although some specific fields such as homeopathy are based on many ideas that go against aspects of science. The holistic approach of Naturopathy doesn't go against science any more than psychology and therapy do. Almost all modern naturopaths approach spirituality as a function of the physical being, notably tightening the gap between spirituality and psychology. Spirituality in naturopathy, although once appreciated and practiced on a metaphysical level, is no longer done in this fashion. Naturopathy in the past 100 years has sought to absorb the theories and practices of science and apply them, not deny them. Naturopaths aren't money-making quacks; they're licensed, trained doctors who truly believe in what they do, even in the cases where the practices are shown not to work. Modern medicine should absorb many aspects of naturopathy, notably herbal treatments and holistic analysis. Stress is caused by psychological factors, but has been proven to have physical effects. Many naturopaths spend their lives trying to prove similar concepts. The fact that neurologists are such a significant part of modern medicine proves that the link between psychology, "spirituality", and physical medicine is an ever-progressive discipline that is constantly changing the way modern medicine works. I know this was a lot in discussion of neutrality, but I thought, in response to the harsh and ignorant comments submitted earlier, something more balanced was needed in order to demonstrate reasons why the subject should be listed as controversial, and shouldn't be implied, through omission or suggestion, to be a challenged subject that can't stand its own ground in defense.[[User:130.245.253.90|130.245.253.90]] 13:52, 12 October 2007 (UTC)

== "Certain modalities" ==

Someone changed the Criticisms to say that only "certain modalities" of naturopathy are scorned by scientific skeptics. If no one can present instances of notable skeptics accepting the validity of naturopathy, I think this should be changed. Skeptics pretty much view all of naturopathy as a pseudoscience with no empirical basis in its principles. --[[User:Soultaco|Soultaco]] 17:56, 31 May 2007 (UTC)

--Sounds like you are having a little difficulty accepting the burden of proof that comes with making a such a wild generalization, Soultaco. To which skeptics do you refer? Modality, by modality, if you please.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 06:52, 21 February 2008 (UTC)

Thanks [[Special:Contributions/Soultaco|SoulTaco]] for noticing! This skeptic topic always amuses me. No educated, scientifically minded person is going to call all the modalities that we naturopathic physicians employ unscientific or pseudoscientific. For example; analysis of blood labs, gyn exams, the ability to diagnose and treat infectious diseases, psychological counseling, lifestyle counseling and awareness, structural manipulation. Even many of the herbal formulas we use have been successfully supported with scientific analysis.<br>
And anyone who can say that "Skeptics pretty much view all of naturopathy as a pseudoscience with no empirical basis in its principles" has no idea what naturopathic medicine is, what it means to be a "first professional degree" in the eyes of the U.S. Department of Education, and what it means to be a licensed primary care provider along side of MD's, DO's and NP's. In order for people to be truly skeptical of a topic, philosophy or concept, they have a continued duty to fully understand it. Otherwise, they are best left without an opinion at all. I challenge any skeptic to explain that position while having a comprehensive understanding of our medicine. --[[User:Travisthurston|Travisthurston]] 19:36, 31 May 2007 (UTC)

:But this is missing the point. First off, this Wikipedia entry is not here to advocate or scorn naturopathy; it is here to accurately describe the field, ''including'' criticism of it, and it is a simple fact that the skeptical inquiry community is by and large critical of naturopathy and label it a pseudoscience. [http://www.quackwatch.org/01QuackeryRelatedTopics/Naturopathy/naturopathy.html One representative example.] [http://skepdic.com/natpathy.html Another.] [http://www.mukto-mona.com/new_site/mukto-mona/Articles/randi/science_pseudoscience.htm And another], from [[James Randi]]. Whether their criticism is ultimately correct or fair is not necessarily the issue; the point is that there exists a prominent group of people who ''do'' advance this general view, and the fact that they do is worthy of note in the entry. There is no reason to qualify that and say that they only scorn "certain modalities" of naturopathy, because that distinction does not appear in criticisms. Thus, I see no reason for that particular edit to stay in the entry. --[[User:Soultaco|Soultaco]] 20:29, 31 May 2007 (UTC)

:::Could you please provide the mailing address for the 'skeptical inquiry community', Soultaco - I'd like to buy a membership so that I can attend the next "By and Large" conference. Do they condemn the individual modalities in break out groups that I have to sign up for ahead of time, or is it all done in a big room at the end? I hear the keynote this year is going to be really cool: "Multivariate, regessional and other analytical trends in the statistical modeling of Scorn". Is James Randi the president this year or is it Steve Barret? I think it is wonderful that I can know the entire consensus of all rational thought everywhere just be reading their newsletters, don't you? They are *so* representative.
[[Special:Contributions/72.0.222.219|72.0.222.219]] ([[User talk:72.0.222.219|talk]]) 06:56, 21 February 2008 (UTC)



Let's not throw out the baby with the bath water here; there are ideas to be found in the field of naturopathic medicine. To be clear, I am very much a skeptic of many of the claims of naturopathic medicine as outlined in the wikipedia article. I am of the opinion that many of the practices employed by the naturopathic community are embraced simply because they work into a touchy-feely tapestry of entirely imagined magical energies. You can ask me how I know these "magical energies" are imagined, but the onus is yours to show any evidence that they actually exist. People want to believe in magic, they want to believe in the spurious arguments that anything "natural" (whatever that means, and the definition is open to debate) is inherently better or safer than anything devised by the mind of man. Science has (arguably) removed the romance and mystery from the world around us, and too many people just can't handle that. The nature of the moon and the stars and the tides all fit into a simple and all encompassing model of the physical world and those who don't understand it simply want more. Now, this is just my opinion, but I digress. The chemical components of various herbs do have biological activity, so the concept of herbalism is not invalid. The problem comes from the boatloads of unverified claims made about their potency and safety. No one knows all of the biological activities of all of the chemical components of commonly injested herbs. Also, there is a double standard in reporting of efficay and safety, as traditional pharmaceutical agents must satisfy strict rules set down by the FDA, while anyone can make any claim they want about herbs. That's just the way the laws are written right now and they allow for a multitude of useless and dangerous snake oils to be unloaded on a grossly undereducated consumer base.

There are other aspects of naturopathic medicine which offer such obvious approaches to maintaining good health that one must ask themself: "can it really be that only the naturopaths take this into consideration?". For instance, the reading I have done on several naturopathic websites has made it clear that diet and aversion are primary lines of defense in naturopathic medicine. This, like herbalism, has its limits of usefulness and legitimacy. Anyone who tells you that lung cancer, broken bones, or type one diabetes can be cured by a certain diet should have their tongue removed. I'm not suggesting that these claims are made by practicing naturopaths, but I simply offer them as obvious limitations to this therapeutic approach. On the other hand, if you are experiencing frequent headaches and heart palpitations, a naturopath would likely ask the right questions (probably before many physicians would) to find out if you happen to drink four liters of Coke every day. Problem solved. Again, an obvious and simple first line approach which shouldn't be relegated to the field of naturopathy, but should be recognized as simple logic and embraced by western medicine.

One common issue I find with the whole idea of naturopathy is the common misunderstanding of its most fundamental principles amoungst the general public. I have several friends who regularly purge with "natural" laxatives such as aloe vera and cascara segrada. They would never dream of taking something like "Ex-Lax", but eagerly consume these herbs which are not necessarily safe (In the case of cascara, there is good reason to believe it is not safe: AMERICAN JOURNAL OF GASTROENTEROLOGY 95 (12): 3634-3637 DEC 2000). What baffles me is this: if you want to take a natural approach to catharsis, why take an herb? Eat less sugar and meat, eat more All-bran, and drink more water. I would hope that this would be the approach of any practicing naturopath, but guess where they got the advice to start taking the cascara? You guessed it, a naturopath.

There is one other major problem that I see in the practice of naturopathic medicine, and it is this. Despite the common sense approach that can be found in the most simple manifestations of naturopathic medicine, the fact that homeopathy is commonly considered as part of the arsenal just screams of a field devoid of critical thought and common sense.[[User:198.11.27.83|198.11.27.83]] 04:10, 11 June 2007 (UTC)P.Cogan

== Appropiateness of extrenal links ==

“Please do not add inappropriate external links to Wikipedia, as you did in Naturopathic medicine. Wikipedia is not a mere directory of links nor should it be used for advertising or promotion. Inappropriate links include (but are not limited to) links to personal web sites, links to web sites with which you are affiliated, and links that exist to attract visitors to a web site or promote a product. See the external links guideline and spam policies for further explanations of links that are considered appropriate.” Levine2112<br/>

Good. Good.... Not everyone has nefarious intent by the way.<br/>

I do find the back and forth here on the validity of natural medicine modalities “interesting.” Someone is of the opinion that this is a poorly written article (and no… I really don’t have the time to go back and figure out who said it) and that somehow reflects on the validity of natural medicine. I am sure that somewhere on the web I could find a crappy article on quantum mechanics. Would that article have any bearing of the validity of quantum mechanics?<br/>

P.Cogan is of the opinion that Anna someone makes a lot of unsubstantated claims at bit further up the “talk page” here. How is one to substantate claims other than to cite articles from peer reviewed medical journals? That is primarily what the page in question does, at least the page I pointed to. How close the text of the page that was originally pointed to does or does not come to personal advoacy is another story.<br/>

Other than that… I don’t know what to tell you. It should have been down at the bottom under external links under some sort of subheading “lists of research articles” or some such. Dunno… You want references, or you don’t, or they are too specific, or you just want to hang out and argue that there’s no substantion for natural medicine modalities, or somethine else... I guess I really don’t have the time to hang out and bicker back and forth if that’s what you want to do.<br/>
[[User:70.176.147.196|70.176.147.196]] 13:58, 4 June 2007 (UTC)

By all means, please post references for any claims as to the safety and efficacy of any herbs mentioned, particularly for the COX-2 inhibitors I originally asked about. Keep in mind, there is a difference between adding a link to a webpage and citing references. Just add a superscript to anything you have a reference for and then list the actual article citation at the bottom. I think they want to minimize all the external links, but I doubt there is anyone pushing to cut back on the number of primary literature references.

The fact that the article is poorly written does not reflect on the validity of the claims made in support of naturopathic medicine. However, the fact that the claims about naturopthy draw reasonable criticism demands a well written article in response. If this article is the best the proponents can come up with, I'd say all the criticism is very much merited.

By the way, quantum physics, as a field, has stood up over time to those who have said "show me". Naturopathic medicine has not. That's all the critics want. If you make any claim, particularly one which contradicts the established laws of chemistry and physics, people are reasonably going to ask you to prove it. When it comes down to it, most proponents of alternative medicine can't prove their claims.[[User:198.11.27.83|198.11.27.83]] 04:31, 11 June 2007 (UTC)P.Cogan

== Evidence and Naturopathic medicine ==

Modern scientific enquiry is rapidly outgrowing the concept of 'proof', P. Cogan! A quick look at medical education and medical literature reveals that the new watchword is 'evidence' not 'proof'. Furthermore, we are told that such evidence is best aproached qualitatively: "Is the evidence for efficacy weak or strong?" "Is the evidence of risk weak or strong?". Well-trained doctors (yes, even the naturopathic ones) will look at *individual* interventions from this point of view.

->A great point. I should not have asked for proof, but rather evidence. Semantics aside, there is a great void of objectively obtained evidence supporting many claims of naturopathic medicine. What is more disturbing, however, is the comparison of a field which is legally obliged to acknowledge, and adhere to, the reality defined by properly obtained emperical evidence with another field which is defined at the unchecked whim of those who directly benefit from its presentation as truth.[[User:209.59.89.57|209.59.89.57]] 07:00, 12 June 2007 (UTC)P.Cogan

-->There are two interesting results here: Since evidence based medicine is a process that does not belong to a particular modality or medico-political faction, all types of practitioners are free to use it. The only thing sadder than an ND who can't describe the evidence supporting the cardioprotective effects of fish oil supplementation is the MD who claims it is useless without having looked at the evidence either. So one interesting thing about evidence-based medicine is that just about anyone can be trained to use it. Naturopathic medicine is not innately incompatible with EBM. -LMontgomery

->Agreed. Saying that this, that, or the other is useless, without evidence for these claims, is an abuse of authority. However, if there is no compelling evidence that a given treatment is authentic or safe, then there is no reason to accept its application. As an example, Anna Abel made several claims about "herbal COX-2" inhibitors above. I'd love to see any evidence to support these claims.[[User:209.59.89.57|209.59.89.57]] 07:00, 12 June 2007 (UTC)P.Cogan

-->The second interesting requirement of EBM is that all interventions be aproached individually. There is no meaningful way to describe evidence for 'supplementation' or 'accupuncture' as modalities for example. So more and more we are seing evidence being gathered for *specific* interventions. For sure there are some alternative claims out there that have very little evidence to support them. But there are also many others that have extensive evidence. The statement 'there is no proof that accupunture works' isn't just hyperbole, it is meaningless hyperbole. -Lmontgomery

->That's one way of looking at it. Another way, is to say that the claim "accupuncture 'works'" is meaningless hyperbole. What do you mean by "it works". [Never said this - LM] Define your parameters, and then offer some evidence to support your claim.[[User:209.59.89.57|209.59.89.57]] 07:00, 12 June 2007 (UTC)P.Cogan

-->My point is that *all* such claims (for and against) are too general to be meaningful and should be kept out of the article. Could you perhaps benefit from your own advice by defining specific parameters and offering specific evidence to support your (distressingly general) claims?

The article should mention that some natural interventions have strong evidence, some others have weaker evidence and some others still have not been studied in a meaningful way at all! The article should also note the trend towards increasing interest from the EBM research community in natural therapeutics. Any wholesale statements about natural medicine or its modalities 'lacking proof' are spectacular dead-ends, and should be avoided. - L. Montgomery

->OK, how's this for a statement: many naturopathic modalities lack sufficient evidence to suggest that they are in the least bit usefull (as is the case with homeopathy and many herbs). In addition, there is no evidence to suggest that naturopathic medicinal treatments are inherently more safe than the standard alternatives (i.e. claims that the prescription of herbs is a necessaerily safe practice are spurious). Herbs aren't useless, there simply isn't enough evidence to claim that they are inherently safe. Homeopathy, on the other hand, is useless.[[User:209.59.89.57|209.59.89.57]] 07:00, 12 June 2007 (UTC)P.Cogan

--> A good article avoids discussing evidence that does not exist and focuses on the evidence that does exist. By the way, I mean 'evidence' to include evidence that supports an intervention as well as evidence that fails to support an intervention. Statements like 'no evidence exists' are meaningless and usually false.

Although it is true that there is 'no evidence' to suggest that naturopathic medicine *as a whole* is safe and effective, there is also no evidence that cardiology *as a whole* is safe and effective. This is because evidence is gathered for specific interventions, not medical disciplines or specialties. There is some good evidence supporting natural interventions as there is some good evidence that demonstrates lack of effectivness. The point should be that more research is needed. Naturopathy is inferior to other disciplines only in as much as it has not recieved the same level of research funding. Blanket statements about naturopathy are unfounded until that research has been performed. It is not reasonable to claim that something has been proven useless while also claiming that no research has been done: this would only serve to give the article a prejudicial tone.

We should also avoid language like 'not the least bit useful' or 'useless' for similar reasons - these are too vague to be helpful. If you want to argue that Vitamin D is 'useless' to lower cancer rates, by all means go to the Vit D page. (Good luck with that by the way! Vit D cancer prophylaxis is another example of good research finally confirming what your ND has been telling you all along.) The truth is that there is a tremendous amount of work going into evaluating natural remedies - just do a pub med search on any supplement in your health food store. I think it would be unfair and misleading to suggest that this research does not exist. - L Montgomery

Several good points. I suspect we see more eye to eye on this than comes out in a call and response type exchange such as this. We're also getting away from the primary concerns of critics such as myself. As I have stated somewhere above (different section), all of naturopathic medicine should not be dismissed. That would be absurd There are a lot of common sense approaches to diagnosis and treatment which are pursued more vigorously in the naturopathic field than in traditional western medicine. Simple dietary changes to address things like constipation, for example. Too many MDs will run all sorts of tests and prescribe all sorts of medicine while an ND (based on my reading) will be more likely to take the approach of "eat less beef jerky and more spinach". Western medicine suffers from all sorts of foibles, but that is not what we are here to discuss. My major concern with naturopathic medicine is as follows:

Many of the modalities employed, herbalism for instance, are practiced without any regulatory body demanding evidence of efficacy, safety, establishment of a therapeutic window, or normalization of dosing. Traditional pharmaceuticals are tightly regulated along these lines and most of the claims as to the supperiority or safety of herbal preparations are founded in the fact that these two approaches (traditional pharmacetical vs herbal) are playing by two different sets of rules. Claims made in the pharmaceutical field are legally restricted to those things for which there is ample evidence, whereas *anyone* can make any claim they wish about herbs and are not legally bound to support it. For instance, several claims have been made on this talk page about the efficacy and safety of herbal COX-2 inhibitors. I have asked repeatedly for supporting citations for these claims and none have been offered. Of course, this doesn't mean the evidence doesn't exist, but I have also done some extensive searches on Scifinder and the ISI Web of Science (citation index), both of which are more extensive databases than pubmed, and I have found no evidence to support the claims that have been made. In fact, I have yet to find mention of ANY herbal COX-2 specific inhibitors (still looking). This problem is beyond the scope of the NDs in the field, since there isn't enough money floating around to do the appropriate research, and there isn't much incentive to do the research anyhow. The FDA needs to get involved and start regulating this stuff.

I agree 100% that it is shortsghted and foolish to dismiss all of naturopathic medicine on account of a lack of data. However, if all of the claims made in the field of naturopathic medicine which lack supporting data are stripped away, what is left behind? It's very simple, and this works both ways: offer some evidence to support the claims made pertaining to naturopathic medicine, or stop making the claims. And let's be clear: if a claim is made as to efficacy and safety of a treatment, the onus is not on me to give evidence it is bogus (unless I explicitly say it is bogus), the onus is on the claimant to give evidence to suggest it is valid. I can tell you all I want that I can fly and walk on water, but you'd be a fool to believe me unless I offer some supporting evidence

Yes, there is a good deal of research being pursued in this field, and yes, there is a shortage of funding for the appropriate research. However, the data coming in does not support the broad claims of the inherent safety which are commonly made by proponents of the field.


'''For the following, L. Montgomery's statements are led with "-->" where mine are led with "**".'''[[User:209.59.94.52|209.59.94.52]] 16:58, 16 June 2007 (UTC)P.Cogan

**I should start out by saying that I am not an MD, nor do I work for or have any vested interest in the pharmaceutical industry. Western medicine has all sorts of problems and big pharma certainly partakes in less than scrupulous practices in order to maintain their grip on health care. The point of this long rant is to bring to light the problems inherent in making assumptions about the safety of treatments employed by the naturopathic field. Unfortunately, only L.Montgomery and myself are likely to ever read this.

--> Can you be more specific? Which 'broad claims of inherent safety'? Which 'proponents'? How commonly are these statements made? I need to point out that your statement about others making broad claims is itself a broad claim (not to be a jerk, but to flush out what gets put into this article, which right now is running on fumes). A good start would be to find some ND association/practitioner websites or publications that make these broad claims and reference them in the article.

**My claim here is only as broad as it need be, I see nothing superfluous about it. *ANY* claim that herbs are inherently more safe than traditional pharmaceutical agents is just specious. Feel free to make specific comparisons, but be prepared to offer evidence in support of your claims. As for your question of "which broad claims?". Well let's see.

**1. This from the wikipedia article we are discussing:

**"*It is asserted, yet strongly refuted by critics, that* plants can gently move the body into health without side effects posed by *some* synthetic chemicals in modern pharmaceuticals." Keep in mind that the only reason there is a caveat from the critics (notice the words in asterisks) here is because I personally had to put it in there!

**2. Looking at various ND websites around the net:

**From http://www.drswanson.com/doctor.htm, we get this
"Use safe and non-invasive therapies which cause little or no side effects."

**From http://www.ncoh.net/services/healthcare/index.php?mid=1
"Unlike regular doctors however, we are particularly interested in using therapies that stimulate a person's natural healing processes, *using non-toxic therapies*; and, to identify and remove causes of a disease."

**From http://www.drhansen.com/naturopathic/index_naturo.cfm
"Nature cures through the body’s inherent healing mechanisms. When supported it can maintain and restore phenomenal health. Naturopathic physicians seek to support and enhance these natural healing systems by using medicines and techniques that work in harmony with body and are free of harmful side-effects."

**This last statement is a quote of the "vis medicatrix naturae", and is simply a paraphrasing of the same principle I quoted from the wiki article above. We'll come back to this.

**It is quite clear that these people are claiming that their methods are "safe", "non-toxic", and "free of side effects". The clear inference being that the herbs they use, being one of their methods, are safe. For the sake of argument, and even though these websites were simply the first hits which appeared in a google search, let's assume these guys are renegades who are making broad claims about safety which a reasonable ND would not. Let's look at the authorities on the matter then. Wikipedia lists six accredited schools of naturopathic medicine. Let's see what they have to say.

**First off, note that five of the six (didn't see it or look too long at Bridgeport) of these schools, somewhere on their website, cite the "vis medicatrix naturae", which is very often phrased as it is as quoted above, directly claiming that all the methods employed are inherently safe.

**From NCNM, at http://www.ncnm.edu/academics/naturopathic_school_information.php#principles
Under the description of botanical medicine: "When properly utilized, most botanical medicines can be applied effectively with minimal likelihood of side effects."

**From SCNM, at http://www.scnm.edu/college/philosophy.php
"The human body possesses the inherent ability to restore health. The physician's role is to facilitate this process with the aid of natural, nontoxic therapies."

**Claims of inherent safety seem to be a common thread here. It should be noted that most of these websites also stress that naturopathic modalities are not always the best option and that traditional pharmaceuticals or surgery are advocated when appropriate. I say kudos to the NDs. It's obvious that there is a push from within (the existence of accredited schools is testament to this) to establish regulation of the field and to be responsible health care providers. However, we still have the problem of these claims of safety and efficacy in herbalism.


--> hope we can agree on this: broad statements should be avoided. An even-handed article should describe the idea that 'natural interventions are generally more effective and safer' as an *opinion* of some naturopaths. To be fair, the opposite opinion 'natural alternatives are generally not as effective or as safe as pharmaceutical based interventions' should also be be presented as a belief.

**I didn't say this. I said that the claims of safety and efficacy are largly unsupported by properly designed studies, and this is a fact, not an opinion. There is not enough evidence to claim that all herbs are less usefull than pharmaceutical agents. Some herbs which have been explored, yes, but not all. There is a difference between the critics claiming that herbs are useless and inherently dangerous, which are very weak claims, and critics who simply say "show me evidence that herbs are safe and efficacious".

-->The context for these statements should be that there is an absence of evidence, either way. Let's also be careful when atributing the first statement to all NDs: I happen to know that the training to become an ND requires extensive knowledge of botanical toxicity and herb-drug interactions, with great emphasis placed on when to refer serious conditions to other practitioners for more effective treatments. NDs are not being taught that their modalities are 'always better, always safer'.

**That's great. So why these claims of "safe", "non-toxic", and "no side effects" on the vast majority of the web pages I have cited above?


-->As for the natural cox-2 inhibitors, there are many in nature (where do you think Pfizer and Merck got their cox-2 inhibitors from? It wasn't *de novo* synthesis from first principles, my friend!)

**I'm sure there are many COX-2 inhibitors in nature, I'd simply like to see references for any which have actually been identified.

**As a matter of fact, Vioxx (as well as several other clinically employed COX-2 inhibitors) was developed based on accidental findings at UpJohn, a pharmaceutical company which was involved in a search for anti-estrogenic compounds. The structural elements which give these inhibitors their binding affinity for COX-2 all came about through purely synthetic ventures, and were not directed by any comparison to or origin in natural products (other than the fact that they were trying to mimic estrogen). The actual clinical candidate rofecoxib (Vioxx) came from rational synthetic modifications to some of the lead compounds which came out of Upjohn's original accidental findings. Lednicer, D., Curr. Med. Chem., 2002, (9), 1457.

**By the way, many drugs are currently on the market or in the pipelines which have been, believe it or not, completely developed by rational design, without any reliance on "natural" products, other than the endogenous ligands or substrates they attempt to mimic. You don't need to start from a plant or bacterial metabolite in order to design a drug. The HIV protease inhibitors are a great example of this.

-->I am floored that curcumin, for example, to this date has no clinical human trials. It is used as an anti-inflammatory left, right and centre (and in the GRAS form of tumeric, for centuries). A great example of a natural product that has a great safety record, has a known mechanism of action (although more recent research is now suggesting it is hitting NF-kappaB as well as cox-2) and is being used extensively.

**For clarity sake, curcumin is a suppresor of protein expression, it is not a COX-2 inhibitor, these are two entirely different modes of action. Once again, there have been no controlled studies (that I have found) which verify the safety of curcumin. Just because no one has looked for toxicity in a clinical study doesn't mean there is none. We'll get back to this further down the page.

-->Absence of evidence? Perhaps - but at some point we are going to have to decide if hundreds (even thousands) of years of safe and effectve use should be admisable as a form of evidence. Ayruvedic tradition may not be as valuable to you or me as an RCT, but then again, no one has ever died eating tumeric. Sadly, we can not say the same for Vioxx. So you tell me, which was 'better studied', at least in terms of safety? Is 1000 years of uncontrolled anecdotal evidence really inferior to 10 years of highly controlled phase three trials?

**As far as efficacy goes for these thousand years of experience, we can just look at echinacea. Claims of its ability to mitigate the common cold have been shown in well designed clinical protocols, to be unfounded. Archives of Internal Medicine, 164 (11), 1237. Is it possible that, just because people believe in something for thousands of years, it is not necessarily so? Or is the world still flat?

**Ah, there it is, Vioxx. You are about to make my point for me, and I do appreciate it. First of all, show me the autopsies of all those people taking these herbs over the last thousand years and we can then begin to talk about what we "know" about safety. Just because an herb ostensibly helped with someone's headache, doesn't mean it also didn't cause liver failure six months down the road. Of, course, there is also no evidence to suggest that something like curcumin had ever caused liver failure, or heart failure for that matter, but here's the rub. The only reason that Vioxx was pulled from the shelves is because Merk was adhering to FDA regulations and were actually *looking for toxicity*. If you put any herbal agent into a clinical trial under FDA guidelines, you are going to find the same general profile of side effects as are found in any synthetic drug. The FDA demands that *anything* perceived as a negative symptom (constipation, change in sex drive, headaches, sour stomach, diarrhea) be recorded as a side effect of the drug being tested, even if these common issues don't occur with any more regularity than they do in the general public. You take 5000 random people over the course of 6 months and one of them is going to be constipated during that stretch. If that person ended up being in a drug trial by chance, their constipation goes down as a side effect. This is good. Caution is very important in these maters. The big problem is that no one is holding the herbs to the same standards. If synthetic drugs were not held to this FDA standard, you'd find that the vast majority would be considered to have no side effects at all, simply because there would be no onus to look for or report side effects. This is the problem with herbalism. Even in the cases where clinical trials are being conducted, they do not have to conform to FDA standards and can therefore ignore all of the events which would be reported as drug side effects if they did indeed follow the FDA regulations.

**Now for Vioxx. Vioxx was voluntarily pulled from the market by Merk a few years back. I think we'll both agree that this was a move to try to save face and minimize legal action, once they found that they would ultimately be forced to pull the drug anyway. That situation not withstanding, let's look at exactly why Vioxx was pulled. The popular press would have you believe that people were dropping dead left, right, and center from heart attacks attributed to Vioxx. But this is not the case at all. The study which led to the recognition of carditoxicity is described in detail here: Lancet, 364, 2004, p. 2021. Over the course of all clinical trials on Vioxx, up until the time of the withdrawal of the drug, 21,432 patients were studied. Of this entire population, there were 64 myocardial infarctions. That's sixty-four. After correcting for the fact that there were more test subjects in the Vioxx treated groups than in the control groups, we find that there were 2.24 times as many infarctions in the Vioxx group. So for the roughly 14,000 patients treated with Vioxx, 52 infarctions were observed. Based on the control group data, we saw a rate of 23 infarctions per 14,000 patients. That's a difference of 29 events in a population of 28,000 people. The interesting part is that when you compare Vioxx to placebo, the relative risk is 1.05, meaning that there was no difference in the number of infarctions when Vioxx was compared to a sugar pill. Only when Vioxx was compared to naproxen (Aleve) do you see a statistically significant difference. The funny thing is, there is evidence that naproxen may be cardioprotective, meaning that the extra infarctions observed in the Vioxx group were not caused by Vioxx, but were the normal rate to be expected in the general populace, and that Naproxen was simply protecting against infarctions. It should be mentioned that the cardioprotective capacity of naproxen is questionable, as some studies support it (Archives of Internal Medicine, 162 (10), 2002, 1099) and others refute it (Lancet, 359 (9301), 2002, 118).

**Anyhow, more recent trials and meta-analyses on large populations of COX-2 specific inhibitor treated individuals have found no link between these drugs and myocardial infarctions (American Journal of Cardiology, 89 (4), 2002, 425.; New England Journal of Medicine, 343 (21), 2000, 1520.; Lancet, 364, 2004, 675.; American Journal of Cardiology, 89, 2002, 204.)

**What does this have to do with the safety of herbs? Well, not much. But my point is still the same and still remains unaddressed. Vioxx, a drug for which there is no conclusive evidence of toxicity (in particular cardiotoxicity), has been vilified in the press and courts, and commonly presented as an example of the toxicities found in synthetic drugs. In particular, on this forum it has been compared to (as of yet unidentified) herbal COX-2 inhibitors in efforts to make claims of the safety of herbal drugs. But here is the problem. No one would have ever in, oh… say a thousand years, picked up on the toxicities attributed to Vioxx if it was never investigated. In other words, you don't notice 29 heart attacks in a population of 28,000 people unless you set up a very regimented experiment and examine the data with some strict statistical analysis. It is only because Merk went looking for the toxicities that they have been identified, and keep in mind that further investigations have brought into question whether these toxicities even exist. No one is doing this sort of detailed analysis on herbs. If they were, the broad claims of the inherent safety of herbs would fall apart (check the quotes above if you've forgotten who is making these broad claims).

**Naturopathic medicine has a lot to offer, but the field also makes deceptive, and in many cases patently false, claims as to the safety of its methods. I have no doubt that most NDs are not being intentionally deceptive or fraudulent, but that they actually believe these claims themselves. This doesn't surprise me, given the central dogmas of naturopathic medicine. I mean, we haven't even touched on the ideas of "life-forces", "vital energies", "treating the cause", or "treating the whole person", all of which are spurious. There are no parameters to define what "treating the cause" or "treating the whole person" mean. Likewise there is no solid definition of what a "life-force" or "vital energy" are and there is certainly no evidence to suggest that these things, were they even defined, actually exist. The biggest problem is that these claims are directed at a general public which is grossly undereducated in these matters

→I don't need a crossover study comparing tumeric to prednisone for rheumatoid arthritis because we both know that prednisone is going to 'win' in the suppression of inflammation and temporary relief of pain categories. But what about the serious concerns of long term steroid use? Is a food that you can safely eat for the rest of your life really inferior to a drug that will start to depress your immune system as early as the third month? As a single agent anti-inflammatory, curcumin isn't as strong as the drugs (well, at least not until Pfizer comes along and sticks a fluorine on it, which they almost certainly will if they haven't already).

**Again, show me some evidence to support these claims about curcumin efficacy and safety.

→Then again, naturopathic medicine was never meant to be about 'single-agent interventions'. The article could be improved by stressing this - legitimate NDs are trained not to prescribe a single 'magic pill', but complex protocols that include common sense changes to diet and lifestyle as well as botanicals, accupuncture etc. In isolation, any one of these changes may fail to register as being significant in an RCT. I am *not* claiming that natural medicine deserves to be exempt from rational evidence-based evaluation, just pointing out that by definition, gathering evidence for single variable interventions (drug monotherapy) is going to be a different process from gathering evidence for multiple variable interventions (diet change, a botanical, an exercise plan, meditation etc). There is such a thing as synergy.

→Having said all that, naturopathic medicine has atracted an alarming number of "un-D's" and other well-intentioned folk who, in looking for panaceas have a tendancy to edify specific supplements as magical cure-alls. Unscrupulous suplement companies are selling out and cashing in. This is why it is important that the article distinguish the NABNE registered naturopathic doctors who attended a CNME certified college from the so called 'traditional naturopaths'. The former are more likely to use EBM within a well balanced naturopathic context and less likely to jump on the alternative fad-of-the-day.

[[User:74.210.19.176|74.210.19.176]] 14:54, 13 June 2007 (UTC) L. Montgomery


**This is all great and commendable, but even the certified and accredited schools are making claims which are not supported by evidence (see the citations above).


==Pseudoskepticism==
The article should probably have a proper 'criticism' section. It was liberally peppered with examples of [[pseudoskepticism]], which I have edited out. There should be a place for the skeptical voice in any article (expressing doubt, noting lack of evidence demonstrating safety/efficacy) but pseudoskepticism (expressing denial, making unsubstantiated general claims of lack of efficacy or danger) is just another POV. This is a key difference - it is one thing to note that there is lack of proof for a claim, but quite another thing to claim that the lack of proof in itself proves that the claim is false. (Science does not work this way! I may fail to prove that the earth is round, but my failure does not proove that it is flat!) The article should hold proponents and critics of naturopathic medicine to the same standard: the 'burden of proof' must be applied equally to those who make claims and those who deny them, '''especially''' when the claims are vague ('Most naturopathic interventions are/are not safe and effective').{{unsigned|206.47.252.66|14:53, 18 July 2007}}

:Ah pseudoskepticism... the final defence of [[true believers]] the world over. What you are doing, is removing factual information to push your own POV. Criticism, should be interspersed thoughout the article in appropriate places, not isolated in their own section. <b><font face="courier" color="#737CA1">[[User:ConfuciusOrnis|Ornis]]</font></b> <small><b><font color="#C11B17">([[User talk:ConfuciusOrnis|t]])</font></b></small> 15:01, 18 July 2007 (UTC)

:: Your insult ('true believer') notwithstanding, could you be more specific? Which 'facts' have been removed? Which POV have I inserted? I'm not married to the idea of a criticism section, just suggesting it. It seems that there is enough valid skepticism to justify such a section. [[User:206.47.252.66|206.47.252.66]] 15:44, 18 July 2007 (UTC)

:::How about removing a sourced statement that natropathy is not only largely untested, but not subject to anywhere near the same sort of testing evidence-based medicine is, and inserting. "Naturopathy appears to be a generally safe health care approach." That and the general weasely attempts to soften language, or contrast "alternative" and "conventional" medicine. <b><font face="courier" color="#737CA1">[[User:ConfuciusOrnis|ornis]]</font></b> <small><b><font color="#C11B17">([[User talk:ConfuciusOrnis|t]])</font></b></small> 16:02, 18 July 2007 (UTC)

::: The statement "Naturopathy appears to be a generally safe health care approach." is a direct quote from the source in question! Your inference that naturopathic treatments are somehow "endagering the health of the public" is a misrepresentation of the same source. (http://en.wikipedia.org/wiki/Naturopathic_medicine#_note-nccam) You were asking for facts, there they are. BTW, I prefer this discussion to the endless edit war, but the insults ('true believer', 'weasely') need to stop. [[User:206.47.252.66|206.47.252.66]] 16:38, 18 July 2007 (UTC)

:: The statement that "Naturopathy appears to be a generally safe health care approach" is quite meaningless and misleading. Appears to whom? [... to NCCAM, the source of the statement [[User:74.210.34.111|74.210.34.111]] 16:09, 31 July 2007 (UTC)] There is nothing inherently "safe" about naturopathic practices. If you want this point expounded upon, take a look at the long diatribe immediately above this discussion on pseudoskepticism. The only factual statement which can be made about the safety of naturopathy, and which might make a good lead-in here would be along the lines of "Naturopathic modalities have been used extensively with relatively few reports of cliniclly significant adverse effects. However, there is considerable debate about the inherent safety and efficacy of naturopathic practices, as little research has been carried out to identify the acute clinical, subclinical, or long term cummulative toxicities of naturopathic practices". This implies no predjudice, but simply states a fact.[[User:209.59.96.172|209.59.96.172]] 14:15, 20 July 2007 (UTC)P.Cogan

:::: A late comment here, but naturopathy has such a wide spread of methods and ideas that are used and taught - from the totally harmless (in and of itself) homeopathy to very dangerous anti-vaccination sentiments - that any general statement about safety is nonsensical and misleading. Each method and idea should be judged on its own merits. Since all the methods and ideas likely have their own articles here, that can be done there, where the judgments about safety will be quite different and more specific, as should be the case. -- <i><b><font color="004000">[[User:Fyslee|Fyslee]]</font></b></i>/<b><font color="990099" size="1">[[User talk:Fyslee|talk]]</font></b> 16:50, 22 July 2007 (UTC)

::The term isn't even being correctly applied here. I'm reverting the edit until this IP gets some consensus. He/she has yet to identify even a single actual example in of so-called pseudoskepticism. This has got to stop. [[User:Silly rabbit|Silly rabbit]] 15:09, 18 July 2007 (UTC)

:::I just filed a 3RR notice. This isn't even fun. [[User:Orangemarlin|Orangemarlin]] 18:38, 18 July 2007 (UTC)

::::He's up to 12RR anyway. [[User:Jim62sch|<font face="Times New Roman" color="FF2400">&#0149;Jim</font><font face="Times New Roman" color="F4C430">62</font><font face="Times New Roman" color="000000">sch&#0149;</font>]] 21:59, 18 July 2007 (UTC)

== Naturopathic medicine 'endagering public health'==
Did anyone really think that this unreferenced POV was going to fly? I invite others to explore the citation provided for this statement, the context for which is 'Naturopathy appears to be a generally safe health care approach'. I am sure that there are skeptics who have made this assertion - if so, an authentic reference should be found. Even with a halfway decent reference, there is no way that this statement is going to make it in the article head. [[User:206.47.252.66|206.47.252.66]] 21:46, 18 July 2007 (UTC)
:Listen, anon, you place a <nowiki>{{fact}}</nowiki> tag if you dispute something, you don't fucking edit war. Seeing you blocked will be a joy. [[User:Jim62sch|<font face="Times New Roman" color="FF2400">&#0149;Jim</font><font face="Times New Roman" color="F4C430">62</font><font face="Times New Roman" color="000000">sch&#0149;</font>]] 21:57, 18 July 2007 (UTC)
:I have no patience with these [[WP:VANDAL|vandals]]. [[User:Orangemarlin|Orangemarlin]] 22:39, 18 July 2007 (UTC)


==Principles of naturopathic medicine ==
These should be put back into the article - they are taken from the naturopathic doctors' oath. These are the principles that all NDs are required to uphold in their practice. As such they describe what makes naturopathic medicine different from conventional medicine. Without them, the article is pretty useless, no? I suppose any description of a principle has, by definition, an element of POV, but let's not get too carried away - the primary goal of the article is to describe what Naturopaths believe and do, isn't it? Why should the central tenets of their system of medicine be excluded? You wouldn't remove all references to 'Jesus as the son of God' in an article about christianity would you? [[User:74.210.34.111|74.210.34.111]] 15:41, 31 July 2007 (UTC)

:A summary, sure. But several pages of comment and analysis? No. [[User:Adam Cuerden|Adam Cuerden]] <sup>[[User_talk:Adam Cuerden|talk]]</sup> 20:20, 23 September 2007 (UTC)

==The NCCAM position==
I also see that NCCAM's assesment of naturopathic medicine is being stripped out of the article. There seems to be two sides warring here: one group who would like the article to emphasize risk of danger/lack of efficacy and another group wishing to emphasize the relative safety and efficacy of nat-med. The article needs to be balanced. NCCAM's assesment provides one half of the story with statements like: "Naturopathy appears to be a generally safe health care approach", "Rigorous research on this whole medical system is taking place but is at an early stage." Note to those concerned with representing the other half of the story: rather than deleting these NCCAM refs, a better aproach would be to find notable, verifiable sources that present your concerns and include these alongside the NCCAM position. Please stop deleting well referenced information from noteworthy sources in the name of 'removing POV'. Find a comparable source for your concerns or move on, already. [[User:74.210.34.111|74.210.34.111]] 16:51, 31 July 2007 (UTC)


==Scientific studies of naturopathic treatments==
Hi everyone, what a great talk page, it's so lively! I placed a "citation needed" tag on the following statement:

With only a few exceptions, most naturopathic treatments have not been tested for safety and efficacy utilizing scientific studies or clinical trials

As a very research oriented student at one of the accredited ND schools, I've seen research published in peer-reviewed journals evaluating therapies in each and every one of the modalities mentioned earlier in the article (manual therapy, hydrotherapy, herbalism, acupuncture, counseling, environmental medicine, aromatherapy, nutritional counseling, homeopathy).
Unless a citation for the above statement is found, I propose to replace the it, perhaps with something like "Many naturopathic therapies have yet to be evaluated through research, and many have been shown to be efficacious in the scientific literature."
I would be happy to use pubmed references to cite a statement like that, but first I look forward to hearing from critics of naturopathy, and I'd also like to wait until my biochem and pathology finals are over.
[[User:Lamaybe|Lamaybe]] ([[User talk:Lamaybe|talk]]) 07:27, 6 December 2007 (UTC)

Sorry, everybody, for posting before I read the entirety of the preceding talk page. P. Cogan has made some really great points above, and in light of those, it would seem brash to replace what exists with a statement as simple as I had suggested.

Naturopathic doctors, like medical doctors, believe that their treatments can make people healthier. Medical doctors almost exclusively use treatments that have been shown to be efficacious in randomized, placebo controlled trials (RCTs.) Naturopaths also use treatments shown to be efficacious through RCTs, (including pharmaceutical and botanical medicines, homeopathy, hydrotherapy, acupuncture, nutritional counciling, etc.) and they also draw on other traditions other than the RTC to inform their choices. In fact, there are particular treatments in every modality that naturopaths use that have RCTs to support them, and there are other treatments in every modality that have not been tested and that they still use, because they are being informed by another tradition, be it the folk tradition of botanical medicine, or the body of knowledge accumulated by homeopathy, or giving nutritional or hydrotheraputic advice from the naturopathic tradition.

If an RCT shows a treatment not to be effective, what does an ND do? The same thing an MD would—read the study and interpret it for him/herself. For example, the scientific literature used to support the idea that vitamin E is cardioprotective. More recent, and larger studies show no cardioprotective effect. What does a doctor do? Try her/himself to make the best decision. And there are definitely MDs and NDs who would prescribe vitamin E for heart health, and there are those who would not.

Hopefully, NDs and their patients understand that pharmaceutical medicines’ side effects tend to be much more well documented than the side effects of botanical or other kinds of medicines, and they acknowledge that risk. Medicine has been practiced for a long time, however, and RCTs are a relatively recent invention. Some people choose the potential advantages of untested medicines along with the potential risks. And for a lot of people, long folk traditions are all the evidence they need that a medicine is safe and efficacious, and until each one of those remedies has been subjected to the wonderful evaluatory rigours of an RCT, they want the right to seek the council of someone trained in the venerable folk tradition of those medicines. They would then seek out an herbalist, a homeopath, a nutritionist, a massage therapist, an acupunturist, or a naturopath. And if they want someone who has also studied pharmacology, biochemistry, and drug interactions at a graduate level, alongside those other modalities, they would consult an ND who is a graduate of one of the accredited 4 year institutions.

P. Cogan: lung cancer, broken bones, or type one diabetes can’t be cured by diet, but it’s certainly possible that diet could help your chances of living longer and with fewer symptoms after you’ve been diagnosed with lung cancer or type 1 diabetes. What’s more, I challenge your statement that belief in homeopathy “screams of a field devoid of critical thought and common sense” The meta-analyses of homeopathy have been highly controversial, and I like to think of myself as a pretty sensible critical thinker, who’s read a lot of the research, and remains open to the idea that homeopathy is good medicine. If you have a couple of hours, you should check out the responses to Ben Goldacre's article about homeopathy in the Lancet (particularly response #26, which is mine):), at

http://www.badscience.net/2007/11/the-lancet-benefits-and-risks-of-homoeopathy/#more-577

:Just seeing this now. Yes, diet can help maintain health, but how doe that extrapolate to validate all the :other practices of naturopathy?

:As for your referenced articles in Ben Goldacre's bit, I was only able to access two of them: the Pediatrics :article and the journal of ACM article, both by the same lead authors and dealing with pediatric diarrhea. :Hardly compelling. These are preceisly the types of articles which are ignored in proper meta analyses. I'm :rather curious as to why the Pediatrics article was even published. The authors themselves claim that a :sample size of 100 patients was needed to determine any statistical relevance of the findings. However, :after all the various reasons for patients dropping out of the study, only seventy or so were available for :final analysis. Not to mention that they are only reporting a "statistically significant" difference between the :treated and placebo group for a single variable on a single day of the study (unless I read that wrong).

:The CAM journal article suffers from the same problem of small sample size. The authors even state that :the treatment and placebo group sizes were skewed beyond the expected sampling error and basically say :that "this sometimes happens" . Well sure it does, particularly in small sample sizes, which makes the :assessment that "it sometimes happens" the most reasonable explanation for why they saw any difference :in the treatment and control groups; their sample size was too small.

:Both articles suffer from another serious flaw. They are not testing one variable. The investigators were :giving several different homeopathic treatments to the kids in the study, some with a sample size of one :patient! You can't study all of those variables in a single study, particularly one of this size, and then draw :the conclusion that homeopathy works.

:Let's not forget that these studies were carried out in the third world. The local drinking water was likely :not too pure. Think about it. The authors used several agents in their preparations, so the only real claim :they can be trying to make is that diluting out ANY solute and then drinking the resulting water improves :prognosis of childhood diarrhea. Over the five days of the study (again, hardly long enough to establish :anything) all of these kids must have drank some water from home. This water had all sorts of low :concentrations of solutes. How can the authors possibly suggest that there was any real difference or :control over everything the treatment and control groups were exposed to over the course of the study?

:One last comment. It's probably best not to cite the JACM to make a case for anything. The journal has such :an obvious bias to what it it is willing to publish that it's contents are entirely suspect. I say this based on :several of the articles I have skimmed in the journal, most particularly Lionel Milgrom's dreams on quantum :mechanical effects on homeopathy. The man tries to justify why homeopathy only works when no one is :looking(?) by drawing parallels to quantum mechanics. He himself states that these postulates are not :based on any evidence but just grand delusions of "what if"? It has as much scientific merit as suggesting :"what if Hobbits can't ride unicorns because entropy increases when gas expands?" Hardly the sort of topic :a reputable journal would put to press[[Special:Contributions/205.217.248.175|205.217.248.175]] ([[User talk:205.217.248.175|talk]]) 13:51, 15 April 2008 (UTC)P.Cogan



However, this entry should be as objective as possible, and unless anyone has a source to cite about what percentage of naturopaths' treatments have been tested using RCTs, we probably shouldn't use words like "most." I propose a statement like :

"Naturopaths draw on both scientific literature and folk traditions for their therapies. Those remedies which have not been evaluated using the scientific method (and which haven't had side-effects reported with the same strictness that the FDA requires for pharmaceuticals) may have negative side-effects of which the physician is not aware, which is a major criticism leveled by critics. Patients are drawn to these remedies because they may provide benefits that pharmaceuticals cannot."

Please, anyone, help me with my wording, or let me know if there's anything in the preceding statement that you take issue with. Thanks!
[[User:Lamaybe|Lamaybe]] ([[User talk:Lamaybe|talk]]) 23:58, 10 December 2007 (UTC)

"With only a few exceptions, most naturopathic treatments have not been tested for safety and efficacy utilizing scientific studies or clinical trials"
I think this statement will have to be made either more or specific if it is to be referenced. The problem is that, as the article states "Naturopathic practice may include a broad array of different modalities" Now you can find a scientific reference for the lack of efficacy of homeopathy or the questionable efficacy of acupuncture as that is what is directly tested. There are even several references that state that most alternative medicine treatments are untested and thus may or may not be effective but it is going to be very hard to find a source about naturopathy in particular. I'm not even sure everyone classifies naturopathy the same way. Don't different differentions of naturopathy include different treatments. For these reasons I believe I could find a sources for the statement but it would not be directly about naturopathy. It would be about the subdiscipleines that comprise naturopathy. Do people consider this acceptable? Should we make the statement more specific to compensate?

Also RE: Lancet trial criticisms refere to the [[homeopathy]] talk page. I would avoid including any such criticism here until they are included on the homeopathy page (and there is strong opposition). [[User:JamesStewart7|JamesStewart7]] ([[User talk:JamesStewart7|talk]]) 10:32, 29 December 2007 (UTC)

"Naturopaths draw on both scientific literature and folk traditions for their therapies. Those remedies which have not been evaluated using the scientific method (and which haven't had side-effects reported with the same strictness that the FDA requires for pharmaceuticals) may have negative side-effects of which the physician is not aware, which is a major criticism leveled by critics. Patients are drawn to these remedies because they may provide benefits that pharmaceuticals cannot."
I am not comfortable with this statement "Naturopaths draw on both scientific literature and folk traditions for their therapies" Do we have a reference to support this idea that naturopaths draw on the scientific literature? Do we mean all naturopaths or just some?

This is a bit weasel-wordy but it is at least on the right track "Those remedies which have not been evaluated using the scientific method (and which haven't had side-effects reported with the same strictness that the FDA requires for pharmaceuticals) may have negative side-effects of which the physician is not aware, which is a major criticism leveled by critics." Which remedies are those remedies? Which critics? Also I would suggest you avoid long brackets in your writing as much as possible as it may be hard to read as you have to remember what was at the start of the sentence while you read the bracket. Of course I am a big offender here, especially on talk pages but I would strive to avoid it in the article.

"Patients are drawn to these remedies because they may provide benefits that pharmaceuticals cannot." This statement makes two seperate claims; naturopathic remedies provide a benefit, pharmaceutical medicine does not provide said benefit. Both of these claims would require a reference and such reference would have to be a scientific source. Also we run into a problem with naturopathy being a broad field and some remedies may be of differing efficacy to others.

Hopefully a reply to some of your other comments will allow you to see my reasoning behind these objections:

"Some people choose the potential advantages of untested medicines along with the potential risks." Another common criticism is that both the risks and the benefits are unknown since no solid evidence exists so it is not really an informed decision.

"And for a lot of people, long folk traditions are all the evidence they need that a medicine is safe and efficacious, and until each one of those remedies has been subjected to the wonderful evaluatory rigours of an RCT, they want the right to seek the council of someone trained in the venerable folk tradition of those medicines. They would then seek out an herbalist, a homeopath, a nutritionist, a massage therapist, an acupunturist, or a naturopath" No doubt this is how some people feel but as far as most scientists are concerned folk traidition is not really evidence at all. At most, it is very weak evidence.

"They would then seek out an herbalist, a homeopath, a nutritionist, a massage therapist, an acupunturist, or a naturopath. And if they want someone who has also studied pharmacology, biochemistry, and drug interactions at a graduate level, alongside those other modalities, they would consult an ND who is a graduate of one of the accredited 4 year institutions." I would argue that all the scientific training in the world is useless if you do not base your opinions on the available evidence.

Also, I would suggest that the meta-anlyses of homeopathy are controversial in the same sense that evolution is controversial. A political controversy, not a scientific one. [[User:JamesStewart7|JamesStewart7]] ([[User talk:JamesStewart7|talk]]) 10:56, 29 December 2007 (UTC)

I would like to take issue with the statement "Medical doctors almost exclusively use treatments that have been shown to be efficacious in randomized, placebo controlled trials (RCTs.)" From personal experience, most medical doctors I have seen have been quite willing to use pharmaceuticals in ways that have not been studied with RCTs -- so-called "off-label" uses. For example, Cytotec, which was originally developed for acid reflux, is routinely used by Obstetricians to induce labor despite the fact that it is not FDA approved for this and can cause uterine rupture. Femara, a cancer drug, is often used to induce ovulation in women who are not ovulating. Metformin, a diabetes drug, is used similarly. Prozac has been prescribed routinely for women who are pregnant or lactating despite the fact that it has never been tested on pregnant or lactating women. The list goes on. The point is, this is another blanket statement that is not backed up with any citations. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Jennired65|Jennired65]] ([[User talk:Jennired65|talk]] • [[Special:Contributions/Jennired65|contribs]]) 08:02, 24 February 2008 (UTC)</small><!-- Template:Unsigned --> <!--Autosigned by SineBot-->

== I do need to see where you get this? ==

I have a problem with the following paragraph:

''With only a few exceptions, most naturopathic treatments have not been tested for safety and efficacy utilizing scientific studies or clinical trials.[citation needed] There is a concern in the scientific and medical communities that these treatments are used to replace well-studied and tested medical procedures, thereby endangering the health of the patient.[citation needed]''

Please explain to me, after seeing what ND's go thru in school and practice to see this type of misinformation written. ND schools and clinics do practice in the most ethical manner - do no harm to the patient. If what the patient has does not respond, send them to a qualified MD. See what the Bastyr University program details. They do have clinical trials and they do publish the results in the ND journals. That is when you see the MD's pick up on them, i.e. the vit D work ups that are now the rage in the MD realm.

Before you start throwing stones at a profession, do some in depth research please. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/130.76.32.182|130.76.32.182]] ([[User talk:130.76.32.182|talk]]) 19:46, 31 December 2007 (UTC)</small><!-- Template:UnsignedIP --> <!--Autosigned by SineBot-->

-- The paragraph in question needs to be referenced, put into context or just deleted. Who specifically in the 'scientific and medical community' is concerned? A large number of interventions used by NDs have been evaluated, but I don't know that there is an oficial score being kept anywhere. [[Special:Contributions/72.0.222.219|72.0.222.219]] ([[User talk:72.0.222.219|talk]]) 17:57, 19 February 2008 (UTC)

== Lead ==
The lead is supposed to summarise the rest of the article and introduce terms. The content of this quote is not discussed later. "Naturopathic medicine (also known as naturopathy) is a school of medical philosophy and practice that seeks to improve health and treat disease chiefly by assisting the body's innate capacity to recover from illness and injury.". This was the previous revision which both Mccready and I altered. I agree that Mccready made some point of view edits (mccready see arbcom ruling on quakwatch) but I think altering this sentence is defendable. The sentence makes about 3 unsupported claims. The first claim is that what is stated is actually naturopathy philosophy. I don't doubt this but it should be referenced anyway. The second is that naturopathy actually can effectively assist the body's capacity to recover. Although the notion that naturopathy can improve health is not presented as fact, the idea that it assists the body's capacity to recover is presented as factual. "By assisting" is a statement of fact. The third unreferenced claim is that the body has an innate capacity to recover from illness and injury. I will accept this claim as factual, if and only if, the immune system and tissue repair systems are the only thing being referred to here. If this sentence refers to some "innate system" that is implicated in naturopathy but not conventional medicine then it should be both specified and referenced.

Also, if seems very contradictory to place a CAM template in the article and then call it a medical system with a link directing to the medicine article which is about conventional medicine only. As such the term "complementary and alternative medicine" has been used instead. [[User:JamesStewart7|JamesStewart7]] ([[User talk:JamesStewart7|talk]]) 08:32, 1 January 2008 (UTC)

-- James I think you are missing the point of having a wiki aticle about naturopathic medicine! Surely our first goal is to describe what naturopaths believe and do. Example: It is a fact that naturopaths believe in the existence of an innate capacity for self-healing. The 'vital force' may or may not actually exist, but this does not alter the fact that self healing is the central emphasis of naturopathic medicine. The second goal of the article is to provide a context that should include noteworthy critisism and opposing views - but it not an apropriate forum to debate or judge the primary content. In demanding that the beliefs of naturopathic practitioners be 'proven' before being described, you are making for an article that is uninformative, and ironically, short on the facts. [[Special:Contributions/72.0.222.219|72.0.222.219]] ([[User talk:72.0.222.219|talk]]) 18:25, 19 February 2008 (UTC)

===Great lead: now all we need is a description of naturopathy.===

The lead section as it now stands is laughable: it contains multiple arguments against naturopathy but almost no description of what naturopathy entails. The criticism has almost completely eclipsed the thing that it is criticizing. If I were a visitor coming to read this article with no knowledge of naturopathic medicine, I would walk away with very little beside the impression that somewhere, out there, there are some people who really don't like it very much.

The bit about naturopaths preferring not to use ‘scientifically tested medicines’ is particularly tragic, and also just a little bit amusing for anyone who is up on the current trends in research. For a quick laugh (or cry, depending on your POV), do a pub med search on genestein, or EGCG, or vitamin D, or lactoferrin (don't tell your oncologist, but the FDA just fast-tracked this one!), or curcumin, or alpha-lipoic acid, or N-acetyl cysteine, or L-arginine,or niacin, or resveratrol, or DHA or EPA, or allicin, or lycopene, or artimesinin, or lutein, or beta-sitosterol, or… well, the list of natural molecules that are enjoying intense interest from the research community goes on and on. You would need a specialized 4-year degree just to keep track of them all! These are all natural molecules that are sold by the bucketful at your local health food store (and in your supermaket if you known where to look!). But do they work? Are they safe? You could ask your GP, but your GP has no idea. [I'm not GP bashing here. I like my GP, but never in a month of sundays could he match the above with their natural sources, never mind know how to safely prescribe them.] Hmmm… if only there were a group of board-certified, medically trained professionals interested in focusing their attention on these natural therapeutics, willing to add hundreds of years of traditional human experiential evidence with the latest evidence-based research…hmmm…geee…i wonder…

The great tragedy of the article isn't the that those who actually know something about the topic have been shut out by the critics - its in the tyrany of saying 'no' to an idea without even allowing it to be expressed in the first place.
[[Special:Contributions/72.0.222.219|72.0.222.219]] ([[User talk:72.0.222.219|talk]]) 07:37, 20 February 2008 (UTC)

: There. I have removed all criticism from the article. Since you are so obviously more knowledgeable than I am, perhaps you can bring the article into compliance with Wikipedia's [[WP:NPOV|neutral point of view]] policy. Thanks, I'm outta here. [[User:Silly rabbit|Silly rabbit]] ([[User talk:Silly rabbit|talk]]) 15:39, 21 February 2008 (UTC)

===Poorer training than MDs?===
“The level of medical training that naturopaths hold … is generally poorer than that of conventional health professionals”

To quote Pierre Trudeau: “Well, yes, and I suppose if my grandmother had wheels she would be a truck.” Now back up and reverse the situation for a moment: Suppose a patient goes to see an MD for a comprehensive protocol that will require some combination of lifestyle modification, nutritional counseling, acupuncture, a homeopathic remedy or two, hydrotherapy treatments, a spinal manipulation, a review of supplements that the patient may be taking, or a customized herbal tincture containing 6 well balanced herbs. Does the MD have poorer training than the ND to complete the task at hand? Of course, but it is foolish to compare the training of the two very different branches of medicine. Lawyers don’t have 'poorer training' than airplane pilots, they just aren't very good at landing planes is all. Dermatologists don’t have poorer training than neurosurgeons - even though their training is shorter, you would best be advised to have the dermatologist look at that funny spot on your back, not the neurosurgeon. I wouldn't ask either of them to choose between Aveena sativa, Melissa officinalis, and Passiflora incarnata for your insomnia, however. And I sure-as-sugar wouldn't trust either of them with the acupuncture needles.

An MD would make a terrible ND and an ND would make a terible MD, but to say that one has poorer training than the other, you first have to make an extremely generalized judgment call about which is more valuable - naturopathic or conventional medicine, and then proceed to judge one practitioner by the other practitioner's standard.

I guess my question to whoever wrote this is: What, specifically can you tell us about the curriculum in naturopathic colleges? Are there specific topics that you are worried about? Do ND's spend less time than their MD counterparts on anatomy, and too much time on physiology in your opinion? Are they not using the latest textbooks? Are their board exams too easy? I suppose my second question would be: how specifically do you know this - have you ever looked at the curriculum, or sat in a class, or written the NPLEX?
[[Special:Contributions/72.0.222.219|72.0.222.219]] ([[User talk:72.0.222.219|talk]]) 07:53, 20 February 2008 (UTC)

: The problem is that real physicians are trained to diagnose and treat real illnesses. Going to a naturopath to find out what sort of tea to drink is fine, but you should still go see a qualified healthcare professional for medical treatment. The way the paragraph was worded before this inclusion made it sound like you can go to a naturopath without seeing a physician. Then if a diagnosis is made, you can get a referral to a real physician. Well, that is a very dangerous attitude for the article to endorse, since naturopaths do not receive nearly as much training in actual medicine as do actual doctors. People have died because they did not seek proper treatment quickly enough. Finally, the threshhold for inclusion in the article is [[WP:V|verifiability]], not truth. The fact that this objection to naturopathy has been raised, even by notable advocacy groups like the NCCAM, clearly makes it verifiable for inclusion. [[User:Silly rabbit|Silly rabbit]] ([[User talk:Silly rabbit|talk]]) 12:11, 20 February 2008 (UTC)

Well silly rabbit, at least it can't be said that you have a hidden agenda. But your opinions about the inferiority of NDs and their medicine make a pretty poor substitute for factual description of what NDs believe and do. I am going to assume good faith that you were not intending to insult those NDs who are in fact 'real' primary care physicians with a lot more to show for their education than just knowing how to make a good cup of tea. I am also guessing that you have very little knowledge of what a typical day is like for an ND in practice or for a student at a naturopathic college.
[[Special:Contributions/72.0.222.217|72.0.222.217]] ([[User talk:72.0.222.217|talk]]) 16:20, 20 February 2008 (UTC)

The article states that naturopaths generally have poorer training than conventional health care practitioners as if it were a fact but backs this up with two citations, one of which is an opinion of an MD, the second being the assesment of a committee in a jurisdiction that has not tightly regulated the educational requirements for NDs. The MDs opinion is published and may be notable but must be stated as an opinion belonging to that person so that the reader can decide for themselves wether they want to credit it. The finding of the Australian cttee is relevant to the article but can not be used to describe the education of all naturopaths, in deference to the jurisdictions that have much higher requirements. Another good reason to split the aticle perhaps? (See below).
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 15:30, 21 February 2008 (UTC)

==Regulation in Australia =

This entry is not comprehensive under current education options available within Australia. Vocational training is accessible under the government accredited Australian Quality Training Framework (AQTF) and there are many Registered Training Organisations (RTOs) who provide quality outcomes for students, including options to articulate with Universities which offer degree programmes.

We do not yet know if and when registration for naturopaths may be ratified, and how this may affect current arrangements, but this article mispresents the present situation. Advanced Diploma Graduates from many accredited RTOs may obtain PI insurance and gain professional accreditation, by meeting the standards of the relevant professional organisations.

We believe the following entry should be changed from:

It is generally thought that with registration, a minimum four-year degree and 400 hours of supervised clinical practice will be required for practice. Currently only a few institutions fulfil these requirements, including [[Health Schools Australia]] the [[Australian College of Natural Medicine]]'s degree course, [[Southern Cross University]] Bachelor degree, and the [[University of Western Sydney]]'s combined [[Bachelor of Applied Science (Naturopathic Studies)]] and Graduate Diploma in Naturopathy.

To:

While professional membership is currently available to Advanced Diploma and degree graduates under the Australian Quality Training Framework and Higher Education standards respectively, it is generally thought that with registration, a minimum four-year degree and 400 hours of supervised clinical practice may be required for practice. Prospective students would be wise to consider this when selecting their college of choice. Many organisations, such as Paramount College of Natural Medicine, are able to fulfill the current and future needs of the student with articulations into Universities, such as Charles Sturt University and the University of New England. Currently only a few institutions offer a degree, including [[Health Schools Australia]] the [[Australian College of Natural Medicine]]'s degree course, [[Southern Cross University]] Bachelor degree, and the [[University of Western Sydney]]'s combined [[Bachelor of Applied Science (Naturopathic Studies)]] and Graduate Diploma in Naturopathy. In the meantime, this issue may take some time to unfold, and student options will continue to diversify as this occurs.

```` <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Pcnm2007|Pcnm2007]] ([[User talk:Pcnm2007|talk]] • [[Special:Contributions/Pcnm2007|contribs]]) 05:52, 13 January 2008 (UTC)</small><!-- Template:Unsigned --> <!--Autosigned by SineBot-->

: I'm removing the entire paragraph in question. It violates [[WP:Crystal]], not to mention it is unreferenced [[User:JamesStewart7|JamesStewart7]] ([[User talk:JamesStewart7|talk]]) <small>—Preceding [[Wikipedia:Signatures|comment]] was added at 06:25, 13 January 2008 (UTC)</small><!--Template:Undated--> <!--Autosigned by SineBot-->
: Note that it would not violate [[WP:Crystal]] if references were added (and it is infact an event in progress) and speculation about the future (uncertain) requirements (and who will fulfil them) is removed. [[User:JamesStewart7|JamesStewart7]] ([[User talk:JamesStewart7|talk]]) 06:33, 13 January 2008 (UTC)

I totally disagree that a Bachelor of Naturopathy is considered to be a minimum level of education for Naturopathy practice in Australia. Most Naturopaths in Australia hold a Diploma or Advanced Diploma which is more than adequate. Colleges such as The Australian Institute of Applied Sciences [http://www.aias.com.au ] and Australian College of Natural Therapies provide fully accredited training that satisfies the requirements of Australia's regulatory bodies both for standards of training and industry specific groups. Degree courses are a nice revenue raiser for Universities to make money from what they themselves consider to be quackery (they extoll the virtues of Natural Medicine with one hand whilst their Medical faculty calls in charlatanism).

=Time to split the article?=
It seems to me that the article is pretty much stalled. The problem seems to be in striking the balance between a description of naturopathic practice with a reasonable amount of criticism. The root of the problem is that naturopathic medicine leads a double life. Criticism that may be appropriate for traditional naturopaths may not be relevant to the NDs and vice versa. So statements like "naturopaths have poorer education than MDs, practice widely different standards of care, do not use scientific evidence, may endanger their patients by failing to refer where necessary, don't use surgery or drugs" etc can not be applied to both groups.

Another example: As the article makes clear, NDs are primary care providers who are legally entitled to diagnose and treat disease in certain jurisdictions. Traditional naturopaths are complementary (not primary) care providers. This is also clear from the body of the article. And yet the current lead of the articles states that naturopathic medicine is a 'complementary and alternative system of healthcare'. This is confusing and misleading. NDs and traditional naturopaths may be inspired by a similar set of tenets, but the scope of their practice is a world apart. The care offered by a primary care ND who prescribes metformin and insulin for her diabetes patients is being described/criticized in the same way as the care offered by a traditional naturopath who might not even own an ophthalmoscope or have access to a lab for the necessary blood tests to monitor her patient. The former may have paid $100,000 and dedicated 7 years of her life to study before passing her board exams, and is likely to use EBM in evaluating apropriate adjunct care. The latter may have taken a weekend or a correspondence course, (or maybe not even that) and is less likely to use EBM.

It is almost impossible to come to a consensus on a singular criticism of natural medicine. Two very different phenomenon are being described and analyzed.

So how about a main article that describes the tenets of natural medicine with summary/links to an article about NDs and another summary/link to an article about traditional naturopathy? That way, criticism/discussion could be more focused and appropriate to the kind of medicine/practitioner being described.
[[Special:Contributions/72.0.222.218|72.0.222.218]] ([[User talk:72.0.222.218|talk]]) 02:21, 21 February 2008 (UTC)

:Can I briefly suggest a direction for the proposed split? *Retaining the [[Naturopathic medicine]] article and having it cover the North American profession, the 6 schools, the AANP, CNME, NPLEX, challenges and comparisons to other medical professions. *And another article titled [[Naturopathy]] discussing the philosophy, history, "traditional" naturopaths connection to nature cure, ayurveda, etc.
:There's plenty of information to do this. The question would be who has the time, knowledge and interest in the subject? I'd be willing to minimally contribute, keeping in mind my [[WP:COI|COI]]...--<b><font face="Edwardian Script ITC" color="#99ccfff" size="5">[[User:Travisthurston|travisthurston]]</font></b><b><font color="#000000">+</font></b> 03:17, 21 February 2008 (UTC)

An interesting suggestion Travis. My concern is that the NDs and the traditional naturopaths would start to war over the use of the term [[Naturopathic medicine]]. Either group would feel left out if such an article excluded them but included the other. If only the traditional naturopaths would embrace the term 'naturopathy' and the NDs would embrace the term 'naturopathhic medicine'...but sadly this isn't so. Both groups use both terms, which for better or worse are functionally synonymous. The traditional practitioners can make no claim on [[Naturopathic doctor]] or [[Naturopathic physician]] however, just as the NDs would have very little interest in what would go on in a [[Traditional naturopath]] article.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 03:39, 21 February 2008 (UTC)

= It's spelled "education" =

It's "education", not "eductaion". I'd fix it myself, but the page is protected. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/12.180.55.140|12.180.55.140]] ([[User talk:12.180.55.140|talk]]) 23:12, 25 February 2008 (UTC)</small><!-- Template:UnsignedIP --> <!--Autosigned by SineBot-->

:This has been fixed. Thanks for pointing it out. <b><font color="blue">[[User:Dave6|Dave]]</font></b><font color="blue">6</font><sup> <font color="green">[[User talk:Dave6|talk]]</font></sup> 06:16, 26 February 2008 (UTC)

=Reference to Naturopathic Colleges=
It is reasonable for the article to link to the list of CNME accreditied naturopathic colleges.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 02:48, 18 March 2008 (UTC)


Why is the the following being removed from the histroy section:
* "Today there are six [[List of Accredited Naturopathic Medical Schools in North America|accredited naturopathic medical schools]] in North America."
Without this information, the history section leads the reader to wrongly assume that the last (and only) school is NCNM that opened in 1956. This is misleading. Some editors have been deleting the history from 1956-2008 (ie the formation of six other schools) on the grounds that it is 'POV'. Would one of these editors care to comment on why they think that this is so?
[[Special:Contributions/206.47.252.66|206.47.252.66]] ([[User talk:206.47.252.66|talk]]) 15:45, 6 April 2008 (UTC)

=Naturopaths believe that they are supporting the body's innate ability to heal itself=
I have introduced this concept into the lead, hopefully in an NPOV. For the longest time this article included the central tenets of naturopathy...someone keeps stripping them out, claiming that they are POV. They should be rewritten as NPOV and put back into the article, which is still falls short of describing what naturopaths believe and do.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 02:48, 18 March 2008 (UTC)

=Naturopathy is more of an approach than a single model of care=
I have also tried to introduce this idea in the lead. 'Naturopathy' is best described as an apporach to healthcare since it takes on so many different forms in so many different jurisdications. A naturopathis physician in Arizona may practice primary care, prescribe prescription meds, order ultrasound etc, whereas a traditional naturopath in Quebec may be limited to the 'complimentary' or 'alternative' role. The article should describe the shared philosophy and note that it can be adapted to different models of care. For example, the lead makes it seem is if all naturopaths are trained on how to order lab tests and refer to MDs... this is not true.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]])


=Scare quotes on the word "natural"=
I have removed the scare quotes around the word "natural" in the lead. If the "synthetic" meds in the same sentence can go without the quotes, then so can the "natural" substances with which they are being compared.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 03:04, 18 March 2008 (UTC)

Let me try to explain.

The word "synthetic" is not challenged here because its definition is accepted by both those who profess the fundamental validity of naturopathic claims and those who question those claims. The word synthetic, in the context of the present argument, refers to therapeutic agents which are designed and manufactured through human insight and efforts. Even though this is a limited definition, within this scope of naturopathy, it is acknowledged as a common ground.


Now here's the rub:

Without looking into the dictionary, define the word "natural" for me.


Now look in the dictionary and note the definition.

Write back with either definition, or both for that matter, and we can delve into the ambiguity of the word and why it necessitates quotations.[[Special:Contributions/205.217.233.25|205.217.233.25]] ([[User talk:205.217.233.25|talk]]) 03:10, 26 March 2008 (UTC)P.Cogan

Better yet, why don't you just tell us why you think the quotes are justified, P. Cogan? The word 'natural' has many meanings to be sure, but in the sentence that compares natural therapies to synthetic ones, surely there is very little room for confusion or ambiguity. Are you concerned that readers are going to think we are talking about musical notes that are neither sharp nor flat? I don't get it.

If we can give the reader credit to understand that 'synthetic' refers to 'agents which are designed and (sic) manufactured through human insight and efforts', surely they will have no problem understanding 'natural' to mean agents that have not been designed and manufactured through human insight and effort.

Both words suffer the same ambiguity of scope because they could both refer to the source (manufactured vs harvested) but also the origin (intelligence vs environment) of the agents in question. Vitamin C could be considered natural and synthetic, depending on how it is manufactured - 'synthetic' is every bit as ambiguous as 'natural'.

As long as we are assigning homework to each other, please check out [[Scare quotes]]. The content could be rewritten to point out the difference between origin and source if you think it is important, but the scare quotes on 'natural' could very easily be read as POV 'sneer quotes', and should not be put back in.

[[Special:Contributions/207.112.94.200|207.112.94.200]] ([[User talk:207.112.94.200|talk]]) 00:50, 31 March 2008 (UTC)

I have to admit, I didn't expect to get this argument as a response, but if you feel that there is any ambiguity to the word "synthetic", then by all means put it in quotes as well. I would simply like to see some indication that the claims of 'natural" vs "synthetic" are not necessarily justified. Keep in mind that Wikipedia is used as a source of information by people of all different experiences, the vast majority of whom do not have the background to appreciate how the ideas of "natural" or "synthetic" come to bear on the efficacy and safety of therapeutic options. These words are used as if the concepts are actually in contention with one another. "Synthetic" is not the opposite of "natural", in fact, there is nothing "unnatural" about "synthetic" medication, just as there is nothing inherently more "natural" about the methods of a naturopath. So yes, to answer your question, there is room for confusion. It would appear that the only real use of the word is in marketing, in the deception of the naive into believing that the offerings of the naturopath are inherently beneficial when compared to the offerings of alopathic medicine, an assertion which the ongoing debate here has shown to be unfounded.

I suggest that the quotes are reinserted, around both the word "natural" and the word "synthetic" if need be. Particularly because the word "natural" is the foundation of the entire idea of naturopathic medicine. If spurious claims of the validity of naturopathic medicine are going to be made based on a rather arbitrary and ambiguous definition of the word "natural", then I think we should do those coming here to garner information on the topic the courtesy of a full disclosure.

What is so "natural" about naturopathy?

If the hallmark of a natural process is the lack of involvement of human interference, then how do you survive? How do you eat? Even making a salad requires some synthetic input, a touch of that dreaded human creativity. Surely cooking can not be considered natural, since we mix together all sorts of ingredients and then heat it up, causing all sorts of chemical reactions.

The herbal remedies prescribed are often extracts of plans and cell lysates. How is this a natural process? Ayurvedic preparations are often "detoxified" via a process known as samskaras. This is a methodology by which the preparation is boiled successively in milk and cow's urine. Both of these substances are loaded with chemicals and boiling an herb in such a broth is expected to lead to several reactions common to organic ''synthesis''.

One may suggest that urine and milk are natural substances, so they are O.K. So what about the reagents used in classical chemical synthesis? The bulk of organic material used in synthetic chemistry ultimately comes from one of two sources: metabolites of living organisms or petroleum reserves i.e. the natural carbon cycle. All sorts of synthetic transformations can be carried out on these source materials (like boiling them in cow's urine, for example), but the original carbon pool is all natural sources. So why are the molecules extracted from herbs (the carbon mass of which, by the way, comes from the same carbon cycle that chemists dip into) so much different than those prepared by human hands?

Another argument might rest on the toxicity of many reagents used in laboratory synthesis. Keep in mind that many Ayurvedic, herbal, and homeopathic preparations are based on mercury. arsenic, and a slew of innumerable toxic plants.

I'd suggest that the ultimate issue is one of arbitrarily defining what is natural. Why base the definition on biological sources? Is the sun not natural? Are the oceans not natural? Is the earth itself not natural? A better point of reference might be found by going a little deeper into physics. Anything which satisfies the laws of thermodynamics, the very fundamental laws of the natural world, should really be considered natural, shouldn't it? Anything which does exist obviously can exist and is, to my estimation, very much natural.

So while it might be said that the naturopathic community understands the meaning of the word natural as unambiguous, I think a lot of us on the outside here would say that definition is merely one of convenience and we would very much appreciate a little acknowledgment of that point of view. And all it will cost you is a little set of quotation marks.

[[Special:Contributions/205.217.249.200|205.217.249.200]] ([[User talk:205.217.249.200|talk]]) 01:14, 2 April 2008 (UTC)P.Cogan

But adding the quotation marks to 'synthetic' and 'natural' makes the passage less clear, not more clear. It is a qustion of good writing more than anything else. Scare quoting these terms dosn't introduce any of the (interesting if perhaps misplaced) points that you have raised above P Cogan: it just makes the sentence clumsy and if anything increases ambiguity instead of resolving it.
[[Special:Contributions/72.0.222.218|72.0.222.218]] ([[User talk:72.0.222.218|talk]]) 02:53, 2 April 2008 (UTC)

I'd have to agree with that. The quotes don't actually express the details of the problem. I simply wanted to make it clear that there is a controversy here. I have no intention of making any change in the article myself, I'll let someone else do the editing if they see fit. I just think the article should reflect the reasonable controversies. What is the best way to ensure that, well... I don't have the time to get into edit wars, so I'll just keep throwing in food for thought from time to time.[[Special:Contributions/205.217.249.200|205.217.249.200]] ([[User talk:205.217.249.200|talk]]) 03:20, 2 April 2008 (UTC)P.Cogan

P Cogan raises an excellent point that the article should adress, namely the ambiguity surrounding what makes a naturopathic intervention 'natural', and the (potentially dangerous) assumption that natural=safe or natural=better. The problem once again is that naturopathy is a general aporach to healthcare, not a rigidly defined set of interventions or protocols practiced by a single group of professionals. The answer to his question 'what is natural?' is therefore elusive. I agree that this should be covered, perhaps in a larger section that deals with controversy or criticism surrounding the term 'natuopathic', which is a problematc term for this and many other reasons. However, the lead is a confusing place to put such a discussion, and the quotes make things worse not better imho.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 17:21, 4 April 2008 (UTC)

= Please help! =

Hello,
I read on one of the Admin's page that the skeptics get blocked/banned

easily on the Naturopathy and Chiropractic Pages.
Sadly, on the Homeopathy Page, the pro-Alternative Medicine people get

blocked/banned easily and the skeptics who've never even tried any

Alternative Medicine post whatever they feel like.
The introduction reads, "Claims for efficacy of homeopathic treatment

beyond the [[placebo effect]] are unsupported by [[scientific

method|scientific]] and [[clinical medicine|clinical]] studies.<ref

name="pmid12492603">{{cite journal |author=Ernst E |title=A systematic

review of systematic reviews of homeopathy |journal=Br J Clin Pharmacol

|volume=54 |issue=6 |pages=577–82 |year=2002 |pmid=12492603 |doi= |url=

http://www.blackwell-synergy.com/links/doi/10.1046/j.1365-2125.2002.016

99.x/full?cookieSet=1|accessdate=2008-02-12}}</ref><ref

name="asthma">{{cite journal |author=McCarney RW, Linde K, Lasserson TJ

|title=Homeopathy for chronic asthma |journal=Cochrane database of

systematic reviews (Online) |issue=1 |pages=CD000353 |year=2004

|pmid=14973954 |doi=10.1002/14651858.CD000353.pub2 }}</ref><ref

name="dementia">{{cite journal |author=McCarney R, Warner J, Fisher P,

Van Haselen R |title=Homeopathy for dementia |journal=Cochrane database

of systematic reviews (Online) |issue=1 |pages=CD003803 |year=2003

|pmid=12535487 }}<br/>{{cite

web|url=http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=197

&sectionId=27 |title=Homeopathy results |accessdate=2007-07-25

|publisher=[[National Health Service]] }}</ref><ref>{{cite web

|url=http://www.ama-assn.org/ama/pub/category/13638.html |title=Report

12 of the Council on Scientific Affairs (A–97) |accessdate=2007-07-25

|publisher=[[American Medical Association]]}}<br/>{{cite journal

|author=Linde K, Jonas WB, Melchart D, Willich S |title=The

methodological quality of randomized controlled trials of homeopathy,

herbal medicines and acupuncture |journal=International journal of

epidemiology |volume=30 |issue=3 |pages=526–531 |year=2001

|pmid=11416076 }}<br/>{{cite journal |title=Homeopathy for childhood

and adolescence ailments: systematic review of randomized clinical

trials |author=Altunç U, Pittler MH, Ernst E |journal=Mayo Clin Proc.

|date=2007 |volume=82 |issue=1 |pages=69–75 |pmid= 17285788}}</ref>

[[meta-analysis|Meta-analyses]] of homeopathy, which compare the

results of many studies, face difficulty in controlling for the

combination of [[publication bias]] and the fact that most of these

studies suffer from serious shortcomings in their methods.<ref

name="pmid11416076"/><ref name=pmid9310601>{{cite journal |author=Linde

K, Clausius N, Ramirez G, ''et al'' |title=Are the clinical effects of

homeopathy placebo effects? A meta-analysis of placebo-controlled

trials |journal=Lancet |volume=350 |issue=9081 |pages=834–43 |year=1997

|pmid=9310601}}</ref><ref>{{cite journal |author=Jonas WB, Anderson RL,

Crawford CC, Lyons JS |title=A systematic review of the quality of

homeopathic clinical trials |journal=BMC Complement Altern Med

|volume=1 |issue= |pages=12 |year=2001 |pmid=11801202

|url=http://www.biomedcentral.com/1472-6882/1/12}}</ref> The ideas

behind homeopathy are scientifically implausible and directly opposed

to fundamental principles of [[natural science]] and modern

medicine.<ref name="shang">{{cite journal |author=Shang A,

Huwiler-Müntener K, Nartey L, ''et al'' |title=Are the clinical effects

of homoeopathy placebo effects? Comparative study of placebo-controlled

trials of homoeopathy and allopathy |journal=Lancet |volume=366

|issue=9487 |pages=726–732 |year=2005 |pmid=16125589

|doi=10.1016/S0140-6736(05)67177-2}}</ref><ref name="Ernst2005"/> The

lack of convincing [[scientific]] evidence supporting its efficacy,<ref

name="Adler">Jerry Adler. [http://www.newsweek.com/id/105581 "No Way to

Treat the Dying"] - ''[[Newsweek]]'', Feb 4, 2008</ref> and its

[[contradiction]] of basic scientific principles, have caused

homeopathy to be regarded as [[pseudoscience]],<ref>National Science

Board (April 2002) ''Science and Engineering Indicators,'' Chapter 7,

"Science and Technology: Public Attitudes and Public Understanding" -

[http://www.nsf.gov/statistics/seind02/c7/c7s5.htm "Science Fiction and

Pseudoscience"] (Arlington, Virginia: National Science Foundation

Directorate for Social, Behavioral and Economic Sciences)</ref>

[[quackery]],<ref>Wahlberg, A. (2007)

[http://dx.doi.org/10.1016/j.socscimed.2007.07.024 "A quackery with a

difference—New medical pluralism and the problem of 'dangerous

practitioners' in the United Kingdom,"] ''Social Science & Medicine''

'''65'''(11) pp. 2307-2316: PMID 18080586</ref><ref>Atwood, K.C. (2003)

[http://archotol.ama-assn.org/cgi/content/extract/129/12/1356

"Neurocranial Restructuring' and Homeopathy, Neither Complementary nor

Alternative,"] ''Archives of Otolaryngology-Head and Neck Surgery''

'''129'''(12) pp. 1356-1357: PMID 14676179</ref><ref>Ndububa, V.I.

(2007)

[http://www.find-health-articles.com/rec_pub_18080586-medical-quackery-

nigeria-silence.htm "Medical quackery in Nigeria; why the silence?"]

''Nigerian Journal of Medicine'' '''16'''(4) pp. 312-317: PMID

18080586</ref> or in the words of a 1998 medical review, "placebo

therapy at best and quackery at worst."<ref name=Ernst>{{cite journal

|author=Ernst E, Pittler MH |title=Efficacy of homeopathic arnica: a

systematic review of placebo-controlled clinical trials

|journal=Archives of surgery (Chicago, Ill. : 1960) |volume=133

|issue=11 |pages=1187–90 |year=1998 | url =

http://archsurg.ama-assn.org/cgi/content/full/133/11/1187

|pmid=9820349}}</ref>."
The word Quackery means "pretence to medical or other skill" and it is

offensive to call a Qualified N.D., D.O. or H.M.D. a Quack.
Studies/clinical trials which show the efficacy of Homeopathy have been

posted at the bottom of the Talk:Homeopathy (Discussion) Page, which no

one has objections to, but if anyone even suggests to change that

Paragraph/section (mentioned above) to someting like, "There is

scientific evidence that Homeopathy works<ref name="Inhibition of

lymphoblast transformation test (LTT) in phytohaemagglutinin (PHA) with

Phytolacca americana in homeopathic dilution">Colas H., Aubin M.,

Picard P., Lebecq J.C.. "Inhibition of lymphoblast transformation test

(LTT) in phytohaemagglutinin (PHA) with Phytolacca americana in

homeopathic dilution". Ann. Homéopat. Fr., 1975, 6: 1-11.</ref><ref

name="Inquiry into the limits of biological effects of chemical

compounds in tissue culture. I. Low dose effects of mercury

chloride">Mansvelt J.D., van Amons E. "Inquiry into the limits of

biological effects of chemical compounds in tissue culture. I. Low dose

effects of mercury chloride". Z. Naturtorschung, 1975, 30:

643-649.</ref><ref name="The effects of Belladonna and Ferrum

phosphoricum on the chemoluminescence of human poly-morphonuclear

neutrophils">Poitevin B., Aubin M., Royer J.F. "The effects of

Belladonna and Ferrum phosphoricum on the chemoluminescence of human

poly-morphonuclear neutrophils". Ann. Homéop. Fr., 1983, 3:

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Neuroreport, 2001 Feb 92; 12 (2): 335-9.</ref>, they get blocked.<br>
Please help.<br>Thanks in advance for the help.<br>
With warm Regards,<br>Jim

==Some suggestions==
Well I'm not a fan of homeopathy per se but the best way to challenge pseudoskepticism in my experience is to take the agnostic view. If someone writes that 'homeopathy does not work' do not write that 'homeopathy does work': both these statements are POV.

Focus first on making the criticism fair (NPOV), not eliminating it.

The best way to start is to rewrite critical phrase like "Homeopathy has no scientific basis" so that they are clearly atributed their source. "According to so-and-so, homeopathy has no scientific basis..." This is fair play. It isn't enough for critics to provide a citation at the end of these judgments: they may describe the fact that a certain notable source does not think homeopathy has a scientific basis. They may not report the opinion of that source as if it were itself a fact, no matter how many footnotes they add to it.

Avoid making the same mistake yourself! Don't write 'Homeopathy has been proven to work' and then provide 14 citations. Instead, report that 'Some published studies have concluded that homeopathy is effective'. No one can argue with the fact that the studies you cite have indeed reported efficacy. Stick to the facts and let the reader judge

Good luck.
[[User:Naturstud|Naturstud]] ([[User talk:Naturstud|talk]]) 01:16, 31 March 2008 (UTC)

* This is the article for naturopathy, not homeopathy - they are different, are they not? [[User:Colonel Warden|Colonel Warden]] ([[User talk:Colonel Warden|talk]]) 20:18, 6 April 2008 (UTC)

=Innate ability to heal=

The lede currently says that the body is ''presumed'' to have innate healing abilities. Isn't this generally accepted? The body has an [[immune system]] and can heal wounds, right? Surely the point of naturopathy is to emphasise these acknowledged innate healing abilities. [[User:Colonel Warden|Colonel Warden]] ([[User talk:Colonel Warden|talk]]) 20:18, 6 April 2008 (UTC)

I agree Colonel. It is redundant to write that the '..presumed ability of the body to heal itself, which practitioners claim is innate...' (a presumed ability that is claimed to be innate - Uuhgg...that sentence needs to be taken outside and shot!). However, given the recent near edit-war, I suggest you let it stand for now as a peace offering to those who would no doubt argue that writing about the 'innate ability to self heal' is POV. In truth, either modifier alone would probably maintain NPOV:
* ... the presumed ability of the body to heal itself...
'''OR'''
*... the ability of the body to heal itself, which practitioners assume/claim is innate
[[Special:Contributions/207.112.75.95|207.112.75.95]] ([[User talk:207.112.75.95|talk]]) 22:19, 6 April 2008 (UTC)

* Since you supported this point I have acted upon it and moved on to further improve the lede. The list of modalities perhaps needs attention as I'd like to see some sourcing for entries such as aromatherapy which are arguably a different form of therapy. I have sorted the list to make further inspection easier. [[User:Colonel Warden|Colonel Warden]] ([[User talk:Colonel Warden|talk]]) 12:37, 7 April 2008 (UTC)

Again, I agree with the Colonel - 'aromatherapy' isn't taught or used in the six naturopathic colleges for example. This points out the main problem with the article, that 'natural medicine' is not a single kind of medicine with a rigidly defined curriculum. The lead should inform the reader that:
* nat med is an approach to helathcare, not a single form of medicine
* this approach is used by different kinds of practitioners
* nat med is incorporated into different models of care (primary, complementary, alternative).

The opposite of 'natural medicine' therefore is not 'evidence based medicine' as is currently being suggested by the lead. Some natural treatments have good evidence, others do not. The same is true for conventional medicine, although it is true that conventional med interventions considered as a whole are better studied. Some practitioners of naturopathic medicine use evidence every day and others do not use it at all. If the lead has to refer to evidence based medicine, I would initially change this:
*"...may recommend patients use evidence-based medicine alongside their treatments"
to this:
*"...may use or recommend evidence-based medicine alongside their treatments"
but would really like to see this:
*"may use or recommend conventional medical interventions alongside their treatments"
...which is the most acurate.
[[Special:Contributions/207.112.75.95|207.112.75.95]] ([[User talk:207.112.75.95|talk]]) 14:15, 7 April 2008 (UTC)
:Innate is a common belief among practitioners. [[User:QuackGuru|QuackGuru]] ([[User talk:QuackGuru|talk]]) 18:18, 8 April 2008 (UTC)
:: It's a common belief for just about everyone and so doesn't need saying.

:::I don't find anything wrong with a statement suggesting that the human body has an innate ability to heal itself, I think that is irrefutable. The real problem is found in claims of this sort

"naturopathic physicians employ methods which use or aid or bolster or work with the body's innate ability to heal itself."

This is a gross assumption which can not be justified by evidence, or even common sense. Keep in mind (as stated several times above) that the broad claims of efficacy and safety for naturopathic practices are, in most cases, unsubstantiated. Now you expect me to believe that you actually know how all of these unsubstantiated interventions work? And that they all simply boost the body's innate ability to heal itself? And that the same vague claim can't be made for any standard pharmaceutical or surgical intervention? And that the interactions of the cellular components of your body with compounds of botanic origin aren't governed by the same biochemical phenomena as are cellular interactions with synthesized pharmaceuticals?

Sure, you may find experimental evidence that a particular herb or compound augments the activity of the immune system (though these claims are most often found to be spurious, or at best unimpressive, when properly tested). But to suggest that all naturopathic practices somehow boost the body's innate defenses, without suggesting how you could possibly know this to be true, is nonsense. If you guys want to be taken seriously, you have to get rid of these ridiculous, arbitrary, meaningless, and touchy-feely qualifiers of your art. Just because you want to believe that naturopathy works with the body in a way unique from that of standard therapies doesn't make it so. Particularly since there is absolutely no basis for making this claim.

There is a lot of great stuff to be found in nature and a lot of powerful therapeutic potential. The biggest problem I keep coming across with the field of naturopathy is that, despite the recent development of professional societies, accredited academic institutions, the adaptation of evidence based research, and a slew of other forward thinking and real-world approaches to increasing the legitimacy of naturopathy, the field is still plagued by the quick fix, easy answer, nature-knows-best, touchy-feely, new age garbage which does nothing but undercut all of the legitimate attempts to harness the power of nature for therapeutic intervention. Even in these pages the problem is distressing. I first got into this discussion when I read (way up at the top) that "Herbal COX 2 inhibitors do not have the same side effects in the liver and heart as the pharmaceutical ones" (a direct quote from someone claiming to be an ND). With all of the accredited and well educated, thoroughly informed NDs roaming these pages (as evidenced by many posts above), why was it that *I* had to point out the FACT that there are not any known herbal COX-2 inhibitors with established therapeutic windows? You guys can't let this stuff slide. If you want to be taken seriously, you have to call out and challenge the nonsense. Which brings us frighteningly close to a scientific approach... [[Special:Contributions/209.59.114.169|209.59.114.169]] ([[User talk:209.59.114.169|talk]]) 18:52, 10 April 2008 (UTC)P.Cogan

It's great to hear insightful criticism from someone outside the profession, P. Cogan, thanks. I think what people are getting at when they talk about naturopathic practices boosting the body's innate defenses, is that naturopaths ''aim'' for improving health through supporting the normal and balanced functions of the individual, as opposed to improving health through attacking a pathogen, or interfering with a metabolic pathway. That basic philosophical difference is a pretty significant difference between the ways that most NDs aspire to practice and the way that most MDs aspire to practice. Now, in a state like Oregon, where I live, NDs can and do prescribe antibiotics. But we're trained employ other methods first, if there are any available, which might allow an individual to successfully heal from their infection without us directly addressing the pathogen. For example, types of hydrotherapy that increase lymphocyte production and circulation to the affected area, or dietary changes that reduce inflammatory tendencies that are inhibiting the recovery process. There's plently of peer-reviewed studies showing that diet can influence inflammation, and hydrotherapy addresses immune function. We aspire to a theraputic order which involves removing obstacles to cure, supporting normal function, and then perhaps interfering with a metabolic pathway or addressing a pathogen or whatnot. [[User:Lamaybe|Lamaybe]] ([[User talk:Lamaybe|talk]]) 07:26, 15 May 2008 (UTC)

= Science and Naturopathy =
There's a poor section at the end with this heading. The heading suggests that it's going to comment on the scientific merits of naturopathy but it doesn't. Instead it just strings some sources together in a suggestive way. This is an improper synthesis - drawing conclusions from sources which they do not suggest. Since an editor has reverted my removal, I shall try a different approach - retitling this section as "Risks" which better summarises the contents of this section. [[User:Colonel Warden|Colonel Warden]] ([[User talk:Colonel Warden|talk]]) 20:59, 8 April 2008 (UTC)



= Naturopathic Colleges in Australia =

There seems to be a lack of Australian representation here, which is unusual as Australia has one of the highest rates of employment in Natural Medicine in the world. Training is generally done at an RTO/Vocational Training level at places like The Australian Institute of Applied Sciences [http://www.aias.com.au] , Australian College of Natural Therapies and also at University level for Degree courses (although in practice, Advanced Diploma of Naturopathy or a diploma in a specific field is generally considered adequate training for Naturopaths). The most popular fields are Naturopathy, Nutrition, Acupuncture and Massage (generally also taught by Natural Medicine Colleges).

--[[User:Hollowpointr|Hollowpointr]] ([[User talk:Hollowpointr|talk]]) 00:12, 20 April 2008 (UTC)

= Minnesota licensure =

I propose that Minnesota be moved to states with full licensure. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Ayersmed|Ayersmed]] ([[User talk:Ayersmed|talk]] • [[Special:Contributions/Ayersmed|contribs]]) 01:46, 20 May 2008 (UTC)</small><!-- Template:Unsigned --> <!--Autosigned by SineBot-->
:I tried a quick google search for the news that Minnesota approved a senate bill allowing ND's full licensure, but nothing came up. Can you provide a credible ref? --<b><font face="Edwardian Script ITC" color="#99ccfff" size="5">[[User:Travisthurston|travisthurston]]</font></b><b><font color="#000000">+</font></b> 17:39, 20 May 2008 (UTC)
:: I haven't found any solid references to back it up, but the Governor Pawlenty apparently signed it into low on Friday, May 23. "Final tally in Minnesota, Senate 60-3, House 111-22. Signed by Gov. Pawlenty 5/23/2008". Once we get a ref from an official site (Mn state preferred) we can add it to the list. --<b><font face="Edwardian Script ITC" color="#99ccfff" size="5">[[User:Travisthurston|travisthurston]]</font></b><b><font color="#000000">+</font></b> 19:38, 25 May 2008 (UTC)


= Is naturopathic medicine CAM? =

I did a little link following today, and here's what I discovered: The CAM entry says that: "Complementary and alternative medicine (CAM) is an umbrella term for complementary medicine and alternative medicine." The complementary medicine entry says that "The term complementary medicine refers to nonconventional treatments used in addition (complementary) to conventional medicine prescribed by a physician." The alternative medicine entry says that "Alternative medicine includes practices that differ from conventional medicine. " Following the links for "conventional medicine" leads to the wikipedia entry for "medicine", which says that "Medicine is the science and art of maintaining and restoring human health through the study, diagnosis, and treatment of patients."
Since naturopathic physicians are licensed to study, diagnose, and treat patients in 15 US jurisdictions, according to wikipedia they are practicing "medicine", and not "complementary and alternative medicine."
I propose moving this article from the "CAM" heading to the "medicine" heading. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Lamaybe|Lamaybe]] ([[User talk:Lamaybe|talk]] • [[Special:Contributions/Lamaybe|contribs]]) 22:18, 20 May 2008 (UTC)</small><!-- Template:Unsigned --> <!--Autosigned by SineBot-->

: Naturopathic medicine includes many forms of CAM practices and that's why it is consistently classified as CAM. Take a look at [http://nccam.nih.gov/health/whatiscam/#4 NCCAM's discussion.] -- <i><b><font color="004000">[[User:Fyslee|Fyslee]]</font></b></i> / <b><font color="990099" size="1">[[User talk:Fyslee|talk]]</font></b> 03:33, 21 May 2008 (UTC)

I support the suggestion from above to split the article. I think we should do it following the lead of the osteopathy/osteopathic medicine articles; the first one covers the global practice of the CAM practice, osteopathy, and the second covers osteopathic physicians who are licensed to diagnose & treat patients. I think we should have an entry on "naturopathy", which is a CAM practice, and "naturopathic medicine", a form of primary care medicine in which practicioners are trained and licensed to use CAM techniques.
[[User:Lamaybe|Lamaybe]] ([[User talk:Lamaybe|talk]]) 20:34, 22 May 2008 (UTC)

Please, no. Let's not separate and disorganize the encyclopedia any more. Naturopathic medicine and naturopathy are the same thing, and it is CAM. [[User:ImperfectlyInformed|ImpIn]] | {[[User_talk:ImperfectlyInformed|talk]] - [[Special:Contributions/ImperfectlyInformed|contribs]]} 23:38, 22 May 2008 (UTC)

: Hi Imperfectly; I enumerated above why I think naturopathic medicine belongs in the medicine catagory, and I and others have commented above as to why we should split the article. Specifically, the bulk of comments on this page support the idea that a split would actually ''organize'' the encyclopedia more, not disorganize it. If you think it would disorganize it, and if you think naturopathic medicine is CAM and not medicine, it would help a lot if you could give specific reasons why. Thanks!
[[User:Lamaybe|Lamaybe]] ([[User talk:Lamaybe|talk]]) 01:43, 25 May 2008 (UTC)

I too am opposed to any effort to qualify naturopathy as anything other than CAM. It seems that you are relying on nothing more than semantics to argue your case, Lamaybe. The wording of Wikipedia's definition of medicine is not grounds enough to include naturopathy and all of its practices under the blanket of mainstream medicine. Anyhow, it seems a most peculiar suggestion coming from you since, as you wrote above:

" I think what people are getting at when they talk about naturopathic practices boosting the body's innate defenses, is that naturopaths aim for improving health through supporting the normal and balanced functions of the individual, as opposed to improving health through attacking a pathogen, or interfering with a metabolic pathway. That basic philosophical difference is a pretty significant difference between the ways that most NDs aspire to practice and the way that most MDs aspire to practice. "

You are arguing with this earlier quote that there is an inherent difference in how naturopaths and MDs approach a disease state. In fact, you have invoked a near perfect definition of "complimentary medicine" to argue that naturopathy is unique from/complimentary to allopathic medicine, yet you are now suggesting that they are the same thing in an apparent effort to lend a sense of credibility to naturopathic practices.

I think we can circumvent the necessarily simplified wikipedia definition of medicine and acknowledge that allopathic/western/mainstream medicine can be defined as common practices subscribed to by the majority of MDs who's credentials would allow them to practice medicine anywhere in the developed world. Or, perhaps, as practices approved and recommended by recognized MD licensing boards in the developed (i.e. Western) world. Reflexology, homeopathy, and several other arts of the ND just don't meet these more practical criteria. [[Special:Contributions/209.59.114.169|209.59.114.169]] ([[User talk:209.59.114.169|talk]]) 16:03, 27 May 2008 (UTC)

Latest revision as of 13:54, 16 November 2024

"Recommend against"

[edit]

The above conversation has digressed, so starting a new section about one specific statement: Naturopathic practitioners commonly recommend against following modern medical practices, including but not limited to medical testing, drugs, vaccinations, and surgery.

There are four sources currently supporting that statement. Three of them are studies of students, not naturopaths, and one of them says the opposite: Most chiropractic and naturopathic students are not averse to vaccination. The Skeptical Inquirer source doesn't seem to support the statement at all. None of them mention recommending against surgery or medical testing that I can see.

That's a pretty bold statement painting with a very broad brush, so unless the sources support it, this sentence should be removed, in my opinion. Pyrrho the Skipper (talk) 16:50, 19 October 2023 (UTC)[reply]

I can see some arguments either way about sourcing this to studies of naturopathy students, although to the extent that those sources are about what naturopaths are taught, what training they have when they go into practice, they may be legitimate. However, the SI source ([1]) is chock-full of examples of naturopaths rejecting modern medical practices. So I don't read it the way that you do. --Tryptofish (talk) 16:58, 19 October 2023 (UTC)[reply]
Are we reading the same SI article? I just read the whole thing again and I still don't see anything like that. Practicing alternative therapies and promoting them is one thing. It's a very different thing to recommend against getting surgery or a vaccine. That implies a level of malice would require some good sources. Pyrrho the Skipper (talk) 17:36, 19 October 2023 (UTC)[reply]
"Being a naturopathic physician, I believe in the body’s ability to heal itself. The body can do this very effectively when it is kept healthy. By taking extra good care of yourself and possibly working with a natural health practitioner, you can stay resistant to colds and the flu every winter. Remember, there are many routes to immunity besides obtaining a flu shot." One can quibble that this isn't a formal recommendation not to get a flu shot, but it's clearly recommending against getting one. --Tryptofish (talk) 17:46, 19 October 2023 (UTC)[reply]
Even if you accept that logic for that one person's statement, where do we get "commonly"? and "surgeries?" Pyrrho the Skipper (talk) 18:05, 19 October 2023 (UTC)[reply]
Seems to be a lot of sourcing on this e.g.[2] I guess they want to sell what they can (which doesn't include surgery), while also being dishonest about it (we don't oppose surgery!). Why not strengthen the sourcing if you feel the point isn't made well enough? Bon courage (talk) 18:10, 19 October 2023 (UTC)[reply]
We could also tweak the wording of the sentence, instead of completely removing it. --Tryptofish (talk) 18:16, 19 October 2023 (UTC)[reply]
That's a Consumer Reports owned contributed piece with no named author, so not sure how reliable. I can't imagine finding a reliable source for this since it seems like a somewhat exceptional claim that would need something more than a consumer reports PR piece. They commonly recommend against surgery when? In what cases would they tell a patient or the public to not get surgery? Maybe I'm completely wrong. And as Tryptofish suggested, I'd be fine rewording it somehow. Like, they "commonly prefer alternative treatments to conventional medicine, in general, including resistance to surgery and vaccines depending on the patient's needs or the practitioner's opinions." Pyrrho the Skipper (talk) 19:27, 19 October 2023 (UTC)[reply]
Alternatively: they "commonly encourage alternative treatments that are rejected by conventional medicine, including resistance to surgery or vaccines for some patients." --Tryptofish (talk) 19:34, 19 October 2023 (UTC)[reply]
@Tryptofish I think this is great, for what it's worth. It'd be nice to have better sources, but this wording seems much more accurate to me. Pyrrho the Skipper (talk) 19:40, 19 October 2023 (UTC)[reply]
Does anyone have any objections to going ahead with that wording? --Tryptofish (talk) 21:03, 20 October 2023 (UTC)[reply]
No. —Alalch E. 21:04, 20 October 2023 (UTC)[reply]
This seems more encyclopedic in tone, and is better supported by the sources. I say go for this. >> boodyb talk 17:40, 17 November 2023 (UTC)[reply]
It's already been implemented, but I guess nobody said so here. --Tryptofish (talk) 21:22, 17 November 2023 (UTC)[reply]
The straining at the least to whitewash the page in the face of the sourcing is puzzling. The WaPo source is fine. Nothing exceptional about quacks quacking. Bon courage (talk) 19:39, 19 October 2023 (UTC)[reply]

Semi-protected edit request on 18 December 2023

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Add links to give a mire balanced overview. https://www.webmd.com/balance/what-is-naturopathic-medicine 105.209.150.182 (talk) 06:24, 18 December 2023 (UTC)[reply]

 Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. Deltaspace42 (talkcontribs) 08:09, 18 December 2023 (UTC)[reply]

Restructuring the lead

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I visited this article to gain further knowledge on the subject as a layperson. However within 2 seconds into the article I sensed an acute force deterring me from proceeding. I attribute such experience to the blend of descriptive and judgemental statements upon inspection.

In the leading section the first paragraph already imposes the subject a generally dissuading tone. With the pejorative word "pseudoscientific" being the first blow, the next two ambivalent statements (Difficult to generalize...; The ideology...) are then followed by a negative judgement (The ethics...) culminating with the even scathing "quackery".

I acknowledge my limit as a layperson and I have no intention in altering the wording but I do recommend a restructuring. It would be optimal if the descriptive and judgemental statements be separated into discrete paragraphs with the former preceding the latter. Inserting judgemental statements early on can be perceived as shoving in opinions and, as worded in an earlier discussion, setting an agenda. I cite the French version article as a good example for reference. Seanetienne (talk) 16:56, 1 March 2024 (UTC)[reply]

Hi, Seanetienne, we do have an agenda already set, see WP:PSCI and WP:LUNATICS. tgeorgescu (talk) 17:02, 1 March 2024 (UTC)[reply]
And that's utter disrespect from you, Mr @Tgeorgescu. It is a consuming job to ward off conspiracy theorists and anti-science groups alike. However this time you have clamped down on the wrong person. I have no particular interest in alternative medicine and my attitude is ambivalent.
I have seen elegant treatment of problematic subjects and I regret that the equivalent cannot by be applied here. By your passive-aggressive wording labelling me a "lunatic charlatan" and cherry-picking my word choice it is apparent that you are already blinded by deep prejudice.
I hereby reject all your insinuation of all sorts. I shall not be commenting until someone tries to understand first instead of dismissing right away. I have done my fair share of input as an minor editor. Seanetienne (talk) 18:06, 1 March 2024 (UTC)[reply]
Hi, Seanetienne, I have never called you a lunatic charlatan. I made previously no reference to your own person. Unless you are actively an author of medical pseudoscience, you have no reason to feel offended by the words of Jimmy Wales. I never said that the words "lunatic charlatans" apply to you, nor did I say I am Wales. It is difficult for me to comprehend why do you think that the essay WP:LUNATICS applies to your own person. Wales's opinion is Wales's opinion. You seem to take it personally when either it isn't me who wrote the opinion (I'm not Wales), or I am simply not writing anything at all about your own person. tgeorgescu (talk) 21:13, 1 March 2024 (UTC)[reply]
Sorry this got off-topic from the intention of the opening post, but it's probably not a good idea to link to the "lunatics" essay in these kinds of discussions. WP:PSCI (as well as WP:MEDRS) are probably better choices. --Tryptofish (talk) 21:46, 1 March 2024 (UTC)[reply]

Recent edits

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I think the recent major rewrite of the page, [3], may have seriously introduced a false balance and may not have consensus. For the moment, I won't revert it myself, but I think it may have to be reverted if other editors besides me object. --Tryptofish (talk) 21:19, 6 March 2024 (UTC)[reply]

I object as well, but the content seems to have already been reverted. Perhaps the editor will come here to seek consensus? JoJo Anthrax (talk) 06:20, 7 March 2024 (UTC)[reply]
With three of us objecting, I'm happy with the revert, for now. --Tryptofish (talk) 22:41, 7 March 2024 (UTC)[reply]
Hello, I was the one editor that made recent changes. To be clear, I am not a paid editor and I don't have a strong bias on this topic. In fact, I am generally skeptical of alternative medicine though have recently become more curious about it as I personally explore some health issues. I was very surprised when I found both this page and the functional medicine page on Wikipedia to be so completely lacking in neutrality on the topics. In no way did I attempt to hide or minimize the many criticisms of naturopathy, but it seems plainly obvious to me the article in its current format really does not follow Wikipedia guidelines. I spent some real time researching legitimate sources that could help provide a more balanced. My goal in doing so was to help the article be more in line with the pillar "Wikipedia is written from a neutral point of view."
This pillar states: We strive for articles with an impartial tone that document and explain major points of view, giving due weight for their prominence. We avoid advocacy, and we characterize information and issues rather than debate them. In some areas there may be just one well-recognized point of view; in others, we describe multiple points of view, presenting each accurately and in context rather than as "the truth" or "the best view"
The editor who reverted my edits seems to think that this topic has just one well-recognized point of view, or that that the view that naturopathy is only "quackery" has such prominence any disagreement with this violates the principle of due weight. This is not backed up by credible claims but rather seems like the editor has an axe to grind on this topic. This also seems to be contradicted by the fact that many US states and other nations offer formal license and regulatory frameworks for traditional medicines, which I also cited by linking to a list of states that currently license. It had previously read that "Naturopathy is prohibited in three U.S. states (Florida, South Carolina, and Tennessee) and tightly regulated in many others. Some states have lax regulations, however, and may allow naturopaths to perform minor surgery or even prescribe drugs." This is not neutral, not does it give any credence to the legitimacy that a regulatory system confers.
In introducing a more balanced tone I was careful to cite from legitimate, mainstream and credible sources such as a report published by the World Health Organization (WHO). Indeed, in this report, the WHO Director-General writes that "Traditional and complementary medicine (T&CM) is an important and often underestimated health resource with many applications." In flatly rejecting this, the editor completely ignores whole huge segments of the global population who very much do rely on traditional medicines. Implying that there is consensus that it is "quackery" seems to be a very western centric point of view.
I am going to revert back to the changes I made because I stand by them and believe that I was meticulous in my observance of rules and made a good faith effort to improve the article. Wikiwriter43103840 (talk) 12:37, 8 March 2024 (UTC)[reply]
I am going to revert back to the changes I made You shouldn't. There are three editors objecting to the changes so there is no WP:consensus for them. Wait and see how the discussion develops. Robby.is.on (talk) 12:41, 8 March 2024 (UTC)[reply]
It was problematic from a whitewashing/WP:GEVAL perspective. So not a good idea. Bon courage (talk) 12:42, 8 March 2024 (UTC)[reply]
I think we're now at five editors objecting to the change, and one supporting it, so this is WP:1AM. Also, believing that one is "right" is not an accepted reason to edit against WP:CONSENSUS. And I want to explain that the WP:NPOV policy does not say that we have to give similar prominence to every POV, and thus editors here are not claiming that the "quackery" perspective in the only recognized POV. We're saying that we should give WP:DUE weight according to the preponderance of reliable (in this case, WP:MEDRS) sources.
I'm open to the possibility that we should include some increased coverage of favorable perspectives, but I would want to be able to examine them one-by-one. I'm perfectly willing to discuss making some changes, here in talk, as opposed to just putting the changes en masse on the page without prior consensus. Wikiwriter, if you'd like to list here the changes that you think are most likely to gain consensus, with sourcing, I'd be happy to discuss them. --Tryptofish (talk) 18:18, 8 March 2024 (UTC)[reply]
"ignores whole huge segments of the global population who very much do rely on traditional medicines"—yup, the rely on such medicines because effective medicine is very expensive and many countries would go bankrupt through making it widely available to their population. Sad, but true. And it does not stop 99% of the traditional medicines from being quackery. E.g. the Cambodian government recognized that cupping therapy is WP:CB, but also that it is widely used in their country. tgeorgescu (talk) 18:42, 8 March 2024 (UTC)[reply]
There are reasons for relying on tried and true medicine over generations, especially if cost is a factor, when we know that iatrogenic disease is one of the leading causes of illness. This is especially the case in the USA [4]https://pmc.ncbi.nlm.nih.gov/articles/PMC4923397/
[5]https://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx EDA2Z (talk) 20:36, 27 October 2024 (UTC)[reply]
Yes, mainstream medicine can be misused. But that only proves it is very powerful. tgeorgescu (talk) 21:27, 27 October 2024 (UTC)[reply]
Echoing the comments of Tryptofish I suggest, Wikiwriter43103840, that you present your desired content on this Talk page, one item at a time, so that it can be discussed amongst interested editors and a consensus - one way or another - achieved. Throwing everything into the article at once is simply not going to work. I note also that you should restrict your comments to content, and not on your opinion(s) of other editors, as your comment above (seems like the editor has an axe to grind on this topic) is unhelpful and could easily be interpreted as a personal attack (see WP:PA). JoJo Anthrax (talk) 20:12, 8 March 2024 (UTC)[reply]
Agree. Wikiwriter43103840 would be best off working on this talk page making edit requests or something similar, identifying all changes in POV and the references that support such changes. --Hipal (talk) 20:40, 8 March 2024 (UTC)[reply]
OK, apologies for just reverting without further discussion.
Here are the changes that I made and why I made them:
  1. The current opening reads as follows: " A wide array of pseudoscientific practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as naturopaths. Difficult to generalize, these treatments range from the thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy." Not only is this non-neutral, but it also is self contradictory. How can it be both "a wide array of pseudoscientific practices" and also include "widely accepted" treatments? I suggested opening with a description that acknowledges the debates about it but does not immediately draw a conclusion. I included reference to the WHO report to back up my suggestion that a more positive POV deserves prominence alongside what is already there.
  2. The claim that "The diagnoses made by naturopaths often have no factual merit" is not supported by the citations provided. The citations could be good sources to legitimize a claim that naturopathy does not rely on the scientific method, or even that what it advises is often not supported by medical research, but to flatly claim that the diagnoses often have no factual merit seems to misrepresent the citations, unless I am missing something.
  3. The following is also problematic: "Naturopathy is prohibited in three U.S. states (Florida, South Carolina, and Tennessee) and tightly regulated in many others. Some states have lax regulations, however, and may allow naturopaths to perform minor surgery or even prescribe drugs." Why not just acknowledge that some states permit it and regulate it while others prohibit it? It does not seem like the purpose of this article to pass judgement ("lax") on public policy relating to the topic, the role of the article should be to describe public policy from a neutral perspective, and then describe various lobbying efforts focused on changing policies.
The language I replaced it with attempts to explain that naturopathy is not one single approach or way of doing things. It includes fully licensed medical doctors who are also trained in naturopathy and use it as a form of complimentary medicine to totally dangerous anti-vax crazy people who are peddling things that could hurt people. I tried to encompass all of that, and to explain that it is debated. In my mind this was expanding on what is already here. What do you all think? Wikiwriter43103840 (talk) 21:20, 8 March 2024 (UTC)[reply]
NPOV isn't half-way between science and pseudoscience. NPOV sides with science and shuns pseudoscience. tgeorgescu (talk) 21:31, 8 March 2024 (UTC)[reply]
I don’t think a Wikipedia article is about “siding” at all. It’s about explaining the world as it is. The purpose is not to stake out a position. I’m not sure why you seem to have it out for me. Wikiwriter43103840 (talk) 00:36, 9 March 2024 (UTC)[reply]
You have the mistaken idea that NPOV sides with science and shuns pseudoscience is open for rational debate, and that you would be allowed to disobey it. No, it is a matter of website policy, namely WP:PSCI, you might want to read it.
Wikipedia has no unfettered access to the world as it is. But it has unfettered access to scientific publications. tgeorgescu (talk) 17:59, 9 March 2024 (UTC)[reply]
You are unkind. Wikiwriter43103840 (talk) 02:15, 10 March 2024 (UTC)[reply]
What I am saying is that Wikipedia has WP:RULES, so our WP:RULES are not open to rational counter-argumentation, at least not at this talk page. This is not the place for changing the WP:RULES. Editors at this talk page cannot change the rules of the game. Not being aware that Wikipedia sides with mainstream science is extremely naive. tgeorgescu (talk) 19:15, 10 March 2024 (UTC)[reply]
One last time, @Wikiwriter43103840: per WP:PA, please restrict your comments here to article content, not on your opinions about other editors. JoJo Anthrax (talk) 06:47, 11 March 2024 (UTC)[reply]
I feel the need to say, also, that tgeorgescu should be more willing to engage collegially with suggestions by Wikiwriter, who I feel had a somewhat valid reason for feeling treated unkindly. --Tryptofish (talk) 20:00, 11 March 2024 (UTC)[reply]
The few past days, I did not really engage with their positive claims, but I was sensing that they do not understand how Wikipedia works. tgeorgescu (talk) 01:48, 12 March 2024 (UTC)[reply]
Thanks for this post. My recollection of the edit was that more was changed than what those three points refer to, and what you've posted is more of a rationale than a proposal for revised text. But I'm happy to work with it for now, focusing on more limited corrections if any are needed.
  1. I could support rewriting those sentences to "A wide array of practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as naturopaths. Difficult to generalize, these treatments range from the pseudoscientific and thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy." I could also support "A wide array of often pseudoscientific practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as naturopaths. Difficult to generalize, these treatments range from the thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy." The second of those simply introduces the word "often" before the word "pseudoscientific".
  2. I could support rewriting that sentence to "The diagnoses made by naturopaths often have no basis in science and are often not accepted by mainstream medicine".
  3. I could support rewriting the second sentence to "Some states, however, allow naturopaths to perform minor surgery or even prescribe drugs."
I'm very pro-science, but I can agree that there is some editorializing in the current versions of those three passages, and I'd be willing to go that far if other editors agree. I don't think any of the changes I described really shift the POV significantly, but they make the language more encyclopedic and professional. --Tryptofish (talk) 21:50, 8 March 2024 (UTC)[reply]
Thanks. I think this a good start. I need to spend more time on this and when I can I will be glad to propose further changes here in this discussion. Thanks for this. Wikiwriter43103840 (talk) 00:37, 9 March 2024 (UTC)[reply]
Regarding the suggestions of Tryptofish, I like the first sentence of point 1, and the sentences in points 2 and 3. They are accurate and, importantly, carry an encyclopedic tone. JoJo Anthrax (talk) 06:29, 11 March 2024 (UTC)[reply]
Naturopathy, or naturopathic medicine, encompasses a variety of treatment methods, including dietary and lifestyle changes, stress reduction, the use of herbs and dietary supplements, homeopathy, manipulative therapies, exercise therapy, practitioner-guided detoxification, and psychotherapy and counseling. Naturopathy often finds itself at the center of debate because its practices frequently lack a rigorous scientific basis.
Many in the scientific and medical communities categorize it as an alternative medicine form, emphasizing the pseudoscientific nature of some of its methods, such as homeopathy, which are widely discredited. Despite these challenges to its validity, naturopathy is also recognized by some, including the World Health Organization (WHO), which advocates for an integrative approach that combines the best of traditional and conventional medical systems.
The field of naturopathy employs a diverse array of practices, described by practitioners as "natural," "non-invasive," or promoting "self-healing." This diversity ranges from methods without scientific support to those accepted within some regions of mainstream medicine, like specific forms of psychotherapy. The spectrum of practices complicates the generalization of naturopathic medicine's efficacy and scientific standing.
The basis of naturopathy includes various sources, from accredited educational programs to traditions rooted in vitalism and folk medicine. Its controversial nature stems not only from the debate over its scientific validity but also from differing regulatory landscapes across the globe. For example, the practice faces outright prohibition in a few states in the United States. In contrast, others offer licensure or registration that may permit a range of activities, including minor surgery and prescribing medications. Wikiwriter43103840 (talk) 11:45, 11 March 2024 (UTC)[reply]
Sorry my intro got cut off. Here is my attempt at a re-write. Thoughts? Wikiwriter43103840 (talk) 11:46, 11 March 2024 (UTC)[reply]

I prefer the revised sentences presented above by Tryptofish. JoJo Anthrax (talk) 12:29, 11 March 2024 (UTC)[reply]

Tryptofish's rewrite takes on a more encyclopedic tone. @Wikiwriter43103840, you have done a lot of rewriting which may necessitate new source requirements, and a bit too wordy for these purposes, IMO. Pyrrho the Skipper (talk) 16:11, 11 March 2024 (UTC)[reply]
I've enacted those edits: [6]. --Tryptofish (talk) 20:11, 11 March 2024 (UTC)[reply]
Yes, some of the current sources would suffice and others would take some digging to be exact (I have them in mind but would want to find specific page numbers, etc). Before I did that work I wanted to bring this draft to this group. Could you help me understand what is not encyclopedic about my re-write? Is there anything that in there that others think would be additive to the current article, even without using the entirety of it? Wikiwriter43103840 (talk) 14:06, 12 March 2024 (UTC)[reply]
You're writing is fine, in my opinion. I just meant that your style was a little wordier, for example, Naturopathy often finds itself at the center of debate because its practices frequently lack a rigorous scientific basis. Your thoughts were heard and considered, and these types of articles are difficult spaces, as they tend to draw editors who have strong opinions/feelings about how the subject is presented, so no reason to be discouraged. Pyrrho the Skipper (talk) 14:50, 12 March 2024 (UTC)[reply]
I provided an answer to your question on your Talk page, as doing so here might be inconsistent with article Talk page guidelines. JoJo Anthrax (talk) 16:32, 12 March 2024 (UTC)[reply]
I read JoJo's reply on your talk page, and I think it's a very reasonable explanation.
I'll try to add some further explanation to the comments already made. The first thought I have when reading your suggested text is to ask myself: why would we need these changes? You can see from the changes that I recently enacted on the page, that I approached it as trying to fix things where I believed there was a valid reason to fix it. A lot of what you propose here moves content around, but I'm not seeing what problem it solves.
For those things where I do see the reason why, I'm having the same reaction as Pyrrho and JoJo. The sentence that Pyrrho quotes just above strikes me as a little bit WP:PEACOCK, because "center of debate" comes across a little like "center of attention", and I think that's hyperbole. The paragraph that begins "Many in the scientific... " is where I particularly see a false balance of POV. First, "many" is an understatement. Second, by saying that they "emphasize" the negative aspects, it comes across as implying a little bit that there is a choice happening to emphasize those things while ignoring more positive things, which isn't supported by most sources. Third, when you say: "Despite these challenges... ", you make it sound like we would be saying, in Wikipedia's voice, that the "truth" would be breaking through. Although I'm not opposed to giving some additional weight to the WHO position (somewhere on the page, not sure about the lead), I wouldn't want to give it equal WP:WEIGHT with the more critical views. After all, after the recent corrections, we already do make it clear that there are things like some types of psychotherapy that are accepted as mainstream. None of what I've just described is really bad, more like just not enough of an improvement on what we have now. And in subtle ways, it seems to me like POV-pushing, because the changes in tone and emphasis trend in one direction. --Tryptofish (talk) 19:52, 12 March 2024 (UTC)[reply]

Semi-protected edit request on 10 October 2024

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Change "Difficult to generalize, these treatments range from the pseudoscientific and thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy." to a more accurate and respectful way to describe Naturopathic Medicine. That is to refer to it as "A holistic, evidence-informed approach to healthcare. It emphasizes the body’s innate ability to heal itself, focusing on natural therapies such as nutrition, lifestyle modification, herbal medicine, physical medicine, and, where applicable, modern medical diagnostics and interventions. Licensed Naturopathic Doctors (Licensed NDs, NMDs) are trained in both conventional medical sciences and natural therapies, allowing them to blend modern diagnostic tools with a broad range of natural treatments to support whole-person health." EDA2Z (talk) 17:29, 10 October 2024 (UTC)[reply]

Not done. The requested content is flowery WP:SOAP, and is inconsistent with the independent, reliable, secondary sources. JoJo Anthrax (talk) 18:01, 10 October 2024 (UTC)[reply]
As a leading paragraph, the language around this profession must be in line with the integrative form of medicine it is. It is preventative and functional at the core. It is not pseudoscientific at the core, but rather some of the schools are connected with top research centers. For example the Sonoran University's Plant Medicine Research Center (https://www.sonoran.edu/research/ric-scalzo-institute/) connected with Biology Research centers at Arizona State University and other institutions. Here are some of the research projects at this institute alone https://www.sonoran.edu/research/projects/. Therefore, my question is what would be recommended here to incorporate a more accurate introductory paragraph? Also, why isn't this page being monitored and corrected by the professional Naturopathic Medical association, rather than those who are not connected with this profession?
Here is another possible change from the national professional association (https://naturopathic.org/page/AboutNaturopathicMedicine):
"The past 30 years has seen an extraordinary increase in consumer demand for safe, effective, and cost-effective natural health care. Naturopathic medicine has emerged as the health-care profession best suited to meet this demand, with naturopathic doctors trained in the art and science of both natural and conventional medicine. Naturopathic medicine is recognized as one of the original systems of medicine offering safe, effective patient-centered care that is a vital part of healthcare in the twenty-first century." EDA2Z (talk) 20:04, 13 October 2024 (UTC)[reply]
Pharmacognosy research about plants is important, but generally it's not what naturopathy does.
Also, Wikipedia isn't a PR venue, see WP:SOAPBOXING. tgeorgescu (talk) 20:15, 13 October 2024 (UTC)[reply]
Understood about soapboxing. However, the difference between Naturopathic Medicine from licensed professionals, is not the same as the overarching term "Naturopathy", and it is not pseudoscience. If the term Naturopathic Medicine is included on this page, then the lead paragraph is slandering the profession and not allowing correction to be made. The same can be said for the Alternative Medicine page. The word "pseudo-science" written in the lead paragraph will persuade people in a very clear direction, rather than providing facts around what these forms of health care are actually about. EDA2Z (talk) 21:02, 13 October 2024 (UTC)[reply]
Our official stance: WP:LUNATICS. In other words: Wikipedia is biased for mainstream science and the medical orthodoxy.
And the truth is that naturopathy is to a large extent obsolete due to huge progress in mainstream medicine. tgeorgescu (talk) 22:14, 13 October 2024 (UTC)[reply]
The modalities used by Licensed Naturopathic Doctors, and other Integrative Doctors, including Allopathic Doctors who have integrated with those modalities, are proven to be no where near obsolete. They, in fact, are continuing to increase in use each year as the general population of multiple countries have found that it is better to approach a healthy lifestyle before needing a doctor. It has been a bonus for these people newly entering the world of Integrative and Naturopathic medicine, when they find out that their illnesses can also be treated in this way. "Traditional, complementary and alternative medicine (TCAM) includes products (e.g. herbal medicines, dietary supplements) and therapies/practices (e.g. chiropractic, acupuncture), and is a popular healthcare choice for many people. This study systematically reviewed national surveys of TCAM use around the world. We identified studies carried out in 14 different countries and one continent (Europe) on the extent of use of TCAM in the general population. TCAM use was found to be substantial, ranging from 24 to 71.3%" [7]https://pubmed.ncbi.nlm.nih.gov/35788539/
[8]https://pubmed.ncbi.nlm.nih.gov/36103571/
It's even increasing in veterinary medicine [9]https://pubmed.ncbi.nlm.nih.gov/34157762/ EDA2Z (talk) 20:56, 27 October 2024 (UTC)[reply]
Chiropractic? Means how to get cervical arterial dissection.
Acupuncture? Means how to get infected or perforated lungs.
Just because naturopathy is broadly used, it does not mean it isn't quackery.
And frankly, I had a dislocated shoulder, very painful. Basically, I had to choose between ingesting opiates and no treatment. I decided that no treatment was the better option. That's why sometimes naturopathy is the preferred treatment: since no treatment is the preferred treatment option. tgeorgescu (talk) 21:12, 27 October 2024 (UTC)[reply]
So, in that respect Reiki or chamomile tea are in fact substitutes for no treatment. tgeorgescu (talk) 11:02, 7 November 2024 (UTC)[reply]