Anthroposophic medicine
Anthroposophic medicine (or Anthroposophical medicine) is an integrative medical system that extends conventional medical practice with an Anthroposophic, more encompassing understanding of the human being as physical body, life body, soul (or astral body) and I. Developed the 1920s by Rudolf Steiner (1861–1925) in conjunction with Dr. med Ita Wegman (1876–1943), anthroposophical medicine views these four aspects of the human being as interpenetrating and concretely relating to aspects in the natural world. Remedies are extracted from nature and used as phytotherapy, potentized substance, or externally applied. Anthroposophic medicine has developed and expanded the fields of artistic therapy, painting therapy, sculpture therapy, music therapy, speech therapy and eurythmy therapy (an Anthroposophic movement therapy). Anthroposophic Nursing extends the field of the practical nurse with a holistic approach towards illness and healing and uses rhythmic massage, Einreibung, therapeutic baths like the oil dispersion bath and herbal compresses. Psychotherapy and biography work are also a part of Anthroposophic modalities. Anthroposophic medicine is practiced in over 65 countries with an estimated 24 institutions (hospitals, hospital departments, rehab centers) in Germany, Switzerland, Sweden, Italy, The Netherlands, and the United States and over 240 outpatient facilities worldwide.[1] In Europe there are over 2,700 physicians fully trained in Anthroposophic medicine and a survey found that 15,000 physicians prescribe Anthroposophic remedies in Europe.[2]
Key Concepts
Anthroposophic medicine bases itself on an accurate understanding of the human being. A physician must fulfill the requirements of a conventional medical training before qualifying as an Anthroposophic physician. Nurses and therapists have similar requirements. The concept of a fourfold aspect to the human being as well as a view of the threefold aspect to the human being are important in Anthroposophic medicine.
The Fourfold Human Being
The human being is viewed in four interrelating aspects. The most basic is the physical body which the human being has in common with minerals, plants and animals. Without any other aspect, this would only be a corpse. The forces in this area are those that are present in machines. The living element is called the life body or etheric body and it is seen as the foundation of growth, metabolism and reproduction that man has in common with plant and animal organisms. The soul or astral body is common to animals and is seen as the cause of consciousness, feelings, movement and their respective organs like muscles and nerves. The spirit or "I" is unique to humans and allows the activity of rational thinking, self-control. It is the reason for the upright posture, culture and morality.
Though the physical body is easily studied by analytic science, Anthroposophic medicine does not give this undue precedent over the other aspects of the human being. Instead science is adapted into a form suitable to the unbiased study of each of the other three higher aspects. Goethean science is the intuitive scientific approach developed by Anthroposophy.
The Anthroposophical View of Nature and the Human Being[3][4]
| Minerals | Plants | Animals | Humans | Phenomena and Emergent Properties |
|---|---|---|---|---|
| Spirit or “I” | Self-consciousness, rational thinking, free will, self-control, morality and values, insight, coping skills, spirituality, human form and development, upright posture | |||
| “Soul” (astral body) | Soul (from astral body) | Consciousness, sensation, pain, emotions, desires, lust, instincts, reflexes, intentions, source of self-propelling motion, catabolism, organ formation | ||
| Life (etheric body) | Life | Life | Growth, reproduction, development, metabolism, anabolism, nutrition, self-healing, self-defense, vitality, sense of well-being | |
| Matter | Matter/physical body | Matter/physical body | Matter/physical body | Physical and chemical properties and structures, mechanics, chemical reactions, states of matter, inorganic forms |
The four elements
These four aspects of the human being relate to the four elements. The physical body relates to physical, the etheric relates to fluid or watery element, the astral relates to the air or gaseous element, and the I relates to the warmth in the human being.
| Element | Characteristic aspects in relation to the human being | |
|---|---|---|
| Spirit or "I" | Warmth | Temperature, fever |
| “Soul” (astral body) | Air | Breathing |
| Life (etheric body) | Water | Turgor, Edema |
| Matter (physical body) | Earth, Stone, Mineral | Bones |
The threefold human being
- Main article -> The threefold human being
A basic concept of the anthroposophical teaching of illness that remains almost unchanged to this day is the concept of the "threefold structure" of the human being developed by Steiner in the early 1920s.[5] Steiner distinguished three organ systems:
- In the neurosensory system that has its center in the head, consciousness develops of our own inner world, and also of the outer world, which we perceive through our senses.[6]
- The motor-metabolic (limb) system deals with the material world. Matter can be moved with our hands and substances are being digested to nourish the human body.
- The rhythmic system mediates rhythmically between the two beforementioned poles. Central organs are the heart and the lungs but it encompasses all rhythmical processes in the human being.
| neurosensory system | motor-metabolic (limb) system | rhythmic system | |
|---|---|---|---|
| Movement | Stillness | Movement | Both |
| Consciousness | Awake | Sleeping | Dreaming |
| Thinking | Willing | Feeling | |
| Substantiality | Information, imponderables | Substance, matter, ponderables | Both |
| Metabolism | Catabolism | Anabolism | Both |
Medicines
Some drug preparations in anthroposophic medicine are made from potentized substances, similar to those used in homeopathy though there are some fundamental differences in methods as well as how remedies are used. Scientific technique has struggled when applied to homeopathic remedies.
Research
Anthroposophic physicians have objected against controlles trials out of ethical reasons as they interfere with the doctor patient relationship and the medical judgement of the physician. In the recent decades there has been growing research in this field anyway (as can be seen in the figure to the right). One main focus were trials on mistletoe therapy. A main research goal has been epistemology and theory of medicine as concepts central to anthroposophic medicine like the etheric body or spiritual aspects are difficult to cope with in the conventional medical system.
Research institutes
- Havelhöhe Research Institute (FIH)
- ARCIM institute
- Institute for Applied Epistemology and Medical Methodology (IFAEMM)
Education
In 2023 the WHO published benchmarks for training in anthroposophic medicine describing international training standards.[8][9]
Legal situation
Europe
Sweden
The legal framework of anthroposophic medicine was centered around the Vidar hospital. The clinic existed from 1985 until 2019.
Having previously granted time-limited approvals for Iscador and several other preparations in anthroposophic medicine, the Swedish Medicines Agency decided in December 2013 to grant approval for the use of Iscador in individualized palliative cancer treatment as an adjunct to standard therapy.[10][11]
Poster about Anthroposophic Medicine from WCIMH 2017
References
- ↑ Kienle, Gunver S.; Albonico, Hans-Ulrich; Baars, Erik; Hamre, Harald J.; Zimmermann, Peter; Kiene, Helmut. "Anthroposophic Medicine: An Integrative Medical System Originating in Europe". Glob Adv Health Med. PMC 3865373.
- ↑ http://www.efpam.eu/medicine5.html
- ↑ Heusser P. Anthroposophy and Science: An Introduction. Frankfurt am Main, Germany: Peter Lang Publishing; 2016.
- ↑ Bartelme RR. Anthroposophic Medicine, an Introduction; and a Book Review of Anthroposophy and Science. Integr Med (Encinitas). 2017;16(4):42–46.
- ↑ Jütte, Robert (1996). Geschichte der Alternativen Medizin [History of alternative medicine]. Munich: Beck. pp. 244f. ISBN 978-3406404955.
- ↑ Girke, Matthias; Soldner, Georg (22 October 2018). "Functional Threefolding". Anthromedics. Retrieved 2021-11-07.
- ↑ Kienle, Gunver; Glockmann, Anja; Grugek, Renate; Hamre, Harald Johan; Kiene, Helmut (2011), "Klinische Forschung zur Anthroposophischen Medizin – Update eines «Health Technology Assessment»-Berichts und Status Quo" [Clinical research on anthroposophic medicine - Update of a "Health Technology Assessment" report and Status Quo], Forschende Komplementärmedizin / Research in Complementary Medicine, 18, pp. 269–282, doi:10.1159/000331812, ISSN 1661-4119
- ↑ Tido von Schön-Angerer (2022-02-04). "Anthromedics - Training developments (WHO Benchmarks) : The continued development of training courses for Anthroposophic Medicine and the "WHO Benchmarks for Training in Anthroposophic Medicine"". Anthromedics. Retrieved 2023-07-25.
- ↑ World Health Organization (2023). WHO benchmarks for training in anthroposophic medicine. World Health Organization. ISBN 978-92-4-006743-1. Retrieved 2023-05-06.
- ↑ "Vidarkliniken". Wikipedia (in svenska). 2021-08-06. Retrieved 2022-09-18.
- ↑ "Iscador (extrakt av Viscum album L. [ mistel]) - Läkemedelsverket / Medical Products Agency". Läkemedelsverket (in svenska). Archived from the original on 2014-02-02. Retrieved 2022-09-19.