词条 | Live blood analysis |
释义 |
|image = |image_width = |caption = |claims = Ability to diagnose disease from blood examined using dark field microscopy |topics = Microscopy, dark field microscopy |origyear = ca. 1925 |origprop = Günther Enderlein |currentprop = Robert O. Young }}Live blood analysis (LBA), live cell analysis, Hemaview or nutritional blood analysis is the use of high-resolution dark field microscopy to observe live blood cells. Live blood analysis is promoted by some alternative medicine practitioners, who assert that it can diagnose a range of diseases. There is no scientific evidence that live blood analysis is reliable or effective, and it has been described as a fraudulent means of convincing patients that they are ill and should purchase dietary supplements.[1][2][3] Live blood analysis is not accepted in laboratory practice and its validity as a laboratory test has not been established.[1] There is no scientific evidence for the validity of live blood analysis,[1] it has been described as a pseudoscientific, bogus and fraudulent medical test,[2][3] and its practice has been dismissed by the medical profession as quackery.[8] The field of live blood microscopy is unregulated, there is no training requirement for practitioners and no recognised qualification, no recognised medical validity to the results, and proponents have made false claims about both medical blood pathology testing and their own services, which some have refused to amend when instructed by the Advertising Standards Authority.[4] It has its origins in the now-discarded theories of pleomorphism promoted by Günther Enderlein, notably in his 1925 book Bakterien-Cyklogenie. In January 2014 prominent live blood proponent and teacher Robert O. Young was arrested and charged for practising medicine without a license,[5] and in March 2014 Errol Denton, a former student of his, a UK live blood practitioner, was convicted on nine counts in a rare prosecution under the Cancer Act 1939,[8] followed in May 2014 by another former student, Stephen Ferguson. OverviewProponents believe that live blood analysis provides information "about the state of the immune system, possible vitamin deficiencies, amount of toxicity, pH and mineral imbalance, areas of concern and weaknesses, fungus and yeast." Some even claim it can "spot cancer and other degenerative immune system diseases up to two years before they would otherwise be detectable" or say they can diagnose "lack of oxygen in the blood, low trace minerals, lack of exercise, too much alcohol or yeast, weak kidneys, bladder or spleen."[1] Practitioners include alternative medicine providers such as nutritionists, herbologists, naturopaths, and chiropractors.[1] Dark field microscopy is useful to enhance contrast in unstained samples, but live blood analysis is not proven to be useful for any of its claimed indications. Two journal articles published in the alternative medical literature found that darkfield microscopy seemed unable to detect cancer, and that live blood analysis lacked reliability, reproducibility, and sensitivity and specificity.[6][7] Edzard Ernst, professor of complementary medicine at the University of Exeter and University of Plymouth, notes: "No credible scientific studies have demonstrated the reliability of LBA for detecting any of the above conditions." Ernst describes live blood analysis as a "fraudulent" means of convincing patients to buy dietary supplements.[8]Quackwatch has been critical of live blood analysis, noting dishonesty in the claims brought forward by its proponents.[9] The alternative medicine popularizer Andrew Weil dismissed live blood analysis as "completely bogus", writing: "Dark-field microscopy combined with live blood analysis may sound like cutting-edge science, but it's old-fashioned hokum. Don't buy into it."[10]Common diagnosesThere are several common diagnoses by the LBA practitioners that are actually based on observation of artifacts normally found in microscopy, and ignorance of basic biological science:[11][12]
Regulatory issuesIn 1996, the Pennsylvania Department of Laboratories informed three Pennsylvania chiropractors that Infinity2's "Nutritional Blood Analysis" could not be used for diagnostic purposes unless they maintain a laboratory that has both state and federal certification for complex testing.[13] In 2001, the Health and Human Services Office of the Inspector General issued a report on regulation of "unestablished laboratory tests" that focused on live blood cell analysis and the difficulty of regulating unestablished tests and laboratories.[1] In 2002, an Australian naturopath was convicted and fined for falsely claiming that he could diagnose illness using live blood analysis[14] after the death of a patient. He was acquitted of manslaughter. He subsequently changed his name and was later banned from practice for life.[15] In 2005, the Rhode Island Department of Health ordered a chiropractor to stop performing live blood analysis. An attorney for the State Board of Examiners in Chiropractic Medicine described the test as "useless" and a "money-making scheme... The point of it all is apparently to sell nutritional supplements." A state medical board official said that live blood analysis has no discernible value, and that the public "should be very suspicious of any practitioner who offers this test."[16] In 2011, the UK General Medical Council suspended a doctor's licence to practise after he used live blood analysis to diagnose patients with Lyme disease. The doctor accepted he had been practising "bad medicine".[17] In 2013, following several Advertising Standards Authority adjudications [18] against claims made by LBA practitioners, the Committee of Advertising Practice added new guidelines to their AdviceOnline database advising what LBA marketers may claim in their advertising material. These state that "CAP is yet to see any evidence for the efficacy of this therapy which, without rigorous evidence to support it, should be advertised on an availability-only platform." [19] One of these practitioners, Errol Denton, who practised out of a serviced office in Harley Street, was prosecuted in December 2013 under the Cancer Act 1939, and chose to use a Freeman on the Land defence.[20] On March 20, 2014 he was convicted on nine counts under the Cancer Act 1939 and fined £9,000 plus around £10,000 in costs.[21][22] In April 2018, Denton was further convicted of two counts of "engaging in unfair commercial practice" and one of "selling food not of the quality demanded", for selling a bottle of colloidal silver drink to an undercover trading standards officer in February 2016, after examining a drop of her blood and from it claiming that she had dislocated her shoulder.[23][24] He was made the subject of a Criminal Behaviour Order, fined £2,250, and ordered pay £15,000 in costs.[25] See also
References1. ^1 2 3 {{cite web | url = http://oig.hhs.gov/oei/reports/oei-05-00-00250.pdf | title = CLIA regulation of unestablished laboratory tests | publisher = U.S. Department of Health and Human Services | date = July 2001 | accessdate = January 26, 2009}} {{pseudoscience}}{{Fraud}}2. ^{{cite journal |author=Brigden ML |title=Unproven (questionable) cancer therapies |journal=West. J. Med. |volume=163 |issue=5 |pages=463–9 |date=November 1995 |pmid=8533410 |pmc=1303171}} 3. ^{{cite journal | author = Morris A | url = http://www.allergysa.org/journals/2006/march/review_comp_alt_tests.pdf | title = Complementary and alternative allergy tests | journal = Current Allergy and Clinical Immunology |date=March 2006 | volume= 19 | issue = 1}} 4. ^{{cite web | url = http://www.bbc.co.uk/programmes/b01d2l5j | work = You and Yours | title = Breast implant compensation, 'live' blood tests, and magic mirrors | publisher = BBC Radio 4 | date = March 15, 2012}} 5. ^{{cite web|url=http://www.10news.com/news/north-county-holistic-care-provider-robert-young-faces-charges-012414|title=North County holistic care provider Robert Young pleads not guilty to multiple charges|author=Steve Fiorina|work=10News|accessdate=24 December 2015}} 6. ^{{cite journal |vauthors=El-Safadi S, Tinneberg HR, von Georgi R, Münstedt K, Brück F |title=[Does dark field microscopy according to Enderlein allow for cancer diagnosis? A prospective study] |language=German |journal=Forsch Komplementärmed Klass Naturheilkd |volume=12 |issue=3 |pages=148–51 |date=June 2005 |pmid=15985779 |doi=10.1159/000085212 |url=}} 7. ^{{cite journal |vauthors=Teut M, Lüdtke R, Warning A |title=Reliability of Enderlein's darkfield analysis of live blood |journal=Altern Ther Health Med |volume=12 |issue=4 |pages=36–41 |year=2006 |pmid=16862741 |doi= |url=}} 8. ^1 2 {{cite news | last = Ernst |first = Edzard |authorlink = Edzard Ernst | date = 2005-07-12| url= https://www.theguardian.com/g2/story/0,,1526339,00.html | title = Intrigued by the spectacular claims made for Live Blood Analysis? Don't be. It doesn't work | work= The Guardian | accessdate= 2008-11-17}} 9. ^{{cite web | last = Lowell | first = James | date = November 1986| url=http://www.quackwatch.org/01QuackeryRelatedTopics/Tests/livecell2.html | title = Live Cell Analysis: High-Tech Hokum | publisher = Quackwatch| accessdate = 2008-11-17}} 10. ^1 {{cite news | first = Andrew | last = Weil | authorlink = Andrew Weil | work = Arizona Daily Star | date = September 11, 2007 | accessdate = November 9, 2009 | title = Ask Dr. Weil | url = http://www.azstarnet.com/allheadlines/200252}} 11. ^1 2 3 4 5 {{cite journal|last1=Patterson|first1=Thomas|title=The Pseudoscience of Live Blood Cell Analysis|journal=Skeptical Inquirer|volume=36|issue=November/December|pages=43–45|year=2012}} 12. ^1 2 3 4 5 {{cite web|url=http://www.sciencebasedmedicine.org/index.php/live-blood-analysis-the-modern-auguries/|title=Live Blood Analysis: The Modern Auguries|author=Crislip, Mark|authorlink=Mark Crislip|publisher=Science-Based Medicine|date=13 February 2009|accessdate=28 December 2012}} 13. ^{{cite news| last = Wlazelek | first = A. | title = Chiropractors cease blood cell show and tell. State restricts the use of magnified images to sell vitamins, supplements | work= The Morning Call | date= 1996-04-12 | page= B6}} 14. ^{{cite news| publisher = Abc.net.au | title = Former Lismore naturopath fined over newspaper ads | url = http://www.abc.net.au/news/newsitems/200205/s562909.htm | date = 2002-05-24 | accessdate = 2008-11-17}} 15. ^Court orders life ban on naturopath, Brisbane Times, April 4, 2008 16. ^1 {{cite news|last=Freyer |first=Felice |date=2005-06-21 |title=Chiropractor ordered to halt blood tests |work=Providence Journal |url=http://www.projo.com/news/content/projo_20050621_chiro21.2342042.html |accessdate=2008-11-17 |deadurl=yes |archiveurl=https://web.archive.org/web/20060907103944/http://www.projo.com/news/content/projo_20050621_chiro21.2342042.html |archivedate=2006-09-07 |df= }} 17. ^{{cite web|title=MPTS Fitness to Practise Panel, 17th Oct - 2nd Nov 2011 & 6th - 8th Aug 2012|url=http://www.mpts-uk.org/static/documents/content/Minutes_PUBLISHABLE_2825184_August_2012_Wright.pdf|work=Medical Practitioners Tribunal Service|accessdate=3 June 2013}} 18. ^{{cite web|title=ASA rulings on "live blood"| url=http://www.asa.org.uk/Rulings/Adjudications.aspx?SearchTerms=%22live%20blood%22#results | accessdate=7 July 2013}} 19. ^{{cite web|title=Therapies: Live Blood Analysis | url=http://cap.org.uk/Advice-Training-on-the-rules/Advice-Online-Database/Therapies-Live-Blood-Analysis.aspx | date = 2013-07-03 | accessdate=7 July 2013}} 20. ^[https://www.telegraph.co.uk/news/uknews/law-and-order/10510345/Harley-Street-practitioner-claimed-he-could-cure-cancer-and-HIV-with-lifestyle-changes-and-herbs-court-hears.html Harley Street practitioner claimed he could cure cancer and HIV with lifestyle changes and herbs, court hears], Daily Telegraph, Dec 11 2013 21. ^1 2 {{cite news|url=https://www.telegraph.co.uk/health/10732023/Duped-by-the-blood-analyst-who-says-he-can-cure-cancer.html |title=Duped by the 'blood analyst' who says he can cure cancer |newspaper=Daily Telegraph |date=30 March 2014 |first=Robert |last=Mendick}} 22. ^Eastern Daily Press {{webarchive|url=https://web.archive.org/web/20140321025146/http://www.edp24.co.uk/mobile/news/crime/woodford_green_harley_street_worker_handed_19k_court_bill_after_claiming_he_could_cure_cancer_and_hiv_with_lifestyle_changes_1_3459178 |date=2014-03-21 }}, 20 March 2014 23. ^{{cite news|last1=Herbert|first1=Tom|title=Homeopath who claimed he could cure cancer with food faces jail|url=http://metro.co.uk/2018/04/03/homeopath-claimed-cure-cancer-food-faces-jail-7437803/|accessdate=3 April 2018|work=Metro|date=3 April 2018}} 24. ^{{cite web|title=Blackfriars / T20160730|url=http://causelist.org/blackfriars/T20160730/|website=causelist.org|accessdate=3 April 2018|language=en}} 25. ^{{cite web|title=ASA welcomes fine and Criminal Behaviour Order handed to Mr Errol Denton|url=https://www.asa.org.uk/news/asa-welcomes-fine-and-criminal-behaviour-order-handed-to-mr-errol-denton.html|publisher=Advertising Standards Authority|accessdate=20 April 2018}} 7 : Alternative cancer treatments|Alternative medical diagnostic methods|Alternative medicine|Blood tests|Health fraud|Microscopy|Pseudoscience |
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