Homeopathy
One Western approach with implications for energy medicine is homeopathy. Homeopaths believe that their remedies mobilize the body's vital force to orchestrate coordinated healing responses throughout the organism. The body translates the information on the vital force into local physical changes that lead to recovery from acute and chronic diseases.16 Homeopaths use their assessment of the deficits in vital force to guide dose (potency) selection and treatment pace, and to judge the likely clinical course and prognosis. Homeopathic medicine is based on the principle of similars, and remedies are often prescribed in high dilutions. In most cases, the dilution may not contain any molecules of the original agents at all. As a consequence, homoeopathic remedies, at least when applied in high dilutions, cannot act by pharmacological means. Theories for a potential mechanism of action invoke the homeopathic solution, therefore, postulating that information is stored in the dilution process by physical means. Other than a study reported by the Benveniste laboratory17 and other smaller studies, this hypothesis has not been supported by scientific research. There have been numerous clinical studies of homeopathic approaches, but systematic reviews point out the overall poor quality and inconsistency of these studies.18
Therapeutic Touch and Related Practices
Numerous other practices have evolved over the years to promote or maintain the balance of vital energy fields in the body. Examples of these modalities include Therapeutic Touch, healing touch, Reiki, Johrei, vortex healing, and polarity therapy.3 All these modalities involve movement of the practitioner's hands over the patient's body to become attuned to the condition of the patient, with the idea that by so doing, the practitioner is able to strengthen and reorient the patient's energies.
Many small studies of Therapeutic Touch have suggested its effectiveness in a wide variety of conditions, including wound healing, osteoarthritis, migraine headaches, and anxiety in burn patients. In a recent meta-analysis of 11 controlled Therapeutic Touch studies, 7 controlled studies had positive outcomes, and 3 showed no effect; in one study, the control group healed faster than the Therapeutic Touch group.19 Similarly, Reiki and Johrei practitioners claim that the therapies boost the body's immune system, enhance the body's ability to heal itself, and are beneficial for a wide range of problems, such as stress-related conditions, allergies, heart conditions, high blood pressure, and chronic pain.20 However, there has been little rigorous scientific research. Overall, these therapies have impressive anecdotal evidence, but none has been proven scientifically to be effective.
Distant Healing
Proponents of energy field therapies also claim that some of these therapies can act across long distances. For example, the long-distance effects of external qi gong have been studied in China and summarized in the book Scientific Qigong Exploration, which has been translated into English.21 The studies reported various healing cases and described the nature of qi as bidirectional, multifunctional, adaptable to targets, and capable of effects over long distances. But none of these claims has been independently verified. Another form of distant healing is intercessory prayer, in which a person prays for the healing of another person who is a great distance away, with or without that person's knowledge. Review of eight nonrandomized and nine randomized clinical trials published between 2000 and 2002 showed that the majority of the more rigorous trials do not support the hypothesis that distant intercessory prayer has specific therapeutic effects.22