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Hence, evacuating methods like bloodletting, purging, vomiting, sweating, diuresis and cauterization were the basis of the most effective general treatment until the beginning of 19th century [2–5]

You just forgot to include the subsequent statement.

> As for backing my statement up, here you go:

Funny that this same study is used in the article I mentioned:

A German study on 51 patients of knee osteoarthritis, showed a greater decrease in pain (seven days post leech therapy), as compared to control who received topical diclofenac application

Also from the same article you referenced:

An improvement in KOOS and WOMAC scores, and also in VAS, was found in all 3 groups following treatment. These improvements were statistically significant for treatment groups I and II during the complete follow-up period. The reduction in individual requirements for pain medication was also statistically significant. The greatest improvement was seen in the group treated twice with the leeches, with a long-term reduction of joint stiffness and improved function in the activities of daily living.

So I wouldn't qualify it as a rebuttal to the treatment if the whole Results section supports it.



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