When the first reports came, there was complete euphoria. Too nice was the idea that a flock of small fish simply nibbled the scaly skin in patients with psoriasis - and the disease disappeared. In the meantime, even more critical tones have mixed in with the eulogy. But for many psoriasis treatment with the nibbling fish is a therapy with which they have at least for a long time rest from their disease.
The idea for the treatment with "Garra Rufa", the reddish Saugbarbe, and the carp-like "doctor fish" Leucsicus chephalus brought patients from the Anatolian seaside resort of Sivas-Kangal. Here are fed from a total of 5 thermal springs baths, which are not only healing water with a constant temperature of 35 degrees, but also the six to eight centimeters long nibble fish. Because the medicinal water contains relatively little food for the fish due to its chemical composition and temperature, dander are a good alternative for the fish. If a patient with psoriasis enters the healing water pool, it is triggered by the fish with its mouth and the scales are loosened. Many patients compare this process with a massage and the subsequent erosion of the dandruff they usually experience as "tickling", comparable to a stimulation current treatment. Who kurt in Anatolia, which is subject to a strict regime. Although there is no medical service, there are a number of rules that must be followed. These include a strict alcohol ban and the need to use the thermal water as a drinking cure. Again, there are no quick solutions: Patients spend several hours each day in the water for three to four weeks.
Fish thieves and home treatment
What the inhabitants of Kangal have known for centuries about their streams and the fish in them, that should also be carried to Germany - including the fish. So at least those thought, the Kangal fish from Turkey to Germany managed and bred here. From these breeding experiments fish populations emerged, which were soon also offered for use at home. The use of fish is not unproblematic. Because the water dwellers are always hungry, they know no "limits" and may nibble more than the patient likes. Some patients report that they have been "bitten" in the feet. Bleeding areas on the skin are also reported. Treatment at home, even if it is propagated, is hardly possible for patients who suffer from widespread psoriasis. Experts expect 150 fish for a patient - for treatment, the fish would have to be transferred from their aquarium into the tub and the water temperature kept constant over several hours.
Fish cure without health insurance
"Only where Anatolia is on it is also Anatolia in it" - so the basic experience with the nibbling fish is probably best summarized. This means that it is probably the mix of fish, sun, healing water and stress-free environment in Kangal, which is responsible for the treatment success of the nibbling fish. Patients who have taken part in fish treatment in Turkey have, with a few exceptions, also benefited in the medium term. Her skin was completely depleted by the fish and the distance to the next push was significantly greater. Perhaps there is a general change in the inflammatory process and the corresponding immune response of the body, which ensures the longer-term dandruff-free time. The disease itself is not eliminated. However, so far there are hardly any scientific studies on the treatment successes with Garra Rufa Fischen, so that for a reimbursement by the health insurance companies, the necessary condition is missing. In Germany, the treatment is offered by some clinics and naturopaths. Those who opt for a hospital spa should take care to undergo a basic medical examination prior to the start of the three-week treatment and to limit the treatment not only to the daily bath with the fish. A supplement with UV therapy and a thorough skin care with an active substance-free base cream supports the treatment success. It is unclear whether the fish through the dander possibly pick up pathogens and possibly pass on. Therefore, one should be assured by the practitioner that during the treatment only the "own" fish is nibbled on and that the fish are quarantined after the end of treatment and not immediately passed on to the next patient.
Overall, the treatment is relatively complex and is probably best for patients with chronic large-scale dandruff. Since the procedure has not yet been consistently scientifically monitored, it is worth taking a look at the pages of the various self-help groups to exchange with other stakeholders. The consensus seems to be that therapy success is relatively easy to achieve and lasts longer than conventional methods, although some patients do not benefit from the nibble fish.