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Homeopathic Medicine

Homeopathy

Homeopathy is a form of alternative medicine, first proposed by German physician Samuel Hahnemann in 1796. Homeopathy treats patients with heavily diluted preparations which are thought to cause effects similar to the symptoms presented. Homeopathic remedies are prepared by serial dilution with shaking by forceful striking, which homeopaths term "succussion," after each dilution under the assumption that this increases the effect of the treatment. Homeopaths call this process "potentization". Dilution often continues until none of the original substance remains.

Apart from the symptoms of the disease, homeopaths use aspects of the patient's physical and psychological state in recommending remedies. Homeopathic reference books known as repertories are then consulted, and a remedy is selected based on the totality of symptoms. Homeopathic remedies are considered safe, with rare exceptions.

Homeopathic remedies generally contain few or no pharmacologically active molecules and for such remedies to have pharmacological effect would violate fundamental principles of science. Modern homeopaths have proposed that water has a memory that allows homeopathic preparations to work without any of the original substance; however, the physics of water are well understood, and no known mechanism permits such a memory.

General philosophy

Homeopathy is a vitalist philosophy in that it interprets diseases and sickness as caused by disturbances in a hypothetical vital force or life force. It sees these disturbances as manifesting themselves as unique symptoms. Homeopathy maintains that the vital force has the ability to react and adapt to internal and external causes, which homeopaths refer to as the "law of susceptibility". The law of susceptibility implies that a negative state of mind can attract hypothetical disease entities called "miasms" to invade the body and produce symptoms of diseases. However, Hahnemann rejected the notion of a disease as a separate thing or invading entity and insisted that it was always part of the "living whole".

Law of Similar

Hahnemann observed from his experiments with cinchona bark, used as a treatment for malaria, that the effects he experienced from ingesting the bark were similar to the symptoms of malaria. He therefore reasoned that cure proceeds through similarity, and that treatments must be able to produce symptoms in healthy individuals similar to those of the disease being treated. Through further experiments with other substances, Hahnemann conceived of the "law of similar", otherwise known as "like cures like" (Latin: similia similibus curentur) as a fundamental healing principle. He believed that by inducing a disease through use of drugs, the artificial symptoms empowered the vital force to neutralize and expel the original disease and that this artificial disturbance would naturally subside when the dosing ceased.

"Remedy" is a technical term in homeopathy that refers to a substance prepared with a particular procedure and intended for treating patients. Homeopathic practitioners rely on two types of reference when prescribing remedies: Materia Medica and repertories. A homeopathic Materia medica is a collection of "drug pictures", organized alphabetically by remedy, that describes the symptom patterns associated with individual remedies. A homeopathic repertory is an index of disease symptoms that lists remedies associated with specific symptoms.

Preparation of remedies

Mortar and pestle used for grinding insoluble solids into homeopathic remedies including quartz and oyster shells.

In producing remedies for diseases, homeopaths use a process called "dynamisation" or "potentisation" whereby a substance is diluted with alcohol or distilled water and then vigorously shaken by ten hard strikes against an elastic body in a process called "succussion". While Hahnemann advocated using substances which produce symptoms similar to those of the disease being treated, he found that material doses would intensify the symptoms and exacerbate the condition, sometimes causing what amounted to dangerous toxic reactions. He therefore specified that the substances be diluted. Hahnemann believed that the process of succussion activated the vital energy of the diluted substance. For this purpose, Hahnemann had a saddle maker construct a special wooden striking board covered in leather on one side and stuffed with horsehair. Insoluble solids, such as quartz and oyster shell, are diluted by grinding them with lactose (trituration).

Dilutions

Main article: Homeopathic dilutions

Three potency scales are in regular use in homeopathy. Hahnemann created the centesimal or "C scale", diluting a substance by a factor of 100 at each stage. The centesimal scale was favored by Hahnemann for most of his life. A 2C dilution requires a substance to be diluted to one part in one hundred, and then some of that diluted solution diluted by a further factor of one hundred. This works out to one part of the original substance in 10,000 parts of the solution. A 6C dilution repeats this process six times, ending up with the original material diluted by a factor of 100−6=10−12. Higher dilutions follow the same pattern. In homeopathy, a solution that is more dilute is described as having a higher potency, and more dilute substances are considered by homeopaths to be stronger and deeper-acting remedies. The end product is often so diluted that it is indistinguishable from the dilutant (pure water, sugar or alcohol).

Hahnemann advocated 30C dilutions for most purposes (that is, dilution by a factor of 1060). In Hahnemann's time it was reasonable to assume that remedies could be diluted indefinitely, as the concept of the atom or molecule as the smallest possible unit of a chemical substance was just beginning to be recognized. We now know that the greatest dilution that is reasonably likely to contain one molecule of the original substance is 12C.

Hahnemann's concept

Samuel Hahnemann, considered to be the father of homeopathy

Hahnemann conceived of homeopathy while translating a medical treatise by Scottish physician and chemist William Cullen into German. Being skeptical of Cullen's theory concerning cinchona's action in malaria, Hahnemann ingested some of the bark specifically to see if it cured fever "by virtue of its effect of strengthening the stomach". Upon ingesting the bark, he noticed few stomach symptoms, but did experience fever, shivering and joint pain, symptoms similar to some of the early symptoms of malaria, the disease that the bark was ordinarily used to treat. From this, Hahnemann came to believe that all effective drugs produce symptoms in healthy individuals similar to those of the diseases that they treat. This later became known as the "law of similars", the most important concept of homeopathy. The term "homeopathy" was coined by Hahnemann and first appeared in print in 1807, although he began outlining his theories of "medical similars" in a series of articles and monographs in 1796.

Hahnemann began to test what effects substances produced in humans, a procedure which would later become known as "homeopathic proving". These time-consuming tests required subjects to clearly record all of their symptoms as well as the ancillary conditions under which they appeared. Hahnemann saw these data as a way of identifying substances suitable for the treatment of particular diseases. The first collection of provings was published in 1805 and a second collection of 65 remedies appeared in his book, Materia Medica Pura, in 1810. Hahnemann believed that large doses of drugs that caused similar symptoms would only aggravate illness, so he advocated extreme dilutions of the substances; he devised a technique for making dilutions that he believed would preserve a substance's therapeutic properties while removing its harmful effects, proposing that this process aroused and enhanced "spirit-like medicinal powers held within a drug".  He gathered and published a complete overview of his new medical system in his 1810 book, The Organon of the Healing Art.  

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