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Essentials
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About Homeopathy
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Homeopathy is an
alternative medical system.
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Alternative
medical systems are built upon complete systems of theory and practice.
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Diagnose,
classify, and treat medical problems.
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The Health Gazette
Homeopathy
Introduction
Homeopathy is a discipline that
has been around for over 100 years. It was developed by Dr.
Samuel Hahnemann, a German physician who was practicing medicine
in the 18th century when bleeding and purging were widely used
in mainstream medicine. At that time, homeopathy was warmly
embraced by some U.S. practitioners as a more humane
alternative. The practice of homeopathy is based on the law of
similars. This means that what a substance can cause, it can
cure. Dr. Hahnemann proposed that "like cures like."
Basic Tenets
The basic tenet of homeopathy
is that disease can be cured by giving the patient minute
amounts of a substance that can induce similar symptoms to the
actual disease itself. This was felt to restore the patient's
vital force. Dr. Hahnemann gave volunteers numerous different
compounds and recorded the symptoms that these compounds caused
in great detail. He then recorded this information in a book
called 'Organon of Medicine' which is still used today to guide
the homeopathic doctor in which treatment to use. This book has
been used for years to treat numerous different ailments. The
very compound that was used to cause a particular condition was
used in extremely small doses to treat patients who presented
with similar symptoms. These drugs were diluted so many times
they actually would not contain any molecules of the actual
substance that was initially diluted. Interestingly, Dr.
Hahnemann claimed the potency actually increases as the drug
becomes more and more dilute. The solution used to dilute the
drug could be either water, alcohol or a combination of both.
The process of repetitively diluting a drug is call potentiation.
Each time a dilution takes place, the solution is vigorously
shaken in order to evenly distribute the molecules in the
solution. Homeopathic physicians will freely admit that their
most potent medications do not contain any molecules of the
initial drug that was diluted. The mechanism of action of this
medicine has never been explained scientifically. There has been
some speculation that the diluent supposedly remembers, or in
some way fingerprints, the initial drug that was diluted.
Another tenet of homeopathy is
that you are treating the patient rather than a particular
disease or organ system. The homeopathic medicine is given with
hopes that the vital forces of the patient will be
reestablished. In his book, 'Organon of Medicine', Hahnemann
suggests that the essence of illness is a disorder in the vital
forces. Because of this disorder, people are susceptible to
different disease entities. By restoring the vital forces, the
body is able to rid itself of the disease.
Another tenet of homeopathy is
that patients must allow enough time for the homeopathic remedy
to work. They are to avoid caffeine or other medications that
may interfere with treatment.
The Problems With
Homeopathy
Homeopathy is not presently
accepted by traditional medicine in the United States. Although
there are a few health caregivers that subscribe to homeopathy,
they are few and far between. One of the basic problems with
homeopathy is that it was founded before the principles of
modern science were developed. Homeopathy was developed before
the dramatic advances of chemistry and physics in the 1900s. Dr.
Hahnemann had no idea what the molecular structure of a
substance was. Unfortunately, as science progressed, homeopathy
did not attempt to incorporate any of the basic scientific
principles into its basic tenets. Certainly, modern medicine
treats numerous diseases with medication and the mechanism of
action is unknown, even though the treatment is successful. The
problem with homeopathy is that it is totally unscientific and
it runs counter to the basic laws of chemistry, physics and
common sense.
Studies of Homeopathy
There have been numerous
studies that have attempted to prove or disprove the
effectiveness of homeopathy. One such study by C. Hill and F.
Doyon was a review of randomized trials of homeopathy. This was
published in 1990. The review covers 40 published randomized
trials in which the results of homeopathy treatment were
compared to those of standard treatment, placebo, or no
treatment at all. Most of the studies were double blinded. This
means that neither the patient nor the physician knew if the
patient was getting a placebo, a conventional treatment, or a
homeopathic remedy. The authors concluded that the results do
not provide acceptable evidence that homeopathic treatments are
effective. Another study was performed on 175 children with
frequently recurring upper respiratory tract infections.
Approximately half were given homeopathic medicines and the
other half were given a placebo. The children were followed for
1 year to see if there was a decrease in the number of colds,
tonsillectomies, adenoidectomies, and the necessity of
antibiotic therapy. The authors concluded that homeopathic
medicines seemed to add little to careful counseling of children
with recurrent upper respiratory tract infections. There was no
significant difference in reducing the daily burden of symptoms,
use of antibiotics, or the need for adenoidectomy and
tonsillectomy. Interestingly, both groups had a decrease in the
amount of antibiotic usage as well as surgery. This was
explained on the basis of education of both groups concerning
when to seek medical care, as well as just basic counseling on
upper respiratory infections.
Conclusions
Homeopathy has no scientific
basis whatsoever, and the concept of potentiation by dilutions
is absurd when modern basic scientific principles are
considered. The argument has been made that homeopathy works by
some, yet unexplained, mechanism. This certainly could be true,
but it would be easier to accept if clinical trials could
consistently show a difference between homeopathy and placebo.
On the other hand, homeopathy
does have some good principles that I believe modern medicine
could benefit from. The first is that given time, most disease
processes will resolve spontaneously without treatment. This is
certainly true of colds and viral infections. Please refer to
the article "The Truth About Viruses" previously reported in the
Health Gazette. Homeopathic doctors believe that antibiotics are
harmful and, indeed, sometimes they are. Our society as a whole
would be better off if we would avoid the tendency to put
everyone on antibiotics for simple colds. Homeopathy also
attempts to treat the whole patient rather than a specific
disease. I believe that many times physicians have a tendency to
focus on the disease or malfunctioning organ rather than
listening to the patient and considering other factors that may
be involved. Fortunately, residency programs are actually
emphasizing a more holistic approach to the patient than was
advocated in the past. Although, science is an integral part of
modern medicine, the art of medicine is still exceedingly
important.
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