Homeopathy (also spelled Homoeopathy or Homœopathy ) is a form of alternative medicine, first proposed by German physician Samuel Hahnemann in 1796, that 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. However, some homeopaths have been criticized for putting patients at risk with advice to avoid conventional medicine such as vaccinations, anti-malarial drugs, and antibiotics. In many countries, the laws that govern the regulation and testing of conventional drugs do not apply to homeopathic remedies.
Claims of homeopathy's efficacy beyond the placebo effect are unsupported by the collective weight of scientific and clinical evidence. While some studies have positive results, systematic reviews of all the published trials fail to conclusively demonstrate efficacy. Furthermore, higher quality trials tend to report less positive results, and most positive studies have not been replicated or show methodological problems that prevent them from being considered unambiguous evidence of homeopathy's efficacy.
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. The lack of convincing scientific evidence supporting homeopathy's efficacy and its use of remedies lacking active ingredients have caused homeopathy to be described as pseudoscience or quackery.
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 similars
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 similars", 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 neutralise and expel the original disease and that this artificial disturbance would naturally subside when the dosing ceased.
Miasms and disease
In 1828, Hahnemann introduced the concept of miasms, which he regarded as underlying causes for many known diseases. A miasm is often defined by homeopaths as an imputed "peculiar morbid derangement of vital force". Hahnemann associated each miasm with specific diseases, with each miasm seen as the root cause of several diseases. According to Hahnemann, initial exposure to miasms causes local symptoms, such as skin or venereal diseases, but if these symptoms are suppressed by medication, the cause goes deeper and begins to manifest itself as diseases of the internal organs. Homeopathy maintains that treating diseases by directly opposing their symptoms, as is sometimes done in conventional medicine, is ineffective because all "disease can generally be traced to some latent, deep-seated, underlying chronic, or inherited tendency". The underlying imputed miasm still remains, and deep-seated ailments can only be corrected by removing the deeper disturbance of the vital force.
Hahnemann's miasm theory remains disputed and controversial within homeopathy even in modern times. In 1978, Anthony Campbell, then a consultant physician at The Royal London Homeopathic Hospital, criticised statements by George Vithoulkas claiming that syphilis, when treated with antibiotics, would develop into secondary and tertiary syphilis with involvement of the central nervous system. This conflicts with scientific studies, which indicate that penicillin treatment produces a complete cure of syphilis in more than 90% of cases. Campbell described this as "a thoroughly irresponsible statement which could mislead an unfortunate layman into refusing orthodox treatment".
Originally Hahnemann presented only three miasms, of which the most important was "psora" (Greek for itch ), described as being related to any itching diseases of the skin, supposed to be derived from suppressed scabies, and claimed to be the foundation of many further disease conditions. Hahnemann believed psora to be the cause of such diseases as epilepsy, cancer, jaundice, deafness, and cataracts. Since Hahnemann's time, other miasms have been proposed, some replacing one or more of psora's proposed functions, including tubercular miasms and cancer miasms.
Homeopathic remedies
"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", organised 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.
Homeopathy uses many animal, plant, mineral, and synthetic substances in its remedies. Examples include Arsenicum album (arsenic oxide), Natrum muriaticum (sodium chloride or table salt), Lachesis muta (the venom of the bushmaster snake), Opium , and Thyroidinum (thyroid hormone). Homeopaths also use treatments called nosodes (from the Greek nosos , disease) made from diseased or pathological products such as fecal, urinary, and respiratory discharges, blood, and tissue. Homeopathic remedies prepared from healthy specimens are called Sarcodes .
Some modern homeopaths have considered more esoteric bases for remedies, known as "imponderables" because they do not originate from a material but from electromagnetic energy presumed to have been "captured" by alcohol or lactose. Examples include X-rays and sunlight. Recent ventures by homeopaths into even more esoteric substances include thunderstorms (prepared from collected rainwater). Today there are about 3,000 different remedies commonly used in homeopathy. Some homeopaths also use techniques that are regarded by other practitioners as controversial. These include paper remedies , where the substance and dilution are written on a piece of paper and either pinned to the patient's clothing, put in their pocket, or placed under a glass of water that is then given to the patient, as well as the use of radionics to prepare remedies. Such practices have been strongly criticised by classical homeopaths as unfounded, speculative, and verging upon magic and superstition.
Preparation of remedies
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
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