What is homeopathy?

In the late 18th century, a German physician named Samuel Hahnemann came upon a passage claiming that the quinine-containing Peruvian bark (chinchona) cured malaria. Using himself as a subject, Hahnemann swallowed a dose of Peruvian bark. He began to feel feverish, drowsy, desperately thirsty, and agitated—all of which he recognized as symptoms of malaria. This caused Hahnemann to experiment further and form his theory that like cures like, or the Law of Similars. This law states that when a substance in large doses causes certain symptoms, in small doses it can cure these same symptoms. Some treatments in conventional medicine rely on this like-cures-like principle; vaccines, for instance, introduce small doses of an illness-causing agent to prevent disease.
Other important principles of homeopathy are dilution and succussion. Remedies are diluted and then "succussed," or shaken, in order to increase their potency. The process of successive dilution and succussion is called potentization .

How does homeopathy work?

Homeopathic remedies start with simple substances, such as herbs, minerals, or animal products. These substances are first crushed and dissolved in a specified amount of a substance—usually grain alcohol or lactose, mechanically shaken, then stored. This is the "mother tincture." Homeopaths further dilute tinctures with alcohol or lactose, either 1 part to 10 (written as "x") or 1 part to 100 (written as "c"), and then succuss these tinctures, yielding a 1x or 1c dilution. Homeopaths can even further dilute these tinctures two times (2x or 2c), three times (3x or 3c), and so forth. In clinical practice, any dilution may be used, but the most common are the 6x, 12x, and 30x and 6c, 12c, and 30c. The more diluted the substance, the more potent its healing powers are thought to be.
Rather than simply suppressing symptoms of a disease, homeopathic remedies act as catalysts that aid the body's inherent healing mechanisms. Moreover, homeopaths believe that any physical disease has a mental and emotional component. The homeopathic diagnosis is threefold, including physical symptoms (e.g., feverish), current emotional and psychological state (e.g., anxious, restless), and overall constitution of the individual (this includes more enduring qualities related to a person's creativity, initiative, persistence, concentration, physical sensitivities, stamina). The right remedy for a particular condition addresses all of these aspects and requires a highly individualized diagnosis.
Homeopathy is also used like other remedies, that is, according to symptoms. Health-food stores and some pharmacies sell homeopathic remedies for a variety of problems. Remedies are usually taken for no more than 2 or 3 days, though some people require only one or two doses before starting to feel better. If a remedy fails, it may be because it was the wrong substance for the set of symptoms.

What happens during a visit to the homeopath?

An initial visit to the homeopath can take from 1 to 1½ hours. Because homeopaths treat the person rather than the illness, the practitioner interviews the person at length, asking many questions and observing personality traits as well as unusual behavioral and physical symptoms. Determining the person's condition also includes a physical examination and possibly laboratory work.

What illnesses and conditions respond well?

Conditions that respond particularly well to homeopathic treatment include asthma, diarrhea, eczema and other types of skin rashes, depression, anxiety, hot flashes, chronic fatigue syndrome, and otitis media (ear infection).

Does my medical insurance usually cover homeopathy?

Most insurance companies do not pay for homeopathic treatment.

 

Supporting Research

  • Cucherat M, Haugh MC, Gooch M, Boissel JP. Evidence of clinical efficacy of homeopathy: a meta-analysis of clinical trials. Eur J Clin Pharmacol . 2000;56:27-33.
  • Dietz V. Homeopathic and herbal preparations of Arnica montana for treatment of musculoskeletal injuries. In: Micozzi MS, ed. The Physician's Guide to Alternative Medicine . Atlanta, Ga: American Health Consultants; 1999:269-271.
  • Ernst E, Kaptchuk TJ. Homeopathy revisited. Arch Intern Med. 1996;156:2162-2164.
  • Fisher P, Greenwood A, Huskisson EC, Turner P, Belon P. Effect of homeopathic treatment on fibrositis (primary fibromyalgia). BMJ. 1989;229:365-366.
  • Freise KH, Kruse S, Moeller H. Acute otitis media in children: a comparison of conventional and homeopathic treatment. Biomedical Therapy . 1997;15(4):113-122.
  • Jacobs J, Moskowitz R. Homeopathy. In: Micozzi MS, ed. Fundamentals of Complementary and Alternative Medicine . New York, NY: Churchill Livingstone Inc.; 1996:67-78.
  • Kleijnen J, Knipschild P, TerRiet G. Clinical trials of homeopathy. BMJ . 1991;302:316-323.
  • Kondrot EV, Nauman E, Rowe T. Homeopathy. In: Novey DW, ed. Clinician's Complete Reference to Complementary and Alternative Medicine . St. Louis, Mo: Mosby; 2000:258-273.
  • Linde K, Melchart D. Randomized controlled trials of individualized homeopathy: a state of the art review. J Altern Complement Med . 1998;4(4):371-388.
  • Linde K, Clausius N, Ramirez G, et al. Are the clinical effects of homeopathy placebo effects? A meta-analysis of placebo-controlled trials. Lancet . 1997;350:834-843.
  • Merrell WC, Shalts E. Homeopathy [Review]. Med Clin North Am. 2002;86(1):47-62.
  • Paterson IC. Homeopathy: what is it and is it of value in the care of patients with cancer? Clin Oncol (R Coll Radiol). 2002;14(3):250-253.
  • Ratcliffe J, Van Haselen R, Buxton M, Hardy K, Colehan J, Partridge M. Assessing patients' preferences for characteristics associated with homeopathic and conventional treatment of asthma: a conjoint analysis study. Thorax. 2002;57(6):503-508.
  • Reilly D, Taylor M, Beattie NG, et al. Is evidence for homeopathy reproducible? Lancet . 1994:344(8937):1601-1606.
  • Reilly D, Taylor M, McSharry C, Aitchison T. Is homoeopathy a placebo response? Controlled trial of homoeopathic potency, with pollen in hay fever as model. Lancet . 1986;2(8512):881-886.
  • Schwartz GER, Russek LGS, Bell IR, Riley D. Plausibility of homeopathy and conventional chemical therapy: the systemic memory resonance hypothesis. Med Hypotheses. 2000;54(4):634-637.
  • Smith Sa, Baker AE, Williams JH. Effective treatment of seborrheic dermatitis using a low dose, oral homeopathic medication consisting of potassium bromide, sodium bromide, nickel sulfate, and sodium chloride in a double-blind, placebo-controlled study. Altern Med Rev. 2002;7(1):59-67.
  • Ullman D. The Consumer's Guide to Homeopathy . New York, NY: GP Putnam's Sons; 1995.
  • van Haselen RA, Fisher PA. A randomized controlled trial comparing topical piroxicam gel with a homeopathic gel in osteoarthritis of the knee. Rheumatology (Oxford). 2000;39(7):714-719.
  • Weiser M, Strosser W, Klein P. Homeopathic vs. conventional treatment of vertigo: a randomized double-blind controlled clinical study. Arch Otolaryngol Head Neck Surg . 1998;124(8):879-885.
  • Whitmarsh TE. When conventional treatment is not enough: a case of migraine without aura responding to homeopathy. J Altern Complement Med . 1997;3(2):159-162.

 

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