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Homeopathy
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Homeopathy Homeopathy
Introduction to Introduction to Homeopathy Homeopathy
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PrinciplesPrinciples
A system of medicine based on the A system of medicine based on the principle of “like cures like” -similia principle of “like cures like” -similia similibus curentursimilibus curentur
Uses the smallest dose possible to Uses the smallest dose possible to produce a responseproduce a response
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OriginsOrigins
This principle was first described in This principle was first described in Hindu writings over 3000 years agoHindu writings over 3000 years ago
Also mentioned by Hippocrates , Also mentioned by Hippocrates , Galen in the 2nd century and Galen in the 2nd century and Paracelsus in16th century Paracelsus in16th century
More recently researched by a More recently researched by a German physician Samuel German physician Samuel Hahnemann who developed Hahnemann who developed “Homoeopathy”“Homoeopathy”
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HahnemannHahnemann
Disillusioned physicianDisillusioned physician Tried cinchona barkTried cinchona bark Gave preparations to family and Gave preparations to family and
students to provestudents to prove Diluted medicationDiluted medication RemediesRemedies
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Examples of the similia Examples of the similia principle principle
Peeling an onion leads to sore, runny Peeling an onion leads to sore, runny eyes, itchy nose and sneezing - Allium eyes, itchy nose and sneezing - Allium cepa used to treat hayfever and coldscepa used to treat hayfever and colds
nettle stings produce a burning, itchy nettle stings produce a burning, itchy wheal on the skin - Urtica urens is a good wheal on the skin - Urtica urens is a good remedy for similar skin lesionsremedy for similar skin lesions
arsenic poisoning causes severe vomiting arsenic poisoning causes severe vomiting and diarrhoea with burning pains and and diarrhoea with burning pains and chilliness - Arsenicum alb. V. effective in chilliness - Arsenicum alb. V. effective in gastroenteritis and food poisoninggastroenteritis and food poisoning
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Examples of the similia Examples of the similia principle in medicineprinciple in medicine
Radiotherapy which is used to Radiotherapy which is used to treat cancer also causes ittreat cancer also causes it
Amphetamines which produce Amphetamines which produce hyperactivity, are used to treat hyperactivity, are used to treat hyperactive childrenhyperactive children
ImmunisationImmunisation treatment of erythromelalgia with treatment of erythromelalgia with
Praxilene?Praxilene?Brought to you by
Basis of TreatmentBasis of Treatment
Homeopathy works with the body’s Homeopathy works with the body’s response to illness and remedies response to illness and remedies are prescibed according to the are prescibed according to the symptomssymptoms
one remedy can be used to treat one remedy can be used to treat several ailmentsseveral ailments
one ailment may need to be one ailment may need to be treated with different remedies in treated with different remedies in different patientsdifferent patients Brought to you by
Materia medicaMateria medica
Known symptoms produced by Known symptoms produced by poisoningspoisonings
Symptoms produced by Symptoms produced by provingsprovings
Symptoms relieved when Symptoms relieved when remedy given for other remedy given for other symptomssymptoms
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Selecting the remedySelecting the remedy
Detailed Homeopathic Detailed Homeopathic historyhistory
RepertorizationRepertorizationMateria medicaMateria medica
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Homeopathic historyHomeopathic history Details of presenting complaint - Details of presenting complaint -
aetiology, aggravations, aetiology, aggravations, ameliorations, modalitiesameliorations, modalities
Aetiology : trauma, bereavement, never Aetiology : trauma, bereavement, never well since -pregnancy, menopause, well since -pregnancy, menopause, glandular feverglandular fever
Aggravations : conditions that make Aggravations : conditions that make symptoms worsesymptoms worse
Ameliorations : improve symptomsAmeliorations : improve symptoms Modalities : conditions qualifying a Modalities : conditions qualifying a
symptomsymptom Brought to you by
Homeopathic historyHomeopathic history
General symptoms - patients’ General symptoms - patients’ reaction to their environment, heat, reaction to their environment, heat, cold, weathercold, weather
Food likes or dislikes, e.g. crave Food likes or dislikes, e.g. crave pickles,like fatpickles,like fat
periodicity - frequency of symptoms periodicity - frequency of symptoms - monthly, weekly, yearly- monthly, weekly, yearly
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Mind or Mental symptomsMind or Mental symptoms
Placid, anxious, Placid, anxious, Anxious on Anxious on
anticipationanticipation DepressedDepressed WeepyWeepy ConsolationConsolation Easily boredEasily bored
JealousJealous TidyTidy FearsFears CompanyCompany ShyShy RoutineRoutine ResentmentsResentments
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General appearanceGeneral appearance
Vivacious red-headVivacious red-head NervousNervous Laid-back absent Laid-back absent
minded professorminded professor Prim and properPrim and proper ScruffyScruffy Extremely neat and Extremely neat and
colour co-ordinatedcolour co-ordinated
Weepy blondeWeepy blonde Lacks energyLacks energy Flabby handshakeFlabby handshake ClosedClosed Shy, hides behind Shy, hides behind
mothermother Anxious to please, Anxious to please,
maintain eye maintain eye contactcontact Brought to you by
The relevant kingdomThe relevant kingdom
Animal, Mineral or Vegetable (Plant)Animal, Mineral or Vegetable (Plant) Animal – hunter/ hunted, victim, prey, Animal – hunter/ hunted, victim, prey,
pursued, escaping, nurturing, flying, pursued, escaping, nurturing, flying, pouncing, caged, freepouncing, caged, free
Mineral – structural terms, cracking, Mineral – structural terms, cracking, crumbling, stable/ unstable, falling apartcrumbling, stable/ unstable, falling apart
Plant – sensitive to surroundings e.g Plant – sensitive to surroundings e.g light, warmth, smells, cold, damp, light, warmth, smells, cold, damp,
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RepertorizationRepertorization
Repertory contains details of Repertory contains details of symptoms produced by remedies symptoms produced by remedies listed under bodily systems e.g. listed under bodily systems e.g. mind, vertigo, head, eye, vision, ear, mind, vertigo, head, eye, vision, ear, hearing, nose, face etc.hearing, nose, face etc. e.g.e.g. heartburn after eating - heartburn after eating - Aesc. Aesc.
agar.agar. Am.c. Am.c. anac.anac. Calc. Calc. p. Calc. Calc. p. carl. carl. Chin. Chin. Cocc.c. con. Croc. Cocc.c. con. Croc. Graph. Iod. Graph. Iod. Lyc. Lyc. Merc. Merc. Nat. mur. Nit. Ac. Nux v. Nat. mur. Nit. Ac. Nux v. Sep. Sil. Sep. Sil.
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Repertorisation cont.Repertorisation cont.
Strong features of the history in each Strong features of the history in each area - mind, generals and local area - mind, generals and local symptomssymptoms
The strength of a symptom in a rubric is The strength of a symptom in a rubric is indicated by the type,indicated by the type,
i.e. i.e. bold typebold type--strongly present,strongly present, italic - moderate,italic - moderate, ordinaryordinary typetype - - symptom present for symptom present for
that remedythat remedy Brought to you by
Further considerationsFurther considerations
AetiologyAetiology Peculiar symptoms e.g.Peculiar symptoms e.g.
burning sensation > warm applicationsburning sensation > warm applications asthma > lying downasthma > lying down feels exceptionally well day before feels exceptionally well day before
headache headache
Symptoms can then be fed into a Symptoms can then be fed into a computercomputer
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RemediesRemedies
These are These are prepared from :-prepared from :-
minerals,minerals, plants,plants, fish, fish, insects,insects, snakes and snakes and
disease productsdisease productsBrought to you by
Sepia - ink sac of the Sepia - ink sac of the cuttle fishcuttle fish
Irritable, intolerant of Irritable, intolerant of contradictioncontradiction
Weepy, depressed, Weepy, depressed, easily offendedeasily offended
Can’t be bothered, Can’t be bothered, can’t copecan’t cope
Indifferent to family, Indifferent to family, wants to run awaywants to run away
Brunettes, butterfly Brunettes, butterfly rash on facerash on face
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Pulsatilla - wind flowerPulsatilla - wind flower
Mild, yielding disposition, shy, blushMild, yielding disposition, shy, blush Fair, fat, forty, blue-eyedFair, fat, forty, blue-eyed Laughs and cries easily, craves Laughs and cries easily, craves
sympathysympathy < for heat > fresh air, < damp< for heat > fresh air, < damp > gentle movement, restless> gentle movement, restless Absence of thirst, dislike and upset Absence of thirst, dislike and upset
by fat, pork, spicy foodby fat, pork, spicy foodBrought to you by
SulphurSulphur
Absent minded Absent minded professorprofessor
Scruffy with dirty Scruffy with dirty skinskin
< heat< heat Desires fat, salt, Desires fat, salt,
sweetsweet Skin ailmentsSkin ailments Lazy, selfish, irritableLazy, selfish, irritable Hungry 11a.m.Hungry 11a.m. Brought to you by
Case HistoryCase History 40 yr old lady40 yr old lady Depressed, indifferent Depressed, indifferent
to familyto family lacks affectionlacks affection anxious about financesanxious about finances wants to be alonewants to be alone > dancing,walking > dancing,walking
quicklyquickly craves vinegar craves vinegar
premenspremens
Indifferent to loved onesIndifferent to loved ones : : AconAcon. . Ars. Ars. Fl.ac.Fl.ac.Hell.Hell. Merc. Nat.p. Merc. Nat.p. Phos.Phos. Plat. Plat. Sep. Sep.
Fear of povertyFear of poverty:Ambr.:Ambr.Bry.Bry.Calc Calc Calc.f.Calc.f.chlor. Meli. Nux v. chlor. Meli. Nux v. Psor. Psor. Puls. Puls. Sep. Sep. Sulph.Sulph.
> alone> alone: : Bar.c .Lyc. Nat c. Nat Bar.c .Lyc. Nat c. Nat m. Plb.m. Plb. Sep Sep . .Stann. Staph.Stann. Staph.
> walking fast> walking fast: : Arg n.CArg n.Canth. anth. Carb ac. Carb ac. Ign. Ign. Nat m. Petr. Nat m. Petr. Sep.Sep. Stann. Sul ac.Stann. Sul ac.Tub.Tub.
Desires vinegar: Desires vinegar: Apis.Arn. Ars. Apis.Arn. Ars. Hep. Hep. Kali p. Kali p. Sep. Sep. SulphSulph
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Preparation of the Preparation of the RemediesRemedies
Whole plant is macerated in Whole plant is macerated in alcohol mother tincturealcohol mother tincture
1 drop added to 9 or 99 of solution 1 drop added to 9 or 99 of solution results in 1X or 1C potencyresults in 1X or 1C potency
Succussed in between dilutionsSuccussed in between dilutions Standard potencies :- 6C, 30C, Standard potencies :- 6C, 30C,
200C, 1M, 10M, 50M200C, 1M, 10M, 50MBrought to you by
PrescriptionPrescription
6C for local symptoms e.g. joint pain, skin 6C for local symptoms e.g. joint pain, skin eruptionseruptions
30C for acute illness e.g. influenza, 30C for acute illness e.g. influenza, diarrhoea and vomiting, childhood illnessesdiarrhoea and vomiting, childhood illnesses
200C if giving nosodes e.g. glandular fever 200C if giving nosodes e.g. glandular fever nosode, pertussis, measles vaccinenosode, pertussis, measles vaccine
1M or 10M for strong emotional symptoms 1M or 10M for strong emotional symptoms e.g. grief, P.M.T., depression, anxiety etc.e.g. grief, P.M.T., depression, anxiety etc.
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Instructions for taking Instructions for taking remediesremedies
Homeopathic remedies are very Homeopathic remedies are very delicate and should not be handled.delicate and should not be handled.
They are absorbed from the mouth They are absorbed from the mouth and so are sucked not swallowed.and so are sucked not swallowed.
Should not be taken near food or Should not be taken near food or drink as these may interfere with drink as these may interfere with the absorption.the absorption.
Store away from strong smells.Store away from strong smells.Brought to you by
Direction of cureDirection of cure
From top to bottomFrom top to bottom From inside to outsideFrom inside to outside From an important organ to a From an important organ to a
lesser onelesser one May develop “old symptoms”May develop “old symptoms”
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The clinical place for The clinical place for homeopathyhomeopathy
Where there is no effective Where there is no effective allopathic alternativeallopathic alternative
Where conventional medication is Where conventional medication is unsafeunsafe
Where allopathy has unacceptable Where allopathy has unacceptable side-effectsside-effects
To minimise the use of allopathyTo minimise the use of allopathyBrought to you by
No effective allopathic No effective allopathic treatmenttreatment
AllergiesAllergies AngerAnger BruisesBruises ColicColic Fear/phobiasFear/phobias Glandular feverGlandular fever GriefGrief InfluenzaInfluenza
MastalgiaMastalgia M.E./chronic M.E./chronic
fatiguefatigue NightmaresNightmares Premenstrual Premenstrual
syndromesyndrome TeethingTeething Urethral syndromeUrethral syndrome WartsWarts Brought to you by
Where conventional Where conventional medication is unsafemedication is unsafe
Pregnant womenPregnant women Young children and babiesYoung children and babies The elderlyThe elderly Anticipatory anxietyAnticipatory anxiety
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Where the side effects of Where the side effects of allopathy are allopathy are unacceptableunacceptable
AnxietyAnxiety DepressionDepression Menopausal symptomsMenopausal symptoms OsteoarthritisOsteoarthritis Situations requiring repeat Situations requiring repeat
antibiotics antibiotics
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To minimise the use of To minimise the use of allopathyallopathy
Asthma/eczemaAsthma/eczema ConstipationConstipation DysmenorrhoeaDysmenorrhoea HypertensionHypertension MigraineMigraine NeuralgiasNeuralgias Recurrent otitis media/ U.T.Is/ sore Recurrent otitis media/ U.T.Is/ sore
throatsthroatsBrought to you by
The rewards of The rewards of homeopathyhomeopathy
Patient satisfactionPatient satisfaction Effects on consultation techniqueEffects on consultation technique Intellectual achievementIntellectual achievement The joy of detective workThe joy of detective work Understanding aetiologyUnderstanding aetiology Personal satisfaction and Personal satisfaction and
fulfillmentfulfillmentBrought to you by
Overall Outcome of Overall Outcome of Treatment Treatment with Homoeopathy - GHHOSwith Homoeopathy - GHHOS
19 19
40
2219
0
5
10
15
20
25
30
35
40
No. of patients
1 2 3 4 5
Outcome measure
Outcome 2002
Series1
1 = No change1 = No change 2 = Slight change 2 = Slight change
Improvement in Improvement in wellbeing but not PCwellbeing but not PC
3 = mod improvement 3 = mod improvement 4 = good 4 = good
improvementimprovement No symptoms as long as No symptoms as long as
continue with remediescontinue with remedies 5 = cure5 = cure
Asymptomatic without Asymptomatic without remediesremedies
68% range from 3-568% range from 3-5Brought to you by
Conditions referred for Conditions referred for homeopathy in 2004homeopathy in 2004
Asthma/eczema/allergies/hayfever - Asthma/eczema/allergies/hayfever - 17%17%
Menopausal and PMT symptoms – Menopausal and PMT symptoms – 16%16%
Rheumatological symptoms - 13%Rheumatological symptoms - 13% Chronic fatigue syndrome - 10%Chronic fatigue syndrome - 10% ADHD, IBS, UTIs, neuralgia, ADHD, IBS, UTIs, neuralgia,
candidiasis, depression and anxiety, candidiasis, depression and anxiety, headaches, migraine, etc.headaches, migraine, etc. Brought to you by
1 – No Change1 – No Change 2 – Sl 2 – Sl
ImprovementImprovement 3 = Mod 3 = Mod
ImprovementImprovement 4= Good 4= Good
ImprovementImprovement 5 = Complete 5 = Complete
CureCure
Outcome of Homeopathic Treatment for Rheumatology Symptoms
0
2
4
6
8
10
12
14
1 2 3 4 5
Outcome measure
No
. o
f P
atie
nts
Series1
Audit of Homeopathic Audit of Homeopathic treatment for Rheumatology treatment for Rheumatology diseasesdiseases
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Outcome of Menopausal Outcome of Menopausal SymptomsSymptoms
Outcome of Treatment for Menopausal symptoms
0
5
10
15
20
25
1 2 3 4 5
Improvement
No
. o
f p
atie
nts
Series110
20% no change20% no change 10% improvement 10% improvement
in wellbeingin wellbeing 30% some 30% some
improvementimprovement 34% 34%
asymptomatic - asymptomatic - on remedieson remedies
6% asymptomatic 6% asymptomatic - no remedies- no remediesBrought to you by
The evidence The evidence for for
homoeopathhomoeopathyy
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RCTs - the meta-analysesRCTs - the meta-analyses
Kleijnen J, Knipschild P, Ter Riet G. Kleijnen J, Knipschild P, Ter Riet G. Clinical trials of homeopathy. British Clinical trials of homeopathy. British Medical Journal 1991; 302 (Feb 9) : 316-Medical Journal 1991; 302 (Feb 9) : 316-323.323.
Linde K, Clausius N, Ramirez G, Linde K, Clausius N, Ramirez G, Melchart D,et al. Are the clinical effects Melchart D,et al. Are the clinical effects of homeopathy placebo effects? A meta-of homeopathy placebo effects? A meta-analysis of placebo-controlled trials. The analysis of placebo-controlled trials. The Lancet 1997; 350 (Sep 20): 834-843.Lancet 1997; 350 (Sep 20): 834-843.
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Kleijnen’s conclusionKleijnen’s conclusion They found that of 107 trials with They found that of 107 trials with
interpretable results, 77 were positive.interpretable results, 77 were positive. They then looked at a sub-group of the They then looked at a sub-group of the
most rigorous trials and discovered that most rigorous trials and discovered that 15 out of 22 found homeopathy to be 15 out of 22 found homeopathy to be superior to placebo.superior to placebo.
One of Kleijnen’s conclusions was that the One of Kleijnen’s conclusions was that the evidence found : would probably be evidence found : would probably be sufficient for establishing homeopathy as sufficient for establishing homeopathy as a regular treatment for certain conditions.a regular treatment for certain conditions.
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Linde’s conclusionLinde’s conclusion Linde’s conclusion is “The results of our Linde’s conclusion is “The results of our
meta-analysis are not compatible with the meta-analysis are not compatible with the hypothesis that the clinical effects of hypothesis that the clinical effects of homeopathy are completely due to homeopathy are completely due to placebo”.placebo”.
A reading of the study shows a clearly A reading of the study shows a clearly positive result for homeopathypositive result for homeopathy
42% of the trials were clearly positive and 42% of the trials were clearly positive and a further 39% showed a positive trenda further 39% showed a positive trend
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Useful AddressesUseful Addresses
British Homeopathic Association,British Homeopathic Association,
Hahnemann House, 29 Park Street,Hahnemann House, 29 Park Street,
Luton, LU1 3BE.Luton, LU1 3BE.www.britishhomeopathic.org
Academic Department, Academic Department,
Glasgow Homeopathic Hospital, Glasgow Homeopathic Hospital,
1053 Great Western Road, Glasgow, G12 1053 Great Western Road, Glasgow, G12 0XQ 0XQ
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Why learn homeopathyWhy learn homeopathy
Your patients will be using itYour patients will be using it Your colleagues will be using itYour colleagues will be using it There is a clinical need for itThere is a clinical need for it It is rewarding It is rewarding
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This platform has been started by This platform has been started by Parveen Kumar Chadha with the vision Parveen Kumar Chadha with the vision that nobody should suffer the way he that nobody should suffer the way he has suffered because of lack and has suffered because of lack and improper healthcare facilities in India. improper healthcare facilities in India. We need lots of funds manpower etc. We need lots of funds manpower etc. to make this vision a reality please to make this vision a reality please contact us. Join us as a member for a contact us. Join us as a member for a noble cause.noble cause.
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