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Developed in 18th-century Germany, homeopathy is a system of medicine based on the theory that "like cures like" - a poison that causes symptoms of illness in a healthy person can treat the same symptoms in one who is ill. The substances are diluted many times to make the remedy safe to use, yet homeopaths believe sufficient "likeness" remains between the remedy and the illness to stimulate the body's self-healing abilities. Homeopathy is one of the most popular complementary therapies. Well established in Europe, Australia, and India, it is undergoing a revival in the United States.


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HISTORY

The principle of "like cures like" can be found in the writings of the "father of medicine," Hippocrates, which date from the 5th century s.c., and has been echoed through the ages in folk cures, such as rubbing frostbite with snow.   A German doctor, Samuel Hahnemann, rediscovered this principle in the late 18th century. Rejecting leeches, violent purges, and other severe medical practices of the day, he developed homeopathy, taking the name from the Greek homoios (same) and pathos (suffering). His starting point was the contemporary use of quinine to treat malaria, allegedly due to its bitter qualities. Using himself as a guinea pig, he took regular doses of quinine and developed malaria-like symptoms. He concluded that it was actually quinine's ability to cause a malaria-like reaction that made it effective against the disease. He then persuaded healthy people to test, or "prove," other substances, such as arsenic and belladonna, and began to use these "remedies" to treat illnesses whose symptoms resembled the effects the substances had produced.  

Hahnemann's ideas quickly spread across Europe to Asia and the Americas. In the 1820s two American doctors expanded his theories: Dr. Constantine Hering developed the "laws of cure", which explain how disease is cured in homeopathy; Dr. James Tyler Kent introduced the concept of "constitutional types". The American Institute of Homeopathy was founded in 1844, but faced with the demand for "rational" modern medicine, homeopathy had almost disappeared in the US by the 1930s, reemerging only in the 1970s. Opposition persists in several states. In the UK, however, its popularity perhaps boosted by royal patronage, the practice was included as part of the National Health Service when this was founded in 1948.
 
KEY PRINCIPLES
 
"Vitalism" - the idea that a "vital force" regulates the body - was an important theory in 17th-century medicine. Symptoms of disease, such as fever or inflammation, were seen as signs that the vital force was fighting infection. Modern homeopaths still choose remedies according to the "law of similars" to stimulate the vital force.  
 
Patients are classified according to their particular constitutional type, and symptoms are grouped, with unusual ones considered more significant than common ones. Treatment is said to work according to the three basic laws of cure: that symptoms move down from the top of the body, outward from the inside of the body, and from the most important organs to the least important, with long-standing complaints taking longer to disappear than those that developed more recently.  Hahnemann observed that the more a remedy was diluted, the more specific the effect seemed to be. From this he derived the law of potentization.
 
"Nosodes" were homeopathic remedies devised by Hahnemann to counteract "miasms," which he alleged were inherited weaknesses that blocked a patient's response to treatment. He made them from body secretions linked with what he saw as the fundamental illness (scabies, for example, was treated with nosodes made from scabies sores). In modern practice nosodes are made from many body tissues.   Isopathic treatment uses remedies made from the substances that cause the ailments for which they are given. An example is Mixed pollen 6c, a hay fever remedy made by diluting a range of spring pollens.
 
EVIDENCE & RESEARCH
 
 A scientific study in support of homeopathy was published in The Lancet in 1994. Dr. David Reilly of Glasgow University carried out three separate clinical trials using the double-blind principle (neither doctors nor patients knew which patients were receiving medication). These indicated that the homeopathic treatment was more successful than a placebo treatment in relieving hay fever and allergic asthma.
 
An American study, also in 1994, at the Cleveland Clinic Foundation, showed that zinc gluconate lozenges reduced the duration of colds by 42%, as well as greatly decreasing the frequency of symptoms. A 1991 survey in the British Medical Journal of 107 controlled trials concluded that the higher the methodological quality of the study, the more likely it was to be positive.
 
A survey of 73 homeopathic doctors in the UK, published in 1989 in the Journal of the Royal College of General Practitioners, claimed a 35% success rate for treatment using homeopathic remedies.  In 1988, French scientist Jacques Benveniste showed that extremely diluted substances still affected living cells in quite a different way than water. The findings are controversial; no other scientist has been able to repeat them.
 
MEDICAL OPINION

Current scientific understanding cannot explain homeopathy. While accepting that minute quantities of a substance can affect physiological processes, many doctors are skeptical of the efficacy of a substance that is so diluted that barely a molecule remains in the remedy. A 12c potency, for example, is said to be equivalent to a pinch of salt in the Atlantic Ocean.   The popular but controversial theory of "water memory," which needs further research, contends that even though molecules have been diluted away, they leave electromagnetic "footprints" in the solution, to which the body responds.  

A growing number of doctors in the UK, Europe, and India practice homeopathy. However, more research is required to substantiate claims by homeopaths and to establish whether homeopathy can offer cures, especially in conditions where conventional medicine has none.
 
CONSULTING A PRACTITIONER  
 
Practitioners may be homeopaths who are not medically qualified or conventional doctors who practice homeopathy. They may also be "classical" or "complex" homeopaths. The practitioner will ask about your medical history, diet, lifestyle, moods, likes, and dislikes. A classical homeopath will also identify your constitutional type. Practitioners then draw up a "symptom picture" to pinpoint your strengths and weaknesses.   The practitioner will try to match your symptom picture with those cataloged in the homeopathic "repertories," which include 2,000-3,000 remedies, often stored on a computer database. The skill lies in prescribing the remedy that fits your individual type and condition. Advice about diet and lifestyle may also be given.
 
You will be asked to report any reactions and changes in symptoms at your next visit, and your prescription may be altered or adjusted as necessary. With self-limiting illnesses, such as colds, practitioners say that improvement should occur after the first few doses of the correct remedy. Long-term conditions that have developed gradually require longer treatment. Once signs of improvement show, the remedy dose may be tapered off and eventually discontinued. An awareness of the symptoms and their process of resolution is important to this tapering off.  
The practitioner may dispense a remedy himself or tell you what to buy from a health food store or pharmacy. The higher the remedy's dilution factor, the more diluted it is - and the more potent, according to homeopathic theory. Remedies should be taken apart from food and without strong flavors in the mouth; take no food or drink 10-15 minutes before or after the dose. The practitioner might advise you to avoid strong-tasting substances such as candies, tobacco, toothpaste, spicy food, and in some cases coffee, camphor, peppermint, alcohol, and menthol, which are believed by some to counteract the effect of remedies. He may also warn against the essential oils used in aromatherapy and herbal medicine.
 
PRECAUTIONS
 
• Check unexplained symptoms with a doctor if you are consulting a homeopath who is not medically qualified.  
 
• Tell your practitioner if you are using essential oils; in certain cases they are thought to be incompatible with homeopathic remedies.
 
• Ask for lactose-free homeopathic tablets or liquids if you are allergic to milk-based products. 

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