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Complementary and Alternative Medicine has been used since the very beginnings of humanity. Homeopathy, however, is a considerably new practice, compared to others. But, is it an effective alternative practice or is it just an invention?

There are several examples of practices that does not really fit into what is known as orthodox or allopathic Medicine. The accurate term that is used to refer to them is Complementary and Alternative Medicine (CAM), and these category includes acupuncture, herbalism, osteopathy and chiropractic, as well as homeopathy. This last one has existed since 1796 and from then on, many people all around the world, including scientists and physicians, have supported it but this practice has also been severely questioned regarding its efficacy and safety.

 

The origins of Homeopathy

The principles of homeopathy were developed by Samuel Hahnemann, a German doctor who did not agree with how physicians of that time were approaching patient treatment, specially with practices such as bloodletting. He decided then to give up his practice and worked as a medical writer and translator. One day, when translating a medical document he found information on the effect of cinchona bark, a medicinal plant native of South America, that was being used as a treatment for malaria. Hahnemann started taken cinchona and realized that after a few days of treatment he showed similar symptoms as those seen in malaria patients.

This was the beginning of homeopathy, because these observations gave rise to the first principle of this practice: “like cures like”.

With this, Hahnemann indicated that a disease can be cured by a substance that causes the same or very similar symptoms to the disease in question. But how would he prescribe a toxic remedy and expect to cause no harm? 

Homeopathy as we know it

Soon, Hahnemann further developed his theories and established the well-known “potentiation”concept. What is this exactly? Well, toxic substances could obviously cause severe effects on patients, so Hahnemann thought they had to be diluted in order to reduce their toxicity but still exert a curative effect.

He then stated that very high dilutions of substances, such as belladonna, could be given to patients in order to treat a disease, but without any toxic effect at all. 

To give you an idea, the dilutions that Hahnemann used and are still given to patients nowadays are comparable to adding one gram of salt into more than 1 centillion milliliters of water... Impressive right? According to Hahnemann, even at those very low concentrations, the active components of homeopathic remedies could be reactivated by simply thoroughly shaking the solution.

Nowadays, homeopathy is a very common practice all over the world, however, it has always been questioned to the extent of stating that homeopathy effects, if any, are more likely to be placebo effects.

These questioning towards effectiveness and safety of homeopathy is grounded on the extreme dilutions homeopaths use, but also on the lack of clinical evidence confirming that homeopathy actually works, the poor quality of the trials already conducted and the fact that some homeopaths claim that this practice can't really be studied as orthodox medical treatments are. 

The Effects Of Certain Homeopathic Treatments

Does homeopathy work, then? Or is it just another way people have found to make money? In order to tell if homeopathy works, we should have evidence indicating the effects of a certain homeopathic treatment. Several clinical trials have been carried out to determine both the efficacy and safety of homeopathy, but unfortunately, the evidence that has been gathered until today is not conclusive.

Homeopathic treatments should be assessed differently, so homeopaths say

Homeopaths argue that since this practice is not a conventional one, it can’t be evaluated as an allopathic treatment; others have gathered information taken from trials that indicate that homeopathy does have an effect on disease, comparable to allopathic medications. Nevertheless, almost every trial lacks of correct design and data analysis, so results taken from them can't be relied on. 

On the other hand, allopaths and scientists in general believe that homeopathy is not en effective practice, and there is also scientific evidence that indicates that homeopathic treatments does not effectively treat or cure diseases. 

The first concept that is difficult to believe is the use of extreme dilutions of the curative substances that homeopaths use to treat a certain illness. There are studies that use analytical techniques that have identified the presence of particles in homeopathic remedies. However, chemists believe that even when the presence of particles can be demonstrated, this does not mean that they are still active and useful at such small amounts.

The placebo effect

Why are there so many cases of successful homeopathic treatments then? This may be due to a placebo effect exerted by the treatment as a whole. If you have been to a homeopath, you would have noticed that the way homeopaths approach a patient is rather different to the way conventional physicians do. 

Contrary to allopathy, homeopathy doesn’t just rely on the evaluation of signs and symptoms, but requires a more complete analysis of the patient, which includes the evaluation of the emotional state of the patient.

Holistic approach is the term used for this kind of treatment, which focuses on the patient as a whole and not just as a set of clinical signs and symptoms.  

By taking this holistic methodology, so to speak, the homeopath engages the patient's emotions and feelings, which can reduce stress levels that may be affecting the patient's physiology. 

It is like going to therapy, basically. This indicates that the emotional treatment is actually what is exerting a curative effect, rather than the homeopathic remedies on themselves. 

I certainly aplaude these side of homeopathy. I don't think that we, as humans, can separate our emotional side from our anatomical and physiological components. Our emotions certainly affect the way our body responds to diseases, and feeling blue can certainly cause stress in our body systems and make it more prone to certain illnesses.

What I don't approve is the way homeopathy is sold to patients. I know people that uses alternative treatments to complement the one that was prescribed by a physician. However, certain homeopaths may suggest patients to completely forget about conventional medications and use homeopathy to cure whatever disease they suffer from. This could pose a very delicate ethical issue: 

What would a homeopath do in case the person suffered from terminal cancer? Is there enough evidence to support the use of homeopathic remedies, or any other alternative remedy for that matter, to treat life-threatening diseases?

From my point of view, there is still evidence required to establish the efficacy and the safety of homeopathy. Until then, I firmly believe that this practice has no strong grounds to be used on people, but I understand why someone would prefer it over conventional Medicine. My only advice to you is to read about it and gather as much information as you need, before choosing an alternative option to treat your illness. 

Sources & Links

  • LINDE, K., JONAS, W. B., MELCHART, D. & WILLICH, S. 2001. The methodological quality of randomized controlled trials of homeopathy, herbal medicines and acupuncture. Int J Epidemiol, 30, 526-31
  • LOUDON, I. 2006. A brief history of homeopathy. J R Soc Med, 99, 607-10. RUTTEN, L., MATHIE, R. T., FISHER, P., GOOSSENS, M. & VAN
  • WASSENHOVEN, M. 2013. Plausibility and evidence: the case of homeopathy. Med Health Care Philos, 16, 525-32.
  • Photo courtesy of tinpalace by FreeImages : www.freeimages.com/photo/538382
  • Photo courtesy of stux by Pixabay : pixabay.com/en/bach-flower-therapy-therapy-187799/

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