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Homeopathic Medicine, Acute Prescribing


Overview :

Origins

Homeopathy is a gentle, painless, holistic system of healing developed during the 1790s by Samuel Hahnemann, a German physician. Experimenting on himself with the anti-malarial drug quinine, Hahnemann noticed that large doses of the medicine actually caused malaria-like symptoms, while smaller doses cured the symptoms. From this, he advanced his concept of Similia similibus curentur, or "let like be cured with like." Hahnemann then developed an extensive system of medicine based on this concept. He named it homeopathy, from the Greek words homoios (the same) and pathos (suffering).

Homeopathic remedies are almost always made from natural materials—plant, animal, or mineral substances—that have been treated to form mother tinctures or nonsoluble powders. Liquid extracts are then potentized, or increased in power, by a series of dilutions and succussions, or shakings. It is thought that succussion is necessary to transfer the energy of the natural substance to the solution. In addition, the potency of the remedy is regarded as increasing with each dilution. After the tincture has been diluted to the prescribed potency, the resulting solution is added to a bottle of sucrose/lactose tablets, which are stored in a cool, dark place. If the remedy is not soluble in water, it is ground to a fine powder and triturated with powdered lactose to achieve the desired potency.

Proponents of homeopathy over the years have included Louisa May Alcott, Charles Dickens, Benjamin Disraeli, Johann Wolfgang Goethe, Nathaniel Hawthorne, William James, Henry Wadsworth Longfellow, Pope Pius X, John D. Rockefeller, Harriet Beecher Stowe, William Thackeray, Daniel Webster, and W. B. Yeats. England's Royal Family has employed homeopathic practitioners since the 1830s.

Homeopathic prescribing differs in general from allopathic medicine in its tailoring of remedies to the patient's overall personality type and totality of symptoms, rather than to the disease. Whereas a conventional physician would prescribe the same medication or treatment regimen to all patients with the common cold, for example, a homeopathic practitioner would ask detailed questions about each patient's symptoms and the modalities, or factors, that make them better or worse. As a result, the homeopath might prescribe six different remedies for six different patients with the same illness. In acute prescribing homeopathy, consultations are more brief compared to constitutional homeopathic prescribing. A typical patient might spend just 10-15 minutes with the practitioner, compared to more than an hour for constitutional prescribing.

Homeopathic classification of symptoms

Homeopathic practitioners use the word symptom in a more inclusive fashion than traditional medicine. In homeopathy, symptoms include any change that the patient experiences during the illness, including changes in emotional or mental patterns.

Homeopaths classify symptoms according to a hierarchy of four categories for purposes of acute prescribing:

  • Peculiar symptoms. These are symptoms unique to the individual that do not occur in most persons with the acute disease. Homeopaths make note of peculiar symptoms because they often help to determine the remedy.
  • Mental and emotional symptoms. These are important general symptoms that inform the homeopath about the patient's total experience of the disorder.
  • Other general symptoms. These are physical symptoms felt throughout the patient's body, such as tiredness, changes in appetite, or restlessness.
  • Particular symptoms. Particular symptoms are localized in the body; they include such symptoms as nausea, skin rashes, headache, etc.

During homeopathic case-taking, the practitioner will evaluate the intensity of the patient's symptoms, assess their depth within the patient's body, note any peculiar symptoms, evaluate the modalities of each symptom, and make a list of key symptoms to guide the selection of the proper medicine.

Homeopathic remedies

There are several hundred homeopathic remedies. Homeopathic medicines are usually formulated from diluted or triturated natural substances, including plants, minerals, or even venom from snakes or stinging insects. Some remedies may be given in a spray, ointment, or cream, but the most common forms of administration are liquid dilutions and two sizes of pellets, or cylindrical tablets (for triturated remedies). A dose consists of one drop of liquid; 10-20 small pellets; or 1-3 large pellets. Since the remedies are so dilute, the exact size of the dose is not of primary importance. The frequency of dosing is considered critical, however; patients are advised not to take further doses until the first has completed its effect.

Homeopathic remedies can be kept indefinitely with proper handling. Proper handling includes storing the remedies in the original bottles and discarding them if they become contaminated by sunlight or other intense light; temperatures over 100°F (37.8°C); vapors from camphor, mothballs, or perfume; or from other homeopathic remedies being opened in the same room at the same time.




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