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HOMEOPATHY
Homeopathic
medicines, which include minerals, vitamins, and animal products,
are natural substances given in very low doses. Homeopathy is based
on the principle that "like cures like," that is, substances that
in large doses would cause adverse symptoms will, in small doses,
treat those same symptoms. Homeopathy is highly individualized to
a patient's symptoms.
Homeopathy
shares many traits in common with allopathy, but differs in its
approach to disease treatment. Homeopathic practitioners believe
that the way to treat illness is to give their patients extremely
small quantities of substances that, if ingested in larger doses,
might cause the same symptoms they hope to alleviate.
Standard
homeopathic remedies can often be recognized by their Latin names.
There is very little scientific evidence that they work, but most
are extremely diluted and should cause no ill effects. Before
using homeopathic remedies, people with HIV/AIDS should consult
a qualified practitioner.
Homeopathy
is a system of medical treatment based on the use of minute quantities
of remedies that in massive doses produce effects similar to those
of the disease being treated. The term is derived from two Greek
words: homeo (similar) and pathos (suffering). The 19th century
German physician, Samuel Hahnemann (1755-1843), is considered the
father of homeopathy, allegedly being inspired to the notion that
like cures like from the treatment of malaria with cinchona barks.
The bark contains quinine, which helps in the treatment of malaria
but also causes fevers. Advocates of homeopathy think that concoctions
with as little as one molecule per million can stimulate the "body's
healing mechanism." Critics maintain that such minute doses are
unlikely to have any significant effect on the body.
Homeopaths
tend to believe in such things as "vital forces" being in harmony
(health) or out of harmony (disease). And they tend to advocate
HOLISTIC MEDICINE, treating "vital forces," "spirits," "minds",
etc., as well as the body. Homeopaths like to say that they treat
"persons" not "bodies" or "diseases."
Holistic medicine refers to alternative health practices which claim
to treat "the whole person." To holistic practitioners, a person
is not just a body with physical parts and systems, but is a spiritual
being as well. The mind and the emotions are believed to be connected
to this spirit, as well as to the body. Holistic practitioners are
truly alternative in the sense that they often avoid surgery or
drugs as treatments, though they are quite fond of meditation, prayer,
herbs, vitamins, minerals and exotic diets as treatments for a variety
of ailments.
One
criticism of homeopathy is that it takes the "cookie cutter" approach
to treatment: one-size-fits-all. No matter what ails you, treatment
with a diluted like agent is the cure. Experience teaches otherwise.
For example, the treatment for scurvy is not more scurvy but vitamin
C; the treatment for diabetes is not sugar, but insulin. There seem
to be countless examples one could come up which would contraindicate
homeopathy as a reasonable approach to the treatment of disease.
however, to compare the use of vaccines in medicine to homeopathic
remedies; for, medical vaccines would be ineffective if they were
as diluted as homeopathic remedies.
One
of the stranger tenets of homeopathy, proposed by Dr. Hahnemann
himself, is that the potency of a remedy increases as the drug becomes
more and more dilute. Some drugs are diluted so many times that
they don't contain any molecules of the substance that was initially
diluted, yet homeopaths claim that these are their most potent medications!
It is not surprising to find that there is no explanation as to
how this happens or is even possible, though some homeopaths have
speculated that the water used to dilute a remedy has a "memory"
of the initial substance. Homeopathy's supporters point to clinical
trials which indicate a homeopathic efficacy that cannot be explained
by the placebo effect. Critics contend that such studies are poorly
designed, methodologically biased, statistically flawed, etc. The
known laws of physics and chemistry would have to be completely
revamped if a tonic from which every molecule of the "active" ingredient
were removed could be shown to nevertheless to be effective.
Homeopathic
advocates give ardent testimonials to the curative powers of their
remedies. How can so many case histories be dismissed? Easily: the
"cures" are probably the result of (a) misdiagnosis (the patient
wasn't cured since the disease it "cured" wasn't present); (b) spontaneous
remission (the body healed itself) or (c) the Placebo effect. The
many testimonials given as proof that homeopathy "works" are of
little value as empirical evidence for the effectiveness of homeopathic
remedies. Even so, such "cures" are not meaningless. Left alone,
the body often heals itself. And, unlike traditional medicine with
its powerful drugs and antibiotics, the likelihood of an adverse
reaction to a homeopathic remedy is remote. The main harm from homeopathy
is not likely to come from its remedies, which are probably safe
but ineffective. One potential danger is in the encouragement to
self-diagnosis and treatment. Another is not getting proper treatment
by a traditional medical doctor in those cases where the patient
could be helped by such treatment, such as for a bladder or yeast
infection, or for cancer.
In
short, the main benefits of homeopathy seem to be that its remedies
are not likely to cause harm in themselves, and they are generally
inexpensive. The main drawbacks seem to be that its remedies are
most likely inert and they require acceptance of metaphysical baggage
incapable of scientific analysis. Homeopathy "works", just as astrology,
biorhythms, chiropractic or traditional medicine, for that matter,
"work": i.e., it has its satisfied customers. Homeopathy does not
work, however, in the sense of explaining pathologies or their cures
in a way which not only conforms to known facts but which promises
to lead us to a greater understanding of the nature of health and
disease.
The placebo
effect
A
placebo (Latin for "I shall please") is a medication or treatment
believed by the administrator to be inert or innocuous but believed
by the patient to be an effective remedy. Placebos may be sugar
pills or starch pills. Even "fake" surgery or psychotherapy is considered
a placebo. The placebo effect is the measurable, observable, or
felt improvement in health not attributable to treatment. This effect
is believed by many people to be due to the placebo itself in some
mysterious way.
Placebos
are sometimes given to patients who are deceived into thinking that
the placebo is a known causal curative agent or remedy for the patient's
ailment. Anecdotal evidence for the placebo effect is garnered in
this way. Those who believe there is scientific evidence for the
placebo effect point to clinical studies, many of which use a control
group treated with a placebo. Why an inert substance, or a fake
surgery or therapy, would be effective is not known.
In
other words, the placebo can be an open door to quackery
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