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| | == History == | | == History == |
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| − | For the early Greek physician [[Hippocrates]] of Cos, who lived at about 400 BCE<ref>[http://www.iep.utm.edu/h/hippocra.htm Hippocrates (c. 450 BCE to 380 BCE.)]</ref>, the four 'humours' (blood, black bile, yellow bile and phlegm) were the key to understanding disease. His ideas persisted through the writings of [[Galen]] (131-201 CE) until at least 1858, and [[Rudolf Virchow]]'s theories of cellular pathology. Diseases, it was thought, were the result of some 'imbalance' of the humours, and physicians of the day focused on restoring that balance, either by trying to remove an excess of a humour, or by suppressing the symptoms. "Bloodletting, fever remedies, tepid baths, lowering drinks, weakening diet, blood cleansing and everlasting aperients and clysters (enemas) form the circle in which the ordinary German physician turns round unceasingly", wrote Hahnemann while translating into German the Treatise on Materia Medica (1789) by the Edinburgh physician [[William Cullen]].<ref>See Peter Morrell, [http://homeoint.org/morrell/articles/index.htm Articles on Homeopathy]. [http://www.wholehealthnow.com/homeopathy_pro/homeopathy_1825_1849.html Homeopathy Timeline].</ref> | + | For the early Greek physician [[Hippocrates]] of Cos, who lived at about 400 BC<ref>[http://www.iep.utm.edu/h/hippocra.htm Hippocrates (c. 450 BC to 380 BC.)]</ref>, the four 'humours' (blood, black bile, yellow bile and phlegm) were the key to understanding disease. His ideas persisted through the writings of [[Galen]] (131-201 AD) until at least 1858, and [[Rudolf Virchow]]'s theories of cellular pathology. Diseases, it was thought, were the result of some 'imbalance' of the humours, and physicians of the day focused on restoring that balance, either by trying to remove an excess of a humour, or by suppressing the symptoms. "Bloodletting, fever remedies, tepid baths, lowering drinks, weakening diet, blood cleansing and everlasting aperients and clysters (enemas) form the circle in which the ordinary German physician turns round unceasingly", wrote Hahnemann while translating into German the Treatise on Materia Medica (1789) by the Edinburgh physician [[William Cullen]].<ref>See Peter Morrell, [http://homeoint.org/morrell/articles/index.htm Articles on Homeopathy]. [http://www.wholehealthnow.com/homeopathy_pro/homeopathy_1825_1849.html Homeopathy Timeline].</ref> |
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| | After 1783, disillusioned with medicine and the many toxic effects of its cures, Hahnemann began to use smaller and smaller doses of drugs, trying to minimize their toxic effects while retaining their efficacy. Cullen had written that Cinchona bark (which contains quinine) was effective because it was bitter, and Hahnemann pondered about this; he felt that this explanation was implausible because other substances that were as bitter had no therapeutic value. Accordingly, he took Cinchona bark himself, and saw that its effects were similar to the symptoms of the diseases that it was prescribed for. For Hahnemann, this was a breakthrough, and it led him to formulate the 'Principle of Similars' on which homeopathy is based, expressed by him as similia similibus curentur or 'let likes cure likes'.<ref>At least one writer has suggested that Hahnemann was hypersensitive to quinine, and that he might have had an allergic reaction ([http://www.angelfire.com/mb2/quinine/allergy.html Thomas WE "The basis of homeopathy"]).</ref> | | After 1783, disillusioned with medicine and the many toxic effects of its cures, Hahnemann began to use smaller and smaller doses of drugs, trying to minimize their toxic effects while retaining their efficacy. Cullen had written that Cinchona bark (which contains quinine) was effective because it was bitter, and Hahnemann pondered about this; he felt that this explanation was implausible because other substances that were as bitter had no therapeutic value. Accordingly, he took Cinchona bark himself, and saw that its effects were similar to the symptoms of the diseases that it was prescribed for. For Hahnemann, this was a breakthrough, and it led him to formulate the 'Principle of Similars' on which homeopathy is based, expressed by him as similia similibus curentur or 'let likes cure likes'.<ref>At least one writer has suggested that Hahnemann was hypersensitive to quinine, and that he might have had an allergic reaction ([http://www.angelfire.com/mb2/quinine/allergy.html Thomas WE "The basis of homeopathy"]).</ref> |
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| | Homeopathy was developed at a time when many of the most important concepts of modern chemistry and biology, such as molecules and germs, were understood poorly if at all. While proponents may consider the mechanism of homeopathy to be an interesting side issue, skeptics consider the lack of any plausible mechanism to be a serious problem, raising the bar on the quality of evidence required before accepting the existence of the phenomenon under the motto 'Extraordinary claims require extraordinary proof'. | | Homeopathy was developed at a time when many of the most important concepts of modern chemistry and biology, such as molecules and germs, were understood poorly if at all. While proponents may consider the mechanism of homeopathy to be an interesting side issue, skeptics consider the lack of any plausible mechanism to be a serious problem, raising the bar on the quality of evidence required before accepting the existence of the phenomenon under the motto 'Extraordinary claims require extraordinary proof'. |
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| − | In Hahnemann's day, many chemists believed that matter was infinitely divisible, so that it was meaningful to talk about dilution to any degree. Although the hypothesis of atoms can be traced back to the ancient Greeks, their size was not calculated until 1865 (by Loschmidt). There are 6.02×1023 particles in a mole (Avogadro's number), so homeopathic dilutions greater than about 24X or 12C are virtually certain to contain not even a single molecule of the initial substance. This is recognized by advocates of homeopathy, who assert that the essential healing power of their preparations is not to be found in the chemical action of molecules, but perhaps in the arrangement of the water molecules, giving rise to the expression 'the memory of water'. This concept is closely related to the belief in a 'vital force', which was common in Hahnemann's day, but was discarded by the scientific community as more and more life processes came to be describable in purely materialistic terms, and as the medical model of disease came to be focused on the failure of particular organs and processes in the body.<ref>There have been occasional reports of effects of highly diluted solutions on organic processes, including on histamine release by leukocytes :Davenas E et al (200?). "Human basophil degranulation triggered by very dilute antiserum against IgE". Nature 333: 816-8.[http://br.geocities.com/criticandokardec/benveniste01.pdf]; However, attempts to replicate these studies failed.Walach et al (2005). "Research on homeopathy: state of the art". J Alt Comp Medicine 11: 813–29.[http://www.iscmr.org/publications/2005_JACM_Homeopathy.pdf]</ref> | + | In Hahnemann's day, many chemists believed that matter was infinitely divisible, so that it was meaningful to talk about dilution to any degree. Although the hypothesis of atoms can be traced back to the ancient Greeks, their size was not calculated until 1865 (by Loschmidt). There are 6.02×10^23 particles in a mole ([[Avogadro's number]]), so homeopathic dilutions greater than about 24X or 12C are virtually certain to contain not even a single molecule of the initial substance. This is recognized by advocates of homeopathy, who assert that the essential healing power of their preparations is not to be found in the chemical action of molecules, but perhaps in the arrangement of the water molecules, giving rise to the expression 'the memory of water'. This concept is closely related to the belief in a 'vital force', which was common in Hahnemann's day, but was discarded by the scientific community as more and more life processes came to be describable in purely materialistic terms, and as the medical model of disease came to be focused on the failure of particular organs and processes in the body.<ref>There have been occasional reports of effects of highly diluted solutions on organic processes, including on histamine release by leukocytes :Davenas E et al (200?). "Human basophil degranulation triggered by very dilute antiserum against IgE". Nature 333: 816-8.[http://br.geocities.com/criticandokardec/benveniste01.pdf]; However, attempts to replicate these studies failed.Walach et al (2005). "Research on homeopathy: state of the art". J Alt Comp Medicine 11: 813–29.[http://www.iscmr.org/publications/2005_JACM_Homeopathy.pdf]</ref> |
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| | For critics, a closely related question is that of logical consistency of the theory. The theory assumes that water is imprinted by the properties of molecules that it once came in contact with, even when the molecules are diluted away. If so, then where did the pure water used in this process come from? The water that homeopaths use was once in contact with other chemicals, including chemical wastes, radioactive metals, dinosaur urine, and various poisons. According to this skeptical interpretation of homeopathic theory, all water in the world should remember its contact with millions of chemical substances and not just the properties of the chemicals that the homeopath claims will be useful. The answer of the homeopaths, that dynamization involves succussion as well as dilution, is unconvincing, because it seems improbable that one can amplify order in a solution by shaking it, and because a lot of shaking goes on in the natural world as well.<ref>Skeptics: | | For critics, a closely related question is that of logical consistency of the theory. The theory assumes that water is imprinted by the properties of molecules that it once came in contact with, even when the molecules are diluted away. If so, then where did the pure water used in this process come from? The water that homeopaths use was once in contact with other chemicals, including chemical wastes, radioactive metals, dinosaur urine, and various poisons. According to this skeptical interpretation of homeopathic theory, all water in the world should remember its contact with millions of chemical substances and not just the properties of the chemicals that the homeopath claims will be useful. The answer of the homeopaths, that dynamization involves succussion as well as dilution, is unconvincing, because it seems improbable that one can amplify order in a solution by shaking it, and because a lot of shaking goes on in the natural world as well.<ref>Skeptics: |