Add a menu; 30.10.2020 by meduf. Homeopathic remedies are best prescribed for all your symptoms, which you can enter below with the search or by clicking the categories. MacRepertory Deutsch runs on the following operating systems: Windows. Interactive data mining.
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A Shared Case Database works exactly like your personal database. This means you can create cases, just like you always do.
DISPENSING A REMEDY After interpreting the prescription the prescription may be dispensed. There are three approaches that can be taken, depending on the degree of expertise available.
Normally, your cases are stored in a case database which is only available on your own computer. There are situations in which you would like to make some of your cases available to others.
Serial Number Adobe Illustrator Cs5 Keygen Serial 134. Collect your symptoms with a click; organize groups of symptoms into. Users get access to most useful rubrics based on the knowledge. He was generous with others. Runs on: WinXP, Win2000, Win Vista, Windows 7, Windows 7 x64. Homeopathic software Radar 10 Now available. If this is the case then it is usually made available in the full download archive.
A preparation for application to the skin consisting of a lipophilic and an aqueous phase in which may be dispersed one or more homeopathic mother tinctures or 95% alcohol preparations of a homeopathic potency to the required concentration. The concentration of liquid component varies by manufacturer, but 5% is most common in the UK. Gel. A semi-solid preparation for application to the skin consisting of liquids gelled by means of a suitable gelling agent in which may be dispersed one or more homeopathic mother tinctures or 95% alcohol preparations of a homeopathic potency to the required concentration. The concentration of liquid component varies by manufacturer, but 5% is most common in the UK. Ointment. A semi-solid single phase preparation usually based on soft parafﬁn and for application to the skin in which may be dispersed one or more homeopathic mother tinctures or 95% alcohol preparations of a homeopathic potency to the required concentration. The concentration of liquid component varies by manufacturer, but 5% is most common in the UK. Liniment. An oil based preparation (typically arachis oil or light liquid parafﬁn) for application to the skin in which may be dispersed one or more homeopathic mother tinctures or 95% alcohol preparations of a homeopathic potency to the required concentration. The concentration of liquid component varies by manufacturer, but 5% is most common in the UK. Lotion. An aqueous preparation for application to the skin in which may be dispersed one or more homeopathic mother tinctures or 95% alcohol preparations of a homeopathic potency to the required concentration.
Homeopathic Pharmacy: Theory and Practice
First edition 1997 Second edition 2006 ISBN 0 443 10160 4 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library. Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress. Note Knowledge and best practice in this ﬁeld are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the publisher nor the author assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.
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Solid dose forms Solid dose forms are illustrated in Figure 4/6. They are shown in 14 g glass vials. In allopathic medicine, tablets and capsules are made in different forms to control the speed at which the active ingredient is delivered. In homeopathy we are not faced with a necessity for sustained release or enteric coated preparations so the choice of carrier is governed by convenience rather than therapeutic efﬁciency. There is presently no standard for solid dose forms in the BHomP, so size and ingredients are likely to vary from one manufacturer to another.
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Own label homeopathic remedies were widely available from branches of Boots (priced at 6d. each) during the 1930s but with the development of the OTC market they fell out of favour until reintroduced in 1992. The pros and cons of homeopathy were discussed in papers in the pharmaceutical press in 1981 (Steinbach, 1981) and again 10 years later (Kayne, 1991). A debate at the British Pharmaceutical Conference in Birmingham 1992 supported a growing interest in the discipline by backing the supply of homeopathic remedies in pharmacies (Anon, 1992). Exposure to homeopathy and other complementary disciplines crept into the undergraduate (and postgraduate) training programmes during the 1990s and articles now appear regularly in the journals.
Patient deciding diagnosis and treatment All pharmacists can relate stories of customers asking for their advice on an OTC medicine to treat a condition, only to reject it in favour of a product of their own choice following several suggestions. We have already mentioned the difﬁculty of knowing when to intervene in an OTC purchase. The examples of cases from the author’s case book illustrate some of the problems.
A solid dose unit preparation, typically white and biconvex in nature, about the same in appearance as a 75 mg dispersible aspirin tablet, and composed of lactose or a compound of lactose/sucrose intended for oral or sublingual use. Usually prepared by compression of a uniform volume of the excipients and then coated (‘medicated’) with a 95% alcohol preparation of one or more homeopathic potencies. An alternative method of preparation exists in large scale manufacture whereby homeopathic granules are medicated and then compressed to form the tablet in a method similar to allopathic manufacture. Size and composition vary by manufacturer, but lactose tablets of approximately 100 mg weight are most common in the UK. Dispensed in clear or amber glass vials with screw cap.
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Products (ECHAMP) and the Pharmacy Subcommittee of the European Homeopathic Committee, a number of homeopathic monographs appeared in Supplement 4/1 of the European Pharmacopoeia (4th edition) for the ﬁrst time and became active on 1 April 2002. These included herbal drugs for homeopathic preparations, iron for homeopathic preparations and mother tinctures for homeopathic preparations. In 2005 veterinary medicines were taken out of the overarching UK Medicines Act 1968 and made the subject of separate legislation, with changes in classiﬁcation and supply channels for many veterinary products. The production, licensing and supply of homeopathic remedies are included in the Veterinary Medicines Regulations 2005 and comply with the European codiﬁed pharmaceutical legislation mentioned above. Elsewhere in the world, New Zealand currently does not require remedies to be licensed per se, although a Code of Good Manufacturing Practice must be observed in their manufacture. Israel is following the European legislative pattern. In the USA homeopathic products are regulated as drugs under federal law, regulation being the purview of the FDA and the Homeopathic Pharmacopoeia Convention of the United States (HPCUS). The legal and regulatory status of homeopathic drugs is considered to be stable. In addition to full or abbreviated manufacturing licences under the EU Directive, there exists in the UK another system of licensing that allows the manufacture of remedies on a ‘one-off’ basis. Special Manufacturing Licences enable producers (usually registered pharmacies) to supply other professional outlets – pharmacies, hospitals, doctors, etc – in addition to the public.
My opinion of each program is based on at least two monthsâ€™ time of exclusive use in practice as well as comparative dry runs on selected test cases. When you base your decision on what you read in this article, bear in mind that what you read has been filtered through my own view of how things ought to be. Although I have tried hard to remain unbiased, there is no better way to find out what is best for you than trying it out for yourself. Whatever bias might have slipped into this report, it is certainly not motivated by any financial benefits to me.
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HOMEOPATHY IN THE UK Although preceded by a Dr Belluomini, the ﬁrst British homeopath is generally considered to have been Dr Frederick Hervey Foster Quin (Hamilton, 1882; Jenkins, 1989; Leary, 1994a). Quin was born in London in February 1799. Despite a lack of ﬁrm evidence, it is widely stated in the literature that he was the illegitimate son of the Duchess of Devonshire whose maiden surname, Hervey, was included in his own. In 1817 he entered Edinburgh University, the ﬁrst British university to offer a formal medical training.
Liquid potencies and small quantities of mother tinctures should be dispensed in glass dropper bottles. For short-term treatments, teat droppers will not experience undue deterioration from contact with alcohol in the liquids and are acceptable. The major suppliers use elegant amber screw cap bottles of capacities up to 50 ml with a plug in the neck. This plug has a small channel in it, and if the bottle is held at an angle of about 45∞ and gently tapped, exactly one drop (0/1 ml) will emerge. Unless you are able to locate a source of these bottles for your own use (your homeopathic wholesaler may be able to help), there is a considerable advantage to be gained from dispensing original packs. Mother tinctures are sometimes ordered in relatively large volumes. Crataegus, for example, may be prescribed in quantities of 200 ml. Here an amber screw cap medicine bottle should be used and a separate teat dropper given out to facilitate dosing. Topicals are best bought in, but they can be made up for short-term use by incorporating a mother tincture or liquid potency into a base. Wool alcohols ointment BP and the Crookes products Unguentum M and E45 are examples of suitable vehicles.
Not all members of professions making a contribution to the health team are in accord with the concept of holistic therapy (McKee, 1988). The sociological literature often highlights the fact that in concentrating on individuals, the needs of the wider community may be overlooked. When responsibility for maintaining a healthy lifestyle is shifted to a single person, the social structures that constrain individual behaviour and lifestyle choices may thereby be obscured (Labonte and Penfold, 1981). It has been suggested that this emphasis on such apparent weaknesses in the holistic view may be the reason for its lack of acceptance in the past.
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THE MOST POPULAR APPLICATIONS OF CAM Perceptions are notoriously ﬁckle and are often based on misconceptions. Knowing what our patients think about holistic treatments and where they obtain their information is important in designing education programmes and introducing the disciplines to new patients. Vincent and Furnham (1994) have examined the perceived efﬁcacy of acupuncture, herbalism, homeopathy, hypnosis and osteopathy. They showed that conventional medicine was clearly seen by the majority of respondents as being more effective in the treatment of most complaints. Complementary medicine, on the other hand, was seen as being most useful in speciﬁc conditions, including depression, stress and smoking cessation (where hypnosis was superior to conventional medicine), and in the treatment of common colds and skin problems. Among those with a strong belief in complementary medicine, homeopathy and herbalism were also seen as valuable in chronic and psychological conditions. Overall, for all conditions, herbalism appeared slightly more popular than homeopathy and acupuncture, but homeopathy was favoured in the treatment of allergies. A telephone survey at the end of 2000 carried out by the University of Exeter for BBC Radio revealed that 20% of people contacted in the UK had used some form of CAM in that year, with herbalism, aromatherapy, homeopathy, acupuncture, massage and reﬂexology proving the most popular therapies (Ernst and White, 2000). This compares with the 1991 ﬁgure of 26% quoted by Fisher and Ward (1994) and the ﬁgure of 10/5% derived from a pilot random study by Vickers (1994). Among patient populations there is a variability in the usage of CAM ranging from 17% in diabetic patients (Leese et al, 1997) to 69% of patients with psoriasis (Clark et al, 1998).
There were further extensions in 1930. The hospital has 10 beds reserved for homeopathy and a further 20 for surgery and rheumatology.
The main British organisations After an abortive attempt in 1837 to found the British Homeopathic Society with ﬁve colleagues, Dr Quin eventually achieved his aim in 1844 at a dinner party held in his house to commemorate the death of Hahnemann a year earlier. Among the laws and regulations of the new Society were the following: 1. 2. 3.
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You generally start by setting the filter to a given rubric, because you expect your remedy should occur in that rubric. You then fine-tune the filter with restrict ("should be present here too, show me less"), or extend ("actually it's ok if it is here too, show me more") the filter.
Other methods of potentisation Korsakovian potentisation method. General Simeon Nicolaevich Korsakov (or von Korsakoff) was probably the ﬁrst Russian homeopath. Although not a doctor, he was given the task of preparing Tsar Nicholas I’s remedies when he was travelling. He is known principally for his work with high potencies and for the development of the Korsakov method of potentisation in 1832 (Leary, 1994). A ﬁrst centesimal dilution (known as 1K or 1CK) is prepared by adding a measured volume of mother tincture to an appropriate volume of diluent; the resulting solution is succussed thoroughly. Rather than taking one drop of this dilution and transferring it to the next vial sequentially, the potency is removed from the vial by suction or inversion, leaving droplets of solution adhering to the wall of the container. New solvent is then added, the vial agitated vigorously 100 times and the process repeated. The ﬁrst three dilutions are carried out using alcohol of a strength similar to that included in the mother tincture; subsequent dilutions are in distilled water. Only one vial is used for the whole potentisation process (Belgian Pharmaceutical Society, 1995). In the case of an insoluble substance, the BHomP directs that the ﬁrst three successive Korsakovian triturations are prepared in lactose.
However, this is not always the case, even in orthodox medicines. There have been calls for trials on well-established OTC products to determine whether reasonable grounds exist to assume that these products are safe and effective (Chaplin and Blenkinsopp, 1992). On the one hand, many of the newer OTC products, particularly those that have switched from a prescription-only to a pharmacy-only classiﬁcation, have extremely welldocumented evidence available to those wishing to make an informed decision as to the suitability of a particular medicine. The older traditional products, on the other hand, have little or no supporting literature.
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CARA RADAR MacRepertory (https://sarawakscale.com/activation-key/?patch=1155) CARA offers a basic, no frills graph, which presents rubrics and remedies in ranked order according to computed score. How the score is calculated depends on the analysis options chosen.
Investigations based on the pH of such potencies have been carried out. A Brazilian worker has described a method of checking the purity of Lycopodium potencies using ultraviolet spectroscopy (Zacharias, 1995). Two sets of homeopathic medicines prepared from Lycopodium clavatum and the potentised water and ethanol solvent were analysed. The spectra for each set of remedy and potentised solvent were similar and differed from inert solvent samples. However, Zacharias found signiﬁcant differences between the two sets of potentised medicines, suggesting the possible introduction of contaminants during preparation. Freezing points, redox potential, conductance, boiling point and density can all be measured to assess purity, but progress along these lines is slow. At present a number of less-embracing tests – for example, physical inspection or simple chemical tests to identify lactose and sucrose – are commonly carried out in local manufacturing pharmacies. The raw source materials are examined closely to ensure that the correct species are being used, and strict adherence to the documented techniques of preparation is maintained. Standard identiﬁcation tests on lactose and sucrose products are carried out to establish purity of the solid dose forms prior to medication. If mother tinctures have been bought in for manufacturing purposes, written protocols for examining the products physically – colour, odour, brightness, etc – are followed, in addition to obtaining certiﬁcates of purity from the manufacturers.
Murphy uses the planets of the solar. This MacNews Category Review looks at veterinary software for Mac OS X. Products covered include Chinchilla, CHS Vet, DV Max, MacRepertory, SCD, VetFM, VetScope Professional and VetScope Universal. MacRepertory Deutsch is a Shareware software in the category Miscellaneous developed by MacRepertory Deutsch. Final Crack Version for Windows and Office KMSpico v final release is an ultimate and Useful activator for the activation of Microsoft Windows and Microsoft Office products developed by. MacRepertory 6.2 Pro for Windows, Kent Homeopathic Associates, San Rafael, CA, USA; Boericke W. New Manual of Homeopathic Materia Medica. Choose from 14 homeopathy software incuding RadarOpus, Dotphi Homeopathy, Hompath Zomeo, etc. Kents Comparative Repertory of the Homeopathic Materia.
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Tyler, ML (1980) Homeopathic Drug Pictures. Jain Publishing Company, New Delhi, pp 567–568. Van Wassenhoven, M (2004) Towards an evidence-based repertory: clinical evaluation of Veratrum album.
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Currently, word synonyms are available only for the English language. If you have suggestions about missing or incorrect synonyms, please let us know. Building the right synonym definitions is an ongoing process of improvement.
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Either the whole plant may be used or only the leaves, ﬂowers, stems or roots as speciﬁed in the pharmacopoeia monographs. The species of plant, the parts taken, the time of collection and the extraction procedures may well differ according to the particular pharmacopoeia monograph being consulted (Belgian Pharmaceutical Society, 1995). For Calendula, for instance, the HPUS speciﬁes ﬂower tips, the French Pharmacopoeia speciﬁes fresh leaf tips, and the HAB the whole aerial ﬂowering parts. Depending on where the plant material is grown, harvesting may extend over several months, and the active ingredients vary in both quality and quantity. Patients’ delight at being offered familiar remedies abroad should be tempered by the strong possibility that these remedies are likely to differ in therapeutic strength from those obtained at home. It is important that incoming foreign travellers are also made aware of this fact. Figure 4/1 represents high-performance liquid chromatography (HPLC) traces of Urtica mother tincture derived from two different species of the plant. A clear difference in the peak patterns and therefore the constituents can be seen. Work carried out by a homeopathic Master’s student at Durban Institute of Technology using NMR spectroscopy has demonstrated differences in the traces associated with remedies obtained by different methods of production (Hofmeyr, 2004). The specimens are usually collected in dry, sunny weather and cleaned by careful shaking, brushing and rinsing with distilled water.
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Hahnemann, S (1935) Organon of Medicine, 6th edn. Boericke and Tafel, Philadelphia. Harries, D (1991) Review of packaging for homeopathic remedies. Project in the Faculty of Homoeopathy, Scottish Branch. British Homeopathic Library, Glasgow. Hering, C (1879) Guiding Symptoms of our Materia Medica. American Homeopathic Publishing Society, Philadelphia, vol 1. Hofmeyr, D (2004) A nuclear magnetic resonance study of potencies of Natrum muriaticum 15CH prepared by trituration and succussion versus Natrum muriaticum 15CH prepared by succussion alone. MTech diss, Durban Institute of Technology. Joliffe, GH (1977) Thin layer chromatographic examination of mother tinctures.
This way, more rubrics will be found than the ones that strictly match the words that you typed. Sometimes this might be what you want, in other situations you might want your search to do exactly like you wrote.
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Having said this, it has become the practice among some practitioners, especially in France and Germany, to augment the classical approach by the use of remedy mixtures with speciﬁc indications. Many appear to be effective in treating the symptoms of a range of common complaints. The above three principles of practice, together with a holistic approach to treatment, form the basis of homeopathy. A summary of Hahnemann’s life and main publications is provided in Box 2/1.
By default, all authors are in the filter. To edit the list of authors, press the button Select authors.
Double click on Solanaceae and on Loganiaceae. Extra information is now shown, in the form of multiple analysis results for each family. The first analysis list is a generic analysis for all remedies.
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To avoid confusion with the many other family members called Christian, the infant was known by his third name, Samuel. The house no longer stands, having been taken down in the early 1900s, although a property on the corner of Hahnemannplatz and Neumarkt, formerly a hotel but in recent years occupied on the ground ﬂoor by a dental practice, has an appropriate plaque commemorating the place of Hahnemann’s birth.
Purchase of many different remedies in an attempt to treat several conditions at once. Astute observation may mean that one or two carefully chosen remedies will deal with several different symptoms, obviating the necessity to use polypharmacy. Purchases that involve homeopathic and allopathic remedies obviously being used for the same purpose. There may be potential difﬁculties in taking the two side by side owing to aromatic ﬂavouring agents in the allopathic medicines inactivating the homeopathic remedy. Purchases that involve homeopathic and aromatherapy products for use concurrently. Aromatic oils are thought to inactivate homeopathic remedies.
In 1921 Mr and Mrs Fyfe gifted the Homeopathic Children’s Hospital on the east side of the city; this closed in 1981, ostensibly because of falling demand, and an outpatients’ clinic was set up at a health centre in nearby Baillieston. When the hospital vacated the Houldsworth premises in Lynedoch Crescent the building was converted into a busy outpatients’ clinic which functioned until it was transferred to Great Western Road in 1987. At the same time the bed capacity at the hospital was reduced from 31 to 20. Following rationalisation of homeopathic services in the Glasgow area in 1995, all outpatient facilities were then transferred to Great Western Road. These premises were sold in 1999 and the ﬁrst phase of a new purpose built hospital opened in the grounds of the Royal Gartnavel Hospital in Glasgow. The hospital was designed by Maclachlan Monaghan Architects, who were selected for the job after winning a national competition. The aim was to create a building in keeping with homeopathic ideology linking harmony with healing. The architects achieved a look which is both contemporary and welcoming with lots of light and space.
Notice, that CARA also found "Anxiety, strangers" and "Fear, new persons". It did so by looking for synonyms of the search words you asked for. This comes in handy many times, but can be turned off if an exact match is desired.
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Cultural reasons Increased demand has been generated by mobility across national borders of people whose cultural backgrounds emphasise the use of holistic forms of medicine. Thus, migrants from the Indian subcontinent, and from China, take their customs with them when they migrate.
Thus, providing we have chosen the right remedy and potency, the amount (within limits, of course) is not important. In allopathic terms this is tantamount to saying that diazepam 2 mg = diazepam 5 mg = diazepam 10 mg – a totally absurd suggestion.
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Dellmour F, Jansen, Nicolai T et al. (1999) The Proposal for a Revised International Nomenclature System of Homeopathic Remedies and their Abbreviations. European Committee for Homeopathy, Brussels. Dynamis School (1994a) Proving of Chocolate. Dynamis School of Homoeopathy, Northampton. Dynamis School (1994b) Proving of Hydrogen. Dynamis School of Homoeopathy, Northampton. Elia, V, Baiano, S, Duro, L, Napoli, E, Niccoli, M and Nonatelli, L (2004) Permanent physicochemical properties of extremely diluted aqueous solutions of homeopathic medicines.
Occasionally one sees prescriptions giving ‘ﬁve granules’ as a dose. This is not meant to be taken literally – the patient is not expected to count out ﬁve tiny granules! It should be taken as the equivalent of a ‘small pinch’. Again, remember we are seeking the smallest amount of remedy that will ‘turn the key in the lock’. Nothing is to be gained from taking larger amounts. Prescription 6 shows the position of the helpful letter ‘H’ when it is used to signify a homeopathic prescription, with a dose of one powder every 4 hours. Individual powders provide a useful means of controlling single doses. The remedy here is the complex AGE, a mixture of three remedies required as a set of 10 powders in the 200c potency. Unfortunately, as I have already mentioned, the ingredients making up AGE are not consistent throughout the homeopathic community; sometimes the ‘A’ stands for Aconite and sometimes Arsen alb, so it is advisable to check exactly what is required. Other combinations to look out for are: SSC (Silica, Sulphur and Carbo veg) and CGP (Carbo veg, Gelsemium and Phosphorus).
There is now good evidence supporting the use of some complementary medicine treatments. Guidelines and consensus statements have been issued by conventional medical bodies. Organisations have recommended some complementary medicine treatments. Complementary medicine is increasingly practised in conventional medical settings, particularly acupuncture for pain, and massage, music therapy and relaxation techniques for mild anxiety and depression. There is a more open attitude to complementary medicine among conventional health professionals; this is partly explained by the rise of evidence based medicine.
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Animal and insect material This material must be obtained from healthy specimens. Lactrodectus is a spider whose venom is sometimes used in the treatment of angina. The bee yields Apis, a remedy used to treat peripheral oedematous conditions and the effects of stings. Apis is a good example of the origins of homeopathy in folk medicine. The remedy was introduced by a Dr Frederick Humphries following the intervention of a Native American to help treat a young boy in Providence, Rhode Island, in 1847, although it had been used a few years earlier to treat horses by a German clergyman. Jeremy Sherr proved a remedy derived from the scorpion in 1985. The insect has been known to be a medicine since the earliest times; specimens burnt alive have been used in the treatment of gall stones, and their ash used as a diuretic and for renal colic. Sherr killed his scorpions by injecting 95% alcohol into their rectums; he preserved them in a similar vehicle. They were then triturated for 3 hours with yet more 95% alcohol, using a pestle and mortar, and he eventually potentised the resulting solution in the normal way (Sherr, 1990). The insect remedies are usually quick acting, and are especially useful in inﬂammatory and immune responses.
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At the World Pharmacy Conference (FIP) in Singapore in 2002, a survey was carried out among participants to determine the patterns of use, knowledge and attitudes toward CAM (Hwee-Ling et al, 2003). A total of 27/4% of the sample (n = 420) said they were interested in attending talks and seminars on homeopathy; more than half the sample agreed that it was important to have a basic understanding of CAM. Only 8/3% had used homeopathy themselves during the past 12 months.
LEGAL STATUS OF HOMEOPATHIC REMEDIES On 22 September 1992 the European Parliament adopted Directive Number 92/73/EEC designed to harmonise the regulations concerning homeopathic medicinal products for human use throughout what was then called the EC, but which is now known as the European Union (EU). The Directive is divided into four chapters and 11 articles covering the scope, manufacture, control and inspection, placing on the market and ﬁnal provisions. It passed into UK Law on 1 January 1994. Article 1 deﬁnes a homeopathic medicinal product as: ‘any medicinal product prepared from products, substances or compositions called homeopathic stocks in accordance with procedures described in any recognised pharmacopoeia’. In the absence of a European pharmacopoeia standard, monographs from the BHomP, FrHomP, HAB and HPUS are presently being used. Article 2 deals with the labelling requirements of registered homeopathic medicinal products. Articles 3 and 4 apply the provisions for controlling the import, export and manufacture of homeopathic medicinal products. Article 5 states that all member states shall communicate to each other all the information necessary to guarantee the quality and safety of homeopathic medicinal products within the Union. Articles 6, 7, 8 and 9 cover the registration and labelling requirements for placing a product on the market. It is probably in this area that pharmacists are most likely to become involved with the legislation.
Samuel was admitted to class two at the local school in July 1767. He took to studying enthusiastically, excelling particularly in languages, so much so that by the time he was 13 he was teaching fellow pupils Hebrew. Unfortunately, the family’s economic circumstances were such that his father attempted to divert his interests away from book learning towards a more practical type of vocational training and, shortly before his 15th birthday, Samuel was sent to work in a grocery store in Leipzig to obtain the necessary experience to become a merchant. This did not appeal, and it was not long before he returned home, where his mother hid him until the news could be broken gently to his father without fear of reprisals. The youthful Samuel continued studying, even making a secret clay candlestick in which to place a taper so that he could read his books furtively late at night. In the spring of 1775 he left school and, with the equivalent of about €10 from his father and a bag full of carefully folded clothes, he entered the most famous educational institute in Germany, the University of Leipzig, founded in 1409 (Cook, 1981). Unfortunately there were no opportunities for clinical work at Leipzig, so in 1777 he moved on to Vienna, where he took up residence in the hospital of the Brothers of Mercy of Leopoldstadt. By the time he was 24, Hahnemann was ﬂuent in at least seven languages. He ultimately translated over 20 major medical and scientiﬁc texts. Hahnemann’s meager funds soon ran out, and he was obliged to spend 21 months cataloguing books and coins for the Governor of Transylvania.
TYPES OF CAM Complementary and alternative medicine is a term applied to well over 700 different treatments and a large variety of diagnostic methods. It also includes an uncertain number of traditional therapies that are associated with particular ethnic groups or geographic locations (for example, Traditional Chinese, Indian, African or New Zealand Maori medicine). Some are well known, while others are exotic or mysterious and involve spiritualism.
The healing process is fundamentally similar at whatever level it operates. For example, all healing involves, in some fashion, the following elements: understanding the problem, providing the conditions conducive to healing, mobilising resources to effect healing, new growth and reconciliation. Healing cannot be achieved without suffering. Healing involves changing attitudes and new responsibilities.
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In terms of limiting the analysis to a selection of remedies, MacRepertory (https://sarawakscale.com/activation-key/?patch=9183) leaves no wish unfulfilled. You can exclude a presettable number of polychrests, or limit repertorization to any selection of individual remedies or natural families. As an example of how to make your selection, here is how to restrict repertorization to spiders, insects, and snakes.
Broken bulk dispensing The transfer of quantities of tablets or liquid from a large container to a smaller one is a process that requires considerable care. Tablets and pills should not be counted using a counting machine or a triangle, because these implements cannot be cleaned sufﬁciently to prevent contamination from previous medicines that have been counted. Solid unit dose forms are best transferred by gently shaking small quantities at a time into the lid of the stock bottle and tipping them into the ﬁnal container without touching. Liquids should ideally be transferred without the intervention of a measuring cylinder, but if the latter is necessary it must be cleaned, rinsed out with 50% alcohol and puriﬁed water and dried before use.
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The first step is defining the input text format. Each format is defined is a separate paragraph below. For each format, there are example files. You can find these files in folder Documents / Complete Dynamics / Examples.
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Please select the appropriate rubric type. You do not have to do this, but it will make your new rubric behave like other rubrics in the repertory. The rubric type is also used by the Analysis module, to better value the remedies in the rubric.
The index in a materia medica may point out likely candidates. The materia medica contains a list of drug pictures of all the main remedies and therefore is a good source of information.
We want to assure our MacRepertory and ReferenceWorks customers that Synergy will continue to offer support for the old programs to the best of our ability. They will no longer be updated or improved, but if our customers need help installing them on a new computer or have a technical support issue, we will do our best to meet that need.
Evidence from the US suggests that once set up, integrative medicine clinics are effective (Scherwitz et al, 2004). Fifteen months after opening a clinic in San Francisco, the authors evaluated patient satisfaction from 146 patients after they visited with one of four healing clinic physicians. The results showed a high degree of satisfaction. Patients were also found to have been able to recall and follow a complex treatment regimen. There is claimed to be evidence in Australia of widespread acceptance of acupuncture, meditation, hypnosis and chiropractic by GPs and lesser acceptance of homeopathy and other therapies (Pirotta et al, 2000). Barrett (2003) predicts that some degree of integration will occur throughout much of the United States. In his paper Barrett identiﬁes potential barriers and facilitators to potential integration of medical disciplines and argues for an accessible multidisciplinary and evidence based approach. It has been shown that education at medical school does appear to inﬂuence attitudes to CAM (Furnham, 2003). As their orthodox medical training proceeds, medical students seem to increase their scepticism about CAM. This could affect their later willingness to integrate CAM into orthodox practice.
Mitchell (1975) writes that Leopold said later that Melanie berated the bearers for scraping the walls of the hallway as his grandfather’s cofﬁn was being carried out the house, not out of respect for her husband but on account of the expense of repairing the wall! In 1898 the authorities in Paris sanctioned an exhumation from the small Montmartre grave where Hahnemann was initially buried, and he was ﬁnally laid to rest in the beautiful Père Lachaise cemetery close to the graves of Rossini, Molière and Gay-Lussac. The ceremony was attended by representatives of the medical profession from all over Europe.
On a recent visit I was impressed by the training facilities available and the intensity of the 6 year curriculum. There are approximately 450 registered homeopaths in South Africa. Training for health professionals (physicians, dentists and pharmacists) has been provided by the British Faculty of Homeopathy with local assistance. Students have sat both the Primary Care Certiﬁcate and the more advanced MFHom examinations. However, veterinary homeopathy is in its infancy. A number of South African medical homeopaths have settled in the UK where their contribution to homeopathic practice and education has been greatly appreciated. Homeopathy has been practised in Nigeria for at least 40 years, with the ﬁrst formal organisation, the All Nigeria Homeopathic Medical Association, being founded in 1961, shortly after the country gained independence from Britain. Dr Peter Fisher visited Nigeria in 1989 and found it difﬁcult to identify the number of homeopaths practising, partly because of the problem of deﬁning exactly what constituted a homeopath (Fisher, 1989). There were about 50–100 homeopaths with an ‘acceptable’ level of training at that time. Generally speaking the standards of training were below what would be expected in developed countries.
To help you recognize trends and patterns in the data, CARA allows you to do a simple statistical analysis on the frequency of families occurring in the repertorization. RADAR's version of the basic graph looks like this. A way to look at all the analysis strategies simultaneously and compare them is also available. The program's capabilities in analyzing the data according to remedy families are extensive. One way to do this, is by walking through the botanical or zoological hierarchy. Unfortunately, the minute subdivisions of the species requires a biologist to make heads or tails of. In one instance I wanted to get to Ranunculus bulbosus. I had to click myself through 10 levels of hierarchy: starting at Plants, botanical families, phanerogamia, angiosperma, dicotyletones, polypetalae, thalamiflorae, ranales, ranunculales, and finally ranunculaceae. Then, once there, you realize that of the remedies shown, all but one belong to families BUT the ranunculaceae! Chel, Op and Sang are papaveraceae, Raph is a cruciferae, Cist belongs to the cistaceae, and Viol-t to the violaceae. Is this a programming error or a bug in the beta version?
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PRODUCT AVAILABILITY There is an efﬁcient network of manufacturers and wholesalers in the UK, all of whom will be delighted to advise and supply homeopathic remedies. Many offer next-day delivery, so there is no reason why a client should need to wait more that 24 hours for a remedy except at weekends or on national holidays. A limited range of homeopathic remedies is available from some mainline allopathic wholesalers; special or unusual remedies can be obtained from pharmacies with Special Manufacturing Licences. A list of suppliers is included in Appendix 1.
The higher this setting, the more the occurrence in related rubrics is considered important. Small remediesSmall remedies are remedies that are not widely covered in the repertory, like the polychrests. Polychrests tend to be shown relatively important in an analysis, because they occur in many rubrics and often have higher grades.
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In acute or ﬁrst aid situations the remedy is given far more frequently – up to every 10–15 minutes in some cases – whereas in chronic conditions frequencies of once or twice a day (or even once a month) are more appropriate. We will return to the topic of posology in Chapter 8.
PROBLEMS ASSOCIATED WITH TREATMENT PROVISION Before discussing the opportunities that do exist (see Ch. 8), it would be appropriate to consider the constraints that effectively govern what can be achieved in day-to-day practice by an intermediate level prescriber. These difﬁculties are also a feature of orthodox counter prescribing in a pharmacy but because of the holistic nature of homeopathy they are even more of a problem in this area.
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The option No copy upwards should be checked for a sub rubric which has an opposite meaning than the higher rubric. You commonly use this for a sub rubric that indicates an amelioration of a given symptom. An amelioration reverses the meaning of the upper rubric.
The monument was the gift of the American Institute of Homeopathy and was unveiled the following June. The bronze statue shows Hahnemann seated on a pedestal centered in front of a curving wall of New Hampshire granite. The pedestal bears the well-known principle of homeopathy, expressed in the Latin phrase Similia similibus curantur. Four large bronze bas-relief panels on the wall depict Hahnemann as a student surrounded by books, a chemist in the laboratory, a teacher in the lecture room, and a physician at the bedside. In June 2000 a ceremony was held in the presence of an international audience to rededicate the memorial. As in 1900 a marine band played and a colour party from the US Forces added formality to the rededication ceremony. The US President was not present on this occasion, but he did send a letter of congratulation.
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Characteristics of request Kayne et al. (2000) identiﬁed a predominance of polychrests among homeopathic remedies bought OTC by a sample of 407 clients in 100 British pharmacies. This was not unexpected since this type of remedy is well suited to the OTC environment. The results also suggested that homeopathic medicines are being used in an alternative way in the OTC environment, that is, as substitutes for allopathic medicines. Reid (2002) surveyed 75 users of OTC homeopathy who completed questionnaires while purchasing OTC homeopathic remedies in three health food shops in central Manchester. The most frequently treated conditions were respiratory, mental/psychological and bruises/injuries. Respondents perceived OTC homeopathy to be effective for relieving these conditions. There was a trend for a respondent to have ﬁrst used OTC homeopathy 4 or more years previously. About 13% combined homeopathy with prescription drugs. The most strongly endorsed reasons for using an OTC homeopathy remedy were that it was a natural treatment and was perceived as harmless.
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Interventions One of the most difﬁcult decisions to make for a knowledgeable supplier is how and when to intervene in a sale. The delicate balance between antagonising the customer and losing a sale and satisfying one’s professional integrity is generally only achieved after several years’ experience.
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Assuming that it has been decided to treat the customer, and then to treat the customer using homeopathy, we can now move on to the next group of decisions, affecting the type of treatment and the frequency of administration. Remember in this chapter we have been looking at the general procedures for acute prescribing; the actual choice of a speciﬁc remedy will be covered with other clinical topics in Part 3, Clinical Applications. REFERENCES Ernst, E (1995) Competence in complementary medicine.
Like cures like This principle ﬁrst appeared in an ‘Essay on a new principle for ascertaining the curative power of drugs’, published in Hufeland’s Journal in 1796: One should proceed as rationally as possible by experiments of the medicines on the human body. Only by this means can the true nature, the real effect of the medicinal substance be discovered. One should apply in the disease to be healed, particularly if chronic, that remedy which is liable to stimulate another artiﬁcially produced disease as similar as possible; and the former will be healed – similia similibus – like with likes. That is, in order to cure disease, we must seek medicines that can excite similar symptoms in the healthy human body. This statement has been formalised in the Law of Similars, and we look at this in more detail on page 151. The Law of Similars implies a match between the primary symptoms of the remedy and the symptoms of the patient (Coulter, 1994). Examples of such treatment might be the use of Coffea (from the green coffee bean) to treat insomnia or Apis (from the bee) to treat stings and histamine type reactions. A remedy to treat alcoholism is obtained from the succulent used to make tequila; and Lactrodectus is a spider whose venom causes symptoms similar to angina and is therefore used to treat the condition. At ﬁrst sight, this is rather different from the allopathic approach, when the use of a laxative to treat diarrhoea might be viewed rather strangely! However, there are many examples of this practice in orthodox pharmacy (Townsend and Luckey, 1960; Anon, 1987).
Von Wartburg, WP (1984) Drugs and perception of risks. Swiss Pharmaceuticals, 6(11a): 21–23. White, AR, Resch, KR and Ernst, E (1997) A survey of complementary practitioners’ fees, practice, and attitudes to working within the National Health Service. Complement Ther Med, 5: 210–214.
The bottle is then capped and agitated with a similar action to that used for succussing liquid potencies for between 20 and 30 ‘strikes’. With a 14 g vial three drops of liquid potency are used; with a 25 g vial four drops are sufﬁcient. With larger quantities of tablets and pills and for granules, crystals and powder it is usual to introduce a second oversize container in which to medicate. Thus 7 g of granules will be tipped into a 50 g clean glass bottle, shaken as above until medicated, and then transferred back to the original container. The number of drops given for medicating tablets and pills can be reduced by one drop for granules, crystals and ‘bulk’ powder. Whenever possible the container used for solid dose forms should be glass, ideally amber to minimise discoloration of product owing to light. For short-term courses of treatment, clear glass or plastic is acceptable.
It goes on to say that a simple expectorant may serve a useful placebo function (British National Formulary, 2005). It further states that ‘the rationale for some compound cough preparations is dubious’. If there are elements of modern pharmacy practice that are no better than placebo, why is it that the placebo portion of the response to homeopathy is dismissed so contemptuously by sceptics? There is a belief that if a patient gets better it can only be the medicine that caused it (Paisley, 1979), when the healing powers of nature and the mind must be, at the very least, an important contributory factor, and at best, as with the cough preparations mentioned above, perhaps the main reason for recovery. It seems homeopathy is not alone with its conceptual problems! A ﬁrst step towards making the distinction between homeopathy and the placebo effect may be to compare characteristic aspects and factors of the placebo effect with the action of homeopathic medicines, establishing the pharmacodynamics of placebo (Richter, 1993). This would include evolution of the placebo effect in time, dose–effect relationship and cumulative effects following repeated application. Placebos have been classiﬁed as ‘passive’, containing no medicament and achieving no result, and ‘active’, also containing no active principle, but nevertheless achieving some clinical effect (Harrison, 1990). A ﬂuctuation in blood pressure is a common response. An analysis of the elements of a practitioner–patient relationship during the consultation has suggested that a clinical approach that makes the illness experience more understandable to the patient, instilling a sense of caring and interest in the problem, is likely to create a placebo response and improve the symptoms (Brody, 1982).
Fisher, P and Ward, A (1994) Complementary medicine in Europe. Report from Complementary research: an international perspective. COST and RCCM Conference London 1994. EU Science, Research and Development Directorate, Luxembourg, pp 29–43. Furnham, A (2003) Medical students’ attitudes about complementary and alternative medicine.
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The main principle of homeopathy – let like treat like – refers to the procedure of giving patients minute quantities of medicines that in much larger quantities actually cause the symptoms being treated. Homeopathy has developed in many countries and is now accepted widely as a credible therapy. It may be used alone or to support other orthodox treatments in a complementary role. In the UK it has been favoured by the Royal Family. It is recognised by an Act of Parliament. All homeopathic remedies are available under the National Health Service. If you have any questions about your medicine, please ask the pharmacist.
Potency The potency level should be stated, together with an indication of the dilution scale required. Most often it is given as the centesimal scale, expressed as the letters c or cH after the potency number, or the decimal scale, expressed as x after the number (or D before it in some Continental European countries). Remember that if there is no letter after the potency number, then by convention the centesimal scale is implied. Thus: 6, 6c or 6cH all represent a 1: 100 dilution serially carried out with succussion six times and 12x or D12 both represent a 1:10 dilution serially carried out with succussion 12 times. High potencies such as M (1: 100 dilution carried out 1000 times), 10M (1: 100 dilution carried out 10 000 times) and CM (1: 100 dilution carried out 100 000 times) are expressed as Latin numerals without the letter ‘c’ being present. Certain potencies are used more routinely than others. On the centesimal scale 6c, 12c, 30c and 200c are seen frequently in the UK; in France remedies such as 3x, 6x, 4c, 6c, 7c, 9c, 12c, 15c and 30c are common.
Holistic tendency is fundamental in nature. It has a well marked ascertainable character. Evolution is nothing but the gradual development and stratiﬁcation of progressive series of wholes, stretching from the inorganic beginnings to the highest levels of spiritual creation.
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Users can create strategic plans which are best suited for their cases. They can also generate their own customized graphs, make new families of remedies and choose their own background colors, repertory icons and fonts.
Avoidance of soda glass and its sodium leeching contamination over the years has resulted in a very high stability for the medicines. It is said that some years ago, on an anniversary of Hahnemann’s death, one of his original remedies was administered and found to have elicited a similar response to that expected had a fresh remedy been used. The cost of glass bottles for homeopathic medicines can often exceed the value of the contents, and so it is not surprising that plastic containers have been adopted by several European manufacturers, being so much cheaper to buy and transport than glass. The traditionalists still favour neutral glass containers, suggesting that, ﬁrstly, it may have a part to play electrostatically in ‘holding’ the potency (Anon, 1991), and, secondly, that there is a possibility of chemicals leeching out from the plastic. The latter concern is centred around the emotive issue that polyvinyl chloride in plastic containers has been shown to contaminate foodstuffs with vinyl chloride, and amines used as plastic hardeners can form nitrosamines (Anon, 1980). Both of these chemicals can cause carcinogenic reactions. Little work has been carried out to investigate whether the fears of those eschewing plastic have a ﬁrm foundation. Following a range of comparative tests on a range of glass and plastic bottles, Murphy (1980) concluded that the ideal package for homeopathic remedies is glass and that plastic containers are acceptable only for short-term storage. Roder and Frisse (1981) studied the behaviour of homeopathic dilutions packed in glass and plastic bottles and found that losses in concentration occurred in both media. Among the four remedies chosen for the study (Gold, Iron, Mercury and Zinc), Gold in 7x and 8x liquid potencies appeared to become chemically weaker over a 3-month period, the amount of remedy lost being dependent on concentration.
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Case Study 3: Mistaken identity? Customer: ‘Do you have some Belladonna for scabies? I think that’s what the remedy is called.
Arndt Schulz Law A hypothesis known as the Arndt Schulz Law has been used rather simplistically to help explain the phenomenon of potentisation. In the 1880s Dr H. R. Arndt and Professor H. Schulz of the University of Greifswald in Germany were interested in homeopathic actions.
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There is also an Indian Homeopathic Pharmacopoeia in four volumes produced with the help of the Indian Homeopathic Pharmacopoeia Committee appointed in 1962 (Banerjee, 1991). The ﬁrst edition of the British Homeopathic Pharmacopoeia was published by the British Homeopathic Society in 1870 with later editions in 1876 and 1882 by E. Gould and Son of London. It then went out of print for over a century. New editions of the BHomP were published by the British Association of Homeopathic Manufacturers (BAHM) in 1993 and 1999. The book is in a clear loose-leaf format and reﬂects many of the current practices developed by British manufacturers by adapting German methods. It is designed to be used in conjunction with the HAB. The British Homeopathic Pharmacopoeia (BHomP) has no ofﬁcial status, having not been adopted as a national standard by the MHRA. The ﬁrst section of the book contains background information to the manufacture of homeopathic preparations, including abbreviations, analytical methods, reagents and general regulations for the manufacture of homeopathic medicines. Cross-reference is made to the HAB and other pharmacopoeias. At the start of the section on manufacturing methods there is an index to all the methods of preparation, referencing the source of the method concerned.
To display only insects, snakes and spider remedies, you would be looking at this screen. MacRepertory (web site) is uncontested in flexibility of choosing a repertorization strategy. In fact, its capabilities are so encompassing and powerful, that I can't name them all in this space. Click here to see the screen that I turned to often in order to fine tune my analysis. From the eight strategies shown, each emphasizes one or the other aspect of repertorization technique, so that the over all analysis strategy is a combination of all eight, weighted according to the slider position.
CARA RADAR MacRepertory CARA, as the only one of the three, has the ability to search for rubrics in all installed repertories simultaneously. After searching for rubrics containing the words "fear" and "stranger", the screen looks like this. Clicking one of the tabs near the top lets you view the particular matching rubrics in the selected book (in this example the Complete is selected) â€“ one search found them all.
After I installed all three programs, I went back to check how much each was using of my precious hard disk space. A full installation of CARA took 40/6 MB. RADAR, with Synthesis 6/0, gobbled up a whopping 217 MB, the lion share of this being multi media objects like little pictures and sound clips. A minimal installation, which leaves these on the CD-ROM, takes also around 40 MB. MacRepertory fit neatly into a slim 4/1 MB. The big difference comes from the fact that MacRepertory gives you the choice to install only the minimum needed on the hard drive and keep all the repertory and materia medica information on the CD-ROM. Opting for this, will slow down things somewhat, but I never found myself twiddling thumbs for more than a two or three seconds. Installing the Complete repertory and Vermeulen's keynotes to the hard disk in order to improve access time increased the storage space requirements of MacRepertory to 26/8 MB while speeding up access to the repertory considerably. Overall I found the speed with which the programs performed their tasks to be brisk, with no significant difference between them. That statement is based on my subjective observation; I didn't time them with a stopwatch.
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Quality, has assessed what is known about Americans’ reliance on complementary and alternative medicine (Marwick, 2005). It estimated that more than a third of American adults routinely use CAM, spending in excess of billion a year.
Am I competent to deal with this case? At this point, before moving on to deal with prescribing techniques in detail it would be appropriate to pause for a moment or two to reﬂect on the issue of professional competence (Ernst, 1995). In orthodox prescribing, therapeutic decisions are usually based on an assessment of the risk:beneﬁt ratio. This is also one of the factors considered by members of the public when purchasing homeopathic remedies (see Ch. 1). It means that the effectiveness of a given course of treatment must be viewed within the context of patients’ overall safety. Generally, concerns centre on adverse drug reactions and other potential direct hazards. There are those colleagues who ask: ‘Does it all matter anyway?
Made from lactose impregnated with liquid potency, individual powders are especially useful for combined medicated and placebo treatments or where one remedy must follow another in sequence. The powders can be individually numbered in the correct sequence and the patient instructed to take the powders in order. The powders, wrapped and usually packed in multiples of 10, are generally medicated from outside the powder paper, by dropping liquid potency on the long edge of the bundle. The alcoholic solution passes through the powder paper to medicate the lactose powder inside. The powders dry by evaporation of the alcohol. It is important to use a liquid potency made up in a high concentration of alcohol (usually 90%) to facilitate the medication process. Some authorities recommend strengths as high as 96% alcohol (Aubin et al, 1980). If a low concentration is used some of the lactose dissolves in the water content of the vehicle, giving a damp mass that clumps together. A solid preparation composed of lactose and intended for oral (directly or dissolved in water) or sublingual use. Approximately 100 mg of powder is coated (‘medicated’) with a 95% alcohol preparation of one or more homeopathic potencies and enclosed in a paper sachet to form a single dose unit.
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It has been observed that the RCT does not always ﬁt well with the underlying principles of disease causation and treatment of CAM (Hilsden and Verhoef, 1998). Many forms of CAM take a holistic approach to the diagnosis and treatment of disease, where the patient plays an active and key role in healing and treatments are often highly individualised. Therefore, the use of placebos, blinding and random allocation to structured treatment protocols in an RCT setting is often contradictory to the principles of CAM. There are other problems with RCTs (see Ch. 11). Nonetheless, such research is necessary to satisfy the provision of an evidence base acceptable to the scientiﬁc community.
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Your mouth should be free of other tastes. It is best not to take remedies within 30 minutes of food, drink, tobacco, toothpaste or sweets. Homeopathic remedies should not be handled. Tablets and granules should be tipped into the cap of the container and then administered onto the tongue. A dose of granules is a quantity sufﬁcient to just cover the base of the cap. The remedies are absorbed from the mouth and so should not be swallowed, but allowed to dissolve. Liquids should be held in the mouth for several seconds before swallowing. If any remedies are spilled do not put them back into the bottle. Do not stop any orthodox medication unless advised to do so by the doctor who prescribed it. If stored correctly and not handled, homeopathic remedies are thought to remain active almost indeﬁnitely.
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THE MARKET FOR CAM The retail market for herbal, homeopathic remedies and aromatherapy oils, taken or used independently or in conjunction with therapy, is believed to have shown growth of 10–15% per year throughout much of the 1990s, although it fell to 7/3% in 2002 and to 5% in 2003. It is expected to rise to over 6/9% in 2006 and 6/5% by 2007. These variations in market value are largely the result of regulatory activity in herbal products, and of certain reports regarding safety and efﬁcacy (Keynote Publications, 2003). The major retail outlets for herbal and homeopathic remedies remain pharmacies and drugstores, followed by health-food stores. The removal of the ﬁnal part of resale price maintenance, on OTC medicines, has also allowed grocery multiples to expand their medicines shelf space signiﬁcantly (as well as open in-store pharmacies), which has indirectly boosted their sales share for alternative remedies. Aromatherapy oils, however, are sold through a much wider selection of retail outlets, although sales through chemists and drugstores account for 57% of the total (Keynote Publications, 2003).
ReferenceWorks wasn't even available for our IBM users. It was initially added to our database on 06/10/2020. ABC Homeopathy - free browser based online homeopathic remedy finder app with 64, 000+ symptoms and 650 remedies, linking to full materia medica remedy information. I have two Microsoft USB Keyboards, Microsoft Wired Keyboard s. They both misbehave, both loose functionality of most of the keys after. R270 programmer user manual. The default repertory is the Combined. You can also record the cassette as one large file then use editing tools to chop it into separate songs.
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Alcoholic primary plant extract, where applicable prepared to the standards of a national homeopathic pharmacopoeia. Forms the source material for the preparation of subsequent potencies of a homeopathic remedy. In some cases the mother tincture may be the medicine itself and may be diluted in water for direct oral administration or for use as a gargle/mouthwash. Dispensed in amber glass bottles, with non-absorbent dropper insert and screw cap if appropriate.
The electronic soil on which the programs were to be evaluated, was a PC equipped with a Pentium 200, 48 MB RAM, 1/2 GB hard drive, 6x CD ROM, and a HP 682c DeskJet printer (running merrily under Windows 95). If all this means nothing to you, donâ€™t worry. Pretty much any half way decent computer sold today has the oomph to run these programs. Some slower, some faster, but run they will. Of the three, all but CARA are also available in a Macintosh version. Since I tested them on a PC, I cannot make any statements as to their performance on a Macintosh.
There is little doubt that a measure of the response to homeopathic treatment is due to a placebo response based on this factor. Indeed, as we have already stated, the lengthy sympathetic consultation is one reason for patients moving from orthodox to homeopathic practitioners. After all, the word ‘placebo’ does mean ‘I shall please’. However, that is not the whole story of how homeopathic remedies might work. If that were the case, remedies could not be expected to work according to the various Laws of Cure (see below), nor would it matter which remedy was administered for any given condition. One of the most frequently quoted pieces of clinical research was carried out by Dr David Reilly and co-workers on allergy patients (Reilly et al, 1986); it showed that homeopathy cannot be due purely to a placebo effect (see Ch. 11). Other research has not been so rewarding. In a double-blind crossover proving carried out by Walach (1993), 4 weeks of Belladonna 30c were compared with 4 weeks of placebo in 47 healthy volunteers. Singlecase evaluation showed differences between the two experimental phases for 21 subjects, but group evaluation showed no clear-cut differences. Walach concluded that the results were ‘promising’ but that further studies were required to test the claim that homeopathic potencies can produce symptoms other than placebo in healthy subjects.
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An integrative healthcare system and the creation of a team approach to patient care will offer real beneﬁts both clinically and economically. Homeopathy has enjoyed a special status since the NHS was set up but it surely cannot be too long before other disciplines become equally valued. It is to be hoped that as current dialogue with professional homeopaths and fellow practitioners in other disciplines progresses, their potential contribution within an expanded NHS will be recognised too. Evidence based medicine is an important issue and undoubtedly there are substantial gaps in our knowledge as far as homeopathy is concerned. In many instances we do not know how, why or even whether it works. Although we have moved on greatly in the past decade there is still much more to do before we can offer the sort of evidence that is acceptable to colleagues, patients and purchasing authorities. Despite this, people do appear to beneﬁt from homeopathy and that is what really matters. Now that homeopathic pharmacy has acquired a generic status (that is, it has become a subject in its own right and not just something pharmacists do) I have tried to make this second edition of Homeopathic Pharmacy more appealing to homeopathic practitioners in general.
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In a two-part trial of patients with chronic rheumatic arthritis in Glasgow in 1980, in which separate groups of patients were treated with homeopathic remedies, salicylates and placebo, 60% of the patients receiving placebo withdrew from the study at 3 weeks, dissatisﬁed with their progress. By 6 weeks, all the placebo participants had withdrawn from the study whereas after a year the homeopathic group still had 74% of its patients and the salicylate group 15% of its patients (Gibson et al, 1980). Longstanding chronic conditions apparently cured by homeopathy cannot therefore be due entirely to a placebo effect (see Ch. 11). Some years ago I was preparing some homeopathic teething powders and, having medicated three or four, turned to answer the telephone.
In case you are looking for a single remedy, the result will be exactly the same as when you look for that remedy in the Reverse Materia Medica. This makes sense, since that is exactly what the Reverse Materia Medica is intended to do. As an example, let's take a look at the most relevant rubrics for remedy arn.
Classical homeopaths observe this rule carefully. All the drug pictures in the materia medica have been determined on this basis. Provings have not been carried out on mixtures of remedies and it is not known how – or if – remedies interact. Many health professionals would welcome this approach in modern orthodox medicine and be pleased to see the demise of polypharmacy.
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There were numerous reports from grateful colleagues convinced that the administration of Belladonna had minimised the effects of the disease (Black, 1843). A second piece of evidence that cannot be easily corroborated, but makes a good story, concerns the adoption of Sepia as a homeopathic remedy. Hahnemann was having his portrait painted by an artist in Leipzig. The man complained incessantly about a condition that might well be described as ‘depression’ in modern terms. He was using Sepia derived from the ink of the cuttleﬁsh as his paint, and Hahnemann noticed that after dipping his paintbrush in the ink the artist licked it to bring the bristles to a sharp point. Hahnemann thought that the artist might be suffering ill effects from this procedure, so he took a sample of the paint. This was made into a homeopathic remedy and administered to the artist, whose mental symptoms were resolved rapidly. Hahnemann then tried a number of active substances singly on himself, on his family and on healthy volunteers to obtain evidence to substantiate his ﬁndings. In each case he found that the remedies brought on the symptoms of diseases for which they were being used as a treatment. He called the systematic procedure of testing substances on healthy human beings in order to elucidate the symptoms reﬂecting the use of the medicine a proving, from the German Pruefung, meaning a test or trial.
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The Helios Homeopathic Pharmacy of Tunbridge Wells, Kent (see Appendix 1) has designed and built a potentiser to replicate as closely as possible the action of hand-succussion and dilution using the Korsakov method. The succussion mechanism involves a stepper motor driven cam, which raises and lowers an arm holding a specially designed glass vial. The arm and vial are repeatedly bumped against a ﬁrm but elastic object as per Hahnemann’s instructions – in this case a rubber stopper. The number of succussions can be set by the user. The desired potency is set by rotating a thumbwheel switch. The system is controlled by programmable logic control. The difference between the traditional Hahnemannian and the Korsakovian methods of preparation is a subject of controversy between homeopaths which centres on the accuracy and reproducibility of the Korsakovian potencies. Some practitioners acknowledge that it is possible to pass on a mixture of potencies in this method, but claim that this is unimportant. Other workers feel that homeopathy appears imprecise enough to sceptics without having the additional problem of identifying a potency correctly. A 30K potency is sometimes said to correspond to a 5c potency, a 200K to a 7c, but in both cases the former has undergone far more bursts of succussion than the latter, which therefore cannot be considered exactly comparable to the Hahnemannian potency.
Unfortunately there was at least one deﬁciency in this work which was highlighted by Swayne (1992). Davey’s thesis was based on the idea that the therapeutic property of homeopathic medicines is derived from the physical and chemical constituents of the source material alone. Swayne suggests that this is an unsafe assumption to make; it may be that the overall total power of a homeopathic remedy was more (or less) than might be expected from taking one particular property – in Davey’s case antibacterial activity. The potentised tincture may have been diluted well past the level where molecules can be demonstrated as being present. At these high potencies no quantitative test is available, but even if it were there would be substantial resource difﬁculties in carrying it out on a routine basis in the pharmacy. Thus, it is most important that the integrity of the person or ﬁrm preparing the remedies can be relied upon. The presence of minute traces of contaminants in commercially produced homeopathic potencies probably has no serious effect on clinical results (Zacharias, 1995). Nevertheless, we should still not neglect the quality control of mother tinctures and must ensure that standards of cleanliness are kept up. Formerly the degree of quality control varied greatly among manufacturers (Grifﬁths, 1993), but this situation is improving slowly with the implementation of the European Directive.
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The Israel Association of Classical Homeopathy is active in promoting homeopathic practice and maintains contact with the Israeli authorities. Malaysia received its introduction to homeopathy during the Second World War through Indian soldiers who were ﬁghting with the British Army and inﬂuence from the subcontinent is still strong. Teaching began in 1979 under the auspices of the Faculty of Homeopathy Malayasia. There were four homeopathic medical centres in the country in 1988 (Nasir and Zain, 1988). Enquiries have established that although the Government allows complementary medicine there are no formal registration procedures for practitioners. An organisation called the Registered Malaysian Homeopathic Medical Practitioners Association was established in 1985 to unite all qualiﬁed homeopathic practitioners. Without standards it is uncertain as to exactly what constitutes qualiﬁcation. The group has about 500 members. Singapore recognises homeopathy but there is no legislative framework to control its practice. Few, if any, practitioners are medically qualiﬁed.
For these differences, you will often see the two opposing rubrics listed, like one rubric for aggravation, followed by the rubric for amelioration. Or one rubric for left, followed by a rubric for right.
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The holistic practitioner fully acknowledges that people have different personalities and overtly treats them while taking this fact into consideration. Thus people suffering from similar symptoms may be subject to very different interventions; similarly, a particular intervention may be used to treat an array of different symptoms in different people. The question as to how GPs and non-medically qualiﬁed trained professional practitioners (see Ch. 12) describe their homeopathic treatment models for asthma and allergy has been investigated (Launsø and Rieper, 2005). Six GPs and 11 professional homeopaths participated in semistructured interviews. The main difference was in the descriptions of the purpose of treatment. While GPs understood asthma and allergy as independent entities in reference to physiological reactions and conditions, the professional homeopaths understood asthma and allergy as symptoms of something underlying. However, the GPs developed, on the basis of their clinical experience, a more multifactorial explanation of asthma and allergy. Further, the professional homeopaths did not consider it entirely necessary to make a diagnosis before treatment was initiated. A working hypothesis or assumptions can be disproved or conﬁrmed by the effect of medicine. It was not the asthma or allergy that determined which homeopathic medicine was chosen, but the person’s overall symptom or reaction pattern.
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In this way a complete picture of the patient can be painted and an individualised treatment plan designed, though in this case the patient outcome could not have been improved without earlier intervention – once septicaemia had set in it was too late. Of course there is also a linear relationship between the sequence of events, but the ‘systems approach’ just outlined adds to and complements the healing process.
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A Shared Case Database is a database file, outside your personal case database. It can contain cases, exactly like your normal case database.
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MacRepertory is, however, the easiest and most straightforward system to use in this respect
However, homeopathy is not only about such huge dilutions. Potencies such as 6c (see Ch. 4) are used frequently, and at this level there are still molecules left in the solution. In practice there is a cut-off point as the Avogadro limit is approached above which molecules, though theoretically still present, cannot be detected with present methods. Some homeopaths claim that this limitation of present techniques of measurement may provide an explanation for the apparent lack of active material in the very high dilutions too – that is, molecules are present, but simply cannot be found. However, with some potencies, for example 6x (10 -6), quantities of drug present are of the same order as normally prescribed amounts of thyroxine or digitalis.
Downloads like Macrepertory Free may often include a crack, keygen, serial number or activation code to make it the full version. All these schemes are different ways to classify remedies – in essence, each is a way of dividing remedies into families. MacRepertory Pro combines a solid, traditional approach to repertorization with dozens of inspirational features. FREE Reviewed GS Auto Clicker is a useful tool to automatically click mouse instead of hand. Synergy's repertorization tool, MacRepertory, makes it easy to quickly select and analyze rubrics, get ideas for remedies. Reference works is a rich analysis system based on a huge library of more than 800 volumes of materia medica, provings, journals and more. Otherwise you can try the serial site linked below.
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Berries, fruits and seeds are generally gathered when ripe and must be perfect. Non-resinous barks are harvested from young trees late in the autumn or, depending on the species and if resinous, at the development of blossom. Woods are collected from young trees and shrubs before the sap rises. A record is kept of all growing conditions and time of collection. Fresh plant material is really desirable, but for a variety of reasons dried specimens are sometimes used. Arnica, for example, grows best above 3000 m and is often subject to conservation orders at certain times of the year, while Nux vomica is readily available by the sack-load, but difﬁcult to obtain in the very small quantities required by pharmacists. Soil differences may mean that the easily accessible plants are not the most suitable. Crataegus, the hawthorn, varies in quality from country to country, while Hydrastis from Canada is preferable to samples from USA. These difﬁculties may be appreciated if one considers the analogy of wines: grapes grown in different soil and climatic conditions, even if adjacent to each other, can produce wines with totally different characteristics.
Of those people who said they asked a health professional for help, more people asked their pharmacist about homeopathy than all other professionals added together. Unfortunately, in another study by Davies and Kayne (1992), although 96% of a sample of pharmacists and their staff had heard about homeopathy, most were unable to identify the main features of the discipline (Table 1/3). Similar results were found by other researchers (Vincent and Furnham, 1994).
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Tablets and powders are prepared with lactose (‘milk sugar’) and cannot be used in cases where the client reports the possibility of an allergic reaction or intolerance. There may be religious concerns from Jewish patients whose dietary customs would be compromised by taking a milk-based product after food. Pillules and crystals are sucrose. Diabetic patients may express concern if instructed to take pills, although if they are well stabilised and the course of treatment lasts only 2 or 3 days there is unlikely to be a problem. For longer treatments, the remedy can be supplied in liquid potency form. Liquids include both mother tinctures and liquid potencies. The latter are made up in alcohol, varying from a concentration of 20% to one of 40%. If the alcohol presents a problem, then the remedies can be made up in water for short courses of treatment.
Minimal dose It is in this area that many people have extreme difﬁculty in accepting that homeopathic remedies can possibly work. When Hahnemann did his original work he gave substantial doses of medicine to his patients, in keeping with current practice, sometimes causing aggravations that, in some cases, amounted to dangerous toxic reactions. He experimented by diluting out his remedies in the hope of increasing safety. The advantages of simple dilution were clearly limited, for the medicine quickly became too weak to be effective. Hahnemann then submitted each dilution to a series of vigorous shakes or succussions and discovered that progressive dilutions were then not only less toxic but also more potent. It is not known exactly how Hahnemann came upon the procedure; most likely it arose from his knowledge of chemistry and alchemy.
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In the following example, the remedies looked for were the nosodes. You can now quickly see which nosodes are in which rubrics.
He had particular distaste for the complicated mixtures of drugs being offered to the public, the high prices charged and the practice of adulterating raw materials by unscrupulous members of the profession. Statutes were being drawn up to regulate these matters, but progress was slow. Not surprisingly, the apothecaries saw an erosion of their proﬁts on the horizon, and resisted the measures strongly. Hahnemann was beginning to use ever decreasing amounts of medicine, and believed in the power of ‘simplexes’ or individual medicines, rather than complex mixtures. He maintained that no licensed apothecary could be trusted to adopt the correct technique in preparing his remedies and suggested that his medical colleagues produce their own remedies – and all this despite the fact that his brother, Samuel August, and his father-in-law, Herr Küchler, had both received an apothecary’s training. In 1793, Hahnemann published his Apothecaries’ Lexicon in four volumes. It was described by one reviewer as ‘an excellent work that every apothecary should procure’. The book outlined the procedures (and precautions) that should be observed in an ideal pharmacy. Another example of Hahnemann’s work during this period was a report on a new wine test that was subsequently adopted ofﬁcially in Prussia. This test allowed the wine trade to differentiate between wine adulterated with a solution of lead salt by dealers anxious to sweeten it (a criminal offence) and wine containing iron.
A structure generated in the tincture would be interrupted by vortices smaller than it, and this sets deﬁnite limits on the strength of succussion so the power input leads to larger vortices than the structures one is trying to create and preserve through potentisation. This hypothesis has still to be tested experimentally although Torres has suggested a method. If one merely succusses a solution without diluting it further, a raise in level of only one potency occurs, regardless of how many times it is succussed; therefore both succussion and dilution are required. We also know that the more there is succussion and dilution, the more the therapeutic power is increased, even beyond the point of there being even one molecule of the original substance remaining. The structure of solvent molecules may be electrochemically changed by succussion, enabling it to acquire an ability to ‘memorise’ an imprint of the original remedy. It is acknowledged that this concept is difﬁcult for many highly trained personnel with scientiﬁc backgrounds to accept. Whether succussion imparts a certain energy or whether it merely facilitates complete mixing is, like much of homeopathy, still a topic for lively debate. We will look at some more theories on how the potentisation phenomenon is thought to work in Chapter 11. Successive dilution and succussion may permanently alter the physicochemical properties of the aqueous solvent (Elia et al, 2004). The modiﬁcation of the solvent could provide an important support to the validity of homeopathic medicine which employs ‘medicines without molecules’. The nature of the phenomena described by Elia et al. remains unexplained.
Below the list of authors, you can select a year range. Only sources published within the year range are included in the filter. The value 0 means the value is not used.
It has been shown that placebos are often used in modern medicine (Nitzan and Lichtenberg, 2004). Nitzan and Lichtenberg’s survey of 89 doctors and nurses providing hospital based and ambulatory care in Israel found that 60% used placebosin their practice, most often (43%) to fend off an ‘unjustiﬁed’ demand for medication, to calm a patient (38%), as an analgesic (38%), or as a diagnostic tool (28%). The main current application of placebo is in clinical research. With the advent of large-scale clinical drug trials, placebos have taken on the role of eliminating bias, although some doubt has been cast on the technique (Keine, 1993).
In comparison with tablets, doses of granules, crystals and powder sound imprecise, but are actually quite reproducible. The cap of a 7 g vial provides a useful means of transferring a suitable amount of medicament. The patient should be instructed to just cover the cap liner by gently tapping out the medicated product until the cap liner is just obscured. The amount thus obtained constitutes a dose. When the remedy is packed in containers other than 7 g vials, another measure is provided by using a salt spoon, ﬁlled and levelled off with a knife or other suitable implement. Traditionally homeopaths used the small depression on the side of the wrist formed by crooking the thumb and ﬁrst ﬁnger as a measure. This has been called the ‘anatomical snuff box’. Prescription 5 shows how granules are ordered. It is for Chamomilla 6c granules, one original pack, with one dose twice daily before food for teething. The original pack may be a 7 g glass vial, available in the UK from two or three small suppliers, or the larger glass and plastic containers produced by the major manufacturers.
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Dose form The part played by the dose form in delivering the medicine has already been discussed. From time to time there are suggestions that the dose form is important in determining the speed of onset of remedy activity, but this aspect of homeopharmaceutics has been largely ignored by researchers. In the meantime, it is generally accepted that the choice of dose form is therapeutically insigniﬁcant, although there may be psychological or other reasons why particular dose forms are chosen. Ideally the prescription or request should state the dose form, but given the lack of therapeutic signiﬁcance the pharmacist does have some discretion in this matter.
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A multidisciplinary expert committee, known as the Advisory Board on the Registration of Homeopathic Products, was established in 1993 to give advice to the MHRA with respect to safety and quality in relation to human, and where appropriate animal, use of any registerable homeopathic product or service. Some countries tried to extend Article 7 into areas not originally intended to be covered by the Directive; others attempted to adapt Article 9 in such a way as to favour their own nationals. The Directive has now been implemented across all established EU member states New entrants to the enlarged EU are taking necessary action. There is still work to be done in the area of nosodes, presently under threat in a number of member states. In July 2001, the Commission adopted a proposal for a comprehensive reform (‘codiﬁcation’) of the EU pharmaceutical legislation, rationalising many different regulations.
The house was described by Stephen Hobhouse (1933) following his visit in 1931 as being of two stories, quite picturesque with a wooden balcony, and situated close to the city wall. In 1991, when I visited, the area was in disrepair but the house was subsequently restored in the late 1990s and served for a time as a homeopathic resource centre. Homeopathy – and Hahnemann – gained much popularity following the terrible winter of 1812 that took its toll of Napoleon’s soldiers ﬁghting in Russia. Following the defeat of the ‘Grande Armée’ in a 3-day battle in Leipzig in 1813, a fearful epidemic of typhoid broke out. Hahnemann treated 180 cases with homeopathy and lost only one patient. His fame rapidly spread throughout Europe. Hahnemann’s last important medical work was entitled Chronic Diseases, their Nature and Homeopathic Treatment. The book was initially published in Dresden in 1828 and eventually ran to 1600 pages and ﬁve volumes. It attracted considerable criticism among homeopaths as well as allopaths, owing to statements to the effect that seven-eighths of all chronic diseases were due to a hereditary or acquired ‘taint’ or miasm, called the psora. Many of his critics interpreted this hypothesis as blaming all such chronic conditions on the skin condition scabies.
Please note that it is not possible to change the settings of any of the standard analysis formulas. You can only change formulas that you have added yourself. You can look at the settings of the standard formulas, to see how they are configured.
HOMEOPATHY IN ASIA Dr Mitchell gives a good account of homeopathy in India (Mitchell, 1975). He claims that homeopathy can be traced in India to as early as 1810, having been introduced by a German geologist working in the country on a survey. Remedies were distributed to servants and poor Bengalis. At some later time (no date is available) an Englishman called Mullins arrived in Calcutta, at that time the capital of India, and administered homeopathy to the poor. The third important character in Indian homeopathy was Julian Martin Hoenigsberger, who was described as an ‘adventurer’. He had spent 35 years travelling throughout the East and set off to study homeopathy under Hahnemann in the 1830s. On his way back to India in 1839 he contracted cholera in Vienna and is reported to have cured himself within 6 hours with homeopathic Ipecacuanha. Hoenigsberger was appointed physician to the Court of Lahore. He won fame by treating the Maharajah of Punjab successfully, but incurred the hostility of Indian doctors. The Civil Service and the military provided some notable amateur homeopaths.
If one compares the popularity of examples of complementary medicine across several countries some interesting idiosyncrasies emerge with respect to individual preferences and the estimated percentage of the population using complementary medicine. Table 1/2 shows that consumer surveys demonstrate positive public attitudes to complementary disciplines in many countries, with France and Germany leading the way. In Spain and the UK the most popular treatments appear to be the manipulative disciplines. Herbal medicine is more popular than homeopathy in the UK.
You are only ever a click away from searching through a vast database of repertories, keynotes, provings, materia medica, journals and clinical cases. The value of his approach has been that it cuts through the dross. By Rebecca Preston RSHom, and David Witko FSHom (Hon) UK. Registering will entitle you to receive occasional articles from us by email (never published elsewhere) along with details of our products and services. Homeopathy Remedy Keys (Version 1.5) The Spiral. It also works with the companion app, ReferenceWorks, a program to allow the homeopathic prescriber access to modern and classical text resources. Repertorization tool, MacRepertory makes it easy to quickly select and analyze rubrics, get ideas for remedies, check the materia medica, do a bit of research and feel confident about your prescriptions. Repertory Search Find every.
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Total War and Total Realism: The review was somewhat critical of the modification's graphical user interfaces which "[occasionally]" had a "home-made" feel to them, as well as its lack of accessibility and steep learning curve, although it adds that the second point is not a large problem as the modification is largely a "master's challenge for. To begin installing your Windows application. In the coming months, Synergy will release a number of unique new repertories and Synergy and its partners are planning the next generation of homeopathic software. If you search for Macrepertory 8 Crack, you will often see the word "crack" amongst the results which means it allows you to unlock the full version of the software product. To create better search results for Macrepertory Free avoid using keywords such as crack, unlock, serial, code, password, cracked, full, version, hack, activation, keygen, key, torrent, etc. This is a unique work, which documents how homeopathy can achieve predictably successful results in emergencies such as anaphylactic shock, acute abdomen, acute asthma, myocardial infarction of. Mac; Windows 8, 8 RT, 10 and Modern UI; Windows 8 desktop, Windows 7, XP & Vista; Kindle Cloud Reader.
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Quantity Solid dose forms dispensed or OTC prescribed in the UK are often sold in 7 g, 14 g or 25 g glass vials. This indicates the capacity of the container, not the actual weight of the contents, and corresponds to approximately 55, 125 and 250 tablets respectively. Depending on the size of the tablets (or pills), which may differ according to the manufacturer, there may be slight variations in these numbers. The remedies were traditionally sold in old apothecary measures of 2 drachms, 4 drachms and 8 drachms and the rather unusual size of modern packs reﬂects the metric equivalents. Glass bottles and plastic tubes are also used by the larger suppliers. Over-the-counter packs specify numbers of tablets rather than weights and vary from 50 to 125 tablets. Requests may use either notation in stating the quantity required. Homeopathic suppliers will be able to help out in cases of uncertainty when placing an order. Liquids are usually supplied in 5 ml, 10 ml, 30 ml or 50 ml dropper bottles. Larger quantities are available to trade customers.
QUALITY CONTROL Low potencies of homeopathic remedies are routinely tested using standard chromatography in most large manufacturing laboratories. Due to the special nature of highly diluted homeopathic preparations, however, quality relies greatly on strict control of source material and adherence to the chosen method of manufacture. For many years attempts have been made to identify the active ingredients in mother tinctures by scanning spectroscopy and thin-layer chromatography (Joliffe, 1977), with varying degrees of success. Absolute identiﬁcation has eluded workers in most cases, although reference peaks have been established and can be used to ensure reproducibility of product. The search for suitable analytical tests continues, particularly for potentised remedies. A range of sophisticated (and highly expensive) equipment has been employed. It is now over 35 years since Smith and Boericke (1968) reported changes in the nuclear magnetic resonance (NMR) spectrum of ultramolecular dilutions. Fisher (1993) has reported some of the conﬁrmatory experiments undertaken in the ensuing period, including work by Weingärtner (1990) relating to Sulphur potencies. NMR spectrophotometry and Perkin Elmer spectroﬂuorometers have been used to study high potencies at the National School of Medicine and Homeopathy in Mexico City (Guajardo-Bernal, 1994). Precise ﬂuorescence graph imaging has been produced of a number of polychrests in potencies above Avogadro’s number.
The original potency is progressively washed away to obtain the required potency. With this method it takes 75 hours and 180 litres of tap water to raise a 10M potency to a CM. There is no wonder that sceptics ﬁnd it hard to believe that a medicine could possibly work at this dilution. How one works out the true ﬁnal potency in Hahnemannian terms is also a matter for conjecture! Quinquagintamillesimal potentisation method (LM). Some homeopaths use potencies based on serial dilutions of 1:50 000 at each level. These are called either 50 millesimal potencies (abbreviated to LM) or quinquagintamillesimal (thankfully abbreviated simply to Q) and became available commercially during the 1950s (Barker, 1997). This rather unusual method was suggested by Hahnemann towards the end of his life following a review of his earlier experiments with different degrees of dilution and succussion and is contained in paragraph 270 of the sixth edition of the Organon. They provided a method of lessening the aggravation caused by certain remedies.
What I set out to do, was to attempt an unbiased, candid and honest comparison of homeopathic repertorization software available today. I limited the scope to three programs: CARA 2/61, RADAR 7/0b, and MacRepertory 5/2, which are, as most professional users will readily acknowledge, the top three in their league. All three versions are the latest ones available as of June 1997. RADAR's 7/0 was tested as a pre-release beta version, but the full release should be available any time now. Because I tested a pre-release version of RADAR, some of the things I objected to will likely be fixed in the released version. According to David Witko, maker of CARA, his program is nearing completion of a major update, for which he promises a significantly expanded set of features.
The British Homeopathic Association has geographic lists of medical, dental and veterinary practitioners in the UK, and the Faculty in London and Glasgow can also supply names of members and licentiates. Their addresses can be found in Appendix 1. Governing bodies abroad can also supply lists of suitably qualiﬁed practitioners. Patients who wish to consult privately should have no hesitation in phoning their chosen practitioner and asking about the costs involved. Deciding on a competent non-medical qualiﬁed practitioner can be more difﬁcult because the degree of training can vary widely with different colleges and the qualiﬁcations may appear unfamiliar. Trained homeopaths may be recognised by initials such as MCH (Member of the College of Homeopathy), LCH (Licentiate of the College of Homeopathy), LCPH (Licentiate of the College of Practical Homeopathy), etc. Homeopaths registered with the Society of Homeopaths may use the initials RSH or FSH. Unless you have personal experience of a particular practitioner, it is best to direct potential patients to the governing body of the complementary discipline in which they are interested. Thus, patients seeking homeopathic treatment can contact the Society of Homeopaths (see Appendix 1) for the address of a local homeopath who is registered with the Society. REFERENCES Kayne, S, Beattie, N and Reeves, A (2000) Self-treatment using homeopathic remedies bought over the counter (OTC) in a sample of British pharmacies.