Homeopathy

Translated from the book V. Schjelderup: “Nytt lys på medisinen”, Cappelen, Oslo 1989, 235-260

Samuel Hahnemann and his Medicine

Homeopathy these days is flourishing, attracting ever more patients and practitioners. Most medical doctors undoubtedly see this as a reaction away from science and back to the superstitions of yesterday. This is however unjust. If we look at homeopathy with impartial eyes, we find it is a thoroughly empirical science based on experience and experiments that are analysed and collected according to clear logical principles. In this respect homeopathy may indeed be a more true science than much of what has been taught in academic medicine.

When homeopathy got the name of being unscientific, it is due to the fact that it was discovered at the same time, around the year 1800, as chemistry got its modern scientific basis in the theory of atoms and molecules. And because homeopathy apparently is at odds with the fundamental laws of chemistry, it was not taken seriously by academic science and was banished from scientific medicine. When homeopathy has survived in spite of this, it is because it has managed to maintain its reputation as a practical art of healing.

A science of healing, apparently at odds with basic scientific laws, and yet confirmed through more than 200 years of medical experience: This is what makes homeopathy the greatest and most controversial paradox in Western medicine. If there really is something to homeopathy, it poses a greater challenge to science than possibly any other development in medicine. Before we try to tackle this problem, however, we better have a look at what homeopathy is and how it came into being.

Homeopathy means a kind of medicine based on the principle of similarity: a disease shall be treated by a remedy which has similar properties as the disease. It was Samuel Hahnemann, the founder of homeopathy, which gave it this name, composed of the Greek word ‘homeios’ (equal) and ‘pathos’ (disease). In contrast to homeopathy, ordinary medicine is called ‘allopathy’ (‘allo’ is the Greek word for different) because it as a rule tries to treat diseases with means that counteract the symptoms and thus have different properties from the disease.

The similarity principle is an old principle in the history of medicine. Hippocrates formulated it clearly 400 years B.C.: “Diseases are cured by what is equal and the similar: if we give that to the patient he will gain from illness to health. The fever is overcome by that which is causing it, and caused by that which will cure it.” (1) And in the 16th century Paracelsus formulated what later became the famous thesis of Hahnemann: ‘Similia similibus curentur’ – the similar will cure the similar. Paracelsus explained how we shall search for the right remedies by looking for similarities. But at the time of Hahnemann the principle of similarity was almost forgotten in medicine. His rediscovery of the principle of similarity and the new methodical basis he gave homeopathy, was a completely new development in medicine.

Samuel Hahnemann deserves a prominent place in the history of medicine regardless of what we may think about homeopathy. He is one of the great pioneers who transformed the uncritical, authoritarian attitude of 18th century medicine to the searching, scientific spirit that marked the development of modern medicine in the 19th century. Apart from the creation of homeopathy, he reformed pharmacology, pioneered modern, hygienic principles, worked for a more human treatment of psychiatric patients and anticipated a microbiological explanation of epidemic diseases.

Hahnemann was born in 1755 in the German city of Meisen where his father worked in the famous porcelain factory. He came from a good home, and his father is told to have had extraordinary moral qualities. But it was a difficult time and the economy of the family did not allow for giving the boy an education. Luckily the principal of the high school in Meisen realized that the boy was extraordinarily gifted. He managed to get grants for the boy, and had him already from the age of 12 teach other pupils Greek. In this way Hahnemann got a thorough classical education and learned to master several languages, which in addition to Greek and Latin in time also included English, French, Italian and Arabic. His main interest was, however, science, and in 1775 he managed to enter the University of Leipzig to study medicine.

Although the University of Leipzig at that time was the most famous in Germany, the medical study was only theoretical and did not include clinical training. For this reason Hahnemann left for Vienna 2 years later. In Vienna he became the pupil of Professor von Quarin who was the principal of the university, physician to the emperor and doctor in charge of the largest medical hospital in Europe at that time. Professor Quarin not only let the poor student attend lectures without paying, but even let him follow him at private sick calls. This close contact with Professor Quarin was very important for the medical development of Hahnemann. It gave him an early access to the highest level of medical knowledge and clinical insight in European medicine. (2)

In 1779 Hahnemann got his medical degree at the University of Erlangen and could start his medical practice. At the same time, however, he followed up extensive studies and started research in chemistry and pharmacology. In 1785 he published a translation of a major textbook by the French chemist Demachy which he improved through his own commentaries. This publication was very well received, and Hahnemann was now recognized as a highly respected authority in chemistry and pharmacology. During the years 1785-89 he published no less than 2200 pages of original work and translations. Among his own publications was a handbook how to tell if medicines had been falsified which soon became indispensable for pharmacists, and a major thesis on poisoning by arsenic. The test he developed to decide whether wine has been falsified, is still in use in Germany. And new laws he proposed to regulate the sale and handling of poisons were later enacted. In his scientific books he gives evidence of extensive and profound knowledge in several fields. In his scientific evaluation of known ways to treat arsenic poisoning he brings no less than 861 citations from 389 different authors.

It is amazing how Hahnemann managed to follow up his extensive scientific and literary work in addition to his clinical practice and care for an increasing family. He had an enormous capacity for work. From his youth on he kept going with a work day of 18 hours and kept himself in a good physical condition by regular exercises.

A brilliant scientific career seemed ahead. Due to his research in chemistry he was in 1791 elected member of the Academy of Science in Mayence. His ‘Dictionary for Pharmacists’ became a standard textbook, and he was elected to standardise the German synopsis of medical remedies.

His clinical experience and scientific research made him, however, ever more critical towards his contemporary medicine. He reached the conclusion that “medicine in vain had searched for effective remedies during the twenty two centuries that had passed since Hippocrates without being able to take a real step forwards”. Physicians prescribed poisonous medicines, and often in composite preparations, without real knowledge how these preparations affected the living organism. Other methods of treatment, like strong laxatives and bleeding by venous puncture or leeches, were equally harmful for the patients and often deprived them of the vitality necessary to survive. Hygienic conditions were bad and medical understanding of the significance of proper hygiene was actually poorer than it had been in Antiquity.

Driven by indefatigable energy Hahnemann took up all these matters and without compromise he pointed out which forms of practice that were contrary to health. His merciless criticism of his contemporary medicine soon made him many enemies. And when he started making his own medicines, the pharmacists saw this as a threat to their privileges and closed the ranks against him. Soon he was the most controversial medical doctor in Germany, locked into bitter conflicts.

Hygiene and Preventive Medicine

Having realized that contemporary medicine could achieve very little in the fight against diseases, Hahnemann started to advocate hygiene and preventive medicine for his patients. He recommended fresh air, physical exercises and a reasonable diet. He also engaged himself for a more human treatment of psychiatric patients, better care for ill people and proper training and care of children. Through books like ‘The Friend of Health’, ‘The Mother’s Book’ and ‘Handbook for Mothers and the Principles for the Early Upbringing of Children’ he reached out to ordinary people and made a contribution to improve general hygiene.                                                                                           

In the book ‘The Friend of Health’ he takes up questions of social hygiene. Hahnemann demanded that patients suffering from contagious diseases should be isolated, that objects they had been in contact with, should be disinfected, and that they should be treated in light and airy rooms. He was aware that areas with very poor sanitary conditions acted as reservoirs of diseases and thus were a continuous threat to public health. Accordingly he recommended that the old quarters of the poor should be dismantled and be replaced by new dwellings with proper sanitary conditions. For the same reason he recommended that also prisoners should be kept under proper hygienic conditions.

The significance of Hahnemann as one of the great pioneers in hygiene and preventive medicine has largely been forgotten due to the controversy about homeopathy. To day we may more easily evaluate his contribution in these areas. We now know that the great improvements in general health and longevity that has happened during these last two centuries, in the main is due to improvements in hygiene and conditions of living, and that the development of medical therapies play only a minor part in this. One of the most important revolutions in the history of medicine was the discovery of Semmelweiss at the end of the 1840’s, that puerperal fever could be prevented by having doctors disinfect their hands before they examined women giving birth. The violent attacks that met Semmelweiss and probably caused his later psychosis, give us an idea how tough and sometimes ungrateful the fight for such necessary reforms in medicine have been. We, therefore, may not wonder that Hahnemann had become a controversial man with many bitter enemies already before he raised the question of homeopathy.

Hahnemann was preoccupied with the question of health in all its aspects. What he was looking for was a health oriented medicine. To day we are, in spite of the enormous development that has happened in medicine in the meantime, in a similar situation. Many people are to day disillusioned about our modern medicine and are looking for a more health oriented and holistic medicine. We are thus more open to evaluate the contribution of Hahnemann and how he created the basis for a total revolution in medical thought.

The Discovery of Homeopathy

In spite of his preoccupation with hygiene and preventive medicine, Hahnemann did not give up his search for more effective medicines. He discovered homeopathy step by step. In 1789 he anticipated a homeopathic explanation in his discussion of the therapeutic effect of mercury in syphilis. Next year, while translating a book by Professor Cullen of the University of London, he made an experiment which impressed him deeply.

Professor Cullen had given an extensive review of the pharmaceutical effects of the South-American cinchona bark from which we extract the medicine quinine. Quinine is an effective medicine against malaria and fever in general, but Cullen had no other explanation for this than the bitter taste and its effect on the stomach. What did strike Hahnemann was that the same cinchona bark taken in an overdose would give the symptom of fever as a sign of poisoning. He thought this strange and decided to make an experiment on himself. The result of this experiment was decisive to him: Quinine which is an effective remedy for fever, when taken in an overdose, produces all the symptoms of fever as a sign of poisoning. Through this simple experiment on himself Hahnemann had rediscovered the principle of similarity in medicine.

Like all great scientists Hahnemann was not satisfied by a single observation. He made several similar experiments on himself with other medications. Repeatedly he found the principle of similarity confirmed. In this research he followed a simple rule which he never left and which has become a basic rule in homeopathy: Never to test a remedy on a sick person before it had been tested in a larger dosage on a healthy person, and all its different effects had been carefully described.

Hahnemann now started using remedies chosen on the basis of the principle of similarity in the treatment of his patients. Repeatedly he observed positive results telling him he was on the right track. But before they experienced the positive effect and improved, they got worse. This was to be expected. As the medicine was chosen on the basis of the principle of similarity, its poisonous effect would add to the symptoms of the patient and cause a temporary impairment. Hahnemann thus learned to distinguish between two different, and usually opposite, effects of medicines: a primary effect due to the poisonous effect of the medicine on the organism, and a secondary effect due to the reaction of the organism in its attempt to neutralize this harmful effect. It was this secondary effect which was therapeutic, while the initial, primary effect was a complication it would be better to avoid. (3)

To avoid this primary poisonous effect Hahnemann diluted the medicine to the tenth of its usual dosage. He still got a therapeutic effect, and now the primary, unwanted effect was much milder. When he tried to eliminate the poisonous effect by further dilution, this, however, failed because he now reached a dilution where the therapeutic effect was lost. If the medicine was not sufficiently strong to give an initial, poisonous effect, it was neither strong enough to give a therapeutic effect.

The problem was how to make remedies that give the secondary, therapeutic effect, but not the primary, poisonous effect. It was at this point Hahnemann made the second great discovery which constitutes the basis of homeopathy. He started to prepare his dilutions in a special way. Each time he made a dilution he gave it a series of strong shakings, or succussions, to make the material he was diluting thoroughly impregnate into the medium of dilution. Making the dilutions this way he discovered that the remedy not lost its therapeutic effect, but actually in a strange way seemed to gain in therapeutic power through successive dilutions.

This way Hahnemann discovered the second basic principle of homeopathy, the principle of minimal dosage – or perhaps we should rather call it the principle of potentiation, because it is the method of dilution, shaking it thoroughly at each step of progressive dilution, which is of decisive significance.

Hahnemann had now solved the problem of making homeopathic remedies that are free from poisonous side effects. This method of potentiation, where each successive dilution is made with a thorough shaking so as to impregnate the matter to be diluted into the medium of dilution, forms the basis for producing homeopathic remedies. These are produced in series of progressive dilutions or potencies, usually with a diluting factor of one to ten (decimal potencies) or one to hundred (centesimal potencies). As media of solutions Hahnemann chose water, alcohol and lactose considering these to be neutral in a medical sense.

In 1796 Hahnemann published a preliminary report about this new homeopathic method in a medical journal. In 1800 he wrote a small booklet about the treatment of scarlet fever, including the use of homeopathic preparations of belladonna. This caused violent criticism from other medical doctors. And this storm became even more violent when it turned out that ahnemann’s prescription did not work Hahnemann

Hahnemann’s prescription did not work during a new epidemic. It was no use that he claimed that this new epidemic was due to rubella and not scarlet fever, and that belladonna was not the right homeopathic remedy for this disease. In 1837, however, the Prussian government recommended doctors to treat scarlet fever with tiny dosages of belladonna.

A Science of Healing

While the controversy around him steadily increased, Hahnemann in 1803 and 1806 published more extensive reports about his new homeopathic method. And in 1810 he published his main work ‘Organon der Heilkunde’ where he gave a more complete and concise exposition of his new medical theory. This book is still the most central work in homeopathy. Hahnemann revised it several times during his later life. The 6th and last edition was published when he was 86 years old.

The first paragraph of ‘Organon’ reads like this: “The high and only task of the physician is to make ill people healthy, what is called to heal.”

This paragraph is essential if we are to understand what homeopathy is about. The task of the physician is to heal, and medicine is the knowledge and insight that may help him to solve this task. Everything else is inessential. Hahnemann makes this unrelentingly clear in his commentary to this paragraph, cutting away everything he had found was obstructing medicine from fulfilling this task:

     “His task is, however, not to create so called systems, weaving together empty speculations and hypotheses regarding the internal, essential nature of the life processes and how diseases arise in the invisible interior of the organism (what so many doctors so far have wasted their gifts and time trying to do); neither is it to try to give innumerable explanations of the phenomena of diseases and their causes (which for ever will remain hidden), clothed in strange, artificial, abstract words that seem to give an aura of  learnedness to stupefy the ignorant – while suffering humanity is sighing for help…. “

Galilei and Descartes had utilized the method of reductionism radically to rid physics of metaphysical speculations. Hahnemann takes an equally radical stance in medicine, trying to free it from everything that may prevent doctors from solving their real task. Through his reductionist criticism Hahnemann did in fact something radically new: He established medicine as an independent science free from all non-medical suppositions. This approach to medicine was too radical to be accepted by his time. To day we have better possibilities to evaluate him as the truly great scientific innovator he was. And perhaps we may truly wonder whether he in his scientific scrutiny was indeed two hundred years ahead of his time. From the point of view of scientific methodology Hahnemann founded homeopathy as a strictly empirical science based on clear logical principles. Contrary to the common view, homeopathy has survived due to its strictly scientific structure.

According to Hahnemann, it is not the task of medical doctors to search for knowledge per se, but in order to heal the ill. He defines medicine as an operational science, a science which serves a practical aim. And as this aim is health, homeopathy is the science of how to achieve health, or as we may say, a science of healing. At this basic and essential point homeopathy is in contrast to the predominant development in Western medicine. During the 19th century Western medicine increasingly got focused on the concept of pathology and thus developed into a medicine focused on disease, while homeopathy focused on healing. And because health and healing are holistic concepts, while pathology became ever more analytical, we got the contrast between homeopathy as a holistic medicine and academic medicine as an analytical medicine where the organism is divided into organ systems and ever smaller parts. This has had enormous consequences for how modern medicine is structured in society and how it forms our attitudes. The conflict between homeopathy and modern scientific medicine, based on a predominately biochemical theory of man, has therefore even more fundamental aspects than whether homeopathic remedies have medical effects or not. As Hahnemann formulated it, it has to do with the very aim and meaning of medicine.

In the next paragraphs of ‘Organon’ Hahnemann specifies the task of medicine: “The ideal of medical therapy is a fast and permanent restoration of health free from complications …. in the simplest, most reliable and least harmful way according to rational principles.” Preventive medicine is emphasised: “He is equally a preserver of health if he knows what breaks down health and causes disease and knows how to remove these from healthy people.”

The central question in medicine is how we define the concept of ‘disease’. It is here we find the very basis for the radical reformulation of medicine Hahnemann made. He did not accept diseases as entities in themselves: “There are no diseases – only sick people”, as he formulated it in a famous sentence. On the basis of his clinical observations he had reached the conclusion that all cases of disease are different, they all have an individual character. This had given him the insight that the patterns of disease do not mirror different disease categories in themselves, but rather the struggle of the organism to maintain and re-establish its living integrity. The symptoms are actually the reactions of the organism to something  wrong, they form a natural language through which the ill organism expresses itself.

In ‘Organon’ he defines diseases as “disturbances of health”. They can only be identified on a purely empirical basis: “The unbiased observer …. in each case of disease can only take notice of the changes in the health of the body and the mind … that can be observed externally through the senses …. that can be registered by the patient himself, that are notified by those around him, and are observed by the physicians. All these observable signs represent the disease in its entire extent, that means, all together they form the true and only picture of the disease we can think about”.

This ‘totality of the symptoms’ constitutes, according to Hahnemann, the disease. And if all the symptoms disappear completely, the patient has become healthy, and no trace of the disease remains. The totality of the symptoms forms also the basis for the medical choice of which specific treatment that is required in each case. In homeopathy it is therefore necessary to register carefully and exactly all symptoms that affect the patient in all different spheres of his life. All these symptoms constitute in their totality the disease, and it is this which forms the basis for the choice of the homeopath of which remedy to give according to the principle of similarity.

Hahnemann distinguishes the true diseases from those defects “who belong to surgery”, from those states who are due to poisoning, and from those states of impaired health that are due to “harmful influences that can be avoided”. These states of impaired health which people bring on themselves, can not be called proper diseases because they “disappear spontaneously … by an improved way of living.”

He makes also an exception of epidemic diseases: “Each disease is in a way a unique phenomenon …. With the exception of epidemic diseases which are due to a contagious principle which always is of the same kind, such as smallpox, measles, etc.”

When Hahnemann, in spite of such exceptions, so strongly emphasises that diseases are individual reactions and not constitute entities in themselves, this is because he had come to realize that this is a decisive question whether medicine shall serve as a true art of healing or not: “Therefore, disease, as it is understood by allopaths as something apart from the living being and its animating vitality, and hidden in the interior of the organism, is an absurdity.” Such an absurdity can only have originated in brains marked by materialistic thinking, and it has through thousands of years given the reigning medical system all the harmful impulses that has made it into a truly destructive (not healing) art.”

Apart from the effect of chemical poisons, Hahnemann claimed that the factors causing diseases were not absolute in their effect, but relative, dependent on the receptivity or the resistance of the organism: “The harmful factors, partly psychic, partly physical, that our terrestrial being are exposed to, do not have an unconditional power to break down human health, but we become ill only when our organism is sufficiently disposed and receptive to the attack from these pathogenic factors that may be present  …  and thus they may not cause disease in everyone at any time.”

Reading a modern textbook of medicine, we will in most cases, and especially as regards chronic diseases, find that we have not found specific causes for common diseases. Several different pathogenic factors are listed. Increasingly we have discovered that the causes of most diseases are complex and multi-factorial, and that the resistance or immunity of the organism is of decisive significance. It is also a tendency in modern medicine, and especially in psychiatry, not to regard diseases as rigid categories, as it was common until recently, but to accept more individual diagnostic terms and rather talk about syndromes (constellations of symptoms) and patterns of reactions than about well defined diseases. At this point modern medicine is increasingly in accord with ideas proposed by Hahnemann 180 years ago.

The homeopathic principle, that a similar effect on the organism will cure a similar disease, is, according to Hahnemann, a natural law that has been discovered on an empirical basis. A stronger effect, or, as Hahnemann expresses it, a “dynamic affection” of the organism will cancel a weaker one. He finds this principle confirmed through numerous observations, both from medical literature and from his own clinical experience of how different diseases affecting the same person interact. The decisive evidence for this principle comes, however, from the effect of homeopathic remedies. Hahnemann reasons that while different harmful factors sometimes cause disease and sometimes not, chemical poisons will always affect the organism and cause disease if they are given in sufficient dosages. Chemical poisons are therefore stronger in their effect on the organism than the usual pathogenic factors. Chemical poisoning therefore represent stronger diseases, and this explains why such reactions to chemical poisons can cancel other diseases in accordance with the principle of homeopathy.

Although Hahnemann here tries to give a rational explanation of why homeopathy works, homeopathy is primarily based on clinical experience. The main thing is that homeopathy does work as a practical art of healing. The explanations Hahnemann and other homeopaths have provided, are of secondary significance.

The publication of ‘Organon’ did create some interest in homeopathy, but the reaction of most medical doctors in Germany was negative. This was a great disappointment for Hahnemann. When he really had become convinced that homeopathy did function and that it was a better form of medicine, he saw it has his task to present it to his contemporary medical society. In 1811 he decided to move to Leipzig and start teaching this new form of medicine for medical doctors and students. To get the permission to teach at the university, he first had to make a doctorial disputation. This he did brilliantly, demonstrating his enormous knowledge and erudition. But when he started giving lectures he often lost himself in emotional diatribes against contemporary allopathic medicine. This scared most of his audience. Only a few of them really understood the significance of his teaching and followed up his lectures. This little group of dedicated pupils cooperated with Hahnemann in the further development and testing of new homeopathic remedies. In time it was this small group of followers that were to continue the development of homeopathy and bring it out in the world.

In spite of continuous attacks from medical colleagues, the therapeutic results Hahnemann achieved were so extraordinary that his reputation increased, and soon his name was famous all over Europe. In 1820, however, he suffered a serious loss. The pharmacists raised a court case against him, claiming that Hahnemann and his pupils broke their privileges by producing their medicines themselves. Hahnemann was sentenced to pay a fine and was prohibited from prescribing medicines that had not been made by the pharmacists.

 

The Chronic Diseases

In 1821 Hahnemann left Leipzig and settled in Köthen as personal physician to the duke of Köthen. The quiet years he lived in Köthen from 1821 to 1839 gave him time to fulfil the last major task he had set himself: how to treat the chronic diseases.

The homeopathic remedies gave safer and more reliable results than contemporary allopathic drugs in the treatment of acute diseases, including infections and venereal diseases. But the chronic diseases turned out to be far more difficult to treat. In such cases homeopathic treatment initially could have a positive effect, but the disease had a tendency to return and often in new and unexpected forms. From 1816 he increasingly engaged himself how to treat these frustrating diseases which he describes so vividly in ‘Organon’:

        “The genuine chronic diseases are those who arise due to a chronic miasma, and if they are left to themselves and are not treated by remedies that are specific to them, always will develop to the worse in spite of optimal mental and physical conditions of life, and torture the patient to the end of his life with ever more sufferings. These diseases are, apart from those due to erroneous medical treatment, the worst and most numerous tormentors of mankind. The most robust constitution, the best way of living and the most vigorous mobilisation of the vital energies are insufficient to eradicate them.” (§78)

Hahnemann believed that he had found the explanation of these chronic diseases in his theory about ‘the miasmas’. These are, according to Hahnemann, subtle disturbances of the vital force that can be transferred from one generation to the next. A miasma may develop as a consequence of an infectious disease, as a kind of dynamic disturbance that has penetrated into the very kernel of the organism. It is not an infectious disease in its immediate form, but a more subtle effect of this which the organism is not able to eliminate, and which consequently may cause a later disease. (4)

Hahnemann described himself three such miasmas. The first and most important is the psoric miasma which he thought humanity had been infected with far back in history. This is the most usual miasma and constitutes an internal disturbance and weakness that may express itself in many different patterns of disease. As it weakens the resistance of the organism, it will also predispose for the other miasmas. In modern homeopathy it is not usual to regard the psoric miasma as a typical miasma in itself, but rather as a general constitutional weakness or disturbance. And the homeopathic remedies Hahnemann recommended for the treatment of the psoric miasma, constitute to day the important constitutional remedies in homeopathy.

The two other miasmas Hahnemann described, are the syphilitic miasma, due to syphilis, and the miasma due to gonorrhea. He found that both of these miasmas are relatively common causes of chronic disease that may manifest in different forms.

In addition to these three miasmas homeopathic doctors in the 19th century discovered another important miasma, the tubercular miasma. Just as with the other miasmas, the tubercular miasma does not correspond to manifest tubercular infection, but to a more subtle effect of tuberculosis that may be transferred to descendants of those who have suffered from tubercular infection.

The theory of the miasmas and their significance for the understanding and treatment of chronic diseases belong to the most difficult part of homeopathy. And it has not been accepted by all homeopaths. Just as with other parts of Hahnemann’s teaching, his theory about the chronic diseases and the miasmas was, however, developed on the basis of extensive and careful observations. And ultimately it is clinical experience that is decisive in medicine. According to my judgement there is little doubt that concepts like the syphilitic and the tubercular miasmas represent important advances in medical thought, although we to this day do not quite understand what they represent. In clinical practice Hahnemann’s teaching about the miasmas explain many individual patterns of disease and tell us how to treat them with appropriate homeopathic therapy. And the constitutional homeopathic remedies he recommends, constitute a valuable and highly interesting part of the homeopathic repertory.

To day we may better appreciate and possibly accept the theory of the miasmas as subtle disturbances in the vital power of the organism. The discovery of Kaznatchejev that the disease process due to infectious disease may be transmitted from one cell to another by ultra-weak radiation, gives us a new scientific basis to understand how such subtle physical disturbances in the energy pattern (or rather we may call it ‘biological des-information’) can act as a cause of disease. With new insight into the physics of DNA and the development of wave-genetics it is no longer unreasonable that such subtle pathogenic disturbances (or biological des-information) may be transferred genetically from one generation to the next.

In 1831 Europe was hit by a very serious epidemic of cholera. The health authorities were helpless and fear grew as the epidemic hit ever new areas. Hahnemann now interrupted his study of the chronic diseases and wrote 4 booklets of information he gave to publishers to make them available for the public. This caused a violent reaction from medical experts. The booklets were stopped in Germany, but were published in other countries. Hahnemann was first of all criticised because he claimed that cholera was a highly contagious disease. According to him, cholera was transmitted from person to person “by living beings of a lower order” which possibly had their origin in the “marshes around the river Ganges in India”. To day this aetiology of cholera is a well known medical fact. But at the time of Hahnemann the medical authorities claimed that cholera was not contagious. and that there was no extra risqué in sharing the same bed as a cholera patient.

Those medical doctors who followed the advices of Hahnemann, had much better results than those who gave the usual treatment for cholera at that time. The statistical mortality of this very violent cholera epidemic was close to 50 %. Among the 1238 cases of cholera treated according to the homeopathic prescriptions of Hahnemann by Dr. Bacody in Raab, Dr. Gerstal in Brünn, Dr. Schreter in Lemberg, Dr. Stüler in Berlin, Dr. Seider in Wisnei-Woltscheck, Dr. Veit in Wien and Dr. Hadasy in Daka there were only 84 cases of death, and thus a mortality of only 7 %. (2) Similar results were achieved by homeopathic doctors in England.

Hahnemann stayed in Köthen until 1835. At that time he was a widower and his 11 children were grown up. A French woman of 35 years came to him for medical advice. They fell in love, got married and moved to Paris. This way he started at the age of 80 years the last phase of his life.

In Paris it was as if the goddess of Fortuna at last smiled to Hahnemann. Although he still was controversial and academic medicine turned its hand down for this new kind of medicine, he had many influential admirers. In France a homeopathic medical association had already been established, and Hahnemann was elected honorary president in the presence of 500 admirers. He became a celebrity. In daytime horses and carriages were lined up in front of his office. The evenings he often went together with his wife to theatres, concerts or parties. He had completed the task of his life to create homeopathy as a new school in medicine, and now he apparently enjoyed the evening of his life together with his elegant and beautiful wife. He kept his vitality until his death in 1843 at the age of 88. His long working days through so many years, the bitter struggles he had lived through, and all the poisonings he had sustained to test out new medicines, had not weakened his constitution or broken his will for life.

Homeopathy after Hahnemann

In spite of this personal triumph and in spite of the success of homeopathy as a practical art of healing, homeopathy was never accepted or taken seriously by academic medicine. A campaign to prohibit homeopathy was stopped a few years after the death of Hahnemann by the French government. In his reply to the medical academy the minister Guizot wrote these wise words:

     “If homeopathy is a chimera and an inutile method, it will disappear by itself. If it, however, is an advance in medicine, it will progress in spite of all our attempts to prohibit it, and the Academy then ought to be the first to welcome it. It is Your task to promote advances in science and inspire new discoveries.” (1)

The decisive scientific argument against homeopathy was then, as it is now, that it utilizes remedies that are so much diluted that they from the point of view of chemistry can not contain any active substances. As long as medicine is locked into a chemical understanding of reality, consisting exclusively of atoms and molecules, homeopathy appears like a chimera and a scientific fraud. The higher potencies of homeopathic remedies that were diluted to the extent that they statistically could not contain any molecules of the original substance, were later prohibited in France. In spite of this restriction and in spite of ridicule by their colleagues many French medical doctors continued, however, to practice homeopathy. To day several thousands of French doctors use homeopathic remedies.

In Germany the pupils of Hahnemann continued the development of homeopathy. Special homeopathic pharmacies were established to make homeopathic remedies available without breaking the privileges of the pharmacists. To day homeopathy is practiced widely in Germany, but mostly in a less classic way, using complex compounds of several low potency homeopathic remedies in combination – a form of homeopathy Hahnemann did not favour.

In England homeopathy was officially recognized when Parliament in 1950 authorized a special homeopathic faculty to be integrated in the university system. It has been of great significance that the British royal family traditionally has preferred homeopathic therapy. The personal physician of Queen Elisabeth is a homeopath and the Royal Homeopathic Hospital is famous. It is of great interest that homeopathy also has become popular in India where it has found links of association with traditional ayurvedic medicine.

Perhaps the most interesting development in homeopathy was, however, in the United States. A pupil of Hahnemann, Constantine Hering, brought homeopathy to America. In 1848 he founded in Philadelphia the Hahnemann Medical College, establishing homeopathy at a high academic level in the spirit of Hahnemann. We owe to him the formulation of the last basic law of homeopathy. According to the law of Hering, a disease heals by moving from the upper part of the body to the lower part, from the interior to the exterior, from the most central and vital organs to the less vital parts of the organism; and during the healing process the patient will experience symptoms belonging to earlier stages of the disease. This last part is an interesting phenomenon which often occur, not only during homeopathic therapy, but also in connection with other kinds of natural healing processes. It is as if the patient relives the disease history backwards in time. Or, as it is often told: a disease has to leave through the same door it has entered.

The greatest name in homeopathy in the second half of the 19th century was James Tyler Kent. Kent was professor of anatomy at the medical college in Saint Louis when his wife to his great sorrow was struck by a serious disease which failed to respond to all available medical care. It was with utmost scepticism he in the end let a homeopathic doctor treat her. The healing of his wife through this homeopathic therapy impressed him deeply and caused a revolution in his medical thought. He studied homeopathy himself and became one of the most knowing and therapeutically successful homeopaths who has ever lived. Next to Hahnemann’s ‘Organon’ the ‘Repertory’ by Kent is the most famous book in homeopathic literature. It is a handbook used by homeopaths to identify the right homeopathic remedy in each individual case. Kent was a great teacher, and it was much due to him and his pupils that homeopathy of high potency won a new renaissance in Europe.

At the end of the 19th century homeopathy was widely practiced in the United States. One out of five medical doctors practiced homeopathy and there were around 100 hospitals that gave homeopathic therapy. In 1910, however, the Flexner report was published, and new strict guidelines for the medical education were established in the US. Only 20 % of the medical colleges satisfied the “scientific” guidelines defined by the Flexner report. In due time all the others were forced to close. Homeopathy was thus forcefully exempted from American medicine which from now on was totally dominated by the accepted academic medicine. (5)

Classical homeopathy has, however, survived in America and is now in new development there, as in many other countries. A prominent teacher during the last decades has been George Vithoulkas who has established an academy for homeopathy in Athens and has had great success reviving the interest for classical homeopathy in the whole Western world. (6)

 

Can We Explain Homeopathy on the Basis of Natural Science?

Homeopathy has survived for 200 years and remains a vital school in Western medicine. According to the recommendation of Guizot, we have reason to accept it as an important contribution to medicine which the Academy, representing the scientific authority of our medicine, ought to welcome.

But how are we to explain the medical effect of homeopathic remedies? Homeopathic remedies of higher potency are diluted to the degree that no molecules of the original substance remain in the solution. To claim that such dilutions have medical effect, appears to violate fundamental laws of chemistry and physics. Her we face a real paradox that bears on not only medicine and biology, but even chemistry and physics.

It has often been argued that also in other fields of medicine, like in immunology, there are examples that even minimal traces of a chemical substance may have strong medical effects. A simple analysis, however, shows that such analogies are not sufficient to explain the paradox of homeopathy.

Homeopathy has been ridiculed by comparing it with a procedure where you drop a teaspoon of a chemical material in the Rhine at its sources in the Alps, and then take another teaspoon of its water at the outlet of the Rhine by Rotterdam and then give it as a medicine to a patient. (7) The truth is, however, even more paradoxical. All the waters of the oceans of the world would not be sufficient as a solvent if we were to obtain the same degree of dilution as we have in high potent homeopathic remedies. In a homeopathic dilution of C12 (the 12th centesimal potency, corresponding to a dilution of 10 in the potency 24) we have exceeded the number of Avogadro (giving the number of molecules of a chemical substance in a defined amount), and there will statistically be no molecules of the substance left in the solution. In homeopathy dilutions of C1000 and even higher are used. ahnemann Medical CollegeHHeringospital Hospital

And such dilutions are even called remedies of high potency and are recommended used carefully and often with long intervals in between dosages because of the deep and long lasting healing reactions they may initiate.

In homeopathy chemical substances, that normally do not have any significant pharmacological effect, are also used as highly potent remedies. One of these, which is thought to be a highly potent homeopathic remedy with very profound effects, is Natrium muriaticum, which actually is ordinary table salt (sodium chloride) in homeopathic dilution. In such a case it is obvious that a couple of molecules that might remain by chance in the dilution would have no effect whatsoever. How might a few molecules of common table salt possibly be of significance compared to the billions of billions chemically identical molecules we daily digest through our food? If we really are to take homeopathy seriously, the conclusion is clear: the effect of homeopathic remedies can not be explained on the basis of known biochemical principles.

 

To better understand what happens in homeopathy we may put it logically in a few steps:

1.      When the organism is exposed to a pathogenic factor, a disease is produced.

2.      When the organism is exposed to poisoning with a chemical substance, a pattern of symptoms similar to the disease is produced.

3.      When this chemical substance is shaken together with a solvent in increasing dilutions, according to the method of Hahnemann, a homeopathic factor is produced in the dilution, and this constitutes the real homeopathic remedy.

4.      When this homeopathic remedy is given to the diseased organism, it helps the organism to overcome the pathogenic factor and induce a healing process.

When we look at these four steps, we see that both the organism and the solvent we use for creating the homeopathic dilution, are exposed to something they react to. A pathogenic factor causes a disease, characterized by a specific pattern of symptoms, which expresses the fight of the organism against this pathogenic factor. In the solvent a homeopathic factor is produced, which when it is given to the patient helps him to overcome the disease. We may imagine this to happen either by neutralising the pathogenic factor, or by strengthening the resistance of the organism, or by provoking the organism to a stronger response to rid itself of the disease.

In the first case the homeopathic factor will act as a non-chemical antidote. In the second case it will act as a resonance amplifier of the defence reaction of the organism, and in the third case as a kind of provocation therapy. The effect of the homeopathic therapy may include one, two, or even three of these reactions.

In the production of successive dilutions of the homeopathic remedy, the part that is to be diluted is shaken thoroughly together with the medium of dilution. This will cause a physical interaction that may cause a change in the medium of dilution. In chemical dilutions the potency of the dilution will be a function of the number of molecules in the dilution, and this will diminish with successive dilutions. In homeopathic dilutions, however, each new dilution may change the properties of the remedy, but it will not reduce its potency. A homeopathic dilution is thus not a dilution in a chemical sense. We rather have to imagine it as a physical change in the medium of dilution that somehow dissipitates through the whole volume of the dilution. By each new dilution we take a part of the preceding dilution to prepare the new one. This part, therefore, must somehow represent the whole dilution, being able to mediate this wholeness to the next dilution. A homeopathic dilution thus seems to function as a whole and to have coherent properties.

Apparently we have to conclude that the homeopathic factor is located in the medium of dilution and not in the molecules of the original chemical substance. It is, however, related to this substance as a kind of image representing information about this substance in such a way that it may act on the organism according to the principle of similarity.

This way we may explain the effect of homeopathy on the basis of information theory. It is a question of what we call problems of invariance:  how an image or a pattern of information may be transferred from one medium to another without loosing its information value.

During the last decades information theory has become one of the mightiest branches of science. Information is to day an equally fundamental scientific concept as matter and energy. The father of cybernetics, the American mathematician Norbert Wiener, stated it like this in 1948: “Information is information, not matter or energy. No materialism that does not accept this, can survive to day.”

An explanation of homeopathy on the basis of information theory gives us, therefore, a possibility to practice it in accordance with the framework of modern science. And for all practical purposes this is sufficient. It is, however, not sufficient to answer the fundamental scientific problems homeopathy raises: What, in a physical sense, is the homeopathic factor arising in the medium of dilution? How is this factor transferred and transformed through successive homeopathic dilutions? And how does it act on the living organism? It is through such questions we are brought face to face with the real challenge homeopathy poses for our scientific understanding.

If the homeopathic factor is due to a structural or energetic change in the medium of dilution, it should be possible to measure this by physical methods. Already in 1862 Ozanam analysed the spectrum of light from homeopathic dilutions and was able to identify changes due to the diluted chemical substance at a dilution of C9. (1) The decisive question is, however, if such changes also can be identified at dilutions higher than C12 or D24, where, according to the number of Avogadro, no molecules of the original chemical substance remain. In 1948 Wurmser and Loch managed to prove such changes by spectral analysis for three different homeopathic remedies in dilutions from D24 to D30. (8) And in 1976 the French pharmacologist C. Luu demonstrated significant changes in the spectrum of Bryonia up to a dilution of D60. (9)

Changes in the dielectric index in a medium of dilution due to homeopathic dilutions are also of great interest. This was first discovered by Gay and Boiron at the beginning of the 1950ths. (10) Their experiments were repeated by Stephenson and Brucato in 1966. They measured the dielectric index in homeopathic dilutions of mercury chloride in distilled water, and found that this was significantly reduced compared to the value in distilled water. This was found in all dilutions they examined up to D33. (11) Significant physical changes in the medium of dilution due to homeopathic dilutions have also been found by nuclear magnetic resonance. (12, 13)

Such experimental evidence has so far not been accepted as final, scientific proof, but they support the view of leading homeopaths since the time of Hahnemann that homeopathic remedies are medicines in a physical sense. Hahnemann defined the homeopathic factor as a “spirit like force to change the state of health which is hidden in the inner nature of man”. (14) I suppose the term ‘spirit like force’ was about as close Hahnemann could get in the vocabulary of his time to a modern physical concept of biological information. Another place in ‘Organon’ he writes that this force is not “hyper-physical”, that is it does belong to the domain of physics.

When I described how homeopathic dilutions are produced, I wrote that the homeopathic factor is dissipated through the whole volume of the dilution and that it apparently had coherent qualities. I thus described it as a dissipative structure. To what degree homeopathic remedies can be explained on the basis of the theories of dissipative structures and coherent excitations such as these have been formulated by Prigogine and Fröhlich, is an open question. In regard of the great number of successive dilutions necessary to produce high potency homeopathic remedies this would probably be to stretch these theories too far. What we might say so far is that these theories give us a theoretical model that may give us an indication how a physical explanation of homeopathy might be possible.

Both Prigogine (14) and Fröhlich (15) believe that their theories are of primary significance for the science of life, and that a scientific explanation of the phenomenon of life must be based on the phenomenon of coherence arising in states far beyond thermal equilibrium. And in such a scientific context medical remedies based on coherent structures and biological resonance, and not on well known biochemical principles, will be far easier to accept as reasonable from a scientific point of view. Yes, indeed, perhaps it is such kinds of medical remedies we have to expect as a natural consequence of our new scientific insight.

We may thus conclude that in time there will probably be possible to give a physical explanation of what the homeopathic factor in homeopathic remedies really is. From a biophysical point of view homeopathy is a scientific possibility. But this is not sufficient to explain how remedies produced according to Hahnemann’s method have such profound medical effects. Here, however, another great physicist might give us the key for a more profound understanding. I am here referring to David Bohm and his theory of implicate order.

 

Homeopathy and Implicate Order

A hologram is, according to Bohm, an example of an implicate order. Although a hologram has no external similarity to the object it mirrors, each part of the hologram contains all the information necessary to recreate an image of the object. The image of the object is implicated (folded in) into every part of the hologram and can be explicated (folded out) from that part. The information contained in a hologram represents thus an implicate order. A television broadcast represents likewise an implicate order: The camera picture is transformed to an electromagnetic message where each point in the picture is represented as an electrical signal that is modulated on an electromagnetic carrier wave. (16) Light which hits the retina in our eyes mediates information about visual objects as an implicate order. In the retina this information is translated into a pattern of nervous signals that is transmitted like a new implicate order to the visual cortex of the brain.

According to Bohm, these concepts of implicate and explicate order are of fundamental significance for our understanding of reality. The wave – particle duality of modern physics means that the wave structure and the particle structure are complementary aspects of physical reality. If we do one type of experiments, we find that physical reality behaves as waves. If we do another type of experiments, we find that the same physical reality behaves as particles. According to Bohm, the wave structure of physical reality represents an implicate order, while the particle structure represents an explicate order. Elementary particles are all the time implicated like waves, and the waves explicated as particles. (16) The wave phenomenon thus represents the implicate order of physical reality.

Implicate order is, however, an even wider concept than what has to do with waves and wave structures. The theory of Bohm gives a fundamentally new way of compassing our understanding of reality. In their mathematical development of the theory Bohm and his students have shown that both the relativity theory and the quantum theory can be deduced from the theory of implicate order as more specialized laws if certain bordering conditions are accepted. (16) They have been working to plan experiments where the theory can be tested beyond these bordering conditions.

In science, as we know it, we have been mostly concerned about the explicate order. According to Bohm, however, the implicate order is of more fundamental significance to understand reality. He compares the explicate order to islands in an enormous sea of implicate order.

If we apply these concepts to homeopathy, we see that the process of homeopathic dilution implies that the explicate order, of the original chemical substance, is implicated into the medium of dilution as an implicate order. We have to imagine that the medium of dilution represents a kind of extremely sensitive film where information of the chemical substance is impregnated, or implicated, as a holographic image of the original substance. By further dilutions this holographic image will be further implicated into the medium of dilution. We may here talk about implications in several steps or stages, in accordance with increasing homeopathic potencies. This is actually in accord with the theory. Bohm does indeed talk about implications in successive steps giving implications of higher degrees, and he has developed a mathematical formula for this. (16) Although Bohm does not mention homeopathy, we may therefore on the basis of his theory define a homeopathic remedy of a certain potency as an implicate order of corresponding degree.

In we apply the same reasoning to the field of medicine, we may describe a disease as an implication of a pathogenic factor into the organism. This may indeed be a highly meaningful way to describe diseases. The Russian biophysicist Vlail Kaznachejev discovered in the 1960.s that the pathogenic information represented by a virus is transmitted from infected cells by ultra-weak ultraviolet radiation to other cells, causing similar disease symptoms in uninfected cells. (17) This discovery has later been confirmed through more than 20.000 single experiments, not only for virus diseases, but also for other disease conditions. The explicate information represented by the virus particle is here apparently implicated in the pathogenic radiation. This implicated pathogenic information, or may be we rather should call it ‘biological disinformation’, is further implicated in pathological processes in the diseased organism to be explicated in a manifest disease.

When the organism is exposed to physical damage, as when we cut a finger, this brings a material loss, but not necessarily a disease. A wound will heal, and thus the anatomical integrity of the organism is re-established. Through a healing process the organism on the basis of its inner implicate order will re-establish order on the external explicate level. We realize that the living organism includes both explicate and implicate orders, and that implicate order may be on many levels and of different degrees or levels of implication. Healing seems to imply a restoration of organic order on the basis of a more implicated degree of internal order.

We may thus define a disease as an implicate disorder which is explicated in manifest symptoms. A long lasting disease will as a rule imply a deeper implication of the disease in the organism, than a short term disease. A chronic disease arises when the organism is not able to heal itself. We may suppose that this means that the disease has reached such a level of implicate order in the organism that the ability for spontaneous healing and restoration of physiological order in the organism has been permanently impaired. To heal such a disease we have to act on a corresponding level of implication in the organism. Or, perhaps, we even have to intervene on a still deeper level of implicate order in the organism to strengthen this in such a way that a real healing process may take place.

In such a theoretical context homeopathy is meaningful. Those rules that have been discovered on an empirical basis get their logical explanation. We may now understand why remedies of low potency act for a short time and must be given in repeated dosages; why remedies of high potency may start a long lasting healing process which may heal a chronic disease; and why acute diseases as a rule ought to be treated by remedies of low potency, while chronic diseases require remedies of high potency. Such a model of thought explains the law of Hering and tells us why a chronic disease has to heal from the inside out and through a re-enactment in time whereby earlier stages of the disease with symptoms the patient has experienced previously, recur.

In the light of Bohm’s theory of implicate order, homeopathy thus becomes rational and meaningful. This means that we have to regard it as a meaningful theory in a modern scientific context. If it also gives a relevant and useful understanding of reality, is another question that only can be settled on an empirical basis. But here homeopathy seems well supported through two hundred years of homeopathic practice.

The theory demands that the degree of order is sustained through successive implications and explications. As regards living beings, experimental data indicate that these have a very high degree of coherence and capacity for transferring and storing information. It seems more difficult to accept that a medium of dilution may have a comparable degree of transparency for information necessary to explain how a pattern of information may be implicated more than a thousand times through successive homeopathic dilutions, as required in high potency homeopathy. But as far as I understand, this is not impossible according to the theory of implicate order.

Bohm’s theory is a very ambitious new proposal for a more general understanding of reality. It is, however, to day gaining ever wider acceptance among physicists and other scientists. If   a new theory can contribute to our understanding of other and unexpected fields than those for which it originally was proposed, this may be an additional indication of its general value for our understanding of reality. And, as we have seen, the medical experience that has been crystallized through the history of homeopathy, is in profound agreement with this new proposal for a more thorough scientific understanding of nature.

References:

                                                                                                                                                                                           

1.      Palaiseul, Jean: “Tous les espoir de guerir”, Robert Lafont, Paris 1970.

2.      Haehl, Richard: “Samuel Hahnemann, Sein Leben und Schaffen”, Willmar Schwabes Verlag, Leipzig.

3.      Hahnemann, Samuel: “Organon of Medicine”, 6th edition, B. Jain Publ. , New Dehli 1972

4.      Hahnemann, Samuel: “Die chronische Krankheiten, ihre eigentümliche Natur und homeopathische Heilung”, Tyskland 1828.

5.      Capra, Fritjof: “The Turning Point”, Wildwood House, London 1982

6.      Vithoulkas, George: “Homeopathy – Medicine of the New Man”, Arco Publ. Inc., New York 1979.

7.      Voegeli, A.: “Wieder einmal die Hahnemannschen Potenzen”, Zeitschrift für klassische Homeopathie, Bind 17/1973.

8.      Stephenson, J.: “A Review of Investigation into the action of Substances in Dilutions greater than 1x10 (in minus 24th potency) (Microdilutions)”, Journal of the American Inst. of Homeopathy 48 (1955) 327-335.

9.      Luu, C.: “Etude des dilutions homöopathiques par spectroscopie Paman-laser”, Les Laboratoire Boiron, Depot legal 2 trimestre 1976, No 841, Editions et Imprimierie du Sud-Est-Lyon.

10.  Gay, A. and Boiron, J.: “Demonstration physique de l’existence reelle du remede homeopathique”, Edition des Laboratoire P.H.P., Lyon 1953.

11.  Brucato, A. and Stephenson, J.: “Dielectric Strength Testing of Homeopathic Dilutions of HgCl2”, Journal of the American Inst. of Homeopathy 59 (1966) 281-286

12.  Boericke, G.W. and Smith, R.B.: “Modern Aspects of Homeopathic Research”, Journal of Ame. Inst. of Homeopathy 56 (1963) 363-366 and 58 (1965) 158-167.

13.  Young, Timothy: “Nuclear Magnetic Resonance Studies of Succussed Solutions”, Journ. Ame.Inst.Homeopathy 68 (1975) 8-16. Young, T.: “Anomalous Effects in Alcohol-Water Solutions”, Review of Mathematical Physics 13 (1975) 10-12.

14.  Prigogine, Ilya: “From Being to Becoming”, W.H.Freeman and Co., San Fransisco 1980.

15.  Fröhlich, H. and Kremer, F. (eds.): “Coherent Excitations in Biological Systems”, Springer Verlag, Berlin/Heidelberg/New York/Rokyo 1983.

16.  Bohm, David: “Wholeness and the Implicate Order”, Routledge and Kegan Paul, London 1980.

17.  Kaznachejev, V. P. and Michailova, L.P.: Ultra-weak Radiation and Intercellular Exchange” (in Russian), Nauka, Novosibirsk 1981.

 

 

 
 

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