Transcript Homeopathy
Homeopathy
comes from the Greek words homeo, meaning similar,
and pathos, meaning suffering or disease.
Homœopathy (commonly spelled Homeopathy) seeks to
stimulate the body's ability to heal itself by giving very small
doses of highly diluted substances.
Homeopathy, already one of the most popular medical
systems in the world, is making a resurgence in Australia.
In the late nineteenth century Homeopathy was the
preferred medicine of one in four doctors in Melbourne.
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Homeopathic medicinal product
Homeopathic medicinal product – any medicinal product
made of products, substances or compositions specified as
homeopathic stocks in accordance with a homeopathic
manufacturing
procedure
described
by
the
State
Pharmacopoeia of Ukraine (SPh Ukraine) or the European
Pharmacopoeia, or in the absence of such description – in
the
German
Homeopathic
(GHP),
United
States
Pharmacopeia (HPUS), British Homeopathic Pharmacopoeia
(BHP),
Schwabe’s
Homeopathic
Pharmacopoeia.
Homeopathic medicinal product may also contain a number
of active substances (principles).
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Historical overview of the development of
Homeopathy
1. The basic principle of homoeopathy as a
system of medicine was recognized in ancient
Greece by the physician Hippocrates (460-350
Before Cristmas) who is generally regarded as
the father of medicine. He wrote "by similar
things a disease is produced and through the
application of the like, it is cured".
2. Second only to Hippocrates among the
founders of medicine was another Greek
physician, Galen (130-200 A.D )skilled in
Old homeopathic
anatomy and physiology, he wrote of natural
Belladonna remedy
cure by the likes, Galen was recognized as the
authority in medicine for more than 1000 years,
but during this time no significant progress was
made.
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Historical overview of the development of
Homeopathy
3. During the 15-th and 16-th centuries when medicine
was developing slowly as a scientific study, the Swiss
physician
and
leading
medical
reformer,
Dr.Theophastus Von Bombast (1493-1541 ), who
adopted the pseudonym Paracelsus rejected the
principle of opposite acting remedies and stated that
same must be cured by same. He also believed that
every diseased organ had its corresponding remedy
in nature, like his predecessors however his
reasoning was largely intuitive and lacked a precise
scientific approach.
4. The first precise enunciation of the fundamental
Old bottle of
homoeopathic principle was given in early 17-th
Hepar sulph
century by a Danish physician, Dr. George Stahl
made from calcium
taking up the assumptions of Paracelsus. He wrote: "I
sulfide
am convinced that disease will yield to and be cured
by remedies that produce similar affections"
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Samuel Hahnemann (1755-1843)
considered to be the father of
Homeopathy
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Discovery of the modern system of Homoeopathy
The founder of the modern system of homoeopathic treatment
was a brilliant German physician, Dr. Samuel Hahnemann, born on the
10-th of April 1755 in the town of Meissen in Saxony (Eastern
Germany)
It was during this difficult time that Hahnemann performed an
epoch-making experiment that was to lay the foundation for his new
system of medicine – Homoeopathy.
It arose when he was translating a book from English into German
written by a distinguished Scottish physician, Dr.William Cullen "A
treatise on Materia Medica".
It was an account of a drug Cinchona or Peruvian bark (Cortex
Peruvianus) which had been used for the treatment of malaria, first in
South America and subsequently in Europe, which prompted the
experiment, for several days he took large doses of the drug and
carefully noted the symptoms:
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Discovery of the modern system of Homoeopathy
his feet and finger tips became cold,
he became drowsy,
his heart began to palpitate,
his pulse quickened,
he experienced trembling in all his limbs with a thirst
and redness of cheeks.
The symptoms lasted only for a few hours and recurred
each time he repeated the dose.
Thus the drug cinchona, when taken by a healthy
person induced symptoms similar to malaria, the very
disease the drug was used to cure.
Hahnemann noted in the book "cinchona bark" which is
used as a remedy for intermittent fever in healthy people.
He had established the basic precept of homoeopathy, fore
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shadowed by Hippocrates, Galen Stahl and Paracelsus.
The main principles of Homeopathy
Homeopathy is an effective, non-invasive system based
on fixed laws and principles.
Its scientific approach to aspects of disease includes:
the Law of Similar,
the Law of Dilution (Healing or small dose)
the principle of Potentisation.
The basic concept of Homeopathy is treating like with likes,
using remedies which are capable of producing in healthy
person similar symptoms as those experienced by the patient.9
1. - The Law of Similars
The basic principle of Homoeopathy Dr. Hahnemann
expanded to "SIMILIA SIMILIBUS CURENTUR“.
The principle "like cures like” states that a disease can be
cured by a substance that produces similar symptoms in healthy
people.
This idea, which can be traced back to Hippocrates, was
further developed by Hahnemann after he repeatedly ingested
cinchona bark, a popular treatment for malaria, and found that
he developed the symptoms of the disease.
Hahnemann theorized that if a substance could cause
disease symptoms in a healthy person, small amounts could
cure a sick person who had similar symptoms.
For example, if the symptoms of your cold are similar to
poisoning by mercury, then mercury would be your homeopathic
remedy.
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2. - The Law of Healing
(the law of minimum dose)
The principle of dilutions states that the lower the
dose of the medication, the greater its effectiveness.
The doses used in homoeopathy are so small that
they cannot be accused of acting, directly on the
physical body.
Hahnemann
considered
that
they
acted
dynamically, that the energy of the remedy stimulates
the natural healing energy of the body, if it was in a
state of disharmony in order to its return to its former
healthy state.
The remedy is taken in an extremely dilute form; normally
one part of the remedy to around 1,000,000,000,000 parts of
water.
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3. – the principle of Potentisation
strengthening the power of a remedy (in the
homeopathic senses) by succussion.
In homeopathy, substances are diluted in a stepwise
fashion and shaken vigorously between each dilution.
This process, referred to as "potentization," is
believed to transmit some form of information or energy
from the original substance to the final diluted remedy.
Most homeopathic remedies are so dilute that no
molecules of the healing substance remain; however, in
homeopathy, it is believed that the substance has left its
imprint or "essence," which stimulates the body to heal
itself (this theory is called the "memory of water").
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The choice of homeopathic medicines
Homeopaths treat people based on genetic and personal health
history, body type, and current physical, emotional, and mental
symptoms. Patient visits tend to be lengthy.
Treatments are "individualized" or tailored to each person – it is not
uncommon for different people with the same condition to receive
different treatments.
There are many chemical compounds that are used for
homoeopathic remedies.
Homoeopathic remedies have been used for some 200 years to treat
a wide variety of illnesses safely and effectively.
Hahnemann believed that the body contains an innate power to
heal itself; he called this the vital force.
He believed that when a person is ill this force becomes disordered
and that homoeopathic medicines are able to restore it in a unique
way.
The choice of medicines depends on the symptoms that are present
and is called the symptom medicine.
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The Single Remedy
No matter how many symptoms are
experienced, only one remedy is taken, and
that remedy will be aimed at all those
symptoms.
Similar principals forms the basis of
conventional allergy treatment, where the
allergic substance is given in a small dose,
and in vaccines where an impotent form of the
virus is given to bolster the immune system
against that particular virus.
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Why use Homeopathics?
Homeopathy is extremely effective. When the correct remedy is taken,
results can be rapid, complete and permanent.
Homeopathy is completely safe. Even babies and pregnant women can
use Homeopathy without the danger of side effects. Homeopathic remedies
can also be taken alongside other medication without producing unwanted
side effects.
Homeopathy is natural. Homeopathic remedies are normally based on
natural ingredients.
Homeopathy works in harmony with your immune system, unlike some
conventional medicines which suppress the immune system. (For example,
cough medicines suppress the cough reflex, which is your body's attempt to
clear the lungs)
Homeopathic remedies are not addictive - once relief is felt, you should
stop taking them. If no relief is felt, you are probably taking the wrong
homeopathic remedy.
Homeopathy is holistic. It treats all the symptoms as one, which in
practical terms means that it addresses the cause, not the symptoms. This
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often means that symptoms tackled with Homeopathy do not recur.
Homeopathy and conventional (allopathic)
medicine
Allopathic medicine has achieved significant leaps in preserving
both the quality and longevity of life, and it is important to recognize
this contribution.
A world wide vaccination program by the WHO has eradicated
smallpox; Insulin has enabled many type I diabetics to control their
condition; antibiotics, though not without their own problems, can
render potentially lethal infections harmless.
There are many homeopaths who frown on the entire spectrum of
allopathic medicine, though in practice, a more balanced approach is
often more effective. It is unwise, for example, for an insulin
dependent diabetic to discontinue their insulin.
However, conventional medicine is a wide label, and not all
conventional medicine is beneficial.
While in many cases symptoms are relieved, cured, or prevented
many allopathic medicines can do a lot of harm to your body.
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Homeopathy and conventional medicine
The symptoms of a disease, for a Homeopath, are your body's attempt to
cure itself. By contrast, conventional medicine often works by suppressing
your body's natural reactions, for example:
A cough is usually the result of foreign bodies in the lungs; the muscles
spasm in an attempt to remove it. Cough medicine simply stops this reflex.
A headache tablet is a painkiller and simply suppresses the feeling of pain,
leaving the body to undergo whatever torment it was before, but divorced
from our consciousness. This is a very bad thing. For example, many
headaches are due to dehydration - once the headache isn't felt, the patient
no longer feels the need to stop running around, working up a sweat and
dehydrating further.
The conventional approach to treating infections is antibiotics. Antibiotics
simply eat other bacteria. Our body also has bacteria that serve the same
function (indeed, there are many types of bacteria naturally occurring in the
body, all of which are beneficial) alas these are also consumed by antibiotics.
In addition, a widespread concern is that bacteria are becoming resistant to
antibiotics.
Antidepressants generally work by blocking emotional responses. Unlike
homeopathic remedies, dependence builds up quickly, and once a course of
antidepressants has begun, it is often a step down a long, slippery slope to
dependency.
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Homeopathy and conventional medicine
Conventional medicine is a very blunt instrument. Part of its
success lies in this very general nature. The sheer numbers of
possible factors that need to be considered for effective treatment
with homeopathic remedies have meant that it has required a long
and often expensive consultation with a trained specialist. In contrast,
regardless of the type of pain, or even where it is, the conventional
relief is a pain killer.
Compare that to homeopathy – in our remedy finder database, we
describe nearly 5,000 types of headaches.
The approach of conventional medicine denies our body's efforts
to heal itself and damages these systems.
Homeopathy does not work in the same way; how it does work
remains a mystery.
Chemists have concluded that in the very high homeopathic
potencies there is actually none of the original substance left.
Theories explaining homeopathy have been put forward, resting
on vibrations, electromagnetism, or the memory of water.
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Properties of allopathic and homeopathic remedies
Allopathic features
Used on basis of therapeutic action
Homeopathic features
Used on basis of a proving/drug
picture, toxicology and clinical
evidence
Animals and ill patients used to test
Provings on healthy humans
Size of dose sufficient to achieve blood Frequency of administration more
level
important
Strength expressed by amount of drug Strength set by the potentisation
present
process
Depends on metabolic activity to work Simple absorption; metabolic
activity unproven
Source of medicines is largely synthetic Sources mainly naturally occurring
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Allopathic and homeopathic
remedies as they affect patients
Allopathic features
Usually same drug given to all patients for
Homeopathic features
Individualised treatment in chronic states
similar symptoms
Drug given to treat symptoms in isolation
Most remedies treat patient as a whole
Condition at time of consultation treated
Holistic approach
Usually requirement for course of treatment
Taken only until improvement achieved
Symptoms disappear in no apparent order
Homeopathic laws of cure are followed
Side-effects and iatrogenicity
OTC aggravations generally only transient
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Controversies Regarding Homeopathy
Homeopathy is a controversial area of CAM because a
number of its key concepts are not consistent with
established laws of science (particularly chemistry and
physics).
Critics think it is implausible that a remedy containing a
miniscule amount of an active ingredient (sometimes not
a single molecule of the original compound) can have any
biological effect – beneficial or otherwise. For these
reasons, critics argue that continuing the scientific study
of homeopathy is not worthwhile.
Others point to observational and anecdotal evidence
that homeopathy does work and argue that it should not
be rejected just because science has not been able to
explain it.
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Use Homeopathy in the USA
According to the 2007 National Health Interview
Survey, which included a comprehensive survey of
complementary and alternative medicine.
A group of diverse medical and health care systems,
practices, and products that are not presently considered
to be part of conventional medicine.
Complementary medicine is used together with
conventional medicine, and alternative medicine is used
in place of conventional medicine.
People use homeopathy for a range of health
concerns, from wellness and prevention, to the treatment
of diseases and conditions such as allergies, asthma,
chronic fatigue syndrome, depression, digestive
disorders, ear infections, headaches, and skin rashes.
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Regulation of Homeopathic Treatments
Homeopathic remedies are prepared according to the guidelines of
the Homeopathic Pharmacopeia of the United States (HPUS), which
was written into law in the Federal Food, Drug, and Cosmetic Act in
1938.
Homeopathic remedies are regulated in the same manner as
nonprescription, over-the-counter (OTC) drugs.
However, because homeopathic products contain little or no active
ingredients, they do not have to undergo the same safety and efficacy
testing as prescription and new OTC drugs.
The U.S. Food and Drug Administration (FDA) does require that
homeopathic remedies meet certain legal standards for strength,
purity, and packaging.
The labels on the remedies must include at least one major
indication (i.e., medical problem to be treated), a list of ingredients, the
dilution, and safety instructions. In addition, if a homeopathic remedy
claims to treat a serious disease such as cancer, it needs to be sold by
prescription.
Only products for self-limiting conditions (minor health problems like
a cold or headache that go away on their own) can be sold without a
prescription.
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Regulation of Homeopathic Treatments
Most analyses of the research on homeopathy have
concluded that there is little evidence to support homeopathy as
an effective treatment for any specific condition, and that many
of the studies have been flawed.
However, there are some individual observational studies,
randomized placebo-controlled trials, and laboratory research
that report positive effects or unique physical and chemical
properties of homeopathic remedies.
The regulation and prevalence of homeopathy is highly
variable from country to country. There are no specific legal
regulations concerning its use in some countries, while in others,
licenses or degrees in conventional medicine from accredited
universities are required. In several countries, homeopathy is
covered by the national insurance to different extents, while in
some it is fully integrated into the national healthcare system.
In many countries, the laws that govern the regulation and
testing of conventional drugs do not apply to homeopathic
remedies.
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Side
Effects
and
Risks
A systematic review found that homeopathic remedies in
high dilution, taken under the supervision of trained
professionals, are generally considered safe and unlikely to
cause severe adverse reactions.
Liquid homeopathic remedies may contain alcohol. The FDA
allows higher levels of alcohol in these remedies than it allows
in conventional drugs. However, no adverse effects from
alcohol levels have been reported to the FDA.
Homeopaths expect some of their patients to experience
homeopathic aggravation (a temporary worsening of existing
symptoms after taking a homeopathic prescription).
Researchers have not found much evidence of this reaction in
clinical studies; however, research on homeopathic
aggravations is scarce.
Homeopathic remedies are not known to interfere with
conventional drugs; however, if you are considering using
homeopathic remedies, you should discuss this with your
health care provider first.
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Homeopathic repertory
by James Tyler Kent.
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History of Dr. Willmar Schwabe
Although Hahnemann had left behind a wide range
of knowledge and a guide to manufacture
homoeopathic remedies in his “Organon of Healing“,
“Materia Medica Pura“ and “Chronic Diseases”, he did
not leave behind detailed methods required for largescale manufacture.
It was the young German pharmacist Dr. Willmar
Schwabe (1839-1917) who was so dissatisfied with this
situation that he set out to develop analytical
methods and to define pharmaceutical technical
processes. He introduced quality controls and
organised the cultivation of his own medical plants.
In 1872 Dr. Schwabe produced the standard work
for
homoeopathic
pharmaceuticals
–
the
“Pharmacopoea
Homoeopathica
Polyglottica”,
which gave minutely detailed instructions on the
production of homoeopathic preparations. Soon,
Schwabe’s work gained world-wide importance and
was translated into many languages, like English,
French, Italian, Portuguese and Russian. It was
published in rapid sequences, appearing in the 5th
(1901) to the 9th (1912) edition as the German
Homoeopathic Pharmacopeia and thus became legally
binding in Germany.
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Pharmacopoea Homoeopathica Polyglotta
written by Dr. Willmar Schwabe
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Structure of W. Schwabe’s Homeopathic Pharmacopoeia
GENERAL PART
A. Homeopathic Pharmacy. Rules of storage
and the registration to issue.
B. Technology of preparation of homeopathic
medicines.
Section I. Preparation of medicines from herbal
raw and animal tissues:
§ 1. Methods of preparation of essences and
tinctures.
§ 2. Essences prepared from equal parts of
juice and 90 % ethanol.
§ 3. Essences prepared from 1 weight part of
juice and 2 weight parts 90 % ethanol.
§ 4. Tinctures prepared with 10 weight parts
ethanol and 1 weight part of dry herbal raw
or animal tissue.
Section II. Preparation of medicines from
minerals and chemical compounds:
§ 5. The aqueous solutions.
§ 6. The alcoholic solutions.
§ 7. Preparation of powder trituration from dry
substances.
Section III. Preparation of medicinal trituration
from liquids different origin:
§ 8. Preparation of trituration of liquids.
§ 9. Preparation of trituration of essences
and tinctures.
The decimal and centesimal scale.
Preparation of dilutions of the various
medicines:
a. Dilution of the liquid substance.
b. Preparation of the powder trituration.
c. Preparation of the liquid dilutions of
trituration.
Technology of preparation of pellets.
Preparation of tablets.
Preparation
of
ointments,
oils,
opodeldoces, alcohols and suppository.
Equipments and apparatus.
Indifferent substances
Nomenclature
C. General methods for the study of
homeopathic medicines
a. Methods for the study liquid preparations
b. General methods of investigation
trituration
SPECIAL PARTS.
Basic remedies.
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Homoeopathic terminology
Active ingredient
Allergodes
Allopathic
medicine
Antagonist
Antidote
(antipoison)
Basic solutions
Complex
homeopathic
is the substance in a medicines, that is biologically
active.
isopathic remedies used to treat allergies; haven’t
drug pictures obtained through provings, and are still
prescribed on the basis of local symptoms alone.
refers to the practice of conventional medicine that
uses pharmacologically active agents or physical
interventions to treat or suppress symptoms or pathophysiologic processes of diseases or conditions.
the opposite of the active substance.
medicines for decelerating, terminating or attenuating
poison (or homeopathic remedies) action on the body.
preparations, that directly obtained from the raw
material of various origin and intended for further
dilution according to Homeopathic Pharmacopoeia.
medicines, prepared of several homeopathic
substances.
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Homoeopathic terminology
remedy may be defined as constitutional when, by virtue of its
Constitutional
symptomatology, it covers the basic acute or chronic
remedies
symptomatology of a person throughout life.
are a mixture of active and excipients components. Depending
on the method of administration they may be in several types.
Dosage forms
These are liquid , solid and soft dosage forms.
Herbal drugs for are mainly whole, fragmented or cut, plants, parts of plants
including algae, fungi or lichens in an unprocessed state,
homoeopathic
usually in fresh form.
preparations
the number, indicating how many times to do the serial
dynamized dilution of the medicine by ten-or hundredfold scale.
The greater the number of dilution, the less amount of active
Homeopathic
substance contains the medicine and the more power it has.
dilution
The number of dilutions is recorded on each bottle of medicine
by a number, which is usually printed just after the name of the
medicine.
encyclopedia of materials which may be used to prepare
homeopathic medicines. They list the materials along with
Homeopathic
Materia Medica details of the provings which establish the symptoms and
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conditions for which they are claimed to be suitable.
Homoeopathic terminology
Homeopathic
medicinal product
Homeopathic pills
Homeopathic
Repertory
Homoeopathic
preparations
Isopathic remedies
Monohomeopreparation
a medicinal product prepared from products, substances or
compositions called homeopathic stocks in accordance with
a homeopathic manufacturing procedure described by the
European Pharmacopoeia (Ph), American Ph., Britis Ph. or
Homeopathic Ph. by W. Schwabe.
made from an inert substance (often sugars, typically
lactose), upon which a drop of liquid homeopathic
preparation is placed.
is an index of disease symptoms that lists remedies
associated with specific symptoms.
are prepared from substances, products or preparations
called stocks, in accordance with a homoeopathic
manufacturing procedure. A homoeopathic preparation is
usually designated by the Latin name of the stock, followed
by an indication of the degree of dilution.
this group of remedies involves the use of high dilutions of
the allergen to which the patient is sensitive.
medicine with one homeopathic substances.
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Homoeopathic terminology
“peculiar morbid derangement of the vital force”. There are 3
basic types of miasm: emotional, physical, infectious. Miasm –
Miasms
is a type of responding.
are the liquid preparations resulting from the extraction of
suitable source material with alcohol or water mixtures which
Mother tinctures
form the starting point for the production of most homeopathic
medicines.
(from the Greek nosos - disease) made from diseased or pathological
products such as fecal, urinary, and respiratory discharges,
Nosodes
blood, and tissue.
are solid preparations obtained from sucrose, lactose or other
suitable excipients. They may be prepared by impregnation of
Pillules
preformed pillules with a dilution or dilutions of homoeopathic
for
stocks or by progressive addition of these excipients and the
homoeopathic
addition of a dilution or dilutions of homoeopathic stocks.
use
They often are intended for oral or sublingual use.
(‘many uses’) are remedies whose drug pictures show a very
wide spectrum of activity and which therefore have a broad
Polychrests
range of applications.
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Homoeopathic terminology
Potentisation
(dynamisation)
Proving
Remedy
Sarcodes
Stocks
substance is diluted with alcohol or distilled water and then
vigorously shaken by ten hard strikes against an elastic body in
a process called succussion. In result, we obtained medicines
"potencies". Dilutions and triturations are obtained from stocks
by a process of potentisation in accordance with a
homoeopathic manufacturing procedure: this means successive
dilutions and succussions, or successive appropriate
triturations, or a combination of the 2 processes.
the process of registering minute details of the action of the
poisons and like substances.
a substance which has been prepared with a particular
procedure and intended for patient use.
homeopathic remedies prepared from healthy specimens.
are substances, products or preparations used as starting
materials for the production of homoeopathic preparations. A
stock is usually one of the following: a mother tincture or a
glycerol macerate, for raw materials of botanical, zoological or
human origin, or the substance itself, for raw materials of
chemical or mineral origin.
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Homoeopathic terminology
Tablets for
homoeopathic use
Vehicles
Centesimal scale (C)
Decimal scale
(D or X)
Quintamillesimal
scale (Q or LM)
are solid preparations obtained from sucrose,
lactose or other suitable excipients.
are excipients used for the preparation of certain
stocks or for the potentisation process. They may
include, for example: purified water, alcohol of a
suitable concentration, glycerol and lactose.
diluting a substance by a factor of 100 at each
stage.
the D or X scale dilution is therefore half that of
the same value of the C scale; for example, "12X"
is the same level of dilution as "6C".
diluting the drug 1 part in 50,000 parts of diluent.
A given dilution on the Q scale is roughly 2.35
times its designation on the C scale. For example
a remedy described as "20Q" has about the same
concentration as a "47C" remedy.
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The rules of Prescription
The writing of prescriptions falls exclusively within the
duties of the physician. He prefers to prepare and dispense
his own medicines, he should exercise the greatest care and
exactitude in giving his instructions to the pharmacist who is
to be governed by them. Not the slightest doubt should exist
concerning the physician's directions.
Abbreviations. While these facilitate the writing of
prescriptions they do not add to their intelligibility, and hence
should only be used in strict obedience to rules of
abbreviation. Legibility is absolutely necessary in the writing
of prescriptions, to avoid errors and waste of time. It is also
desirable that physicians of different countries should write
prescriptions in Latin, with which all pharmacists are
sufficiently acquainted.
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The rules of Prescription
1. The name of the medicine is to be plainly written, preferably in
Latin.
2. The form should next be stated as indicated in the examples given
below, denning carefully by the signs in use whether 'a tincture, dilution,
or trituration is desired. This is done by adding the abbreviation tinct. or
<f>, dil., trit., or, in case of either of the latter, to the number of the
dilution or trituration the sign x or c (decimal or centesimal scale) as an
exponent ; e. g., 3x, 6x, 3c, etc.
3. If the medicated moulded form is desired, this is also to be plainly
stated in words ; e. g., tablets, pellets, cones, etc. Such medicated
powder or moulded preparation is best expressed in plain words, or, if
preferred, the number with its exponent may be marked with line as
explained under Tincture Triturations ; e. g., ^ indicating a medicated
preparation of milk-sugar.
4. The quantity should also be stated explicitly in the usual signs of
metric or apothecaries' weight, or in words.
5. The dose and its frequency of repetition is plainly to be written
under the head of Signa or Directions.
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Note !
Homeopathy is a form of medicine that helps
your body heal itself
Homeopathic medicine is safe and has been
chosen for you individually, so it should not be
given to anyone else, even if they have similar
symptoms
Thank you for attention!
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