Monday, 14 April 2014

HomeopathySouthwest: Hay Fever Help

HomeopathySouthwest: Hay Fever Help: Hay Fever Help: Homeopathic Treatment and Other Self-help Tips When working well, our immune system protects us by destroying dan...

Tuesday, 21 January 2014

 The popularity of homeopathy worldwide

(This was originally posted by Dana Ullman, an American homeopath. The bit about the UK is particularly interesting)

Numerous surveys over the past 150 plus years have confirmed that people who seek homeopathic treatment tend to be considerably more educated than those who don’t (1). What is not as well known is the fact that homeopathic medicine is the leading “alternative” treatment used by physicians in Europe…and growing numbers of the citizenry.
And despite homeopathy’s impressive popularity in Europe, it is actually even more popular in India where over 100 million people depend solely on this form of medical care (2). Further, according to an A.C. Neilsen survey in India, 62 percent of current homeopathy users have never tried conventional medicines and 82 percent of homeopathy users would not switch to conventional treatments (3).
Skeptics of homeopathy insist that homeopathic medicines do not work, but have difficulty explaining how so many people use and rely upon this system of medicine to treat themselves for so many acute and chronic diseases; and a very large number of these people do not have to use anything else. A previous article that I wrote at this site presented a strong case for the scientific and historical evidence for homeopathy. Further, other articles here have provided additional scientific evidence for the use of homeopathic medicines in respiratory allergies and in pediatrics. Although a small and vocal group of skeptics of homeopathy continue to deny its viability, homeopathy’s growing popularity throughout the world amongst physicians, other health professionals, and educated populations continue to prove that skeptics are really simply medical fundamentalists.
The entire field of “alternative and complementary medicine” was so hot in the 1980s that, according to a respected market survey, the field of alternative and complementary medicine in Europe was second only to the computer industry for growth during this decade (4). This explosion of interest in natural medicine has continued in the 21st century.
In 1998, homeopathy was the most frequently used CAM therapy in five out of 14 surveyed countries in Europe and among the three most frequently used CAM therapies in 11 out of 14 surveyed countries (5). Three out of the four Europeans know about homeopathy and of these people 29 percent use it for their own health care. In other words, approximately 100 million Europeans use homeopathic medicines (6).
The sales of homeopathic and anthroposophical medicines grew by 60 percent between 1995 and 2005, from 590 million Euros in 1995 to 775 million Euros in 2001 and to $930 million Euros in 2005 (7). Because of homeopathy’s impressive and growing popularity in Europe, this alternative treatment poses a significant threat to conventional medicine, which may explain why there are ongoing efforts to attack it (and homeopaths) using devious and questionably ethical means.
France
Homeopathy is particularly popular in France, where it is the leading alternative therapy. In 1982, 16 percent of the population used homeopathic medicine, rising to 29 percent in 1987, and to 36 percent in 1992 (8). In 2004, 62 percent of French mothers used homeopathic medicines in the previous 12 months (9). A survey of French pharmacists was conducted in 2004 and found that an astounding 94.5 percent reported advising pregnant women to use homeopathic medicines (10).
Homeopathy is popular not only among the French public but also among the French medical community. As many as 70 percent of physicians are receptive to homeopathy and consider it effective, at least 25,000 physicians prescribe homeopathic medicines for their patients. Homeopathy is taught in at least seven medical schools: Besancon, Bordeaux, Lille, Limoges, Marseille, Paris-Nord, and Poitiers, and there are numerous postgraduate training programs. Courses in homeopathy are taught in 21 of France’s 24 schools of pharmacy, and also taught in two dental schools, two veterinary medical schools, and three schools of midwivery.
United Kingdom
England’s Royal Family has been homeopathy’s strongest advocates, thereby confirming that this system of natural medicine is not some “new age” therapy. There are five homeopathic hospitals working within the National Health Service, some of them with a two-year waiting list for non-emergency visits to a homeopath.
According to a House of Lords report (2000), 17 percent of the British population use homeopathic medicines (11). The respect accorded homeopathy and homeopathic practice by British physicians is evidenced by a 1986 survey in the British Medical Journal that showed that 42 percent of physicians referred patients to homeopathic doctors (12). Other evidence of support from health professionals was a 1990 survey of British pharmacists that found 55 percent considered homeopathic medicines “useful,” while only 14 percent considered them “useless” (13). The normally conservative British Pharmaceutical Association held a debate in 1992 to decide whether pharmacists should promote homeopathic medicines (14). They concluded by a large majority that they should.
The field of complementary medicine has gained much support in the 1990s. In 1993 the British Medical Association published a book entitled, Complementary Medicine: New Approaches to Good Practice (15). Britain’s health minister (in 1994), Dr. Brian Mawhinney, stated, “Complementary medicine has generally proved popular with patients, and a recent survey found that 81 percent of patients are satisfied with the treatment they received” (16). Another health minister stated that 80 percent of general practitioners want training in complementary therapies; 75 percent now refer patients to complementary therapists.
Despite the use and acceptance of homeopathy throughout the U.K., there is a very active group of skeptics, with significant Big Pharma funding, who work vigorously to attack this system of natural medicine. Even though there is a wide variety of serious and significant pressing issues in British medicine and science today, an active group of skeptics of homeopathy successfully resurrected in October, 2009, a House of Commons committee, called the Science and Technology Committee, with the intent to issue a report on homeopathy. A leading skeptics organization, Sense about Science, that has been pushing for the re-creation of this Committee is led by a former public relations professional who worked for a PR company that represents many Big Pharma companies. Of additional interest is the fact that other Directors of the Sense about Science organization are a mixture of former or present libertarians, Marxists, and Trotskyists who also, strangely enough, seem to advocate for the GMO industry (ironically, libertarians normally advocate for a “live and let live” philosophy, but in this instance, it seems that they prefer to take choice in medical treatment away from British consumers).
Sense about Science is a registered UK charity despite being a political pressure group. As such they have to divulge their sources of income which they do on their website. Not surprisingly, much of this comes from named pharmaceutical manufacturers.
One of the investigators for the House of Commons Science Committee is a Liberal Democrat MP, Evan Harris. He has collaborated with Sense About Science on various projects, and he was also one of the skeptic demonstrators against the national pharmacy chain, Boots, which sells homeopathic medicines. This advocacy role does not make him an unprejudiced observer as is required for this type of investigation.
A report from this kangaroo court was issued recommending that the National Health Service stop funding for homeopathy and homeopathic doctors, despite the support for homeopathy and for consumer choice from Mike O’Brien, the country’s present Health Minister. This report is only of an advisory nature, and because the Health Minister has already expressed his support for consumers’ right to choose their own health care, it is uncertain what, if anything, will result of this report. What was most surprising about this report was that it verified that when people repeat a lie frequently enough, such as “there is no research on homeopathy,” many people actually believe it, despite its transparent falsity.
Any rational person should and must be very suspicious of this “report.” The MPs (Members of Parliament) who were a part of the Science and Technology Committee which voted for this anti-homeopathy report comprised of five members, with three members barely eking out their victory. Of the three votes, two members did not attend any of the investigational meetings, one of whom was such a new member of the committee that he wasn’t even a member of the committee during the hearings, and the remaining “yes” vote was from Evan Harris, a medical doctor and devout antagonist to homeopathy. This report was not exactly a vote of and for the people.
In Scotland, 12 percent of general practitioners use homeopathic medicines and 49 percent of all general practitioner practices prescribe them (at least one medical doctor in a group practice)(17).
The use of homeopathic medicines is not simply popular in the treatment of humans but also animals. Although there is little data presently available on this subject, one survey discovered that 20 percent of Irish milk producers have tried homeopathic medicines to treat mastitis or high cell count cows, and 43 percent believe that they work. In the herds surveyed, 50 percent added homeopathic medicines to the cow’s drinking water, 27 percent administered medicines via injection, six percent orally doses the cows, and six percent of herds placed the medicines in the cow’s vagina (18).
Ireland
A survey in Ireland was conducted at 13 pediatric settings over a 4-month period (19). They found that 57 percent of parents reported using CAM for their child. Use was significantly higher in the two to four years age group. The most common medicinal CAMs used were vitamins (88 percent), fish oils (27 percent) and Echinacea (26 percent). The most common non-medicinal CAMs used were homeopathy (16 percent) and craniosacral therapy (14 percent). Only 13 percent of parents had informed their pediatrician of their child’s CAM use.
Germany
The German people are so supportive of natural medicine that the German government mandated that all medical school curricula include information about natural medicines. Approximately 10 percent of German doctors specialize in homeopathy, with approximately 10 percent more prescribing homeopathic remedies on occasion. In 1993, there were 1,993 medical doctors who had formally qualified in homeopathy, while in 2006, this number jumped over 100 percent to 6,073 (20). In Germany there are 9,000 natural health practitioners called heilpraktikers in 1993 and over 20,000 in 2007. Approximately 20-30 of heilpraktikers specialize in homeopathy.
A cross-sectional survey was conducted in a large random sample of 516 German outpatient care physicians with qualifications in 13 medical fields representative of a basic population of 118,085 statutory health insurance physicians in November and December 2005 as part of a national healthcare survey (21). In this survey, 51 percent were in favor of CAM use (26 percent were very much in favor, 25 percent were in favor). This survey found that 38 percent of the medical doctors prescribed homeopathic medicines.
A survey of departments of obstetrics in hospitals in the state of North Rhine-Westphalia, Germany, found that acupuncture and homeopathic medicine were the two most commonly used CAM practices (22). A total of 187 department of obstetrics were identified, and 138 (73.4 percent) responded to a questionnaire. Almost 96 percent of the obstetrical departments offered homeopathic medicines for obstetrical care.
The 2003-2006 German Health Interview and Examination Survey for Children and Adolescents (KiGGS) found a higher than expected use of homeopathic medicine amongst German children (23). The survey found that pediatric homeopathy is quite popular in Germany, particularly among children from families with a higher socioeconomic status. Nearly half of the homeopathic preparations were obtained by prescriptions from medical doctors or Heilpraktiker (non-medical practitioners) and used most often to treat certain self-limiting conditions. About 60 percent of homeopathy users concomitantly received conventional medicines. Homeopathy use was closely related to socioeconomic factors, with a significantly higher prevalence rate found in the zero to six year age group, among children residing in the former West Germany or the south of Germany, among children with a poor health status, with no immigration background , who received breast-feeding greater than 6 months, were from upper social-class families, and whose children’s mothers were college educated.
In 2002, the British Medical Journal (BMJ) reported that 75 percent of Germans have used complementary or natural medicine (24). They also reported that 5,700 doctors received specialized training in natural medicine, with this number doubling to 10,800 by 2000. Homeopathic medicine is practiced by 4,500 medical doctors in Germany, almost twice as many as did so in 1994. The German government conducted this survey, and it also discovered that there was a 33 percent reduction in sick days if people used natural therapies, especially homeopathy or acupuncture. It was also reported that women used natural therapies more than men did, but when men used them, they benefited more than women did.
In 2009 a survey of Germans who used homeopathy or acupuncture was published (25). This survey found that seven percent of the population used homeopathy and 10 percent used acupuncture. Individuals who had a high education level used homeopathy (68 percent), as compared with 53 percent who used acupuncture.
A survey of patients in Germany with chronic lymphocytic leukemia found that 44 percent had used alternative treatments. No correlation was seen with educational level, gender, or previous or current chemotherapy. The most common alternative or complementary treatment modality was vitamin supplementation (26 percent), followed by mineral (18 percent), homeopathic (14 percent), and mistletoe therapy (9.2 percent) (26).
A 2008 survey of German children with cancer was conducted and which found that 35 percent of the responders had used CAM (27). The most frequently used methods were homeopathy, dietary supplements and anthroposophic medicine including mistletoe therapy. Factors which increased the probability of using CAM were the previous use of CAM, higher social status and poor prognosis of the child’s disease. An impressively high percentage of parents of patients (89 percent) reported that they would recommend CAM to other parents.
The use of homeopathy and CAM in Germany by people with other chronic disease is also high, as was observed in a survey of German’s with multiple sclerosis (28). A 53-item survey was mailed to the members of the German Multiple Sclerosis Society, chapter of Baden-Wuerttemberg. Surveys of 1,573 patients were analyzed. In comparison with conventional medicine, more patients displayed a positive attitude toward complementary and alternative medicine (44 percent vs 38 percent, P less than 0.05), with 70 percent reporting lifetime use of at least one method. Among a wide variety of complementary and alternative medicine, diet modification (41 percent), Omega-three fatty acids (37 percent), vitamins E (28 percent), B (36 percent), and C (28 percent), homeopathy (26 percent), and selenium (24 percent) were cited most frequently. Most respondents (69 percent) were satisfied with the effects of complementary and alternative medicine. Use of complementary and alternative medicine was associated with religiosity, functional independence, female sex, white-collar job, and higher education (P less than 0.05). Compared with conventional therapies, complementary and alternative medicine rarely showed unwanted side effects (9 percent vs 59 percent, P less than 0.00001).
Sales of homeopathic medicines in Germany were approximately $428 million in 1991, growing at a rate of about 10 percent per year. Evidence of the significant support from the German medical community is the fact that 85 percent of these sales are prescriptions from physicians. Surveys indicate that 98 percent of pharmacies sell homeopathic medicines.
Switzerland
A government-sponsored survey was conducted in Switzerland that evaluated patient satisfaction and side effects in primary care and that compared homeopathic treatment and conventional medical treatment (29). A total of 3,126 adult patients responded to a questionnaire, 1,363 of whom received conventional medical treatment and 1,702 who received homeopathic treatment. This survey found that a higher percentage of homeopathic patients had chronic and severe conditions than the conventional medical patients, that homeopathic patients were more often “completely satisfied” with their treatment (53 percent vs. 43 percent), that homeopathic patients experienced significantly fewer side effects (7.3 percent vs. 16.1 percent), that the proportion of patients reporting complete resolution of symptoms was non-significantly higher in the conventional medical patients (28 percent vs. 21 percent). What is particularly important about this survey is the observation that homeopathic patients had a higher percentage of seriously ill patients but they expressed a much higher amount of satisfaction with their treatment than the patients who received conventional medical treatment. This survey also confirmed a common observation about people who seek homeopathic treatment and that is they were much more educated than those who didn’t (32.4 percent vs. 24.7 percent received “higher education”).
The Swiss Federal Office for Public Health issued a report to the government of Switzerland which concluded that “the effectiveness of homeopathy can be supported by clinical evidence, and professional and adequate application be regarded as safe” (30).
Other European countries in which homeopathy has a relatively strong presence include Switzerland, where different surveys have suggested that somewhere between 11 percent and 27 percent of general practitioners and internists prescribe homeopathic medicines; Italy where nine percent of the medical doctors prescribe homeopathic remedies sometimes; and the Netherlands where 45 percent of physicians consider homeopathic medicines effective and 47 percent of medical doctors use one or more complementary therapies, with homeopathy (40 percent of these select doctors) being the most popular (31).
The prevalence of CAM use in a sample of Swiss patients undergoing kidney transplant was 11.8 percent. The most frequently used alternative therapy used among these was homeopathy (42.9 percent) (32).
Italy
In 2004 a total of 7.5 million Italians use homeopathic medicines, 2.5 million more than a survey showed in 2000 (33). Approximately 14 percent of Italian women and 10 percent of men prefer homeopathic medicine to conventional medicine. A total of 9.6 percent of children between three and five years of age are treated with homeopathic medicines. Almost 90 percent of Italians who have used such medicines say these treatments helped by them, with 30 percent saying that they used homeopathic medicines for pain syndromes and 24 percent for severe or chronic diseases.
A 2005 survey on the use of complementary and alternative medicines (CAM) among cancer patients in Europe reported that 73 percent of the Italian cancer patients had used CAM, a number well above the European average of 36 percent (34). The most popular treatment modalities used by cancer patients in Italy were high use of homeopathy, herbal medicine, and spiritual therapies. A 2008 survey in Tuscany, Italy found that the incidence of CAM use after cancer diagnosis was 17 percent, with the most widely used forms being herbal medicine (52 percent), homeopathy (30 percent) and acupuncture (13 percent) (35). Use was higher in the urban area and among women, breast cancer patients, and persons with a higher education.
A survey of Italian children with cancer who were being treated at a conventional pediatric oncology unit found that 12.4 percent of the children used at least one type of CAM, with homeopathy being the most popular (36). Eighty-three percent of the parents of these children reported benefits, ranging from improved immune defenses, regression of diplopia, or improved blood values. This study confirmed the observation of many other surveys which found that users of CAM tended to be more educated than those who did not use CAM (37)(38)(39).
Five hundred and fifty-two patients who had inflammatory bowel disease and who were under treatment at an Italian tertiary medical referral center completed the questionnaire (40); 156 (28 percent) reported using alternative and complementary therapies, of which mainly involved homeopathy (43.6 percent), followed by controlled diets or dietary supplements (35.5 percent), herbs (28.2 percent), exercise (25.6 percent) and prayer (14.7 percent). An improvement in well-being (45.5 percent) and inflammatory bowel disease symptoms (40.3 percent) were the most commonly reported benefits. A higher education (P equal to 0.027), a more frequently relapsing disease (P equal to 0.001) and dissatisfaction with the doctor’s communication (P equal to 0.001) correlated with alternative and complementary therapy use. Non-compliance with conventional drugs, disease severity and curiosity regarding novel therapies were predictors of alternative and complementary therapy use.
Spain
In Spain, homeopathy has gotten so popular that INE, the country’s statistic institute, added expenditures on homeopathic medicines to their calculations for monthly inflation rates (41). Sales of homeopathic medicines in Spain are growing at 10-15 percent annually, with approximately 15 percent of the population saying that they have used a homeopathic medicine and 25 percent said that they would be happy to try one (42).
Eastern Europe
When the Iron Curtain was up, Hungary, Czechoslovakia, and East Germany banned homeopathy, but this medical iron curtain fell with communism. Homeopathy holds a unique place in Russia, where it has been widely accepted, but is not sanctioned by the state medical bureaucracy. Thus, homeopathic care is not free and has been a part of the new Russian economy where fees are paid for health services. Demand for homeopathic care is so great that Russians prefer to pay for homeopathic care than to receive free conventional medical care.
Some skeptics have asserted that homeopathy and natural medicines are becoming increasingly popular in Russia because “real medicine” is either unavailable or too expensive (43). However, this assumption has been disproven, because the trend toward homeopathic and natural medicine is particularly popular among those Russians who are more educated and are in higher economic classes. Journalists and skeptics tend to assume that homeopathic medicines simply do not work, and thus they create fanciful theories about why the use of homeopathy is increasing.
A survey of Russian physicians in three academic hospitals in St. Petersburg was published in 2008 (44). This survey found that 100 percent of the respondents had practice CAM and/or referred patients to at least two CAM therapies. On average, each physician had practiced or referred patients to 12.7 different CAM treatments. Homeopathic medicine was the 8th most popular, with 58 percent using or referring for homeopathic treatment, 31 percent using on themselves, 29 percent using it on their own patients, and 38 percent referring for homeopathic care.
In Hungary, homeopathic literature was banned for 40 years until 1990. Homeopathy has now been accepted and integrated into regular medical education and is taught in two medical schools. The Hungarian Homeopathic Medical Association started with 11 members in 1990, grew to 75 after 18 months, and grew further to 302 members in 1994.
After the fall of communism in Czecholslovakia, a homeopathic organization in the Czech Republic was established in November, 1990, and it was immediately accepted and integrated within the larger conventional medical society. Within a year, the Ministry of Health officially recognized homeopathy as a medical specialty.
REFERENCES:
(1) Rothstein, W. Physicians in the Nineteenth Century. Baltimore: Johns Hopkins University Press, 1972.
(2) Prasad R. Homoeopathy booming in India. Lancet, 370:November 17, 2007,1679-80. (Additional note: Even though the overall mortality rate in India is quite poor compared with most modern First World countries, this is primarily due to the large number of exceedingly poor people. The mortality rate of urban middle and upper class people in India is comparable, if not better, than similar populations in the USA.)
(3) A C Neilsen survey backs homeopathy benefits. Business Standard. September 4, 2007. http://www.business-standard.com/india/news/a-c-nielsen-survey-backs-homeopathy-benefits/295891/
(4) “Alternative Medicine/Alternative Medical Market,” Frost and Sullivan Ltd. Report #E874, London, 1986.
(5) Norges offentlige utredninger, NOU 1998:21 Alternativ medisin. (Official report published by the Norwegian Department of Health. Available at: http://www.regjeringen.no/en/ministries/hod/Documents/NOUer/1998/NOU-1998-21.html?id=141407
(6) di Sarsina PR, Iseppato I. Looking for a person-centered medicine:non convent8onal medicine in the conventional European and Italian setting. eCAM, 2009; doi:10.1093/ecam/nep048.
(7) ECHAMP, Facts and Figures, Second edition, 2007. www.echamp.eu
(8) L’Homeopathie en 1993. Lyons: Syndicat National de la Pharmacie Homeopathique, 1993 (Quoting COFREMCA and IFOP public opinion surveys).
(9) Transactions, Nutrition Business Journal, July 7 2004.
(10) Damase-Michel, C., Vie, C., Lacroix, I., Lapeyre-Mestre, M., Montastruc, J.L. Drug Counselling in Pregnancy: An Opinion Survey of French Community Pharmacists, Pharmacoepidemiol Drug Saf. 2004 March, 18;13(10):711.
(11) House of Lords Science and Technology Report, November, 2000
http://www.publications.parliament.uk/pa/ld199900/ldselect/ldsctech/123/12303.htm
(12) Richard Wharton and George Lewith, “Complementary Medicine and the General Practitioner,” British Medical Journal, 292 (June 7, 1986): 1498-1500.
(13) Nelson, op. cit.
(14) Steven Kayne, “Homeopathic Pharmacy: Education, Research and Optimism,” British Homoeopathic Journal, October, 1993: 225.
(15) British Medical Association, Complementary Medicine: New Approaches to Good Practice, Oxford: Oxford University, 1993.
(16) Universal News Services, June 16, 1994.
(17) Ross, S, Simpson, CR, McLay, JS. British Homoeopathic and herbal prescribing in general practice in Scotland. Journal of Clinical Pharmacology, 62,6: December 2006, 647-652.
(18) Buss, Jessica. Irish Turn to Homoeopathy. Farmers Weekly, October 16, 1998.
(19) Low E, Murray DM, O’Mahony O, O’B Hourihane J. Complementary and alternative medicine use in Irish paediatric patients. Ir J Med Sci. 2008 Apr 22.
(20) Joos S, Musselmann B, Miksch A, Rosemann T, and Szecsenyi J. The role of complementary and alternative medicine (CAM) in Germany – a focus group study of GPs.
BMC Health Services Research 2008, 8:127. doi:10.1186/1472-6963-8-127
(21) Stange R, Amhof R, Moebus S. Complementary and alternative medicine: attitudes and patterns of use by German physicians in a national survey. J Altern Complement Med. 2008 Dec;14(10):1255-61.
(22) Munstedt K, et al. Clinical indications and perceived effectiveness of complementary and alternative medicine in departments of obstetrics in Germany: A questionnaire study. Eur J Obstet Gynecol (2009), doi:10.1016/j.ejogrb.2009.05.013
(23) Du Y, Knopf H. Paediatric homoeopathy in Germany: results of the German health interview and examination survey for children and adolescents (KiGGS). Pharmacoepidemiol Drug Saf. 2009 Feb 23.
(24) Tuffs, Annette, Three out of Four Germans Have Used Complementary or Natural Remedies, BMJ, November 2 2002;325:990.
(25) Bussing A, Matthiessen PF, Ostermann T. Differential usage of homeopathy and acpunture in German individuals. 2009 North American Research Conference on Complementary and Integrative Medicine, May 2009, Minneapolis, MN. Published in Alternative Therapies. May/June 2009, 15,3:S141.
(26) Hensel M, Zoz M, Ho AD. Complementary and alternative medicine in patients with chronic lymphocytic leukemia. Support Care Cancer. 2008 May 6.
(27) Laengler A, Spix C, Seifert G, Gottschling S, Graf N, Kaatsch P. Complementary and alternative treatment methods in children with cancer: A population-based retrospective survey on the prevalence of use in Germany. Eur J Cancer. 2008 Oct;44(15):2233-40.
(28) Schwarz S, Knorr C, Geiger H, Flachenecker P. Complementary and alternative medicine for multiple sclerosis. Mult Scler. 2008 Sep;14(8):1113-9.
(29) Marian F, Joost K, Saini KD, et al Patient satisfaction and side effects in primary care: an observational study comparing homeopathy and conventional medicine. BMC Comp Alt Med 2008, 8:52. doi:10.1186/1472-6882-8-52.
(30) Bornhoft, G, Wolf, U., von Ammon, et al, Effectiveness, Safety, and Cost-Effectiveness of Homeopathy in General Practice–Summarized Health Technology Assessment, Forschende Komplementarmedizin, 2006;13(suppl 2):19-29.
(31) Fisher, Peter and Ward, Adam. “Complementary Medicine in Europe,” British Medical Journal, 309, July 9, 1994: 107-10.
(32) Hess S, De Geest S, Halter K, Dickenmann M, Denhaerynck K. Prevalence and correlates of selected alternative and complementary medicine in adult renal transplant patients. Clin Transplant. 2008 Sep 11. Clin Transplant. 2008 Sep 11.
(33) ANSA English Corporate Service, 7.5 Million Italians Use Homeopathic Drugs, May 20, 2004.
(34) Molassiotis A, Fernadez-Ortega P, Pud D, et al, Use of complementary and alternative medicine in cancer patients: a European survey. Ann Oncol, 16: 655-663, 2005.
(35) Johannessen H, von Bornemann Hjelmborg J, Pasquarelli E, Fiorentini G, Di Costanzos F, Miccinesi G., Prevalence in the use of complementary medicine among cancer patients in Tuscany, Italy. Tumori. 2008 May-Jun;94(3):406-10.
(36) Clerici CA, Veneroni L, Giacon B, et al., Complementary and alternative medical therapies used by children with cancer treated at an Italian pediatric oncology unit. Pediatric Blood Cancer. June 2009. doi 10.1002/pbc.22093.
(37) Gomez-Martinez R, Tlacuilo-Parra A, Garibaldi-Covarrubias R. Use of complementary and alternative medicine in children with cancer in Occidental, Mexico. Pediatr Blood Cancer 2007;49:820-823.
(38) Gozum S, Arikan D, Bu¨yu¨kavci M. Complementary and alternative medicine use in pediatric oncology patients in eastern Turkey. Cancer Nurs 2007;30:38-44.
(39) Nathanson I, Sandler E, Ramı´rez-Garnica G, et al. Factors influencing complementary and alternative medicine use in a multisite pediatric oncology practice. J Pediatr Hematol Oncol 2007;29:705-708.
(40) D’Inca R, Garribba AT, Vettorato MG, Martin A, Martines D, Di Leo V, Buda A, Sturniolo GC, Use of alternative and complementary therapies by inflammatory bowel disease patients in an Italian tertiary referral centre, Dig Liver Dis. 2007 Apr 10.
(41) Reuters (Madrid) Tummy tucks join inflation calculation. February 12, 2007.
(42) Izmirlieva, Milena. Global Insight, March 28, 2007 (found in Homeopathy Today, May/June 2007, p.9).
(43) Clines, F. “With Medicine Itself Sick, Russians Turn to Herbs,” New York Times, December 31, 1990.
(44) Brown, Samuel, Use of Complementary and Alternative Medicine by Physicians in St. Petersburg, Russia. The Journal of Alternative and Complementary Medicine Apr 2008, Vol. 14, No. 3: 315-319.
Dana Ullman, MPH, is America’s leading spokesperson for homeopathy and is the founder of www.homeopathic.com. He is the author of 10 books, including his bestseller, Everybody’s Guide to Homeopathic Medicines. His most recent book is, The Homeopathic Revolution: Why Famous People and Cultural Heroes Choose Homeopathy. Dana lives, practices, and writes from Berkeley, California.

Thursday, 26 September 2013

Homeopathy for Injuries & Accidents




Homeopathy for Injuries & Accidents



Homeopathic remedies can be used for a variety of first aid health complaints, including injuries. Whether the injury is from an accident, playing sports, physical strain or another type of vigorous physical 
activity, it’s time to reach for 
your Homeopathic 
First Aid Kit!

Cuts and Scrapes
Apply direct pressure on the wound to stop the bleeding, then wash the wound thoroughly with soap and water. Apply Calendula Cream before covering the wound with a bandage. Repeat application with the Calendula Cream 3-4 times per day.
Additionally, homeopathic Calendula 30C can also be taken 2-3 times per day.
See an MD if there is much redness, swelling or pus buildup around the wound, if there are red streaks extending from around the wound, or if fever has occurred.



Bruises

Apply ice packs to the injured part for 30 minutes to reduce swelling.
Arnica 30C or 200C is the main remedy for bruising. For minor bruising, take 2-3 times per day. For more severe bruising, take every hour the first day, then 3 times per day on subsequent days. Discontinue dosing after bruising improves.
Take Ledum 30C if the bruise feels cold and numb, or if Arnica has stopped helping. Ledum 30C is also the remedy of choice for a black eye. Take 3 times per day.
For bruising of the bones, take Ruta 30C. This remedy is indicated for bruising of the shin, kneecap, or elbow. Take 3 times per day.




Puncture Wounds

After being wounded by a sharp, foreign object, clean the wound with soap and water. Then, soak the wounded part in warm water for 15 minutes three times per day to speed healing. Cover the wound with a bandage if there is an opening in the skin. Apply Calendula Cream before covering the wound with a bandage. Repeat application with the Calendula Cream 3-4 times per day.
Ledum 30c is the most common remedy for puncture wounds.
Hypericum 30C should instead be given if there are sharp, shooting pains.

For puncture wounds, give one of the above remedies 3-4 times per day.



Strains and Sprains: Injuries to the Muscles, Ligaments and Tendons
Rest the injured part, apply an ice pack to the injured area, wrap a bandage around the injured part, and keep the injured part elevated.
Apply Arnica Gel to the injured part twice per day. Additionally, the following homeopathic remedies can be taken internally:
Arnica 30C or 200C is usually the first remedy to take after a strain or sprain. This remedy is indicated if there is bruising, swelling and inflammation.
Once the swelling and bruising has improved, you may want to switch to another indicated remedy, listed below:
Rhus Tox 30c is one of the most frequently indicated remedies after a strain or sprain. The pain and stiffness are worse on first motion, and are better upon continued movement. This remedy is commonly indicated after overlifting or physical overexertion.
Bryonia 30C if motion makes the injury worse, and the only way to relieve the pain is to keep the injured part very still.
Try Ruta 6C or 30C if the injury is close to the bone. This remedy is useful for injuries to the wrists or ankles, and for tennis elbow.
Strontium Carbonicum 6C is a good remedy to try for ankle sprains that have not responded to other remedies, or for recurrent ankle sprains.
Give one of the above indicated remedies 3 times per day for up to 3 weeks.



Fractures (Broken Bones)

After medical attention has been sought, the following remedies can speed healing:

Arnica 30C or 200C should be the first remedy given after a fracture. It will help with bruising, swelling and tenderness.
Eupatorium Perfoliatum 30C should be given instead of Arnica if there is not much bruising or swelling, or it can be given after Arnica.
Give the above remedies 3X per day.
After the initial pain and swelling have diminished, give Symphytum 6C, 3 times per day for 2-3 weeks.
Bryonia 30C is a useful remedy for broken ribs. Give a dose or two of Arnica first, then give Bryonia 3X per day.

Nerve Injuries
For injuries to the nerves, such as fingers and toes, give Hypericum 30C three times per day. Also apply Arnica Gel to the injured area.
Rest, elevate, and ice the injured part.




Head Injuries & Whiplash

Arnica 30C or 200C should be the first remedy given if there is bleeding, bruising, pain and shock. Give a dose every hour for 5-6 doses.
Hypericum 12C or 30C is the most useful remedy for whiplash. Give one dose daily for up to three weeks.
Natrum Sulphuricum 200C is useful for head injuries that have not responded completely to Arnica, or for people who have never been well since a head injury. Give 3 doses only, spaced 8 hours apart.



Precautions
Those who are experiencing chronic pain, or have never been well since an injury, require constitutional homeopathic treatment. Contact homeopathysouthwest@gmail.com to book an appointment.

Saturday, 29 June 2013

The Swiss government's exceedingly positive report on homeopathic medicine

For Hay Fever Help  - scroll down to next blog.

 

The Swiss government's exceedingly positive report on homeopathic medicine

The government of Switzerland has a long history of neutrality, and therefore, reports from this government on controversial subjects need to be taken more seriously than other reports from countries that are more strongly influenced by present economic and political constituencies. Further, when one considers that two of the top five largest drug companies in the world have their headquarters in Switzerland, one might assume that this country would have a heavy interest in and bias toward conventional medicine, but such assumptions would be wrong.

In late 2011, the Swiss government's report on homeopathic medicine represents the most comprehensive evaluation of homeopathic medicine ever written by a government and was just published in book form in English (Bornhoft and Matthiessen, 2011). This breakthrough report affirmed that homeopathic treatment is both effective and cost-effective and that homeopathic treatment should be reimbursed by Switzerland's national health insurance program.

The Swiss government's inquiry into homeopathy and complementary and alternative (CAM) treatments resulted from the high demand and widespread use of alternatives to conventional medicine in Switzerland, not only from consumers but from physicians as well. Approximately half of the Swiss population have used CAM treatments and value them. Further, about half of Swiss physicians consider CAM treatments to be effective. Perhaps most significantly, 85 percent of the Swiss population wants CAM therapies to be a part of their country's health insurance program.

It is therefore not surprising that more than 50 percent of the Swiss population surveyed prefer a hospital that provides CAM treatments rather to one that is limited to conventional medical care.

Beginning in 1998, the government of Switzerland decided to broaden its national health insurance to include certain complementary and alternative medicines, including homeopathic medicine, traditional Chinese medicine, herbal medicine, anthroposophic medicine, and neural therapy. This reimbursement was provisional while the Swiss government commissioned an extensive study on these treatments to determine if they were effective and cost-effective. The provisional reimbursement for these alternative treatments ended in 2005, but as a result of this new study, the Swiss government's health insurance program once again began to reimburse for homeopathy and select alternative treatments. In fact, as a result of a national referendum in which more than two-thirds of voters supported the inclusion of homeopathic and select alternative medicines in Switzerland's national health care insurance program, the field of complementary and alternative medicine has become a part of this government's constitution (Dacey, 2009; Rist, Schwabl, 2009).

The Swiss Government's "Health Technology Assessment"

The Swiss government's "Health Technology Assessment" on homeopathic medicine is much more comprehensive than any previous governmental report written on this subject to date. This report carefully and comprehensively review the body of evidence from randomized double-blind and placebo controlled clinical trials testing homeopathic medicines, plus they also evaluated the "real world effectiveness" as well as safety and cost-effectiveness. The report also conducted a highly-comprehensive review of the wide body of preclinical research (fundamental physio-chemical research, botanical studies, animal studies, and in vitro studies with human cells).

And still further, this report evaluated systematic reviews and meta-analyses, outcome studies, and epidemiological research. This wide review carefully evaluated the studies conducted, both in terms of quality of design and execution (called "internal validity") and how appropriate each was for the way that homeopathy is commonly practiced (called "external validity"). The subject of external validity is of special importance because some scientists and physicians conduct research on homeopathy with little or no understanding of this type of medicine (some studies tested a homeopathic medicine that is rarely used for the condition tested, while others utilized medicines not commonly indicated for specific patients).

When such studies inevitably showed that the homeopathic medicine did not "work," the real and accurate assessment must be that the studies were set up to disprove homeopathy... or simply, the study was an exploratory trial that sought to evaluate the results of a new treatment (exploratory trials of this nature are not meant to prove or disprove the system of homeopathy but only to evaluate that specific treatment for a person with a specific condition).

After assessing pre-clinical basic research and the high quality clinical studies, the Swiss report affirmed that homeopathic high-potencies seem to induce regulatory effects (e.g., balancing or normalizing effects) and specific changes in cells or living organisms. The report also reported that 20 of the 22 systematic reviews of clinical research testing homeopathic medicines detected at least a trend in favor of homeopathy.* (Bornhoft, Wolf, von Ammon, et al, 2006)

The Swiss report found a particularly strong body of evidence to support the homeopathic treatment of upper respiratory tract infections and respiratory allergies. The report cited 29 studies in "Upper Respiratory Tract Infections/AllergicReactions," of which 24 studies found a positive result in favor of homeopathy. Further, six out of seven controlled studies that compared homeopathic treatment with conventional medical treatment showed that homeopathy to be more effective than conventional medical interventions (the one other trial found homeopathic treatment to be equivalent to conventional medical treatment). All of these results from homeopathic treatment came without the side effects common to conventional drug treatment. In evaluating only the randomized placebo controlled trials, 12 out of 16 studies showed a positive result in favor of homeopathy.

The authors of the Swiss government's report acknowledge that a part of the overall review of research included one negative review of clinical research in homeopathy (Shang, et al, 2005). However, the authors noted that this review of research has been widely and harshly criticized by both advocates and non-advocates of homeopathy. The Swiss report noted that the Shang team did not even adhere to the QUORUM guidelines which are widely recognized standards for scientific reporting (Linde, Jonas, 2005). The Shang team initially evaluated 110 homeopathic clinical trials and then sought to compare them with a matching 110 conventional medical trials. Shang and his team determined that there were 22 "high quality" homeopathic studies but only nine "high quality" conventional medical studies. Rather than compare these high quality trials (which would have shown a positive result for homeopathy), the Shang team created criteria to ignore a majority of high quality homeopathic studies, thereby trumping up support for their original hypothesis and bias that homeopathic medicines may not be effective (Ludtke, Rutten, 2008).

The Swiss report also notes that David Sackett, M.D., the Canadian physician who is widely considered to be one of the leading pioneers in "evidence based medicine," has expressed serious concern about those researchers and physicians who consider randomized and double-blind trials as the only means to determine whether a treatment is effective or not. To make this assertion, one would have to acknowledge that virtually all surgical procedures were "unscientific" or "unproven" because so few have undergone randomized double-blind trials.

For a treatment to be determined to be "effective" or "scientifically proven," a much more comprehensive assessment of what works and doesn't is required. Ultimately, the Swiss government's report on homeopathy represents an evaluation of homeopathy that included an assessment of randomized double blind trials as well as other bodies of evidence, all of which together lead the report to determine that homeopathic medicines are indeed effective.

The next article will discuss further evidence provided in this report from the Swiss government on the effectiveness and cost-effectiveness of homeopathic care.

REFERENCES:

Bornhoft, Gudrun, and Matthiessen, Peter F. Homeopathy in Healthcare: Effectiveness, Appropriateness, Safety, Costs. Goslar, Germany: Springer, 2011. http://rd.springer.com/book/10.1007/978-3-642-20638-2/page/1 (This book is presently available from the German office of the publisher, and it will become available via the American office as well as select booksellers in mid- to late-February, 2012.)(NOTE: When specific facts in the above article are provided but not referenced, this means that these facts were derived from this book.)

Bornhoft G, Wolf U, von Ammon K, Righetti M, Maxion-Bergemann S, Baumgartner S, Thurneysen AE, Matthiessen PF. Effectiveness, safety and cost-effectiveness of homeopathy in general practice - summarized health technology assessment. Forschende Komplementarmedizin (2006);13 Suppl 2:19-29. http://www.ncbi.nlm.nih.gov/pubmed/16883077

Dacey, Jessica. Therapy supporters roll up sleeves after vote. SwissInfo.ch, May 19, 2009. http://www.swissinfo.ch

Linde K, Jonas W. Are the clinical effects of homeopathy placebo effects? Lancet 36:2081-2082. DOI:10.1016/S0140-6736(05)67878-6. http://download.thelancet.com

Ludtke R, Rutten ALB. The conclusions on the effectiveness of homeopathy highly depend on the set of analysed trials. Journal of Clinical Epidemiology. October 2008. doi: 10.1016/j.jclinepi.2008.06/015. http://www.jclinepi.com/article/S0895-4356(08)00190-X/abstract


Friday, 28 June 2013

Hay Fever Help

Hay Fever Help: Homeopathic Treatment and Other Self-help Tips


When working well, our immune system protects us by destroying dangerous bacteria, viruses and toxins that enter our body. In the case of hay fever however, something goes horribly wrong and our immune system starts to over-react to harmless substances such as pollens, grasses, and animal dander. This allergic response results in a cluster of symptoms that make life miserable such as sneezing, stuffy or running nose, itching, headaches, asthma, watery eyes, post nasal drip and fogginess.
While hay fever may seem to be about surface symptoms only, it is really a deep-seated complaint. Commonly prescribed sprays and tablets that suppress hay fever symptoms may bring temporary relief but theyn never get to the root of the problem. They are also associated with side effects and are the least helpful option for long-term improvement.
In this article we will show you some simple self-help measures that go a long way to reducing the frequency and intensity of hay fever symptoms, plus explore the homeopathic and conventional treatment options from the perspective of effectiveness and safety. Finally, a list of remedies commonly used by homeopaths to treat hayfever, along with when they should be chosen, will help you decide which one may help you.

Simple Steps for Managing Hay Fever
There are several self help measures that cost very little which you can do yourself to help with hay fever. They are:
  1. Drink plenty of water. When you’re well hydrated the mucous membranes of your nose remain moist to expel allergens more easily.
  2. Consider using a neti pot. These small pots can be filled with a warm sea salt solution and used to flush your nasal passages and expel irritants.
  3. Coat your nostrils. Lightly smear a non-absorbent ointment, such as paw-paw ointment, onto the inner surface of your nostrils to provide a protective barrier that traps allergens.
  4. Know your triggers. Most hay fever sufferers are affected by the wind but some are worse indoors while others itch and sneeze when outside. Avoid your triggers when pollen counts are high.
  5. Use Food as your Medicine.
Healthy fats and oils such as olive oil, fish oil and even moderate amounts of animal fats are important for a healthy immune system. Studies show that those who eat mostly polyunsaturated and trans-fats, as found in many margarines and processed foods, are more likely to suffer allergies.
Onions and garlic can be used for their homeopathic effect – the symptoms they cause, they can also treat. Both contain natural compounds that reduce the inflammation of hay fever. Add them liberally to your meals or, if you are up to it, eat them by themselves to reduce nasal irritation and streaming eyes.
Local raw honey can be used as a crude form of homoeopathy to desensitise yourself to local pollens from which the honey was produced. Start by taking a small amount each day before the start of hay fever season, gradually increasing to a teaspoon or more. Continue right through the season for best results.
Spices such as horseradish, mustard, chillies and fenugreek also help through a crude homoeopathic effect – they can relieve the very hay fever-like symptoms they produce. Add them liberally to meals or take them alone to thin mucus and expel irritants.

Safe and Risky Ways to Treat Hay Fever
If we want the best result for the least risk when treating our health problems, we must think carefully about the treatment we choose.

Conventional medicine depends on the allopathic effect1 for most of its treatments. It relieves symptoms by palliating or suppressing them for short periods of time. The drawback is that side effects are common and continual suppression leads to worsening health.

Homeopathy2 seeks to stimulate a self-healing response from the person’s own vitality. The goal of treatment is to strengthen rather than weaken this vitality so that full healing is more likely. Homeopathy does this through potentised3remedies that closely match the symptoms of the person’s disease and are free of toxic side-effects.

To get a better idea, let’s compare the two approaches in what they offer for hay fever.

The Conventional Approach – Allopathic Treatment
Conventional medicine treats hay fever with antihistamines, steroids, or desensitisation treatments. For stubborn cases that fail to improve, laser surgery may be used to destroy the mucus-forming nasal tissue. Let’s look at each option in more detail.

Antihistamines
Anyone can be affected by the side-effects of antihistamines but children and the elderly are more vulnerable. Antihistamines can worsen conditions such as glaucoma, enlarged prostate gland, difficulty in passing urine, or bowel blockage, and their safety during pregnancy hasn’t been established. They also hold increased risks for those with liver or kidney disease.
Some of the most common side-effects include: headache; drowsiness; dizziness; blurred vision; confusion; dry mouth; constipation; and difficulty passing urine. And once the antihistamine effect wears off, hay fever symptoms are usually return.

Steroids
Steroids (corticosteroids) for hay fever are available as sprays, creams and tablets. Steroids create many more problems than antihistamines. They lead to unpleasant and even dangerous side-effects such as high blood pressure, bleeding from the bowels or stomach, reduced healing, poor muscle growth, weight gain, and electrolyte imbalances. Long term use increases the likelihood of diabetes, glaucoma, and eye damage.
And if that’s not enough, additional side effects include mood swings, personality changes, agitation, nervousness, tiredness, lack of energy, and depression. There are certainly safer ways of managing hay fever than resorting to steroids!

Desensitisation Treatments
Homeopathy is everywhere – even in approaches sometimes used by conventional medicine. Modern allergy treatments that expose people to small amounts of the substance to which they are allergic, unknowingly use the homeopathic principle of ‘like treats like’. Homeopaths have known of this approach for almost two centuries but are also aware that if even smaller amounts are used, and in potency, the results are much faster and better.
Homeopaths also understand that while a homeopathic remedy prepared from an allergen (the substance that triggers an allergic response) can bring temporary relief or surface improvement, a deeper-acting remedy that addresses the person’s whole state of ill-health will lead to the hay fever being eradicated completely and better health overall.

Laser Surgery
Laser surgery is used to vaporise the mucus membranes of the nose to inhibit the symptoms of hay fever. Care has to be taken to prevent burning of the nasal tissue. Success is variable and re-vaporisation is often needed as symptoms will often return over time.

Homeopathy and Hay Fever Research
Numerous studies have shown that homeopathy should be the treatment of choice for allergies. They consistently show that homeopathic treatment alleviates the symptoms of hay fever and other hypersensitivity disorders without dangerous side-effects – and improves quality of life. A sampling of these studies have been placed in the Research section of the website.

Treating Hay Fever with Homeopathy
Treating yourself with homoeopathy during an acute phase of hay fever is easy as long as you know the remedy that matches your symptoms. Relief is usually rapid and all remedies are safe for use with babies through to the elderly when used according to instructions. Do be aware that self-treatment does have its limits though. You won’t be able to prescribe deeply enough to deal with the underlying chronic imbalance that allows your hay fever to recur. A qualified homeopath ( www.homeopathysouthwest.co.uk) can treat this for you but it may require more than one visit. The bonus is that other health problems will improve along with your hay fever. 

To treat your acute hay fever yourself, look through the remedies listed below to see which one matches your symptoms – then just take it. The dosage is 1-4 x/day depending on severity of symptoms. If there is no improvement by 3-4 doses just reassess your symptoms and choose a different remedy that matches your symptoms more closely.

Alternately, an appointment can be made with a homeopath who will assess your symptoms in full and make a constitutional prescription to help you get on top of the problem once and for all. A constitutional remedy from a qualified homeopath removes the underlying cause of your hay fever and so will stop it recurring year after year.

The following are some of the common remedies homeopaths use in the treatment of hay fever.

Arsenicum album (Ars.)
This is one of the best remedies for hay fever.  Burning or itching in the nose, eyes or throat being a strong indication.  The discharges from both eyes and nose will be burning (but check to make sure that Allium cepa or Euphrasia are not better indicated – Euphrasia has the opposite symptoms). An improvement of the symptoms in the open air, although sensitive to light, is usually an indication for this remedy.

Euphrasia (Euphr.)
A classic remedy for hay fever where, again, there is lots of sneezing with streaming eyes and nose.  If the water from the eyes burns the cheeks and the discharge from the nose is not too bad, this remedy is needed.  (Allium cepa has the opposite symptoms). The remedy is indicated if the symptoms improve in the open air – obviously away from pollen.  Sensitivity to light may be apparent in both Euphrasia and Allium cepa.

Natrum muriaticum (Nat-m.)
Initially, there is a streaming, bland discharge from both the eyes and nose with lots of sneezing.  Later, there is nasal discharge that is thick and clear like the white of an egg with loss of taste and smell.  This is not one of the main remedies for hay fever but it can bring great relief to the type who gets easily burned, feel generally miserable, uncomfortable, blotchy and irritated in the sun.

Nux vomica (Nux-v.)
This is one of the best remedies for when there is lots of sneezing, streaming from the eyes and nose, and an irritable, nasty mood.  (If they are sweet tempered, it is unlikely to help.) The symptoms are worse in dry air and relieved when the atmosphere is damp.

Pulsatilla pratensis (Puls.)
The main indications for this remedy are a weepy, needy, state of mind, together with discharges that are thick, bland (not acrid) and green or yellow.  Pulsatilla frequently has one side of the nose blocked or congested.

Sulphur (Sulph.)
Watery, burning nasal discharge, or a blocked nose, when outside. Frequent sneezing. Blocking of nose on alternate sides. Burning pain in eyes. Symptoms worsened by warmth and becoming warm in bed. Better for being in open air. May be lazy, opinionated, and desire sweets, alcohol, and spicy food.

Wyethia helenoides (Wye)
Tremendous itching of the upper palate of the mouth causing the person to make “clucking” noises in effort to provide some relief. Itching of the nose and throat, along with a constant desire to swallow saliva to relieve the dryness may also be present.