Sunday, April 4, 2010

hahnemannian

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  1. Dr. Samuel Christian Frederic Hahnemann, M.D.
    (1755 - 1843)
    Samuel Hahnemann was the founder of Homoeopathy. He established the fundamental principles of the science and art of Homoeopathy.

    He is called the Father of Experimental Pharmacology because he was the first physician to prepare medicines in a specialized way; proving them on healthy human beings, to determine how the medicines acted to cure diseases. Before Hahnemann, medicines were given on speculative indications, mainly on the basis of authority without experimental verification.



    Hahnemann discovered the remedial powers of drugs and inert substances such as gold, platinum, silica, vegetable charcoal, lycopodium, etc. By preparing the medicines through potentization, these inert and insoluble substances became soluble in alcohol or water and were charged with medicinal force.

    Dr. Hahnemann espoused the law of cure known as "Similia Similibus Curentur", or "Like Cures Like". This means that a remedy that produces symptoms in a healthy person will cure those same symptoms when manifested by a person in a diseased state. This law of cure has been verified by millions of homoeopaths all over the world since the time of Hahnemann.



    Hahnemann discovered the primary and secondary actions of remedies. The primary action results from the first encounter between the vital force and the external agent, and the secondary action is a result of the vital force's reaction to the symptoms of that primary encounter. This discovery led him to the curative powers of poisonous substances.

    Dr. Hahnemann described the different aspects of 'acute' and 'chronic' diseases. Acute diseases are transitory; they have a beginning and an end, whereas the chronic diseases are co-existent with life. Either they are present in a manifest or a latent state. From this work came the chronic miasms of Psora, Syphilis, and Sycosis.



    Dr. Hahnemann was the progenitor of several modern medical approaches. Deeming the treatment of insane patients to be cruel and harmful, he advised a humane treatment for the insane. He cured many insane patients with homeopathy, and became famous for this success.

    Dr. Hahnemann was quick to recognize poor hygiene as a contributory cause to the spread of disease. His success with cholera and typhoid fever was in part due to this recognition. Hahnemann also emphasized the importance of nursing, diet, bed rest, and isolation of patients during epidemic diseases. Hahnemann described 'Noxious' principles as the precursors of certain disease states.



    Hahnemann's three major publications illumine the development of homeopathy. In the Organon of Medicine (revised six times), we see the fundamentals laid out. Materia Medica Pura records the exact symptoms of the remedy provings. In his book, The Chronic Diseases, Their Peculiar Nature and Their Homoeopathic Cure, he showed us how the natural diseases become chronic in nature when suppressed by improper treatment.

    Dr. Hahnemann treated thousands of difficult and chronic cases that defied the best care from allopaths all over Europe. Thus, he became so famous that physicians from Europe and America came to him for coaching in the new science and art of healing, called Homoeopathy.

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  2. Table of Contents
    Hahnemann's Allergy to Quinine

    The Vis Vitalis Triumphant

    Homeopathy Dissected

    Is Homeopathy A Cult?

    Toxicity, Efficacy & Mode of Action in Homeopathy

    Cholera Epidemic 1830

    Dynamization

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  3. THE BASIS OF HOMEOPATHY
    The first idea of the fundamental doctrine of homeopathy - Similia Similibus Curentur - seems to have entered Hahnemann's mind in the year 1790, the forty-fifth year of his life, while he was engaged in translating Cullen's 'Materia Medica' into German[1].

    In the question of the medicinal effect of Peruvian bark, Cullen defended the old opinion of the efficacy of this remedy through its 'tonic effect on the stomach'. Dissatisfied with the author's explanation of the action of Cinchona bark in curing intermittent fevers, Hahnemann resolved to make trials with it on his own person:

    "I took by way of experiment, twice a day, four drams of good China (Cinchona). My feet, finger ends, etc., at first became cold; I grew languid and drowsy, then my heart began to palpitate, and my pulse grew hard and small; intolerable anxiety, trembling, prostration, throughout all my limbs; then pulsation in the head, redness of my cheeks, thirst, and in short, all these symptoms which are ordinarily characteristic of intermittent fever, made their appearance, one after the other, yet without the peculiar chilly, shivering rigor, briefly, even those symptoms which are of regular occurrence and especially characteristic - as the dullness of mind, the kind of rigidity in all the limbs, but above all the numb, disagreeable sensation, which seems to have its seed in the periosteum, over every bone in the body - all these made their appearance. This paroxysm lasted two or three hours each time, and recurred if I repeated this dose, not otherwise; I discontinued it, and was in good health."[1]
    What did Hahnemann take and how much of it?

    Jesuits brought Peruvian bark to Europe in 1632. It was known that the bark of various Cinchona trees, native to South America, had curative effects in fever[2]. The first actual mention of Cinchona bark, named after the Countess Anna Chincon, whose husband was Viceroy of Peru, is in a book from 1643. The first record of its use in England is in the casebook of a Northampton doctor in 1656.

    Cinchona bark was accepted into the London Pharmacopoeia in 1677 under the name Cortex peruvianis. Linnaeus established the genus Cinchona and in 1753 named the tree Cinchona officinalis[3].

    The Cinchona was imported in the form of dried stems and root bark. This was supplied in fine large quills called 'druggists' or 'pharmaceutical' bark. The active alkaloids appear to be present in the parenchymatous tissues of the bark to the extent of five to eight per cent. The amount of alkaloids present and their rations to one another vary considerably in the different species of the tree and the age and method of collection of the bark. For use in galenicals, the drug should contain not less than six percent of total alkaloids, of which not less than one-half consists of quinine and cinchonidine.

    The genus Cinchona numbers some twenty to thirty species besides numerous varieties and sub-varieties. The following species were imported and used in Europe for medicinal purposes around the year 1790:

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  4. Cinchona ledgeriana is a hybrid with a higher yield of alkaloids than either of the parent species, however it did not exist in Hahnemann's times. Used nowadays it may contain 10 to 14% of quinine.
    Hahnemann could therefore have used the Cinchona bark in a rather crude form, taking a teaspoonful of the bark, often in a glass of claret, or in the form of galenicals. There have been at least three noted galenicals[4] which appeared in the middle of the 17th and 18th centuries, used an infusion of Cinchona bark as a remedy for agues and fevers. In whatever forms Hahnemann used the Cinchona bark, the quinine content is important for our purpose. Whether in the form of a galenical, or powder, the quinine content could have been only about three per cent.

    That Hahnemann could not have taken pure quinine, as it is quite often reported in homeopathic literature, is clear from the following:

    Quinine has not been isolated until 1818. The two isolated active principles from Cinchona bark by Pelletier and Caventou were named quinine and cinchonine.
    Four drams would be fifteen grams of pure quinine, which is a toxic (lethal) dose. Death occurs after ingestion of eight grams of quinine.
    Hahnemann took four drams of Cinchona in 1790. This represents fifteen grams of Peruvian bark in crude form. The pharmaceutical in 1790 was powdered bark of mostly Cinchona officinalis with about 3% of quinine content. This means approximately 0.4 grams of quinine, which is equivalent to a single therapeutic dose. If 100% equals 14.904 grams, than 3% represents 0.447 grams.
    The single dose of Chinidin sulphuricum is 0.2 gram; the dose per day is 1.5 gram. Maximum single dose is 0.5 gram, and maximum dose per day is 2 grams.

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  5. Quinine sulfate is still used under certain conditions in malaria today, in therapeutic dosages of 0.65 gram three times daily for seven to ten days, or as a suppressive dose of 0.3 to 0.65 grams per day in endemic area.
    There are, however, conditions known as hypersensitivity[5] to quinine, when small doses of Cinchona alkaloids cause toxic manifestations; the individual is usually hypersensitive to the drug. Cinchonism is the term given to a group or symptoms, which usually occur when quinine is given repeatedly in full doses.

    The most common adverse reaction to Cinchona alkaloids (quinine and quinidine) in Australia[6] from November 1972 to March 1988 were thrombocytopenia, anorexia, nausea, vomiting, diarrhoea, skin rash, fever, rigors, disturbed liver function, arrhythmia, hypotension, arthralgia, and deaths.

    The toxic effects of quinine are tinnitus, vertigo, visual impairment, rashes, nausea, vomiting, diarrhoea, abdominal pain, fever, hypotension, convulsions, respiratory depression, cardiac irregularities, weakness, drop in blood pressure, and kidney failure with anuria.

    The vivid description of symptoms which Hahnemann experienced and described in 1790 after 'four drams of good China', is an excellent report of a hypersensivity state to quinine. Hahnemann's four drams of good China is fifteen grams of Cinchona bark powder, which contains between 400 to 500 milligrams of quinine. This represents the therapeutic or suppressive dose of quinine, a dose, which has been taken by millions of people in the past one hundred and fifty years with minimal, or no side effects.

    What did Hahnemann experience in 1790 after ingesting four drams of Cinchona bark approximately 0.447 grams of quinine? He felt languid and drowsy, which corresponds to hypotension. He noticed palpitations, signifying cardiac irregularity, most probably ventricular tachycardia. Pulsation in the head is a good description of headache, as is redness in cheeks of a rash. Prostration through limbs signifies weakness. We all feel thirst when we are feverish, so did Hahnemann. Cold fingers and feet with trembling are typical of any allergic reaction. Hahnemann's 'disagreeable sensation' means that he felt generally unwell.

    It can be concluded that Hahnemann suffered from hypersensitivity to quinine. This means that the fundamental doctrine of homeopathy - Similia Similibus Curentur - is based on a pathological condition of its founder, Dr.Samuel Hahnemann, an allergy to quinine.

    In view of what has been said, the following homeopathic statement: 'Cinchona bark was to Hahnemann what the falling apple was to Newton and the swinging lamp to Galileo'[7], brings a new light to the whole teaching of homeopathy[8].

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