Preparation of Similars

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Preparation of Similars


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Succussion and dilution

The most characteristic and controversial principle of homeopathy is that the potency of a remedy can be enhanced (and the side-effects diminished) by dilution, in a procedure known as dynamization or potentization. Liquids are progressively diluted (with water, or alcohol) and shaken by ten hard strikes against an elastic body (succussion). For this purpose, Hahnemann had a saddlemaker construct a special wooden striking board covered in leather on one side and stuffed with horsehair. This can be viewed at the Hahnemann Museum in Stuttgart. Insoluble solids, such as Quartz and Oyster shell, are diluted by grinding with lactose (trituration). The original serial dilutions by Hahnemann were performed using a 1 part in 100 or centesimal scale, or 1 part in 50,000 or Quintamillesimal (LM or Q potencies). Higher 'potencies' are considered to be stronger 'deep-acting' remedies.

The dilution factor at each stage is traditionally 1:10 ('D' or 'X' potencies) or 1:100 ('C' potencies). Hahnemann advocated 30C dilutions for most purposes, i.e. dilution by a factor of 10030 = 1060. As Avogadro's number is only 6.02 ? 1023 particles/mole, the chance of any molecule of the original substance being present in a 15C solution is small, and it is extremely unlikely that one molecule of the original solution would be present in a 30C dilution. For a perspective on these numbers, there are in the order of 1032 molecules of water in an Olympic size swimming pool; to expect to get one molecule of a 15C solution, one would need to take 1% of the volume of such a pool, or roughly 25 metric tons of water. Thus, even homeopathic remedies of a high "potency" contain, with overwhelming probability, only water. Practitioners of homeopathy believe that this water retains some 'essential property' of one of the substances that it has contacted in the past.

Water will have been in contact with millions of different substances in its history. According to this molecular paradigm, any glass of water must be regarded as an extreme dilution of almost any agent you care to mention. Thus, critics argue that by drinking water one receives homeopathic treatment for every imaginable condition. Proponents of homeopathy are unable to accept the molecular paradigm as a complete account of life phenomena and therapeutics. They believe that the methodical dilution of a particular substance, beginning with a 10% solution and working downwards, produces a therapeutically active 'remedy', in contrast to regular water which is therapeutically inert. However, in terms of chemistry, a dilution of anything at 30C is identical to water.

Alternative methods of preparation

"High potency remedies" were first produced in the 1830s. Though Hahnemann wished to see 30c as standard potency in homeopathy, the majority of his contemporaries preferred tinctures and 3x, while others, like the powerfully-built horse-trainer, Caspar Julius Jenichen (1787-1849), General Korsakoff (1788-1853) and Dr N Schreter (1803-1864), were busy raising potency to heights beyond his wildest dreams.

Jenichen sat or stood stripped naked to the waist, holding the bottle in his fist in an oblique direction from left to right, and shook it in a vertical direction. The fluid, at every stroke, emitted a sound like the ringing of silver coins. He paused after every 25th potency, and the muscles of his naked arm vibrated...he was latterly able to give 8400 strokes in an hour.

Such high potencies could not be made by traditional methods, but required succussion without dilution (Jenichen), higher dilution factors (LM potencies are diluted by a factor of 50,000), or machines which integrate dilution and succussion into a continuous process (Korsakoff). Such a Korsakoff potentising machine can be seen here and here. Some old potentising devices can be seen here. Such machines are still on sale today and some manufacturers claim it is undefined "vibrations" that produce the healing effect and, when the correct vibration is selected, only water need be added to produce a remedy. Today, radionics potentising devices are used by many homeopaths to prepare remedies. These are based on the work of the British engineer, Malcom Rae (1913-1979) and the potentising devices he developed in the 1960s.

Yet another technique used by few homeopaths involves using "a paper remedy. Write the remedy and potency on a piece of paper and place the paper on the left hand side of the body with the writing towards the body." One homeopath, "finds out what they need, writes the remedy down on a piece of paper, they put it in their pocket and it works." In essence, this comprises an emerging alternative homeopathic tradition, "`paper remedies' i.e., a name of a remedy just written on a piece of paper." However, skeptics might observe that this procedure is essentially a textbook example of how to produce the Placebo Effect and that any success at using such a technique should be weighed carefully (and preferably with supporting experimental evidence in the form of a double-blind placebo-controlled study) against the possibility that nothing more than mental suggestion due to a placebo is at work.

The practitioner's choice of what potency is appropriate derives in part from a judgement as to whether the disease is acute and superficial or 'deeper' and more chronic in nature; whether it is primarily physical or more mental/emotional; the patient's sensitivity and previous reactions to remedies; and the practitioner's preferred posology (dosing regimen), e.g. low potency repeated often, vs. high potency repeated seldom. For example, French and German homeopaths generally prefer to use lower potencies than their American and British counterparts. Most homeopaths assert that the choice of potency is secondary to the choice of remedy: i.e. that a well-chosen remedy will act in a variety of potencies, but an approximately matched remedy might act only in certain potencies, or not at all.

Homeopathy
Homeopathy is a complimentary medicine that is used by some doctors. This article examines the evidence and theory behind its use.

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