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Homeopathic Prescribing Pocket Companion
Homeopathic Prescribing Pocket Companion
Steven B Kayne
PhD, MBA, LLM, MSc, DAgVetPharm, FRPharmS, FCPP, FIPharmM, FFHom, MPS(NZ), FNZCP Honorary Consultant Pharmacist, Glasgow Homeopathic Hospital, Glasgow, UK Honorary Lecturer, University of Strathclyde School of Pharmacy, Glasgow, UK
Lee R Kayne
PhD, MRPharmS, MFHom(Pharm) Community Pharmacist, Glasgow, UK Pharmacy Dean, Faculty of Homeopathy, Luton, UK
London • Chicago
Suffolk ISBN 978 0 85369 6971 All rights reserved. India Printed in Great Britain by William Clowes Ltd. without the prior written permission of the copyright holder. No part of this publication may be reproduced.Published by the Pharmaceutical Press An imprint of RPS Publishing 1 Lambeth High Street. The publisher makes no representation. A catalogue record for this book is available from the British Library . IL 60030-7820. The right of Steven B Kayne and Lee R Kayne to be identiﬁed as the author of this work has been asserted by them in accordance with the Copyright. Suite 200. London SE1 7JN. or transmitted in any form or by any means. New Delhi. express or implied. with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made. Grayslake. 1988. Beccles. Designs and Patents Act. UK 100 South Atkinson Road. stored in a retrieval system. USA c Pharmaceutical Press 2007 is a trade mark of RPS Publishing RPS Publishing is the publishing organisation of the Royal Pharmaceutical Society of Great Britain First published 2007 Typeset by Aptara.
Contents Preface About the authors vii ix 10 Bruising 11 Burns 68 70 12 Catarrh and sinus problems 72 PART 1 1 Introduction to homeopathic theory 2 Homeopathic medicines 3 Types of homeopathic medicines. practitioners and practices 4 Prescribing and dispensing homeopathic medicines 1 3 8 13 Chickenpox and shingles 14 Cold and ﬂu 15 Cold sores 16 Colic 17 Constipation 21 31 18 Cough 19 Cramp 20 Diarrhoea 21 Ear problems PART 2 Introduction to the prescribing charts 1 Abscesses and boils 2 Acne 3 Allergies 4 Anxiety and shock 5 Backache 6 Bedwetting 7 Bereavement 8 Bites and stings 9 Problems associated with breastfeeding 47 48 50 52 54 56 58 60 62 64 66 22 Eczema and dermatitis 23 Eye problems 24 Fatigue (acute) 25 Fever 26 Flatulence 27 Glandular fever 28 Gout 29 Haemorrhoids 30 Hay fever 31 Headache and migraine 32 Hot ﬂushes 33 Injury 74 76 78 80 82 84 86 88 90 92 94 96 98 100 102 104 106 108 110 112 114 ■ v .
Contents 34 Itch 116 47 Sleep problems 48 Smoking 49 Sore throat 50 Sports injuries 51 Sprains and strains 142 144 146 148 150 152 154 156 158 160 162 167 35 Problems associated with labour 118 36 Problems associated with the menopause 120 37 Morning sickness in pregnancy 38 Mouth problems 39 Nappy rash 40 Nausea and vomiting 41 Nosebleed 42 Period pains 43 Perspiration 44 Pre-menstrual syndrome 45 Rheumatic and arthritic pain 46 Sciatica 122 124 126 128 130 132 134 136 138 140 52 Teething 53 Travel sickness 54 Urinary problems (acute) 55 Warts and verrucae 56 Wounds Appendix 1 Useful addresses Appendix 2 Further information Appendix 3 Materia medica 171 Index 185 vi ■ .
examples of which are presented. six out of ten Scottish GP practices were prescribing homeopathic or herbal remedies to patients. homeopathy suffers from a paucity of robust scientiﬁc evidence to support its use although many case study reports are available. We both agreed that the time was right to provide practical assistance to colleagues wishing to add homeopathy to their existing skills. and supplementary and independent prescribing. However. provided that the prescribing is conﬁned to carefully chosen medicines for a range of acute conditions. The overthe-counter (OTC) demand remains buoyant and registered veterinary homeopathic medicines are now available. Despite increasing debate over the use of homeopathic medicines in the NHS. ■ vii . We make no pretence that it could be considered as ‘classical homeopathy’. all provide opportunities to prescribe homeopathic medicines. Research carried out at Aberdeen University has revealed that. Minor ailment services. the demand for a more comprehensive healthcare service has increased. It is accepted that. by providing a system of decision tree prescribing ﬂowcharts based on abbreviated drug pictures and supported by supplementary information. biochemic salts and ﬂower therapies.Preface The idea of this book crystallised in our minds high over Siberia on a ﬂight to Japan in 2005 and the outline was sketched out on the back of a napkin. With the advent of the modern team approach to healthcare delivery and the granting of prescribing rights to a wider range of health professionals in the UK.1 It is acknowledged that there must be some theoretical knowledge underpinning practice and the ﬁrst part of the book provides a brief introduction to homeopathy and the related disciplines of anthroposophy. However. out of more than 300 practices surveyed. our collective experience over nearly 40 years has shown that homeopathy can be very effective if used in a pragmatic manner. like much of complementary and alternative medicine. we do include in this prescribing guide a review of the evidence supporting the use of homeopathy. In Part 2 we aim to assist colleagues in choosing the appropriate homeopathic medicine to treat a range of conditions for which advice is commonly sought. medicines. or that the charts are totally comprehensive. There will undoubtedly be traditionalists who will feel that this approach cuts too many corners and will dismiss it with contempt. but none-the-less very useful. In many instances we go beyond simply offering advice on the standard list of polychrest medicines and include lesser known. 49% had prescribed homeopathic treatments and 32% prescribed herbal treatments over the course of a year.
viii ■ . McLay S (2006).net) Glasgow. Dr Peter Fisher and Evelyn Liddell for their helpful comments on the manuscript. S B Kayne (Steven. the homeopathic armamentarium has not increased markedly in modern times.net) L R Kayne (Lee. May 2007 1. Although our writing will inevitably reﬂect the fact that we are both community pharmacists practising in Scotland. Simpson R.Kayne@nhs. Br J Clin Pharmacol 62: 647–652. We will be delighted to receive comments and suggestions on this book. we hope that this book will be of use to colleagues in other professions working in other healthcare environments around the world.Kayne@nhs.Preface Unlike orthodox medicine. Acknowledgements We are grateful for the assistance given by Rebecca and Sorelle in assembling some of the material and to Dr Jay Borneman. but different approaches to prescribing have developed. Homeopathic and herbal prescribing in Scotland. Ross R.
Lee Kayne graduated from the University of Aston and completed his PhD and postdoctoral studies at Nottingham and Harvard Medical School respectively. Dr Kayne is a visiting researcher in Pharmacy Practice at the University of Strathclyde and the current Pharmacy Dean of the UK Faculty of Homeopathy. the Herbal Medicines Advisory Committee and the Veterinary Products Committee. He has authored.About the authors Steven Kayne has practised as a Community Pharmacist in Glasgow for more than 30 years. ■ ix . Dr Kayne serves on three UK Government Expert Advisory Bodies – the Advisory Board on the Registration of Homeopathic Products. He writes and lectures widely in the UK and overseas on a variety of topics associated with complementary and alternative medicines. edited and contributed chapters to ten books. before returning to his native Glasgow in 1999. He owns a busy community pharmacy offering a full range of orthodox and complementary services and lectures widely on the integration of complementary medicine into pharmacy practice. He is currently Honorary Consultant Pharmacist at Glasgow Homeopathic Hospital and Honorary Lecturer at the University of Strathclyde.
PART 1 ■ 1 .
Conversely. However. is a group of diverse medical and healthcare systems.1 Introduction to homeopathic theory Complementary and alternative medicine Complementary and alternative medicine. as in this book. herbalism and homeopathy). the same medicine may be used to treat very different conditions in different patients. the terms are often used interchangeably. chiropractic and reﬂexology). with the aim of stimulating the body’s capacity to heal itself. A distinction can be made between complementary and alternative therapies. and complementary and alternative medicine (for example. ■ 3 . which is associated with the use of medicines (or ‘remedies’ as they are often called). The deﬁnition of homeopathy Homeopathy is a complementary and alternative therapy the use of which is based on the Law of Similars and involves the administration of ultradilute medicines prepared according to methods speciﬁed in the various ofﬁcial national homeopathic pharmacopoeias (see Chapter 2). which include those manipulative interventions that generally rely on procedures alone (for example. These systems of medicine are all characterised by the fact that they involve holistic practice – that is. as deﬁned by the US National Center for Complementary and Alternative Medicine (NCCAM). practices and products that are not presently considered to be part of conventional medicine. aromatherapy. the procedures are individualised according to each patient’s circumstances. This means that medicines (or procedures) appropriate for one patient might be totally inappropriate for another – even though the symptoms may be similar.
He found that the resulting toxic effects were very similar to the symptoms experienced by patients suffering from the disease. Thus he systematically built up considerable circumstantial evidence for the existence of a Law of Similars (see below) based on the concept of ‘like to treat like’. The subject matter in the sixth edition was set out in 291 numbered sections or aphorisms. In 1790. the ancient town renowned for its porcelain and situated on the banks of the River Elbe. However. Hahnemann disagreed with Cullen’s suggestion that the mechanism of action of cinchona bark in the treatment of marsh fever (malaria) was due to its astringent properties. The practice of homeopathy has changed little in the last 200 years or so in the way its medicines have been used. he decided to test the drug by taking relatively large doses himself. relatively few new medicines have joined the modern homeopath’s armamentarium in recent years. He called the systematic procedure of testing substances on healthy human beings. his family and volunteers to obtain evidence to substantiate his ﬁndings. the Organon of the Rational Art of Healing (commonly simply referred to as ‘The Organon’). the manuscript for a sixth edition was not published for many years after his death. Because he knew of the existence of several astringents more powerful than cinchona that were not effective in marsh fever. The history of homeopathy Christian Friedrich Samuel Hahnemann was born just before midnight on 10 April 1755 in Meissen. He qualiﬁed as a physician at the Frederick Alexander University in Erlangen in 1779.Introduction to homeopathic theory The status of homeopathy in the UK In the UK. Hahnemann then tried a number of other active substances on himself. In each case he found that the medicines could bring on the symptoms of the diseases for which they were being used as a treatment. homeopathy has been available under the country’s National Health Service (NHS) since its inception in 1947–48. usually denoted in the literature by the symbol § and the relevant section number. it is not the UK’s most popular complementary and alternative therapy by total market value. The principles of homeopathy There are four important principles associated with the practice of homeopathy: 4 ■ . In 1810 Hahnemann published his most famous work. In direct contrast to orthodox medicine.1 A total of ﬁve editions appeared during Hahnemann’s lifetime. Hahnemann translated and annotated a materia medica written by the eminent Scottish physician William Cullen (1710–90). and it is possible that herbal and perhaps aromatherapy products will be fully reimbursable under the NHS in the foreseeable future. in order to elucidate the symptoms reﬂecting the use of the medicine. about 100 miles south of Berlin. a ‘proving’.
r Matching symptoms reported by a patient with the drug pictures of r Conﬁrming the choice with questions based on modalities (what makes r Choosing the correct dose and frequency. the symptoms better or worse). Like cures like. Gelsemium and Eupatorium perf (AGE for colds and ﬂu).Mechanisms of action of homeopathy 1. Hahnemann found that. Provings in all materia medicas relate to single medicines and there is no way of knowing whether or how individual medicine drug pictures are modiﬁed by combination with other ingredients. not just local symptoms in isolation (see below). one must seek medicines that can excite similar symptoms in the healthy human body. Homeopaths consider disease to be an expression of the vital force of each individual. appropriate medicines. This idea is summarised in the Latin phrase similia similibus curentur. fatalities were not uncommon. 2. and Aconite. made from toasted coffee beans. Belladonna and Chamomilla (ABC for teething). as the medicines were serially diluted. The process is explained in detail in Chapter 4. These are known as complexes (see Chapter 3). Hahnemann believed that one should use a single medicine to treat a condition. Thus a medicine such as Coffea tosta. with vigorous shaking at each stage. while at the same time maintaining a therapeutic effect. Whole patient. Single medicine. 3. in order to cure disease. Mechanisms of action of homeopathy The mechanisms of action of homeopathy are not fully understood. When Hahnemann carried out his original work he gave substantial doses of medicine to his patients. There is a growing tendency for the major manufacturers to combine mixtures of medicines and potencies in one product. This often resulted in major toxic reactions. Because all individuals are quite different in their expression of ■ 5 . In later life Hahnemann did use mixtures of two or three medicines. Treating with homeopathy Treating with homeopathy involves the following stages: r Collecting information. they appeared to become more potent therapeutically. in which all aspects of a patient’s wellbeing are considered. r Following up. He experimented to try to dilute out the unwanted toxicity. in keeping with contemporary practice. 4. To reﬂect this effect he called the process potentisation. and there are a limited number of such mixtures still used today. Hahnemann believed that. Minimal dose. including Arsen iod. might be used to treat insomnia. often translated as ‘let like be treated with like’. The holistic approach to treatment. The potentisation process is described in detail below.
sadness). if the force becomes disturbed by factors such as emotional stress. envy. This approach is used especially for ﬁrst aid and the treatment of many simple self-limiting acute situations. then illness results. It is possible to administer medicines chosen for their local effect. environmental conditions or certain inappropriate allopathic drugs. where changes in understanding and consciousness are recorded (e. However. homeopaths look at the totality of symptoms rather than at individual aspects of disease in isolation. rather than their common. A good example of this law in practice is the resolution of asthma.g. fear. love. symptoms. a condition that is often associated with a skin condition.g. It is believed that the vital force operates on three different levels: 1. The symptoms are important only in that they act as an indicator for the selection of an appropriate medicine. Local. However. Under normal conditions. 2.Introduction to homeopathic theory the vital force. patients are treated according to their idiosyncratic. Hence mental symptoms (emotions) might be expected to improve before physical symptoms are resolved. Hering’s law – the direction of cure Hering’s law. this comprehensive approach is not the only way homeopathic medicines can be used. Physical. irritability. and recent symptoms will subside before longstanding chronic symptoms. the vital force is thought to be responsible for the orderly and harmonious running of the body. 6 ■ . and for coordinating the body’s defences against disease. in which case the drug picture is reduced to a few highly signiﬁcant indications (known as ‘keynotes’) for matching. where changes occurring in the immediate vicinity of the patient’s problem are considered. General. These observations serve to build up a picture of the patient’s wellbeing. Homeopathic practitioners consider the body’s functions to be a melange of all these levels when determining which homeopathic medicine is appropriate to restore the vital force to its ‘normal’ level. anxiety. As stated above. where changes to the body’s organs and systems are recorded (e. 3. confusion and lack of concentration) and changes in emotional states are recorded (e. poor diet. attributed to Dr Constantine Hering (often called the father of American homeopathy). organ malfunctions and disease).g. It states that cure takes place: r r r r from top to bottom of the body from the inside to the outside from the most important organs to the least important in reverse order of onset of symptoms. gives an indication of the order in which a condition may be expected to resolve during homeopathic treatment. It is not uncommon to see the physical symptoms of asthma improving only to ﬁnd an underlying skin condition becoming more pronounced.
deliberate r Observations of pathological symptoms regularly cured by the medicine in clinical practice. 2. ■ 7 . References 1. The process of choosing a medicine to treat a particular condition by matching symptoms to a drug picture is known as repertorisation.Materia medica and repertories Proving a drug Most homeopathic medicines have a drug picture. Homeopathic drug provings: symptom selection criteria and protocol guidelines. a process known as ‘proving the drug’. the latter list conditions with an indication of the medicines that might be useful in treating them. Riley D (1996). Concept and methodology. A number of such texts are given in Appendix 1. the proving of a substance refers to all the symptoms induced by the substance in healthy people according to Hahnemann’s original instructions. This is the source of many seemingly strange symptoms noticeable in some drug pictures. In this book we have used the most important features of various drug pictures to construct prescribing charts that guide colleagues towards the most appropriate medicine for a given condition. Provings. The former list all the drugs with their drug pictures. to verify earlier work and to bring new medicines to the homeopath’s armamentarium. many of which have been computerised. Hahnemann C S (1810). Belon P (1995). In some instances the whole drug picture may be derived from toxicological or clinical observations and not from a true proving at all. J Am Inst Homeopathy 89: 206–210. a written survey of the symptoms noted when the drug was given to healthy volunteers. Provings are still carried out today. 3. Dresden: Arnold. Hahnemann deﬁned very precise guidelines for carrying out provings. Within this list there is a hierarchy of type styles in the text to reﬂect the relative importance of the items mentioned. Theoretically.2 Drug pictures Drug pictures may also contain symptoms derived from the following sources:3 r Observations of toxicological effects arising from therapeutic. or accidental administration. Materia medica and repertories The drug pictures are collected together in large weighty books called materia medicas and repertories. Organon of the Rational Art of Healing. Br Homeopath J 84: 213–217.
especially if a supplier is changed. 8 ■ . for this reason. with its various supplements. The European homeopathic pharmacopoeia that has been in preparation for many years will assume major importance as the number of monographs increases. the Homeopathic Pharmacopeia of the US (HPUS) is the standard. Approximately 70% of all homeopathic medicines are prepared from extracts of plant materials and. particularly with regard to the analysis of starting materials. for most of their information.2 Homeopathic medicines The homeopathic pharmacopoeias Homeopathic medicines are prepared in accordance with the methods described in various ofﬁcial national homeopathic pharmacopoeias. many people confuse homeopathy with herbalism. However. or HAB in the German abbreviation). In the USA. the German and French pharmacopoeias are considered to be ‘ofﬁcial’. These have been adopted by the relevant regulatory authorities in the countries concerned. the manner of producing the two types of medicines is quite different. In the EU. The British homeopathic pharmacopoeia (the latest edition of which appeared in 1999) is not considered to have this status in European law and for many years British manufacturers have relied on the German homeopathic pharmacopoeia (GHP. The source materials The source materials used in homeopathic medicines can be classiﬁed as follows: r Plant material. It should be noted that some methods of preparing medicines differ between the various pharmacopoeias. Herbal products are generally the result of an aqueous or alcoholic extraction alone. There is currently no requirement for manufacturers to state on the label which pharmacopoeial standard their product conforms to. and the French and US pharmacopoeias. It might be prudent to enquire.
and secretions of the cuttleﬁsh (Sepia). Chemical material. are known as allergodes (see Chapter 3). or from milk from a cow or sheep suffering from mastitis. Zoological material. disease products. Examples of medicines derived from healthy zoological material are those derived from the bee and the cockroach. and moulds. Auto-isopathics are similar to nosodes. Material from bacterial cultures and healthy animal secretions may also be used. virus particles and yeast. Antigens include toxins. amboceptors. described below. opsonogens. a fox-like animal kept in battery accommodation mainly in Ethiopia. It comprises three stages. including drugs and excipients. terminology differs from the above. Examples include snake and spider venoms. hair and feathers may also be used to prepare allergodes. ova. blood. that have been ingested or otherwise absorbed by the body and are believed to have produced a disease or disorder. The US homeopathic pharmacopoeia provides the following deﬁnitions: r Isodes. r r r The preparation of homeopathic medicines A summary of the manufacturing process is shown in Figure 2. verrucae). zoological or chemical substances. are homeopathic dilutions of botanical. Sarcodes are homeopathic attenuations of wholesome organs. fungi. parasites. Allersode is the term used to describe homeopathic dilutions of antigens. Medicines to treat allergies and made from materials such as grass and tree pollens. while pathological material yields nosodes and may include pus. can induce the formation of antibodies. Musk is obtained from the African civet. sometimes called detoxodes. precipitins and most native proteins. but are prepared from an individual infected patient’s own products (e. bodily ﬂuids and diseased tissue (see Chapter 3). warts. i. as speciﬁed in the pharmacopoeia monographs.The preparation of homeopathic medicines whereas homeopathy involves an additional dilution process. pustules. complements. precipitinogens. substances that. g. ferments. calcium carbonate is obtained from the interspaces of oyster shells and sulphur is obtained from a naturally occurring geothermal source. r r In the USA. causative agents such as bacteria. musk oil (Moschus). under suitable conditions. They are generally known as sarcodes. agglutinogens.1. Highly puriﬁed chemical material is rarely used in the preparation of medicines. Nosodes are homeopathic attenuations of pathological organs or tissues. Either the whole plant may be used or only selected parts.e. opsonins. venins. Animal fur. Chemical material and orthodox drugs may also be used to prepare homeopathic medicines known as tautodes (see Chapter 3). urine. tissues or metabolic factors obtained from healthy specimens. excretions or secretions. agglutinins. ■ 9 . lysogens. Thus.
e.1 Summary of the manufacturing process. Preparing a homeopathic medicine* * for C and X potencies Source material Non-plant material Stage 1 Plant material Insoluble Soluble Maceration Incubation Extraction Trituration Source tincture Mother tincture ‘Dilution’ with lactose powder Potentisation: dilution/succussion Known concentration dissolves. 6x Medicating potency Stage 2 Impregnation Stage 3 Medicine 10 ■ .Homeopathic medicines Figure 2.g.
The number of times the vials should be shaken is not speciﬁed in the pharmacopoeia and may. STAGE TWO Potentisation (also called dynamisation or attenuation) With the exceptions noted above. usually achieved after three to six serial dilutions. Silicea (silica) and Sulphur are triturated with lactose in a pestle and mortar. known as succussion. The resulting triturate may be compressed directly into trituration tablets or administered as a powder. however.1. The resulting extract solutions contain on average one part drug to three parts mother tincture. depending on the scale being used. the letter Q is also sometimes used – care should be taken to distinguish between the mother tincture and an LM potency (see below). the abbreviation Ø is often used.2). ■ 11 . depending on the manufacturer. be anything from 10 to 100 or more. most mother tinctures are serially diluted in a special process that increases the homeopathic strength (although the chemical concentration decreases). although this strength can vary depending on the species. Crataegus) or topically (e. This is called the ‘source tincture’ in Figure 2. Arnica).g. Succussion is still carried out by hand in some pharmacies. but some large-scale manufacturers have mechanical shakers. The solution resulting from admixture of the two liquids at each dilution is subjected to a vigorous shaking with impact. Insoluble material Chemicals such as Aurum (gold). although some are used orally (e. but within each manufacturing process it remains constant. There are several different methods of dilution. Soluble chemicals In the case of soluble chemicals. More usually. From this point the standard potentisation procedure described below can be followed. trituration continues until the particle size has been reduced sufﬁciently to facilitate the preparation of a solution (‘source tincture’ in Figure 2.1). They form the starting point for the production of most homeopathic medicines. for which reason the process is known as potentisation.g. However. solutions of known concentration in distilled water or alcohol can be initially prepared as the starting solution. type of extraction process and the particular pharmacopoeia being used. of which the Hahnemannian method is the most widely used (Figure 2. Graphites (graphite).The preparation of homeopathic medicines STAGE ONE Preparation of starting materials Vegetable material Mother tinctures are liquid preparations resulting from the extraction of suitable vegetable source material. usually with alcohol/water mixtures. If a mother tincture is prescribed. The resultant solutions are strained to remove any extraneous pieces of debris.
mother tincture succussion . 1 part 1 part MT 99 parts 1c 99 parts 2c dilution succussion 1 part 1 part MT 9 parts 1x 9 parts 2x dilution MT.2 The potentisation process (Hahnemannian).Figure 2.
These high potencies are usually made using the much quicker Korsakovian method (see below).3). using fresh glass vials at each stage until the solution reaches 3c. D6). accompanied by succussion. but use the same notation. leaving just the number. However.2 Decimal potencies Decimal potency 1x (D1) 6x (D6) 12x (D12) 30x (D30) Concentration 10–1 10–6 10–12 10–30 Dilution 1:10 1:106 1:1012 1:1030 In the Hahnemannian centesimal method of potentisation.The preparation of homeopathic medicines Table 2. clean.1 Centesimal potencies Centesimal potency 1 (1c or 1cH) 6 (6c or 6cH) 12 (12c or 12cH) 30 (30c or 30cH) 200 (200c or 200ch) M∗ 10M∗ ∗ Korsakovian Concentration 10–2 10–12 10–24 10–60 10–400 10–2000 10–20 000 Dilution 1:100 1:1012 1:1024 1:1060 1:10400 1:102000 1:1020 000 dilutions. successive serial dilutions are made. 200c and so on .g. 6c. Table 2. 10 000 is XM or 10M and 100 000 is CM (Table 2.g. which can often be confused with a mother tincture.g. The sufﬁx may also be expressed as ‘cH’ or may be omitted entirely. Thus the 1000 dilution level is 1M or simply M. 12c. 6x). although in other countries the scale may be indicated by ‘dh’ after the number (e. At the higher centesimal dilutions letters are sometimes used alone. an LM will always have a number ■ 13 .2). The stages are summarised in Table 2. one drop of mother tincture is added to nine drops of diluent. Other potentisation methods LM (or Q) potencies are triturated to the third centesimal level with lactose before being diluted according to a 1 in 50 000 scale (Figure 2. LM potencies are sometimes referred to as ‘Q’ potencies.1 In the decimal scale. 30c. one drop of mother tincture is added to 99 drops of triple distilled alcohol and water diluent in a new. 6dh) or by ‘D’ before the number (e. the number refers to the number of successive 1 in 100 dilutions and ‘c’ indicates the centesimal method. This is indicated in the UK by a number and the letter ‘x’ (e. screw-cap glass vial. After the initial process.
whereas a mother tincture will simply use the letter alone.g. In the Korsakovian method. Homeopaths often instruct patients to succuss liquid LM potencies before taking each dose. the vial agitated 14 ■ .3 Medicating process for LM potencies. New solvent is then added. Liquid is then removed from the vial by suction or inversion. LM6 or Q6. e. LM1 or Q1. leaving droplets of solution adhering to the container wall. Preparing a homeopathic medicine All source material Trituration Stage 1 3c triturate 60mg dissolved in 500 ml alcohol Potentisation: dilution/succussion Stage 2 Medicating potency Impregnation Stage 3 Medicine to designate the potency level.4). medicines are prepared by adding a measured volume of mother tincture to an appropriate volume of diluent and the resulting solution succussed thoroughly (Figure 2.Homeopathic medicines Figure 2.
Figure 2. mother tincture . 1 part MT 99 parts 1c refill with 99 parts 2cK dilution succussion empty 60 mg (1 grain) 1 drop 1 drop 1 granule 3c trit 500 drops 2 ml alcohol succussion LM1 500 granules 2 ml alcohol LM2 MT.4 The potentisation process (Korsakovian and LM).
STAGE THREE Presentation Dose forms Solid dose forms In orthodox medicine. can be surface inoculated by spraying on the medicine in an alcoholic tincture or as a syrup in a revolving pan. or indeed any of the solid dosage forms. However. so the choice of ‘carrier’ is governed by convenience rather than therapeutic efﬁciency. r Tablets are about 100 mg in weight and are similar to the classic. tablets and capsules are made in different forms to control the speed at which the active ingredient is delivered. Mechanisms of potentisation One of the fundamental tenets of homeopathy is the concept of potentisation. this method is often used in the case of very high potencies. M (as above) or even MK. to disperse the medicine throughout the dose form. rather like the old method of sugar coating. biconvex. which may not realistically be made by the Hahnemannian method. It is acknowledged that this concept is difﬁcult for many highly trained personnel with scientiﬁc backgrounds to accept. This is not necessary in homeopathy. On an industrial scale.2 There is some evidence to indicate that the structure of solvent molecules may be electrochemically changed by succussion. Common solid dose forms are illustrated in Figure 2. Korsakovian potencies are usually denoted by a number showing the number of serial dilutions. Thus. The simplest suggestion is that succussion may merely facilitate a complete mixing. the number of drops used depending on the amount of solid dose form being medicated. plain white product used widely in conventional medicine. enabling them to acquire an ability to ‘memorise’ an imprint of the original medicine.g. blank lactose tablets. The exact amount of medicine to be applied to ensure an even covering is validated using dyes. a 1000 potency may be referred to as 1M. certainly at low potencies. The container is agitated in a manner similar to succussion. with many sceptics claiming that it is just a myth. followed by the letter ‘K’ (e. but it probably arose from his knowledge of chemistry and alchemy.1 It is not known how Hahnemann came upon the procedure of potentisation. On a small scale in the pharmacy. They are manufactured commercially from lactose and appropriate excipients.5. as stated above. 16 ■ . the solid dose forms may be placed in glass vials and medicated by placing drops of liquid potency in strong alcohol on the surface.Homeopathic medicines vigorously and the process repeated. Geometric and dynamic models have been constructed to try and explain how medicines can be therapeutically active at such extreme dilutions. This method and K potencies are rarely used in the UK. and yet it continues to be one of the major stumbling blocks to its widespread acceptance. 30K).
They are often applied topically (see below). Arnica for bruising. Soft tablets are loosely compressed lactose tablets that melt in the mouth. of which the most widely prescribed in the UK are variants of Mistletoe used in the management of cancer. creams. The former are approximately 3–4 mm in diameter.9 mm in diameter and often referred to as ‘poppy seeds’. Crystals are sucrose. either singly (e. Valerian). Germany) and Iscador (Weleda). r Injections There are a number of injectables on the market. or in a few cases where no mother tincture exists liquid potency (e. usually sucrose. approximately 0. r Liquid potencies are serial dilutions made from mother tinctures but in a lower concentration of alcohol (typically 20–30%) than that used to medicate solid dose forms (typically 95%). and have the appearance of granulated sugar. Thuja for warts or Tamus for chilblains) or in mixtures (e. lotions. or on a sugar cube.g. Topical dose forms r Mother tinctures may be applied topically. r Individual powders are made from lactose impregnated with r medicating liquid potency and are useful where small numbers of doses are required. Hypericum and Calendula – widely known as ‘Hypercal’). e. They are usually given in water but the drops may be placed directly on the tongue.g. Graphites. which resemble cake decorations.5 Solid dose forms. usually in water. Crataegus. while the latter are very tiny. Pforzheim. ■ 17 . g. g.The preparation of homeopathic medicines Figure 2. liniments (generic and patent) and oils contain between 5 and 10% of mother tincture. Adnoba (Abvoba Heilmittel Gmbh.g. r r Liquid dose forms r Mother tinctures may be given orally (e. gels. r Ointments. Pills and granules are small spheres.
r The containers There has been much discussion as to whether plastic or glass containers are appropriate for solid dose forms. Human use In Europe. In the UK they have been treated as medicines since the inception of the NHS in 1948 and are available on medical prescription just as orthodox medicines are. 2. there are three routes by which homeopathic medicines can be registered: 1. these have not been substantiated. Little work has been done to investigate whether the fears of those eschewing plastic have a ﬁrm foundation. Tamus (chilblains). No homeopathic medicine has been registered under this classiﬁcation. Calendula. Products with limited claims of efﬁcacy based on bibliographic evidence. and injections. There have also been suggestions that the glass may play some part in ‘holding’ the potency. incorporated in a suitable vehicle. Argent nit. and Thuja (warts and verrucae). they are subject to rules governing their manufacture and supply. with a channel that facilitates the delivery of one measured drop (0. Calendula and Hypericum (superﬁcial wounds). The major suppliers use amber screw cap bottles with a plug in the neck. Cineraria and particularly Euphrasia eye drops are all extremely useful and are likely to prove very popular should they become more widely available.Homeopathic medicines Sulphur). Silicone rubber teat droppers are rarely used as again there is some concern over leaching. Again. may be registered under UK national rules. Registered homeopathic medicines for human use may be sold in the UK without restriction in a wide range of retail outlets. Exceptions include 18 ■ . Rhus tox/Ruta (sprains and strains). Liquids are packed in glass dropper bottles.e. Full registration with substantiated claims of efﬁcacy as for orthodox medicines supported by clinical trials. 3. Eye drops have caused manufacturers licensing difﬁculties and at the time of writing are restricted to prescription on a named patient basis in the UK. Legal classiﬁcation of homeopathic medicines Manufactured homeopathic medicines are subject to careful scrutiny to ensure that they are of the highest quality and safety. Products that are 4x and above may be registered on the basis of quality and safety only (i. As a result. making no claims of efﬁcacy) under an abbreviated European scheme. suggesting that there is a possibility of chemicals leaching into the plastic. The traditionalists still favour neutral glass containers.05 ml). Available topical preparations include Arnica (bruising).
tablet imprinting and ﬁnished product testing. However. In the USA. Homeopathic medicines may be prepared extemporaneously by pharmacists in a registered pharmacy if they have appropriate expertise. These rules. Subject to the relevant FDA regulations. r If there is no licensed veterinary medicine available for a particular r r condition or for use in a particular species. pending clariﬁcation of the European position. Drug. If there are no suitable veterinary products. products that were on the market in the UK prior to 1996 may be registered with the Veterinary Medicines Directorate (VMD) and placed on the market without further action.4 While homeopathic drugs are also subject to the FDA’s non-prescription drug review. Under a grandfather clause in the 2006 Veterinary Regulations. and Cosmetic Act of 1938 and regulations issued by the Food and Drug Administration (FDA). with the exception of provisions for expiration dating. Nosodes and sarcodes do not qualify for grandfather rights. Veterinary use The normal UK category is Authorised Veterinary Medicine – General Sales List (AVM-GSL). A vet may use medicines ‘off-label’ under the ‘prescribing cascade’.Legal classiﬁcation of homeopathic medicines certain formulations such as eye drops and injections that may contain unlicensed ingredients and are restricted to medical prescriptions on a named patient basis. similar veterinary products may be used. manufacturing. ■ 19 . homeopathic medicines are subject to the Food. subject to a strict hierarchy. The position with respect to the over-the-counter (OTC) supply of homeopathic veterinary products was under review at the time of writing. a pharmacist or a vet may prepare the required medicine extemporaneously provided that they have the necessary expertise.3 Pre-market approval is by way of monograph approval by the Homeopathic Pharmacopoeia Convention of the United States (HPCUS). homeopathic medicine indications may be given on the label and there are no limitations on where homeopathic medicines can be sold. a human medicine may be prescribed. marketing and sales of homeopathic medicines are subject to FDA compliance rules. If a registered homeopathic veterinary product exists then it must be supplied even if it is requested generically. If no suitable human product is available. are functionally identical to the rules for their allopathic counterparts. labelling. Good manufacturing practice standards for homeopathic and allopathic drugs are the same. Some unlicensed medicines obtained from homeopathic manufacturers holding special manufacturing licences may be classiﬁed as pharmacy only (P) and should not be placed on open shelves. These provisions apply to both orthodox and homeopathic practice. the FDA has not yet used this authority.
Pub. Kayne S B (1997). Food.Homeopathic medicines References 1. Potentization – just a myth? Br Homeopath J 86: 156–160. 52 Sta. §321(g)(1) (1938). 103–417. L. Effects of potentisation in aqueous solutions. Schulte J (1999). Br Homeopath J 88: 155–160. Regulation of homeopathic products. 4. S. Drug. Borneman J P. 3. 1041 (1938). Field R L (2006). 2. 20 ■ . as amended and codiﬁed in 21 U. C. and Cosmetic Act of 1938. Am J Health-Syst Pharm 63: 86–91. Isbell W.
A period of consultation lasting up to an hour or more may be necessary to obtain sufﬁcient information for the practitioner to prescribe on the basis of the ‘totality of symptoms’ rather than simply on local symptoms. This effectively reduces the number of conditions that may normally be treated in most community pharmacies to minor ailments and simple self-limiting conditions. Pulsatilla and Sepia are both used for pre-menstrual tension. Classical medicines Most homeopathic medicines fall into this group. Pulsatilla (the windﬂower) is a slender ﬂower that bends in ■ 21 r . r Some people respond especially well to a particular medicine. They are used according to Hahnemann’s original method of matching up the patient’s symptoms to the drug picture. certain physical and mental characteristics appear to be common (e.3 Types of homeopathic medicines. g. for example. practitioners and practices Types of homeopathic medicines Homeopathic medicines are often classiﬁed according to how they are used in practice. However. among people in this unique group. Parallels can often be drawn between certain characteristics shared by people in this group. Constitutional medicines In any given population the following may be observed: r People react to homeopathic medicines with different levels of intensity. ‘Pulsatilla ladies’ tend to be weepy while ‘Sepia ladies’ tend to be tall and slim with a darker complexion. Further. hair colour. height and weight). and the physical or chemical properties of a medicine. skin texture. these people also tend to suffer from similar complaints.
However. In simple terms. and the use of constitutional medicines is not recommended unless appropriate knowledge and experience have been gained. there is a strong possibility of a favourable outcome. Particular physical characteristics. Prescribers need to know a great deal about the patient and the medicine. it must be stressed that homeopathy does not generally function like the ‘Doctrine of Signatures’ popularised by herbalists in the seventeenth century. examples of which are listed in the box below. The use of constitutional medicines is a skill that eludes most novice prescribers. They are also aspects of the individual that may intensify during illness to become symptoms. because they lend themselves to prescribing based on abbreviated drug pictures without protracted consultations. Polychrests This group of 20 to 30 medicines. are extremely important in practice. body functions and psychological traits may become exaggerated. Over-the-counter (OTC) prescribing in pharmacies is generally. The constitutional characteristics of the patient prevail in the absence of disease. They form the basis of most commercially available homeopathic ranges. Examples of medicines considered to be polychrests Aconite Apis mell Argent nit Arnica Arsen alb Belladonna Bryonia Calc carb Carbo veg Euphrasia Gelsemium Graphites Hepar sulph Hypericum Ignatia Ipecac Kali bich Lycopodium Merc sol Nat mur Nux vom Pulsatilla Rhus tox Ruta grav Sepia Silica Sulphur Thuja 22 ■ . a characteristic that may be considered as being analogous to having a changeable temperament.Types of homeopathic medicines. If a person’s constitutional medicine coincides with the symptom picture being presented. practitioners and practices the wind. this doctrine was the idea that God marked everything He created with a sign or signature that indicated the purpose of the item’s creation and where it might be used therapeutically.
Most isopathic medicines are administered on the basis of the principle Aequalia aequalibus curentur – ‘let same be treated by same’ – rather than the classical ‘let like be treated by like’. Although they are used mainly for ﬁrst aid and acute situations in the OTC environment. Some historical nosodes have drug pictures. although their use is limited to rather specialised circumstances.1 Allergodes Allergodes can be used effectively provided that the patient knows the source of the allergy or skin testing results are available. Nosodes There are various childhood illnesses represented among the nosodes. There are geographic variations that may need to be considered (e. It should be noted that none of these medicines is a true vaccine and there is little evidence that they can confer any protection against a disease when given prophylactically. The UK Faculty of Homeopathy counsels against the use of any medicines by members of the public in such circumstances (see http://www. Isopathic medicines An explanation of the different groups of isopathic medicines and terminology used in Europe and the USA is provided in Chapter 2. ■ 23 . Sarcodes Many of these medicines (particularly those derived from snake and spider venoms) have comprehensive drug pictures and may be used following repertorisation in the normal manner.org).Allergodes but not exclusively. Examples include Inﬂuenzinum. for pollens. Cold and ﬂu) and Psorinum (see Chart 22. Most have not been subjected to provings and therefore do not appear in standard texts. g. Allergies). polychrests have drug pictures that show a very wide spectrum of activity affecting many body tissues and are often indicated in chronic disease and constitutional prescribing. Bacillinum (see Chart 14. including whooping cough (pertussin) and German measles (rubella). Eczema and dermatitis). Allergodes can be effective in the treatment of a range of allergic reactions (see Chart 3. although some do appear in the materia medica by Julian. Nosodes and sarcodes as ‘vaccines’ The word ‘vaccine’ is sometimes used erroneously to describe nosodes and sarcodes that are given both prophylactically and as a treatment. trees or moulds). with the aim of stimulating the auto-immune response against a disease. There are also tropical nosodes like cholera and malaria sometimes claimed to be ‘vaccines’ (see box below). based on polychrests. It is appropriate to exert some voluntary control when certain nosodes are being used.trusthomeopathy.
said to exhibit the properties of ‘coolness’. sun and seasons. and is also based on homeopathy. where it is not uncommon to have 15–20 medicines ranging from very low to high potencies in the same preparation. Vegetable material is grown using methods of biodynamic farming. The ﬁrst growth of plants is harvested and composted. This is very popular in France and Germany. a development of organic practice where the soil is fed to improve its structure and fertility. Anthroposophical pharmacies use different temperatures during the manufacturing process. Aconite. is prepared at a lower temperature than Crataegus. diluted and used without potentisation. Soil additives are restricted to homeopathic medicines only. all other hormones and chemicals are excluded. Although the nature of anthroposophical medicines is essentially the same as homeopathic medicines. Manufacturers prefer to produce their own source material whenever possible. Due cognisance is taken of the natural cycles of the moon. with indications for use on the label. Complex medicines The mixing of different medicines and different potencies in one container. according to the particular medicine involved. The process is repeated. Examples include commercial vaccines and drugs. Great care is taken in collecting raw materials for preparing anthroposophical medicines. is known as ‘complex’ prescribing. practitioners and practices Tautodes Tautodes (also known as tautopathic medicines) are used for the isopathic treatment of adverse drug reactions. Paying attention to the temperature during preparation can be seen as helping to relate the medicines to human use. Homotoxicology This was the brainchild of German doctor Hans-Heinrich Reckeweg (1905– 85). and a second crop grown on the composted material. selected for their combined effect on particular diseased states. The medicines are extracted. allergies and chemical irritation thought to be directly caused by the source material chosen. Other types of related medicines Anthroposophical medicines A related form of homeopathy is known as anthroposophy. Drawing on a vast knowledge of 24 ■ . It is likely that many of these complex mixtures will appear on the UK market within the foreseeable future (see page 29). Very few of the tautodes have drug pictures. there are some important differences in the manufacturing process. and the third generation of plants is used to prepare the medicine.Types of homeopathic medicines. a medicine acting on heart muscle and therefore active at body temperature. or prepared using the homeopathic process of serial dilution and succussion.
10. 8. Dr Reckeweg compounded a store of remedies that combined folk medicine and basic plant pharmacology. introduced a number of inorganic substances in low potency to his practice in 1872. together with some 18 different combinations. each salt being ground down with lactose sequentially up to the sixth decimal potency (6x) level. The therapy is used widely in Germany but is less well known in the rest of the world. The biochemic tissue salts The tissue salts are often included under the homeopathic umbrella. 11. 9. and surface inoculation is not used as it is thought to render the tissue salts ineffective. Dr Wilhelm Heinrich Sch¨ ssler. 2. usually as soft tablets ■ 25 . 7. They are listed in the box below. The resulting triturate is then compressed directly into a soft tablet. They are made by a process of trituration. and developed the idea of biochemic tissue salts. The tablet readily dissolves in the mouth. 3. releasing ﬁne particles of mineral material that can be absorbed into the bloodstream through the mucosa. There are 12 single biochemic tissue salt medicines. rather than merely to suppress symptoms. 6. It is argued that this situation may be corrected by taking tissue salts. Although most of the salts are soluble. there is no intermediate liquid stage. Homotoxicologists endeavour to identify and treat the underlying toxic causes of ill health. 12. although their inventor insisted that they were quite separate from homeopathy.Other types of related medicines herbal lore and medicines. The salts are often referred to by a number from 1 to 12 in order of their names. 4. The biochemic tissue salts∗ 1. Proponents cite unhealthy eating practices that could lead to deﬁciencies of various salts considered to be vital for healthy functioning of the body. 5. ∗ Used Calc ﬂuor (calcium ﬂuoride) Calc phos (calcium phosphate) Calc sulph (calcium sulphate) Ferrum phos (iron phosphate) Kali mur (potassium chloride) Kali phos (potassium phosphate) Kali sulph (potassium sulphate) Mag phos (magnesium phosphate) Nat mur (sodium chloride) Nat phos (sodium phosphate) Nat sulph (sodium sulphate) Silicea (silica) in the 6x potency. a German homeopathic physician from u Oldenburg.
larch. pine. sweet chestnut. rock water). r Uncertainty (cerato. One of the difﬁculties of using Bach remedies is that. wild rose). mental symptoms are likely to change. gorse. Flower remedies This group of medicines is not homeopathic but is included in this book because they are often used in conjunction with homeopathy (see Chart 4. UK. four or ﬁve different salts. Overcare for the welfare of others (beech. In order to deal with this there is an extremely useful combination of ﬁve Bach ﬂower remedies. where many of the plants used in his remedies could be grown or were available as wild specimens in the immediate area. The remedy comprises cherry plum (for the fear of not being able to 26 ■ . usually referred to by the letters A to S and given speciﬁc indications. vervain. Anxiety and shock). practitioners and practices For many ailments. olive. elm. requiring the administration of different treatments. Kali phos and Mag phos and is used r Combination S contains Kali mur. clematis. honeysuckle. Despondency or despair (crab apple. but the original and best known are the Bach ﬂower remedies popularised by the immunologist Edward Bach. It was so named for its stabilising and calming effect on the emotions during a crisis. Anxiety and shock). cherry plum. willow). In 1934 Dr Bach established a healing centre in a small house at Mount Vernon. hornbeam. Oxfordshire. scleranthus. more than one tissue salt is required. white chestnut. red chestnut. holly. wild oat). Nat phos and Nat sulph and is used for stomach upsets. centaury.Types of homeopathic medicines. r r r heather. They fall somewhere between homeopathy and herbalism and are not currently subject to legal classiﬁcation in the UK. r Insufﬁcient interest in present circumstances (chestnut. In order to simplify treatment there are a number of combination medicines containing three. during the resolution of disease. He subsequently completed his collection with a further 26 remedies. impatiens. mimulus. and considered the ﬁnal total of 38 to be sufﬁcient to treat the most common negative moods that afﬂict the human race. water violet. rock rose). star of Bethlehem. gentian. Two examples are: r Combination A contains Ferr phos. vine. There are many variants of ﬂower remedies. mustard. Flower remedy therapy treats predominantly mental and emotional manifestations of disease. chicory. These 38 remedies can be split into six groups according to their principal use: r Fear (aspen. relying on the administration of remedies derived from the ﬂowering parts of plants. walnut). for sciatica and neuralgia. known as ﬁve-ﬂower remedy or Rescue Remedy (see Chart 4. Oversensitivity to inﬂuences and ideas (agrimony. oak.
also by professional (i. A professional homeopath is a practitioner who has qualiﬁed from a recognised college of homeopathy. The cream contains the same ﬁve remedies as the Rescue Remedy drops. most health professionals have responded reactively to a demand for homeopathy from clients. It is broadly used for conditions similar to those for which Arnica might be applicable. repeated dosing could be appropriate. although with improved access to training this position is changing. although this situation is likely to change with new controls brought in following the Shipman case. clematis (for unconsciousness or the ‘detached’ sensations that often accompany trauma). are able to use homeopathy under the NHS in the UK. If the mood is transient then only one dose might be appropriate. it is difﬁcult to understand how topical use in this way ﬁts in with the concept of treating mental symptoms. The practice of blending ﬂower remedies appears to be growing. rock rose (for terror) and star of Bethlehem (for the after-effects of shock). In these countries homeopathy may be practised not only by statutorily registered qualiﬁed health professionals. However. For longer use a dose should be taken four times daily. plus crab apple (for a sense of uncleanliness). if the condition persists. ‘bowel essence’ and ‘night essence’. where the mental symptoms resulting from a traumatic episode or overwork are more evident than the physical. impatiens (for impatience and agitation). and some professional homeopaths. If no suitable beverage is available. nonmedically qualiﬁed) homeopaths and by lay homeopaths with no formal training. 4 drops of the remedy may be placed under the tongue.Homeopathic practitioners cope mentally). Common law permits freedom of choice of the patient to choose the healthcare provisions that they feel appropriate. The main drawback of such a liberal system is that it allows a person to set up as a homeopath with little or no training. One recently launched range includes nine combination remedies with names such as ‘male essence’. Most suitably trained health professionals. and practises in such a way that all the criteria for registration requested by their professional body continue to be fulﬁlled. ■ 27 . while.e. The liquid should be held in the mouth for a moment before swallowing. Patients should be instructed to add 2–4 drops of the Bach ﬂower remedy to a cold drink of their choice (fruit juice or still mineral water are both acceptable) and the mixture sipped every 3–5 minutes for acute problems until the feelings have subsided. This remedy is often used in place of Arnica. rather than encouraging its use proactively. Administration Frequency of administration depends to a large extent on each individual patient. Ireland and many other English-speaking countries. but under common law. and the freedom of people to practise homeopathy if they so wish. Bach rescue cream is a skin salve that is claimed to help a wide range of skin conditions. Homeopathic practitioners In the UK.
There may be other NHS-funded clinics in certain areas.the-hma. Germany also has two classes of practitioners – doctors (95% of whom practise some form of complementary medicine) and ‘Heilpraktikers’. awarding the qualiﬁcations of Licentiate (LFHom with appropriate sufﬁx) as a basic qualiﬁcation for all health professionals. and Full Membership (MFHom) and Fellowship (FFHom) for the medical.homeopathy-soh. However.org). Interestingly. but are obliged to take a ‘test’ that is administered by the Local Health Authority. discussions are now proceeding on an amicable basis and the two groups are moving together. Another body is the UK Homeopathic Medical Association (http://www. The British Institute of Homeopathy also provides courses. whose full members have fulﬁlled similar requirements. except that they tend 28 ■ . pharmacists and podiatrists). The postgraduate courses in medical homeopathy are claimed to be the fastest growing of any speciality and currently more than 300 doctors hold the MFHom qualiﬁcation. These practitioners use the initials MHMA after their name. If a candidate fails he or she may continue to resit until successful.org/faculty). developed in the years before the Second World War.trusthomeopathy. Liverpool. Glasgow. Despite their substantial training in well-established colleges. At present the ratio of practising ‘Heilpraktikers’ to physicians is about 1:4.org) may use the letters RSHom (or FSHom) after following a course of instruction and a period of clinical supervision. Few homeopathic medicines are classiﬁed as prescription only medicines (POMs). The Heilpraktiker’s activities are comparable to the British professional homeopath.trusthomeopathy. the body has no statutory powers and there appears to be no imminent decision by the UK government to require homeopaths to be statutorily registered. They are not obliged to undertake formal medical training. the professional homeopaths were formerly regarded with disdain by medical homeopaths. London and Tunbridge Wells (see Appendix 1). Professional homeopaths registered with the Society of Homeopaths in Northampton. The British Homeopathic Association (http://www.org) can provide further details. literally translated as ‘health practitioners’. an opinion that continued into the 1980s. There are NHS homeopathic hospitals in Bristol. practitioners and practices Registered healthcare professionals practising homeopathy and professional homeopaths have quite separate educational facilities and voluntary governing bodies. Practice by the former may be supervised by the Faculty of Homeopathy (http://www. pharmacy and veterinary professions. Joining the Faculty is voluntary. The Faculty accredits training courses for health professionals. the majority may be supplied in response to private prescriptions written by professional homeopaths. albeit rather slowly. when doctors did not have a monopoly on the delivery of healthcare. The latter group. Diplomate (DFHom) as an intermediate qualiﬁcation (currently available only to dentists. UK (http://www. In addition there are 350 with the LFHom and an unspeciﬁed number of prescribers occasionally prescribing homeopathy who do not have a formal qualiﬁcation.Types of homeopathic medicines. The Faculty was founded in 1950 by act of Parliament. nursing.
Writers on homeopathy frequently refer to ‘classical’ or European homeopathy.5 r r ■ 29 .3 There are broadly three ways in which homeopathic medicines are administered in Europe and in other countries where European inﬂuence is strong (except for France where the approach often differs): r One medicine at a time in a single dose or repeated doses is prescribed by those claiming to be ‘classical’ or unicist homeopaths. Generally favoured by homeopaths in the UK. This is called ‘pluralist’ prescribing and claims to treat more than one aspect of a patient’s condition. this is said to be the ‘classical’ approach to homeopathy. Hahnemann changed his ideas several times. there is no homeopathic basis for their use. Campbell has criticised the notion that there is a standard or pure form of homeopathic practice and argues instead that the so-called ‘classical’ homeopathy is really a complex mixture of ideas drawn from a variety of sources. observational study demonstrated the effectiveness of treating the upper respiratory symptoms of the common cold. Mixtures in one container of different medicines and different potencies. This method is known as ‘complex’ prescribing. high and LM potencies and not just unicist prescribing. especially towards the end of his life.2 Approaches to the practice of homeopathy There are many schools of thought around the world as to how homeopathy should be practised with respect to the choice of medicine and potency and frequency with which medicines should be administered.4 while Jacobs et al. Germany and Italy. and place more emphasis on diagnostic procedures. Classical homeopaths claim that this is not true homeopathy as there is no individual matching of the symptom and drug picture. A German non-randomized. However. usually with the implication that this is the most complete and authoritative version of Hahnemann’s views and most closely represents his methods. and where medicines from these countries are available. and so the term ‘classical’ could be applied to several different methods of using medicines in various low. found a combination medicine did not signiﬁcantly reduce the duration or severity of diarrhoea in a sample of Honduran children. such claims do not correspond with the historical facts. It is common in France. However. as no provings have been conducted on the mixtures. given simultaneously in alternation or concurrently. More than one medicine at a time. They argue that. There is no established ‘norm’. selected and combined for their combined effect on particular diseased states.Approaches to the practice of homeopathy to use several different therapies concurrently. In practice the evidence of effectiveness for such interventions is mixed.
J Alt Complement Med 12: 723–732. Julian O (1979). Ernst E (1996). Explore (NY) 2: 109–114. References 1. 30 ■ . The origins of classical homeopathy? Comp Ther Med 7: 76–82. 5. practitioners and practices In this book the prescribing charts featured in Part 2 are designed to lead to a single medicine. Guthrie BL. but in some circumstances more than one medicine may be appropriate (see Chapter 5). A complex homeopathic preparation for the symptomatic treatment of upper respiratory infections associated with the common cold: an observational study. Towards quality in complementary health care: is the German ‘Heilpraktiker’ a model for complementary practitioners? Int J Quality Health Care 8: 187–190. Campbell A (1999). Homeopathic combination remedy in the treatment of acute childhood diarrhea in Honduras. Klein P (2006). (2006). Jacobs J.Types of homeopathic medicines. 3. Beaconsﬁeld: Beaconsﬁeld Publishers Ltd. Schmiedel V. Montes G A et al. 2. 4. A Materia Medica of New Homoeopathic Remedies.
The major differences are in the selection of the appropriate medicine for each patient (see Part 2). ■ 31 .4 Prescribing and dispensing homeopathic medicines Source of a request for a homeopathic medicine In the UK. the supply of a homeopathic medicine may be in response to: r an NHS prescription signed by a doctor. In this case the stimulus prompting the purchase of a medicine may come from a practitioner who will either issue a formal prescription or give verbal instructions on what to buy. Prescribing a homeopathic medicine The prescribing of homeopathy at the initial stage is no different to orthodox medicines. Other purchasers are inﬂuenced by friends. family and the media. dentist or pharmacist with r r r r r r appropriate prescribing rights as a result of a consultation and subject to the conditions of their practice a pharmacist’s NHS prescription generated through a minor ailments service a pharmacist’s NHS prescription when acting as a supplementary prescriber as part of a shared care plan a pharmacist’s verbal prescription following an OTC consultation (‘counter prescribing’) a prescription signed by a veterinary surgeon for a registered veterinary medicine or a human homeopathic medicine under the ‘prescribing cascade’ (see Chapter 2) a prescription from a healthcare professional or a professional homeopath (also known as non-medically qualiﬁed practitioner or NMQP) an over-the-counter (OTC) request from a client.
32 ■ . Deciding on a particular medicine. 3. Obtaining basic information on the condition being presented. Taking a decision on whether to treat in the pharmacy or to refer. Taking a decision to treat with homeopathy or orthodox medicine.Prescribing and dispensing homeopathic medicines Figure 4. 4. 5. 6. Establishing a dose regimen.1 and comprises the following eight steps: 1. Gathering supplementary information. Prescribing a homeopathic medicine Obtain information on presenting condition Treat? Yes System of medicine Homeopathy Orthodox No Gather supplementary information Treat? Yes No Choose medicine Establish dose and treatment regimen Referral Provide medicine Follow-up The prescribing process is summarised in Figure 4. 2.1 Chart of prescribing procedures.
information must be gained from: r r r r The patient – signs and symptoms. The prescribing charts included in the second part of this book will assist in identifying the most appropriate medicine. where the body is suffering a substantial deﬁciency or imbalance or there is major infection present it will be necessary to deal with the cause of the problem directly as well as treat the symptoms on a local level.Prescribing a homeopathic medicine 7. Step 4: Gathering supplementary information Before one can choose an appropriate medicine to counter prescribe. Follow-up. For example. In order to take this decision in an informed manner some basic information is required and the questioning process described by the well-known acronym WWHAM (Who is the medicine for? What is the medicine for? How long have the symptoms been present? Action already taken? Medicines currently being taken for other reasons?) may help reinforce the information proactively supplied by the patient. the decision to treat or refer may be taken without an in-depth investigation (see Figure 4. Step 1: Gathering basic information The problem of whether to treat or refer is one with which the pharmacist is entirely familiar. and within the bounds of one’s competency. The practitioner’s own knowledge and limits of competency. requests for help with examination nerves can be effectively met with Argent nit or Lycopodium. and Nux vom may be suggested with conﬁdence to women suffering from nausea during the ﬁrst trimester of pregnancy. Step 3: Deciding on homeopathy or orthodox medicine Having decided to treat. It will be based on a variety of factors including the severity and type of symptoms being presented. The patient might express a strong wish to be treated by homeopathy or there may be no suitable OTC allopathic product available. The prescribing charts (see Part 2) and/or other resources. both observed and reported. Providing the medicine. the length of time during which symptoms have been experienced and the patient’s health status. The practitioner’s observational and listening skills. Homeopathy might also be indicated for patients with an existing extensive portfolio of medication where adding extra drugs might cause worries about interactions. the next question is whether to treat with homeopathic or allopathic (orthodox) methods. Step 2: Deciding whether to treat or refer With experience.1). ■ 33 . 8. Homeopathy may not be appropriate in all situations – for example.
especially if you are acting proactively rather than reactively to a request for homeopathic medicines from the client in addition to counselling (see below). Having chosen the medicine most likely to be of assistance it is advisable to repeat a few key questions shown in the chart to allow conﬁrmation of the medicine. Potency. Staph. Talk. 30c or 200c) or on the decimal scale (most commonly 6x). after assessing the information provided. Modalities. This means that the conditions being treated are likely to be restricted to simple self-limiting conditions. by movement and exposure to warm or wet weather or whether they vary with time of day. e. etc. With all the requisite information one can now choose an r appropriate medicine using the prescribing charts provided in Part 2 of this book. r Assess. Merc viv. are particularly useful. r Step 6: Generating a prescription The following information should be provided to ensure that a prescription is correctly interpreted: r Name of medicine. Observe. Very high potencies such as M. condition. revert back to the practitioner. Talk. 50M and r 34 ■ . r LISTEN to what the patient tells you about his or her symptoms. could be Staphylococcinum or Staphisagria. e. 12c. Normally in the UK the potency will be on the centesimal scale (most commonly 6c. r ASK the patient appropriate questions to learn more about the r DECIDE what to do next. although some chronic conditions may be tackled as experience grows. where shown. There is another acronym that might be useful here. Conﬁrm. In some cases. full names of medicines will be required. standing for Listen. r OBSERVE the patient’s general demeanour. Mercurius could be Merc sol. Given the restrictions on resources in most pharmacies it is not possible to pursue extended consultations. Step 5: Deciding on a particular medicine If all the preparatory work in step 4 has been carried out assiduously. It might also be appropriate to give some general information on homeopathy. If in doubt. appearance. Conﬁrm. Care should be taken to ensure that the abbreviations used are correctly interpreted. Ask and Decide.g. Merc cyan. etc. temperament. g.Prescribing and dispensing homeopathic medicines A useful acronym to use when assessing a case is provided by the letters LOAD. ACT stands for Assess. Examples of modalities are that symptoms are made better or worse by the application of heat or cold to the affected part. then choosing the medicine from the appropriate prescribing chart is not as daunting as it might ﬁrst appear. 10M.
not just for an injury as in orthodox medicine. especially by older patients. This does not mean the patient has to physically separate out 10–20 granules but is an indication of how much they should take. It is preferable to have the dose speciﬁed. particularly if the medicine has been prescribed and/or supplied in the pharmacy. 10. Some pharmacists believe that high potencies should not be used to self-treat and may restrict their supply to prescription or very small quantities. – In chronic conditions frequencies of once or twice a day or less at the 6c potency for 4–6 weeks may be more appropriate. These correspond to approximately 70. Here the term ‘ﬁrst aid’ refers to a suggested initial treatment for any condition being treated. In the absence of precise instructions.e. reducing on improvement. Liquid potencies and mother tinctures are usually supplied in 5. – With acute prescribing the 30c dose should be taken three times daily for up to 7–10 days. patients with an intolerance to lactose may require a sucrose-based dose form or a liquid. If the patient can see a positive trend it will ■ 35 . It is often useful to provide a method of recording progress during the course of treatment. one tablet instead of two).2: – ﬁrst aid situations: the medicine may be given frequently – even up to every 10–15 minutes for 6 doses in some cases. rather than ‘as directed’. For example. Mother tinctures may be designated with the abbreviation Ø. Quantity. The directions for granules are often rather bizarre – ‘Take 10–20 granules twice daily’ is not uncommon. infants or animals may require granules. A suitable potency would be 30c. After the timescales indicated the case would normally be reviewed and a decision made on follow-up action (see below). ‘a pinch’. the medicine is dispensed and the patient counselled (see below). 30 and 50 ml bottles that can deliver their contents drop-wise. i. The adult dose is usually two tablets and by convention it is generally stated that the dose for a child under 12 years should be half that of an adult (i. 14 g or 25 g glass vials. Liquid medicines are given as drops usually diluted with water. 125 and 250 tablets respectively. depending on the physical characteristics of the tablet. The following dose frequencies are suggested and are summarised in Figure 4. Some of the homeopathic dose regimens are complicated and oral instructions easy to forget. although they may sometimes be taken directly on the tongue.e. Dose. The carrier is thought to be insigniﬁcant therapeutically (although this has not been proven experimentally) but there may be other reasons why one or other form is preferred. crystals or powders. r r r Step 7: Providing the medicine Finally. indicating the capacity of the container. ‘sufﬁcient to cover the cap-liner’ might be an appropriate amount. Solid dose forms in the UK are often made available in 7 g. although this obviously depends on the size of the bottle (and therefore cap) used. Dose form.Prescribing a homeopathic medicine CM may also be requested.
reducing on improvement Flare not resolved One dose of 6c once or twice a day Review after 3–4 weeks Reconsider medicine choice help with concordance as well as giving feedback to the prescriber.3. A hybrid version of a visual analogue scale and the Glasgow Homeopathic Hospital Outcome scale has been used by pharmacists in the west of Scotland for some years and is illustrated in Figure 4. This information can be used to help decide the appropriate action at follow-up (see below). 36 ■ .Prescribing and dispensing homeopathic medicines Figure 4. Doses for homeopathic medicines First aid Acute Chronic One dose of 30c every 10–15 min until relief or 6 doses Acute flare of chronic condition? One dose of 30c three times a day reducing on improvement Yes No One dose of 12c t wice a day reducing on improvement Flare resolved Review after 5–14 days Flare not resolved Flare resolved One dose of 30c three times a day. Patients are asked to place a tick in the appropriate box on the grid having assessed their condition using a +4 (cured) to –4 (much worse) scale.2 Chart showing dose options. The slope of the best-ﬁt line through the ticks gives an indication of outcome trend.
• How my symptoms have changed • Much worse Day e. Dispensing homeopathic medicines r Original pack dispensing. The course should be completed before further action. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Much better −2 X −1 0 +1 +2 +3 +4 Notes −4 −3 Step 8: Follow-up The treatment should be reviewed after the periods stated above. The outcome is unsatisfactory. In this case instructions should be given to restart the course of treatment. but the patient has returned too soon. Consider changing the medicine or dose or referring. To avoid contaminating the medicine. ■ 37 .4: r The medicine has proved successful and may be discontinued. but the patient has not been taking the r r medication according to instructions.g.Dispensing homeopathic medicines Figure 4. The patient appears to have completed the treatment but the outcome is unsatisfactory.3 Outcome card. r The outcome is not satisfactory. The approach to follow-up is summarised in Figure 4. especially in the early days of dealing with homeopathic prescriptions.
Following up homeopathic treatment Symptoms resolved? Yes Likely to recur? No No further action Yes Counsel patient Ongoing chronic treatment Yes Has expected review period elapsed? Yes Yes No Has there been any improvement at all? No No Is this the first medicine to be tried? Yes Is another medicine appropriate? Yes Discuss change of medicine with patient No Ask patient to return when course complete Poor Has there been an aggravation No No Assess concordance Good Consider change of potency or frequency of prescribed medicine Refer 38 ■ .Prescribing and dispensing homeopathic medicines Figure 4.4 Follow-up chart.
Breaking bulk. r r r r Labelling Dispensed medicines should be labelled in the normal way and a clear indication given of the name and potency. Extemporaneous dispensing. As with all homeopathic (and orthodox) medicines. as shown in Figure 4. There is a range of licensed homeopathic and anthroposophical products available for OTC supply.Dispensing homeopathic medicines it is probably wise to issue an original pack nearest to the amount speciﬁed. and a ‘special’ may be requested. For further information the reader is referred to a more comprehensive text. Most patients will know that they are likely to receive a homeopathic prescription if they attend a suitably qualiﬁed practitioner. The techniques involved are rather specialised and outwith the scope of this book. which may also be supplied on NHS prescription. pharmacists should be aware of the possibility that these items may be cheaper for the patient to purchase OTC if they are liable to pay prescription charges. for example. OTC products on prescription. There may be evidence of some anxieties about the validity of the therapy and you may consider it necessary to say a few words about the general features of homeopathy so that the patient is aware of the type of treatment being given. 1–10 or 11–20 powders at the same cost – it is not good practice to order 10 to fulﬁl a prescription for 3 powders unless you can guarantee the storage conditions of the 7 powders to be retained in the pharmacy. Occasionally it may be necessary to reinforce complicated instructions with a separate sheet of written instructions. You should ensure that the dose form of the product is as prescribed – for example some OTC products may be pills and not tablets. However this should not cause any anxiety because the chance of an adverse episode is minimal. Under these circumstances the homeopathic medicine is considered to be unlicensed and responsibility for safety rests with the prescriber. Many suppliers will provide. Counselling r Information on homeopathy. If you do decide to break bulk then solid dose forms should not be handled or tablets counted in a tablet counter but transferred by ﬁrst shaking into the lid. but some may not. OTC products may also be supplied under minor ailment and supplementary prescribing services. It makes commercial sense to license only around 35 homeopathic medicines so many will have to be dispensed extemporaneously. If you do not have the necessary expertise you can obtain extemporaneously prepared homeopathic medicines from manufacturers who have special manufacturing licences. If you have obtained an extemporaneously produced medicine from a Specials Manufacturer it is good practice to include the batch number and expiry date on the label. You ■ 39 .5. In the case of powders only the precise number of powders prescribed should be issued to the patient.1 Unlicensed products.
Remember also to tell the patient not to stop taking any prescribed orthodox medication. If dropped on the ﬂoor they should be discarded. drink. the patient should wait at least 30–60 min after cleaning their teeth and the mouth should be rinsed out thoroughly with water before taking the medicine. – Medicines should be kept in the original container and stored in a cool dry place. The other important information concerns taking the medicine. 40 ■ . Andham Friendly Pharmacy. but. to prevent deterioration due to bacterial or chemical contamination. taking a homeopathic medicine may cause an exacerbation of symptoms and it may be prudent to alert the patient to this possibility (see below). Aromatic ﬂavours are thought to inactivate homeopathic medicines. Anytown AA10 144 Keep out of the reach of children r r may say that it is safe. Ideally peppermint-ﬂavoured toothpaste should be avoided. – Liquid medicines should be held in the mouth for 20–30 seconds before swallowing. tobacco.6). reducing on improvement BN:123456 Exp: 05/2009 Manufactured by ABC Homeopathic Pharmacy 1st June 2007 Mr P. Antimonium tart 30c 14g Soft Tablets Two tablets to be taken three times a day. Occasionally. other medication or sweets. will not interfere with other medicines and is tailored to their particular requirements. Aggravations. They should be transferred to the mouth by way of the container cap (Figure 4. However.Prescribing and dispensing homeopathic medicines Figure 4. It is difﬁcult to give exact guidelines because it depends very much on the person involved. if it is used. – Medicines should be taken half an hour before or after food. – Solid dose forms should be allowed to dissolve in the mouth rather than being chewed and/or swallowed. Because the active ingredient is placed on the surface of the dose form and is absorbed through the oral mucous membranes a number of precautions should be taken: – Solid dose forms should not be handled.10 Park Road.5 Labelling of a homeopathic medicine. – Existing allopathic medication should not be stopped without the permission of the original prescriber. Try to keep your comments concise and unbiased. How to take the medicine. you should be ready to say something appropriate.
Adding the trade price (ex-VAT) and ‘ZD’ (for the majority of specially ordered medicines) will ■ 41 . additionally a GP10A a stock order) should be endorsed with the amount supplied and the supplier’s name. a b Endorsing an NHS prescription Homeopathic medicines have been available under the UK NHS since its inception in 1948 and the prescription form (or in Scotland.Dispensing homeopathic medicines Figure 4. if not given by the prescriber.6 How to take the medicine.
human homeopathic medicines may be dispensed on veterinary prescriptions under the provisions of the prescribing cascade (see Chapter 2). Inappropriate treatment Most ranges of homeopathic medicines available commercially for OTC sale are designed to be used for the treatment of simple self-limiting conditions. If in doubt you will ﬁnd your suppliers very willing to give advice. The Pharmacy subcommittee of the European Committee on Homeopathy (http://www. Potential sources of concern over safety issues include the following.Prescribing and dispensing homeopathic medicines be helpful to the Prescription Pricing Authority. Issuing a receipt specifying the supply of a homeopathic medicine will usually allow the patient to claim the cost back. Safety issues There is currently no robust system available for collecting information on adverse reactions suspected of being due to homeopathic medicines. If an adverse reaction is suspected. It is vital that all practitioners offer advice and treatment only according to their levels of competency. In most cases. Other items may be made extemporaneously. and the patient may be surprised to be asked to pay.uk) in the UK or to the WHO Uppsala Monitoring Centre (http://www. Some may also be used for ongoing conditions such as back pain or soft tissue injuries. Increasingly the costs of private homeopathic treatment are being met by health insurance schemes but as the situation is changing from month to month patients should be advised to check with their own insurer before presenting their prescription.org) has piloted a ‘yellow card’ scheme that uses cards specially adapted for homeopathic use.org). Dispensing of homeopathic veterinary prescriptions Where there are no licensed veterinary homeopathic veterinary medicines. 42 ■ . Clients who request unusual medicines or who return repeatedly to purchase the same medicine should be gently reminded that advice from a physician or registered homeopath might be appropriate to conﬁrm that their condition lends itself to self-treatment.whoumc. as noted above.gov. Sale of homeopathic medicines OTC Several ranges of the most popular licensed homeopathic medicines are available for OTC sale. Patients whose problems fall outwith these boundaries should be referred to suitably qualiﬁed colleagues. http://www. an insurance scheme will cover the cost of the consultation but not the cost of the medication at the point of supply.homeopathyeurope.mhra. all relevant information should be sent to the Medicines and Healthcare products Regulatory Agency (MHRA.
Aggravation In about 10% of cases the patient’s condition may be exacerbated within 2–5 days of taking a medicine. prescribed by trained professionals. there is little evidence that such abstinence is in fact necessary. Such a reaction usually occurs only the ﬁrst time the medicine is introduced to a treatment. Interactions There is no evidence that homeopathic medicines interfere with any concurrent orthodox medicines and indeed they are particularly useful to treat many conditions in people who are taking a large number of orthodox medications. contacting homeopathic pharmaceutical companies and drug regulatory agencies in the UK and the USA.1. It is thought that steroids may inactivate homeopathic medicines to some extent and. If the symptoms continue to get worse when the medicine has been temporarily suspended. Some isolated cases in the literature have also been highlighted by Barnes. has been described as an adverse drug reaction (ADR) and in the sense that it is unwanted by the patient it might be considered thus. the patient should be instructed to cease taking the medicine until the symptoms subside and then recommence. known as an aggravation. chocolate and spicy food and using highly ﬂavoured toothpastes when taking homeopathic medication. ■ 43 . searching reference lists. Traditionally.Safety issues Side-effects Adverse reactions have been investigated using electronic databases. Far from being upset by the apparent ADR they consider an aggravation a sign that the medicine is working.3 From time to time one meets a sensitivity to lactose that can be overcome by using a sucrose-based carrier or a liquid potency. It is difﬁcult to draw deﬁnite conclusions because of the low methodological quality of reports claiming possible adverse effects of homeopathic medicines. Typically a skin condition may become worse after taking a low-potency medicine. hand searching. When told of this possibility. then it is likely that the wrong medicine is being taken. while this potential interaction is certainly not dangerous. and by communicating with experts in homeopathy. This reaction. If an aggravation appears.2 It was concluded that homeopathic medicines in high dilutions. homeopaths advise patients to refrain from consuming coffee. Aromatherapy products are claimed to inactivate homeopathic medicines and should not be taken during treatment. Examples of incompatible medicines are shown in Table 4. tea. taking the medicine at a lower frequency. it could reduce their expected effectiveness. However. were probably safe and unlikely to provoke severe adverse reactions. many patients will say that ‘they do expect to get worse before they get better with this sort of treatment’. Some homeopathic medicines are considered to antidote or inactivate other medicines in some circumstances. Patients who are receiving prescribed medication should be advised to consult their practitioner because ways of dealing with aggravations can differ. reviewing the bibliographies of trials and other relevant articles.
None the less there is a wide perception among members of the public that homeopathy can help. 3.Prescribing and dispensing homeopathic medicines Table 4. Broadly. Rhus tox Merc sol Pulsatilla Hepar sulph All other medicines Causticum Coffea. However. Clinical trials to establish efﬁcacy of speciﬁc remedies. increasingly. 44 ■ . from both patients and practitioners.1 Examples of incompatible homeopathic medicines Homeopathic medicine Aconite Allium cepa Apis mel Argent nit Aersen alb Bryonia Calc carb Camphor Cantharis Colocynth Ignatia Kali bich Nux vom Sepia Sulphur From Blasig and Vint. Coffea Ant tart Hypericum Evidence supporting use of homeopathy There is much circumstantial evidence from case studies. robust scientiﬁc evidence is sparse – much of the reported research suffers from poor methodology. Physico-chemical studies on mechanisms of action. Chamomilla Lachesis Cocculus.4 Examples of the latter include dubious accuracy of test materials. decisions on whether to use or purchase homeopathic services require evidence of positive outcomes and value for money. homeopathic research falls into six main categories: 1. 2. This is unfortunate to say the least because. 5 Incompatible with Glonoine Arnica Aconite. Nux vom Belladonna. Carbo veg Phosphorus. that homeopathy does work. inappropriate measurements and poor randomisation techniques. Randomised controlled placebo studies designed to demonstrate that homeopathy is not merely a placebo response and satisfy criticism from sceptics. 4. Audit and case study collection to establish effectiveness and improve the use of homeopathy.
References 1. Cost-effectiveness studies. Vint P (2001). Kayne S B (2006). It is beyond the scope of this prescribing companion to discuss the evidence base for homeopathy in detail. Homeopathic Pharmacy. Remedy Relationships. Dantas F. 245– 246. The Trials of Homeopathy. 4. Ernst E.Safety issues 5. 2. 4. hormonal imbalance or iron deﬁciency) but may be useful in reducing associated symptoms. The reader is referred to specialist texts on this subject for such information. ■ 45 . Complementary medicine: homeopathy. 6. A critical approach. Edinburgh: Churchill Livingstone. 2nd edn. There are economic beneﬁts to accrue from using homeopathy. Barnes J (1998). 5. Greifenberg: Hahnemann Institute. g. 6. It cannot be used to resolve the cause of biochemical imbalances or inadequacies (e. Oxford: Butterworth-Heinemann. Pharm J 260: 492–497. Attitudes and awareness studies and sociological research to determine why and how homeopathy is used. Blasig T. More evidence is necessary to support the use of homeopathy in complex conditions and problem and treatment modelling is necessary.1. There is evidence that in some circumstances homeopathy appears to be capable of inﬂuencing well-being and local disease. The true position is rather more circumspect: r Homeopathy is generally as safe as is claimed and can be used in some r r r r situations where orthodox medicine is inappropriate. Stuttgart: KVC Verlag. Homeopathy. Dean M E (2004). Br Homeopath J 89(suppl 1): S35–38. Hahn E G (eds) (1998). 6 The current position with regard to homeopathy may be summarised as follows.6 The most enthusiastic proponents of homeopathy would claim that: r it is totally safe and free from adverse reactions r it can be used for almost every condition at any time in any patient r it treats the whole patient as well as the local symptoms of disease. 3. Do homeopathic medicines provoke adverse effects? A systematic review. Rampes H(2000). although more rigorous collection of data on suspected adverse reactions is necessary.
PART 2 ■ 47 .
Retracing the stages and further careful questioning should clarify the choice. but 48 ■ . if available. Where experience shows that a frequently indicated medicine can be identiﬁed. In conditions such as sciatica and cold/ﬂu. Here. This comes with experience. With changing symptoms. The charts are designed to suggest a single medicine for a condition. These charts will allow homeopathy to be prescribed with as full a consideration of the symptom picture and modalities as possible. The presenting condition may be located in the index (entries in italics) and the symptoms traced on the relevant chart to identify the most appropriate medicine to treat the symptoms reported by the patient. it is also important to establish when it is time to change the medicine(s). as a specially prepared combination medicine.5 Introduction to the prescribing charts This remainder of this book comprises a series of detailed prescribing charts for some of the most common conditions for which patients seek advice. These can be taken in an alternate fashion or. These tables include modalities (‘Better’ and ‘Worse’ for columns) and other selected features of the drug picture appropriate to the condition being treated. or indeed stop a successful treatment. Four reference texts (see below) have been used. to achieve a consensus view. conﬁrmatory questions can then be framed using the materia medica tables. It is worth considering this ﬁrst. it is often beneﬁcial to prescribe more than one medicine. but one or more of the features noted should strike a chord with the patient. Brief notes and a materia medica in tabular format are also given to assist in the choice of treatment. It is unlikely that you will obtain an exact match with all the features given. together with our own experiences. however. patients may present with changing symptoms. When the medicine has been chosen. more than one medicine may appear to be indicated in some cases. it is given in the notes under the abbreviation FIM. despite the time constraints often experienced in a busy practice.
For example. Homoeopathic Materia Medica with Repertory. Homeopathic Remedy Guide. while some suggestions have been made for lifestyle advice and concurrent conventional treatments in the notes accompanying each chart. In addition. in the notes on the page facing the relevant chart. 5th impression. Advice on potency and dosage regimens speciﬁc to a condition is given. 2nd edn. ‘What is medicine x for?’. it should be noted that many medicines appear in multiple charts. Murphy R (2000). NL: Emryss Publishers. especially as Lycopodium may also be a constitutional medicine and bear little if any relationship to the actual symptoms being experienced (see Chapter 3). A specialist homeopathic manufacturer will be able to prepare and supply these medicines. Everyday Homeopathy. these are by no means exhaustive and are not intended to replace the skill and professional judgement of the practitioner in each individual case. However.Introduction to the prescribing charts generally the medicine dosage may be reduced as soon as improvement is experienced. Sittingbourne: Homoeopathic Book Service (various editions available). Blacksburg. as a very individualised system of medicine. Concordant Materia Medica.2. This illustrates how difﬁcult it is to answer the above question satisfactorily. Note that medicines used initially in a ﬁrst aid scenario may be continued at a lower acute dose if required for a longer period. In the absence of any speciﬁc guidance. Appendix 3 details the various charts on which a given medicine may appear. Beaconsﬁeld: Beaconsﬁeld Publishers. Gemmell D (1997). 2nd British edn. medicines may be prescribed as shown in Figure 4. This book has been written principally for healthcare professionals – therefore. The majority of the medicines recommended in the following charts are polychrests. VA: HANA Press. and will be stocked in most pharmacies offering a homeopathic service. there are conditions in which some less well-known medicines or combinations may be required in speciﬁc circumstances. ■ 49 . However. Standard notation for twice daily (bd) and three times daily (tds) is used. Haarlem. Vermeulen F (2000). This will assist in answering the common question. indicated for widely varying conditions. Lycopodium appears in nine charts and is indicated in symptoms ranging from anxiety to ear problems to ﬂatulence. increasing again only should the symptoms return. where applicable. Reference texts used for the prescribing charts and supplementary information Boericke W (2005). no glossary of medical terms or list of referral criteria is provided.
Prescribing charts 1 Abscesses and boils r Hypericum/Calendula tincture useful as a mouthwash for abscesses in r mouth. Hypericum/Calendula 5% cream/ointment useful topically. uncovering skin Light covering Cold application Warmth Warm application In the morning Warmth Worse Heat (in bed). touch Heat and touch Touch. and at night Cool After sleep Late afternoon In morning and after washing Other Stinging pain and swelling around abscess Sudden onset. may also be used to create a moist dressing – dilute 10 drops in 100 ml boiled/cooled water and use up to qds as required. Homeopathic medicine Apis Better Open air. hot Can be associated with red inﬂamed eyes Lesions tend to suppurate Blue–black swelling around boil Skin may be cold and clammy Eruptions itchy Belladonna Ferrum phos Hepar sulph Lachesis Merc sol Silica 50 ■ .
1 Abscesses and boils Abscesses and boils Early stages Inflammation Abscess in mouth Established condition Pain Merc sol Much pus? Yes No Silica Affected area purple/blue? Mild Yes No Better with cold application? Lachesis Sharp stabbing No Ferrum phos Yes Hepar sulph Apis Belladonna ■ 51 .
scaly eruptions Pale. worse on chest. a constitutional medicine may be more suitable – a detailed consultation would be required. Sleep restless Dry skin. consider referral. Better Light covering Cool Warmth Worse Touch Heat Touch and cool air Other Skin dry and hot Bursting headaches possible Papules prone to suppuration and bleeding. r Hypericum/Calendula tincture may be useful on painful lesions – may r be applied neat but may sting. In the spring In hot weather In cold air. warm clothing Warm. waxy skin Dry. Cold sores 52 ■ . blotchy eruptions Kali brom After physical activities Heat. abdomen and face. If so. warm weather Dry. itching. crusty eruptions Intense itching. red swollen skin Red. dilute 5 drops into 100 ml boiled and cooled water and wash. Cold sores Pustules. Excessive sweating. If the most appropriate remedy is not effective after 3–6 weeks.Prescribing charts 2 Acne r Topical Calendula 5% cream/ointment useful on individual spots or r Calendula tincture may be applied neat to greasy skin. Homeopathic medicine Belladonna Gunpowder Hepar sulph infected areas. After washing Warmth after washing and in morning After exertion and heat Sanguinaria Selenium Silica Sulphur In evening With warmth and in the summer Dry. especially on ears and nose. dry weather Sleep Cold weather Psorinum Cold Rhus tox During wet weather and at night On the right side and touch. Eczema behind ears. scaly skin Sulphur iodatum Cool air and in winter Itching.
2 Acne Acne Acne vulgaris General symptoms Acne rosacea Recurrent infections Discharge of much pus? No Yes Psorinum Hot red sore – flares up after washing? Oily skin. esp. face? Yes No Selenium Flares with menstrual cycle? Yes Tendency to scar? No Sanguinaria No Flat rash of sore itching areas? Yes Kali brom Belladonna Yes No Silica Yes Hepar sulph No effect No effect Flares up after washing? No Yes No Gunpowder Sulphur Rhus tox Sulphur iodatum ■ 53 . blackheads Flushed red appearance.
Topical Urtica cream may provide an option if the patient presents with an urticarial type of rash. 54 ■ . Choosing a homeopathic medicine on the basis of ‘like to treat like’ (see Chapter 1 and the dedicated prescribing charts for Hay fever. Simple advice like not allowing a pet to sleep on the bed at night or avoiding certain foods might be appropriate. Itch. This may or may not be practical. Using allergodes. Advise the patient to avoid the allergen. 2. This is based on the principle of ‘same to treat same’ (see Chapter 1). 3. isopathic medicines made from the allergen causing the condition. and Bites and stings).Prescribing charts 3 Allergies There are three ways of approaching the treatment of allergies: 1. depending on the lifestyle and whether the allergen has been identiﬁed.
g.g. e. e.3 Allergies Allergies Hay fever See Chart 30 Itch.g. e.g.g. e. Dog hair Mixed grass pollens Mixed tree pollens Cat hair House dust mite ■ 55 . prickly heat See Chart 34 Bites and stings See Chart 8 Urtica cream Isopathic remedy Specific allergode one to three time’s daily as required e.
Loss of self-conﬁdence. does not like to be touched or comforted Great fear and despair. Homeopathic medicine Aconite symptoms predominate (see Chapter 3). in the evening and at night In fresh air Lying down Worse Noise and light Other Very restless. Better In open air. restless Stage fright.Prescribing charts 4 Anxiety and shock r Concurrent use of Rescue Remedy is often useful where mental r Relaxation techniques. Skin problems Easily upset. impulsive Nervous. fear of the future and crowds Fearful and nervous. Over-sensitive Argent nit Arnica From warmth and at night Motion and cold Arsen alb Gelsemium Ignatia Lycopodium Heat and warm drinks Open air Movement With activity In wet weather and with food Excitement and bad news In morning and after food Heat Phosphorus After sleep and after washing with cold water After physical or mental exertion 56 ■ . desire to be quiet and left alone Sad and tearful Melancholy. dietary changes and regular exercise often useful for anxiety.
exam.g. flying. wedding Yes Loud noises Thunder Fireworks No Yes Ignatia Argent nit Restless and fidgety? Yes No Phosphorus Self-conscious and insecure? Yes Arsen alb No Panic attack Yes No Aconite Rescue Remedy ■ 57 . e.4 Anxiety and shock Anxiety and shock Shock Stage fright Anticipation of future events give first Aconite then alternate with Arnica (if injured) General stress/anxiety Gelsemium Performancerelated – fear of failure Ignatia (if hysterical) Relationship problems or bereavement? No Stomach churning No Yes Lycopodium Anxiety over event.
Stiffness in neck and back Violent pain in sacro-lumbar region Pain in limbs. any motion Cold Hypericum Rubbing Kali carb Warm weather and gentle movement Evening Cold weather Nux vom Morning Rhus tox Ruta grav Motion and lying on ﬁrm surface Pressure and lying on back Cold weather and at night Lying down and cold 58 ■ . Homeopathic medicine Actaea rac (aka Cimicifuga) Better Warm covering Worse Morning and cold Other Very sensitive upper spinal region. worse before rising Ant tart Arnica Bryonia Sitting up Lying down Application of cold Lying down and at night Motion Warmth.Prescribing charts 5 Backache r Arnica 5% gel and Rhus tox/Ruta 5% gel useful topically. difﬁculty sleeping Stiffness in small of back and neck region Pain radiating up spine and down limbs General stiffness in back especially in kidney region Pain in lumbar region. r Non-steroidal anti-inﬂammatory drugs (oral/topical) and topical rubefacients may be used concurrently but not within 30 minutes of homeopathic medicines. Difﬁculty turning in bed Pain between shoulders Lumbago.
5 Backache Backache Pain only in lower back? Yes Worse at night – unable to turn in bed? Yes Nux vom No Yes Sensitive to touch – radiating nerve pain? No Yes Hypericum Shooting pains down thighs? Ant tart Stiffness on rest. better on movement? Yes No Rhus tox Worse on movement? Actaea rac Kali carb Ruta grav Muscles feel stretched? No Yes No No No Shooting or burning pains? No After injury. overuse or with spasm? Arnica Bryonia ■ 59 .
Prescribing charts 6 Bedwetting r Reduce ﬂuid intake in evening. Sharp pain in eyes Associated with coughing and passing wind Causticum Equisetum Lycopodium Plantago Warmth of bed Reassurance and support to patient Uncovered in bed In the dark Pulsatilla In cool fresh room. r Consider cause (e. stress) and prescribe second medicine if necessary. nightmares. uncovered in bed In warm room. Homeopathic medicine Argent nit Arsen alb Belladonna Better Fresh air Warmth Cool Worse Warmth and at night Cold Hot weather. Pain on urination Disturbed and restless sleep Frequent and profuse urination. Insomnia. May shout in sleep Burning sensation in urethra Pain and tenderness in bladder region Pain in back before urination Profuse ﬂow of urine often with pain. Lying down 60 ■ .g. Mentally active child Cold Cold Heat Tobacco smoke Other Bad dreams.
6 Bedwetting Bedwetting Before midnight During pregnancy After midnight Large quantity of urine? Yes Pulsatilla High temperature? Yes No No Belladonna Anticipatory anxiety? Causticum No Yes Nightmares? Argent nit No Yes Large quantity of urine? Plantago No Yes Vivid dreams or nightmares? Yes No Equisetum Arsen alb Lycopodium ■ 61 .
Homeopathic medicine Acid phos Better Warmth Worse From conversation Other Headache and confusion Diarrhoea. Weepy Irritable and anxious. Cannot collect thoughts Great fear of being left alone Restless and talks a lot Depression. especially in the evening Arsen alb Lachesis Nat mur Pulsatilla Sepia Heat Warmth – wrapped up In open air In open air After exercise In wet weather and cold After sleep Noise. r Rescue Remedy may also be useful.Prescribing charts 7 Bereavement r FIM – Ignatia for immediate effects of bereavement. being consoled Heat In cold air 62 ■ . fright and anger Fear of being alone.
7 Bereavement Bereavement Immediate effects of loss Ignatia No effect Recurring grief on anniversary of loss Better for consolation? Yes Neither No Pulsatilla Restless. anxious? Indifferent. detached? Yes No No Arsen alb Wants to talk about deceased? Yes No Blames self? Yes Nat mur Sepia No Yes Acid phos Lachesis ■ 63 .
see a doctor immediately. wheezing or heart palpitations. wasp and jellyﬁsh stings. Application of pressure At night and from heat Touch Other Sore and sensitive. If experiencing difﬁculty breathing. Homeopathic medicine Apis Cantharis Hypericum Better Application of cold With rubbing With rubbing Worse Heat and pressure Touch In cold.Prescribing charts 8 Bites and stings r r r r FIM – Apis for bee. swelling after bite Burning pain Also used for crush injuries Puncture wounds Itchy blotches Ledum Urtica Cold With rubbing 64 ■ . Apply tinctures neat or diluted tds. Apply creams tds.
8 Bites and stings
Bites and stings
Improved by movement of affected area? Yes Apis Burning, stinging rash? No
Intense redness burning, stinging? Sharp stabbing pain at site?
No Yes Urtica Yes Cantharis No
Ledum Hypericum Hypericum and Calendula cream
Ledum mother tincture
Hypericum and Calendula mother tincture
9 Problems associated with breastfeeding
r Application of Hypericum/Calendula 5% cream to nipples between feeds r Breastfeeding or expressing should be continued despite acute
symptoms as this will help to empty the breast and may contribute to alleviation of symptoms.
Homeopathic medicine Acid nit Belladonna Borax
may be beneﬁcial.
Better Steady pressure on breast Pressure, cool air and rest Holding painful part with hand With pressure on breast and rest In mild weather and for application of cold Cold With warm covering Warmth Warmth Lying on back
Worse Evening and night and in hot weather Exertion and motion Downward pressure on breast; warm weather Warmth, motion and touch With heat
Other Headache; halitosis Vagina dry and hot During nursing, pain in the opposite breast Breasts hot, painful and hard Sensitive, irritable, often thirsty; inﬂamed nipples Prone to mastitis and backache Prone to constipation Severe stinging in breasts Nipples very sore Irritability
Lac caninum Lac deﬂoratum Phytolacca Silica Staphisagria
In the morning and for touch Cold Exposure to damp, cold weather Cold Cold and motion
9 Problems associated with breastfeeding
Milk production Dry up Lac caninum Encourage Difficult to start, painful flow, mother angry
Pain In breasts
Hot throbbing pain? Lac defloratum Staphisagria No Hard, heavy, feels bruised, very sensitive? With lumps? Yes Yes Indrawn? No Phytolacca No Bryonia Yes
Too much milk; leaks between feeds; pain when feeding (often opposite breast) In nipples Borax
r FIM – Arnica. r Arnica may be taken tds starting 24–48 h before a surgical or dental r Arnica 5% cream or gel is very effective, but do not use on broken skin. r Ruta 5% ointment, Hypericum 5% ointment and Rhus/Ruta 5% gel may
also be effective.
Homeopathic medicine Arnica
Better Lying down
Worse With heat and touch With heat and on left side In warm, moist air In cold
Other Black and blue with pain. Patient does not like comforting May be associated with boils Also used for varicose veins Often involves blood and pain in digits Bruising lasts for some time May be associated with soft tissue injury May be associated with bone injury
Bellis perennis Hamamelis Hypericum
With local application of cold Rest With rubbing
Ledum Ruta grav
Cold Warmth and scratching Warmth
Warmth Over-exertion and cold Touch
10 Bruising Bruising Arnica No effect Type of bruising with nerve pain breast Hypericum ‘poke’ injury.g. eye of varicose veins Ledum Ruta Hamamelis Symphytum ■ 69 .g. e. eye Bellis perennis tendons blunt injury. e.
hot. hot and swollen skin with rash Scalds and burns Very painful burns Sunburn. ‘Burn’ ointment (a product containing mixture of ingredients and available from several manufacturers) may also be used topically in most cases. It is made by exposing alcohol to sunlight and when taken orally is useful for sunburn.Prescribing charts 11 Burns r Hypericum/Calendula tincture useful topically – dilute 5 drops into r r 100 ml boiled and cooled water and clean the area. Can be used prior to exposure Erythema with burning and stinging Belladonna Cantharis Causticum Sol Application of light covering Application of cold Cold drinks Out of sun and cool atmosphere Lying down quietly Urtica 70 ■ . This solution may also be used to impregnate a dressing. swollen and burning with numbness Dry. Sol is a remedy that is not found in all materia medicas. Homeopathic medicine Aconite Better In open air Worse In warm atmosphere Touch and heat Touch Change of atmosphere In warm atmosphere and touch Touch Other Red. particularly on the painful outside edges of the burn.
throbbing? Urtica Yes Yes No No Causticum Severe burn awaiting medical attention Belladonna Blistering? No Yes Sol Cantharis ■ 71 .11 Burns Burns Sunburn Other Headache? Shock No Yes Aconite Superficial stinging and and/or itching? No Itch? No Belladonna Yes Yes Blistering and/or cracked skin? Redness.
harsh cough Dry. possible association with asthma Dry. e. may be associated with snoring Shortness of breath and tickling cough Dry cough in evening and at night Wheezing Sore throat and dry hacking cough during the night Mezereum Open air At night Nat mur Pulsatilla Pyrogenium Sticta Open air In open air Heat (hot baths.g. could be an indication of an allergy. Better Open air Open air Moist heat Dry weather Open air Heat Cold air Worse Exertion After walking Cold. hot drinks) In open air With exertion Heat Cold and motion Sudden changes of temperature 72 ■ . house dust mite. dry air Cold air After sleep Cold Heat Other Dry and hacking cough Hoarseness Wheezing.Prescribing charts 12 Catarrh and sinus problems r ‘Stufﬁness’ in a baby may respond well to Pulsatilla alone or in r Inhalations may be used concurrently but should be avoided within r If no single medicine is strongly indicated a combination of Kali bich r Persistent symptoms. especially at night. 30 minutes of taking the homeopathic remedy. and Pulsatilla 30c given tds for 5–7 days can often be effective. tickly cough Wheezing on waking. Homeopathic medicine Arsen iod Cinnabaris Hepar sulph Hydrastis Lachesis Kali bich Kali iod conjunction with normal saline nasal drops. Whooping-type cough May cause difﬁculties during the night due to inability to lie down in comfort Tightness in chest.
12 Catarrh and sinus problems Catarrh and sinus problems Catarrh Yes Shooting pains in face? Yes Yes No Nat mur Cinnabaris Yes No Catarrh with sinus pain? No Offensive puslike discharge. throbbing pain? No With much sneezing? Purple swelling over affected sinus? Pyrogenium No Worse at night. better outdoors? Yes Lachesis Yes Pain over bridge of nose and under eyes? Yes No Pulsatilla No Thick catarrh in nose and throat – always blowing nose? Yes Hydrastis No Kali bich Discharge Thick Watery Splintering pain in face? Yes Itching/burning in nose – thin watery discharge? No Yes Kali iod Hepar sulph Need to blow nose but no discharge? Yes Sticta No Pulsatilla Mezereum No Arsen iod ■ 73 .
wet weather Touch Motion At night Change of temperature Cold air Touch (pressure of clothes) Other Itching when warm in bed Pustular eruptions leaving bluish-red mark Sore and sensitive.Prescribing charts 13 Chickenpox and shingles r Hypericum/Calendula tincture useful topically for chickenpox – dilute 5 r Calamine lotion may be used concurrently when tincture has absorbed. Homeopathic medicine Ant crud Ant tart Apis Arsen alb Causticum Hypericum Kalmia Mezereum Ranunc bulb Rhus tox Spigelia drops into 100 ml boiled and cooled water and apply to spots. rough papules Profuse sweat on slight exertion May be associated with diarrhoea Red. gentle motion Lying quietly Lying down Open air Warm weather Heat Dry air Worse In evening Lying down and in the warm Heat Cold and scratching Damp. inﬂamed and painful areas of skin May be associated with oozing eruptions Burning and intense itching Intense itching of skin Restless sleep with frequent awakening 74 ■ . urticaria-like eruptions Dry. Better Open air For sitting up Keeping cool Heat Warm weather.
13 Chickenpox and shingles Chickenpox and shingles Chickenpox Shingles Post-herpetic neuralgia Rhus tox Relieved by warm compress? No Yes Shooting pains? No effect Dull burning pain Patient wants attention? Apis No Numbness. shooting pains Disturbs sleep? Affects face? Yes No No Yes Yes Arsen alb Ant crud Yes Rhus tox Affects face? Bluish rash? No Ant tart Yes No Spigelia No Yes Mezereum Hypericum Kalmia Ranunc bulb Causticum ■ 75 .
Eyes sensitive to light Rhus tox Change of position and stretching of limbs During sleep at night Sore throat. Headache Slight hacking cough. sore throat. 1–3 days then stopped-up nose. halitosis Acrid nasal discharge and bland eye secretions. burning in eyes Nose stuffed up especially at night. Hoarse. Swollen tongue. sore chest. Inhalations and rubs may be used concurrently but should be avoided within 30 minutes of homeopathic treatment. sore throat. Homeopathic medicine Aconite Better In open air Worse In warm room and at night Other Red inﬂamed eyes.Prescribing charts 14 Cold and ﬂu r For prevention – Inﬂuenzinum/Bacillinum combination sarcode once r r daily on same day each week. Back pain Lying on back In cold air Coryza with sneezing. Prone to nose bleed Difﬁculty in swallowing. sneezing and coryza especially after getting wet. Eyes red. If appropriate. Frequent yawning Tickling cough. coryza. Dry cough Bluish. Nasal coryza. Thick discharge from eyes. herbal Echinacea can be very valuable to boost the immune system – 825 mg daily (adult dose). croupy cough Allium cepa In open air and cold room Arsen iod Open air and after food Belladonna Sitting up In evening in warm room In dry weather and exertion Touch and noise and lying down Bryonia Rest and cold Warmth and motion Eupatorium perf Euphrasia In cool In evening and for warmth Ferrum phos Lying down Night and with cold and motion Gelsemium In open air Damp weather and excitement Merc sol Moderate temperature and rest Nat mur In open air Worse at night and warm room and warm bed In warm room and lying down Nux vom After sleep In the morning Fluent coryza. bland coryza. Tickling dry cough Coryza with headache 76 ■ . red. Sore throat. Hoarseness and cough Eye symptoms. Thin watery discharge from nose Hot and ﬂushed appearance. acid lacrimation. increasing to od every day if at risk and tds if experiencing acute symptoms.
drowsy? Streaming? No Yes With violent pains? Yes No No Eupatorium perf Early sore throat? Yes No Merc sol Aconite Very sudden high fever? Yes Belladonna Yes Sweating. aches.pains Runny nose? No Yes No hot Gelsemium cold Watery eyes bland burning Allium cepa Much sneezing? Nux vom No Worse for movement? Yes Yes Nat mur Bryonia No Euphrasia Arsen iod Rhus tox ■ 77 .14 Cold and ﬂu Cold and flu Cold First signs Influenzinum/Bacillinum combination Aconite Yes No With no other symptoms? No Yes Ferrum phos Yes Flu With fever? Fever? No Weak.
also crack in middle of lower lip Sore gums. r Hypericum and Calendula tincture has been used topically but may sting on application because of the alcohol content. Better Heat and warm drinks Worse Cold and cold drinks Other May be associated with gums that bleed easily and also dry rough skin May be associated with halitosis and burning on tip of tongue Gums and mouth may bleed easily.Prescribing charts 15 Cold sores r For prevention – Herpes simplex nosode 30c once or twice daily. r Hypericum/Calendula 5% cream/ointment useful topically. cold air Nat mur Open air Warm room Rhus tox Sempervivum Warm dry weather None recorded Cold wet weather None recorded 78 ■ . May also suffer from skin abscesses Lips and corner of mouth dry and cracked. Homeopathic medicine Arsen alb increasing to tds if required for treatment. Herpes Capsicum Heat Open air Hepar sulph Damp weather Dry. red and cracked tongue Sore and painful tongue with ulcers that bleed easily.
weeping sores? Yes No Yes No Yes Bleeding gums? Herpes simplex nosode Natrum mur No Yes Yes No Hepar sulph Arsen alb Rhus tox Sempervivum Capsicum ■ 79 .15 Cold sores Cold sores With ulcers inside mouth? No Blisters/ blotches extend to chin? No Yes Cold sores worse in heat? Bad breath. bad taste? Sensitive.
a change in the mother’s diet may help. spasmodic colic Carbo veg Chamomilla Colocynth After belching Fasting Warmth Lying down and in the evening Night Anger Dioscorea Standing up in open air After sleep Night and lying down After eating Nux vom 80 ■ .Prescribing charts 16 Colic r FIM – for babies. nausea. ﬂatulence Abdominal pain causing patient to bend double Abdominal pain that changes location and belching Sour taste and nausea in morning. Better Standing up Worse Lying down Other Associated with loss of appetite. not the mother. Flatulence. usually Colocynth (or consider Chamomilla if r The medicine should be given directly to the baby. is not known to be expressed in breast milk. vomiting and abdominal distension Abdominal pain and stomach cramps Distended abdomen. Lactase enzyme may be given in the milk concurrently Homeopathic medicine Belladonna teething). In a breastfed baby. distension. as it r Persistent colic that fails to respond to treatment in a bottlefed baby r might be eased by a change of feeding formula.
16 Colic Colic Is patient a baby? Yes No Is baby also teething? Following excess food or drink? Yes No Nux vom No Sudden onset with bloating and hot pains? Yes No Belladonna Yes Colocynth Much wind? No effect No Yes Relieved by picking up and carrying? Yes No Drawing the knees up to the stomach? Yes No Carbo veg Chamomilla Dioscorea Colocynth ■ 81 .
Itching and burning of anus. Homeopathic medicine Alumina Hydrastis Nux vom 30c at night for 3 days may be effective. Flatulence Excessive colic Abdominal pain and colic Abdomen sensitive to pressure.Prescribing charts 17 Constipation r If there is no clear medicine indicated. r Patient should increase intake of ﬂuids and dietary ﬁbre. Better In open air and after cool wash Warm covering Worse In morning and warm room At night Other Colic Sore feeling in stomach. white swollen tongue Very irritable. nausea in morning and after eating. Loss of appetite Nux vom After sleep In morning Plumbum met Silica Sulphur After physical exertion Warmth In open air and after activity At night In morning At night and in bed 82 ■ . Sulphur 30c in the morning and r Conventional medicine and suppositories may be used concurrently.
17 Constipation Constipation From change in the diet. difficult and sore to pass? Yes No Silica Burning pain on passing stool? No With muscle spasms or colic? Yes No Yes With frequent ineffectual urging or incomplete evacuation? Plumbum met With haemorrhoids? Yes Yes No No Sulphur Hydrastis Nux vom ■ 83 . holiday? No Yes Alumina Large dry stool. e.g.
cold winds In evening and lying down In a draught and lying down With activity. barking. May be associated with bronchial catarrh Hoarse cough. Homeopathic medicine Aconite bovinum 200 (Tub bov) night/morning/night may also be beneﬁcial. could be an indication of chronic disease or an allergy. especially at night. house dust mite (see Chart 3. cold wind Stannum met Lying down When using voice 84 ■ . Croup. Cough made worse by talking Urine may be emitted with cough. with loss of voice Frequent coughing. Expectoration thick and greenish Dry. croupy cough Hoarse cough with burning sensation in chest Tickling. dry. dry. a course of Tuberculinum r A persistent cough. dry cough Dry. fresh air Pulsatilla Heat Spongia Warmth In dry. croupy cough. talking. irritating cough Hoarseness. after eating and drinking At night Draught and activity Warmth Other Hoarse. evening Open air. short. Allergies). may be associated with colic Phosphorus Physical exertion.Prescribing charts 18 Cough r For persistent coughs that seem unresponsive. e. Better In open air Worse In warm room and from dry. Often associated with coryza and sneezing Hoarseness with dry tickling in the throat. sorer chest. cold food and drinks Lying on right side. g. hacking cough Ant tart Sitting up Belladonna Bryonia Sitting up In cool Drosera Hepar sulph Ipecac When active Warmth Rest Spasmodic.
worse on talking then alternate Wet cough. may retch? Yes Ipecac ■ 85 .18 Cough Cough Dry Croup Chesty give first Persistent Spasmodic Aconite Tickly cough. difficult to expel? Drosera Yes No Belladonna Worse from change in environment? Ant tart Changes to dry cough at night? Yes No Worse on talking? Yes Yes Spongia Bryonia Stannum met Pulsatilla No No No Spasms of chesty cough. breathless. may be infection? Yes No Spongia Yes No Phosphorus Yes No Fits cause headache? Hepar sulph Much phlegm. croup-like.
The importance of increasing ﬂuids and reducing caffeine intake. Also colic Wind and pain in stomach Nausea and thirst. Cuprum met. Abdominal distension Intermittent colic Cramp in muscles of forearm. Weakness in arms and hands Pain in joints and between shoulders Soreness and tenderness of joints. Zincum met. especially in the evening.Prescribing charts 19 Cramp r FIM: at night for restless legs. abdominal pain. Chilblains Arnica Bryonia Lying down Cold Heat Warmth Chamomilla Heat At night Cuprum met Gelsemium Cold drinks Continued motion Cold air After emotion or excitement Cold and night Mag phos Warmth and bending double In warmth and during motion Walking and warmth Rubbing Rhus tox Verat alb At night and during rest Night Zinc met Open air and after food 86 ■ . r The indicated medicine should be taken in the 30c potency 1 hour before bed. for leg cramp. Homeopathic medicine Argent nit Better Fresh air and cold Worse Warmth and at night Other May be associated with nausea and passing wind. Difﬁculty sleeping Windy colic. constipation Belching and biliousness. at bedtime and again if wakened. Sciatica Twitching of muscles. should be stressed.
better for walking? No Yes Cuprum met Bryonia No No Yes Chamomilla Yes Rhus tox Mag phos ■ 87 . writing.g. e.g. typing Yes No ‘Restless legs’ Zinc met Cramp in thighs? No Shooting pains? No Cramp in calves/feet? Chamomilla Gelsemium Better for movement? Yes Worse at night. e. sports? Yes Arnica After use.19 Cramp Cramp Hands Stomach (see also Colic and period pains) Legs Anticipatory anxiety Sickness and diarrhoea Occasional Verat alb Argent nit Persistent After exertion.
rumbling and shifting of ﬂatus. warm weather At rest. Anxiety and shock). green. Homeopathic medicine Acid phos Better Keeping warm Worse After exertion Other Distended abdomen. Lumpy. r Symptoms may have origins in anxiety. Watery. Anxiety Nausea and vomiting Distended abdomen. Nausea Drinks a lot. Itching and burning of anus Abdominal pain and cramps in legs Aloe soc Cool atmosphere Early morning and in hot dry weather Night and warmth. much wind Sense of insecurity when passing wind. Abdominal distension. White. green stools. r Electrolyte replacement therapy may be used concurrently. watery diarrhoea. watery stool Colic. colic and cramps Dark-green stools with mucus Abdominal distension.Prescribing charts 20 Diarrhoea r FIM – Arsen alb. Standing Verat alb Warmth At night 88 ■ . Hot. watery stool with colic Abdominal pain. eats little. Cold food Argent nit After belching and in fresh air Arsen alb Warm drinks After cold drinks and food and at night Heat and at night Chamomilla After fasting Colocynth Ipecac Podophyllum Warmth After passage of stool Evening and when bending forward Emotional upset After eating and at night Early morning and hot weather Sulphur Dry. excitement or fear (see Chart 4.
20 Diarrhoea Diarrhoea With severe nausea and vomiting Other With severe cramps Pregnant or teething? Ipecac Teething Chamomilla Pregnant No 'Travel tummy' or food poisoning? No Nausea/ vomiting? Yes Sulphur No Verat alb Worse after exertion? Yes Acid phos No Only after food or anxietyrelated? Yes Argent nit No Yes Colocynth Explosive diarrhoea? Yes No Podophyllum Worse in morning? Yes Aloe soc No Arsen alb ■ 89 .
a constitutional medicine may be more r Conventional ear drops may be used concurrently. Yellow discharge possible External ear swollen and red. Better In open air Worse In warm room and lying on affected side Night and in cold air Heat Touch and noise Other External ear often hot. Impaired hearing Earache with soreness Impaired hearing. sensitive to noise Headache in the morning on wakening Whizzing and throbbing in ears May be associated with chronic catarrh May be associated with eczema behind ears. r Verbascum mother tincture applied topically may be appropriate. damp weather Heat. bland discharge possible Possible loud. Consider referral. Homeopathic medicine Aconite suitable – a detailed consultation would be required. Sensitive to loud noises Headache and dizziness. ringing noise in ears Acid sal Apis Belladonna None recorded In open air After rest Carbo sulph Chamomilla China Graphites Hepar sulph Kali mur Lycopodium In open air In damp weather In open air and lying down Dark In damp weather Cold drinks At night In warm. red and swollen. emotional upset and touch In cold and draughts Warmth Slightest draught and cold winds In open air Heat Pulsatilla Open air Heat Pyrogenium Heat Cold 90 ■ .Prescribing charts 21 Ear problems r For recurring ear problems. Very sensitive to noise Deafness with vertigo External ear red and inﬂamed Pain in middle and external ear.
deafness? No Yes Buzzing.21 Ear problems Ear problems Tinnitus After flu? Fluid Pain Fever? sudden Pus? No Yes Humming. roaring. dizziness? Yes With pain? No Carbo veg No Yes Kali mur Pyrogenium Lycopodium Pulsatilla Yes No Yes Apis China Yes sticky No Foul odour? stinging No Crackling sensation? No Yes Belladonna Yellowish? flows Hepar sulph Aconite throbbing No Type of pain stabbing tearing Graphites Carbo sulph Acid sal Chamomilla Pulsatilla ■ 91 . ringing? No Nausea.
Prescribing charts 22 Eczema and dermatitis r Graphites. Rhus tox or Sulphur 5% creams as appropriate may be useful r For conditions affecting the scalp. r Tautodes should be considered where a skin condition has been caused by chemical irritation (see Isopathic medicines in Chapter 3). Better Application of heat In the open air In the open air In dry weather Worse In the cold In the cold At night and with touch In winter Other Itching. Homeopathic medicine Arsen alb Graphites Mezereum Petroleum topically. dry and rough eruptions Rough. May be associated with pruritis Psorinum In heat In changeable weather Rhus tox Sulphur In warm Dry. worse from scratching. Calendula shampoo may be useful. possible discharge from eczema around ears Pain in ears. warm weather In cold After washing and with warmth in bed 92 ■ . hard and dry skin Eczema with itching Itching at night. rough and cracked Sore pain behind ears. skin dry. burning. Swollen lobules Burning and itching.
worse for scratching? With rheumatic symptoms? Yes Yes No No Yes Worse in cold Inflamed itch.22 Eczema and dermatitis Eczema and dermatitis Moist Dry Mainly head and scalp? Yes No Yes Inflamed itch. worse in cold? Arsen alb Graphites Psorinum Yes No Rhus tox Mezereum Petroleum ■ 93 . red and sore. worse for scratching? No Mainly head and scalp? No Hot. worse for washing? Burning. dry eruptions Yes No Worse in heat Sulphur Greasy skin. rough.
Euphrasia eye drops (sterile) are available at the time of writing as a prescription-only medicine. Eyes water when looking at light. profuse lacrimation Eyelids red and burning. Feeling of sand in eyes Burning. pain Arnica Euphrasia Lying down In the dark Touch In evening and in bright light Graphites Ledum In the dark In cold Warmth and at night Warmth and at night At night Merc sol In moderate temperature Pulsatilla Sabadilla In open air In warm Heat In cold Staphisagria Symphytum Warmth During the day After emotional upset Pain worse at night 94 ■ . Bursting headache Eyelids red and swollen Burning on margin of lids. Patients report ‘ﬂoating black spots’. Note: this is not sterile and must not be used undiluted. Headache Dizzy feeling on closing eyes Burning and swelling of lids with frequent blinking. Other unlicensed eye drops are also available. acrid discharge. profuse lacrimation. eyes photosensitive. Homeopathic medicine Argent nit Better Cold Worse Night Other Blurred vision.Prescribing charts 23 Eye problems r Euphrasia (commonly called ‘Eyebright’) tincture useful topically – r r dilute 5 drops into 100 ml boiled and cooled water and bathe. sneezing Recurrent styes. corner of eyelids itch Continual inﬂammation. Vertigo Bland discharge. styes.
23 Eye problems Eye problems Stye Injury Conjunctivitis and similar symptoms Pulsatilla No No effect Blunt or ‘poke’ injury Black eye? With allergy? Yes Yes No Upper or lower lid? Poke Arnica Sticky or watery discharge? Watery Sticky Ledum Blunt Upper Lower Sticky or watery discharge? Merc sol Sticky Watery Burning. itching? Euphrasia No Yes Symphytum Graphites Staphisagria Sabadilla Argent nit Pulsatilla ■ 95 .
Eyelids inﬂamed Back pain. Better Keeping warm Worse Exertion Other Headache. worse with noise. Homeopathic medicine Acid phos every 2 hours during ﬂight (if awake). ‘pins and needles’ sensation in hands and feet Confusion. wants to be left alone Sensitive to noise and bitter taste in mouth Suffers from motion sickness Headache and vertigo Sweating on head Dull headache and nausea Violent headache after drinking wine.Prescribing charts 24 Fatigue (acute) r For prevention of jetlag – Arnica tds on day of departure and arrival and r Homeopathy can also be valuable in chronic fatigue – a referral for a detailed consultation would be required. eyes sore and lacrimating Acid pic Cold air and cold water With least exertion Arnica China Lying down None recorded Touch When eating and after mental exertion During eating and in open air Excitement and physical exertion At night Over-exertion Noise Cocculus Kali phos Merc sol Scutellaria Zinc met Lying on side Warmth and rest Moderate temperature Sleep Warm open air and eating 96 ■ .
24 Fatigue (acute) Fatigue (acute) Jetlag Other Exhausted. wants to sleep After viral illness? Arnica Cocculus Yes May be taken alternately or together as a combination No Due to fluid loss? Yes No China With headache. better for movement? Yes No Zinc met Kali phos Merc sol Yes No Exhausted – wants to be left alone? Yes No Acid pic Scutellaria ■ 97 . ache all over Nauseous. worse for emotion? Drowsy in day. insomnia at night? Yes No Acid phos Aching limbs.
drinks Merc sol Moderate temperature and after rest At night. May be associated with rheumatic pain May be associated with catarrh Chilliness up and down back. Perspiration on head Profuse perspiration. particularly if the r Paracetamol and/or ibuprofen may be used concurrently but not within 30 minutes of the homeopathic medicine. burning sore throat. bad news Bryonia Cold Ferrum phos Gelsemium Application of cold Open air. High temperature and exhaustion Difﬁculty in swallowing. sore throat. perspiration and headache Gastric symptoms. Cold sweat Swollen. Nightmares. muscular soreness. hot and ﬂushed face. in warm room and in warm bed 98 ■ . Red. Profuse perspiration Arsen alb Heat and warm drinks Cold Baptisia Drinking liquids and in open air Heat Belladonna Sitting up Touch and lying down Warmth and motion Night Excitement. Better In open air Worse In warm room and tobacco smoke Other Red. sudden onset. heat all over body High fever.Prescribing charts 25 Fever r FIM – Belladonna may be the medicine of choice. Homeopathic medicine Aconite patient is very hot and ﬂushed and the condition came on suddenly. Debility. dry throat.
25 Fever Fever First signs of fever Early stages Established illness Slow onset – few other symptoms Sudden onset with flushing Aconite Ferrum phos Belladonna No Sweating? Profuse saliva? Yes alternating hot/cold Drowsy and/or confused? Merc sol hot With cough? No Yes No No Yes Gelsemium Baptisia Arsen alb Bryonia ■ 99 .
Hiccough Retching and vomiting. Colic Abdominal distension and loss of appetite Stomach feels bloated. Much abdominal distension. After eating fatty food In heat or warm room Lycopodium Motion Raphanus Walking in open air At night and on waking 100 ■ .Prescribing charts 26 Flatulence r FIM – Carbo veg. nausea and retching. loss of appetite Belladonna When sitting up When lying down Carbo veg After belching At night and in open air. Homeopathic medicine Argent nit Better In fresh air Worse Warmth and at night Other Belching. abdominal pain Bloated feeling after eating small quantities of food. belching.
not relieved by belching or passing wind? Yes Yes No No Belladonna Raphanus Argent nit Lycopodium ■ 101 . passes wind with difficulty? Yes No Very painful. burning pains? Full. bloated.26 Flatulence Flatulence Carbo veg No effect Swollen painful abdomen.
herbal Echinacea can be very valuable to boost the immune system – 825 mg daily (adult dose). noise and lying down Extremely sensitive to exposure to cold air At night and from warm room and warm bed Merc sol Moderate temperature and rest 102 ■ . r If appropriate. Hoarse. Salivation Belladonna Cistus can Sitting up After food Touch. Homeopathic medicine Ailanthus Better Hot drinks Worse Motion Other Inﬂamed and red throat.Prescribing charts 27 Glandular fever r FIM – Glandular fever nosode. glands inﬂamed Profuse perspiration. croupy voice. Often associated with skin conditions High fever. sudden onset Itching in skin.
27 Glandular fever Glandular fever Glandular fever nosode No effect Fever? Yes No Cold sweats? No Sudden temperature spikes? Yes Recovery – fatigue and debility Cistus can No Yes Ailanthus Merc sol Belladonna ■ 103 .
Gout in heel Pains through foot and legs and in joints. r Conventional medication should be continued. joints swollen. knees swollen Hot. swollen joints Pain in ankles and wrists Belladonna When sitting up When lying down Colchicum When stooping In evening and warm weather Ledum Cold At night Pulsatilla In open air and from motion Motion None recorded Heat Rhus tox Urtica At night and during rest Cold. cold extremities Pins and needles in hands and wrists. moist air and from touch 104 ■ . Patient wants to be left alone Shooting pains along limbs.Prescribing charts 28 Gout r Importance of diet should be stressed. Homeopathic medicine Arnica Better Lying down Worse Touch and exertion Other Pain in back and limbs. numb ﬁngertips. Throbbing in right shoulder Pain in limbs that shifts rapidly. painful.
28 Gout Gout Relieved by Warm applications Neither Cold Applications Better with movement? Accompanied by itch? Yes No Better with movement? No Yes Colchicum Frequent sudden attacks? Urtica No Yes Yes No Rhus tox Belladonna Ledum Arnica Pulsatilla ■ 105 .
large.Prescribing charts 29 Haemorrhoids r Hamamelis 5% cream useful topically. r Usual referral criteria apply. open air Aloe soc Cold In early morning and summer heat In cold weather In evening and after passing stool Slightest excitement Warm air and at night In the morning Baryta carb Causticum None recorded After gentle activity Collinsonia Hamamelis Nux vom Heat Rest and lying down In the evening 106 ■ . Painful haemorrhoids. Homeopathic medicine Acid nit Better None recorded Worse In the evening and at night In morning Other Great straining but little passage of stools. expelled with much difﬁculty Aching feeling in anus. watery stool with soreness in rectum after passing Constipation with hard stools Soft and small stool. dry stools Lumpy. hard. dry stools Sore haemorrhoids. may bleed profusely Constipated with ineffectual urging Aesculus Cool. Constipation Much pain after stool. r Conventional medicine and suppositories may be used concurrently.
29 Haemorrhoids Haemorrhoids Prolapsed Other Always protruding like grapes? Yes No Aloe soc Prolapse during passing of urine? Yes Yes Baryta carb With itch? Aesculus Purple colour. burning. stinging? No No Yes No Rectum sore and bruised. feeling of splinters in rectum? Yes No Large haemorrhoids. may bleed? Nux vom No Causticum Aloe soc Yes Feeling of many sharp sticks in rectum. itch? No Yes Hamamelis Collinsonia Acid nit ■ 107 .
Burning and itching of eyes and nostrils Eyes red and sore. Skin itching in evening May be associated with eczema. in warm room Warm room and in presence of other people In the morning Other Hacking cough. bland coryza Sneezing. Allergies. moving to other medicines if effect not satisfactory. r Medicines may be co-administered or prepared as a bespoke combination medicine depending on presenting symptoms. eyes burning Acrid nasal discharge. See also Chart 3.Prescribing charts 30 Hay fever r FIM – Mixed grass pollen (MGP) 30c up to tds as required. acrid lacrimation. Homeopathic medicine Allium cepa Better In open air and in cold room Cold air Worse In evening. watery nasal discharge Spasmodic sneezing with runny nose Ambrosia Ammon mur In open air Arundo Not recorded In the evening and with motion Euphrasia In the dark In the evening Gelsemium Sabadilla In open air When wrapped up and in open air In damp weather In the cold 108 ■ . copious discharge from nose Watery coryza. sneezing. r Try MGP ﬁrst.
flu-like malaise? Yes No Ambrosia Euphrasia Gelsemium ■ 109 . gritty? No Violent sneezing. loss of smell? Yes Ammon mur Yes With loss of smell? No Yes Sabadilla Yes Arundo No No Itchy red eyes. red. much sneezing? No Sneezing. roof of mouth. burning dicharge? Yes Allium cepa Itchy stuffy nose.30 Hay fever Hay fever Mixed grass pollen (MGP) Itch nose and eyes. eyes sore. throat.
Homeopathic medicine Belladonna more suitable – a detailed consultation would be required. Better Sitting down Worse Noise and lying down Motion Other Often fever. Facial neuralgia May be associated with sun. Eyes photosensitive. elevating head Change of position Continued motion In the sun or beside open ﬁre. Stuffed up nose Pain in the back of the head. pain in forehead. a constitutional medicine may be r The site and intensity of pain are important in identifying the correct medicine.Prescribing charts 31 Headache and migraine r Relaxation techniques. Aversion to light. Very sensitive to cold air Throbbing pain in front of head Associated with eye symptoms Sanguinaria On right side Silica Warmth In the morning Spigelia Staphisagria Lying down During night and warmth Warmth and motion Touch and noise Emotional upset Thuja At night from heat of bed Left-sided headache may be associated with chronic otitis and catarrh 110 ■ . Sudden onset Vertigo. dietary changes and regular exercise often useful. Vertigo Throbbing headache especially after coughing Iris vers In evening and during night Lachesis In warm atmosphere Motion and warm food and drink In open air After sleep Lycopodium Headache worse early evening and lying down Noise and in a warm room Morning and after eating Nat mur Blinding headache Nux vom While at rest and in the evening Lying down and sleep Frontal and congestive headache. nausea and faintness on rising Abnormalities of vision Bryonia In cold Glonoine Open air. Lying down Tobacco smoke Ignatia Congestive headaches following anger or grief Frontal headache with nausea. r For frequently recurring symptoms. May be associated with sun Pain over most of head. Ringing in the ears. ﬂushed face.
worse from any movement. piercing pain? Yes Yes Severe thumping red face – maybe from too much sun? Yes No From overconcentration? Yes No Pain in band over forehead? Yes No Glonoine With fever? Thuja No Yes Lycopodium No Belladonna Ignatia Splitting pain. may be drowsy? Yes No Spigelia Sanguinaria Bryonia Nat mur ■ 111 .31 Headache and migraine Headache and migraine Predominantly one-sided Left Right Nux vom Recurrent on waking? Yes Hangover General From extreme emotions? Yes No Throbbing headache? No Staphisagria From relaxing after period of much stress? Yes No No Lachesis Silica Iris vers Burning.
open air Sitting up Open air. Elevating head Wrapping up At night Lying down Lying down At night Jaborandi Cool atmosphere At start of menses Lachesis Open air. Sciatica. ﬂushes of heat and fainting. See also Chart 36. warm weather Pressure from clothes and after sleep Heat and towards evening Morning and evening At rest and from warmth in bed Pulsatilla Sepia Sulphur 112 ■ . Weakness in back. back pain Burning sensation in vagina. pain in vagina. cracked nipples Aurum met Belladonna Glonoine Graphites Cool. Painful breasts Chilliness and nausea. Menopause. g.Prescribing charts 32 Hot ﬂushes r Often the best long-term dosage regimen is the indicated medicine in the 6c potency given tds for 3 days then bd. pain in the back. Pale and scanty menses. Hiccough and yawning Vaginal discomfort and uterine problems May be associated with painful breasts Often associated with backache Constipation. Swollen breasts Backache and often much coughing. This may be increased to 12c on follow-up or supplemented by a further supply of the indicated medicine in 30c for acute symptoms. Profuse sweating and nausea Palpitation. cold drinks and loosening clothes Open air and motion Exercise and warmth of bed Dry. Homeopathic medicine Amyl nit r r Better Cool air Worse Anxiety Other Facial ﬂushing with anxiety and palpitation. HRT (hormone replacement therapy) should be continued unless stopped by the prescribing doctor. Conventional medication. diarrhoea Morning sickness. e.
indifferent? No No Yes Pulsatilla No Violent flushings. irritable.32 Hot ﬂushes Hot flushes Descending flushes Generalised flushing Sepia Ascending flushes Come and go suddenly? Yes Throbbing headache? Profuse perspiration all over? No Changeable – better with loose clothing and fresh air? Yes Yes No Yes Cold hands and/or feet? Yes Tearful. talkative? Yes No Yes Sulphur Yes Glonoine No No Lachesis No Yes Lachesis Aurum met Belladonna Amyl nit Jaborandi ■ 113 . palpitations? No No Graphites Anxiety? Yes Amyl nit No Nausea? Unpleasant smell to perspiration? Bloating? Yes Irritable.
r Topical treatments include Arnica. r See also Chart 10. mouth dry and tingling Bruising. Better In open air Worse In warm room Other Anxiety and fear. Homeopathic medicine Aconite Sprains and strains. Skin itching and burning Blood and crush injuries. Sports injuries and Chart 51. Bruising. Chart 50. Vomiting. Numbness in palms of hand and soles of feet Arnica Hypericum Lying down Lying quietly Touch In cold Symphytum By changing position and applying heat At night 114 ■ .Prescribing charts 33 Injury r FIM – any injury will usually respond to Arnica. Hypericum Calendula. r Arnica and Rhus tox/Ruta gel can be useful topically. Calendula. particularly involving digits Bone involvement. r For fractures: Symphytum 30c should be taken tds for no more than 10 days.
33 Injury Injury Sprains and strains See Chart 51 Injuries to the eye See Chart 23 Injuries to the nose See Chart 41 Sports injuries See Chart 50 Arnica gel Rhus tox/Ruta gel General remedies fracture crush all trauma Symphytum Hypericum Arnica nerve pain shock Aconite Hypericum ■ 115 .
swollen.Prescribing charts 34 Itch r Urtica 5% cream useful topically – may be kept in fridge for maximum r For prevention of prickly heat. See Chart 11. Erythema with burning and stinging. Pain in back. Burns. increasing to tds and used concurrently with Urtica 5% cream if acute symptoms are experienced. itching after exertion Red. Itching of scrotum Apis In open air Heat and touch Nat mur In open air Heat Rhus tox Motion and in warm dry weather In cool Lying down During sleep Sol Urtica In direct sunlight Cold air 116 ■ . Homeopathic medicine Agaricus relief. itching skin with vesicles. Restless sleep causes itching and burning skin Stinging pain and oedema in extremities. Sol may be taken in the 30c potency bd r r starting 1 week before exposure. Better Movement Worse In cold air Other Often associated with chilblains and small pimples. It is made by exposing alcohol to sunlight. Hives with itching Dry eruptions on skin. See also Chart 3. Allergies. Hives. Sol is a remedy that is not found in all materia medicas. Restlessness Associated with exposure to sun Urticarial rash. When taken orally it is useful for itching and burning skin following exposure to sun.
hives General medicine of choice From nettle rash? No From exposure to sun? No Yes Yes Urtica On face only or from bite or sting? No Yes Sol Burning. red. swollen. may be taken prior to exposure to sun Agaricus Rash worsens. crawling sensation? Yes Apis No If susceptible.34 Itch Itch Prickly heat Uticaria. burns after scratching? No Only after exercise? Yes No Yes Rhus tox Nat mur Urtica ■ 117 .
Continuous nausea. patient intolerant of pain. constipation. tearing or episiotomy. Dyspepsia Where labour pains spasmodic. Often irritable dry cough Irritable and anxious. rest Warmth Kali phos Warmth and rest Worry and physical exertion Morning or evening Warmth Lac caninum Lac deﬂoratum Cold and with cold drinks After food 118 ■ . r Better Lying down Lying down Gentle movement Worse In warm room Least touch In warmth of bed Other Worry and anxiety. Wakes early in morning Spasmodic and severe pains.Prescribing charts 35 Problems associated with labour r Arnica tds – start 2 days before due date (or as soon as possible) and r Caulophyllum should be taken bd starting 10 days before due date to ease passage of labour – stop when labour begins. difﬁculty in walking. If being used when progression of labour stops. Labour pains spasmodic and cutting across from left to right Labour pains continual but of low intensity Erratic labour pains Throbbing pains with nausea and vomiting. Associated with poor nutrition Caulophyllum Chamomilla Warmth With cold application Open air Heat Ipecac Closing eyes. inﬂamed eyes Used to reduce bruising and pain Trauma of the pelvic organs. Red. Homeopathic medicine Aconite Arnica Bellis perennis continue until recovery. May be bloody discharge. the medicine should be taken hourly for three doses or until progression resumes. Hypericum/Calendula tincture useful – add 10 drops to a bath to relieve soreness from stitches. Varicose veins in pregnancy.
35 Problems associated with labour
Before Anxiety – shock from sudden/ traumatic labour
Exhausation from long labour
Severe pain in back Nausea and vomiting, esp. from drugs Ipecac Yes Progression of labour stops No
Lactation (see also Chart 9)
Encourage Dry up Arnica Arnica Caulophyllum Lac caninum Bellis perennis Lac defloratum
36 Problems associated with the menopause
r Hamamelis 5% cream may also be useful for varicose veins – apply bd. r Conventional medication, e. g. HRT, should be continued unless r See also Chart 32, Hot ﬂushes.
Homeopathic medicine Actaea rac (aka Cimicifuga)
stopped by the prescribing doctor.
Better Warmth and after food
Worse In the morning and in the cold
Other Pain in ovarian region, nausea and vomiting. Headache associated with worry Sore nipples Spasmodic and severe pains in abdominal region. Thrush Bearing down pain in back, vagina irritable and tender, sore nipples Disinterest in sexual activity, dry spasmodic cough. Very light sleep Patient fears to be alone and likes sympathy. Dyspepsia after a meal. Amenorrhoea
Lying down Warmth
With touch and motion Open air
In open air and rest
In warm, moist air
In the morning
Open air and motion
36 Problems associated with the menopause
Hot flushes See dedicated chart
Fatigue, aching muscles? Yes Arnica Yes Wants attention? No Emotional, weepy? No
Depressed, irritable? Yes No With painful Joints? Yes No
Yes Actaea rac No
Varicose veins Yes
37 Morning sickness in pregnancy
r Symptoms may occur at any time of day and may or may not persist. r Acupressure wrist bands are also effective in some cases. r No adverse drug reactions or untoward effects on fetus noted in the
Homeopathic medicine Aletris
Better After passing wind
Worse None recorded
Other Small amounts of food can cause dyspepsia, ﬂatulence and colic. Fainting spells Constant nausea and vomiting. Occasional blood in urine Constipation, insomnia, vertigo. Vomiting accompanied by increased secretion of sweat and saliva Abdominal distension with wind Indicated for intense nausea and vomiting of pregnancy Constant nausea and vomiting, much saliva and hiccoughs
After eating, loss of sleep and motion After eating
Lying down and warmth, also nausea worse from looking at moving objects In the morning and after eating Heat and after eating, especially rich, fatty food Morning and evening During motion
Sour taste in the mouth and stomach pain. Flatulence Abdominal distension, heartburn
In open air and with a cold drink
After exercise and sleep Lying on back
Nausea at smell and sight of food Constipation, gastric disturbances
food relieves? No Nux vom No Yes Yes Yes Loss of smell and taste Increased salivation. wind Cocculus Pulsatilla ■ 123 .) Nausea but little or no vomiting Yes Yes Yes Worse after any food? No Intense waves of nausea Feeling ‘seasick’ Worse at time of day am pm Cocculus Apomorphinum Aversion to food? Cucurbita pep Stomach feels empty. better lying down Yes Colic. etc. saliva.37 Morning sickness in pregnancy Morning sickness Intermittent or always at same time of day Persists throughout day Nausea and vomiting Nux vom Increased secretions (sweat. worse in warm Aletris Ipecac Amygdalus per Symphoricarpus Yes Better in the fresh air? Sepia No Bitter taste. tears.
gumboils and bitter taste Lips dry and cracked. excessive thirst. gumboils. dry throat with enlarged tonsils Mouth hot and tender. Lips red and bleeding Increased saliva. Gums dark red and swollen Halitosis and bitter taste in mouth. tongue swollen. Better Hot drinks Worse Evening and night Other Bleeding of gums. swollen and large. ulcers may bleed. dry throat Peppery taste in mouth. Homeopathic medicine Acid nit in 100 ml boiled/cooled water and use up to qds as required. r Hypericum/Calendula tincture useful as a mouthwash – dilute 10 drops r Herbal Echinacea can beneﬁt if patient suffers persistent ulcers – 825 mg daily (adult dose) if appropriate. bitter taste in the mouth. halitosis. ulcers on soft palate.Prescribing charts 38 Mouth problems r FIM – Merc sol for most acute mouth problems. burning sensation in throat Dry tongue and toothache Pain on swallowing and gumboils Belladonna Cold drinks Heat and warm drinks Borax Cold weather Warm weather Bryonia Warmth With cold drinks Hydrastis In dry air In cold air Kreosotum Warmth In open air Merc sol Moderate temperature With cold food and after sleep Warmth In warm atmosphere and in warm bed With warm food and drink Cold Phosphorus Silica 124 ■ . tongue white. burning in throat Throbbing pain in teeth.
esp. metallic taste? Yes No Yes Bryonia No No Hydrastis Bad breath. swollen tongue? Very dry mouth? Yes Pain very sensitive to cold? Bad breath.38 Mouth problems Mouth problems Gingivitis Ulcers Other Gums bleed? Small red ulcers. metallic taste? No Silica Kreosotum Yes Yes No Burning. increased saliva. after dental treatment? Yes No Acid nit Phosphorus Phosphorus Merc sol ■ 125 . worse for salt or acid? Yes No Yes Toothache? No No Yes Borax Belladonna Much sticky saliva. bleeding.
Dark orange-coloured urine Constantly moist skin. Greenish. with mucus Frequent urination. Redness around anus with itching Merc sol Moderate temperature At night Rhus tox In warmth During sleep Sulphur Lying on right side Over-warmth in bed 126 ■ . Homeopathic medicine Croton tig Better Removing nappy Worse Touch and washing Other Intense itching. cold clammy sweat on legs at night. pustular eruptions. Diarrhoea.Prescribing charts 39 Nappy rash r Both topical and oral treatment may be used concurrently. Dark-coloured urine. r Use of barrier cream may be appropriate after topical treatment. especially at night. slimy stool Red. swollen. itching skin.
39 Nappy rash Nappy rash Oral treatment may use both Topical treatment Affected area hot to the touch? No Worse for washing? Yes No Intense itch. dark urine? Worse for heat? No Yes Skin broken? No Sulphur Croton tig Yes No Hypericum and Calendula cream Yes Yes Calendula cream with Merc sol orally Rhus tox ■ 127 .
Ipecac (vomiting). heartburn Ant crud During rest In the evening Arsen alb Warm drinks After food Ipecac Hot drinks Lying down Nux vom After rest After eating particularly spicy food Rich. constant nausea and vomiting. taste of food remains a long time. ﬂatulence. heartburn Mouth moist with much saliva. belching. r Electrolyte replacement therapy may be used concurrently. hiccoughs Sour taste and nausea after eating. heartburn. abdominal pain and constipation Thirst in evening and night. Desire for acids and pickles Cannot bear sight or smell of food. fatty food and after eating Pulsatilla After cold food and drinks 128 ■ . bitter taste. nausea and vomiting. Ravenous hunger Belching. Homeopathic medicine Anacardium Better Eating Worse Between meals Other Belching. retching. great thirst.Prescribing charts 40 Nausea and vomiting r FIM – Nux vom (nausea).
tongue feels coated? Empty feeling relieved temporarily by eating? Yes No Yes Nux vom No Ant crud No Food poisoning. belching. burning pain and vomit.40 Nausea and vomiting Nausea and vomiting After eating Hangover Other Nux vom After rich fatty foods? Yes No Pulsatilla After too much food or drink? Yes Anacardium No appetite. no relief from vomiting? Yes Arsen alb Ipecac Nux vom ■ 129 . diarrhoea? Yes No Without other symptoms Vomiting Ipecac Nausea No With sweats.
try Phosphorus ﬁrst. face ﬂushed. cheeks sore and hot Profuse bleeding with tightness in bridge of nose Stuffed-up nose Handkerchief often bloody Coryza. r For recurring nosebleeds. Homeopathic medicine Agaricus Better Warm Worse In open and cold weather Other Particularly in older people. Internal and external nasal itching. stoppage of right nostril. spasmodic sneezing After coughing ﬁt Red. conventional treatment or a constitutional medicine may be more suitable – a referral would be required. tingling in tip of nose First stage of head cold. loss of smell Arnica Belladonna Lying down Sitting up Touch and motion Lying down Ferrum phos Application of cold At night Hamamelis In cold In warm air Millefolium Phosphorus Pulsatilla Application of cold on bridge of nose In open air and after sleep In open air After violent exertion With physical or mental exertion In warm room 130 ■ . bright red blood.Prescribing charts 41 Nosebleed r If no medicine is clearly indicated. ﬂushed face.
worse in open air? Yes No Arnica Phosphorus Pulsatilla Agaricus Yes Headache improves when bleeding starts? With headache? No With piercing pain in root of nose? Yes No Yes No Hamamelis Belladonna Millefolium Ferrum phos ■ 131 . shock Bright red blood Yes From picking or blowing nose violently? No Associated with menstrual cycle or pregnancy? Yes No Elderly patient.41 Nosebleed Nosebleed After injury Other Bruising.
Painful ﬂow. nausea and downward pressure.Prescribing charts 42 Period pains r When the appropriate medicine has been established and is effective for the acute symptoms. inﬂamed nipples tender to touch Colic and irregularities of cycle Amenorrhoea. amenorrhoea Throbbing pain radiating from nipples. Homeopathic medicine Actaea rac (aka Cimicifuga) Belladonna Better Warmth and eating Sitting up Worse In the morning Touch and lying down Other Pelvic pain. nausea and pain in stomach extending into small of back Spasmodic and severe pains over abdomen. Diarrhoea possible Flatulence with headache. it may be possible to use the same medicine bd for days 12–18 of the cycle to prevent the symptoms or reduce the severity. Dysmenorrhoea Patient complains of general pain. sickness in the morning. breasts feel heavy Menses profuse. painful vagina Borax Evening and cold weather Warm weather Caulophyllum Warmth Motion Chamomilla Pressure Touch and in morning Mag phos Warmth In the cold and at night Heat Pulsatilla Open air and motion Sepia Exercise and warmth of bed In cold air 132 ■ .
patient irritable? Yes No With headache? No Yes Left-sided. dragging down pain. may vomit? Yes No Borax Spasms of colic. crosses legs? Cutting. hot water bottle? Caulophyllum No Yes Yes Spasms in womb seeming to spread to other parts? No Mag phos Pains as of labour. e. better with warm.g. tearing pain? Chamomilla Actaea rac abdomen/ back right side No Yes Pulsatilla Belladonna Sepia ■ 133 .42 Period pains Period pains With heavy menstrual flow With light/normal menstrual flow Severe cramps improved after first 2 days.
Patient feels hot Alumina Amyl nit In open air and from cold washing Cool air In the afternoon and in warm room Anxiety Calc carb Lycopodium In dry weather Motion and warm drinks Physical or mental exertion Heat or warm room Merc sol In cool Warmth of bed and at night In the morning Silica Warmth Sulphur Dry warm weather Scratching and washing 134 ■ . Varicose veins Excessive odorous perspiration. Homeopathic medicine Acid ﬂuor fever. scaly unhealthy skin with itching and burning. Cold sweat on hands and feet Dry. Better Cold while walking Worse Warmth in the morning Other Profuse. often inﬂammation of ﬁnger joints Chapped and dry skin. Bursting headache Rheumatoid pains in extremities Abscesses beneath skin.Prescribing charts 43 Perspiration r Distinction should be made between general excessive perspiration and r Importance of increased ﬂuid intake should be stressed. hives and violent itching. Sciatica. itching skin Abscesses and boils on skin. sour offensive perspiration. brittle nails Flushed face and chest pains.
very itchy? No Yes Acid fluor ■ 135 . very itchy. worse on washing No Profuse sticky sweat worse for warmth? No Dry skin. sweaty.43 Perspiration Perspiration Lack of Excessive Very dry skin even after exercise Yes Silica Alumina With cold. dry skin. often with eczema? Yes Lycopodium No Merc sol Amyl nit Yes Yes Calc carb Sulphur Worse on head. smelly feet? Yes No Profuse sweating in overweight person? No Yes Red. smelly sweat.
sickness in the morning and vagina may be painful Sepia Exercise. Pressure and warmth of bed In morning and evening 136 ■ . Chilliness. Cold. ﬂashes of heat. r Pulsatilla more successful in fair-skinned and affectionate women with a tendency to be weepy. Sepia in tall slim women with dark complexion.Prescribing charts 44 Pre-menstrual syndrome r FIM – choice between Pulsatilla and Sepia. headache and fainting spells Pain down thighs. Burning sensation in vagina Irregular periods. usually profuse ﬂow Irregular cycle Lachesis Lilium tig Lycopodium Fresh air Motion and being uncovered In the open air and pressure against back Sleep and strong pressure Open air and from motion Nat mur Lying down Nux vom In the morning and after mental exertion Heat and a warm room Pulsatilla Amenorrhoea. Homeopathic medicine Calc carb Better In dry climate and lying down Warm applications Worse Mental or physical exertion and cold Pressure of clothes and after sleep In warm room Any form of heat Other Headache. damp feet Breasts inﬂamed. Pruritus Pain in right ovarian region. colic and chilliness. nausea and downward pressure. Sometimes associated with diarrhoea Period often late.
weepy and emotional Flushing and perspiration? No Yes – cold Reaction to sympathy? Increased libido during period? Loves Pulsatilla Hates Yes Nat mur Cramps or bloating? Yes – hot Yes Bearing-down sensation? Cold Yes No Lachesis Sepia Lilium tig Nat mur Nux vom Hot No Patient feels extremes of temperature Lycopodium No Yes Symptoms improve when period starts? Mental symptoms predominate Irritable and angry with outbursts Calc carb No Lachesis ■ 137 . sad.44 Pre-menstrual syndrome Pre-menstrual syndrome Physical symptoms predominate Withdrawn.
swollen and hot Weak ankles and dull pain in arms and hands Pain in shin bones. Sore sensitive skin Knees stiff and painful.Prescribing charts 45 Rheumatic and arthritic pain r FIM – Rhus tox if better for movement. hot. r Rhus Tox/Ruta 5% gel useful topically in many cases. Rheumatic pain in back and limbs. especially small joints. hot and swollen Pains in foot and in joints. Pain especially on right side of limbs. Sprains and strains. Joints red. Bryonia if better for rest. Extreme sensitivity to changes in weather In the cold and at night Rhus tox With movement and in warmth 138 ■ . Homeopathic medicine Apis Better In open air and after cold bathing Worse Heat and touch Other Oedema. r See also Chart 50. Swollen knee. Swollen. thighs and extremities Bryonia Application of cold Warmth and motion Causticum Warmth. Often associated with skin eruptions Pains affect hips to knees and feet. especially heat of bed Movement Dry. inﬂammation of big toe joint. Sports injuries and Chart 51. Sense of coldness in limbs. cold winds Dulcamara At night Kalmia Warmth Motion Ledum Cold At night and from heat of bed Rhododendron With warmth and eating At rest and at night. Throbbing in right shoulder Swollen joints. synovitis. Joints red. Stiff neck Rheumatic pains over neck.
burning. stinging? Ledum Rhus tox Bryonia Worse during thunderstorms? No Yes Causticum area feels hot to patient Dulcamara Rhododendron Apis area feels cold to patient Ledum ■ 139 . hot to touch. better for warm rubs? Yes Downward? Yes No Kalmia Yes No No No Rapidly shifting pain? Small movements hurt. angry? No Yes Worse for dwelling on condition? No Yes Much swelling.45 Rheumatic and arthritic pain Rheumatic and arthritic pain Better for movement? Yes Very stiff on rest.
Trembling in limbs Cramps in calves of legs and feet when in bed. painful swelling of joints and tingling in feet Bryonia Cold With warmth and motion Carbo sulph In open air In warm Colocynth Pressure and heat Gentle touch Gelsemium In open air and continued motion Sitting and ﬂexing limbs In damp weather Gnaphalium At night and with motion Lycopodium Warm food and drink On right side Mag phos In the warm and with pressure In the warm In cold and at night During sleep and cold Rhus tox 140 ■ . Pain in joints and back Numbness in limbs. Sciatica particularly on left side Fatigue after slight exercise. Often associated with backache and sweaty feet Painful stiffness in neck and back. knees stiff and painful Pains in lower limbs with cramps. especially while at rest and at night. Homeopathic medicine Ammon mur Better Lying down Worse Sitting down Other Shooting and tearing pain. Feet sweaty General muscular weakness and feet very tender May be associated with hot.Prescribing charts 46 Sciatica r This is a very changeable condition – the same patient may present different symptoms with each episode and may require different medicines each time. Fingers swollen Pain from hip to knee. Stiffness of joint.
shooting pains to foot. numbness in limbs? Mainly rightsided Better for movement? Yes No No Yes Lycopodium Patient irritable No Yes Bryonia ■ 141 . numb limbs? Yes Colocynth No Mag phos Gnaphalium Severe nerve pain.46 Sciatica Sciatica Mainly leftsided Shifting pains Better for movement? Yes No Rhus tox Pain and stiffness on walking? Yes No Carbo sulph Gelsemium Pain when leg stretched? Yes No Ammon mur Shooting pains. spasms.
Better Fresh air and cold Worse Warmth and at menstrual period Other Cannot fall asleep due to imagination. screams out in sleep. dreams associated with urgency Restless and nocturnal cough Drowsiness after meals. – a detailed consultation would be required. Requires head to be raised with pillows. Coffea and Passiﬂora either alone or in combination r For persistent insomnia. Consider referral. May sleep with hands over head Sleeplessness may be associated with alcoholism or drug addiction Restless. Sleep disturbed by dreams Enuresis Broken sleep. a constitutional medicine may be more suitable r Conventional medication should be continued unless stopped by the prescribing doctor. anxious and frightened dreams Wakes up very early with a start. anxious and restless. Homeopathic medicine Argent nit may be useful.Prescribing charts 47 Sleep problems r FIM – Avena sat. Warm and wet weather Lying down and holding ice in the mouth Lying down Following rest Touch and noise Chamomilla Heat and emotional upset Emotional upset Coffea Equisetum Nux vom Movement After eating spices Passiﬂora Phosphorus Peace and quiet Cold food and washing with cold water Mental worries and exhaustion Physical or mental exertion and warm food and drink 142 ■ . Dreams featuring snakes Disturbed. Goes to sleep late Arsen alb Heat and warm drinks In wet weather and cold drinks Avena sat None recorded None recorded Belladonna In quiet and moderate temperatures Being carried (children). Often sleeps with hands under head May cry out during sleep.
47 Sleep problems Sleep problems Associated with alcoholism or drug addiction Cannot fall asleep Cannot stay asleep Mind racing? Avena sat Yes Very hot on skin and/or head? Nightmares? No Very restless. other cold? Yes use c omb inati Passiflora on No Argent nit Phosphorus Chamomilla Nux vom ■ 143 . has to get up and walk about? Yes Yes No Anticipatory anxiety? No No Belladonna Yes Coffea may Yes Arsen alb Wets bed? No Wets bed? No Yes Yes Equisetum No One side hot.
craving for tobacco. Homeopathic medicine Caladium to a directed NRT (nicotine replacement therapy) programme. Mental exertion Staphisagria Rest After emotional upset 144 ■ . diarrhoea Nux vom Rest Touch and if other ailments present. Better After sleeping Worse Warm air Other Headaches following smoking. irritability.Prescribing charts 48 Smoking r Homeopathy can be effective alone but often works best complementary r Nux vom should be taken in the 200c potency twice daily from day of r Nux vom pre-eminently the medicine for many of the conditions found r To alleviate acute cravings. in modern life. Sleep problems Headache with yawning. stopping for 5–10 days. digestive disturbances. Nausea. Belching Stress of modern life. use Staphisagria or Caladium at a dose of 30c qds.
48 Smoking Smoking Nux vom Cravings Tendency to be irritable or aggressive Tendency to stomach discomfort Staphisagria Caladium ■ 145 .
sore to swallow. throat feels rough and burning. Bleeding gums Belladonna Heat Gelsemium In the open air After emotional upset Hepar sulph After eating and in damp weather Sucking ice cubes Dry. Better In open air Walking in open air Cold drinks Worse In warm room Heat Other Red and dry with swollen tonsils Difﬁculty swallowing. enlarged tonsils. especially in r Hypericum/Calendula tincture useful as a gargle – 5 drops in water. May be associated with overuse of voice Dry throat. cold winds and cool air At night and from warm room and warm bed After physical and mental exertion and from warm food and drink In cold weather Merc sol Phosphorus Cool open air and cold food Phytolacca Warm dry weather Dark-red or bluish sore throat. Homeopathic medicine Aconite Baryta carb children. hot. Red and hot Difﬁculty swallowing warm food. Throat feels constricted. r If appropriate. Ulcerated. red. herbal Echinacea can be very valuable to boost the immune system – 825 mg daily (adult dose). Excessive saliva Thirst for very cold water.Prescribing charts 49 Sore throat r FIM – Belladonna where fever. Sensation of lump in throat 146 ■ . Ear may also be affected Gums and mouth painful to touch and bleed readily Raw and burning throat with loss of voice.
headache? Yes No Gelsemium Sensation of crumb in throat? No Enlarged glands and tonsils? Hepar sulph No Yes Yes No No Yes Phytolacca Belladonna Baryta carb ■ 147 . swollen tongue? Yes No Merc sol Difficulty swallowing? Yes Pain in ears. loss of voice? Yes No Phosphorus Muscles ache. tingling? Yes No Aconite Salivation. stiff neck? Hoarseness. dry.49 Sore throat Sore throat Sudden onset Slow onset Burning.
Prescribing charts 50 Sports injuries r Arnica 5% gel useful topically in most cases for bruising. Pain in neck Pain in toes and ﬁngers especially the tips. Pains in back of neck Burning in the back. stiffness of knees. Pain in elbow and shoulder joints. especially right shoulder Pain in hip joint. Dry tickly cough Any injury with bone involvement Arnica Lying down Least touch Bellis perennis In cool After hot bath and warmth of bed Warmth and motion In cold and with touch Cold Bryonia Hypericum With pressure and rest After rubbing and lying quietly At night and from heat of bed Ledum Nat sulph In dry weather and changing position Cold food and in the open air. Sprains and strains. Physical and mental exhaustion Injuries to breast and trauma of pelvic area. Pain in shoulders Ankle sprain and shoulder injuries. r Ruta/Rhus tox 5% gel used topically for sprains and strains. Homeopathic medicine Aconite Better Open air Worse Warm room Other Inﬂamed joints. knee problems and fear and anxiety Injuries involving bruising. warm food or drink Symphytum Activity 148 ■ . r See also Chart 51. Good medicine for sprains and bruises Knees stiff and painful. Washing with cold water Rest In damp Phosphorus Touch.
grazes See Chart 56 ■ 149 .50 Sports injuries Sports injuries Major medicines in most acute injuries Strains and sprains See dedicated chart Eye shock all trauma Fractures blunt Aconite Arnica Limbs.g. e. extremities Hypericum Yes Phosphorus No Crush injury. fingers? No Nose with bleeding? No Head? Yes With persistent headache? No Dislocated joint? No Yes No Other Nat sulph Arnica Yes Bryonia Bellis perennis Breast Breast Yes Symphytum No ‘poke’ Ledum Cuts.
Initial movement worse. synovitis Effects of mental and physical exertion. Homeopathic medicine Apis Better Uncovered and with application of cold Lying down Worse Heat and touch Other Oedema in extremities. Stretching limbs Warmth and gentle rubbing Motion Cold Ruta grav Lying down and cold Used for muscular sprains. Used for traumatic injuries Used for sprains and bruises. swollen and intense itching Arnica Least touch and motion Bellis perennis Motion Warmth of bed Bryonia Rhus tox Rest Application of heat. subsequent movement much easier. Also used for eye strain 150 ■ . injuries to breast Patient usually irritable and thirsty Skin often red.Prescribing charts 51 Sprains and strains r Rhus Tox/Ruta 5% gel or Arnica 5% gel as appropriate useful topically in most cases.
swelling better on movement? Yes Rhus tox Tearing pain? No Very swollen.51 Sprains and strains Sprains and strains Stiffness. pain. affected part? Yes No Very swollen. jumps at slightest touch? Yes Apis Yes From ‘overdoing it’? Yes Arnica No Bellis perennis Rhus tox and Ruta grav gel No No With much bruising? No Yes Ruta grav Bryonia ■ 151 . hurts to move.
possible high feverish state Baby cries while being nursed. Homeopathic medicine Belladonna Better With light covering Worse Touch and lying down Warm weather Other Skin dry and hot. Teeth develop slowly Restless. swollen gums Borax Late evening Calc phos In summer Cold weather Chamomilla Merc sol Being carried In moderate temperature In the evening and while at rest Warm food or drink At night Nux vom In the morning after eating 152 ■ . Mouth hot and tender Associated with swollen tonsils.Prescribing charts 52 Teething r FIM – Chamomilla. needs constant attention Severe pain on touch and from chewing Often associated with small aphthous ulcers.
much saliva? No Yes Irritable. hot? No Ulcers where tooth coming in? No Yes Merc sol Yes Belladonna Calc phos Borax ■ 153 .52 Teething Teething Chamomilla No effect Constipated? Yes Nux vom No Sore gums. red cheeks.
If no single medicine is strongly indicated. the most appropriate two medicines may be alternated. Vomiting on least motion. hunger. wind. worse with smell of tobacco smoke. up to a maximum of six doses in 24 hours. Anxiety about journey Nervous and sensitive to sudden noises. up to a maximum of six total doses in 24 hours. Car motion Nausea. much retching. r Appropriate medicine should be given in the 30c potency 1 hour before r r journey.Prescribing charts 53 Travel sickness r Acupressure wrist bands are effective in some cases. lying down and holding ice in the mouth After sleeping Nux vom Eating. Sea sickness Petroleum Warm air Tabacum In fresh air and with eyes closed Extremes of heat and cold 154 ■ . See Chart 4. Homeopathic medicine Argent nit Better Cool air Worse Emotion and warmth Other Belching. Abdominal distension Nausea from travelling in cars and boats. especially spicy food Dampness Sour taste in mouth. Hiccoughs and spasmodic yawning Irritability Borax In cool weather Noise and tobacco smoke Cocculus Cool air With eating and after loss of sleep and emotional disturbance Open air Coffea Warmth. on departure and every 2 hours during journey if necessary. Anxiety and shock for medicines associated with anxiety about travel. nausea and vomiting. constipation Heartburn and belching.
53 Travel sickness
Over-excited, especially children
Yes No Coffea Argent nit Tabacum
Increased saliva? No Yes Persistent nausea and headache?
Relieved by eating?
No Yes Yes No Borax Nux vom Cocculus Petroleum
54 Urinary problems (acute)
r FIM – Causticum if increased frequency, Cantharis if pain/burning r Sabal serr mother tincture or tincture can be useful taken at night – 3–5
drops in water for men with increased urinary frequency.
Homeopathic medicine Acid nit
mainly on urination.
Worse In evening and at night In warmth and at night In warm atmosphere Drinking cold water Cold air and movement Heat or warm room
Other Scanty urine, dark in colour. Burning and stinging sensation Burning pain and itching. Divided stream of urine Frequent urge to urinate Scalding urine passes drop-wise. Constant desire to urinate Involuntary passage of urine when coughing, sneezing or excited Pain in back before urinating ceases after ﬂow. Much straining. Polyuria during the night. Male impotence Irritable bladder, frequent passage of small quantities of urine Constant desire to urinate. Enuresis Urine dribbles, bladder distended and tender. Child often screams before and while passing urine Chronic cystitis. Bearing-down sensation Burning sensation during urination. May be associated with prostatic trouble
In fresh air and cold Walking in open air Warmth
Baryta carb Cantharis
In warmth and heat of bed Being uncovered
In the evening at rest After sleep In cool dry air
In the morning and in the cold In the cold At night and after urinating
Sabal serr Sarsasparilla
Exercise and warmth of bed Warmth and rest at night
Cold air Emotional upset and tobacco. Women – after sexual activity
54 Urinary problems (acute)
Uninary problems (acute)
History of enlarged prostate Problem mainly frequency
Problem mainly pain on urination
All day? Yes No too frequently with difficulty Itch, pain on completion? No Nux vom Burning? Yes Staphisagria Intense burning? Yes No Sabal serr Yes Cantharis Sarsaparilla Baryta carb Urine has foul odour? Yes Acid nit Argent nit No Yes Lycopodium Yes No Sensation of splinters? No Causticum Only after intercourse? Yes No
Urine cloudy? No
55 Warts and verrucae
r r r r
FIM for all conditions – Thuja 30c, twice daily. Thuja tincture or 5% ointment also useful topically. Topical and oral treatment may be used concurrently. Treatment may take 4–16 weeks.
Homeopathic medicine Acid nit
Better Mild weather and warm covering Warm bath
Worse At night and in extremes of temperature Aggravated by heat and cold bathing Not recorded
Other Large jagged warts that bleed on washing Dry, scaly skin often with pustular eruptions Large jagged warts, especially on ﬁngers and nose Warts that itch and burn A variety of skin eruptions (including verrucae), and nail problems
Cool, fresh air None recorded
Heat After scratching
55 Warts and verrucae Warts and verrucae Molluscum Thuja No effect Causticum No effect Bleed easily? Yes No Genital? 'Needle-like' pain? No Yes No Yes Causticum Sabina Ant crud Acid nit ■ 159 .
Do not use topical products on deep wounds. this herbal product does cause an allergic response in some patients. Motion At night and from heat of bed Silica Warmth Cold 160 ■ . Shock Puncture wounds. Also abscesses. however. Superﬁcial wounds may be also dressed with tea tree preparations. chapped skin and where infection present Blood and crush injuries. Homeopathic medicine Calendula Hepar sulph r r Better Warmth Wrapping up affected parts Worse In the evening Cool air Other Superﬁcial burns and scalds Used to treat ulcers and cold sores. Oral and topical treatment may be used concurrently. clean wound with diluted Calendula or Hypericum/Calendula tincture then use the 5% cream or ointment (latter better as greasy base seals wound).Prescribing charts 56 Wounds r For superﬁcial cuts and grazes. May be indicated if patient suffers from eczema Promotes expulsion of foreign bodies from tissues. May be indicated where injury suppurating Hypericum Ledum Lying quietly Cold Application of pressure.
56 Wounds Wounds Type of wound Cut or graze Puncture Possible infection? Splinter/thorn etc. still in wound? No Yes Ledum Discharge of pus? No No Yes Yes Pain. especially of nerve endings? No Calendula Hypericum Yes Hepar sulph may use combination Silica ■ 161 .
org Website: www.pipex.homeopathy-soh.trusthomeopathy.org The Faculty of Homeopathy in Scotland Glasgow Homeopathic Hospital 1053 Great Western Road Glasgow G12 0XQ Tel: +44 (0)141 211 1617 Fax: +44 (0)141 211 1610 E-mail: firstname.lastname@example.org The Society of Homeopaths 11 Brookﬁeld Duncan Close Moulton Park Northampton NN3 6 WL Tel: +44 (0)845 450 6611 Fax: +44 (0)845 450 6622 Website: www.org The Faculty of Homeopathy Hahnemann House 29 Park Street West Luton LU1 3BE Tel: +44 (0)870 444 3950 Fax: +44 (0)870 444 3960 Website: www. Box 1 1190 Brussels Belgium Tel: +32 2 345 3597 E-mail: email@example.com British Holistic Medical Association 39 Lansdown Place Hove East Sussex BN3 1EL 162 ■ .Appendix 1 Useful addresses Organisations supporting prescribers European Committee for Homeopathy (ECH) Secretariat Chaussee de Bruxelles 132.
uk BHA Book Service 20 Main Street Busby Glasgow G76 8DU Tel: +44 (0)845 225 5492 Website: www.org/ More information Hom-Inform and British Homoeopathic Library Glasgow Homeopathic Hospital 1053 Great Western Road Glasgow G12 0XQ Tel: +44 (0)141 211 1617 Fax: +44 (0)141 211 1610 E-mail: firstname.lastname@example.org.ﬁhealth.pipex.org British Institute of Homeopathy Endeavour House 80 High Street Egham Surrey TW20 9HE Tel: +44 (0)1784 473800 E-mail: email@example.com Website: www.com The Prince of Wales Foundation for Integrated Health 12 Chillingworth Road London N7 8QJ Tel: +44 (0)20 7619 5140 Website: www.Patients’ associations Tel: +44 (0)1273 725951 Website: www.com Patients’ associations British Homeopathic Association Hahnemann House 29 Park Street West Luton LU1 3BE Tel: +44 (0)870 444 3950 ■ 163 .homoeopathy.org.com United Kingdom Homoeopathic Medical Association (UKHMA) 6 Livingstone Road Gravesend Kent DA12 5DZ Tel/fax: +44 (0)1474 560336 Website: www.
trusthomeopathy.org The Patients’ Association for Anthroposophical Medicine St Luke’s Medical Centre 51 Cairns Cross Road Stroud Glos GL4 4EX Hospitals Bristol Homeopathic Hospital Cotham Hill Cotham Bristol BS6 6JU Tel: +44 (0)117 973 1231 Website: www.ubht.info/welcome.Appendix 1 Fax: +44 (0)870 444 3960 Website: www.uk/rlhh Tunbridge Wells Homoeopathic Hospital Church Road Tunbridge Wells Kent TN1 1JU Tel: +44 (0)1892 542977 164 ■ .uk/homeopathy/ Liverpool Homeopathic Hospital Department of Homeopathic Medicine Mossley Hill Hospital Park Avenue Liverpool L18 8BU Tel: +44 (0)151 285 3707 Glasgow Homeopathic Hospital 1053 Great Western Road Glasgow G12 0XQ Tel: +44 (0)141 337 1824 Fax: +44 (0)141 211 1610 Website: ghh.uclh.nhs.nhs.htm Royal London Homoeopathic Hospital Great Ormond Street London WC1 N 3HR Tel: +44 (0)845 155 5000 (Patient services: +44 (0)20 7391 8888) Website: www.
UK suppliers of homeopathic medicines
Clinic not NHS, but a registered charity
Manchester Homoeopathic Clinic Brunswick Street Ardwick Manchester M13 9ST Tel: +44 (0)161 273 2446
UK suppliers of homeopathic medicines
Ainsworths Homeopathic Pharmacy 36 New Cavendish Street London W1G 8UF Tel: +44 (0)20 7935 5330 Fax: +44 (0)20 7486 4313 Website: www.ainsworths.com (also supply books and homeopathic veterinary products) Freeman’s Homeopathic Pharmacy 18–20 Main Street Busby Glasgow G76 8DU Tel: +44 (0)141 644 1165/+44 (0)845 225 5155 Fax: +44 (0)141 644 5735/+44 (0)845 225 5255 Website: www.freemans.uk.com (also supply books and homeopathic veterinary products) Helios Homoeopathy 89–97 Camden Road Tunbridge Wells Kent TN1 2QR Tel: +44 (0)1892 537254 Fax: +44 (0)1892 546850 Website: www.helios.co.uk (also supply books and veterinary products) Nelsonbach Broadheath House 83 Parkside Wimbledon London SW19 5LP Tel: +44 (0)20 8780 4200 Fax: +44 (0)20 8780 5871 Website: www.nelsonbach.com
Appendix 1 New Era Laboratories, Seven Seas Ltd Hedon Road Marﬂeet Hull HU9 5NJ Tel: +44 (0)1482 375234 Fax: +44 (0)1482 374345 Website: www.seven-seas.ltd.uk Weleda UK Heanor Road Ilkeston Derbyshire DE7 8DR Tel: +44 (0)115 944 8200 Fax: +44 (0)115 944 8210 Website: www.weleda.co.uk
Appendix 2 Further information
Training in homeopathy
Information on UK postgraduate and undergraduate degrees in complementary and alternative medicine including homeopathy may be found at www.rccm.org.uk/static/Links Courses.aspx?m=7 A comprehensive and current listing of colleges around the world may be found online at the Homeopathy Home Page (www.homeopathyhome. com). Training is also offered in the UK and overseas by the Faculty of Homeopathy (see above) and in the UK by Continuing Professional Education Centres (e.g. National Health Service Education for Scotland).
Online sources of information
Alternative Medicine Foundation www.amfoundation.org/homeopathinfo.htm British Homeopathic Library www.hom-inform.org/ Elixirs.com – theory and practice newsletters www.elixirs.com/newsletter.htm Homeopathic education services www.homeopathic.com/ Homeopathic internet resources www.holisticmed.com/www/homeopathy.html Kent Homeopathic Associates www.repertory.org/links.html Links www.homeoint.org/lienamis.htm#english Homeopathyhome – general resource www.homeopathyhome.com/reference/index.shtml Homeoweb – general resource www2.antenna.nl/homeoweb/
Appendix 2 National Electronic Library for Health: Complementary and Alternative Medicine Specialist Library: Homeopathy www.library.nhs.uk/cam/SearchResults.aspx?tabID=288&catID=9652 United States National Center for Complementary and Alternative Medicine (NCCAM) www.nccam.nih.gov
Family guides Gemmell D (1997). Everyday Homeopathy. Beaconsﬁeld: Beaconsﬁeld Publishers. Gibson D (2005). First Aid Homoeopathy in Accidents & Ailments, 18th edn. Glasgow: BHA Book Service. Hunter F, Kayne S (1997). People are Pets. Glasgow: BHA Book Service (Human & Veterinary). Lockie A (1998). Family Guide to Homeopathy. London: Penguin Books (Hamish Hamilton). General reading Handley R (1997). In Search of the Later Hahnemann. Beaconsﬁeld: Beaconsﬁeld Publishers. Wright-Hubbard E (1990). Homeopathy as Art and Science. Beaconsﬁeld: Beaconsﬁeld Publishers. Wood M (1992). The Magical Staff. The Vitalist Tradition in Western Medicine. Berkeley, CA: North Atlantic Books. Practice of homeopathy Swayne J (1997). Homeopathic Method. Oxford: Elsevier (Churchill Livingstone). Swayne J (2000). International Dictionary of Homeopathy. Oxford: Elsevier (Churchill Livingstone). Watson I (2004). Guide to the Methodologies of Homeopathy. Kendal: Cutting Edge Books. Materia medicas and repertories Boericke W (2005). Homoeopathic Materia Medica with Repertory, 2nd British edn, 5th impression. Sittingbourne: Homoeopathic Book Service (various editions available). Clarke J H (1952). The Prescriber, 9th edn. London: Random House Books (CW Danie). Clarke J (1991). Dictionary of Practical Materia Medica. London: Random House Books (CW Danie). Kent J T (1993). Repertory of the Homeopathic Materia Medica. Sittingbourne: Homeopathic Book Service. Kent J T (2000). Materia Medica of Homeopathic Remedies. Sittingbourne: Homeopathic Book Service. Murphy R (2003). Homeopathic Remedy Guide, 2nd edn. Virginia: Lotus Health Institute.
Beaconsﬁeld: Beaconsﬁeld Publishers. Homeopathy for Sport.Further reading Murphy R (2005). Dean M E (2004). Virginia: Lotus Health Institute. Homoeopathy for Midwives (and All Pregnant Women). Haarlem. Homeopathy. Mother and children Castro M (1992). Travel Lessell C (1999). Pinto G. Synthesis. Lessell C (2003). CA: North Atlantic Books. Research topics Bellavite P. Beaconsﬁeld: Beaconsﬁeld Publishers. London: Random House Books (CW Danie). Introduction to Homeopathic Medicine. Pharmacy Kayne S (2001). Complementary Therapies for Pharmacists. Phatak’s Materia Medica of Homoeopathic Medicines. A Frontier in Medical Science. 9th edn. The Trials of Homeopathy. Companion to Homeopathic Studies. Kayne S (2006). Hunter F (2004). Signorini A (1995). ■ 169 . Everyday Homeopathy for Animals. NL: Emryss Publishers. Homoeopathy for Mother and Baby. Schroyens F (2004). Phatak S R (1988). Stuttgart: KVC Verlag. 3rd edn. Concordant Materia Medica. London: Random House Books (CW Danie). Homeopathy for Children. Glasgow: BHA Book Service. London: Macmillan. Sport Thomas E (2000). Veterinary Saxton J and Gregory P (2005). Feldman M (2000). Vermeulen F (2000). Theory of homeopathy Boyd H (1989). Homeopathic Pharmacy. Berkeley. Edinburgh: Churchill Livingstone. London: Pharmaceutical Press. Exercise and Dance. Beaconsﬁeld: Beaconsﬁeld Publishers. World Travellers’ Manual of Homeopathy. Beaconsﬁeld: Beaconsﬁeld Publishers. 2nd edn. Webb P (1999). London: Homeopathic Book Publishers. London: Random House Books (CW Danie). London: Foxlee-Vaughan. Textbook of Veterinary Homeopathy. Homeopathic Clinical Repertory.
u Sittingbourne: Homoeopathic Book Service. Illustrated Handbook of Bach Flower Remedies. 170 ■ . London: Random House Books (Vermillion). Sch¨ ssler’s Twelve Tissue Remedies. Boericke W and Dewey W (2003).Appendix 2 Flower remedies and tissue salts Chancellor P (2005).
Further. Remedy Acid ﬂuor Acid nit Acid nit Acid nit Acid nit Acid nit Acid phos Acid phos Acid phos Acid pic Acid sal Aconite Aconite Aconite Aconite Aconite Aconite Aconite Aconite Aconite Ailment Perspiration Breastfeeding Haemorrhoids Mouth problems Urinary problems (acute) Warts and verrucae Bereavement Diarrhoea Fatigue (acute) Fatigue (acute) Ear problems Anxiety and shock Burns Cold and ﬂu Cough Ear problems Fever Injury Labour Sore throat ■ 171 . it includes only the applications indicated in the prescribing charts. Some other applications may be found on the supplementary page facing each chart.Appendix 3 Materia medica This materia medica reﬂects the recommended usage of medicines in this book – all the medicines have many other homeopathic applications.
Appendix 3 Aconite Actaea rac Actaea rac Actaea rac Aesculus Agaricus Agaricus Ailanthus Aletris Allium cepa Allium cepa Aloe soc Aloe soc Alumina Alumina Ambrosia Ammon mur Ammon mur Amygdalus per Amyl nit Amyl nit Anacardium Ant crud Ant crud Ant crud Ant tart Ant tart Ant tart Apis Apis Apis Apis Sports injuries Backache Menopause Period pains Haemorrhoids Itch Nosebleed Glandular fever Morning sickness Cold and ﬂu Hay fever Diarrhoea Haemorrhoids Constipation Perspiration Hay fever Hay fever Sciatica Morning sickness Hot ﬂushes Perspiration Nausea and vomiting Chickenpox and shingles Nausea and vomiting Warts and verrucae Backache Chickenpox and shingles Cough Abscesses and boils Bites and stings Chickenpox and shingles Ear problems 172 ■ .
Materia medica Apis Apis Apis Apomorphinum Argent nit Argent nit Argent nit Argent nit Argent nit Argent nit Argent nit Argent nit Argent nit Arnica Arnica Arnica Arnica Arnica Arnica Arnica Arnica Arnica Arnica Arnica Arnica Arnica Arsen alb Arsen alb Arsen alb Arsen alb Arsen alb Arsen alb Itch Rheumatic and arthritic pain Sprains and strains Morning sickness Anxiety and shock Bedwetting Cramp Diarrhoea Eye problems Flatulence Sleep problems Travel sickness Urinary problems (acute) Anxiety and shock Backache Bruising Cramp Eye problems Fatigue (acute) Gout Injury Labour Menopause Nosebleed Sports injuries Sprains and strains Anxiety and shock Bedwetting Bereavement Chickenpox and shingles Cold sores Diarrhoea ■ 173 .
Appendix 3 Arsen alb Arsen alb Arsen alb Arsen alb Arsen iod Arsen iod Arundo Aurum met Avena sat Baptisia Baryta carb Baryta carb Baryta carb Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Belladonna Eczema and dermatitis Fever Nausea and vomiting Sleep problems Catarrh and sinus problems Cold and ﬂu Hay fever Hot ﬂushes Sleep problems Fever Haemorrhoids Sore throat Urinary problems (acute) Abscesses and boils Acne Bedwetting Breastfeeding Burns Cold and ﬂu Colic Cough Ear problems Fever Flatulence Glandular fever Gout Headache and migraine Hot ﬂushes Mouth problems Nosebleed Period pains Sleep problems 174 ■ .
Materia medica Belladonna Belladonna Bellis perennis Bellis perennis Bellis perennis Bellis perennis Borax Borax Borax Borax Borax Bryonia Bryonia Bryonia Bryonia Bryonia Bryonia Bryonia Bryonia Bryonia Bryonia Bryonia Bryonia Caladium Calc carb Calc carb Calc phos Calendula Cantharis Cantharis Cantharis Capsicum Sore throat Teething Bruising Labour Sports injuries Sprains and strains Breastfeeding Mouth problems Period pains Teething Travel sickness Backache Breastfeeding Cold and ﬂu Cough Cramp Fever Headache and migraine Mouth problems Rheumatic and arthritic pain Sciatica Sports injuries Sprains and strains Smoking Perspiration Pre-menstrual syndrome Teething Wounds Bites and stings Burns Urinary problems (acute) Cold sores ■ 175 .
Appendix 3 Carbo sulph Carbo sulph Carbo veg Carbo veg Caulophyllum Caulophyllum Caulophyllum Causticum Causticum Causticum Causticum Causticum Causticum Causticum Chamomilla Chamomilla Chamomilla Chamomilla Chamomilla Chamomilla Chamomilla Chamomilla Chamomilla China China Cinnabaris Cistus can Cocculus Cocculus Cocculus Coffea Coffea Ear problems Sciatica Colic Flatulence Labour Menopause Period pains Bedwetting Burns Chickenpox and shingles Haemorrhoids Rheumatic and arthritic pain Urinary problems (acute) Warts and verrucae Breastfeeding Colic Cramp Diarrhoea Ear problems Labour Period pains Sleep problems Teething Ear problems Fatigue (acute) Catarrh and sinus problems Glandular fever Fatigue (acute) Morning sickness Travel sickness Sleep problems Travel sickness 176 ■ .
Materia medica Colchicum Collinsonia Colocynth Colocynth Colocynth Croton tig Cucurbita pep Cuprum met Dioscorea Drosera Dulcamara Equisetum Equisetum Eupatorium perf Euphrasia Euphrasia Euphrasia Ferrum phos Ferrum phos Ferrum phos Ferrum phos Gelsemium Gelsemium Gelsemium Gelsemium Gelsemium Gelsemium Gelsemium Glonoine Glonoine Gnaphalium Graphites Gout Haemorrhoids Colic Diarrhoea Sciatica Nappy rash Morning sickness Cramp Colic Cough Rheumatic and arthritic pain Bedwetting Sleep problems Cold and ﬂu Cold and ﬂu Eye problems Hay fever Abscesses and boils Cold and ﬂu Fever Nosebleed Anxiety and shock Cold and ﬂu Cramp Fever Hay fever Sciatica Sore throat Headache and migraine Hot ﬂushes Sciatica Ear problems ■ 177 .
Appendix 3 Graphites Graphites Graphites Gunpowder Hamamelis Hamamelis Hamamelis Hamamelis Hepar sulph Hepar sulph Hepar sulph Hepar sulph Hepar sulph Hepar sulph Hepar sulph Hepar sulph Hydrastis Hydrastis Hydrastis Hypericum Hypericum Hypericum Hypericum Hypericum Hypericum Hypericum Ignatia Ignatia Ignatia Ipecac Ipecac Ipecac Eczema and dermatitis Eye problems Hot ﬂushes Acne Bruising Haemorrhoids Menopause Nosebleed Abscesses and boils Acne Catarrh and sinus problems Cold sores Cough Ear problems Sore throat Wounds Catarrh and sinus problems Constipation Mouth problems Backache Bites and stings Bruising Chickenpox and shingles Injury Sports injuries Wounds Anxiety and shock Headache and migraine Menopause Cough Diarrhoea Labour 178 ■ .
Materia medica Ipecac Ipecac Iris vers Jaborandi Kali bich Kali brom Kali carb Kali iod Kali mur Kali phos Kali phos Kalmia Kalmia Kreosotum Lac caninum Lac caninum Lac deﬂoratum Lac deﬂoratum Lachesis Lachesis Lachesis Lachesis Lachesis Lachesis Ledum Ledum Ledum Ledum Ledum Ledum Ledum Ledum tincture Morning sickness Nausea and vomiting Headache and migraine Hot ﬂushes Catarrh and sinus problems Acne Backache Catarrh and sinus problems Ear problems Fatigue (acute) Labour Chickenpox and shingles Rheumatic and arthritic pain Mouth problems Breastfeeding Labour Breastfeeding Labour Abscesses and boils Bereavement Catarrh and sinus problems Headache and migraine Hot ﬂushes Pre-menstrual syndrome Bites and stings Bruising Eye problems Gout Rheumatic and arthritic pain Sports injuries Wounds Bites and stings ■ 179 .
Appendix 3 Lilium tig Lycopodium Lycopodium Lycopodium Lycopodium Lycopodium Lycopodium Lycopodium Lycopodium Lycopodium Mag phos Mag phos Mag phos Merc sol Merc sol Merc sol Merc sol Merc sol Merc sol Merc sol Merc sol Merc sol Merc sol Merc sol Mezereum Mezereum Mezereum Millefolium Nat mur Nat mur Nat mur Nat mur Pre-menstrual syndrome Anxiety and shock Bedwetting Ear problems Flatulence Headache and migraine Perspiration Pre-menstrual syndrome Sciatica Urinary problems (acute) Cramp Period pains Sciatica Abscesses and boils Cold and ﬂu Eye problems Fatigue (acute) Fever Glandular fever Mouth problems Nappy rash Perspiration Sore throat Teething Catarrh and sinus problems Chickenpox and shingles Eczema and dermatitis Nosebleed Bereavement Catarrh and sinus problems Cold and ﬂu Cold sores 180 ■ .
Materia medica Nat mur Nat mur Nat mur Nat sulph Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Nux vom Passiﬂora Petroleum Petroleum Phosphorus Phosphorus Phosphorus Phosphorus Phosphorus Phosphorus Phosphorus Phytolacca Phytolacca Plantago Plumbum met Podophyllum Headache and migraine Itch Pre-menstrual syndrome Sports injuries Backache Cold and ﬂu Colic Constipation Haemorrhoids Headache and migraine Morning sickness Nausea and vomiting Pre-menstrual syndrome Sleep problems Smoking Teething Urinary problems (acute) Sleep problems Eczema and dermatitis Travel sickness Anxiety and shock Cough Mouth problems Nosebleed Sleep problems Sore throat Sports injuries Breastfeeding Sore throat Bedwetting Constipation Diarrhoea ■ 181 .
Appendix 3 Psorinum Psorinum Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pulsatilla Pyrogenium Pyrogenium Ranunc bulb Raphanus Rhododendron Rhus tox Rhus tox Rhus tox Rhus tox Rhus tox Rhus tox Rhus tox Rhus tox Rhus tox Rhus tox Rhus tox Acne Eczema and dermatitis Bedwetting Bereavement Catarrh and sinus problems Cough Ear problems Eye problems Gout Hot ﬂushes Menopause Morning sickness Nausea and vomiting Nosebleed Period pains Pre-menstrual syndrome Catarrh and sinus problems Ear problems Chickenpox and shingles Flatulence Rheumatic and arthritic pain Acne Backache Chickenpox and shingles Cold and ﬂu Cold sores Cramp Eczema and dermatitis Gout Itch Nappy rash Rheumatic and arthritic pain 182 ■ .
Materia medica Rhus tox Rhus tox Ruta grav Ruta grav Ruta grav Sabadilla Sabadilla Sabal serr Sabina Sanguinaria Sanguinaria Sarsaparilla Scutellaria Sempervivum Sepia Sepia Sepia Sepia Sepia Silica Silica Silica Silica Silica Silica Silica Silica Silica Sol Sol Spigelia Spigelia Sciatica Sprains and strains Backache Bruising Sprains and strains Eye problems Hay fever Urinary problems (acute) Warts and verrucae Acne Headache and migraine Urinary problems (acute) Fatigue (acute) Cold sores Bereavement Hot ﬂushes Morning sickness Period pains Pre-menstrual syndrome Abscesses and boils Acne Breastfeeding Constipation Headache and migraine Mouth problems Perspiration Urinary problems (acute) Wounds Burns Itch Chickenpox and shingles Headache and migraine ■ 183 .
Appendix 3 Spongia Stannum met Staphisagria Staphisagria Staphisagria Staphisagria Staphisagria Sticta Sulphur Sulphur Sulphur Sulphur Sulphur Sulphur Sulphur Sulphur iodatum Symphoricarpus Symphytum Symphytum Symphytum Symphytum Tabacum Thuja Thuja Tuberculinum bovinum (Tub bov) Urtica Urtica Urtica Urtica Verat alb Verat alb Zinc met Zinc met 184 ■ Cough Cough Breastfeeding Eye problems Headache and migraine Smoking Urinary problems (acute) Catarrh and sinus problems Acne Constipation Diarrhoea Eczema and dermatitis Hot ﬂushes Nappy rash Perspiration Acne Morning sickness Bruising Eye problems Injury Sports injuries Travel sickness Headache and migraine Warts and verrucae Coughs Bites and stings Burns Gout Itch Cramp Diarrhoea Cramp Fatigue (acute) .
162 aggravation. 28. 68 see also injury burns. 21 classical homeopathy. 70 catarrh and sinus problems. 28. 23 allersode. 24 anxiety and shock. Edward. 74 chronic conditions. 8 British Institute of Homeopathy. 64 black eye see eye problems boils see abscesses and boils breastfeeding problems. 163 British Homeopathic Association. 72 centesimal potency scale. 24 bites and stings. 43 arthritic pain see rheumatic and arthritic pain asthma. 163. 58 see also sciatica bedwetting. 40. 17 abscesses and boils. 11 chemical materials. 36 addresses. 54 see also hay fever. 66 Bristol Homeopathic Hospital. 36 cinchona bark. 19 auto-isopathics. 6 attenuation. useful. 34 acute prescribing. 60 bereavement. 9 chickenpox and shingles. 164 allergies. 26 Bach rescue cream.Index Entries in italics indicate ailments listed in the prescribing charts. 166 British homeopathic pharmacopoeia. 163 bruising. 166 anthroposophical medicines. 52 ACT acronym. Abnoba injection. 43 Ainsworths Homeopathic Pharmacy. 4 aromatherapy. 40. 4 classical homeopathic medicines. 35. 62 see also anxiety and shock biochemic tissue salts. 9 Bach. 33. 27 backache. 26 Bach ﬂower remedies. 34 centesimal potentisation method. 50 acne. 29 ■ 185 . 9. 35. 13. 56 aphorisms. 163 British Homeopathic Library. 11 Authorised Veterinary Medicine – General Sales List (AVM-GSL). 25 biodynamic farming. 164 British Holistic Medical Association. itch allergodes. 43 Alternative Medicine Foundation. 9 allopathic (orthodox) medicines.
28. 108 see also allergies headache and migraine. 5. 9 diarrhoea. 162 fatigue. 13. sore throat cold sores. 36. 11 ear problems. 36 dose forms. 43 gels. cough. 29 glandular fever. 96 fever. 94 see also allergies 186 ■ Faculty of Homeopathy. 29 Hahnemannian method of potentisation. 3 complex medicines. 26 ﬂu see cold and ﬂu follow-up. 16. 44 extemporaneous dispensing. 80 complementary and alternative medicine. 26 see also Rescue Remedy ﬂatulence. 17 Cullen. 18 eye problems. 82 constitutional medicines. 90 eczema and dermatitis. Christian Friedrich Samuel. 43. 28. 8 frequently asked questions. 165 French homeopathic pharmacopoeia.Index cold and ﬂu. 22 dose. 86 creams. 34 dermatitis see eczema and dermatitis detoxodes. 88 dispensing. 98 FIM (frequently indicated medicine). 12 hangover see headache and migraine. 76 see also catarrh and sinus problems. 37 gout. US. 40 cramp. 24 complex prescribing. 8 Germany. 49 ﬁve-ﬂower remedy. patient. 38 Food and Drug Administration (FDA). abrasions and grazes see wounds cystitis see urinary problems decimal scale. 19 fractures see injury. fever. medicine. 39 eye drops. 29 conjunctivitis see eye problems constipation. 18 cough. 28 see also Germany . 104 granules. HAB). 16. 35 drug picture. 35. 110 Heilpraktikers. 78 colic. 29 Freeman’s Homeopathic Pharmacy. 100 ﬂower remedies. sports injuries France. 17. 18 German homeopathic pharmacopoeia (GHP. 4. 84 counselling. 35. 4 cuts. 106 Hahnemann. 162 Faculty of Homeopathy in Scotland. 166 European Committee for Homeopathy. 35. nausea and vomiting hay fever. 36. 48 ﬁrst aid treatment. 7 dynamisation. 11. 18 croup see cough crystals. William. 92 Elixirs. 162 European homeopathic pharmacopoeia. 8 evidence. 37 Doctrine of Signatures. 21 containers. 35 grief see bereavement haemorrhoids.com. 164 outcome scale. 102 Glasgow Homeopathic Hospital.
29 current position. 14 LOAD acronym. 166 Homeoweb. sciatica ■ 187 . 13. sprains and strains. 116 see also allergies. drug. 33 vs referral. 166 keynotes. 24 hospitals. 118 lactose sensitivity. 3 legal classiﬁcation. 15 labelling. problems associated with. 4 Homeopathyhome. 14. 27 homeopathic treatment. 17 isodes. 18 liquid dose forms. 18 method of taking. 16 reporting adverse reactions. homeopathic. 166 Homeopathic Internet Resources. 21 UK suppliers. 5 liniments. 29 itch. burns. sports injuries. 28. 164 LM (Q) potencies. 43 safety issues. 17. 17 injury. 16 effectiveness. 42 side-effects. 4 holistic practice. 4 status in UK. perspiration inﬂuenza see cold and ﬂu injections. 5. 164 homeopathic practitioners. 21 containers. 41 preparation. 37 follow-up. 40 liquid potencies. 36. 28. 114 see also bruising. 39 legal classiﬁcation. 3 Homeopathic Educational Services. 18 like cures like principle. 6 history of homeopathy.Index Helios Homoeopathy Pharmacy. homeopathic medicines. 17. 40. chickenpox and shingles jetlag see fatigue Kent Homeopathic Associates. 35. 43 Iscador injection. 8 Hering’s law. 42 vs orthodox medicine. 45 deﬁnition. 166 Hom-Inform. 18 dispensing. 9. wounds insomnia see sleep problems interactions. 162 homeopathic medicines. 166 Homeopathic Medical Association. 35 Liverpool Homeopathic Hospital. 42 Law of Similars. 4 mechanisms of action. 37 dose. 165 herbal products. 43 labelling. 164 hot ﬂushes. 18 lumbago see backache. 8 types. 18 licensed medicines. 112 see also menopause. 44 frequently indicated (FIM). 23 Italy. 163 homotoxicology. 8 classical. 29 classical (European). 48 interactions. 42 source materials. homeopathic medicines. UK. 3 history of. 35 dose forms. 9 isopathic medicines. 34 lotions. 5 principles. 38 inappropriate. 35. 31 assessment of outcome. 10 prescribing see prescribing presentation. 6 Korsakovian method of potentisation. 39 labour. 33 homeopathy approaches to practice.
40 generation. 4. 31. further. 11. 39. 31 approaches. 120 see also hot ﬂushes migraine see headache and migraine minimal dose principle. 31. 163 period pains. 37 over-the-counter (OTC) medicines. 14 reading. 134 see also hot ﬂushes pharmacopoeias. 42 188 ■ Patients’ Association for Anthroposophical Medicine. 122 mother tinctures. 29 polychrests. 31 prickly heat see itch Prince of Wales Foundation for Integrated Health. 34 potentisation. 122 see also labour. 32 prescriptions. 4 mastitis see breastfeeding problems materia medica. 165 New Era Laboratories. 40 prostate problems see urinary problems proving. 12 mechanisms. 29 ’cascade’. 4 outcome scale. Hans-Heinrich. 167 Reckeweg. 8 pluralist prescribing. 17 practitioners. 17 plant materials. travel sickness Nelsonbach. 7 Q (LM) potencies. 4 prescriptions. endorsing NHS. 3. 11. homeopathic. 40 nausea and vomiting. 19 piles see haemorrhoids pills. 31. individual. 19. 9 nappy rash. 43 menopause. endorsing. 33 . 8 Pharmacy Only (P) medicines. 9. 166 Organon of the Rational Art of Healing (The Organon). 31 Mistletoe injection. 13. veterinary medicines. 35. 7. 48 molluscum see warts and verrucae morning sickness. 18 ointments. 130 nosodes. 18 online information sources. 126 National Center for Complementary and Alternative Medicine (NCCAM). 16 methods. 4 Manchester Homoeopathic Clinic. 124 mouth ulcers see mouth problems musk. morning sickness. 23 oils. 17. 48 process. 27 pregnancy. 136 see also period pains prescribing. 165 nightmares see sleep problems nosebleed. 163 private prescriptions. 11. 167 National Electronic Library for Health. problems associated with pre-menstrual syndrome. 5 Minor Ailments Service. 12. 39 types and sources. 14 powders. 22 potencies.Index malaria. 132 see also pre-menstrual syndrome perspiration. 167 Medicines and Healthcare products Regulatory Agency (MHRA). 35 mouth problems. 17 modalities. 34 OTC products. 164 marsh fever. homeopathic. 167 National Health Service (NHS). 128 see also morning sickness. 19 charts. 24 referral. 5. 34.
140 shingles see chickenpox and shingles shock see anxiety and shock sickness see nausea and vomiting side-effects. 150 see also sports injuries stings see bites and stings ’stufﬁness’ see catarrh and sinus problems succussion. sprains and strains sprains and strains. useful. 11. 42 veterinary use. 26 restless legs see cramp rheumatic and arthritic pain. 28. 17. 164 safety issues. 158 websites. Wilhelm Heinrich. loss of see sore throat vomiting see nausea and vomiting warts and verrucae. 42 single medicine principle. homeopathic medicines. 9. 152 tinnitus see ear problems tissue salts. 25 toothache see mouth problems topical dose forms. 19. 5 voice. 9 ■ 189 . stopping. 11. 146 see also cold and ﬂu source tincture. 39 urinary problems. 19 unlicensed medicines. treatment. 11 sports injuries. homeopathic medicines for. 9. 16. 156 urticaria see itch ’vaccines’. ﬂatulence wounds. 162 soft tablets. 144 Society of Homeopaths. 5 sinus problems see catarrh and sinus problems sleep problems. 160 see also injury WWHAM acronym. 23 Sch¨ ssler. 17 solid dose forms. 16 sunburn see burns suppliers. 25 u sciatica. 17 training in homeopathy. 40 sore throat. 33 zoological materials. 19 vital force. 148 see also injury. 25 Tunbridge Wells Homoeopathic Hospital. 24 teething. 138 Royal London Homoeopathic Hospital. 16.Index repertories. 43 wind see colic. 31. 142 smoking. 164 unicist prescribing. 163 United States (USA). 23 verrucae see warts and verrucae veterinary prescriptions. 166 Weleda UK. 154 trituration. 164 sweating see perspiration tablets. biochemic. 9. 35 tautodes. 35. 7 Rescue Remedy. 28. 42 sarcodes. 166 travel sickness. 165 WHO Uppsala Monitoring Centre. 7. 17. 167 repertorisation. 29 United Kingdom Homoeopathic Medical Association (UKHMA).
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