APPENDIX

A

Homeopathy: General Information on Prescribing and Administering Homeopathic Medicines
Janet Levatin

It is necessary for practitioners to understand the information in this appendix before recommending homeopathic treatment for any of the conditions included in this book. Therefore it is strongly suggested that this appendix and Chapter 5 in Section I of this book be read in their entirety (and subsequently referred to as needed) before practitioners utilize the homeopathic treatment recommendations in the chapters on individual medical conditions. Who Can Be Treated Homeopathically? One of the benefits of homeopathic treatment is that homeopathic medicines can be given to individuals at any age or stage of life, including infants, young children, and pregnant and nursing women. Homeopathic medicines can be given to people with medical conditions ranging from minor to serious. They can also be given to patients using other forms of treatment, both conventional and alternative, as there are essentially no interactions between homeopathic medicines and other substances or therapies. Obtaining Homeopathic Medicines Homeopathic medicines up to the 30C potency are usually available over the counter at health food stores or pharmacies and can also be obtained by mail order (see the list of homeopathic pharmacies and retail distributors at the end of this appendix). Acute versus Chronic Prescribing Homeopathy can be used to treat both chronic and acute conditions. For patients with chronic conditions, homeopathy can provide profound, long-lasting, curative changes; however, effective case taking, accurate case analysis and prescribing, and follow-up require a significant amount of training and expertise. It is appropriate for practitioners who have not had extensive training in the science and art of homeopathy to begin by prescribing for acute, self-limited conditions; therefore most of the treatment recommendations in this book are for acute conditions, although occasional treatment recommendations for chronic or recurrent conditions of low severity are included as well. With training and experience, interested practitioners can begin to treat more complex cases. 468

Gauging One’s Level of Expertise In order to help practitioners with varying levels of homeopathic training and experience determine which medical conditions may be appropriate for them to treat, the following practitioner expertise categories have been developed. Each medical condition in the book has been assigned to one or more categories.

Category 1
With the understanding that each case is unique and must be evaluated fully at the time of presentation, category 1 conditions usually can be treated homeopathically with a reasonable degree of safety and a reasonable chance of success by clinicians who have only introductory training and limited experience in homeopathy. Category 1 conditions include acute conditions of low severity and complexity and chronic or recurrent conditions of low severity and complexity.

Category 2
With the understanding that each case is unique and must be evaluated fully at the time of presentation, category 2 conditions usually can be treated homeopathically with a reasonable degree of safety and a reasonable chance of success by clinicians who have a moderate amount of training and some clinical experience in homeopathy. Category 2 conditions include acute conditions of low to moderate severity and complexity and chronic or recurrent conditions of low to moderate severity and complexity.

Category 3
With the understanding that each case is unique and must be evaluated fully at the time of presentation, safe and successful treatment of category 3 conditions usually requires extensive training in the art and science of homeopathy and should be undertaken only by clinicians who have advanced training and extensive clinical experience in homeopathy. Category 3 conditions include acute conditions of moderate to high severity and complexity and chronic or recurrent conditions of moderate to high severity and complexity, including psychiatric conditions and developmental disorders.

In this book. such as those included in this book. (Unless otherwise noted in the sections for an individual condition. it will be explicitly stated. It should be stopped and another homeopathic medicine or another form of treatment begun. a homeopathic medicine in the 30C potency can be given and repeated one to three times per day. and Administration of Homeopathic Medicines TA B L E A-1 Guidelines for Choosing the Potency and Dosing Schedule for Homeopathic Medicines ACUITY OF CONDITION POTENCY FREQUENCY OF ADMINISTRATION Acute (mild) Acute (severe) Chronic 30C or 200C 30C or 200C Two to four times daily or One to three times daily Every few minutes to four times daily 200C or higher One to two times daily a patient with an acute illness. and conditions with more emotional and mental components at presentation. is the most important determinant of the outcome of treatment. (These are general guidelines to keep in mind as a homeopathic prescription is made. Medicines of any potency can be given to patients of any age when indicated for the patient’s condition. chronic conditions. the one homeopathic medicine whose symptom picture and general state are most similar to those of the patient. the patient’s signs and symptoms of the patient are noted. higher potencies (200C or higher) are usually given.1 and referring to homeopathic repertories2 (see Chapter 5. these general guidelines should be followed: usually lower potencies (up to 30C) are given for acute conditions of lower severity with few emotional and mental components in the presentation. however. usually the 30C potency is recommended. In this book. Potency. combination preparations containing two or more homeopathically prepared substances can be purchased over the counter by lay people for self-treatment. so recommendations that do not specify an amount of medicine based on age or weight seem unusual. unless explicitly stated otherwise in the text. the action of a homeopathic medicine is based on the “energetic” qualities of the medicine and is not dependent on a dose of medicine delivering a precise quantity of medicinal substance. thirst. and typically dosing is less frequent. should a relapse of symptoms occur.) For infants and small children.) For most acute conditions. When the patient begins to improve. Usually a patient will continue to improve once the healing process has begun. as needed. and temperature sensitivity. the medicine can be crushed and the crystals administered. for further information on the use of these reference books). however. or the medicine can be dissolved in purified or spring water and a small amount of the solution (2. In addition. this means the medicine chosen probably is not correct and will not help. Prescribing One Medicine at a Time (The “Classical” Method) p0100 It is best to use one homeopathic medicine at a time. as this potency is often suitable for acute conditions of low to moderate severity. the more acute or extreme the patient’s condition. These recommendations on potency and dosage frequency are summarized in Table A-1. all treatment recommendations are for single medicine preparations (the “classical” method of homeopathic prescribing). or even every few minutes for very acute conditions such as the onset of croup or the onset of an allergic reaction. but the progress of healing has stalled. The correct choice of medicine. however.Appendix A 469 Homeopathic Methodology: Case Taking and Choosing a Homeopathic Medicine Case taking for the purpose of prescribing a homeopathic medicine is described in detail in the Chapter 5 discussion of homeopathy and will be reviewed here in brief. It must always be borne in mind that each case is unique and must be evaluated fully at the time of presentation. some practitioners recommend them as well.1 reading homeopathic materia medica. Dosage Quantity and Administration Techniques A dose of homeopathic medicine consists of two to five pellets or granules. ophthalmic. the medicine can be given less frequently and then stopped. The medicine will be found by studying homeopathic provings. For this reason. the simillimum. Some systems of prescribing recommend that two or more homeopathically prepared (diluted and succussed) substances that involve combinations of two or more substances be given simultaneously. This strategy may be useful in the following situations: (1) for more acute medical problems such as the onset of croup or the onset of an allergic reaction or (2) if a patient is partially better after administration of a 30C medicine. not the amount given. the precise physical quantity of homeopathic medicine given is not critical. If a topical. as are any constitutional characteristics such as food cravings. the more frequently a medicine is repeated. discussion of homeopathy. all treatments recommended are to be administered sublingually or orally. In general. Mental and emotional states should also be observed. from a spoon or medicine cup. Dosage. is chosen. the medicine can be repeated. During the interview. *Physicians are accustomed to giving patients precise amounts of medicine. which are administered sublingually or orally. According to homeopathic theory.5 to 10 mL) administered. After a patient’s symptoms and general state are understood. Potency and Dosage Frequency When choosing the potency of a homeopathic medicine. higher potencies (200C and above) are given for acute conditions of higher severity. Sometimes increasing the potency to 200C or higher will be beneficial to . or intranasal preparation is recommended.* Changing the Medicine If no improvement in the patient’s condition is seen after four to five doses of a homeopathic medicine. For chronic conditions.

The goal in treating a patient homeopathically is to determine the single homeopathic medicine whose description in the materia medica most closely matches the symptom picture (physical. Suite 306. and emotional) of the patient. In this book the summaries of materia medica in the chapters on individual conditions were adapted in part from Morrison’s Desktop Companion to Physical Pathology. The materia medica for a homeopathic medicine consists of a description of the symptoms and characteristics specific to the medicine that provide indications for prescribing the medicine. camphor-containing products. San Rafael. and/or others to find the simillimum. If the symptoms of a given patient are not represented in the relevant section(s). they can be inactivated or “antidoted” by various influences.470 Appendix A otitis media or the chapter on vomiting or may be represented in both sections. For patients with chronic conditions who are beginning homeopathic treatment.1 Selected Homeopathic Resources Treating Patients Who Are Using Other Therapies Homeopathic medicines can be given in the same time frame as herbs or conventional medicines. It must be emphasized that the list of homeopathic medicines for each condition is partial and represents only some of the probable choices from the homeopathic materia medica. London W1G 8UF. CA 94901 Helios Homeopathic Pharmacy 97 Camden Road. initially it is best for them to continue taking any current conventional medicines. the correct homeopathic medicine might be found in either the chapter on Homeopathic Software Kent Homeopathic Associates. Some patients taking homeopathic medicines may experience “antidoting” of their medicine by strong-tasting or strongly scented products such as coffee (including decaffeinated coffee). vomiting. temperatures in excess of 120° F (49° C). CA 94901 Homeopathic Organizations American Institute of Homeopathy (AIH) 801 N. Berkeley. Kent TN1 2QR. Tunbridge Wells. 1940 Fourth Street. It may be necessary to refer to more than one condition section if the patient has a variety of symptoms. diarrhea. Blaine. United Kingdom Homeopathy Overnight 929 Shelburne Avenue. although the actual administration of the different medicines should be separated by at least 10 minutes (see later discussion).3 Morrison’s Desktop Guide to Keynotes and Confirmatory Symptoms. Inc. a search of the homeopathic literature would be needed to find the simillimum or another form of treatment would need to be rendered as needed. Some AIH members teach courses for professionals. Suite 306. the patient may experience an unnecessary increase in symptoms if a conventional medicine is withdrawn before the homeopathic medicine has begun to work. San Rafael. The AIH works for its members to provide educational programs. No deleterious interactions exist between homeopathic medicine and other modalities. ● ● ● Sources of Homeopathic Medicines Hahnemann Laboratories. Fairfax Street. Proper Handling of Homeopathic Medicines Because homeopathic medicines contain dynamic energy. United Kingdom Ainsworths Pharmacy 36 New Cavendish Street. If more than one change is made at a time (starting a homeopathic medicine and withdrawing a conventional medicine). therefore patients should be given the following guidelines for the correct use of the medicines: Patients should have nothing by mouth for at least 10 minutes before and after administration of a homeopathic medicine (water for a child or breastmilk for an infant may be given if the child or infant cannot wait). Alexandria.4 Jonas and Jacobs’ Healing with Homeopathy. For a patient with a viral illness. upper respiratory tract infection. Inc. and strong odors such as camphor. If a patient finds that a well-chosen homeopathic medicine is not helping his or her condition.5 and other sources found in ReferenceWorks. or strong mint. 710 Mission Avenue. Additionally. National Center for Homeopathy (NCH) 801 North Fairfax Street. VA 22314 . Northridge. CA 94704 Minimum Price Books PO Box 2187. CA 91324 Using Section II (Conditions) of This Book The sections on homeopathic treatment of individual medical conditions contain short synopses of materia medica for some of the medicines commonly used to treat the conditions. dentists. Alexandria. WA 98231 Whole Health Now 19552 Lemarsh Street. promote legislative initiatives. advanced practice nurses. The medicines should not be exposed to bright sunlight. Absecon NJ 08201 Homeopathic Books Homeopathic Educational Services 2124B Kittredge Street. fever. and educate the public about homeopathy. if a child has otitis media and is also vomiting. VA 22314 The AIH is a nonprofit trade association for medical and osteopathic physicians. one might consult the chapters on cough. it may be difficult to interpret the patient’s response to the homeopathic medicine. mental. Homeopathic medicine can also be used in combination with manipulative and body-based methods. For example. and physician assistants who practice homeopathy. excessive humidity. he or she may need to refrain from these substances while undergoing homeopathic treatment.

New York. Hahnemann Clinic Publishing. San Rafael. Beginning in 2001 they will offer a four-year. Kent Homeopathic Associates. Suite 150. offers a distance learning course that provides a comprehensive introduction to homeopathy for beginners and less experienced practitioners. MacRepertory Pro 7. Calif.O. Phoenix. Jacobs J: Healing with homeopathy: the doctors’ guide. F-31. Calif. .5. 1998. Warner Books. 1996. It also provides educational programs for professional homeopaths. American Medical College of Homeopathy 2001 W. 2008. Box 3. Hahnemann Clinic Publishing. Edgemont. San Rafael. Nevada City. Morrison R: Desktop guide to keynotes and confirmatory symptoms. The NCH provides general education to the public through annual conferences and monthly newsletters. Center for Education and Development of Clinical Homeopathy P. 2008.Appendix A 471 The mission of the NCH is to promote health through homeopathy. 3. Camelback. 4. 1993. Kent Homeopathic Associates. full-time program in classical homeopathy that will lead to a Doctor of Classical Homeopathy (DCH) degree. Canada Luminos Homeopathic Courses. Live courses are for more experienced practitioners and are presented in a variety of locations. BC V0N 1G0. S. AZ 85015 The American Medical College of Homeopathy offers a variety of onsite and distance learning programs. Ref erences 1. Ltd. ReferenceWorks Pro 4. 2. Calif.2. Morrison R: Desktop companion to physical pathology. cities. 136 hours of instruction are provided in a series of weekend seminars. 5. PA 19028 CEDH provides practical. Selected Homeopathic Educational Opportunities u0070 Luminos Homeopathic Courses. Albany. Ltd. clinical training in homeopathy to physicians in more than 20 countries and many U. Jonas WB.. Calif. Bowen Island.

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