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53
Homeopathy—One Giant Myth
Lecture 15
Homeopathy ... is even more popular in Europe than in the United States.
In Europe, it is a $1.4 billion a year market, according to
Business Week
.
It is popular with the British Royal family and is currently supported
by the NHS [National Health Service].
T
here are a lot of misconceptions about what homeopathy is. Many
people think that homeopathy means herbal medicine or natural
medicine, but this is not true. Homeopathy, in fact, is a 200-year-
old philosophy-based system. It’s based on the notion of vitalism, the idea
that living creatures have an essence or vital force that animates them.
Homeopathy survives today due to cultural inertia and despite a complete
lack of scienti
¿
c evidence.
Homeopathy was developed by Christian Friedrich Samuel Hahnemann
(1755–1843), a German medical doctor. In the 1790s, Hahnemann came
up with several laws that govern the actions of homeopathic remedies. The
¿
rst law of homeopathy is called the law of similars. He claimed to discover
this principle when he noted that the cinchona bark, which is used to treat
malaria, caused him to have symptoms very similar to those of malaria. He
therefore generalized this one observation to this law, which became one of
the cornerstones of homeopathy.
Hahnemann’s next law is the law of in
¿
nitesimals. He believed that substances
transferred their essence to water in which they were diluted. The greater
the dilution, the greater this transference of essence was. The law of the
individual remedy states that each person’s totality of symptoms has a single
underlying cause. Therefore, homeopathic remedies are intended to treat all
of those symptoms at once with a single remedy. Homeopathic remedies
also include the notion of potentiation. Between each dilution, homeopathic
remedies are potentiated by succussing them. That means shaking them in a
certain way; this is more of a ritual than science or chemistry.
54
Lecture 15: Homeopathy—One Giant Myth
What does the clinical evidence show? There have actually been hundreds of
clinical studies of homeopathic remedies. After reviewing all of the evidence
for homeopathy, the scienti
¿
c community has come to the conclusion that
there is no evidence to support
homeopathy for any indication.
Also, homeopathic remedies are no
different than placebos.
There are many homeopathic
products on the market, however.
They are marketed because of
loose regulations without evidence
for either safety or effectiveness. Homeopathic remedies are generally safe,
because they’re usually just water. There is no active ingredient, so they don’t
really have the potential to cause direct harm. But this is not universally true
of homeopathic remedies. Some homeopathic products cheat the system by
including measurable levels of active ingredients but using the homeopathic
label to skirt regulations.
One example is Zicam. This is a product that was marketed as homeopathic.
Some preparations of it have measureable and meaningful amounts of zinc
oxide, which is shown to treat and reduce the symptoms of a cold. However,
zinc oxide is also known to cause anosmia, a sometimes permanent loss of
the ability to smell. Several people who were using Zicam had permanent
anosmia as a side effect. That caused regulatory agencies to take a second
look at it and to temporarily suspend it from the market.
One justi
¿
cation for the ultradilutions of homeopathic remedies that’s often
given is the analogy to vaccines or allergy shots. This is a myth and not an
apt analogy. A vaccine contains a measurable, if small, amount of antigen
meant to stimulate the immune system. Allergy shots give a small amount
of a substance to which one is allergic in order to provoke the immune
system to make blocking antibodies. They make antibodies to the substance
to help prevent an allergic reaction. In order for allergy shots to work, you
have to give a small dose and then build it up to increasingly larger doses.
Eventually, you’re giving a fairly signi
¿
cant dose in order to provoke a
The scienti
¿
c community has
come to the conclusion that
there is no evidence to support
homeopathy for any indication.
55
suf
¿
cient immune response. Therefore, there is no analogy whatsoever to a
preparation that has no measurable amount of anything in it.
Testimonials and anecdotes tend to support what people want to believe.
There are also placebo effects, which can make anything seem to work.
There’s also often a failure to recognize the harm that could be done with
these types of interventions. I mentioned that homeopathy mostly is a
completely inactive substance; it’s just water without any active ingredient.
Some people will say if it does nothing, how could it possibly do any harm?
The harm often comes in preventing effective treatment. There are many
cases of harm occurring to people relying upon homeopathic remedies who
could have easily been treated with modern medicine.
There’s a broader intellectual con
À
ict that’s represented by homeopathy. It’s
between science-based medicine—what we recognize today as the modern
scienti
¿
c approach to biology, healing, and disease—and what we would now
think of as magical thinking. Over the last 200 years, the scienti
¿
c approach
has clearly won out. It has produced all of modern medicine, whereas
homeopathy is stuck in the 200-year-old ideas of its founder. Completely
inert treatment may have actually been an advantage to what was passing
for standard medicine 200 years ago. But today, science-based medicine has
brought us a host of effective treatments.
Ŷ
Barrett, “Homeopathy.”
Ernst,
Homeopathy
.
House of Commons Science and Technology Committee, “Evidence Check 2.”
Science-Based Medicine
(blog), “Homeopathy.”
1.
Do you know what the central claims of homeopathy really are?
Suggested Reading
Questions to Consider
56
Lecture 15: Homeopathy—One Giant Myth
2.
Why has homeopathy survived as long as it has, despite a complete lack
of scienti
¿
c validation?
57
Facts about Toxins and Myths about Detox
Lecture 16
Have you ever considered having your colon cleansed? How about
ear candling or having the toxins leached out of the bottom of your
feet or squeezed out of your muscles? Are the fears over toxins and
their treatments real medicine, or just more marketing hype? You can
probably guess where I’m going to go with this one.
T
his lecture is about toxins in the environment; fears of these toxins;
and alleged treatments for toxins, such as detoxi
¿
cation or “detox.”
Technically, a toxin is a poison that is produced by a living organism,
such as a protein. Colloquially, it refers to any substance that is poisonous to
a living organism. In reality, everything can be a toxin or can be completely
safe, depending on the dose. Even water and oxygen can be toxic at high
enough doses.
Our bodies have mechanisms for dealing with toxins. One of the most
signi
¿
cant is the liver, which produces enzymes to metabolize toxins in order
to neutralize them. Other organs are also involved: The kidneys continuously
¿
lter the blood, removing harmful waste products or toxins and then excreting
them in the urine. The skin also excretes toxins through sweat.
So are there any real toxins that you need to worry about? Yes, toxicity is a
real potential health hazard. For example, there are risks of overdose. One of
the most common overdoses is multivitamins or supplements, particularly of
iron in children. Overdoses can happen with just about any prescription or
recreational drug. Even common ones like alcohol can cause toxicity due to
excessive use.
Food is another source of toxins or potentially harmful chemicals. For
example, pathogenic bacteria can contaminate food. There may also be
contaminants in food production, and fresh fruits and vegetables may contain
small amounts of pesticides. Other environmental toxins include lead and
cigarette smoke.