smleThe Faculty of Homeopathy Newsletter April 2009 TWHH closes but demand for homeopathy still strong After a prolonged and passionately- fought battle to save the service, the Tunbridge Wells Homeopathic Hospital closed its doors to homeopathy patients for the final time at the end of March. It brings to an end 106 continuous years of homeopathy on the National Health Service there. The hospital began life as a dispensary back in 1863 in The Pantiles, the elegant pedestrianised area of Tunbridge Wells. The dispensary moved to Hanover Road in 1886, and then to Grosvenor Road in 1887, where two houses were converted into a small hospital. The final move came in 1903, to premises on Church Road. Further wings were added to the building in the 1920s and 30s and the hospital supported a small in-patient service until the 1980s. At this time the outpatient service Faculty Chief Executive Cristal Sumner accepts a portrait of Hahnemann from started to expand. Anne Clover, who Tunbridge Wells consultants David Ratsey and Helmut Roniger, signifying the end of was a consultant at TWHH 1980-2001, an era at the hospital. Over 70 people gathered at TWHH on 14 March to mark the remembers: “Demand grew for closure of the service: as well as local patients and former staff, the Mayor and Mayoress of Tunbridge Wells and Greg Clark MP were in attendance; conversations homeopathy throughout the 1980s and were positive about the future provision of a homeopathic service in the town and early 1990s. In 1980 we started with the issue was once again highlighted in the local press. two sessions a week and one clinical Photo: Courier Media Group assistant session. By the mid 1990s a second consultant had been appointed and there were 12 consultant sessions week. Regular teaching programmes When it became clear that the cost and two clinical assistant sessions a were established in the late 1990s and savings from the closure of our they rapidly became popular. In addition department would be, at best, we had very good interaction with negligible and at worst, cost more other clinical departments in the town, money, it turned into an ideological working regularly with other physicians battle. A strong campaign of support by and surgeons in the area. local residents and patients during the “TWHH was a super place to work consultation period was ultimately and it was a privilege to be able to offer ignored, which was very disappointing. complementary medicine in the NHS “It remains for me to thank all of as part of an integrated care prog- our supporters for their efforts. ramme. It is sad that the service has Thankfully, the PCT does recognise that come to an end in its current guise, but homeopathy may play a role as part of homeopathy is an established idea that a multidisciplinary approach in primary will find other routes of presentation, care. GP supporters should therefore IN THIS ISSUE: I’m sure.” look out for this opportunity to lobby News 1-7 TWHH consultant Helmut Roniger their PBC groups. Secondary care Research update 8 comments: “Originally West Kent PCT homeopathic referrals to the RLHH will Comment 9 claimed that withdrawing funding from be possible after approval by an Case studies 13-15 our department was necessary to individual treatment panel; the criteria Events 16-20 conform with a financial turnaround are still under discussion and I hope plan to bring the PCT’s deficit down. that our concerns will be listened to.” •• editorial

I am very happy! For me this is the best time of year. I feel positive and energised. We have emerged from a long and sometimes hard winter and spring has sprung. smle There is very good reason to be happy in this work for you?’.1 The author The Faculty of Homeopathy homeopathy research circles in particular highlights the difference in perception Newsletter at the moment. The Veterinary Record on whether a drug works between and homeopathy seem like a very unlikely researchers and patients. When Editor: Steven Kayne combination but it is a compliment to the patients say a drug “works” they robust nature of the research on the typically mean that most patients Assistant Editor: Sarah Buckingham treatment of atopic dermatitis in dogs respond to the drug. This, however, is Editorial assistant: Sam Weaver that a collaborative paper between Bristol rarely the case: countless drugs that Vet School, the Faculty and the BHA was have been shown in randomised Faculty of Homeopathy Hahnemann House published in that journal recently (see controlled trials to be effective work in 29 Park Street West news page 3). The work needs to be only a minority of patients. In fact, Luton LU1 3BE replicated at other centres, but what a some of the most prescribed drugs Tel: 0870 444 3955 great achievement. today have no effect in most patients Fax: 0870 444 3960 The newspapers have carried reports who take them. The author’s point is Email: [email protected] that researchers in America believe they not that drugs evaluated in randomised Web: www.facultyofhomeopathy.org have finally found a cure for potentially controlled trials are not terrific. They deadly peanut allergies among children. are. Rather, the problem is that patients All the material in this publication is copyright and may not be reproduced without permission. The so-called therapy treatment, and doctors lose sight of what trials The publishers do not necessarily identify with conducted by North Carolina’s Duke actually show and either have false or hold themselves responsible for contributors’, correspondents’ or advertisers’ opinions. University, recommended that expectations of drugs’ effectiveness or youngsters should start by sprinkling as are unaware that they should be vigilant little as one-thousandth of a peanut about the possibility that the drug may Faculty Council: onto their food, gradually increasing have no effect whatsoever in any one Peter Darby, Dental Dean: their daily ration to around 15 over a person and hence fail to consider the [email protected] two-year period. In the main study, need to switch or stop taking the drug. Christopher Day, Veterinary Dean: conducted on 33 children, all but four This places emphasis on [email protected] volunteers reported they can now eat individualisation of treatment, Patricia Donnachie, Nursing Dean: peanuts without developing an allergic something we accept as one of the [email protected] reaction. The new research follows main requirements of practice. Sara Eames, President: similar findings reported in February by We turn to the topic of Continuing [email protected] British doctors from Addenbrookes Professional Development in our feature Julie Geraghty, Vice-President: hospital in Cambridge. Patients were on page 12. All professions, whether [email protected] given daily doses of peanut flour, starting health-related or not, include require- Jonathan Hardy, Independent Practice Representative: with a five milligram serving and slowly ments for elements of reflective [email protected] building up over six months to 800 practice. As announced at the Faculty Graham Jagger, NHS Primary Care milligrams. Same to treat same? Now AGM we are increasing opportunities Representative: there’s a really novel idea... We thought for you to satisfy your CPD requirements [email protected] of using isopathic remedies to treat nut through Simile by including questions at Lee Kayne, Pharmacy Dean: allergy at Glasgow Homeopathic Hospital the end of cases (see page 15). The [email protected] some years ago but decided not to ‘Comment’ section is being expanded Tariq Khan, Podiatry Dean: pursue it at the time because of the and will give you a chance to let off steam [email protected] possibility of precipitating an anaphylactic on important issues of the day. We will Bob Leckridge, Promotion Committee response. In the light of these revelations be introducing some other new features Convener: we obviously missed the boat. – so please watch this space and enjoy! [email protected] From Northern Ireland comes great Finally this time, if you have not Tim Robinson, Members’ Committee news that a government-sponsored accessed the Faculty website may Convener: [email protected] report has recommended that I suggest that you point your browser complementary medicine should be in its direction? If (like me!) you have Helmut Roniger, NHS Secondary Care Representative: incorporated into primary care forgotten the details you need to log in [email protected] (see page 5). A remarkable 84 per cent then send those nice people at John Saxton, Immediate Past-President: of patients were satisfied that CAM had Hahnemann House a quick email and [email protected] worked for them. they will get you up and running Raymond Sevar, Dean: I am rather behind in my perusing of (see page 6). [email protected] the journals so it was only recently that Andrew Sikorski, Treasurer: I got around to leafing through an old Steven Kayne [email protected] BMJ (yes, I still prefer having the journal in my hand rather than being Reference Design: Wildcat Design [email protected] online!). I found a really interesting 1 Christakis N A Does this work for Printing: Piggott Black Bear, Cambridge observation in an article entitled ‘Does you? BrMedJ 2008;337:a2281

2 •• news

Choose and Book finally Arthritis report left out recognises CAM important data Complementary medicine listed by clinic specialty A report published by the system in the report) of 3/5 has now been listed as a (for example, pediatrics or Arthritis Research Campaign (‘promising evidence’) rather specialty under the Choose dermatology) but in February on the effective- than 2/5 (‘a little evidence’). and Book scheme, thanks complementary medicine ness of CAM had serious The ARC’s medical to the persistence of staff was not listed in its own deficiencies with regard to director Professor Alan at the RLHH. Resistance right. The change will make homeopathy. Silman has said that the was encountered at the it much easier for referring Complementary and report was not intended to suggestion that CAM should doctors to find services. alternative medicines for the knock complementary be recognised as an The RLHH now plans to be treatment of rheumatoid medicine. According to Prof individual category within the listed in both places, to arthritis, osteoarthritis and Silman the charity gets more scheme. Previously, services ensure the best possible fibromyalgia was covered calls about complementary provided by the RLHH were visibility. widely in the media when it medicine than any other was published in February topic. “Our report is to this year, but some of the empower people, and it information on homeopathy shows these treatments are Working together and in the report was inaccurate. not all good or all bad. promoting homeopathy The evidence in osteoarthritis With some you’re wasting and fibromyalgia in particular your time and money, but The Homeopathy Communic- Week (14-21 June) and to was misrepresented: a trial in there are a number which, ations Network, as discussed ensure each organisation has OA was reported as negative compared to doing nothing, previously in Simile, is a small a unique yet compatible when it was actually positive are beneficial.” but useful group which message promoting homeo- and a favourable research The anomalies in the meets monthly to discuss pathy and hopefully building paper in fibromyalgia was report have been brought to ongoing media issues, awareness in the broader omitted completely, which if the attention of the Chief promotion and communic- public. The more positive, included, should have Executive of the ARC and ation about homeopathy in professional articles printed, resulted in a score (according the Faculty has asked that a the media. The group, which the better for homeopathy!” to the ARC’s classification correction be published. is comprised of Paula Ross, Chief Executive of the Society of Homeopaths, Jo Ritchie, Head of Homeopathy Communications and Awareness Week Education at Nelsons and Faculty and BHA Chief 14-21 June Executive Cristal Sumner, was formed to create a This year awareness week will focus on stronger presence in the hay fever. Posters for your surgery will media for homeopathy. be available to download from the Cristal Sumner comments: British Homeopathic Association website “Currently the group is in late May. working together to maximise Go to www.britishhomeopathic.org media coverage during and click on ‘What You Can Do’ to find them. Homeopathy Awareness

New Bristol vet school study published in members Veterinary Record Welcome to our new members who have Collaborative research their owners – one dog which the country’s other vet joined the Faculty since between the Faculty, BHA improved by 100 per cent and schools might participate is the the last issue of Simile. and Bristol Vet School was needed no further treatment. Faculty and BHA’s next goal. We have 19 new published last month in the Dr Peter Hill from the international LFHoms Veterinary Record. Twenty University of Bristol, who and 6 new LFHoms in dogs with atopic dermatitis was the lead clinician on the Reference Hill PB, Hoare J, Lau-Gillard P, the UK. Fifteen doctors, were prescribed individualised study, said that the results Rybnicek J, Mathie RT. Pilot four dentists, four vets homeopathic medicines by “indicate the need for a large study of the effect of individual- and two pharmacists Faculty vet John Hoare. After randomised controlled trial of ised homeopathy on the pruritus obtained the foundation two months, five out of the homeopathy in canine atopic associated with atopic dermatitis level certificate. twenty dogs treated showed dermatitis”. Extending this in dogs. Veterinary Record 2009; an improvement according to work to a multi-centre trial in 164 (issue 12); March 21.

3 •• news

Update from Faculty AGM the Deans There was a very good turn-out of members for the AGM on 5 February, despite it being an extremely snowy week across the UK. Podiatry Council elections The Council remains the same, after Julie Geraghty was Podiatry diploma re-elected as Vice President and Andrew Sikorski as Treasurer. Four candidates are nearing the final stages of their New Fellows diploma studies. Case studies are currently being Fellowships were awarded to Helmut Roniger and Phil completed before entry to the written exam and Wander. Phil was previously an Honorary Fellow but with the viva at the end of the year! My best wishes go to MFHom (Dent) now a qualification, he was made a full Fellow. Jane Greenwood, Colin Perry, Lorraine Epicheff and Penny Waters. Tribute to Sally Penrose Sally was invited back to the AGM to say her proper goodbyes Further training to members and Bob Leckridge said a few words about the From September 2009 students will be able to great job Sally did as Chief Executive and what a pleasure it embark on the MFHom(Pod), which will be was working alongside her. She was presented with a leaving available to candidates who have completed the gift consisting of a very slick Apple iPod touch with docking LFHom(Pod). The programme follows a similar station and speakers, which we were assured beforehand she, path to the current diploma, with an additional as well as her partner Paddy, wanted! 20,000-30,000 word thesis. This is to be evidence- based, to help support research and knowledge in homeopathic podiatry. From the Faculty Council Promotion The Council meeting on Hospital and at the Faculty An excellent case study 5 February covered a wide office in Luton. It is hoped was published in the March range of issues. The short through the permanent loan issue of Podiatry Now report below aims to give that a substantial grant will be journal. As part of a members an overview of made by Wellcome to help dermatology special issue, the key items discussed. catalogue and restore the Jane Greenwood (right) collection and make it available authored ‘Presentation of a to the public. severe and unusual case of British Homeopathic viral wart infection.’ She Association CPD events successfully treated the Of particular concern is the It was agreed to open up our case with Nat mur. The financial position of the British CPD seminars (not Congress) article and others like it will help to keep our Homeopathic Association due to to members of the Society of members visible in the profession and promote investment losses (see also Homeopaths to encourage Faculty training. Sara Eames’s article on p5). larger attendance at these The interest in homeopathy in podiatric circles The Council embraced ideas events, and make them more is high, with 160 people attending the session to assist the BHA in increasing cost-effective. Jane Greenwood and I presented at the last its income and agreed the Society of Chiropodists and Podiatrists conference. focus of the Faculty’s energies MFHom curriculum We hope the interest continues to grow! needs to be on recruiting and Changes will soon be made retaining members and to the MFHom curriculum Tariq Khan encouraging people to take to embrace more formative Podiatry Dean exams, to ensure the organ- assessment (assessment [email protected] isation stays strong. as you progress through the course) and less summative Permanent loan of books assessment (a comprehensive to CAMLIS exam at the end). Exact The Council agreed to a changes and structure have yet In memory of friends lost permanent loan of books to to be agreed but it is hoped the We were saddened to learn of the deaths CAMLIS (Complementary and changes will be implemented in of a number of Faculty members recently: Alternative Medicine Library the coming academic year. David Paine, Dorothy Cooper and Dick and Information Service housed Barrett. It was also a shock to learn of the at the Royal London Congress 2010 sudden death of Major Bill Foxton, who Homeopathic Hospital) if an Will be in southern England... was Secretary of the Faculty and the appropriate agreement can be so keep an eye out for more Homeopathic Trust in the early 1990s. made. The books loaned would details about the location and a Our condolences to all of their families. be those currently in storage at call for papers in future issues the Royal London Homeopathic of Simile.

4 •• news

Your help is needed!

As many of you know, these are challenging times for homeopathy, not just because of our usual detractors but also because the reserves of the British Homeopathic Association have been adversely affected by the credit crunch.

The BHA supports the to promote and defend subscriptions and donations Fortunately, membership Faculty’s work in many homeopathy at this time are eligible for gift aid. numbers are holding up well, ways. They advertise us would be extremely There is an application but we are looking at ways through the practitioner list dangerous. Rather than form to join the BHA in this to appeal to lapsed members on the website (www. facing this possibility, the issue and I would like to and encourage students who britishhomeopathic.org) and Faculty has been working encourage as many of you as have done courses, but not provide information to the with the BHA to consider possible to join. Forms can taken exams, to do so. public about homeopathy. various ways in which we also be downloaded from This way we can expand The BHA also funds the can increase our income www.britishhomeopathic.org our community as well as post of our research adviser, streams. or you can phone the BHA our income. If you know Robert Mathie (who I know Less than 10% of Faculty on 0870 444 3950 for copies anyone who falls into these has been a great support members are currently – it would be great if you categories do please to many members), and members of the BHA. could encourage interested encourage them or let us contributes greatly through When you join the BHA you friends and satisfied patients know, so that we can a substantial grant towards not only support the charity, to join too. approach them. our educational activities. but will also receive your You can now also make Any other ideas will be Without the BHA, the Faculty personal copy of Health and a donation on the BHA’s gratefully received, so please would be unable to under- Homeopathy and regular website via PayPal – it’s very feel free to contact me. take many of its important e-news. easy to do and just takes a activities. This is an extremely cost- couple of minutes! Sara Eames I am sure you will all effective way of contributing Faculty subscriptions are President agree that reducing our ability to our community, as all our main source of income. [email protected]

Northern Ireland: Government report Media bites backs NHS homeopathy A study commissioned by potentially significant cost- Knowing your artichokes Northern Ireland’s saving benefits for the NHS. Department of Health, Social The results of this study The Spectator, 11 March, on Prof Ernst attacking Services and Public Safety have reinforced the Faculty Prince Charles’s Duchy Originals detox tincture: (DHSSPS) has recommended of Homeopathy’s proposal for that complementary the integration of a medical “According to the tincture marketed by the medicine be integrated into homeopathy service in perfectly named Edzard Prince of Wales is NHS primary care. Northern Ireland, which we Ernst, professor of contributing to Binge The study evaluated a reported in the last issue of complementary medicine Britain, it is time for him pilot project delivered by Get Simile (cover story, Jan 09). at Exeter University, the to head out of the Well UK through nine GP Lately however the Prince is relying on ‘make- laboratory and into the practices in Belfast and Northern Ireland government believe and superstition’, high street on a Saturday Londonderry. It found that has been very quiet about is peddling ‘outright night. The professor 84 per cent of patients their future plans for quackery’ and even claims, touchingly, to directly linked improvements complementary medicine. ‘contributes to the ill- ‘know everything about in their health to the Our colleagues in Northern health of the nation by artichoke that there is to complementary therapies Ireland will be trying to pretending we can all over- know’. Doubtless this is they received. secure meetings to indulge and then take this the cause of unalloyed The results were encourage progress in order tincture and be fine again’. celebration at Exeter particularly positive for to obtain funding for an Professor Ernst needs to University, but perhaps homeopathy and the report NHS service. The Faculty get out more. it is time for him to extend concluded that integrating will be watching If he thinks that the detox the range of his knowledge.” homeopathic treatment has developments closely.

5 •• news

What’s on the website

Members’ area The members’ area of the Faculty website is available to LFHoms and above and is fully secure. You will need your username and ✓ password to login – for a login reminder email: [email protected]

• search for other • view local group Top resource members information find members close to you to see what’s going Powerpoint presentations by searching on postcode, on in your area and profession, town/city or find contact details. country. • sign up for e-news • take part in the through the update discussion forum page in your account. ask questions and chat with your colleagues • promote yourself online. on the BHA site tick the box on the • download policy update page in your statements account. to find out the Faculty’s You can now download Faculty-branded position on important topics. presentations from the website, in the members’ area. There are slides available both for talks to the general public and to other healthcare professionals. These have recently been given a facelift and the content has been updated. Why not take a look? These can be used as stand-alone presentations or you might want to use them to get a few ideas or a template for your own slides.

www.facultyofhomeopathy.org

Photo: istockphoto.com/Luis Carlos Torres

Contribute to Simile Simile is your newsletter and we are always pleased to receive articles, case studies and news items from members, please email Sarah Buckingham at [email protected] or call 0870 444 3957. The next copy deadline is 22 May 2009

6 ••••newscasenews studies

•• international update

Boost to complementary medicine Clinical cases needed for in Saudi Arabia international database Jamil Bashawri LFHom(Med) reports: Liga Medicorum Homoeo- The database can be patica Internationalis (LMHI) searched using various The Council of Ministers in a consultative committee and the European Committee criteria, cases can be down- Saudi Arabia has approved of ACM specialists and for Homeopathy (ECH) loaded and you can upload the setting up of a National representatives of are asking homeopaths your own (anonymous, if Centre for Alternative and ministries, public institutions around the world to submit required) cases. A software Complementary Medicine. and government organizations their cases to an international programme called WinCHIP The Centre will serve as a involved in health affairs, as database. is required. national referral authority well as the private sector. CLIFICOL, the Clinical So far WinCHIP is only on alternative and The Centre will lay down Files Collection, is a project available for Windows users complementary medicine the principles, rules, criteria aimed at collecting clinical but as soon as more financial (ACM). According to a and conditions for practicing cases from homeopathic resources are available statement from the Council ACM and issue licences. It doctors in a systematic way LMHI/ECH hope to have a of Ministers, the Centre will will also draw up guidelines and in an easy-to-use format Mac OS X program be directly linked to the for documentation of ACM. The idea is to improve as well. Minister of Health and it I am pleased to tell you daily practice in homeopathy, The project requires can seek the help of foreign that I was elected by the to allow the clinical verification participants to subscribe at ACM specialists. ministry of higher education of provings symptoms and an annual cost of 100 euros. The cabinet also as a member of the consequently to work towards For more information approved the creation of consultative committee. the improvement of the contact Carlo Maria Rezzani materia medica and repertory. at [email protected]

Successful use of homeopathy in 2.5 million Cubans

Cuba goes through a yearly cycle of the Leptospirosis epidemic, especially after the hurricanes flood the countryside and water pollution reaches its height. Leptospirosis is an infectious disease transmitted to humans from rats, causing jaundice and kidney damage. The usual expectancy of infection even with allopathic vaccination is a few thousand, with some deaths included. Usually the high cost of vaccination means that all but the most at risk (children, pregnant women, the elderly) are left unvaccinated. The cost of this limited vaccination is about US$3,000,000. In November 2007 three provinces of the eastern region of Cuba were affected by strong rainfall, causing floods of big areas and damage to sanitary and health systems. The risk of Leptospirosis infection was high, with about 2 million people exposed to potentially contaminated water. The Finlay Institute, part of the Ministry of Health in Cuba and a centre dedicated to the development of both conventional and homeopathic vaccines, prepared a Leptospira nosode 200 CH using four circulating strains and following international quality standards. A multi- total population of the three provinces at risk. The cost of disciplinary team travelled to the affected regions to the programme has been estimated at US$200,000. conduct the massive administration of the nosode. The epidemiology surveillance after the intervention Coordinated action with public health system infrastructures showed a dramatic decrease of morbidity two weeks after, allowed the administration of a preventive treatment and a reduction to zero of mortality in hospitalised patients. consisting of two doses (seven to nine days apart) of the The number of confirmed Leptospirosis cases remains at nosode to about 2.4 million people (4.8 million doses). low levels and below the levels normally expected The coverage of the intervention rose to 95 per cent of the according with the trends and rain regimens.

Reference Homeoprophylaxis: Cuban Experiences on Leptospirosis. Dr. Concepción Campa, Dr. Luis E. Varela, Dr. Esperanza Gilling, MCs. Rolando Fernández, Tec. Bárbara Ordaz, Dr. Gustavo Bracho, Dr. Luis García, Dr. Jorge Menéndez, Lic. Natalia Marzoa, Dr. Rubén Martínez. Sourced from http://homeopathyresource.wordpress.com

7 •• news

•• research update

Faculty research For a handy two page summary Veterinary research and clinical of the evidence base data collection for homeopathy... At the time the January arising from the 12-month issue of Simile was going veterinary data collection to press, we understood project. that the paper describing Other initiatives the results of our research include a newly proposed with Bristol Vet School data collection study in would be published later homeopathic podiatry. that same month in the Around 10 Faculty just go to Veterinary Record. In fact, podiatrists will take part the paper was published in a study commencing www.facultyofhomeopathy.org in March (see news p3). early next year. Meanwhile, we are con- and click on tinuing with the analysis of Robert Mathie the large volume of data [email protected] Research

Major new work in primary care from Berlin research group Claudia Witt and her group have extended their previously published findings:

Long-term observational children from 6.1 to 1.7). One physicians treated 82 adults seven physicians treated 128 study of chronically ill in two patients reported (mean age 41.6 years; 51% women (mean age, 32.4 patients after 8 years of improvement of complaint women). Patients had years) and 11 girls (mean homeopathic treatment severity by 50% or more, psoriasis for an average of age, 13.7 years). Women had This paper presents data findings that support 14.7 years; 96% had been dysmenorrhoea for an from an 8-year follow-up of outcomes data available from treated before. Diagnoses average of 11.6 (girls, 3.1) patients treated with the UK’s homeopathic and complaints severity years. Diagnoses and homeopathy. In a hospitals. Younger age, improved markedly with large complaints severity improved prospective, multi-centre, female gender and more effect sizes. In addition, QoL markedly at 24 months, cohort study with 103 severe disease at baseline improved, while conventional dysmenorrhoea being homeopathic primary care were factors predictive of treatment and health service relieved by >50% of baseline practices in Germany and better therapeutic success. use were considerably rating in 46% of the women Switzerland, data from a total reduced. The authors and in 45% of the girls, with of 3,709 patients (age greater Reference: concluded that under large effect sizes. In addition, than 1 year) were observed. Witt CM, Lüdtke R, Mengler N, classical homeopathic QoL improved. Conventional The main outcome measure Willich SN. How healthy are treatment, patients with medication changed little and was patients’ perceived chronically ill patients after eight psoriasis improved in use of other health services severity of complaint years of homeopathic treatment? symptoms and QoL. decreased. The researchers (numeric rating scales from 0 Results from a long term concluded that patients with = no complaint, to 10 = observational study. BMC Public Reference: dysmenorrhoea improved maximal severity) at baseline Health 2008; 8: 413. Witt CM, Lüdtke R, Willich SN. under homeopathic and after 8 years. Homeopathic treatment of patients treatment and that controlled The most frequent Homeopathic treatment of with psoriasis – a prospective studies should now be diagnoses were allergic patients with psoriasis observational study with 2 years carried out to investigate rhinitis, headache and Patients were evaluated over follow-up. J Eur Acad Dermatol efficacy and effectiveness. eczema in adults, and atopic 2 years using standardized Venereol, Feb 2009 [Epub ahead dermatitis, multiple recurrent questionnaires, recording of print]. Reference: infections and sleep diagnoses and complaints Witt CM, Lüdtke R, Willich SN. disorders in children. Overall severity, health-related quality Homeopathic treatment of Homeopathic treatment of patients disease severity decreased of life (QoL), medical history, patients with with dysmenorrhea: a prospective significantly between consultations, all treatments, dysmenorrhoea observational study with 2 years baseline and 8 years (adults and use of other health The study methods were follow-up. Arch Gynecol Obstet, from a mean of 6.2 to 2.7; services. Forty-five similar to those above. Fifty- Feb 2009 [Epub ahead of print].

8 •• comment

Sainsbury’s has decided to offer GP franchises at around a quarter of their stores, according to a recent issue of Pulse. What do you think? Could these ‘in-store polyclinics’ be an opportunity for homeopathy?

Boots ran an initiative between 2000 I’m afraid this government is pursuing and 2003, using homeopathic doctors a relentless course of turning medical (predominantly GPs) to provide a care into a commodity and they are private homeopathic service in stores prepared to spend almost any amount across the country. The majority were of cash to disrupt the pre-existing employed; I worked with George systems of care based around the Lewith and Mike Clark in George’s GP/specialist or primary and Centre at Southampton as a secondary care networks. Sadly their consultant to Boots but doing the vision is not for a genuinely diverse same work as the store GPs. healthcare system (for which the Numbers weren’t good enough to destruction of the existing system keep the initiative going so the store might be worth risking, and within In principle I think having an authoritative GPs were made redundant. I do not which homeopathy would absolutely face of homeopathy in-store is good. I see the Sainsbury’s initiative helping thrive) but a small number of very big doubt they want that – just a magnet the cause of homeopathy, as people players providing a very standard for customers to visit the stores for will still have to pay and the plan commercialised, atomised biomedical general shopping and an opportunity seems to be for a straightforward pharmacodoxy service under the to buy their CAM products. GP service. “brand” of the NHS. Supermarkets Roger Neville-Smith My old practice tried launching a are the right setting and model for private GP practice in collaboration this. In the end what really is there with PPP about 13 years ago and it to choose between one supermarket was a resounding failure once patients and another? Give me the farmers’ I think it would be a great opportunity for realised they would have to pay for market and my own veggie patch! homeopathy but as homeopathy deals prescriptions (in an area where 47 I feel that asking what the with patients in depth using the holistic per cent of the practice population is opportunities are for homeopathy in approach and the bio-psycho-social aged 65 or over on multiple pharmacy this bizarre maelstrom of “creative aspects, ethical issues should be and free scripts!). destruction” (as the spun-out policy considered such as a proper consultation A GP practice in Winchester was geeks like to term it) is a bit like asking setting and patients’ privacy. also interested in the scheme but whether global warming will mean Jamal Bashawri pulled out at the last minute so we better camping conditions in Cornwall went it alone. We had about 20 private in the next two or three years. patients in the end, from a practice Homeopathy needs to make its population of 10,000. There may be own way under its own terms, and by I think those of us in the independent limited openings for homeopaths in co-ordinating with any sane strands of sector might worry if Sainsbury’s Sainsbury’s but most people still want health policy that are still out there. suddenly developed homeopathic a free at the point of service GP. Will There are some, but the supermarket outlets, if they didn’t grow the overall be interesting to see what happens! thing isn’t it at all! market share of users. All too often Jeni Worden Boris Morrice new ventures just seem to compete for the same patient groups and more and more homeopaths chase the same patients. I think the Faculty might try I feel slightly more optimistic about polyclinics than the Boots enterprise. What to advise / insure any homeopathy we would need to do is to approach Sainsbury’s to see if they’re interested in offered is high quality and provided in including homeopathy. If they are true polyclinics, the idea is that GPs and other a medical context but its main activity services would be available all in one place and that GPs will refer on to the in promoting homeopathy is to try other services. I agree with Boris (above) about the government’s view of and widen its appeal to more diverse medicine and health, but the GPs on the ground do know that there are patients patient groups, whether in the NHS who neither get better or go away... that could be our way in. or independently. Sara Eames David Owen

have your say… Sign into the Faculty’s discussion forum at www.facultyofhomeopathy.org/discussion (for a username and password reminder email [email protected])

9 •• news

•• international focus: •• ISRAEL

Integrated medicine in Israel

In 2005, the National Center clinics, one offering classic Research Human research for Complementary and homeopathic treatment, the Animal research ■ Homeopathy Integrative Medicine of the other traditional Chinese A study examining the effects A number of clinical studies on National Institutes of Health medicine (TCM) techniques. of the homeopathic remedy the effects of homeopathy on (NIH) in Israel established an Traumeel S in the treatment humans have been conducted Institute of Medicine Education of sepsis in rats has recently by the centre, and more are committee to help define The CICM is also involved in a been completed. In a classic currently underway. Some of principles and guide the number of educational model of sepsis, using a our studies have shown research agenda for CAM. The programs, for students and procedure called CLP – Cecal promising results, serving as committee’s recommendation professionals in the health Ligation and perforation – pilots for larger, more complex was that “the same principles field. For the last five years, fecal peritonitis was induced projects. An example of this is and standards of evidence of the CICM has been running a in study rats. This procedure a pilot study in which we treatment effectiveness apply week-long program for sixth is regarded as one of the examined the effects of Arnica to all treatments, whether year medical students at the classical models of protracted montana and Bellis perennis currently labelled as convent- School of Medicine of the Ben sepsis, and at the end of a 24 on blood loss following ional medicine or CAM” Gurion University of the hour observation period childbirth. This was a (Bondurant & Sox, Annals of Negev in Beer Sheva, the first 12.0% of the rats treated with randomised, double-blind, Internal Medicine 2005; 142: of its kind in Israel. The course Traumeel S were dead, as placebo-controlled trial, and 149-151). Though often difficult offers students interested in opposed to 29.2% in the showed a significant reduction to implement, it is through learning about CAM a control group (relative risk: in blood loss, as measured by conventional scientific research combination of lectures and 2.43). Rats treated with pre- and post-partum haemo- methodology that CAM therapies are slowly breaking down the walls of resistance, and being applied in con- ventional medical practice. It is in the context of the challenges to CAM’s validity that the Center for Integrative Complementary Medicine (CICM) at the Shaare Zedek Medical Center, one of the teaching hospitals affiliated with the Hebrew University School of Medicine in Jerusalem, was established in 1997. The hospital is a 500- bed medical facility, treating Shaare Zedek Medical Center, Jerusalem nearly 250,000 patients each year in its more than 100 workshops, and has generated Traumeel S had significantly globin levels (Oberbaum et al. departments and units. Many much interest among students higher levels of IL-1ß, which Complement Ther Med. 2005; of the hospital’s major who otherwise would have although considered a pro- 13:87-90). A larger trial is departments are currently little or no exposure to CAM inflammatory cytokine, may currently underway, which will involved either directly or therapies. Other teaching have a protective effect in evaluate not only post-partum indirectly in projects initiated ventures are taking place, for sepsis. We intend to repeat blood loss but also a number of and run by the CICM’s medical students, doctors, the study, with a longer other parameters such as research team. These projects nurses, social workers and follow-up period as well as labour pain, complications such are run in accordance with other health professionals, as examining other factors as endometritis, and quality of state-of-the-art resources, in well as for the public at large. involved with inflammation life measures. accordance with the strictest The staff at the CICM bring a and the septic response. It is Another study, evaluating guidelines for scientific unique perspective to the our belief that Traumeel S the effects of Arnica montana research, both in the teaching process of CAM, may indeed be helpful as an and Staphysagria following laboratory and clinical setting. integrating the principles of add-on therapy to the Caesarian section, has just Itself a hospital department, CAM treatments with up-to- conventional treatment been completed, though the CICM runs two out-patient date research and science. regimen in the septic patient. analysis of the data has not

10 ••••casenews studies

Mediterranean Sea yet been concluded. In this example, pursuant to a very randomised controlled trial, 90 promising pilot study on the women scheduled for elective effects of Traumeel S on post- Caesarian section received operative pain following Hallux

either true or placebo Valgus (bunion) repair, we Jerusalem remedies. The parameters conducted a larger study, ¥ Beer evaluated were blood loss, which showed only a modest Sheeba ¥ pain and analgesic use, length analgesic effect of the of post-operative stay and remedy, and this only in the complications, and quality-of- first 24 hours following life outcomes. We are eagerly surgery. Another recently awaiting the statistical completed study was based analysis of the results. A two- on a pilot study which found a centre study has also recently significant benefit with begun, in which the efficacy Traumeel S in the treatment of Kali bichromicum is being of chemotherapy-induced women undergoing IVF prevalent of the Lysosomal evaluated for its ability to stomatitis in children treatments (Cochrane Storage Disorders, with TCM decrease viscosity and (Oberbaum et al. Cancer. Database of Systemic techniques. Gaucher patients amount of sputum, as well as 2001;92:684-90). The follow- Reviews 2008, Issue 4. Art. often suffer from bone and time-to-extubation, in up study was a multi-national, No. CD006920) is being joint pain, headache and mechanically ventilated ICU multi-centre project, combined with hypnosis, fatigue, and are afforded little patients. This is a repetition of conducted under the auspices which was found in a case- relief from conventional the study by Frass et al. of the Children’s Oncology control study to increase treatment. We will also be (Chest. 2005;127:936-41), Group (COG), an international pregnancy rates as well opening an integrative which found a statistically cooperative funded by the (Levitas et al., Fertility and outpatient clinic for patients significant and clinically National Cancer Institute Sterility 2006; 85: 1404-8). suffering from fibromyalgia, a relevant improvement in the (NCI), whose mission is the Other clinical studies are in common and complex chronic amount of tracheal secretions, study of childhood cancers. the planning for a number of pain disorder which is both timing of extubation and This larger study, which took other CAM treatment physically and emotionally discharge from the ICU place in 28 pediatric oncologic modalities as well. debilitating. This is a joint among critically ill patients centres in the USA and Israel, project of the CICM, in following treatment with this whose final results have yet Future directions conjunction with the hospital homeopathic remedy. to be published, could not The Institute of Medicine’s rheumatology and cardiac Other studies are in the repeat the significantly call for applying “the same rehabilitation units. Patients early stage, such as a study of positive results found in the principles and standards of suffering from fibromyalgia Traumeel S in patients pilot study. Still, despite the evidence of treatment effect- will be offered a combined undergoing knee and hip disappointing results, the fact iveness” is being met by a treatment regimen, which replacement surgery that large, prestigious number of research centres will include conventional (arthroplasty), and another institutes which serve as the across the globe including medical therapy, TCM, study of Lymphomyosot in bastion of conventional ours. In spite of all the homeopathy treatment, patients with severe swelling medical research are involved challenges facing CAM mind-body techniques and following ankle fracture, which in homeopathy research is research, the obstacles can a personalized exercise is a major limiting factor on more than encouraging. be overcome, and these treat- program, all simultaneously. surgical repair of the joint. We ment modalities are proving have also just received ■ Other CAM modalities themselves again and again Noah Samuels MD approval for a study of Engystol Other CAM treatments are as both safe and effective. Research Coordinator for the treatment of influenza being investigated in the In accordance with the Shepherd R. Singer infections. This last study will clinical setting as well, under philosophy of the CICM, a Research Coordinator be undertaken with the the initiative and direction of number of programmes are Menachem Oberbaum MD cooperation of the Walter Reed the CICM. A clinical trial is being initiated with the goal of Director Army Medical Center, the US currently underway in the in- integrating CAM with Army’s flagship medical centre. vitro fertilization (IVF) clinic of conventional medicine. For The Center for Integrative Some of our homeopathy the hospital. Acupuncture, example, we have recently Complementary Medicine (CICM) studies have shown less-than- which has been shown to begun treating patients with Shaare Zedek Medical Center, favourable results. For increase pregnancy rates in Gaucher disease, the most Jerusalem, Israel

11 •• feature Reflective practice and CPD – stifle a yawn or read on?

CPD really is good for us and should • How do you modify your • How do we identify obstacles to be enjoyable, relevant and stimulating, consultation technique to deal with healing that we can actually and will be, if each of us tailors what is patients who are loquacious influence? available to our own needs. (like the Sarsaparilla case on When I phone members who are page 14)? Or in those who are • Do patients change with time? struggling with their CPD require- taciturn? Is one medicine for life a delusion? ments, the most frequent problem is What is the simillimum? How does with self-directed learning (SDL). I want Case analysis our attitude alter how we practice? to remind members that self-directed • Are we actually aware of the CPD activities are diverse and we can processes we employ in case • How might patients walk between be very flexible in our approach. Each analyses? different medicines? If they begin member is free to devise methods that in a Sepia state, say, where might suit their changing needs. • Which short-cuts or heuristics do we they go next? A sea medicine or a One of the reasons for including use and which are reliable for us? Natrum salt or a Magnesium salt or case reports in Simile has been to fill to Carcinosin? Do patients change a perceived need for self-directed CPD, • Do certain symptom clusters make kingdom? both in the authors and readers. you think of a polycrest and others of There is nothing quite like presenting a small medicine? • Do we advise other interventions like something to one’s peers to sharpen diet or exercise or prayer? How do the focus of learning. • Does the heuristic “unusual case = these interventions interact? How Please excuse me for stating the unusual medicine” work for you? might this influence outcome or obvious but reading the case reports in homeopathic research? Simile is part of our SDL CPD! Just • Are there other heuristics which reading a case won’t take long and work for you and why? Flexibility can also be employed when won’t count for much designing the best attendance-based in itself, but it can ignite a spark which • Do you think in medicine groups... CPD for each of us. If there are can stimulate personal learning in or families... or miasms... and does difficulties for you in actually attending many ways: it help? events, then why not consider listening to some of the vast array or previously Consultation(s) • When was the last time you recorded seminars from the British • Awareness of a variety of successfully prescribed a bowel Homeopathic Library? There is a host consultation styles and emphases nosode? of excellent material available. The new Faculty website lends • How directive are we during the Materia medica study itself well to the development of CPD consultation or how much do we • How long since we actually sat down for members – the cases in Simile are “receive” the case? and studied a homeopathic medicine to be placed in the protected area for we are not already familiar with? members to access, but I am sure • Do we record the symptoms in the there are lots of other ways we could patients’ own words and what • Might reading a case report develop the site. difference might that make to case stimulate study – of a medicine, or a Please let us know your ideas. analysis now and in the future? family or a miasmatic grouping? Why not share your thoughts on the website discussion forum? • How do/would patients score their • How best to study a medicine or Finally, may I ask, on behalf of all impression of the family – what are the essential the authors of case reports in Simile, care/compassion/understanding features – how best to remember? that you do send us some feedback? shown to them during the It would make such a difference to consultation(s)? Case management hear from you. • Do patients’ scores of the care/ • How might you find out? Do you compa ssion/understanding shown Raymond Sevar have/use a patient satisfaction to them during the consultation(s) Dean questionnaire? influence the outcome – at one year [email protected] or five, 10 or 15 years? www.raymondsevarhomeopathy.com • Consultation difficulties and how How might this influence research they might be overcome study design?

12 •• case studies

GP casebook… with Tim Robinson

For almost 15 years I have been able to combine homeopathy with my conventional medical treatment as a GP in my country general practice in West Dorset. Each issue I will share with you cases taken from 10 minute consultations.

Travel sickness: Cocculus 30c treatments had ever been effective and medicine despite my instructions (this Mr CD, a 62 year-old farm contractor he is now able to travel both locally and often happens in general practice – presented complaining of travel abroad. patients have it engrained into them to sickness. He and his wife were due to I chose Cocculus in the knowledge ‘finish the course’). Thankfully she had travel for four weeks in the Far East; that it is a specific treatment for motion not ‘proved’ the medicine. I told her to their trip would involve all forms of sickness, nothing more sophisticated stop the Lycopodium and restart it if transport that he knew would result in than that. Other remedies that I have needed. travel sickness. In the past he had tried used on the rare occasions when I reviewed her four months later; Stugeron, Quells, ginger, wrist bands Cocculus is ineffective are Tabacum she had only had a few further but nothing had prevented the nausea and Petroleum. episodes of IBS over that time. Her and vomiting that he experienced when symptoms had responded to the travelling as a passenger. Irritable Bowel Syndrome: Lycopodium within a matter of days on I prescribed Cocculus 30c to be Lycopodium 30c each occasion. She was now confident taken one hour before, at the time of Miss LK, a 17 year-old sixth form in the use of the medicine. departure and during the journey if student attended my morning surgery. This case is an example of prescribing needed. Mr CD and his wife headed off She was experiencing bloating, using the ‘specific’ strategy (a particular on their adventures. Upon return he alternating bowel habit, excess flatus medicine is effective in a specific reported back to me with great and colicky abdominal pains. She had situation or condition). This strategy is excitement. He had not experienced been troubled with these symptoms very useful in the GP setting as time is any travel sickness throughout their over the previous eight weeks for no limited. It is difficult to elicit a full and trip, which had involved travelling by obvious reason. She had been unhappy clear picture of the symptoms and car, coach, train, plane and ferry. That earlier that year but was mentally well their modalities upon which to find the was back in 2002. Since then he has now. I was confident to diagnose and simillimum. The other strategies that relied on Cocculus and has been free of treat her for Irritable Bowel Syndrome I use frequently in General Practice are all travel sickness. Both Mr CD and his based on the symptoms, examination isopathic, organ and key-note wife are convinced its effectiveness is and her age. I am much more cautious prescriptions. not due to a placebo effect. From time in older patients presenting with bowel to time he has failed to take the symptoms, in case of more serious Tim Robinson Cocculus, thinking that he was safe or underlying pathology. [email protected] as a result of forgetting to take them. I prescribed Lycopodium 30c twice Once he forgot to take it on a coach daily as this is a medicine well known trip to London with disastrous for its effectiveness in this condition. Tim carried out a year-long audit of his consequences. Another time was on a Other medicines I consider for IBS are homeopathic GP practice which was 1 short journey to their local town; his Aloe and China (if associated with published in Homeopathy in 2006. wife drove and he didn’t really think excess bloating and distension); Mag Out of 5331 consultations, 489 or about taking the Cocculus as the Phos and Colocynth (if colic is present). 9% were homeopathic. Of these 489 journey wasn’t that far. Within about I advised her to take the Lycopodium patients, 78% reported a positive clinical response, demonstrating how five minutes he was feeling sick; they 30c twice daily until she noticed an effective homeopathy can be in a had to stop, allow things to settle and improvement. Then she should stop it 10 minute consultation. then he took over the driving. As a rule but restart if any of the symptoms he will always take the Cocculus with returned. 1. Responses to homeopathic treatment him and as long as he takes it as above I reviewed her four weeks later; I in National Health Service general he is not troubled by the travel was pleased to find that she was much practice.Dr T Robinson. Homeopathy sickness. He finds this especially improved. She no longer has any of her (2006) 95, 9 -14. pleasing as none of the previous symptoms. She was still taking the

13 •• case studies

Pruritus perineum and recurrent cystitis

“J” (a 48 year-old lady) with brown hair lightning twice – each time I was in a Consultation September 1996 and blue eyes, is tanned, fat, wears a boat, so now I am afraid of After the medicine I slept for three flower-patterned skirt, a yellow t-shirt thunderstorms and hide under the bed. days but really there is no change in and big blue plastic snake earrings, looks I get nauseous and sweaty and anything. scruffy and has an unwashed odour. shaky if I miss a meal. I love to snack… I never seem to be on an even I love sprouting seeds, peanuts, keel… either I am almost euphoric for Consultation August 1996 mushrooms, spices, alcohol, tobacco, a few days, then I go right down again I have had a terrible itch around my bread, pasta and salt… I dislike tea. and feel miserable for a few days… bottom for 10 years … around my I am very untidy and messy… I like I have always had these huge unstable bottom and vulva and during menses it to be noticed and it annoys me that mood swings… when I am down spreads to inside my vagina … I have I care about other’s opinions… I hate my energy is very, very low and when seen so many doctors and several being touched or hugged and hate I am euphoric my energy is very, homeopaths and none of the anyone trying to console me… I feel very high. treatments work. better living alone… I am terrified of The other trouble is my recurrent heights – I even feel wobbly standing cystitis… for the past 20 years… Observation: on a chair. it started with a terrible long attack of she is extremely loquacious – she cystitis that lasted five whole months now bombards me with a very long Analysis One and since then it has recurred several list of old grievances about her past I got lost in the woods – there were times each year… it lasts from five treatment by doctors and homeopaths so many trees! There seemed so days to three weeks each time… much pointing to Sulphur – see Graph 1. each time at the end of passing The itch is terrible all day and all night. urine I get a terrible spasm of pain in It’s a burning itch and can be a burning Treatment my bladder that makes me want pain. I scratch until the skin is raw, and Sulphur LM1 30ml two drops daily. to cry. then the skin oozes. I wake up through the night scratching. It’s terrible when I wash … It’s worse for a week before and all during menses. I can’t get a Graph 1 tampon in, the vagina is tense and tight. ... It’s worse when I go to the toilet and worse when I sweat. … I get very hot at night and have to stick my feet out the bed. … It all started during an unhappy marriage – he was abusive and we were so poor we had no bathing facilities. I live alone in an old caravan… I have been celibate for three years… I am unemployed… I am passionate about animals, animal rights, I love animals as much and maybe more than people… I have 14 cats and seven goats… I am a vegan… I am interested in hypnosis, reflexology, acupuncture, astrology, the transmigration of souls…

Observation: her loquacity continues unabated for a while about the transmigration of souls until I interrupt her flow Graph 2 I live from hand to mouth and crisis to crisis… I used to abuse alcohol for many years… I have been married three times. I had an operation on my sternum because it was so pushed in and I am sterilized … I have been struck by

14 •• case studies

– a Sarsaparilla case

• What do you do when you feel lost in the woods, surrounded by a plethora of symptoms?

• When the pattern of symptoms suggests/is similar to a polycrest but there are symptoms that just don’t fit in, what do you do?

• How familiar are you with the materia medica of Sarsaparilla?

I learnt a lot from this case. I altered my consultation technique, studied the materia medica of Sarsaparilla and reflected on the rubric “Dwells on past disagreeable occurrences” – why each medicine is there and their similarities and differences. I hope this case stimulates a spark, initiates reflective practice and generates some useful self-directed CPD for you – please send me some feedback, it would make such a difference.

Illustration: Sarah Buckingham Raymond Sevar Dean Analysis Two and only wake once, not four times [email protected] Perhaps if I had not interrupted her in each night itching like I used to. www.raymondsevarhomeopathy.com the first consultation she would have I am sweating more whether it is told me of her cystitis? The spasmodic hot or cold outside… especially in my pain in bladder neck at the end of armpits and it stinks – I need to wash urination is striking and a keynote of four times a day because of the smell. Sarsaparilla. Her loquacity is mainly to dwell on old grievances (Reference Assessment Successful Works Library G search for ‘dwells’ Her energy, sleep, mood, itch and and ‘grievances’ in the same bladder are better – the new symptom cases? sentence) and itching perineum of sweating is likely an exteriorization The BHA would like are also typical of Sarsaparilla, see and part of healing. to hear about them Graph 2. Treatment Do you have satisfied patients that Treatment Sarsaparilla 200CH drops if required for are happy to talk to the media Sarsaparilla 200CH one dose and relapse of itch or cystitis. about how homeopathy 200CH 30ml drops as required for has helped them? cystitis. Outcome Her nephew (whom I treated in Good case studies are a vital part Consultation November 1996 November 2007) reports that the family of getting positive media coverage. I felt better after a few days and the are all delighted “Auntie J” no longer improvement continues… I stopped smells, has been in robust good health A simple case study information the HRT two weeks ago and had a for the last 11 years and continues to sheet can be obtained by rotten week with the itch, but it is OK live in her caravan surrounded by cats emailing Sarah at: now… last week the cystitis feeling and goats. [email protected] came back but for the first time ever it Please use it to tell us about your did not develop into a full attack… CPD homeopathic successes, I just waited, I didn’t take the and help the BHA to promote Sarsaparilla drops. • What consultation strategies do you homeopathy more effectively. I have had wonderful energy and employ to deal with loquacious feel wonderful. I am sleeping better patients?

15 •• events

REPORT: Richard Hughes Memorial Lecture – 5 February, London Medicine in Real Time by Russell Malcolm

Russell began by discussing how He touched on language, music and simple prescribing: a boy with hair finding a remedy-match means the arts, showing us some pictures of loss following exposure to pine, individualising the concept we have of youthful Russell in a variety of fetching successfully treated with Pix liquida. our patient. He discussed how the Don Giovanni-type costumes. He felt A subsequent variation was in a child creative process involves interpretation that a book of fiction can often teach us who required Thuja. A melodic and both of the patient and of the materia more than the materia medica. harmonic development with no obvious medica. Russell likened the writers of Russell was critical of the tendency theme might require Tub bov. Then materia medica and repertories to the of homeopathy to perpetuate outdated there was the more unstable section chef making apple pies. The question models, for example miasms, rather where the theme is difficult to is, can you still taste the apples? To than appreciate Hahnemann’s models ascertain which might illustrate illustrate this point Russell showed in a historical context. Instead we unstable or relapsing symptoms with some pictures of an apple tree in his should selectively use those ideas still environmental influence; this might garden followed by himself in his apron credible in modern times. He used the require a series of remedies. In turn preparing the pastry, apples and analogy of his horn gramophone to this can then transform into a new concocting a couple of splendid looking interpret vintage recordings rather than theme introducing the finale where the pies. So, there are many different using unforgiving digital technology. patient is liberated to new patterns of materia medicas, as there are creators, The importance of the use of language reaction to underpin the cure. The but equally there are interpreters of the within the homeopathic community remedies are a catalyst to this change. materia medica constructing remedy was stressed, especially the persistent To summarise: Homeopathy is not pictures and constitutional types out of reference to vital force and energies an art per se. It is a science but should this proving and symptom data. which Russell maintained will only be practiced artistically and with proper Russell argued that with the distance us from those who might reference to the wider backdrop of life. interplay of our knowledge base and otherwise engage with our discipline. In his talk Russell showed us the the living experience of the interview, We were also shown some pictures by pathways to logical and successful creative interpretation and (presumably the old masters, which serve to homeopathic prescribing whilst at the a successful prescription) can take illustrate constitutional types. However, same time allowing and urging us to place. Russell looked back to some of Russell warned against this use of draw on our own creativity, which can the influential figures in medicine for stereotypical imagery, reminding us be influenced heavily by literature and him. These included Thomas that the pure archetypal constitutional the arts. Sydenham (1624 – 1689) who prized types are in fact few and far between. Questions followed the talk which observation – using his senses and We then came to what I suspect will have been controversial for some avoiding speculation. Sydenham said was Russell’s favourite part of his talk, of the audience, with a discussion of that medicine was a craft which would the musical section. Russell presented the difference between Richard progress through observation of sections from a recording of (himself Hughes’s approach and that of Kent. It patients and monitoring of therapies. expertly playing) a Chopin Ballade to was agreed that we need to rethink our Chronic diseases by Charles Wheeler, illustrate how themes and variations vocabulary because homeopathy is now out of print, as well as Edward can help show how a practitioner might more a science than an art. Bach’s work were also important interpret a patient’s narratives and their milestones in bringing some of the old- emotional contexts. So, there was a Charlotte Mendes da Costa fashioned concepts in homeopathy up single theme to begin, to illustrate [email protected] to date. Improving prescribing accuracy is our goal and he cited for instance Boenninghausen’s repertory which LEPROSY – THE SIN AND SHAME OF AN OUTCAST simplified data and gave positive A masterclass looking at the Leprosy miasm from all three kingdoms modalities, accurately reflecting the “You shall not eat or drink in the company of other people but with lepers alone, and dynamic state of the patient. He you shall know that when you shall have died you will not be buried in the church” also urged us to read Frei’s article on Anonymous advice to lepers in the Middle Ages polarity analysis in the January edition of Homeopathy. (See also Russell’s Speaker: Dr Helen Beaumont guest editorial in the same issue of the journal). Date: Saturday 9 May 2009 Although Russell has been in Venue: Penny Brohn Cancer Care Centre, Bristol homeopathic practice for more than 20 years, he has not developed a Our masterclasses are open to everyone with an interest in homeopathy, regardless of profession or level of expertise. master algorithm or a specific Masterclasses support CPD requirements by providing continuing education for all. homeopathic methodology for prescribing. However he said that he For more information please contact Renata Sopiarz, Academic Administrator does draw on the arts – his lifelong tel 0117 946 6087 or e-mail [email protected] interest to inform the creative process.

16 •• events

REPORT: Skin diseases with Peter Gregory Clearing remedies Examples of some of the remedies – 7 February, Oxford used to help clear the picture: • Sulphur Having a special interest in dermatology in dermatology, led him to specialise in • Isopathy, especially tautopathy – for and currently undertaking the advanced that area of veterinary practice. example potentised steroids, or training in homeopathic podiatry, I was Discussion ensued and it was agreed cyclosporine very intrigued by the flyer that dropped that according to the homeopathic • Nosodes through my letterbox last year advertising direction of cure, it would be fair to a day devoted to the treatment of skin consider that these ‘skin’ patients were Clear picture diseases utilising homeopathy. generally healthy, hence given the right Once the picture was comprehensible, The flyer invited practitioners of all trigger should make a good recovery. So the way to find the exact remedy was to disciplines to attend, as well as those why was it so difficult to treat skin patients? utilise the following methods: undergoing training and members who Looking at the cases holistically, many had an interest in dermatology, homeo- factors complicated the picture such as; • Totality of symptoms pathy and the bond between humans • Suppressive treatment for example, • Constitutional picture and animals. The presenter Peter steroids (it was emphasised however, • Local symptoms – maybe the only Gregory is an experienced veterinary that these do have a role to play at clear lead into a case. Here the member of the Faculty. certain times) lesion description is noted, its location, and the modalities affecting it, especially heat. • Acute remedy picture

Materia medica Discussion of many remedies took place including;

• Plant remedies – Thuja occidentalis, Pulsatilla, Rhus toxicodendron, Croton tiglium, Ignatia, Staphisagria, Ledum, Well, this all sounded too interesting • Vaccination (whilst the Faculty of Lycopodium, Mezereum to pass up the chance of attending, Homeopathy recommends • Mineral remedies – Sulphur, so I booked. In the event it was probably vaccination, there is recognition Arsenicum album, Arsenicum one of the snowiest days for 18 years! within dermatology that it may well iodatum, Calcerea carbonica, Calcerea Unfortunately this meant that a few be a trigger factor in atopy) sulphrica, Kali sulphrica, Antimonium attendees had to cancel. Nevertheless • Multiple homeopathic or conventional crudum, Graphites, Mercurius we had a nicely mixed group of pro- interventions may cause ‘fogging’ of solubilis, Hepar sulphuris, Natrum fessions: veterinary surgeons, doctors, the case muriaticum, Petroleum, Silica a pharmacist, a dentist, a consultant • Environmental factors; • Animal remedies – Apis mellifica, dermatologist, and a podiatrist. The format • Physical – for example allergens, Cantharis, Cenchris contortrix, Sepia consisted of lectures interspaced with infestations, or trauma to the skin officinalis, Lachesis, Tarentula hispanica, small group work around case studies. • Emotional – such as grief (this being Tarentula cubensis, Lac caninum In addition, there was time given at in the realms of psychodermatology) • Fungi – Agaricus muscarius, Bovista breaks for that all-important networking. lycoperdon This proved to be very valuable indeed, Peter estimated approximately 90% of • Nosodes with cross-fertilisation of ideas from the his chronic skin cases had the aetiology enthusiastic differing occupations. of an emotional root cause, especially in In my opinion, the day was very thought Peter’s style of teaching was cats. These required a slow intervention, provoking, and I believe it delivered all relaxed, inviting questions throughout. and patience, plus a reminder to listen the aims and objectives it set out to He told illustrative jokes and read poetry well to the patient, or the patient’s achieve. to illustrate certain points. Japanese owner in the case of a vet. We should Having a multidisciplinary audience Haiku aided the memory of certain be aware of our own ‘gut feelings’ in was inspiring and broke down many homeopathic remedies. The programme response to their story, alongside the barriers between the professions. It also was flexible enough to respond to the usual repertorisation of symptoms. united us, for everyone in that room held audience’s preference as to which the same vision of seeking out the best particular group of remedies to Removing the ‘obstacles to cure’ possible care for their patient, be it man concentrate on, as Peter had enough Recognising the principle that certain or beast. teaching material for two days. obstacles require moving to allow It was well worth the money, the Peter initially explained how he had improvement was fundamental in time, and the struggle against the begun his journey in homeopathy chronic cases, for example, eradicating elements to attend! thorough the dissatisfaction of what the infestation, or origin of trauma. conventional veterinary medicine could Some were more difficult to remove, Jane Greenwood offer. This, coupled with a special interest like grief. [email protected]

17 •• events

•• examinations calendar 2009

PRIMARY HEALTH CARE EXAM/ PRELIMINARY CERTIFICATE IN VETERINARY HOMEOPATHY EXAM EXAM DATE VENUE CLOSING DATE FOR APPLICATIONS PHCE/PCVH 18 September London 14 August

LFHOM VETERINARY EXAM EXAM EXAM DATE VENUE CLOSING DATE FOR APPLICATIONS LFHom (Vet) 11 September York 10 July

PHARMACY DIPLOMA – OPEN TO PHARMACISTS WHO HAVE PASSED THE PHCE EXAM EXAM DATE VENUE CLOSING DATE FOR APPLICATIONS DFHom (Pharm) TBA TBA 24 July

PODIATRY DIPLOMA – OPEN TO PODIATRISTS WHO HAVE PASSED THE PHCE EXAM EXAM DATE VENUE CLOSING DATE FOR APPLICATIONS DFHom (Pod) 10-11 September Luton 10 July

MEMBERSHIP EXAM – OPEN TO DOCTORS, NURSES, DENTISTS & OSTEOPATHS WHO HAVE PASSED THE PHCE EXAM EXAM DATE VENUE CLOSING DATE FOR APPLICATIONS MFHom Part 1 23 October Glasgow/Luton 21 August

MFHom Part 2* 6 November London (clinical exam) 11 September 20 November Glasgow (clinical exam) 11 September 4 December Bristol (clinical exam) 11 September

* Please ensure you are available for all of the dates above before applying, as we cannot guarantee your first choice of date/venue

MFHom (Nurse) 18 September TBA (written exam) 17 July 9 November TBA (viva) 17 July

MFHom (Dent) 10-11 September Luton 10 July

MFHom (Osteo) 23 October Glasgow/Luton 21 August

VETERINARY MEMBERSHIP EXAM – OPEN TO VETS WHO HAVE PASSED THE PCVH EXAM EXAM DATE VENUE CLOSING DATE FOR APPLICATIONS VetMFHom Part 1 12 October Luton (written exam) 14 August VetMFHom Part 2 TBA Oxfordshire (clinical exam) 14 August

SPECIALIST REGISTRATION – OPEN TO DOCTORS WHO HAVE GAINED THE MFHOM EXAM EXAM DATE VENUE CLOSING DATE FOR APPLICATIONS Assessment 14 October Glasgow 14 August (cases and dissertation) 22 October Luton 14 August (cases and dissertation)

18 •• eventscase studies

•• what’s on april – july 2009

Saturday 13 June Regular meetings Liverpool Homeopathic Medico-Chirurgical Society Homeopathic supervision Annual Symposium 9.00am-4.30pm £75 Guest Speaker: David Lilley Supervision group based in Winchester, facilitated by David Owen. Conference Room 3 Upcoming dates are 24 April and 12 June. Mossley Hill Hospital, Park Avenue, • David Owen at [email protected] Liverpool L18 8BU • Hugh Nielsen on 0151 285 3707 Leeds Homeopathic Group Regular meetings in Morley, Leeds. Tuesday 16 and Wednesday 17 June Pauline Price on 0113 252 8849 or at [email protected] Materia medica and supervision training, • Winchester 16 June: homeopathic supervision training, Northern Homeopathic Vets Group covering both the theory and practice of Meetings are held every month in Leeds, starting at 8.00pm, usually at the home supervision. Facilitated by David Owen. of one of the participants. All vets with an interest in homeopathy are welcome to attend. 17 June: materia medica teaching – snake All aspects of homeopathy are suitable subjects for the meetings, including case histories remedies by Jonathan Hardy. and study of materia medica. The MM and supervision training will be held • Chris Almond at [email protected] in the same week to ease travelling and give some social time in the evening for those W Surrey & W Sussex Homeopathic Group planning to attend both days. • [email protected] Meetings on the third Tuesday of each month except December, 8.00-10.00pm. Group members include doctors, vets, dentists and pharmacists. The aim of the group is to act as Tuesday 23 June a forum for ongoing learning and support, covering all aspects of homeopathy and medical Tayside Homeopathic Group practice. 2009 dates: 21 April, 19 May, 16 June, 21 July, 18 August, 15 September, Sulphurs. 20 October, 17 November. The Punch Bowl, Oakwood Hill, nr Ockley, Surrey RH5 5PU Homeopathy Clinic, East Lodge, • Charles Forsyth on 01737 226338 (office), 01737 248605 (home), 07802 293006 (mobile) Royal Victoria Hospital, Jedburgh Road, or [email protected] Dundee DD2 1SP, 7.00pm • Norma Ross on 01382 540201 or at [email protected] Monday 27 April Wednesday 13 May Brighton and Hove Group London Homeopathic Group Treatment of depression in General Practice Practitioners’ audit: Lessons Learned. Promote homeopathy at Meeting at 8pm at Dr Alison Taylor’s house. Chaired by Charlotte Mendes da Costa conventional conferences • Alison on [email protected] for 1 Upper Wimpole Street, London, W1 more information. 7.15-9.30pm; Help strengthen homeopathy’s position £8.00 to cover refreshments and as a therapy practised by healthcare Tuesday 28 April administration. professionals that can be integrated Tayside Homeopathic Group • Anita Davies at anita.e.davies@btconnect. Spider Remedies com or Rosie Coles on 020 7935 4271 into conventional care – consider Homeopathy Clinic, East Lodge, presenting at non-homeopathic Royal Victoria Hospital, Jedburgh Road, Monday 18 May – Wednesday 20 May conferences! Abstract deadlines for Dundee DD2 1SP, 7.00pm Massimo Mangialavori in Glasgow some upcoming events below: • Norma Ross on 01382 540201 or at Clinical cases by live video link. Scientific meeting of British Orthopaedic [email protected] Seminar Room, Glasgow Homeopathic Foot and Ankle Society, 4-6 November 2009 Hospital. All welcome. £100 per day Abstract deadline: June 2009 Saturday 9 May • Tom Whitmarsh on 0141 211 1623 Contact: Mr Dishan Singh Bristol Masterclass or [email protected] Telephone: 01923 800 345 Looking at the Leprosy miasm from all three or Carol Anderson on Email: [email protected] kingdoms, with Helen Beaumont. [email protected] or Location: Windsor See ad on p16 for further details 0141 337 1824 Website: http://www.bofas.org.uk • Renata Sopiarz, Academic Administrator on 0117 946 6087 or e-mail Tuesday 26 May European Scientific Conference: [email protected] Tayside Homeopathic Group One Medicine: Comparative Aspects of Aspartame/mercury/organophosphate Research and Clinical Diagnosis in Allergic Disease, 20 November 2009 poisonings Saturday 9 May Abstract deadline: 10 August 2009 Midlands Regional Group Homeopathy Clinic, East Lodge, Email: [email protected] Speaker and topic to be announced Royal Victoria Hospital, Jedburgh Road, Location: Welwyn Garden City Old Market Hall, Church Street, Coleshill B43 Dundee DD2 1SP, 7.00pm Website: www.regonline.co.uk/builder/site/ Lunch included. All welcome. • Norma Ross on 01382 540201 or at Default.aspx?eventid=161402 • Elaine Archibald on [email protected] [email protected]

If you are organising an event and would like it to be included in future listings, please contact Sarah Buckingham at: [email protected]

19