koantum matters

March 21, 2007

Homeopathy

Filed under: All and sundry — Tags: , , — Ulrich Mohrhoff @ 7:27 pm

From the pages of ISIS, the Institute of Science in Society

For more than a century, practitioners of homeopathy have used highly diluted solutions of medicinal substances to treat diseases. Some substances are diluted way beyond the point at which no trace of the original substances could remain. It is as though the water has retained memory of the departed molecules. This has aroused a great deal of scepticism within the conventional medical and scientific community. To this day, ‘homeopathic’ is used as a term of derision, to indicate something imagined that has no reality.

But a series of recent discoveries in the conventional scientific community is making people think again.

First, there were the South Korean chemists who discovered two years ago that molecules dissolved in water clump together as they get more diluted, which was totally unexpected; and further more, the size of the clumps depends on the history of dilution, making a mockery of the ‘laws of chemistry’.

Now, physicist Louis Rey in Lausanne, Switzerland, has published a paper in the mainstream journal, Physica A, describing experiments that suggest water does have a memory of molecules that have been diluted away, as can be demonstrated by a relatively new physical technique that measures thermoluminescence.

In this technique, the material is ‘activated’ by irradiation at low temperature, with UV, X-rays, electron beams, or other high-energy sub-atomic particles. This causes electrons to come loose from the atoms and molecules, creating ‘electron-hole pairs’ that become separated and trapped at different energy levels.

Then, when the irradiated material is warmed up, it releases the absorbed energy and the trapped electrons and holes come together and recombine. This causes the release of a characteristic glow of light, peaking at different temperatures depending on the magnitude of the separation between electron and hole.

As a general rule, the phenomenon is observed in crystals with an ordered arrangement of atoms and molecules, but it is also seen in disordered materials such as glasses. In this mechanism, imperfections in the atomic/molecular lattice are considered to be the sites at which luminescence appears.

Rey decided to use the technique to investigate water, starting with heavy water or deuterium oxide that’s been frozen into ice at a temperature of 77K. The absolute temperature scale (degree K, after Lord Kelvin) is used in science. (The zero degree K is equivalent to –273 C, and deuterium is an isotope of hydrogen which is twice as heavy as hydrogen).

As the ice warms up, a first peak of luminescence appears near 120K, and a second peak near 166 K. Heavy water gives a much stronger signal than water. In both cases, samples that were not irradiated gave no signals at all.

For both water and heavy water, the relative intensity of the thermoluminescence depends on the irradiation dose. There has been a suggestion that peak 2 comes from the hydrogen-bonded network within ice, whereas peak 1 comes from the individual molecules. This was confirmed by looking at a totally different material that is known to present strong hydrogen bonds, which showed a similar glow in the peak 2 region, but nothing in peak 1.

Rey then investigated what would happen when he dissolved some chemicals in the water and diluted it in steps of one hundred fold with vigorous stirring (as in the preparation of homeopathic remedies), until he reached a concentration of 10 to the power -30 g per centilitre, and compare that to the control that has not had any chemical dissolved in it and diluted in the same way.

The samples were frozen and activated with irradiation as usual.

Much to his surprise, when lithium chloride, LiCl, a chemical that would be expected to break hydrogen bonds between water molecules was added, and then diluted away, the thermoluminescent glow became reduced, but the reduction of peak 2 was greater relative to peak 1. Sodium chloride, NaCl, had the same effect albeit to a lesser degree.

It appears, therefore, that substances like LiCl and NaCl can modify the hydrogen-bonded network of water, and that this modification remains even when the molecules have been diluted away.

The fact that this ‘memory’ remains, in spite of, or because of vigorous stirring or shaking at successive dilutions, indicates that the ‘memory’ is by no means static, but depends on a dynamic process, perhaps a collective quantum excitation of water molecules that has a high degree of stability.

Source: Rey L. Thermoluminescence of ultra-high dilutions of lithium chloride and sodium chloride. Physica A 2003, 323, 67-74.


Homeopathic Medicine is Nanopharmacology

The author, Dana Ullman, M.P.H. advises or teaches in alternative medicine institutes at Harvard, Columbia, and University of Arizona schools of medicine, and has developed the curriculum in homeopathy for the University of Arizona’s Program in Integrative Medicine.

Western science has been marching towards the discovery of increasingly smaller particles of matter for the past centuries, from molecules and atoms to sub-atomic particles and quarks.

Likewise, the evolution of technology has witnessed the miniaturisation of devices along with their increased capabilities. “Nanotechnology” has become the popular term to refer to the study and manufacture of devices of molecular dimensions, of the range of nanometers or one-billionth of a meter.

Dr. Neal Lane, former director of the US National Science Foundation (NSF) said, “If I were asked for an area of science and engineering that will most likely produce the breakthrough of tomorrow, I would point to nanoscale science and engineering.”

A 1999 report from NSF Technology Council predicted that nanotechnology’s impact on the health, wealth, and security of the world’s population is expected to be “at least as significant as the combined influences of antibiotics, the integrated circuit, and human-made polymers”.

So far, research and development in nanotechnology in medicine have been limited to devices that monitor or replace biochemical processes in the body. But as yet, conventional scientists and physicians have not considered using nanopharmacological doses of medicinal agents.

Our conventional medical paradigm has tended to assume that increasingly large doses of pharmacological agents will create increasingly significant biological effects, even when it is well recognized that large doses of pharmacological agents do not necessarily lead to better or improved health.

In fact, increasing doses of most drugs generally lead to increased side effects. Most drugs have primarily been developed to replace, suppress, minimize, or interfere with specific biochemical function, while the discovery of pharmaceutical medicines to augment a person’s own immune and defence system has been an elusive and usually ignored goal.

Ironically, the few pharmacological agents that have been used in conventional medicine today that do something to augment a person’s immune system are immunization and allergy treatments, both of which are based on an ancient (and modern) pharmacological principle of “similars.” (Although there are obvious similarities between these conventional medical treatments and homeopathic medicines, there are also significant differences, including: the homeopathic medicines are considerably smaller in dose and are individualized to the person’s total syndrome of symptoms, not simply to a localized or defined disease.) This concept of similars, that is, of using a medicinal agent in small doses based on what it causes in larger, toxic doses, represents the underlying principle of homeopathic medicine.

Largely as a result of the AIDS epidemic, it has made sense to seek to discover drugs that strengthen a person’s immune and defence system rather than seek to minimize the various individual symptoms that a person experiences. However, most physicians and scientists lack a conceptual framework for pharmacological agents that have this effect. And sadly, most are also ignorant and disdainful of homeopathy, which they commonly but incorrectly assume, uses such small doses that the medicines cannot have any biochemical let alone clinical effect.

While this skepticism of the efficacy of small doses of medicine is understandable from a strictly rational perspective, it ignores the large body of evidence from basic science, controlled clinical studies, epidemiological data, clinical outcomes trials, and historical review of the field.

Before discussing this evidence, it is useful to understand that homeopaths are the first to recognize that their medicines will not have any biological effect or clinical result unless the complex of symptoms that the sick person experiences are similar to the complex of symptoms that the medicine has been found to cause when given in toxic doses. It is not as though small doses of simply any medicine will elicit therapeutic results; such small doses can and will only initiate a healing response when a person is hypersensitive to a specific medicine.

Basic principles of physics teach us that hypersensitivity exists when there is resonance. Homeopathy is itself based on resonance (commonly referred to as the “principle of similars”). Even the word “homeopathy” is derived from two Greek words, “homoios” which means similar, and “pathos” which means suffering or disease.

Typically, homeopaths engage patients in a detailed interview to elicit the various physical, emotional, and mental symptoms that the sick person is experiencing. Homeopaths seek to find a medicinal agent that has the capacity to cause in healthy people the similar symptoms that the sick patient is experiencing. Rather than treating localized symptoms or a specific disease, homeopaths treat syndrome complexes, of which the symptoms and the disease are a part. Once a conventional medical diagnosis is determined, the homeopath then seeks to find the symptoms that are unique to the patient, and then, a homeopathic medicine is individualized to each patient’s symptom complex.

Homeopathic medicine presents a significantly different pharmacological approach to treating sick people. Instead of using strong and powerful doses of medicinal agents that have a broad-spectrum effect on a wide variety of people with a similar disease, homeopaths use extremely small doses of medicinal substances that are highly individualized to a person’s physical and psychological syndrome of disease, not simply an assumed localized pathology.

Homeopathic medicines are so small in dose that it is appropriate to refer to them as a part of a newly defined field of nanopharmacology. To understand the nature and the degree of homeopathy’s nanopharmacology, it is important to know the following characteristics of how homeopathic medicines are made.

  1. Most homeopathic medicines are made by diluting a medicinal substance in a double-distilled water. It should be noted that physicists who study the properties of water commonly acknowledge that water has many mysterious properties. Because homeopaths use a double-distilled water, it is highly purified, enabling the medicinal substance to solely infiltrate the water. The medicinal solution is usually preserved in an 87% water/alcohol solution.
  2. Each substance is diluted, most commonly, 1 part of the original medicinal agent to 9 or 99 parts double-distilled water. The mixture is then vigorously stirred or shaken. The solution is then diluted again 1:9 or 1:99 and vigorously stirred. This process of diluting and stirring is repeated 3, 6, 12, 30, 200, 1,000, or even 1,000,000 times.
  3. It is inaccurate to say that homeopathic medicines are just extremely diluted; they are extremely “potentized.” Potentization refers to the specific process of sequential dilution with vigorous stirring. The theory is that each consecutive dilution in conjunction with the process of shaking/stirring infiltrates the new double-distilled water and imprints upon it the fractal form of the original substance used (fractal refers to the specific consecutively smaller pattern or form within a larger pattern).

Some highly respected basic scientific research has begun to verify the claims that homeopaths have made for 200 years, and that various extremely low concentrations of biological agents can exhibit powerful biochemical effects. Beta-endorphins are known to modulate natural killer cell activity in dilutions of 10-18. Interleukin-1, an important agent in our immune system, has been found to increase T-cell clone proliferation at 10-19. And pheromones, which are externally emitted hormones that various animals and insects are known to create, will result in hypersensitive reaction when as little as a single molecule is received (scientists have no way at present to assess the effects of less than a molecule).

It is commonly observed that organisms experience a biphasic response to various chemicals, that is, extremely small doses of a substance exhibit different and sometimes opposite effects than what they cause in high concentrations. For instance, it is widely recognized that normal medical doses of atropine block the parasympathetic nerves, causing mucous membranes to dry up, while exceedingly small doses of atropine causes increased secretions to mucous membranes.

In fact, many medical and scientific dictionaries refer to “hormesis” or “the Arndt-Schulz law” (listed under “law”) as the observations that weak concentrations of biological agents stimulate physiological activity, medium concentrations of agents depress physiological activity, and large concentrations halt physiological activity.

There is also a significant body of research on hormesis (hundreds of studies) conducted by conventional scientists, none of whom even mention homeopathy. The journal, Health Physics devoted an entire issue to this subject in May, 1987.

Despite this body of research on hormesis, none of it was devoted to investigating the ultra-molecular doses used in some homeopathic medicines. What is interesting to note is that researchers find that the hormetic effects of small doses only seems to influence biological systems when there is repeated dosages of the noxious (or medicinal) agent, while homeopathic clinicians find that the even smaller homeopathic doses have longer lasting effects, and do not require repetition of dosages.

Homeopathy first became popular in Europe and the United States primarily because of the astounding successes it had in treating people during various infectious disease epidemics in the 19th century. The death rates in the homeopathic hospitals from cholera, scarlet fever, typhoid, yellow fever, pneumonia, and others was typically one-half to even one-eighth that in conventional medical hospitals.

Similarly results were also observed in mental institutions and prisons under the care of homeopathic physicians as compared to those under the care of conventional doctors.

A group of researchers at the University of Glasgow and Glasgow Homeopathic Hospital conducted four studies on people suffering from various respiratory allergies (hay fever, asthma, and perennial allergic rhinitis). In total, they treated 253 patients and found a 28% improvement in visual analogue scores in those given a homeopathic medicine, as compared with a 3% improvement in patients given a placebo. (The result was significant at P = 0.0007.).

In the hay fever study, homeopathic doses of various flowers that are known to create pollen that initiates hay fever symptoms were used, and in the other studies, the researchers conducted conventional allergy testing to assess what substance each person was most allergic to. The researchers then prescribed the 30C (100-30) of this allergic substance (House dust mite 30C was the most commonly prescribed homeopathic medicine).

The researchers called this type of prescribing “homeopathic immunotherapy,” and they conclude from their research that either homeopathic medicines work or controlled clinical trials do not.

Technically, this research may be more precisely called “isopathy” because the medicines used were not the “similar” but the “same” (”iso”) substance that was known to cause the specific symptoms of illness. However, the medicines were made in the typical homeopathic pharmacological process, and legally recognized homeopathic medicines were used in these trials.

In addition to this body of clinical evidence, an independent group of physicians and scientists evaluated clinical research prior to October, 1995. They reviewed 186 studies, 89 of which met their pre-defined criteria for their meta-analysis. They found that on average patients given a homeopathic medicine were 2.45 times more likely to have experienced a clinically beneficial effect. When reviewing only the highest quality studies and when adjusting for publication bias, the researchers found that subjects given a homeopathic medicine were still 1.86 times more likely to experience improved health as compared with those given a placebo. The researchers have also noted that it is extremely common in conventional medical research for more rigorous trials to yield less positive results than less rigorous trials.

The most important question that good scientists pose about clinical research (whether it deals with homeopathy or not) is: have there been replications of clinical studies by independent researchers?

Three separate bodies of researchers have conducted clinical trials in the use of a homeopathic medicine (Oscillococcinum 200C) in the treatment of influenza-like syndromes. Each of these trials involved relatively large numbers of subjects (487, 300, and 372), and all were multi-centered placebo-controlled and double-blinded (two of the three trials were also randomized). Each of these trials showed statistically significant results.

One other body of research in the use of Galphimia glauca in the treatment of hay fever was replicated successfully seven times, but this research was conducted by the same group of researchers, and thus far, not by any other researchers.

It would be inaccurate and biased to report only on studies that have shown positive results with homeopathic medicines. There are numerous clinical trials that have shown patients given a homeopathic medicine didn’t experience beneficial results. The meta-analysis described earlier verifies this, but it also suggests that the weight of evidence still suggests that homeopathy is more than just a placebo effect.

How homeopathic medicines work is presently a mystery. And yet, nature is replete with striking examples of the powerful effects of extremely small doses of active agents.

It is commonly known that certain species of moths can smell pheromones of its own species up to two miles away. Likewise, sharks are known to sense blood in the water at large distances.

I stress again that nanopharmacological doses will not have any effect unless the person is hypersensitive to the specific medicinal substance. Hypersensitivity is created when there is some type of resonance between the medicine and the person. Because the system of homeopathy bases its selection of the medicine on its ability to cause in overdose the similar symptoms that the sick person is experiencing, homeopathy’s “law of similars,” as it is called, is simply a practical method of finding the substance to which a person is hypersensitive.

The homeopathic principle of similars makes further sense when one considers that physiologists and pathologists now recognize that disease is not simply the result of breakdown or surrender of the body but that symptoms are instead representative of the body’s efforts to fight infection or adapt to stress. Fever, inflammation, pain, discharge, and even high blood pressure are but a small number of the common symptoms that the organism creates in order to defend and to try to heal itself.

Over 200 years of experience by homeopathic physicians have found that a homeopathic medicine acts longer and deeper when it is more potentized. Although no one knows precisely why this happens, it is conjectured that highly potentized nanopharmacological doses can more deeply penetrate cells and the blood-brain barrier than less potentized medicines. Although there is no consensus on why these ultramolecular doses work more deeply, there is consensus from users of these natural medicines that they do.

One cannot help but sense the potential treasure-trove of knowledge that further research in homeopathy and nanopharmacology will bring in this new millennium.

7 Comments »

  1. Homeopathy relies on the notion that the effects of the diluted substance become more reversed the greater the dilution. The “memory of water” cannot not account for this.

    There is also the small issue that any sample of water has had millions of substances diluted in it over its history, retaining the imprint of all - if it does indeed possess a memory. It’s strange how only those memories created by homeopathic practicioners are have an effect - if they do.

    One would expect ordinary tapwater to kill and cure the drinker thousands of times over, given how many memories it must contain.

    Comment by Kapitano — April 18, 2007 @ 2:48 pm

  2. I have never encountered the notion that the effects of the diluted substance become reversed. The theory is that the diluted substance stimulates the organism to react against whatever causes the same symptoms as the undiluted substance. Moreover, dilution by itself doesn’t do the trick. It’s the specific manner in which substances are diluted (”potentized”).

    Comment by Ulrich Mohrhoff — April 18, 2007 @ 7:40 pm

  3. The “active ingredient” in homeopathic sleeping pills is usually caffine. The earliest forms of homeopathy recommended giving the victim of a rabid dog bite a dilute solution of the rabid dog’s saliva. A varient recommended eating the literal “hair of the dog that bit you”, and we retain the idiom today.

    Sometimes, when people refer to conventional medicines being used “homeopathically” they mean “in a highly dilute form”, but this is a metaphorical use of the term. Samuel Hahnemann himself used the example of Arsenic being deadly in large amounts, less deadly in small amounts, and used as an aphrodisiac and angina treatment in very small doses, because it makes the blood rush.

    It makes a kind of limited sense. If large doses kill and small doses are actually beneficial, then maybe very small doeses are very beneficial.

    As for the preparation method, it originally involved saying an incantation over the substance to be diluted, weighing the proportions (sometimes in scales made of precious metals), mixing slowly, then shaking ten times front-to-back, ten times side-to-side and ten times up-and-down (known collectively as “agitation”), then saying another incantation.

    One by one, the various features of this process were dropped, and now modern homeopathic labs just mix and shake (not in the prescribed way). It would be ludicrously slow and cost-inefficient to mix the classical way.

    As for the stimulation you mention to provoke the body’s reaction against the original toxin, the notion may have been based on the observation that drinking alcohol is a treatment for a hangover. Or that some poisons, taken in small doses, cause vomiting, which can purge the stomach of other poisons. Or indeed that frequently consuming very small amounts of a poison can build up immunity to it.

    All these perfectly valid observations, if extrapolated further, sound kind-of logical, but are of course invalid. Folk medicine tends to be based on this kind of reasoning, and one time out of every hundred might get it right. The rest of the time it’s ineffective and sometimes lethal.

    Comment by Kapitano — April 19, 2007 @ 10:56 pm

  4. It is noteworthy that the Greek pharmakon (hence pharmacy etc.) means both drug and poison. The use of precious metals makes sense since they are chemically the most inert. Hahnemann’s use of incantations is news to me.

    For the rest, see this previous post.

    Comment by Ulrich Mohrhoff — April 20, 2007 @ 9:11 am

  5. I think it is very challenging to evolve much of an opinion concerning homeopathy without a context that includes positive responses a la a placebo effect, and highly specific to the situation data such as is available from controlled hormesis studies.

    And the more I think about it, I think serious consideration of the subject is so open-ended as to even require assumptions and/or conclusions about broader considerations, such as the influence of desire, intentionality or expectation (etc.) as agents of change in the physical.

    bob brueck

    Comment by Bob Brueck — June 13, 2007 @ 4:59 pm

  6. Bob: thanks for your comment and sorry for this late acknowledgment. I agree with all you say, but I would add that the effects of “allopathy” are almost to the same extent enhanced by (if not due to) the placebo effect as those of homeopathy. Irreducible Mind (my review) has a very interesting section on the placebo effect.

    Comment by Ulrich Mohrhoff — August 28, 2007 @ 5:59 am

  7. Homeopathy cures even when Conventional Allopathic Medicine (CAM) fails

    Comment by Dr. Nancy Malik — September 17, 2008 @ 4:49 pm

RSS feed for comments on this post. TrackBack URI

Leave a comment

Blog at WordPress.com.