“Until November 2002, doctors had relied on a normal TSH level ranging from 0.5 to 5.0 to diagnose and treat patients with a thyroid disorder who tested outside the boundaries of that range. Now AACE encourages doctors to consider treatment for patients who test outside the boundaries of a narrower margin based on a target TSH level of 0.3 to 3.0. AACE believes the new range will result in proper diagnosis for millions of Americans who suffer from a mild thyroid disorder, but have gone untreated until now.”

“The prevalence of undiagnosed thyroid disease in the United States is shockingly high – particularly since it is a condition that is easy to diagnose and treat,” said Hossein Gharib, MD, FACE, and president of AACE. “The new TSH range from the AACE guidelines gives physicians the information they need to diagnose mild thyroid disease before it can lead to more serious effects on a patient’s health – such as elevated cholesterol, heart disease, osteoporosis, infertility, and depression.”⁴

Now, 6 months after the new directives have been given, doctors are still largely unaware of these new lab guidelines for diagnosis and treatment. Even the major labs doing thyroid testing have not bothered to change the now incorrect normal ranges for both diagnosis and treatment of thyroid disorders.

The normal range for thyroid hormone levels in the past have been based on statistical norms (called 2 standard deviations). This means that out of every 100 people, those with the 2 highest and lowest scores are considered abnormal and everyone else is defined as normal. That means if a problem affects over 2% of the population( and as many as 24% of women over 60 are hypothyroid⁵ and 12% of the population have abnormal antibodies attacking their thyroid⁶ ), then our testing system will still miss most of them. In addition, our testing system does not take biological individuality into account. To translate how poorly this “2%” system works, consider this. If we applied it to getting you a pair of shoes, any size between a 4 and 13 would be “medically normal.” If a man got a size 5 shoe or a woman a size 12, the doctor would say the shoe size they were given is “normal” and there is nothing wrong with it!

This increased the number of Americans with Thyroid illness from 13 million to approximately 27 million. Unfortunately, over 13 million Americans with thyroid disease remains undiagnosed⁴, and the majority of those receiving treatment are not being dosed appropriately^{5 6}. Doctors do not know that they have not been adequately trained in the proper diagnosis or treatment of hypothyroidism, and the cost in human life and devastating illness is enormous. What makes this especially tragic is how easy treatment is if doctors were given the correct information. Even the major laboratories continue to give erroneous normal ranges for the tests, simply because they’re not aware of the guidelines of the AACE or the information put out by their National Association of Clinical Biochemistry.

WHAT IS THE COST OF MISSING HYPOTHYROIDISM?

1. Over 30,000 preventable deaths/year from heart attacks. Women with untreated hypothyroidism are more than twice as likely to have a heart attack. A study in the prestigious Annals of Internal Medicine noted that hypothyroidism “contributed to 60 percent of cases of myocardial infarction [heart attacks] among women affected by subclinical [even mild] hypothyroidism”. It contributed more to causing heart attacks in these patients than smoking, elevated cholesterol, high blood pressure, or diabetes!⁷. Another new study supports this showing that Subclinical hypothyroidism was associated with a 2.6-fold increased prevalence of ischemic heart disease.^7a
2. Over 4600 miscarriages/yr after 15 weeks of pregnancy-countless more before. Six percent of miscarriages are associated with hypothyroidism. Undiagnosed hypothyroidism is also associated with infertility. In moderate to severely hypothyroid mothers, the baby was also over 6 times as likely to die soon after being born.⁸
3. Learning disabilities – Children born to hypothyroid mothers have a lower IQ (average of 7 points). They are almost 4 times as likely to have an IQ under 85 and over twice as likely to have learning difficulties resulting in their having to repeat a grade.⁹
4. Hypothyroidism contributes to millions being unnecessarily disabled. Over 6 million Americans have Fibromyalgia and tens of millions more have chronic muscle pain. Undiagnosed or inadequately treated thyroid disorders contribute to these unnecessarily disabling conditions^{1 2 3} . Our initial understanding of this was elucidated by Dr. Janet Travell, who was the white house physician for President Kennedy-who suffered from excruciating back pain.¹⁰ Dr. Teitelbaum’s recently published research shows that 91% of these patients can improve with proper treatment-especially including thyroid hormone.²
5. Hypothyroidism is a major cause of gaining and being unable to lose weight. It causes fatigue, dry hair, coarse skin, depression, and “brain fog” as well. Americans are currently treating hypothyroidism, which is often confused as being depression, with Prozac! This is an even bigger problem in the elderly who are being misdiagnosed with depression or Alzheimer’s/ senility when what they have is hypothyroidism.

What makes this situation especially tragic is that, given the proper information, hypothyroidism is incredibly easy and inexpensive to diagnose and treat. Instead, because of lack of awareness on the part of physicians, Americans unnecessarily suffer with a major public health disaster.

¹ From Fatigued to Fantastic! (Avery/Penguin Putnam 2001;1st edition 1995). Jacob Teitelbaum M.D.

² Teitelbaum JE, Bird B, Greenfield RM ,Weiss A., Muenz L, Gould L. Effective Treatment of CFS and Fibromyalgia. A Randomized, Double-blind, Placebo-controlled, Intent to Treat Study. The Journal of Chronic Fatigue Syndrome. Volume 8(2), 2001,pg3-28.

³ Teitelbaum J, Bird B. Effective Treatment of Severe Chronic Fatigue: A Report of a Series of 64 Patients. J Musculoskeletal Pain 1995; 3 (4):91-110.

⁴ Press release on AACE web site: http://www.aace.com/pub/tam2003/press.php

⁵ Canaris GJ ,et al.The Colorado Thyroid Disease Prevalence Study :Archives of Internal Medicine, Feb 28,2000 p526-534.

⁶ National Assn of Clinical Biochemistry web site. http://www.nacb.org/lmpg/thyroid_LMPG_PDF.stm p31-46

⁷ HAK AS,Subclinical Hypothyroidism is an independent Risk Factor for Atherosclerosis and MI in Elderly Women. Annals of Internal Medicine 2000;132:p270-278.

^7a J Clin Endocrinol Metab 2004;89:3365-3370

⁸ Allan WC,et al. Maternal Thyroid Deficiency and Pregnancy Complications; Implications for population Screening. J Medical Screening.2000 .Pg127-130

⁹ Haddow JE,et al. Maternal Thyroid Deficiency During Pregnancy and Subsequent Neuropsychological Development of the Child. New England Journal Of Medicine 1999:P549-555.

¹⁰ Travell J, Simons DG, Simons L: Perpetuating Factors. Chapter 4. In: Myofascial Pain and Dysfunction: The Trigger Point Manual. Williams and Wilkins, Baltimore MD,

]]> 5737 https://healthy.net/2003/09/02/migraine-relief-spray-shows-promising-clinical-results-2/?utm_source=rss&utm_medium=rss&utm_campaign=migraine-relief-spray-shows-promising-clinical-results-2 Tue, 02 Sep 2003 22:30:02 +0000 https://healthy.net/2003/09/02/migraine-relief-spray-shows-promising-clinical-results-2/ LA JOLLA, CA – A clinical study of migraine sufferers using a new over-the-counter homeopathic drug administered as a sublingual spray (under the tongue) resulted in approximately 87% of the participants receiving relief in an average of less than 7 minutes. Researchers at Marshall Blum Clinical Specialists conducted the study of the new sublingual spray and noted that there were no reports of adverse side effects.

Commenting on the study, Dr. James F. Balch, co-author of the best selling book “Prescription for Nutritional Healing” stated, “In my opinion this new spray is the most effective over-the-counter migraine pain reliever to enter the market for two reasons. First, the solution relieves the headache by relaxing blood vessel dilation without suppressing the brain receptors’ ability to feel pain, thereby avoiding rebound headaches. And second, by administering the drug under the tongue patients avoid complications in the gastro-intestinal tract, namely bleeding, which can be caused by traditional OTC pain medications. This revolutionary product will change how migraine sufferers manage their pain.”

The spray’s primary active ingredient, the medicinal herb, feverfew, has been used for centuries in the treatment of headaches, fever and general pain. Other studies of feverfew, including those reported in the prestigious medical publications “The Lancet” and “The British Medical Journal” have demonstrated feverfew’s potential for migraine prevention. These studies showed a statistically significant number of patients reported a reduction in the number and/or severity of migraine attacks when using feverfew on a daily basis for prophylaxis (prevention).

In addition, an ongoing doctor test using MigraSpray for prophylaxis is being conducted in New York City at the Centers for Integrative and Complimentary Medicine. Of the patients studied using MigraSpray on a continual daily basis, approximately 90% have had their migraine headache attacks eliminated.

It’s estimated that 32 million Americans, or nearly 12% of the U.S. population suffer from migraine headaches. Women comprise approximately 76% of sufferers and men 24%. An estimated 150 million workdays a year are lost due to headache pain, costing as much as $13 billion annually in lost productivity.

If you are a healthcare practitioner and would like to make MigraSpray available to your patients please call (800) 454-6790 to place your order or if you are a consumer who would like to order MigraSpray click here or call them toll free at (800) FAST-RELIEF(327-8735).

Such preparations are generally very safe, if used judiciously. On the other hand, although the Homeopathic Pharmacopoeia of the United States (HPUS) is protected by Federal law, some allegedly “homeopathic” preparations may contain substances not included in it, or may not have been made according to its standards. Both the industry and the FDA are even more concerned about some newer preparations marketed for obviously chronic and dubious indications, such as weight loss, “sexual rejuvenation,” and the like.

For all of these reasons, the public is well advised to avoid products in which the ingredients are not specified and the manufacturer does not explicitly adhere to the HPUS rules. All inquiries regarding remedies and preparations should be reported to the American Association of Homeopathic Pharmacists, P. O. Box 2273, Falls Church, VA 22042.

In any case, the standard cold, flu, and other acute preparations are generally reliable and quite safe for occasional use. Under most circumstances they should not be used for more than a few days at a time without professional supervision; and persistence, worsening, or frequent recurrence of any complaint usually indicates the need for professional help, i.e., diagnosis and perhaps treatment.

Prolonged or repeated use of combination remedies for symptomatic relief also favors the conditions in which adverse effects are more likely. Homeopathy teaches that all medicines have the power either to provoke or to relieve the same symptoms, depending on the dosage and the sensitivity of the patient.

A simple rule of thumb is that a medicine will be more likely to produce symptoms, not just relieve them, 1) the more sensitive the patient is to it, 2) the larger the dose, and 3) the more times it is repeated. This common-sense warning of course applies equally to single remedies, herbs, and above all to conventional drugs, whose habituating and addictive powers are directly proportional to their tendency in large material doses to reproduce much the same symptoms that at first they seemed to cure.

The risk of adverse reactions to combination remedies is also proportional to the number of separate ingredients to which a sensitive patient could respond. Nor are these sensitivities readily predictable without detailed study of the ingredients, i.e., exactly the circumstances under which single remedies would do as well or better with far smaller and fewer doses.

In general, then, the combinations are rather more subject to abuse than the single remedies, which are usually taken only for short periods, and only after individualized study. But they are still far safer than the comparable OTC pharmaceuticals, such as anti-histamine cold preparations, which contain much larger doses of potent chemical drugs.

How effective are the combination remedies? For some people, they are very effective indeed. I have always had patients who swore by this or that “teething” combination or cold remedy. Among the newer ones, OSCILLOCOCCINUM and its equivalents have become justly popular in a short time, and I know of many instances in which it saved my patients or their friends a visit to a doctor and a considerable expense, and, above all, helped them to heal themselves without a doctor. I’m all for that, in whatever shape or form — and the more, the better. In these cases, and many others like them, combination remedies are often effective in just a few doses, and need not be repeated again for a long time. Not a bad “bottom-line” criterion.

Nor can it be held against the combination remedies that they don’t always work. Single remedies don’t work all the time either, even in hands far more skilled than mine. Like worsening, healing is always possible, never certain: it is a property of individuals, not disease categories. So let me repeat: there is nothing wrong with the acute care combinations, as long as a few simple and obvious precautions are observed, and temporary symptomatic relief is all that is required. But homeopathy is capable of vastly more than that.

Combination remedies palliate because of a crude correspondence between a common symptom or illness category (colds, flu, cough, etc.) and its various ingredients. But homeopathy teaches that each single remedy produces a characteristic totality of responses that is different from that of every other substance. When a remedy can be found that approximates the picture of the illness as a whole, genuinely and profoundly curative responses are often possible, even in obstinate chronic diseases.

Experiences of this kind suggest that falling ill and recovering from illness are concerted responses of the organism as a whole, and cannot simply be programmed or manipulated through temporary relief of a symptom or technological control of an abnormality. This is the best reason for studying and using single remedies, which are distinctive and recognizable totalities that can match and therefore help us understand and work with the unique individuality of living patients.

When patients are truly cured of an illness, they take with them the immunological “memory” of the healing process: their bodies recognize (and their minds often remember) which groups of symptoms traveled together, which separately, what causal factors were operating, and the like. The proof of course is that next time the picture is clearer and the response more rapid and effective. Using remedies effectively for self-healing is essentially a methodology for training this kind of psychophysical awareness, and homeopathy does so chiefly through the discipline of studying and using single remedies.

This study is by no means a simple one. I have been immersed in lt for fifteen years, and have only just begun. Yet the method is wonderfully accessible to lay people, who may study and use remedies at their own pace, as a guide to their experience, not infrequently with results at least as good as mine. The remedies are archetypes of falling ill and getting well again that are profoundly satisfying and worthy of study for their own sake, because they exist in real life — a most improbable coincidence that partly explains the art and skill and excitement that are given to those who are willing to make the effort.

I know of no other way to explain the equally improbable revival of homeopathic self-care in our recent history, which is almost
wholly attributable to the single remedy method. By the 1960’s,
homeopathic medicine had almost died out as a profession in this country, and survived only because of the dedication of the lay public and a few dozen physicians who clung to the old ways, i.e., to the single remedy. Now it is rising again, thanks largely to the impetus of the self-care movement: groups of interested lay people are springing up everywhere, and are studying and using single remedies with an intensity that leaves the principal manufacturers scrambling to overtake the demand.

So I have no quarrel with the combination remedies They’re quite safe, and they work well enough for what they’re designed to do. But they are as far from what homeopathy is capable of as is applying a band-aid, or taking a drug to control an abnormality, from learning how to heal ourselves.

Nor does such a view necessarily imply any hostility to Homeopathy. Quite the contrary, it often reflects a deepening skepticism about all forms of treatment, especially the more aggressive modalities of conventional medicine, and even a humanistic preference for the “placebo effect”, i.e., the ancient vis medicatrix naturae, the unassisted healing effort of the patient, as a model of the healing process in general.(1)

Moreover, it is a view that Homeopathy itself has never really refuted, partly because we still do not know how our medicines act, or how our patients are cured, and partly, I suspect, because our history as a persecuted minority makes us almost not want to know, or indeed to do anything else to attract further attention to ourselves. Nor is it by any means a simple matter to demonstrate the effectiveness of the high attenuations even to someone who is prepared to examine the evidence with an open mind.

Nevertheless, while it may be quite difficult to prove that our remedies actually work, there is a very substantial body of evidence that they do so; and, to refute the argument that they are placebos, it is not necessary to prove that they act curatively, which is of course a more complicated matter, but only that they act at all, that something happens as a result of their action, rather than simply on account of the interaction between the physician and the patient. Conversely, it is could be proved that our remedies were in fact nothing but placebos, let us by all means admit it with good grace, since, quite apart from having deluded ourselves all these years, knowingly giving placebos or just saying that we don’t know would be incalculably simpler and less expensive than the elaborate rigamarole that we actually practise!

As many of you know, there have been a substantial number of experimental studies demonstrating that the homeopathic remedies in high dilution can stimulate or inhibit the growth of various bacteria, plants, molds, fruit flies, etc., as well as the enzymatic activity of some in vitro or cell-free systems. But, inasmuch as these have already been described fairly extensively in the literature, I will concentrate on the clinical data, where my own experience lies.

It seems to me that there are a considerable number of clinical situations in which we can show quite convincingly, albeit without any formal proof, that the homeopathic remedies act, or a least are capable of acting. In the remainder of this paper, I will try, first, to group these situations into categories, and, second, to give cases from my own records to illustrate them, insofar as possible.

1 . Cases where spontaneous recovery would have been highly improbable, or at least would have required a longer’ period of time than was actually observed.

8-pound baby girl, full-term, born at home in February, 1976, following a prolonged second stage. The baby was born covered with meconium, took a single gasp, and failed to breathe after that. Suctioning of the oropharynx yielded copious thick meconium; endotracheal intubation was unsuccessful (cords not visualized). Heart rate 60 per min., color pale, almost white; no movement. The baby responded somewhat to mouth-to-mouth resuscitation, but could not sustain normal respiration as soon as it was stopped. Gave ARSENICUM ALBUM 200, 1 dose, dry, on the tongue. Almost instantly, the heart began to beat strongly, at a rate of 140 per minute; the child began breathing normally, with good tonus and normal reflexes, and became pink almost immediately. The whole evolution took at most a few seconds. From that moment on, the child continued to behave perfectly normally in every way, as if nothing had happened. She was hospitalized for further observation, but was discharged after 24 hours without any further distress or evidence of aspiration, and without any further medication being required.

I should say in retrospect that, inasmuch as the child was full-term and well-formcd in every respect, she would most probably have recovered eventually, even if the remedy had not been given; but I have no doubt that it would have required at least 24 to 48 hours in thc Newborn ICU, with oxygen, some form of assisted ventilation, and possibly other drugs as well. What was so unforgettable about this case was the extreme rapidity of its evolution, from a life-threatening emergency into a completely normal, stable pattern, in the space of a few seconds. What perhaps convinced me most was the look on my nurse’s face, because she had had her ear glued to the stethoscope the whole time, and had not even seen me give the medication. Less than a second after I gave it, she looked up at me in blank amazement, handed me the stethoscope, and asked, “What happened?” These are the experiences that arc imprinted for life in every practitioner’s mind.

23- year old primigravida, EDC 8 January 1976. Routine prenatal visits: good health, vertex presentation.

15 December 1975. Routine checkup: complaining of increased pressure and movement in suprapubic region. FHT heard in RUQ at 138 per min Definitely breech. Gave PULSATILLA 6x ii t.i.d.

18 December. Mother noted violent movements on the night of the 16th again on the 17th. Position now definitely vertex; FHT heard in LLQ at 150 per min. No other complaints.

5 January 1976. Delivered 7 lb. 6 oz. baby girl after short labor, ROA; no problems.

This was the first breech presentation I had ever turned with PULSATILLA. I had recently read a number of accounts in the old literature recommending its use prior to engagement, or at lest prior to labor. On the other hand, a fairly high percentage of breeches will revert spontaneously in the final weeks, in spite of our best efforts. It was purely circumstantial evidence that led me (and the patient) to believe that the remedy had acted in this case. I used a low potency because the patient otherwise had no symptoms, and I was looking for what could be described as a physiologic effect.

24-year-old primigravida, EDC 8 February 1980. Feeling well; no complaints. 16 November 1979. Routine checkup: fundus 25cm., FHT heard in RUQ. Definitely breech. No treatment.

13 December. No complaints; baby still breech. Gave PULSATILLA 6x ii t.i.d. for 4 days. No change.

11 January 1980. Status quo: position unchanged. Discussed possibility of hospital birth. Gave PULSATILLA 30, I dose, dry t.i.d. for 4 days. No change. 17 January. Ultrasound confirmed breech presentation single fetus.

21 January. Still no change. Gave PULSATILLA 200, I dose, dry daily for 4 days.

25 January. Awoke on morning of the 25th after normal sleep, but baby “felt different.” Definitely vertex; no other complaint.

4 February. Delivered 7-pound baby boy, at home, after average labor; position LOA. No other problems.

Here again, the evidence was circumstantial, but quite convincing. I should mention that from November on the patient was also doing special exercises for converting the breech, and was receiving acupuncture treatments for the same purpose. But these measures were going on more or less continuously. It was actually the potency that appeared to make the difference in this case: both the 6 x and the 30th produced markedly increased fetal movements, but no change m position, whereas the 200th had no effect on fetal movement, but the patient awoke from a sound sleep with the abnormal position corrected.

2 . Cases where conventional medicine had been tried unsuccessfully or the pa tient had been recommended for surgery, yet were cured or at least significantly helped with homeopathic remedies.

4-year-old boy from Hobbs, N.M., with long history of febrile convulsions, and 7-month history of minor seizures. Parents separated when mother was 5 months pregnant, divorced shortly after the birth; mother promptly remarried. Birth was normal and uneventful. Febrile convulsions at 4 months, followed by rash (possibly roseola), and several time thereafter, in the course of acute tonsillitis, otitis media, etc. The seizures were all of the grand mal type, and treated successfully with phenobarbital. Otherwise, the child appeared to be developing normally and in good health, until March 1976, when in the course of a simple URI, with low fever, he developed persistent grand mal seizures and was hospitalized. The EEG was inconclusive. His seizures were controlled with Dilantin and phenobarbital; he was discharged on maintenance doses of both drugs. After a few weeks, he began having many brief episodes of the petit mal type, in which the body stiffened, the head was thrown back, ,the back arched, and the mind would go blank for a few seconds; about half of the time, he would fall to the ground. Zarontin was then added to the regimen, in place of the Dilantin. At the time of his first visit, he was having perhaps 15 to 20 of these episodes daily; the mother had discontinued all medications for 2 weeks at my request.

5 October 1976. First visit: child extremely hyperactive, continually interrupting; speech slurred. Physical exam normal, but twice interrupted by hyperactive episodes. Gave CALCAREA PHOSPHORICA 200, 1 dose, dry plus CALC. PHOS. 6x ii q.i.d. as needed.

25 November. Mother telephoned. Child much improved for about 2 weeks, then old symptoms returning in force for the past 3 days. Gave HYOSCYAMUS 200, 1 dose.

20 December. Mother telephoned. General condition much improved; speech, appetite, hyperactivity much less troublesome. Still fairly frequent petit mal episodes, approx. 6 per day, plus occasional generalized clonic seizures, without loss of consciousness. Gave OPIUM 200, 1 dose.

18 January 1977. Mother telephoned. Several more clonic episodes, similar to above, with continued improvement in general condition; speech “back to normal.” On 10 January, had a severe grand mal seizure, followed by long deep sleep. No seizures at all since then. No treatment.

2 April. By letter: good appetite, doing well in public school; no seizures of any kind.

26 August. By letter: moving to Florida, sent for medical records. Perfectly healthy in every respect; no seizures of any kind.

This case was noteworthy because of the suppressive effect of the anticonvulsant drugs, which abolished thegrandmalactivity but produced petit mal in its place. The treatrnent therefore had to proceed “backward” to the grand mal again, before complete cure could occur.

24 January 1976. First visit. History of stone began in 1972, passed spontaneously; intermittent flank pain since then. Complaining of severe, intermittent left CVA pain for 5 days, radiating to and from the bladder, associated with obstructed urination, and large amounts of sediment in the urine, resembling shreds of tissue. IVP showed 2 large calculi completely obstructing the left uretero-pelvic junction, with considerable hydronephrotic enlargement of the left renal pelvis and calyces. His family physician had recommended immediate surgery. Gave BERBERIS VULGARIS 200, 1 dose and 6x ii q.i.d.

26 January. Pain considerably lessened, almost gone: now merely a dull ache. Gave OCIMUM CANUM 200, I dose, followed by CALCAREA RENALIS 6x ii q.i.d.

16 February. Pain mild, now chiefly in the bladder area, with occasional stinging and dysuria at the urethral meatus. No treatment.

26 February. Much better. Still has occasional twinges of pain, but feels that the obstruction has been removed. No treatment.

25 March. Repeat IVP showed a single stone in the lower pole of the left kidney, with no further evidence of obstruction; second stone in the distal portion of the left ureter, near the uretero-vesical junction. No treatment.

15 November. Recently back on coffee; another episode of severe pain, this time in the LLQ, near the bladder. Gave NUX VOMICA 200,1 dose, and 6 x ii q.i.d.

17 November. Much improved; pain almost gone.

17 January 1977. Passed large stone, approx. 6 x 3 x 5 mm., conglomerate type. Feeling well in every respect. Refused IVP or further treatment.

The experienced homeopath will doubtless excuse the overly hasty, symptomatic type of prescribing that may well have prolonged and could have spoiled this case. I cite it merely as an example of how surgery can often be avoided, even in somewhat threatening situations.

27-year-old weaver, with documented yeast infection intermittently for the past 2 years, treated repeatedly with Mycostatin, with temporary relief.

23 June 1977. First visit. Constant burning in and around vagina, with pain on intercourse; labia flaming red, with sticky white substance clinging to the folds. No discharge. Gave SULPHUR 200, 1 dose.

1 July. Pain lessened, irritation gone. Still very dry on intercourse: “lovemaking has become an ordeal” (whereupon she wept bitterly). She stated that her symptoms had begun shortly after a car accident 2 years ago, in which she had been thrown from the car, and had landed on her buttocks. There was no fracture, but a large bruise appeared and took quite a long time to heal, during which time her present symptoms developed. Gave ARNICA 200, 1 dose, and 6x ii q.i.d.

22 December. Dryness totally gone, no other complaints; feeling well in every respect.

This case is memorable to me, first, because it shows very clearly the flaw of conventional prescribing, which is aimed purely at the microbial pore, the tissue changes, etc., without any thought being given to the unique history of this particular patient. Second, it illustrates how the homeopathic remedy can search back in time, through the life history of the patient, to locate and overcome chronic symptoms traceable, in this case, to mechanical trauma in the distant past.

3. Cases where the patient was extremely skeptical or hostile, or otherwise presumably insensitive to the placebo effect (e.g., newborn babies, animals, comatose patients, etc.), yet were cured or significantly benefited with homeopathic remedies.

30-year-old gravida i pare i, who gave birth at home in February 1975, with the assistance of a doctor friend, who eventually performed a manual removal of retained placental fragments, after excessive traction on the cord produced sever postpartum bleeding and a placenta that was torn in several places. About 5 weeks postpartum, she developed severe mastitis, with high fever, which was treated successfully with Ampicillin, but recurred as soon as the drug was stopped. This time she was given Keflex, with the same result; even after a second course of Keflex, she developed yet a fourth episode within a few days. At this point she decided, somewhat reluctantly, to try Homeopathy.

6 May 1975. Temperature 102, pulse 120 per minute. The patient lay motionless in bed, as the slightest change of position brought on a violent headache and nausea. Even moving her eyes provoked a severe retro-orbital pain that was quite characteristic of all four episodes. Gave BRYONIA 200, I dose, plus 6 x ii q.i.d., but the patient would not hear of my leaving the house, so little faith had she either in me or my methods. I went to sleep there, it being already quite late in the evening; and, when I awoke the next morning, her temperature was normal, the breast was completely free of swelling or tenderness, and the headache and other pains greatly relieved. She was completely well within 12 hours, and her symptoms never reappeared.

33-year-old mother of two children, complaining of vaginal discharge, itching, and constant desire to urinate.

26 July 1979. Patient appeared extremely agitated, suspicious, and hostile, especially when I told her that I was a homeopath and did not give sulfa drugs, antibiotics, etc., whereupon she became openly scornful, mainly because her symptoms were so violent, and she was in sue! hurry to be rid of them. (She had had them only for about six hours.) turned out that her illness had followed a violent, angry scene with herhusband, interspersed with several bouts of passionate lovemaking (they had until then been separated for 2 weeks), and culminating in his a nouncement that he had been exposed to gonorrhea in the course of his travels. There was considerable dysuria at the end of the stream. Cultures proved negative for VD. Gave STAPHISAGRIA 200, 1 dose, and 6 x q.i.d.

27 July. Symptoms virtually gone.

28 July. No symptoms of any kind. Needless to say, I had to call this pa- tient myself.

My only reason for reporting these two cases is to show you that the patient need not believe in you or the remedies for them to be effective. The second patient was as surly, ill-mannered, and uncooperative a patient as I have ever had The only reason she called me was that I had played volleyball with her hus- band. Neither of them had the vaguest idea about Homeopathy, or even knew that I practiced it; but she was sufficiently desperate to at least give it a try when I told her that I did not write prescriptions.

4. Cases where the patient, conversely, was cooperative, highly motivated, full of faith in me, and in Homeopathy, and presented a classic symptom picture, clearly indicating a well-known remedy (i.e., where the placebo d feet should have been maximal), yet the remedy had no effect whatsoever

This group is exactly the converse of the last, and cases of this type are, alas far too common to be particularly memorable, or toe require much elaboration I mention them simply to show that it is also possible for the remedies not to work sometimes, which could not happen unless they actually did work at other times. If the placebo effect had been the important factor, then surely these arc the patients who should have benefited from it, just as those of the last group are the ones who should not have; but in fact, just the opposite was the case.

5. Cases where the patient developed sulking new symptoms peculiar to or characteristic of the homeopathic remedy.

43-year-old lady, with long-standing history of premenstrual symptoms.

7 November 1979. First visit. Feels well 3 weeks out of 4. About 7 days prior to the onset of the period, she has painful, lumpy breasts, ravenous appetite, nervous irritability. Very haughty. Loves hot drinks; intolerant of dry, spring winds, and of dry weather generally. Most symptoms worse on waking. Gave LYCOPODIUM 200, 1 dose.

10 January 1980. Next period after meds. came on only 2 days after the onset of her symptoms, which were quite mild; and all of them were right-sided, which was unusual. Only the right breast was tender; in addition, there was aching and stiffness of the neck on the right, which was quite new, and an earache on the right side, which she had not had since she was a child. In the midst of these complaints, she felt quite well, and has remained so since.

This type of case is quite common and, to my mind, represents perhaps the most direct and convincing evidence we can have that it is the remedy, rather than simply the suggestibility or the desire of the patient to be healed, that is doing the job. The provings of LYCOPODIUM, the club-moss, show it to be a markedly right-sided medicine. When all is said and done, it is this correspondence between the experimentally proved symptoms of the remedy and the actual symptoms of the patient that distinguishes Homeopathy from all other methods of treatment. So, when you see new symptoms appearing in the course of a treatment, and these symptoms are characteristic or proved symptoms of the remedy you have given, you can be virtually certain that the remedy is acting, whether curatively or otherwise.

I have often heard it said that it is the appearance of a classic aggravation, followed by amelioration, or the curative response in accordance with Hering’s Laws of Cure, that constitute the surest proof that the remedy is acting. But I have seen typical aggravations and curative responses according to Hering’s laws following conventional drugs, surgery, acupuncture, faith healing, placebos, and even in the course of spontaneous cures without any treatment whatsoever. These are simply curative reactions, and cure is always miraculous in the sense that it can always occur or fail to occur, whatever modality we use.

6. Cases where the remedy actually did harm, or at least appeared to catalyze a destructive process in the patient.

27-year-old photographer, with 4-month history of rectal pain and bleeding, diagnosed as a rectal fissure, and recommended for surgery. Past history of migraine (last episode 2 years ago); amoebic dysentery; recurrent prostatitis; and chronic irritation of the eyes, with redness, soreness, and crusting, for which he had used mercuric oxide ointment 3 times a week for the past 5years.

9 October 1975. First visit. Rectal pain most severe after prolonged sitting. Gave NITRIC ACID 200, 1 dose.

21 October. Pain, bleeding almost completely gone within a few days after the medicine; felt revitalized and full of well-being. After 1 week, the original symptoms had reappeared, and had gradually regained their former intensity Also, in the past 24 hours, the soreness of the eyes had increased, and then were occasional brown “floaters” in the field of the left eye. Gave NITRIC ACID 200, 1 dose.

22 October. Left eye totally browned out: can see only fuzzy blotches. Local ophthalmologist made tentative diagnosis of retrobulbar neuritis; patient scheduled for full neurological workup at UNM Medical Center, Albuquerque.

2 November. Returned from hospital with diagnosis of multiple sclerosis. Very large blind spot in left eye, surrounded by grey penumbra; can see some light peripherally. Also quite a lot of fuzziness now in the right eye.

20 November. Right eye almost back to normal. Left eye almost totally blind, except for a narrow, crescent-shaped arc at the periphery.

31 December. Condition unchanged.

I present this case lest you assume, as I think most of us do, that the homeopathic remedies are innocuous, which is, after all, essentially a euphemism for ‘ineffective’. To be sure, such cases are extremely rare; and the safety record of Homeopathy, compared to the conventional method, is quite extraordinary. I would also agree that the remedy in this case undoubtedly only elicited a tendency that would have come to light eventually even without it. Nevertheless, I must continue to live with the fact, as must the patient and his family, that he would have been much better off had he never consulted me in the first place.

So, if you will but take the trouble to practise Homeopathy, you will quickly see that the remedies do actually work, although we do not yet really understand how they work, which of course keeps it interesting. At the same time, we can cheerfully agree with those who say that we are using the placebo effect, if by the placebo effect we mean the simplest model of the healing process itself, the patient’s own healing effort. This is fundamentally what healing is all about. This often succeeds whatever modality is used, and whether the physician attempts to cooperate with it or not. In the words of Paracelsus

“The art of healing comes from Nature, not from the physician; for every illness is inherent in our nature, and every illness has its own remedy within itself. We could not be born alive and healthy were there not a physician already hidden in us.” *

Paracelsus, Selected Writings,

translated by N. Guterman.

Bollingen, pp. 50, 76. passim.

1) Cf. Cousins, N., The Anatomy of an Illness as Perceived by, the Patient, Norton. Chapter 2, ‘The Notorious Placebo . pp. 49-70.

Women tend to experience involuntary urination after childbirth, surgery, or inflammation of the urethra, while men tend to get it if they have a prostate problem. Also, certain prescription or over-the-counter drugs can cause this problem; check with your doctor or read about whatever drug(s) you are taking in the Physician’s Desk Reference or some other popular drug compendium.

There are three types of involuntary urination: 1) stress incontinence, 2) overactive bladder, and 3) overflow incontinence. Stress incontinence leads to a weakened bladder, usually from childbirth or surgery, in which the person accidentally urinates while coughing or laughing. An overactive bladder occurs when the lining of the bladder is hyperactive, causing spasms. Parkinson’s disease, cancer, Alzheimer’s disease, and enlarged prostate can lead to this condition. Overflow incontinence occurs when a disease process prevents the easy emptying of the bladder, causing the person to urinate once an overflow condition is reached.

Whatever the cause of involuntary urination, any symptom must be recognized as a symptom of another problem. It is important to recognize that the word “symptom” is taken from Greek and means “sign” or “signal.” As such, a symptom is a sign or signal of something wrong, and treating it does not necessarily correct that something wrong. In fact, treating a symptom is like unscrewing your car’s oil light because it is blinking. Although such treatment “works,” it does not solve the fundamental problem of the car’s oil pressure.

Likewise, a drug may temporarily get rid of a symptom, but unless it deals with the underlying factors that led to the symptom, the condition will return.

The best way to treat a person who experiences involuntary urination with homeopathic medicines is to seek professional homeopathic care. A homeopath would individualize a natural remedy for the person based on the totality of their symptoms, not just their bladder symptoms. This individualized remedy would strengthen the person’s overall immune and defense system, not only potentially eliminating the symptom but curing the underlying disease.

Although it is preferable and ultimately most effective to seek professional homeopathic care, there are homeopathic medicines that people can learn to use on their own. In fact, a product, called EnurAid, includes many of these homeopathic medicines. It is surprisingly inexpensive, and because it is non-toxic and non-addictive, there is very little risk in trying this remedy.

The following homeopathic medicines, many of which are included in EnurAid, can strengthen your bladder and alleviate some of the discomfort you are feeling.

Homeopathic Medicines

Arnica (Leopard’s bane) is invaluable for involuntary urination after surgery.

Belladonna (deadly nightshade) is effective for people who tend to dribble urine when cold or chilled. They may experience burning pains along the length of the urethra during urination. They tend to have wild dreams, often dreams of urinating.

Causticum is useful when involuntary urination is worse in the winter and better in the summer. Various fears and apprehensions accompany the urination, especially fears that something bad will happen to them. They have a fear of going to bed in the dark. These people also tend to wet their pants when they cough or sneeze or even laugh.

Equisetum (Scouring rush) is for people who wet their pants or their bed for no known reason other than out of habit. It should be considered when the person has no other obvious symptoms. It should also be given when the person experiences wild dreams or nightmares when bedwetting. They tend to dream of crowds of people.

Ferrum phos (iron phosphate) is most effective for daytime wetting in the pants, especially when the person feels the strongest urges while standing. Their urgings to urinate are lessened while lying down.

Kreosotum (Beechwood) is helpful when the person has such a sudden urge to urinate that they do not have enough time to get out of bed to go to the bathroom, this remedy should be considered. These people tend to wet their bed during the first part of the night. Sometimes they will have dreams that they are urinating.

Lycopodium (Club moss) is valuable for people who are so anxious that they constantly worry about what others think of them tend to need this remedy. They usually have fears of trying anything new. They are more apt to wet the bed if they sleep in a warm or stuffy room. They prefer to sleep with an open window.

Taking and Accessing Homeopathic Medicines

Virtually every European city has homeopathic pharmacies, but most major American cities do not. Still, homeopathic medicines are often available in health food stores and in select pharmacies.

People who are new to homeopathy should ask for any of the above remedies in the 6th potency and should take them three or four times a day. If improvement is not noticed after one week, the remedy chosen was not the correct one, and because these remedies are not known to have side effects, no harm is created by trying them.