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FACULTY OF HOMEOPATHY
ار ee
ru tairoduption to
روك ها
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® Your patients are using it
۰
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لحوصوهل أمدزن ۱۹
© OTC sales of homeopathic remedies: £38 million in
2007 and predicted to reach £46 million by 2012
© Pharmacies and supermarkets selling homeopathic
medicines: Tesco, Sainsbury's, Boots and many others
® British Homeopathic Association website receives
around 80,000 visits from the general public a year
AGB FACULTY OF HOMEOPATHY
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Pateat deduced
ROYAL LONDON HOMEOPATHIC HOSPITAL
- in the year 2004 :
® 3,300 new out-patients
® 25,000 follow-up appointments
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لحوصوهل أمدزن ۱۹
GLASGOW HOMEOPATHIC HOSPITAL
- in the year 2004 :
© 1,528 new out-patient consultations
® 7,400 follow-up appointments
© 515 new in-patients
® Threat to close the in-patient service a few years
ago withdrawn due to intense public lobbying
۳2 PATHY
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Potted denen
BRISTOL HOMEOPATHIC HOSPITAL - 2004
© 1,100 new out-patient consultations
© 3,500 follow-up appointments.
LIVERPOOL HOMEOPATHIC HOSPITAL - 2004
® 684 new out-patient consultations
® 6,468 follow-up appointments.
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لحوصوهل أمدزن ۱۹
© 15% of the UK population trust homeopathy (TGI
Global barometer, January 2008)
® A poll of 3,373 people found that 79% would like
to be able to access complementary medicine
alongside conventional treatment in the NHS (One
Poll, January 2009)
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۱
® Your colleagues are using it
e
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۱6 dewueed
© Professional demand for training
© 20-25% of Scottish GPs have had some homeopathic
training
There are 54,000 homeopathic medical doctors and
other healthcare professionals in Europe. Between 25%
and 40% of European healthcare practitioners prescribe
homeopathy occasionally, 7% on a regular basis
FACULTY OF HOMEOPATHY
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Lotkica GP Guvey
© 305 of 540 Lothian GPs replied
® 90% of respondents had recommended or referred
patients for a complementary therapy
© 109 GPs said they wished training in a complementary
therapy
® most of these stated homeopathy as the therapy of
choice
© 95% said they were willing to refer patients for
homeopathic treatment
© 64% wanted such a provision in a hospit |
setting )
out-patient
FACULTY OF HOMEOPATHY
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06000. “Oowplesweutary Oediviae,
ررو(ا) (Bpprouckhes و
® “One of the main reasons for the current upsurge of
‘official’ interest in non-conventional medicine is the
rapidly increasing number of patients who are
seeking help from such practitioners. This has
prompted the Council of Europe to state : ‘It is not
possible to consider this phenomenon as a medical
side-issue. It must reflect a genuine public need
which is in urgent need of definition analy sigcdnty
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© There is a clinical need for it
e
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Phe claicd place ve kowevputhy
© Where there is no effective conventional
alternative
® Where conventional medicine is unsafe
© Where conventional medicine has
unacceptable side-effects
® To minimize the use of conventional
medicine
“ACULTY OF HOMEOPATHY
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Oo ePecive powerdvd treated
® Allergies
® Anal fissures
© Anger
® Bruises
® Chilblains
® Colic
® Fear/phobias
© Glandular fever
® Grief
® Impotence
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Ov ebPecive powedivdd treukvedt
® Intermittent claudication
® Mastalgia
@M.E./ CFS/ PVS
® Nightmares / night terrors
® Premenstrual Syndrome
® Teething
® Urethral syndrome
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Ouse situaiod Por powveotiocal
5
© Pregnant women
® Young children
® The elderly
® Anticipatory anxiety
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® Anxiety
® Depression
® Cramps
® Osteoarthritis
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مر ۱1
freukveut
® Asthma
® Constipation
® Convulsions
® Dysmenorrhoea
© Eczema
© Migraine
® Neuralgias
® Otitis media ( recurrent )
® Psoriasis
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® It’s rewarding
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Phe rewards vP kowevputhy
® Making a difference
® Patient satisfaction
® Effects on consultation technique
® Intellectual achievement
© The joy of detective work
® Making sense of patterns of disease
® Making sense of progress of disease
® Understanding aetiology
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۱
۱۹ ((
® Like cures like
® Minimum effective dose
“ACULTY OF HOMEOPATHY
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® Original sources
© Plant
© Mineral
® Animal
©» Disease
® Serial dilutions
® Succussion
FACULTY OF HOMEOPATHY
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4s there u phewweu kere?
® Clinical research
® Clinical experience
® Consistency of theory
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® British Journal of Pharmacology, 2006 - a study by
University of Aberdeen of Scottish general practices
found that 49% had prescribed homeopathy (323
practices in total)
® The doctor’s mag Pulse reported on a survey of 200
GPs in 2007 - 56% had either provided or
recommended complementary medic
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QC ۶ - wed-undses
® Kleijnen J, Knipschild P, Ter Riet G. Clinical trials of
homeopathy. British Medical Journal 1991; 302:
316-323
® Linde K, Clausius N, Ramirez G, et a/. Are the
clinical effects of homeopathy placebo effects? A
meta-analysis of placebo-controlled trials. Lancet
1997; 350: 834-843
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biede’s pouclusiva
® Linde's conclusion is: "The results of our meta-
analysis are not compatible with the hypothesis
that the clinical effects of homeopathy are
completely due to placebo”
® A reading of the study shows a clearly positive
result for homeopathy
® 49% of the trials were clearly positive and a
further 35% showed a positive tren:
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عوصاص جوم (deined’s
® They found that of 105 trials with interpretable
results, 81 were positive
® They then looked at a sub-group of the most
rigorous trials and discovered that 15 out of 22
found homeopathy to be superior to placebo
® One of Kleijnen's conclusions was that the
evidence found: 'would probably be sufficient for
establishing homeopathy as a regular treatment
for certain ۵۲
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”|١ پجوویرا دا - (Burpust 20۱3
© 110 homeopathy trials were compared with 110
allopathy trials
® Overall positive treatment effect found in both
groups
® Final analysis limited to “best” 8 homeopathy and
6 allopathy trials - significant effect of
homeopathy disappeared
® Conclusion: “The clinical effects of homeopathy
are those of placebo” ۲
® Lancet editorial: “The end of homed pitti
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Lbawet COOS — the Paws
® Standard assessment criteria are insufficient to
gauge “high quality” in homeopathy trials
® Authors did not state which 8+6 trials were analysed
in details so their relevance or value was unknown
® 8 trials of homeopathy cannot fairly represent the
entire research literature!
“win ignore homeopathy’s significant effects in
5
® Some key papers are omitted, others wrongly
included
© The rigour and validity of the paper’s conclusions
were rebutted in later articles (Rutten aac..athensucorray
2008) ۱ سس
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Crateqories vP reseuck evidewe
® The medical conditions for which the published
literature substantiates the clinical value of
homeopathic treatment can be ranked in 3
categories:
1. Systematic reviews with positive conclusions in
specific clinical areas
2. More than one published clinical trial favouring
homeopathy
3. One positive published clinical trial @
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(. Gpstewutio reviews wits Poous va
ابر وا
® Allergies and upper respiratory tract infections
® Childhood diarrhoea
® Influenza
© Post-operative ileus
© Rheumatic diseases
® Seasonal allergic rhinitis
© Upper respiratory tract diseases, including otitis
media
® Vertigo
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i Brac
® Childhood diarrhoea
® Fibromyalgia
® Influenza
® Osteoarthritis
® Seasonal allergic rhinitis
® Sinusitis
® Vertigo
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® Includes...
® Chronic fatigue syndrome
© Premenstrual syndrome
® Post-partum bleeding
® Sepsis
® Stomatitis
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۱60۲ studies:
© امك Wowevpathic Wospital
© Observational study of 6,544 consecutive follow-up patients
over 6 year period in an NHS hospital outpatient unit
© Outcomes were based on scores on a 7-point Likert-type scale
© 70.7% reported positive health changes, with 50.7% recording
their improvement as better (+2) or much better (+3)
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Outpowe studies:
Rove Lodoa Wowerpathic Weospital
® Outcome study of 500 asthma patients
© 07 262 who had been taking conventional
medicines, 29% were able to stop conventional
treatment and 32% reduced their conventional
treatment.
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ODI, Ow 008:
© “A principle of evidence based practice is that the evidence should
be only one influence on clinical decision making, alongside the
expertise and perspectives of both patients and clinicians. However
uncomfortable for health system planners, an evidence based
service should reflect expressed patient preference.” David Tovey,
Editor of BM/ Knowledge
4 > FACULTY OF HOMEOPATHY
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® Presenting complaints
® Systems review
© PMH
مع 9
@SH
® Allergies
® Generals
© Mentals
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© Significant symptoms
® Materia Medica patterns
® Repertorising
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® Single remedy, Single dose
“ACULTY OF HOMEOPATHY
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® Potency
“ACULTY OF HOMEOPATHY
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® Series of Dilutions and Succussions
© Two common Scales in UK
® x or Decimal scale - serial 1:9 dilutions
» or Centesimal scale - serial 1:99 dilutions
® Each Potency written as number, then scale symbol:
© 2x, 3x, 6x, 12x, etc.
6c, 12c, 30c, 200c, M, 10M, CM, MM 7
Ry FACULTY OF HOMEOPATHY
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® Direction of cure
“ACULTY OF HOMEOPATHY
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Oireviiva oP ure
® Most important organs to least important
® Inwards to outwards
® Top to bottom
® Reverse order of appearance of symptoms
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Presmibiay 0 Rewedy
© NHS or private
® Pharmaceutical supply
©» Local chemist
©» Specialist homeopathic pharmacies such as
Ainsworths, Freemans, Helios, Nelsons or Weleda
® Stock order
® Cost
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NHS
ات ۹
® Homeopathic hospital (Bristol, Glasgow, Liverpool,
London)
® In-patient (Glasgow only)
* Out-patient
® Homeopathic clinics around the country
Private practitioners
° Medically qualified
° Non-medically qualified
FACULTY OF HOMEOPATHY
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CPirst prescriptive
® Infant Colic
® Colocynthis
© Night Cramps
© Cuprum metallicum
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۱۹ رز( wedicine?
® Definitions -
® a) “additional to western medicine” or “not taught
in medical schools” ( GP survey )
® b) “all forms of health care which usually lie
outside the official health sector” ( WHO )
®c) “those forms of treatment which are not widely
used by orthodox health-care professions, and the
skills of which are not taught as part of the
undergraduate curriculum of orthodox medical
and paramedical health-care cours:
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۱۹ رز( wedicine?
® Acupuncture
® Alexander technique
® Aromatherapy
® Bach Flower Remedies
® Chiropractic
® Crystal therapy
® Healing
® Herbalism
® Homeopathy
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Okat is ۱ ندوب ?
لاموعع طعأممم هه
® Iridology
® Kinesiology
® Massage
® Osteopathy
® Radionics
® Reflexology
® Shiatsu
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® Outpatient care
® Inpatient care
® Teaching
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—_—
(Pavuly oP Wowevpathy
® The only body in the UK that promotes the
education and training of healthcare professionals in
homeopathy
® 1400 members worldwide in a range of different
professions including doctors, nurses, dentists, vets,
midwives, pharmacists, podiatrists and osteopaths
® Accredited تا available in the UK and overseas
WW.
