Future Necessity of Homoeopathy – A Review

Dr Puneet Kumar Misra B.Sc, BHMS
Lecturer (Practice of Medicine)
Govt Pt J LN H M C Kanpur

In the current situation or position it is a very difficult task to establish a satisfactory carrier in the field of homoeopathic practice, because during the starting stage of homoeopathic education at its initial level, their roles only in the part time practice , part time education or alternative treatment .

But gradually raised the demand of homoeopathy treatment during last two century, this branch of treatment establish   as a complete education and treatment system or carrier. In the treatment of various disorder homoeopathic physician face much more difficulties, because in the homoeopathic education process of treatment i.e. graduate or post graduate levels, the pattern of treatment are only based on the topical( very narrow range) or oral treatment resource and follow the rules of the treatment as per organon of medicine aphorism written by samuel hahnemann in 1833 5^th edition and 1842 6^th edition (6^th edition finally annotated & emended the 1833 5^th edition) from 162-203. But in the two main book of medicine some statement given for homoeopathy they are mentioned below 

Pain and palliative cares (Complementary and alternative therapies chapter 34 Davidson’s Principles and Practice of Medicine, 23rd Edition,) Complementary techniques, such as herbal medicines, vitamins, homeopathy and reflexology, have been used for the treatment of chronic pain but with little evidence of efficacy. It should be noted that herbal medications may interact with conventional drugs, causing adverse effects as the result of drug–drug interactions. St John’s wort (Hypericum perforatum) interacts with many drugs, including many antidepressants used in chronic pain, with increased serotonergic effects. Grapefruit may also increase the risk of serotonergic effects with some antidepressants. Ginkgo biloba may interact with paracetamol to increase bleeding time

Complementary and Alternative Medicine (Harrison’s principal of Internal Medicine 17th edition > Chapter 10).  Homeopathic Medicine
The late eighteenth century also witnessed the emergence of homeopathy, another discipline that arose at least in part as a reaction to the toxicity inherent to many of the allopathic approaches of the day. Homeopathy was developed by Samuel Hahnemann, a German physician, who postulated that substances that cause particular side effects in a well person may be used to treat or prevent such symptoms in an ill person if administered in miniscule amounts—what is known as “the doctrine of similars.” For example, contact with poison ivy (Rhus toxicodendron) causes susceptible persons to experience an itchy, blistering rash. Homeopathy espouses administration of highly diluted extracts of poison ivy to treat other blistering, pruritic eruptions such as varicella. During the early nineteenth century, the then-nascent field of homeopathy used blinded tests on volunteers, presaging wider use of placebo-controlled trials, to “prove” which materials were the most able to induce or relieve symptoms. By the mid-nineteenth century homeopathy had gained considerable presence in the American medical establishment and may, in fact, have facilitated the development of immunization and allergen desensitization, both of which utilize very small quantities of materials to elicit measurable biologic outcomes. Today, however, homeopathy is accepted less fully in the United States than in some other countries: it is the largest of all CAM practices in the United Kingdom, Germany, and France and is widely used in India. In America, only three states currently license the practice of homeopathy. The relative decline of homeopathy relates, at least in part, to the field’s inability to articulate a rational mechanism as to why products that are diluted more than 10⁶⁰-fold, greater than Avogadro’s number, could incite biologic effects. Nonetheless, homeopathic remedies are readily available and commonly recommended by naturopathic physicians and other licensed and unlicensed practitioners

Homoeopathy – the specialist subject is only the seven  i.e. 1) Materia Medica 2) Organon of Medicine 3) Repertory 4) Pharmacy ( 1-4 teaching based branched) 5) Practice of Medicine 6) Paediatrics 7) Psychiatry are all having no peculiar or specialist position in community in the practice for treatment .   

Modern medicine or allopathic – the modern medicine system (allopathic) provide the specialist or super specialist branch as a scope of different level of education and different level of treatment. the specialist branch of the education or treatment is as below 1) Anatomy 2) Biochemistry & Physiology 3) Pathology & Microbiology 4) Forensic Medicine & Toxicology 5)  Pharmacology , 6) Community Medicine 7) General Medicine 8)General surgery   9) Paediatrics 10) Obst. & Gynae. 11) Psychiatry   12) Derma. & Venereo.  13) Orthopaedics , 14) ENT , 15)Ophthalmology  16) Anaesthesiology 17) radiology 18) TB & chest disease . 

The super specialist main branch of medicine in the education or treatment is as below 1) cardiology 2) neurology 3) nephrology 4) endocrinology 5) gastroenterology.

the  super specialist main branch of surgery in  the education or treatment is as below 1) cardiovascular surgery 2) neurosurgery  3) urology 4) gastro surgery 5)  oncosurgery6) paediatric surgery  

Discussion and Conclusion

• Overall when we concluded both pathy on the basis of scope of education and employment then we found that at one side  homoeopathy education having a narrow range of the education and methods of treatment i.e. at PG (specialist) level education only seven subject are present   and having no specialist existence in practice and jobs in community except teaching,  and treatment pattern are topical or oral based resource ,even than the curriculum of the BHMS course is likely equal to the  modern medicine system along with additional subject of homoeopathy i.e. Materia Medica , Organon of Medicine ,Repertory ,Pharmacy
• while on other side modern medicine system having widely range of the education and methods of treatment i.e. at PG (specialist) level education more than thirty four branch of specialist existence in practice and jobs include the teaching and at Post PG (Super Specialist) level more than twenty nine of super specialist branch existence in practice and jobs include the teaching in as per MCI guidelines. Even than the curriculum of the MBBS course is likely equal to the Homoeopathy system of medicine.
• The modern medicine Specialization in Anatomy, Bio-chemistry and Physiology   having no role in the treatment direct or indirect way. its scope in the  teaching including research  
• The modern medicine Specialization in Forensic Medicine and toxicology having no role in the patient treatment but this specialization having an important role in the postmortem service and toxicological study causing death.
• The modern medicine Specialization in Pharmacology having no role in the treatment but its main role in the design of drug development with entire aspect of   safety including toxicity.
• The modern medicine Specialization in the Pathology & Microbiology are not directly  participate in the treatment of patient , but they  help to investigate of different change occurs i.e. molecular ,cytological, histological ,biochemical  in the body due to effect of  causes  and they provide the direction for its confirmation and further proper treatment.  
• The modern medicine Specialization in the Radiology are not directly but partial  participate in the treatment of patient , it  helps to investigate of different anatomical change occurs in the different part of the body through the image study by the help of x-ray ,ultra sound ,CT ,MRI . It also provides the help in pathology for the few study of cytological and histological investigation in deep side of body. 
• The modern medicine Specialization in Community Medicine are not directly  participate in the treatment of patient , but they help  in  the diseases inhibition or prevention through the different National Health Programmes and  list epidemiological methods and describe their application to communicable and non-communicable diseases in the community or hospital situation. This branch having main theme “ prevention is better than cure”
• The  modern medicine Specialization in subject of  Medicine  it separate at  PG (specialist) level education in general medicine ,Psychiatry, Dermatology & VD, Pediatrics and all branch  having the individual   existence in practice of treatment  and jobs in community including  teaching .
• The  modern medicine Specialization in subject of  surgery   it separate at  PG (specialist) level education in general Surgery ,  E.N.T, Ophthalmology, Orthopedics and it having the individual   existence in practice of treatment  and jobs in community including  teaching.
• The modern medicine Specialization in subject of Obstetrics and Gynaecology at PG (specialist) level education it having the individual   existence in practice of treatment and jobs in community including teaching. 
• Anesthesiology specialization having  role in pain clinic but its major role in the support in the all surgical process in the treatment of general Surgery, E.N.T., Ophthalmology, Orthopedics, Obstetrics and Gynaecology, and   all  Super Specialist surgery with management of intensive care unit .  the  Anesthesiology specialization is established very wide range  because the PG (specialist) and post PG (super specialist )  surgical branch having the  dependency on it .  
• PG (specialist) level education in the modern medicine i.e. anatomy ,physiology, biochemistry, pathology, FMT, pharmacology, radiology, community medicine, Anesthesiology, having no  individual  role in the treatment of disease  but it help the medical community in the others way and makes own individual   existence . 
• General medicine ,Psychiatry, Dermatology & VD, Pediatrics, general Surgery, E.N.T., Ophthalmology, Orthopedics, Obstetrics and Gynaecology are only the treatment branch  at PG (specialist) level education  in modern medicine and they also provide the way for the  Post PG (Super Specialist) level education 
• It is the demand of the time and need of the homoeopathy education . the homoeopathy education authority created the wide education program i.e. certificate ,diploma or degree course  in all the subject of the BHMS curriculum (mainly  Anatomy, Biochemistry & Physiology , Pathology & Microbiology ,Forensic Medicine & Toxicology ,Community Medicine, Obstetrics and Gynaecology , Orthopaedics ,ENT ,Ophthalmology, Anesthesiology , radiology )  under strict rules and supervision of the  specialist institute , and all certificate ,diploma or degree course recognized by the different  education authority as well as central government and all state government. 
• The above mentioned branches are totally untouched by homoeopathy at PG (specialist) level education. The homoeopathic education and practice are totally   depending on the modern medicine for it. While during of homoeopathy teaching and practice all are the essential demand, and when the homoeopathy graduate are takes entry in the above branch of medical field then the new field generate for the better employment of the homoeopathic faculty  in all health setup.
• In the above mentioned subject there are also needs of some workshop or seminar arranged through the   specialist institute by the specialist, and only for the homoeopathy candidate and they recognized by the different medical education authority and all governments, for awareness of homoeopath in the concern branch and its scope in the community.

   Reference 

• Medical Council of India Regulations on Graduate Medical Education1997 
• Medical Council of India Postgraduate Medical Education Regulations 2000 (amended up to july, 2017 )
• Homoeopathy (degree course) BHMS regulation,1983 (as amended up to July 2015 )
• Homoeopathy( post graduate degree course)M.D( Hom) regulation,1989 (as amended up to  2016 )