David S. Riley Materia Medica of New and Old Homeopathic Medicines 2nd Edition Materia Medica of New and Old Homeopathic Medicines David S. Riley Materia Medica of New and Old Homeopathic Medicines 2nd Edition 123 David S. Riley Portland, OR ISBN 978-3-662-54191-3 978-3-662-54192-0 (eBook) https://doi.org/10.1007/978-3-662-54192-0 Library of Congress Control Number: 2017961556 Springer © Springer-Verlag GmbH Germany 2012, 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. 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Cover Design: deblik Berlin Cover illustration: © deblik Berlin Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer-Verlag GmbH, DE The registered company address is: Heidelberger Platz 3, 14197 Berlin, Germany V Foreword 2nd Edition One of the unique characteristics of homeopathy as an evidence-based medical system is the conduct of provings on healthy volunteers. Provings are sometimes compared to conventional phase 1 clinical trials in which the safety and phar- macokinetics of new chemical entities are investigated. While the conduct of a clinical experiment on healthy volunteers as part of the early stage of drug development is a common factor, from that point onwards, homeopathic drug provings are a ›drug development pillar‹ unique to homeopathy. Homeopathic provings were introduced by Hahnemann, and have been con- ducted for over 200 years. It is fair to say that David Riley has been one of the most prolific late 20th century modernizers of homeopathic provings, and this is duly reflected in the 1st edition of his book, which was published in 2012. During the last 5 to 10 years, we have seen what could be described as a ›21st century revolution‹ in the domain of proving methodology and conduct. For instance, the Homœopathic Pharmacopœia Convention of the United States (HPCUS) published its first detailed and extensive proving guideline in 2012. In recent years, the HPCUS proving committee, the European Committee of Homeopathy (ECH) proving committee and the Liga Medicorum Homœo- pathica Internationalis (LMHI) proving committee held several joint meetings, resulting in giant steps forwards towards a global harmonization of proving guidelines. Much more detailed guidance is now available for all aspects of the conduct of provings, ranging from personnel qualifications and training, description of the investigational proving substance, design, data collection and record keeping, safety assurance, data analysis as well as legal and ethical aspects. This significantly revised 2nd edition of Riley’s book is therefore particularly useful, because apart from incorporating many improvements as well as some additional substances, it also reflects the most recent developments in the domain of drug provings. This is immediately evident in the first chapter of the 2nd edition by the more contemporary use of language: for instance, explicit reference is made to the need for Institutional Review Board (IRB) approval of protocols, as well as the Guideline for Good Clinical Practice (GCP) issued by The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH)1. Also, explicit reference is made to the regulatory context in that homeopathic provings may be viewed as a special type of phase 1 clinical trials. The important topic of clearly defining mild and transient proving symptoms as specific for provings, while acknowledging the need for adverse event reporting and handling compliant with modern clinical 1 The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH). ICH harmonized tripartite guideline: Guideline for Good Clinical Practice E6(R1): Current Step 4 version. https://www.ich.org/fileadmin/Public_Web_Site/ICH_Products/ Guidelines/Efficacy/E6/E6_R1_Guideline.pdf. Dated 10 June 1996. Accessed July 06, 2017. VI Foreword 2nd Edition research standards, is mentioned from the onset. This effectively sets the tone for this 2nd edition: while provings are specific and unique to homeopathy, at the same time, provings are experiments on human subjects which need to be embedded within the regulatory and legal framework of modern, evidence- based medicine. The layout of the book has been improved further, and some change made in the way how the remedy pictures are reported. Notably, ›dream‹ symptoms are now listed under a separate header instead of being included in the ›mind‹ sections, and the ›generalities‹ now appear at the end of each chapter. With regard to the listing and indexing of the provings, all substance names have now been consistently latinized. These are followed by the commonly used synonyms. As a useful new feature, the synonyms are also listed in Appendix 2 ›Register of synonyms‹ at the end of the book, enabling easy identification of the appropriate Latin names. In terms of content, 7 substances have been added: 2 provings conducted in the 1990s (Acidum fumaricum and Manganum phosphoricum), as well as 5 more recent provings conducted between 2002 and 2011 (para-Benzochinonum, Pelargonium sidoides, Levothyroxinum, Magnesium gluconicum, Magnesium oroticum). Apart from these new provings, the materia medica of 12 provings published in the 1st edition have been updated and extended (Acidum cis-aconiticum, Adenosinum triphosphoricum dinatrium (ATP), Anthrachinonum, Arteria suis, Baryta oxalsuccinicum, Embryo suis, Glandula suprarenalis suis, Hydro- chinonum, Mucosa nasalis suis, Naphthochinonum, Placenta suis, T richinoylum). The significant advances in proving conduct and methods made during the last 5–10 years include improvements in the methods for ›symptom extraction‹ based on the ›raw data‹ in the prover diaries. Reassessing and reworking the original diary data has enabled the extraction of a ›sharper‹ symptom picture for these substances. So, whilst the overall ›remedy picture‹ of these substances has remained the same, the ›resolution‹ has increased significantly. This is an important advance because the successful individualization of prescribing in homeo pathy hinges on matching the symptom picture of the patient with the ›remedy picture‹ of the homeopathic substance. While some homeopaths argue that there are enough substances already available in the homeopathic materia medica, I am firmly convinced that the success of homeopathy will be determined by its continuing innovation, which includes the introduction of new substances in the materia medica. New substances will hope- fully prove to be clinically useful for both existing and new medical c hallenges we are facing in this day and age. Riley’s book is therefore an example of how we can pave the way for homeopathy’s continued and increased success in the future. Dr. Robbert van Haselen Member Proving Working Group of the Pharmacopoeia Review Committee (PRC) of the Homœopathic Pharmacopœia of the United States (HPUS) VII About the Author David S. Riley MD 5 Editor of The Permanente Journal as well as the Integrative Medicine: A Clinician’s Journal 5 Co-Founder, Integrative Medicine Institute, Portland/USA 5 Adjunct Professor, Helfgott Research Institute at the National University of Natural Medicine (NUNM), Portland/USA IX Table of Contents 1 Homeopathic Drug Provings . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Acidum alpha-ketoglutaricum . . . . . . . . . . . . . . . . . . . . . . . . 5 3 Acidum alpha-lipoicum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 4 Acidum cis-aconiticum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 5 Acidum citricum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 6 Acidum fumaricum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 7 Acidum oroticum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 8 Acidum succinicum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 9 Adenosinum mono hydrogen phosphoricum (cAMP) .. . . . . . . 31 10 Adenosinum trip hosphoricum dinatrium (ATP) .. . . . . . . . . . . 35 11 Agnus castus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 12 Anthrachinonum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 13 Arteria suis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 14 Ascophyllum nodosum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 15 Bacterium coli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 16 Baryta oxalsuccinicum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 17 Benzochinonum, para- .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 18 Bryonia alba . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 19 Bryonia dioica . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 20 Calendula officinalis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 21 Cardiospermum halicacabum .. . . . . . . . . . . . . . . . . . . . . . . . 73 22 Cartilago suis .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 23 Caulophyllum thalictroides . . . . . . . . . . . . . . . . . . . . . . . . . . 81 24 Coenzymum A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 25 Colocynthis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 26 Cuprum formicicum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 27 Cysteinum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 28 Embryo suis .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 29 Fucus vesiculosus .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 30 Fumaria officinalis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 31 Funiculus umbilicalis suis .. . . . . . . . . . . . . . . . . . . . . . . . . . . 111 32 Galphimia glauca .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 33 Geranium robertianum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 34 Glandula suprarenalis suis . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 35 Glyoxalum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 36 Hepar suis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 37 Hydrochinonum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 38 Kalium tetraiodobismutatum .. . . . . . . . . . . . . . . . . . . . . . . . 137 39 Levothyroxinum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 40 Luffa operculata . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 41 Magnesium gluconicum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 42 Magnesium oroticum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 X Table of Contents 43 Mahonia aquifolium .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 44 Manganum phosphoricum .. . . . . . . . . . . . . . . . . . . . . . . . . . 155 45 Medulla ossis suis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 46 Methylglyoxalum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 47 Mucosa nasalis suis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 48 Myosotis arvensis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 49 Nadidum (NADH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 50 Naphthochinonum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 51 Natrium oxalaceticum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 52 Natrium pyruvicum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 53 Nicotinamidum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 54 Okoubaka aubrevillei .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 55 Oleander . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 56 Oleum Pini .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193 57 Oxalis acetosella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195 58 Pancreas suis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199 59 Pelargonium sidoides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 60 Placenta suis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 61 Pyridoxinum hydrochloricum .. . . . . . . . . . . . . . . . . . . . . . . . 209 62 Riboflavinum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213 63 Sinusitisinum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217 64 Staphylococcus nosode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 65 Streptococcus nosode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223 66 Symphytum officinalis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227 67 Terebinthina laricina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231 68 Thiaminum hydrochloricum .. . . . . . . . . . . . . . . . . . . . . . . . . 235 69 Tormentilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 70 Trichinoylum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 71 Urtica urens .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247 72 Veronica officinalis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 73 Zincum aceticum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255 74 Zincum gluconatum .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259 75 References .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263 Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265 Appendix 1: Overview of Provings.. . . . . . . . . . . . . . . . . . . . . . . . . 266 Appendix 2: Register of Synonyms . . . . . . . . . . . . . . . . . . . . . . . . . 276 1 1 Homeopathic Drug P rovings General Methodological Considerations Homeopathic drug provings (HPDs) are a clinical research tool unique to homeopathy that provides qualitative information on the use of homeopathic medications in healthy people and guides prescribing for patients. In turn, the use of homeopathic medications in clinical practice by experienced clinicians further refines the symptom picture. The HDP results presented in this Materia Medica were conducted from 1993‒2011 using Institutional Review Boards (IRBs) or Ethics Commissions (ECs) approved protocols, explicitly following Good Clinical Practice (GCP) guidelines, as well as pre-determined criteria for adverse events and the selection of symptoms (Riley 1997). Since the early 1800s HDPs have been used to evaluate the effects of homeopathic substances using a similar clinical trial design to Phase I trials. Regulatory agencies that oversee Phase I trials define adverse events as untoward medical occurrences in clinical trial subjects while administered a pharmaceutical product. Subjects in HPDs experience a range of mild, tem- porary symptoms that are a key component in establishing a symptom picture for a homeo- pathic medication. The quality and range of symptoms are usually not known prior to the HPD. Protocols for HPDs need to include criteria for handling adverse events in an HDP. Symptoms experienced by subjects in a HDP are organized into a pattern to facilitate the clinical use of the homeopathic medication. Dr Samuel Hahnemann, the founder of homeo- pathy, was a physician, chemist and translator of scientific literature. He conducted a now famous self-experiment with cinchona bark, observing symptoms of intermittent fever associated with malaria. This self-experiment was a foundation for his recommendations for HDPs outlined in his seminal work The Organon of the Art of Healing (Hahnemann 1983). In the Organon, Hahnemann emphasized that, in his opinion, a HDP was essential in deter- mining the effects of a substance on the human being: »[…] There is no other possible way of correctly ascertaining the characteristic action of medicines on human health – no single surer, more natural way – than administering individual medicines experimentally to healthy people in moderate doses in order to ascertain what changes, symptoms, and effects each in particular brings about in the body and the psyche . […]« [§108]. As can be noted in §108, he stressed the need to conduct HDPs using healthy volunteers as the best method for achieving an accurate homeopathic symptom picture. The Organon provides scientific directions on how to conduct a HDP [§§105–145]. © Springer-Verlag GmbH Germany 2018 D.S. Riley, Materia Medica of New and Old Homeopathic Medicines DOI 10.1007/978-3-662-54192-0_1
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