A Condensed History of Homeopathy
- © Dana Ullman, M.P.H. (Excerpted from Discovering Homeopathy: Medicine for the 21st Century, 1995)
- The Opposition to Homeopathy
- The Rise of Homeopathy
- The Fall of Homeopathy
- The Present Status of Homeopathy
The history of homeopathy combines the high drama and intrigue commonly found in the best efforts of the silver screen. Although a movie has not yet been made about homeopathy, it is a film waiting to happen.
Homeopathy became spectacularly popular in the
The history of homeopathy begins with the discoveries of its founder Samuel Hahnemann (1755-1843), a German physician. Hahnemann first coined the word "homeopathy" ("homoios" in Greek means similar, "pathos" means suffering) to refer to the pharmacological principle, the law of similars, that is its basis. Actually, the law of similars was previously described by Hippocrates and Paracelsus and was utilized by many cultures, including the Mayans, Chinese, Greeks, Native American Indians, and Asian Indians (1), but it was Hahnemann who codified the law of similars into a systematic medical science.
Hahnemann's first comments about the general applicability of the law of similars were in 1789 when he translated a book by William Cullen, one of the leading physicians of the era. At one point in the book Cullen ascribed the usefulness of Peruvian bark (Cinchona) in treating malaria to its the bitter and astringent properties. Hahnemann wrote a bold footnote in his translation, disputing Cullen's explanation. Hahnemann asserted that the efficacy of Peruvian bark must be for other factor, since he noted that there were other substances and mixtures of substances decidedly more bitter and more astringent than Peruvian bark that were not effective in treating malaria. He then described his own taking repeated doses of this herb until his body responded to its toxic dose with fever, chills, and other symptoms similar to malaria. Hahnemann concluded that the reason this herb was beneficial was because it caused symptoms similar to those of the disease it was treating. (2)
This account epitomizes Hahnemann. First, he was translating Cullen's work, which indicates that he was one of the more respected translators of his day. By the time he was only 24, Hahnemann he could read and write in at least seven languages. He ultimately translated over 20 major medical and scientific texts. This story reveals Hahnemann as both an avid experimenter and a respected chemist. He had authored a four volume set of books called The Pharmaceutical Lexicon, which was considered one of the standard reference texts for apothecaries/pharmacists of his day. (3) And this account also reveals Hahnemann as an audacious rebel. He was unafraid to speak his mind, even if it meant correcting the analysis of a very respected physician. He was unafraid to question commonly accepted truths. And he had enough initiative to seek his own alternative explanations. After translating Cullen's work, Hahnemann spent the next six years actively experimenting on himself, his family, and a small but growing group of followers. In 1796 he wrote about his experiences with the law of similars in Hufeland's Journal, a respected medical journal in
Hahnemann was particularly disliked by the apothecaries because he recommended the use of only one medicine at a time and prescribing only limited doses of it. (6) Because he recommended only small doses of each medicine, the apothecaries could not charge much for them. And because each medicine required careful preparation, Hahnemann found that the apothecaries were not always making them correctly or were intentionally giving his patients different medicines. As he grew to distrust the apothecaries, he chose to dispense his own medicines, an illegal act at the time in
He moved to Kothen, where he was delegated special permission to practice and dispense his own medicines by Grand Duke Ferdinand, one of the many European royalty who supported homeopathy. (8)
Despite the persecution, homeopathy continued to grow. It grew not just because it offered a systematic approach to treating sick people, but also because orthodox medicine was ineffective and even dangerous. There is general agreement among medical historians today that orthodox medicine of the 1700s and 1800s in particular frequently caused more harm than good. (9)
Bloodletting and application of leeches were common practice even through to the mid-1800s. One French doctor bloodlet so much that some jokingly estimated that he spilled more blood in his medical practice than was spilled throughout the entire Napoleonic Wars. (10). Benjamin Rush, considered the father of American medicine, asserted that bloodletting was useful in all general and chronic disease. (11) As many as 41 million leeches were imported into
The combination of poor medical care and prejudicial reaction against homeopathy is certainly understandable in light of medical education at the time. Nathan Smith Davis, who was the driving force in the creation of tAll the young man has to do is gain admittance in the office of some physician, where he can have access to a series of ordinary medical text-books, and see a patient perhaps once a month, with perhaps a hasty post-mortem examination once a year; and in the course of three years thus spent, one or two courses of lectures in the medical colleges, where the whole science of medicine, including anatomy, physiology, chemistry, materia medica, pathology, practice of medicine, medical jurisprudence, surgery, and midwivery are all crowded upon his mind in the short space of sixteen weeks...and his education, both primary and medical, is deemed complete." (14)
Despite the fact that historians and scientists today consider medicine of the 18th and 19th century as unscientific and even barbaric, orthodox physicians had the audacity to call homeopathy "quackery," "unscientific," "cultish," and "devilish."
The Opposition to Homeopathy
Homeopathy posed a serious threat to entrenched medicine. Orthodox physicians criticized herbalists, midwives, and various other "non-regular" practitioners because they were not medically trained. Homeopaths, however, could not be discredited as being unlearned, since they had been were graduates from many of the same medical schools as "regular" physicians. In fact, many of the initial practitioners of homeopathy graduated from some of the most prestigious medical schools of the day. (15)
Orthodox medicine was also threatened because homeopathy offered an integrated, coherent, systematic basis for its therapeutic practice. In his Pulitzer Prize-winning book The Social Transformation of American Medicine Paul Starr noted, "Because homeopathy was simultaneously philosophical and experimental, it seemed to many people to be more rather than less scientific than orthodox medicine." (16)
One of the most important reasons that orthodox physicians and drug companies disliked homeopathy was that inherent in the homeopathic approach was a sharp critique of the use of conventional drugs. Homeopaths were primarily critical of the suppressive nature of these drugs. They felt that they simply masked the person's symptoms, creating deeper, more serious diseases. Homeopaths also noted that this masking of symptoms made it more difficult for them ultimately to find the correct medicine, since the person's idiosyncratic symptoms are the primary guide to the individual selection of the medicine.
Perhaps the most important reason that conventional physicians disliked homeopathy and homeopaths was well expressed at an A.M.A. meeting by one of the more respected orthodox physicians who said, "We must admit that we never fought the homeopath on matters of principles; we fought him because he came into the community and got the business." (17) Although most physicians, past or present, won't as easily admit it, economic issues play a major role in what is practiced and what is allowed to be practiced.
Hahnemann's principles therefore posed a philosophical, clinical, and economic threat to orthodox medicine.
Homeopathy began growing in the
Members of the A.M.A. had a long-standing animosity towards homeopathy and homeopaths. This feeling ran so strong that shortly after the formation of the A.M.A., it was decided to purge all the local medical societies of physicians who were homeopaths. (20). This purge was successful in every state except
In 1882 the AMA declined to acknowledge the delegates from the
Besides keeping homeopaths out of their societies, the A.M.A. wanted to discourage any type of association with homeopaths. In 1855 the AMA established a code of ethics which asserted that orthodox physicians would lose their membership in the A.M.A. if they even consulted with a homeopath or any other "non-regular" practitioner. (21) At the time, if a physician lost his membership in the local medical society, it meant that in some states he no longer had a license to practice medicine. Often, orthodox physicians, who controlled the medical societies, wouldn't admit homeopathic physicians and then would arrange for their arrest for practicing medicine without a license. (22) Ultimately, homeopaths set up their own local societies and established their own medical boards.
At a time in American medicine when physicians would very rarely, if ever, be reprimanded by fellow physicians, the ethical code on consorting with he American Medical Association described medical education in 1845: homeopaths was regularly enforced. (23) One
In a bizarre event Dr. Christopher C. Cox was refused admittance into the Medical Society of the
The A.M.A. and its members did anything possible to thwart the education of homeopaths. In the early 1840's and again in 1855 advocates of homeopathy convinced the
Finally, a compromise was reached. In 1875 the
Despite this compromise, almost every medical journal in the country urged the
The antagonism to homeopathy was not confined only to the
In the 1830s the practice of homeopathy became illegal in
In addition to the attacks by conventional physicians on the homeopaths' right to practice, the right to join medical organizations, and the right to a medical education, conventional physicians sought to besmirch the reputation of homeopaths. Homeopaths were considered "immoral," "illegitimate," and "unmanly." The opposition to homeopathy was not based on an scientific evaluation of this healing art, but arose primarily because homeopathy and homeopaths were a significant competitor to conventional physicians.
The Rise of Homeopathy
In a 1890 issue of Harpers Magazine Mark Twain acknowledged the special value of homeopathy, noting, "The introduction of homeopathy forced the old school doctor to stir around and learn something of a rational nature about his business." (33) Twain also asserted "You may honestly feel grateful that homeopathy survived the attempts of the allopathists (orthodox physicians) to destroy it."
Despite the significant oppression from the orthodox medical profession, homeopathy survived and even thrived in the 1800s and early 1900s. By 1900 there were 22 homeopathic medical schools, more than 100 homeopathic hospitals, over 60 orphan asylums and old people's homes, and 1,000+ homeopathic pharmacies in the U.S. (34) These impressive numbers alone do not provide an accurate perspective on the significant impact that homeopathy had on American life.
Homeopathy attracted support from many of the most respected members of society. Its advocates included William James, Henry Wadsworth Longfellow, Nathanial Hawthorne, Harriet Beecher Stowe, Daniel Webster, William Seward, Horace Greeley, and Louisa May Alcott. William Cullen Bryant, the famous journalist, was president of the New York Homeopathic Society. (35) John D. Rockefeller referred to homeopathy as "a progressive and aggressive step in medicine"; the fact that he was under homeopathic care throughout the latter part of his life may be one reason he lived 99 years. (36)
Homeopathy's popularity among respected classes was also evident in
Because abolitionists William Lloyd Garrison and Zabina Eastman were strong proponents of homeopathy, and also because many individual homeopaths were politically progressive, the medicine itself became identified with causes of female and black emancipation. (39) Perhaps this spurred homeopathy's popularity in the north,* while retard its progress in the south. (40)
[*Statistics indicate that the number of homeopaths in
Homeopathy was also disproportionately popular among women, not only as patients, but as its practitioners. The first women's medical college in the world was the homeopathic
Many clergy not only were personally supportive of homeopathy, they also helped spread the word about it. (46)Even Mary Baker Eddy, the founder of Christian Science, who generally was vehemently opposed to the use of drugs, acknowledged homeopathy's value, saying, "Evidences of progress and of spiritualization greet us on every hand. Drug-systems are quitting their hold on matter and so letting in matter's higher stratum, mortal mind. Homeopathy, a step in advance of allopathy,* is doing this." (47)
[* "Allopathy" is a word coined by Hahnemann to refer to orthodox medicine.]
The press was often very supportive of homeopathy, as theJournal of the American Medical Association regretfully acknowledged, "(W)e all know perfectly well that the sympathy of the press generally and of the public is with the homeopaths." (48)
It is no wonder that Henry James, another advocate of homeopathy, portrayed this medical science in such a positive light in his novel The Bostonians. This reference is carried over in the recent movie made from this book. In a scene from this movie which is set in the 1880s, Basil Ransom (played by Christopher Reeve) addresses Miss Birdseye, the grand dame of the women's movement (played by Jessica Tandy):
Ransom: "You must tell me how much you take. One spoonful?
Birdseye: "I guess this time, I'll take two. It's homeopathic.
Ransom: "Oh, I have no doubt of that. I presume you wouldn't have anything else."
Birdseye: "Well, it's generally admitted now to be the true system." (49)
Although homeopathy was particularly popular among the educated and upper classes, it also had a good reputation among the poor. Some of this support no doubt resulted from the free homeopathic dispensaries in many cities. (50)
However, probably the most important reason that homeopathy developed such immense popularity was its success in treating the various infectious epidemic diseases that raged throughout
The success of homeopaths in treating the yellow fever epidemic of 1878 that spread throughout the south was so impressive that homeopathy finally began to be noticed in the region. Deaths rates for those under homeopathic care were approximately one-third what they were for those using orthodox medicine. (53)
Besides offering effective treatment for infectious diseases, homeopaths provided care for a wide range of acute and chronic disease. The observation that patients under homeopathic care lived longer led some life insurance companies to offer a 10% discount to homeopathic patients. (54) There is also actuarial evidence that more life insurance money was paid to beneficaries of homeopathic patients because these people lived longer. (55)
The training of 19th century homeopaths compared favorably to that of their orthodox physician colleagues. As I mentioned earlier, many homeopaths attended orthodox medical schools. Eventually, homeopaths developed their own medical schools or maintained departments of homeopathy within other medical schools. Boston University, University of Michigan, University of Minnesota, Hahnemann Medical College, and University of Iowa were but some of the schools teaching homeopathy. Historians today consider the education offered at the homeopathic medical colleges on a par with the orthodox medical schools of the day. (56)
It is impressive to note that a higher percentage of graduates from homeopathic medical schools passed medical board examinations than did their orthodox medical student colleagues. (57)
Homeopaths showed impressive scholarship, both in books and journals. According to a U.S. Commission on Education in 1898, three of the four medical schools with the largest libraries were homeopathic colleges. (58) And at the turn of the century, there were as many as 29 different homeopathic journals.
The Fall of Homeopathy
It is quite remarkable in itself that homeopathy survived the incessant and harsh attempts to destroy it. After the turn of the century, however, the A.M.A. became increasingly effective in suppressing homeopathy. In a strategic move to make themselves look like "good guys," the AMA chose to "allow" graduates of homeopathic medical schools to join the AMA...as long as they denounced homeopathy or at least didn't practice it. (59) The A.M.A. also choose to drop the consultation clause in 1901, notbecause they were no longer antagonistic to homeopathy, but because they had new efficient ways of defeating it.
In 1910 the Carnegie Foundation issued the famous/infamous Flexner Report. The Flexner Report was an evaluation of American medical schools chaired by Abraham Flexner, in cooperation with leading members of the A.M.A. (60) While pretending to be objective, the Report actually established guidelines meant to sanction orthodox medical schools and condemn homeopathic ones. The Report placed the highest value on those medical schools that had a full-time teaching faculty and those schools that taught a pathological and physiochemical analysis of the human body. Homeopathic colleges were faulted because of their preference for employing professors who were not simply teachers or researchers but also in clinical practice. Although homeopathic schools included many basic science courses, they also had courses in pharmacology which the Flexner Report did not consider worthwhile.
As one might easily predict, the homeopathic colleges on the whole were given poor ratings by the Flexner Report. As a result of the report, only graduates three of the four those schools which received a high rating were allowed to take medical licensing exams. There were 22 homeopathic colleges in 1900, but only two remained in 1923. (61)
These schools were not the only ones hurt by the Flexner Report. Of the seven black medical schools, only two survived. The Report also contributed to a 33% reduction in women beinggraduated from medical schools. (62)
As a way of coping with new guidelines and in order to pass the new licensing exams that stressed the basic sciences, homeopathic colleges decided to offer more education on pathology, chemistry, physiology, and other medical sciences. Although they offered better education on these subjects, their homeopathic training suffered greatly. (63) As the result, the graduates from these homeopathic colleges were less able to practice homeopathy well. Instead of individualizing medicines to a person's totality of symptoms, many homeopaths began prescribing medicines according to disease categories. The consequences from this type of care were predictably poor results. Many homeopaths gave up homeopathic practice, and many homeopathic patients sought other types of care.
There were other reasons for the sharp decline of homeopathy after the turn of the century. Orthodox medicine was no longer as barbaric as it was in the 1800s, and because of this, it didn't drive as many patients away. Orthodox physicians also began incorporating several of the homeopathic medicines into their practice. Although they didn't prescribe the same small doses as the homeopaths, their use of certain homeopathic medicines confused the public, who were having increasing difficulty in distinguishing orthodox physicians from homeopathic physicians. (64)
Another factor in the decline of homeopathy was itseconomic viability. Good homeopathic practice required individualization of the patient which demanded more time than most orthodox physicians gave to their patients. Since economics governs the way medicine is practiced more than is commonly recognized, the fact that physicians in the 20th century could make more
.
The Present Status of Homeopathy
(this was written in 1991 and is therefore a bit dated)
Homeopaths throughout the world experienced varying degrees of opposition from orthodox physicians, but not anywhere near the systematic or intense attacks as those beset upon them by American doctors. When homeopaths have been given a relatively free environment to practice, homeopathy has been able to grow and flourish.
Homeopathy is particularly popular in
(* In
This impressive growth in
In 1981 the Dutch government published a report on Alternative Medicine in The Netherlands in 1981 which concluded that 20% of the Dutch public utilize alternative healing methods. The report also noted that homeopathy is one the most popular therapeutic modalities. (78)
Homeopathy is widespread in
Presently, there are over 120 four- or five-year homeopathic medical schools in
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