Allopathy
is a term used by homeopaths, naturopaths, chiropractors
and other advocates of alternative health practices to refer
to traditional medicine. My Random House Dictionary of the
English Language (unabridged edition) defines allopathy
as "the method of treating disease by the use of agents
that produce effects different from those of the disease
treated (opposed to homeopathy)." The word was invented
by homeopath Samuel Hahnemann as a term for those who are
other than homeopaths. In America, the term has not caught
on and is used mainly by "alternative" practitioners
and some osteopaths.
Allopathy, as it turns out, was another invention of homeopath
Samuel Hahnemann, being his term for all medical theories
and practices which didn't fit into his like cures like
superstition. (whereas "homeo" means "same,
"allo" means "other") Today, allopathy
is sometimes applied to the kind of medicine learned and
practiced by M.D. degree physicians, although many of them
may not know it. Often it's an innocent usage by D.O. degree
physicians who are trying to distinguish themselves from
the M.D.s. But because most physicians with either degree
are practicing the same sort of medicine, the term allopathy
is of no more use than that of osteopathy, except as a sort
of anachronism.
More often,
allopathy is a term used by quacks to smear their opposition.
There are several advantages in their doing so. One is that
it appears to ally them with osteopaths, even though most
D.O.s, like most M.D.s, are practicing legitimate medicine.
Another reason is that quacks wish to portray their enemy
as an exclusive medical sectarian establishment. For the
public will understandably let them get away with failing
to address objections to their methods that can be cast
as the jealous and idiosyncratic disapproval of self-interested
competition. Finally, and most importantly, quacks need
very much to avoid facing up to the fact that their detractors
are defending an honest and open scientific approach. And
above all, quacks need their victims to believe that their
methods are an "alternative," not to the continually
evolving facts and reason of medical science, but to some
nebulous (and nefarious) scheme of "allopathic,"
"orthodox," and/or "traditional" medicine.
Allopathy vs.
Alternative
Charles Osgood noted the New England Journal of Medicine
(May 1998), reporting that too many doctors treat a single
major disease and neglect other problems a patient may have.
An example was given involving a patient suffering from
diabetes who may also have problems with osteoporosis -
however, while one disease is treated, the other remains
untreated.
Several thoughts come to mind from this. One likely problem
is that patients will generally see a specialist who is
thoroughly trained in their major problem. In the case of
heart disease, they will see a heart specialist who may
not look at other symptoms such as chronic fatigue. Another
example may be a lung specialist who treats a patient for
emphysema while ignoring the patient's leg cramps or arthritis.
I believe this "specialist" practice might actually
benefit the patient, as general practitioner's might be
more inclined to treat every symptom at once with a lengthy
list of drugs. This flooding of drugs into the system can
cause a toxic overload, and may also produce other interrelated
drug reactions. From the medical point of view, however,
the cause is more likely the over-specialization of the
profession. Each organ system is treated by a different
specialist. Doctors no longer view patients as a single,
functioning entity with interrelating problems, and instead
approaches each organ systems problems as specific and unrelated
to symptoms found in the rest of the body.
When we consider
this problem as described in the New England Journal of
Medicine we find ourselves returning once again to the Gerson
Therapy as the answer. The Gerson Therapy does not address
a specific problem but looks at the underlying malfunctions
as a whole. By restoring the organ systems and defenses,
the Therapy heals the whole body rather than treating a
specific disease, or a single part of the body. As we have
seen repeatedly, it is impossible to heal selectively! When
the body's natural healing mechanism (as Dr. Gerson called
it) is reactivated, the body clears all the symptoms of
malfunction. Almost every patient story that we publish
illustrates and confirms this important point.
The Balance
between Allopathy and Homeopathy:
Where Are We
Twenty Years later ?
Call it coincidence,
but twenty years ago is when I immigrated to California
from my native Belgium as a medical doctor, acupuncturist
and above all, in my heart and mind, a homeopath. I have
been fortunate to have encountered the most brilliant medical
minds in Europe and here in the US. New drugs, new vaccinations,
new genetic discoveries, new techniques to probe deeper
and deeper in the human body ... there seems to be no limit
to the wonders we can expect from allopathy. Most people
believe that modern medicine has arrived at the peak of
scientific achievement, from which it will go from triumph
to triumph.
Yet there is
disturbing news on the horizon. Since World War II we have
considered infectious diseases on the verge of eradication;
in fact Secretary of State George Marshall made a speech
to that effect in1948. Yet they are the number one cause
of death in the world, and old-fashioned diseases like whooping
cough, TB and cholera are coming back in record numbers.
Microbes are becoming more and more resistant, due in part
to the flagrant overuse of antibiotics by medical doctors
and factory farms. These antibiotics, which we thought would
eradicate infectious diseases in our lifetime, are becoming
increasingly powerless against the new strains of resistant
bacteria. Diarrhea, which we think of as a relatively harmless
infectious disease, kills millions of children worldwide
every year, making it the second leading cause of death
after cardiovascular disease. TB, malaria, diarrhea, and
sexually transmitted diseases are the real silent epidemics.
Our attention may be diverted by the horror stories about
AIDS and the Ebola virus, but these silent epidemics affect
far more people.
Nor is much
said about the 600,000 new victims of cancer every year
in the US. In fact, in light of the newest genetic therapies,
allopathic scientists predict that cancer will be conquered
by the year 2010. As a medical doctor, I do pray that they
are right, but as a homeopath, I doubt it. There are too
many risk factors in the unhealthy American lifestyle and
too many hereditary factors (which in homeopathy we call
miasms) which allopathic medicine cannot touch with genetic
therapy. Cancer is now the number two cause of death, not
a hopeful sign for the immediate future.
Medical practices
outside of "official" medicine always have been
an important part of the public's health care. In fact,
until the early decades of this century, allopathic medicine
coexisted with homeopathic and herbal medicine in this country,
as it still does in nearly every other country in the world.
In fact I know of no other country in which one form of
medicine has such a monopoly of legal protection and insurance
reimbursement as allopathic medicine does in this country.
Alternative healers, through the centuries, have offered
a multiplicity of ways to address the confusion and suffering
that accompany disease. The notion of alternative medicine
as quackery (a term originally applied to allopathic physicians
for using toxic doses of mercury to "cure" syphilis
) has been reinforced by a once commonly heard definition
of it as any treatment not taught in an accredited medical
school. This definition is no longer valid, as most medical
schools have added nontraditional courses in response to
growing public interest in alternative therapies. With this
change in attitude came a change in name to complementary
or integrative medicine, indicating that allopathy and alternative
methods can be used together to support each other.
At the same
time that we see tremendous interest in complementary medicine
among the public-and a slow but increasing interest among
medical doctors-we also see tremendous ignorance. One mistake
I see among allopathic practitioners is to lump all the
different forms of non-allopathic healing into one basket.
But certain forms-notably acupuncture, homeopathy, and chiropractic-require
years of study of health sciences comparable to the years
of training in conventional medicine, and they should not
be lumped together with psychic healers, pendulum dowsers
and tarot card readers. This does a disservice to forms
of healing which are based on scientific laws and principles
and which merit the serious inquiry of the open-minded allopath.
In my lectures
about homeopathy at medical schools and hospitals, certain
lines of questioning keep coming up. One is the argument
that homeopathy, like herbal and other "eclectic"
medicines, is an old-fashioned form of healing, practiced
by people with little to no training, regulation of practice
or standards for quality of care. While it is true that
in allopathic medicine we certainly would not accept any
drug or procedure from more than 50 years ago (and most
drugs are out of date within a few years), it is a strength
of homeopathy that we use the same remedies discovered when
homeopathy was founded nearly 200 years ago. When a new
drug comes out, often side effects and serious problems
are discovered only when millions of people start using
it. It gives me confidence in homeopathy to know that the
remedies have already been used by millions of people worldwide
for many decades, and their effects are well-known. Our
knowledge in homeopathy keeps building and building on strong
solid scientific principles; we do not have to keep discarding
what we know as allopathic medicine does.
When we study
the history of homeopathic medicine in this country, we
also see that in the nineteenth century, when homeopathy
enjoyed such widespread support especially among the educated
classes, homeopathic physicians received the same training
as their allopathic colleagues plus an additional two years
of homeopathy. It was well known that the most brilliant
medical students would go on to become homeopaths. Unfortunately
the American Medical Association (formed two years after
the American Homeopathic Association, and with the express
purpose of rooting out homeopathy in this country) succeeded
in using legal and economic pressure to prevent homeopathic
physicians from practicing. Homeopathic medical schools
were forced to convert to allopathy or their graduates would
not qualify for licensure exams; homeopathic physicians
were taken into court to have their licenses taken away.
The "dirty
tricks" of the allopathic medical societies in the
early years of this century, plus the lure of the "magic
bullet" of the new antibiotic drugs, led to a decline
in homeopathy in the middle of this century, to the point
that 20 years ago very few medical doctors were practicing
it. The old guard had almost all died off and very few new
doctors were joining. With the rise of interest in alternative
medicine a quarter-century ago, the gap was filled at first
with lay homeopaths. Now we have a tremendous interest in
homeopathy among MDs, osteopaths, naturopaths, veterinarians,
nurse practitioners, chiropractors, and acupuncturists.
I can see this in my own school, where dozens of health
care professionals are learning to incorporate homeopathy
into their practices.
Another major
change I see in the past 20 years is the research being
done in homeopathy, both in the US and abroad. So often
we see in the popular press-and even in medical journals,
whose authors should know better-that homeopathy is "unproven"
and "there is no scientific evidence to support it."
The fact is that homeopathy does have good scientific evidence
to back it up. Unfortunately most of the research has been
done overseas and is not easily available here. Until recently,
the US government has not funded research in alternative
medicine, and it still has not committed funds in any way
comparable to the funding of drug research in this country.
And some of the research on homeopathy is faulty simply
because it is difficult to apply the double-blind method
(in which normally one drug is tested against a placebo)
to homeopathy, which gives a different remedy to almost
every patient with the same diagnosis (due to homeopathy's
principle of individualizing). Yet the meta-analyses (overviews
of all the studies on homeopathy) have shown that the better
designed the study, the more likely it was to demonstrate
the effectiveness of homeopathy. Within the past few years
some good research on homeopathy has been done in this country
and published in mainstream medical journals. With the government
finally funding research, we can look forward to more of
it in the years to come.
I have no problem
with my allopathic colleagues scrutinizing the potential
risks and benefits of alternative medicine. Let's examine
some of them and see if homeopathy can pass muster.
Quality of
care is often the first argument brought up by my colleagues.
Homeopathy definitely has the potential to provide the same
(or better) quality of care as allopathic medicine. In the
past, as we mentioned, the most brilliant physicians were
the homeopaths, and homeopathic licensure had the same components
as allopathic licensure (in terms of the content and length
of time of training, testing and certification, a defined
scope of practice, review and audit and codified disciplinary
action). The fact that homeopathy does not currently have
this licensure system is a reflection on the political and
economic forces at work in this country, not a reflection
on homeopathy itself. Licensure efforts for homeopathy are
underway in a number of states, at the same time that an
increasing number of already-licensed professionals are
incorporating homeopathy into their practices. In other
words, this objection is only a temporary one until the
United States can catch up with Europe, the former Soviet
States and India in providing professional training and
licensure for homeopaths.
Quality of
products is another potential argument against alternative
modalities. Random tests of supplements and herbs often
show that the contents do not measure up to what is on the
label. And the labels do not contain adequate warnings about
the potentially toxic effects of large overdoses of some
supplements and herbs. But homeopathic remedies are completely
safe, non-toxic (in most potencies they don't even contain
one molecule) and very inexpensive. And a true homeopath
prescribes one single remedy at a time, therefore avoiding
possible interactions among multiple remedies. Allopathy
would do well to learn from this, since we physicians have
the tendency to prescribe a multitude of drugs for various
symptoms. This has never worked before and it never will,
for it creates a jungle of side effects on top of the symptoms
of the disease itself. And we may not forget that 100,000
deaths a year in this country are caused by conventional
drugs.
Quality of
science is probably one of the main allopathic arguments.
Conventional medicine is touted as the leader in the management
of infectious and surgical diseases. But allopathic medicine
still does not have good weapons against cholera, for example.
Yet homeopathy was already successful against the great
epidemic diseases of 150 years ago: cholera, typhoid fever,
diphtheria, scarlet fever. In a great flu epidemic earlier
in this century, the statistics in London hospitals showed
the mortality rate at allopathic hospitals was 55%, but
less than 5% at homeopathic hospitals. Allopathic medicine
claims to be based on the double-blind method, and discredits
any form of alternative medicine which cannot fully support
every remedy or procedure with double-blind research studies.
Yet allopathic medicine itself violates this principle every
day. Surgeries, for example, are difficult to test by this
method. When surgeries are assessed by outcomes (how many
people were doing better at the end of five years, for example),
millions of surgeries per year are shown to be futile or
unnecessary. And sadly enough, according to allopathic research,
67% of prescriptions are made based on the side-effects
of drugs-in other words, not according to the original double-blind
protocol.
When we look
at the last twenty years, homeopathy as a healing modality
has gained the attention of the public. Without any doubt,
homeopathy could be advanced by professional standards and
greater availability of instruction to interested health
care professionals. That the public has embraced alternative
medicine has been proven by the excellent 1998 study by
David Eisenberg of Harvard Medical School, which indicated
that 70% of the population had consulted an alternative
practitioner. Because of its great results in the past and
present, homeopathy will undoubtedly catch the attention
of patients ready to embrace a scientific approach that
has proven its validity in the last two hundred years. I
hope that allopathic physicians will show a serious interest
in this marvelous approach before they reject it. Humankind
will be the better for it!