Complementary Alternative Cardiovascular Medicine

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232 Alternative Cardiovascular Medicine pursuit. Differential materia medica, in which remedies that are similar to each other are studied together, further helps the prescriber make the appropriate prescription. Authors are known based on their style of prose or on their practical experience. The practice of homeopathy includes ongoing study of case-analysis techniques, with a focus on the long-term follow-up of patients. The goal is to treat a patient through his or her life, through the acute and chronic illnesses that may arise. Assessing efficacy and deciding the course of treatment requires a strong philosophical understanding of the homeopathic healing process and the nature of the person and his or her pathology. It is not uncommon to revisit the homeopathic philosophy books, particularly when faced with a complicated patient. The rich literature of this profession was recently highlighted in a book by Julian Winston entitled, The Heritage of Homeopathic Literature: An Abbreviated Bibliography and Commentary (44). To help facilitate recall of the approx 2000 remedies in use, many homeopaths study and then refer to repertories, which are books that list all the symptoms known and the homeopathic remedies that have helped to treat those specific symptoms. Repertories are organized by parts of the body. The mind section, so essential in our assessment, is followed by the head, eyes, ears, nose, face, mouth, teeth, throat, stomach, abdomen, rectum, stool, bladder, kidneys, prostate, urethra, urine, male genitalia, female genitalia, larynx and trachea, respiration, cough, chest (where we would find many of the cardiac symptoms), back, extremities, sleep, dreams, chill, fever, perspiration, skin, and generalities. These volumes are also available for use on a computer. “Repertorization” of a patient’s case can be done in a timely fashion after a full homeopathic interview, helping guide the homeopathic physician to a group of the most likely remedies to be considered for a particular patient. One still needs to perceive the correct symptomatology; to understand the patient in all aspects of his or her health, as even the best computer program would be of little use if the incorrect information is considered. Then, the prescribing homeopath must choose the correct remedy from a group of those suggested. Computers have made this analysis work less cumbersome and certainly less time-consuming. Additionally, computer technology allows the qualified homeopath to be flexible regarding various analysis techniques. It should be added that homeopaths prescribe just as often by “pattern recognition.” After one has treated 15 or 20 patients who responded well to the remedy Nux vomica, for instance, it is not difficult to recognize that pattern in the next patient who presents and needs the remedy. Therefore, even though a complete case is taken, by the end of the office visit the
Chapter 14 / Homeopathy and CVD 233 homeopath would ask questions that are geared at confirming a particular remedy and ruling out others. Like other physicians and healers, homeopaths study cured cases that are published in peer-reviewed homeopathy journals to better understand the impact of the remedies on patients, as well as to keep abreast on new findings within the profession. In some instances, patients are eager to self-prescribe homeopathic remedies, and there are many resources available to the layperson (books, magazines, Web sites, and computer programs). It is hoped that most self-prescribers or those who dabble with their family’s first aid and acute health care problems understand the need for professional assistance when a problem is severe, long-lasting, or complicated. Like other medications, homeopathic remedies also have recommended dosages. The strength, quantity, and frequency of the prescription are individualized to the patient as much as the remedy itself. Things that are taken into consideration when the dosage is made include the patient’s age and size, type and severity of pathology, and other medications currently being taken. Most homeopathic remedies are applied to small lactose pellets and taste sweet. The pellets are taken and allowed to dissolve under the tongue, away from food and drink. It is safe to give these small pellets to infants and those with difficulty swallowing. What follows is a note about using homeopathic remedies after cardiac surgery and cardiac procedures. There is an increasing number of surgeons who recommend the administration of Arnica montana postsurgically or after other invasive procedures. Surgeons who use Arnica have reportedly noted a reduction in wound swelling and inflammation, as well as faster healing times in the involved areas. The general protocol is to administer Arnica montana 1 h after the patient is awake and again once a day for 3 d. Other homeopathic remedies are sometimes indicated after surgery, depending on symptoms that arise (i.e., difficulty with urination or with normal bowel function, confusion or irritability after anesthesia, or extreme pain at the incision site). A homeopath would look at the patient and his or her individualized symptoms after surgery and prescribe accordingly. Some patients may present having self-prescribed combination remedies, which are available over the counter at health food stores and some pharmacies. These products have not undergone the accepted drug research protocols (provings) that single homeopathic remedies have and are not applied in a manner consistent with homeopathic theory. It is possible that the patient needs one of the remedies included in the combination remedy and will therefore have some effect,
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Complementary and Alternative Cardi
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CONTEMPORARY CARDIOLOGY CHRISTOPHER
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© 2004 Humana Press Inc. 999 River
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vi Preface physician or other healt
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viii Contents 10 Massage Therapy an
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x Contributors ERIN L. OLIVO, PhD
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Chapter 1 / CAM and CVD 1 1 Complem
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Chapter 1 / CAM and CVD 3 patients
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Chapter 1 / CAM and CVD 5 The crite
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Chapter 1 / CAM and CVD 7 disease c
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Chapter 1 / CAM and CVD 9 analyses,
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Table 2 Type and Quantity of Dietar
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Index 283 Homeopathic medicine, see
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Index 285 funding of studies, 148 g
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Contemporary Cardiology COMPLEMENTA
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