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RESEARCH LITERACY
AMONG HOMOEOPATHS
Dr. Subhash Chand,
CMO (NFSG), NDMC Delhi
Aim of my paper
• The basic aim of my paper is just to stimulate your imagination/critical thinking if I am able to do
so and that with all the experience that I have as an homoeopath exposed to different settings of
college, research and now dispensary
• Homoeopathy is an ocean and I am just like every drop of water in the ocean
• My qualifications and I Q level could be lesser than few of you
• It is not a research paper , its just an expert opinion in terms of research webnar that occupies
the lowest value in critical thinking
• Nothing in this paper should be taken as a personal attack if it appears so
• All views are my views, my angle of seeing homoeopathy and it can never be Homoeopathy as it is
because the my power of seeing the world is equal to my visual equity….what I see is what I
intend to see and not more than that..could be most of it in view of some of your prove to be
rubbish or non sense in present or future that includes me also
• Because the topic of today is more based on mass survey than just thinking
• In the end…if I succeed lot of surveys need to be done to assess truth of proposed questions in
this paper to prove or disprove
Research literacy versus information literacy
“research literacy” - the ability to access, interpret and critically evaluate
basic medical literature
Information literacy : same for any literature
Era of Information technology-----constant evaluation of the information
related to many diverse fields ON THE BASIS OF OUR WISDOM to take
important decisions that affect ones life in many ways AND IN THE
LONGRUN WISDOM ITSELF IS ENRICHED FOR MORE BETTER
DECISIONS.. THUS INFORMATION LITERACY IS FUNDAMENTAL TO
LEARNING OR GETTING MORE KNOWLEDGEABLE
Research literacy in terms of medical practice: critical evaluation of
medical information/literature for better care of sick individuals…done on
daily basis in the clinic
RESEARCH VERSUS RESEARCH LITERACY
Research : Methodological search ( as per designed protocol) with highest
probability of uniform results…
Research literacy-
• basic tool to understand and advance the growth of any science that
includes medical science and its practice.
• refers to intelligent application of research studies for more effective
clinical practice or other purposes.
• It is an integral part of education system in each science and
• it should not be thought of as unilateral process of literature access and
evaluation , it is only through access and effective use of literature, the
literature itself is enriched for which more research is undertaken and
these are essential for sustained development of any medical science.
quotation from surgery by k das
• Yours eyes cannot see what your mind does not know
I would like to add
• Your mind can never know something new if you don’t make effort
with your eyes to see some thing …if you train your mind to see in a
particular direction with little guidance than also you can know…and
once you can know you can see in further in a better way …
• It’s a two way process both complement each other
Practice or abhyasa or training the mind to see rightly is fundamental
to true knowledge…..seeing or access is little bit in our hand and
questions automatically come to our mind for next steps for which
sometimes we need help from master of that subject…..hence the
search begins
Importance of research literacy to a
homoeopthy…a defensive weapon
• In the current society dominated by modern system of medicine….it is the only tool to
communicate with them. Each of us cannot do research but we can be research literate at a much
lower cost
• The so called research findings in homoeopathy based on personal experiences are considered as
anecdotes by critics..this term was new to me
• We are compared to witches/astrologers/prayers/placebo effect
• This is the only technique that should be inculcated among us on a war footing level
• Regularly see videos on criticism against and how western doctor defend them from such
criticism
• Every conference should have one paper dedicated to this issue, so that we future homoeopaths
are sensitized in advance to deal with such issues
• Each of us should be capable of giving uniform reply to such FAQ’s through ample
discussions/debates on this issue…we must memorize a few studies by heart
• BE PREPARED FOR HIDDEN INTERNAL ENEMIES…HOMEO. DRUG COMPANIES ? DRUG
TESTING/STARDARDISATION …CHECKING OF TAILORED PRODUCTS, INFORMATION ON
BROCHURE…..NO CONTROL …NEVER DISCUSSED….BECOZ ALL CONF. FINANCED BY THEM… THE
SALARY IS BETTER THAN EARNING OF AVERAGE HOMOEOPATH..many drug shops have
accumulated enormous wealth just by selling medicines………a big question
How to access medical literature
There is a beautiful video on the net under the address
https://www.youtube.com/watch?v=gPvflvLco8U&t=509s published by muntz
library wherein this part is explained in a very simple way. I will be touching
only main points
Two sources
1. Library
2. Internet
3. In Homoeopathic settings: personal access to books, journals, softwares
Before the introduction of computers :
1. library---catalogue of three types…1. title of the book 2. name of the authur 3.
subject now a days few more things like abstract, keywords etc have been
added into these cards
2. internet: techniques of searching. How to search better- there are different
videos available on net. There are different search engines in modern
science….like pubmed etc.
How to access medical literature –for
homoeopaths…first step
Surprisingly both of the features:
Access to library and
search on Internet and the availability of books/journals/even latest articles on
research
• Are either non existent or not considered…even books are not on the table..rely
on human software i.e. their brain
• Not affordable , Or if affordable- available only to few
• And if available no time /will to search mostly in institutions or research bodies
• And even if search is made, no search engines in Homoeopathy free of cost,
only few software's with limited literature
• And even if searched, no knowledge to interpret studies
• And even if this is done…no one to communicate..different platforms
One can judge what would be the percentage of research literacy among us
How to interpret and critically evaluate
medical literature
• Right interpretation … to interpret any fresh /research work one should be
familiar with research terminology and research methods and look for higher
level of evidence studies. the first tool of expert opinion or background
information on which we rely too much on daily basis is full of errors and
occupies base of the pyramid in research methods to evaluate quality of evidence
…..because of changing society norms and materialism one can not segregate
truth in expert opinions…….how products are sold in market each of us knows
• Critical evaluation : one should be very thorough in research methodologies and
should have sufficient exposure to number of studies and detailed knowledge of
research tools to evaluate a given study and comparatively evaluate the work in
comparison to what has already been done.
AIM----RESEARCH LITERACY
CRITICAL THINKING- RELEVANCE IN PAST AND
PRESENT
“what is critical evaluation” AS UNDERSTOOD BY US - go to introduction to Organon of
Medicine
HAHNEMANN’S CRTICISM ABOUT ALLOPATHY IS BEATIFULLY ANSWERED BY A DOCTOR WHO INITIALLY GOT
ADMISSION IN HOMOEOPATHIC COLLEGE BUT LATER JOINED ALLOPATHIC COLLEGE….VIDEO ON YOU TUBE AT LINK
ADDRESS https://www.youtube.com/watch?v=zXKcRklWkcA&t=74s NAMED Dispelling the myths of homeopathy |
Dr. Shantanu Abhyankar | TEDxPICT
WHAT ACTUALLY IS CRITCAL THINKING…….YOU HAVE TO STUDY RESEARCH METHODOLY IN DETAIL….this material
world appears to work on a predictable basis and if you propose a hypothesis that is scientific than with the
research methods you should be able to repeat your results with accuracy with proposed requirements of your
studies.this is what is the basic demand of present day society ….it is not that we do not follow this but we fail to
understand that which is right path…Dr. Hari Singh our incharge….bronchodilatory effects of tincture, clinical
verification of cv drugs..formed background book as to what to prescribe….ferr phos in anaemia
ABOUT HAHEMANN AND STATUS OF
HOMOEOPTHY IN WEST
• QUALIFIED ALLOPATH
• MASTER OF SEVEN DIFFERENT LANGUAGES
• RESEACH LITERATE : HAD GOOD ACCESS TO LITERATURE, INTERPRETATION AND CRITICAL
EVALUATION OF CULLENS MATERIA MEDICA LED TO EVOLUTION OF HOMOEOPATHY
• GOOD KNOWLEDGE OF RESEARCH TOOLS AHEAD OF HIS TIME LEDTO FORMATION OF
DIFFERENT GUIDELINES FOR PRACTICE OF HOMOEOPATHY
• HAS USED SYNONYOUS TERMS FOR RESEARCH LITERACY THROUGHOUT HIS WRITINGS
as unprejudiced/clear headed/ clearly perceives observer well aware of advances in
medical sciences
• COULD DEFEND ANY ATTACK ON HOMOEOPATHY
• CONTEMPORARY AND SUCCEEDING HOMOEPATHS EQUALLY WELL QUALIFIED AND
RESEARCH LITERATE
• EVOLUTION OF MARVELS OF MATERIA MEDICA, THERAPEUTICS, REPERTORIES
INDIAN SCENARIO BEFORE RECOGNITION
• a developing and poor nation before independence, Homoeopathy got
strongholds as best cheap and effective alternative system.
• The first Homoeopathic college came into existence in 1883
• primary aim was to spread awareness, popularity and effectiveness of
Homoeopathy amongst masses through effective treatment.
• The percentage of qualified practitioners with research literacy ( access
to western literature ) in the beginning has been limited
• The key role was played by registered practitioners who were out of
dedication either doing Homoeopathy as part time or some full time
and were more trained in Homoeopathic subjects usually limited to
Materia Medicas and that too basic ones with little or no access to
western literature and some were also not research literate in modern
science.
INDIAN SCENARIO
• There were no uniform rules for practice amongst registered
homoeopaths as their practice differed as per their understanding and
access to Homoeopathic literature. Homoeopathic drug
pharmaceutical industry titled homoeopathy to new dimensions of
local applications and combinations.
• could not put and project their work on those lines which has been
done in the west as it was not need of the time
• As long as Homoeopathy was not recognized, there were no problems
as to the wide variation in clinical practice among Homoeopaths as one
was not answerable to either within the system or to the other
medical systems. ( individually tailored pathy as per one’s own wishes
…meri marji)
INDIAN SCENARIO
THREE GROUPS OF HOMOEOPATHS EXISTED
BEFORE THE RECOGNITION OF HOMOEOPATHY AS A SYSTEM IN INDIA
• THOSE QUALIFIED IN EITHER CALCUTTA COLLEGE ESTABLISHED IN 1883 OR
FROM WEST. THEY HAD ACCESS TO CLASSIC LITERATURE AND TO SOME
EXTENT FOLLOWED THE CLASSICAL WAYS IN THEIR PRESCRIBING
• THOSE REGISTERED AS HOMOEOPATHS TILL 1983 WAS A COMPLETELY
DISSOCIATED GROUP OF HOMOEOPATHS AND MOST OF THEM DIFFEREED
WIDELY IN THE WAY THEY UNDERSTOOD HOMOEOPATHY
• THOSE WHO WERE SOMEHOW INVOLVED IN DRUG MANUFACTURING IN
HOMOEOPATHY. THEY HAD THEIR OWN VESTED INTEREST
INDIAN SCENARIO-ENTRY OF CCH
• THERE WAS NO CLEARCUT VISION AS TO WHAT CONSTITUTES
HOMOEOPATHY EVEN IN THOSE DAYS.........
• THE SIMPLE DEFINITION OF THAT A PRACTIONER IS USING MEDICINES
EITHER ONE OR MANY WRITTEN IN HOMOEOPATHIC MATERIA MEDICA WAS
THE PARAMETER TO DECIDE ABOUT THE DEFINING THE SYSTEM.
• HOMOEOPATHY PRACTISED BY BULK REGISTERED PRACTIONERS HAS
NOTHING TO DO WITH THE BASIC PRINCIPLES OF HOMOEOPATHY BECAUSE
INDIAN SCENARIO BASED ON TRIAL AND ERROR METHOD AND PERSONAL
EXPERTISE HAS GROWN IN ITS OWN WAY WITH VERY WIDE VARIATIONS
FROM PHILOSOPHY OF EITHER HOMOEPATHY OR MODERN SCIENCE ALSO
• THE CLASSICAL HOMOEOPATHY HAD ALREADY SEEN SEVERAL DIVISIONS ...AS
TOTALITY USED TO BE INTERPRETED IN MORE THAN FIFTEEN NUMBER OF
WAYS
INDIAN SCENARIO-CCH VISION OF A COLLEGE
• EVERYTHING WAS BORROWED FROM THE WEST. ... IN WEST ALSO THE
TEACHING MODEL FOR HOMOEOPATHY AS A SEPARATE SYSTEM HAS
ALREADY FAILED BUT EFFECTIVITY OF HOMOEOPATHY WAS NEVER
DISPROVED
• NO DISCUSSIONS WERE HELD ABOUT THE SCOPE OF HOMOEOPATHY AS A
RECOGNISED SYSTEM IN INDIAN SCENARIO...ITS LIMITATIONS
• UPCOMING CHALLENGES FOR QUALIFIED HOMOEOPATH AS AN
INDEPENDENT SYSTEM WERE NOT PERCIEVED
• HOW TO FILL THIS GAP BETWEEN PRACTICAL HOMOEOPATHY AS PRACTISED
AND WOULD BE HOMOEOPATHY WAS NOT PERCEIVED
• WOULD THE COMING PRODUCT WOULD BE ABLE TO SURVIVIVE
FINANCIALLY ALSO WAS NOT CONCIEVED ......BECAUSE TILL THAT TIME PART
TIME PRACTIONER WITHOUT FINANCIAL MOTIVE WERE WORKING
INDIAN SCENARIO – CCH VISION OF A COLLEGE
• THE TEAM FAILED TO APPRECIATE HOW ALLOPATHIC SYSTEM AND ALLOPATHIC MEDICAL
COLLEGES RUN AND IT IS WITH THAT SYSTEM THE EDUCATED HOMOEOPATH WOULD HAVE
TO COMPETE
WHO DECIDES WHAT IS TO BE TAUGHT IN ALLOPATHIC COLLEGES
WHAT IS THE LITERATURE BASE, HOW IS UPGRADED...WHO CONTRIBUTES....ANY RESEARCH
IN ANY SCIENCE IS IMMEDIATELY INTEGRATED ... A WELL ESTABLISHED SYSTEM WITH HUGE
DATA BASE AND RESEARCH STUDIES WITH RESEARCH LITERACY AS AN INTEGRAL PART
WORKING ON 24 HOURS SEVEN DAYS THROUGHOUT THE GLOBE
• WHEREAS HOMEOPATHIC LITERATURE IN THE WEST WAS MINICULE AS COMPARED TO
MODERN SYSTEM, SCATTERED WITH NO WELL ESTABLISHED SYSTEM TO UPDATE,
DIVIDED INTO SEVERAL STREAMS, STILL UNDER EXPERIMENTAL STAGE WAS
IMMEDIATELY ADAPTED AS A BASE MATERIAL FOR STUDY. THERE IS NO INTELLECTUAL
HEIRARCHY IN THE LITERATURE. NO CONNECTION WITH ADVANCES IN OTHER SCIENCES
ON CONSTANT BASIS, NO LINKAGES WITH RESEARCH AND RESEARCH LITERACY. NO
METHODS TO UPDATE LITERATURE AS PER CHANGES IN THE MODERN SCIENCE
• Any change in the existing Homoeopathic literature was perceived as a threat to the
system and that feeling is still continuing …..NO SCOPE ON CONSTANT UPDATE
Indian Homoeopathic education/evolution of
research literacy• Homeopaths educated in Indian environment are caught between two extremes of
modern medicine subjects and Homoeopathic subjects. The division is clearly
visible in certain colleges.
• The wisdom accumulated by registered Homoeopaths and passed over generations
could not be communicated to qualified Homoeopaths as most of the time is against
what is taught and is even ignored today…most of them hide due to several reasons
• Qualified Homoeopaths faced tough time to practice Homoeopathy…most of them
with no parental heritage have to start from a scratch…had no courage to share their
prescription…still continuing….pure hit and trial …or shift to other supports like
magnet, naturopathy, acupressure etc.
• The initial priority was to create qualified Homoeopaths…again till the introduction
of degree and post graduate course introduction research literacy culture could not
be introduced in colleges as teachers with knowledge of even western
Homoeopathic literature were few in number
• The growth of Homoeopathic colleges is on the rise has outnumbered research
literate Homoeopaths. Culture of research literacy though introduced is still in seed
form and no where near comparison with Allopathic Medical Colleges.
CHANGING needs of homoeopaths in changing scenario placed in
different settings…. Need different source materials TO COMMUNICATE
• Registered practitioners: concerned about more effective remedies with no
restrictions as per classical homoeopathy… most difficult to control and unite
• Teaching staff : how to upgrade the existing database and what to teach and how
to teach…homoeopathy as a system or as a practitioner
• Qualified practitioners: how to practice homoeopathy keeping a balance between
effectively and philosophy…how to increase the range of treatment in day to day
practice..diet supplements/pain killers/surgeries/vaccinations
• Research workers: how to train the existing practitioners/promote the further
research studies in Homoeopathy and fill the gap between research and
practitioners
• Policy makers: CCH/CCRH/HEAD OF INSTITUTIONS- how to put results of
homoeopathy in comparison to other medical systems, how to popularize it , how
to control the monopoly of drug pharmaceuticals, how to interact on global level
as well as individual level in the community. How to spread and integrate it with
Health care systems.
CCRH role in research literacy
• CCRH ITSELF TOOK MANY YEARS TO FRAME ITS POLICY AND VARIOUS
RESEARCH WORKS
• EVERYTHING WAS STARTED AS NEW ….TRAINED MANPOWER WAS A
PROBLEM.
• INITIAL FOCUS WAS TO STRENGTHEN ITS INFRASTRUCTURE AND ON
GOING RESEARCH PROJECTS
• THERE WERE VERY FEW PRACTIONERS WHO COULD UNDERSTAND WHAT
IS CCRH AND WHAT IT IS DOING FOR HOMOEOPATHY DUE TO RESEARCH
ILLITERACY
• NOW CCRH IS CONSIDERED AS ROLE MODEL FOR UNDERTAKING ANY
RESEARCH IN HOMOEOPATHY
• NOW CCRH IS APPROACHING COLLEGES/STUDENTS/PRACTIONERS
DIRECTLY TO INCULCATE RESEARCH LITERACY AS WELL AS RESEARCH
CULTURE
How to improve the condition on a greater
scale..HOW TO CREATE THINK TANK….
• Like any other science, Emergence of computers with homoeopathic software’s has played a
major role in promoting culture of research literacy but their access is limited to certain
percentage of Homoeopaths.
• The concept of Homoeopathic libraries parallel to National Medical library in each state has yet
to take shape.
• Nurturing the habits of research literacy at college level through regular interaction of teachers
with CCRH …linking education with research AS WELL REGUARL INTERACTION CCRH WITH
COMMON PRACTIONERS …LINKING PRACTITIONERS WITH RESEARCH THROUGH RESEARCH
LITERACY
• Easy and cheap availability of basic and research literature either through books at subsidized
rate/establishment of libraries/regular free circulation of literature in Compact disc form/ or
creating a central portal with database accessible either free or a nominal rate to each
Homoeopath
• Some research methods are very simple and can be practiced in clinics with minimum resources
like case studies….this should be done on large scale….not only homoeopathic but also any odd
finding should be documented…duty of each homoeopath to participate in research as per his
strength and capacity
• Preparation of FAQ on criticism against Homoeopathy : how to reply them : debates in each
national international seminar…how to form strategy…..
PROBLEMS WITHIN HOMOEOPATHY..VARIETY OF
WAYS OF PRESCRIBING/SCOPE OF HOMOEOPATHY
• How to connect seemingly different ways of prescribing and stop the
emergence of new ones
• Homoeopathic community instead of integration is getting more
decentralized and disintegrated …during recent years some more schools
have appeared not only from outside India but from India itself…the
growth is welcome but not at the expense of unity with the already existing
structure….any growth under the banner is welcome but with consensus
on a large scale so that it could be included in the curriculum of CCH itself
• There is one thing which is common to all deviations in homoeopathy, they
are finding new ways to link the best medicine with the patient
• Moreover many a times findings have to be communicated to members of
other medical system…esp for those in policy making
THE MISSING LINK
It is through intensive study of source books of materia medica used by
practitioners as the basis of prescription one can deduce
• The percentage of so called constitutional drug is hardly 10 % in these
books and most of those drug usages are also in conformity to the
traditional usage also
• The unproved drugs/partially proved/clinical symptoms/biochemic
remedies/bach flower remedies/organ remedies/herbal remedies
occupy equal value in the literature
• monographs of several drugs available on net not only confirm
certain use of the same drugs as written in materia medica but also
contain more information which is not mentioned in Homoeopathic
materia medica AND materia medica based on proving contain
information not in agreement with drug action
How to bridge the gap between prescriptions/
different homoeopathic practices…a critical
evaluation…homoeopathic algorithm explained
SUCCESS OF HOMOEOPATHY IS NOT basically EQUAL TO
SUCCESS OF PRACTIONER/HOMOEOPATH ( hahenmann, kent,
boger boenninghausen, clarke… vithoulkas, and all the
emerging schools of Homoeopathy all are termed as expert
opinions only in the Research webnar …and is also not equal
to the success of homeopathy in various disease ( a total
disastrous approach)……..the way we are approaching the
problem…….for the last fifty years in CCRH .. The approach
should have been from medicine to sick individual what a
medicine can do …knowledge of medicine…
How to bridge the gap between prescriptions/
different homoeopathic practices…a critical
evaluation…homoeopathic algorithm explained
ONE HAS TO NARROW DOWN OTHER PARAMETERS IN CLINICAL SETTING AND
REDEFINE IT …
Scope AND SUCCESS of Homoeopathy=========scope AND SUCCESS of drug=====
scope of drug action=====already known actions confirmed by drug
pharmacology=======all explanations further added must start from basic drug
action however different it may be from previous uses may be on the basis of any
philosophy/science……any correlation made deviating from the basic proposed
action plan amounts to nothing if ultimately you are verifying the original basic
proposed plan as is being done till today in Homoeopathy ====TO SENSITISE EACH
HOMOEOPATH ABOUT THIS TRUTH ……SOME CORRELATIONS SHOULD BE MADE
WITH THIS IN POSITIVE OR NEGATIVE WAY SO THAT WE DO NOT DEVIATE FROM
BASIC TRUTH…THIS IS ONLY WAY WE CAN HAVE UNIFORM PLATFORM TO DISCUSS
NOT ONLY WITHIN THE COMMUNITY BUT WITH OTHER SYSTEMS
Why this confusion …who created this confusion……..?????? It started with
Hahnemann himself …
How to bridge the gap between prescriptions/
different homoeopathic practices…a critical
evaluation…homoeopathic algorithm explained
Value of repertory in selection of remedy… a critical analysis….a hypothesis
Why repertory has utterly failed to improve the practice of Homoeopathy in Indian
scenario….and why registered practitioners have and are still having edge over
qualified practitioners who use repertory….can indexing of symptoms help reach
the desired remedy….is this model can be replicated in the opposite direction if we
apply to disease diagnosis….think of indexing symptoms of all diseases and using it
as a tool to diagnose each case and reaching to diagnosis through repertorisation
of disease symptoms…can you think in that direction….probably you will say
no……..repertory is only a reference tool and never it can be used as the only basis
of prescription……questions should be framed on this hypothesis and let a suitable
answer come but again any attempt to evaluate repertory as bound to be a failure
as explained earlier…no authenticity as to the hundred percent efficacy of the
symptoms…full of observational and interventional errors…..
How to bridge the gap between prescriptions/
different homoeopathic practices…a critical
evaluation…homoeopathic algorithm explained
If do not change the existing setup can we have uniform possibility of prescription
and desire action in patients……Value of Homoeopathic Materia medica in the
selection of remedy in the existing scenario … a critical analysis….a hypothesis
Why the existing symptoms in the materia medica can not bring informity in the
current scenario
???all of should no….symptoms collected from different sources…poisoning,
overdosing, mother tincture/crude drug different individuals collected on the basis
of expert opinion without animal model/authentic verification of source material
are clubbed up and these are treated with potentized medicine which have no
medicinal content………..a total deviation ….if you are using potencies than only
symptoms induced by that particular potency should be used for that particular
potency….the question of potency, quantity, repeatition are secondary to answer
to this question………it is a form of questioning that should be evaluated with
proper research techniques….similar to gigo concept in computers
How to bridge the gap between prescriptions/
different homoeopathic practices…a critical
evaluation
• the proposed theory of Hahnemann that diseases are dynamic in
nature can only be healed by dynamic medicine is frequently challenged
in almost every video on net.
• But it is fact that drug in potencies do act…….but problem is the same
doctor with the same medicine in the same potency is not able to repeat
the findings in next patient on regular basis …other unknown factors
interfere with treatment
• How non dynamic reasons such as cold air, warm air, different foods, sun
are able to aggravate the disease since these are physical how they affect
the vital force??????
…this is not the issue of todays topic…
DRUG PHARMACOLOGY AS A POSSIBLE LINK
• DRUG PHARMACOLOGY THAT INCLUDES ANIMAL EXPERIMENTATION IS THE
BACKBONE OF MODERN SYSTEM OF MEDICINE
• IT IS THE ONLY TOOL WHICH THEY UNDERSTAND IF WE HAVE TO
COMMUNICATE WITH THEM
• IT IS THE CONNECTING LINK BETWEEN DIFFERENT PARTS OF MEDICAL
SCIENCES..ANATOMY, PHYSIOLOGY, BIOCHEMISTRY, GENETICS, BIOMEDICAL
ETC...IT BRINGS ALL RESEARCHES AND ADVANCES ON THIS ASPECT
• CCH HAS FAILED TO INTRODUCE DRUG PHARAMACOLOGY IN THE SYLLABUS
OF BHMS AND HAD IT BEEN DONE THE STORY WOULD HAVE BEEN
DIFFERENT...LATELY RECOGNISED BY CCRH AS AN IMPORTANT TOOL
• THE POSSIBILITY OF EMERGENCE OF DYNAMIC MATERIA MEDICA AND
THERAPEUTICS ON PERIODIC BASIS JUST LIKE CLARKE’S PRESCRIBER/HUGHES
PPOM PARELLEL TO MIMS/DRUG TODAY SHOULD BE IMMEDIATELY
MATERIALISED TO PUT A STRONG IMPETUS TO RESEARCH LITERACY
THE MISSING LINK: DRUG PHARMACOLOGY
* All the deviations in homoeopathy have emerged due to differences in
practical application of drug as a remedy to the patient
*All of the approaches have to rely on drug action as the source material….the
action is either similar/opposite /dissimilar to the proposed usage of the drug
* There is no harm in linking drug proving to animal experimentation
also…already pointed out in previous year BY CCRH IN LAST YEAR WHD
….all the proposed drug usage which differ from each other must mention the
traditional usage of drug in the beginning which are confirmed by studies
available on net and then one can either extend that knowledge or deviate
from that use by giving his own protocol and basis for the same….OUT
MATERIA MEDICAS MUST CONTAIN SUCH STUDIES IN FINAL YEAR
SYLLABUS..WE ALREADY HAVE SUCH MATERIA MEDICAS IN LITERATURE
THE MISSING LINK: DRUG PHARMACOLOGY
IN THE BEGINNING TO MAINTAIN UNIFORMITY , IF WE CONCENTRATE OUR
STUDIES
• CERTAIN NON TOXIC MOTHER TINCTURES
• BIOCHEMIC MEDICINES
• DRUGS NON TOXIC IN LOW POTENCIES….
WHICH CAN BE EASILY SUPPORTED ANIMAL EXPERIMENTATION
AND REGULARLY QUOTE SUCH STUDIES IN SUPPORT OR AGAINST
PREVALENT DRUG USE, MANY HURDLES IN THE RESEARCH WOULD BE
AUTOMATICALLY RESOLVED AND IT WOULD PAVE THE WAY FOR HIGHER
STUDIES AS COMPARATIVE MODEL FOR FURTHER STUDIES WITH DIFFERENT
OR HIGHER POTENCIES
THIS IS BEING ALREADY DONE IN CCRH BUT NEEDS MORE APPRECIATION
WHAT WERE HAHNEMANS VIEWS ON DRUG
SELECTION…APHORISM 145 FOOTNOTE
• At first, about forty years ago, I was the only person
who made the provings of the pure powders of
medicines the most important of his occupations.
Since then I have been assisted ….. when number
of accurate and trustworthy observers shall have
rendered their services in enriching this, the only true
materia medica, by careful experiments on
themselves! The healing art will then come near the
mathematical sciences in certainty.
Before criticising any homoeopathic study
• ? Think in terms of different scenario/position of the homoeopath….
• Its relevance to your position
• To whom it concerns
• Access and read only those which applies to you
• The answers to same question differ for different IQ persons
• Think to whom to study is targeted….this applies undertaking studies
also
How to improve the condition on a greater scale
• Start reading a research paper at least once in a month
• Start sharing findings of research paper in journals or other media
• Have at least one speaker in every conference on how to read research
paper EITHER HOMOEOPATHIC OR FROM MODERN SYSTEM OF MEDICINE
• PREPARING LIVE VIDEOS ON HOW DIFFERENT RESEARCH STUDIES ARE
CONDUCTED BY CCRH..ENTIRE METHODOLOGIES
• Have regular interactive panel discussions on several terms related to
research
• BE READY TO ACCEPT UPGRADATION OF ISSUES ON COMMON CONSENSUS
• HOMOEOPATHIC DICTIONARY FOR TERMS USED DIFFERENTLY BY
US…ALREADY DONE IN WEST
AIM----RESEARCH LITERACY
AIM----RESEARCH LITERACY
Homoeopathic data base with own search engine
• This is the minimum requirement that is needed for continuation of
culture of research literacy
• It should take shape as early as possible
• ?????we do not have sufficient number of studies AND GENUINE
LITERATURE to put for search on web
Why I should be research literate
ayurvedic texts talk about three debts a person owns in his life as
mentioned in Rigveda as deva rina, pitra rina and rishi rina or called
gurudakshina
As a physician it is our duty to pay respect to our teachers through
enrichment of our literature from which we have been trained and this
can be done through research literacy and suggesting any changes in the
study literature that is needed in that scenario……updating data on
modern epidemics of dengue, chikungunya, swine flu etc.
As a busy practitioner, it is our moral duty to contribute something back
to the system through proper documented report so that future
generations do not face the same problem
Moreover, once we understand research studies, Evidence based
medicine is bound to happen
Evidence based medicine
Three requirements for EBM
1. Good studies
2. Similar patients
3. Decision on critical review of studies
This is just like expert systems on repertory softwares but based on
actual studies , one develops his own expert system in a much better
way
Thanks

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Research literacy among homoeopaths

  • 1. RESEARCH LITERACY AMONG HOMOEOPATHS Dr. Subhash Chand, CMO (NFSG), NDMC Delhi
  • 2. Aim of my paper • The basic aim of my paper is just to stimulate your imagination/critical thinking if I am able to do so and that with all the experience that I have as an homoeopath exposed to different settings of college, research and now dispensary • Homoeopathy is an ocean and I am just like every drop of water in the ocean • My qualifications and I Q level could be lesser than few of you • It is not a research paper , its just an expert opinion in terms of research webnar that occupies the lowest value in critical thinking • Nothing in this paper should be taken as a personal attack if it appears so • All views are my views, my angle of seeing homoeopathy and it can never be Homoeopathy as it is because the my power of seeing the world is equal to my visual equity….what I see is what I intend to see and not more than that..could be most of it in view of some of your prove to be rubbish or non sense in present or future that includes me also • Because the topic of today is more based on mass survey than just thinking • In the end…if I succeed lot of surveys need to be done to assess truth of proposed questions in this paper to prove or disprove
  • 3. Research literacy versus information literacy “research literacy” - the ability to access, interpret and critically evaluate basic medical literature Information literacy : same for any literature Era of Information technology-----constant evaluation of the information related to many diverse fields ON THE BASIS OF OUR WISDOM to take important decisions that affect ones life in many ways AND IN THE LONGRUN WISDOM ITSELF IS ENRICHED FOR MORE BETTER DECISIONS.. THUS INFORMATION LITERACY IS FUNDAMENTAL TO LEARNING OR GETTING MORE KNOWLEDGEABLE Research literacy in terms of medical practice: critical evaluation of medical information/literature for better care of sick individuals…done on daily basis in the clinic
  • 4. RESEARCH VERSUS RESEARCH LITERACY Research : Methodological search ( as per designed protocol) with highest probability of uniform results… Research literacy- • basic tool to understand and advance the growth of any science that includes medical science and its practice. • refers to intelligent application of research studies for more effective clinical practice or other purposes. • It is an integral part of education system in each science and • it should not be thought of as unilateral process of literature access and evaluation , it is only through access and effective use of literature, the literature itself is enriched for which more research is undertaken and these are essential for sustained development of any medical science.
  • 5. quotation from surgery by k das • Yours eyes cannot see what your mind does not know I would like to add • Your mind can never know something new if you don’t make effort with your eyes to see some thing …if you train your mind to see in a particular direction with little guidance than also you can know…and once you can know you can see in further in a better way … • It’s a two way process both complement each other Practice or abhyasa or training the mind to see rightly is fundamental to true knowledge…..seeing or access is little bit in our hand and questions automatically come to our mind for next steps for which sometimes we need help from master of that subject…..hence the search begins
  • 6. Importance of research literacy to a homoeopthy…a defensive weapon • In the current society dominated by modern system of medicine….it is the only tool to communicate with them. Each of us cannot do research but we can be research literate at a much lower cost • The so called research findings in homoeopathy based on personal experiences are considered as anecdotes by critics..this term was new to me • We are compared to witches/astrologers/prayers/placebo effect • This is the only technique that should be inculcated among us on a war footing level • Regularly see videos on criticism against and how western doctor defend them from such criticism • Every conference should have one paper dedicated to this issue, so that we future homoeopaths are sensitized in advance to deal with such issues • Each of us should be capable of giving uniform reply to such FAQ’s through ample discussions/debates on this issue…we must memorize a few studies by heart • BE PREPARED FOR HIDDEN INTERNAL ENEMIES…HOMEO. DRUG COMPANIES ? DRUG TESTING/STARDARDISATION …CHECKING OF TAILORED PRODUCTS, INFORMATION ON BROCHURE…..NO CONTROL …NEVER DISCUSSED….BECOZ ALL CONF. FINANCED BY THEM… THE SALARY IS BETTER THAN EARNING OF AVERAGE HOMOEOPATH..many drug shops have accumulated enormous wealth just by selling medicines………a big question
  • 7. How to access medical literature There is a beautiful video on the net under the address https://www.youtube.com/watch?v=gPvflvLco8U&t=509s published by muntz library wherein this part is explained in a very simple way. I will be touching only main points Two sources 1. Library 2. Internet 3. In Homoeopathic settings: personal access to books, journals, softwares Before the introduction of computers : 1. library---catalogue of three types…1. title of the book 2. name of the authur 3. subject now a days few more things like abstract, keywords etc have been added into these cards 2. internet: techniques of searching. How to search better- there are different videos available on net. There are different search engines in modern science….like pubmed etc.
  • 8. How to access medical literature –for homoeopaths…first step Surprisingly both of the features: Access to library and search on Internet and the availability of books/journals/even latest articles on research • Are either non existent or not considered…even books are not on the table..rely on human software i.e. their brain • Not affordable , Or if affordable- available only to few • And if available no time /will to search mostly in institutions or research bodies • And even if search is made, no search engines in Homoeopathy free of cost, only few software's with limited literature • And even if searched, no knowledge to interpret studies • And even if this is done…no one to communicate..different platforms One can judge what would be the percentage of research literacy among us
  • 9. How to interpret and critically evaluate medical literature • Right interpretation … to interpret any fresh /research work one should be familiar with research terminology and research methods and look for higher level of evidence studies. the first tool of expert opinion or background information on which we rely too much on daily basis is full of errors and occupies base of the pyramid in research methods to evaluate quality of evidence …..because of changing society norms and materialism one can not segregate truth in expert opinions…….how products are sold in market each of us knows • Critical evaluation : one should be very thorough in research methodologies and should have sufficient exposure to number of studies and detailed knowledge of research tools to evaluate a given study and comparatively evaluate the work in comparison to what has already been done.
  • 11. CRITICAL THINKING- RELEVANCE IN PAST AND PRESENT “what is critical evaluation” AS UNDERSTOOD BY US - go to introduction to Organon of Medicine HAHNEMANN’S CRTICISM ABOUT ALLOPATHY IS BEATIFULLY ANSWERED BY A DOCTOR WHO INITIALLY GOT ADMISSION IN HOMOEOPATHIC COLLEGE BUT LATER JOINED ALLOPATHIC COLLEGE….VIDEO ON YOU TUBE AT LINK ADDRESS https://www.youtube.com/watch?v=zXKcRklWkcA&t=74s NAMED Dispelling the myths of homeopathy | Dr. Shantanu Abhyankar | TEDxPICT WHAT ACTUALLY IS CRITCAL THINKING…….YOU HAVE TO STUDY RESEARCH METHODOLY IN DETAIL….this material world appears to work on a predictable basis and if you propose a hypothesis that is scientific than with the research methods you should be able to repeat your results with accuracy with proposed requirements of your studies.this is what is the basic demand of present day society ….it is not that we do not follow this but we fail to understand that which is right path…Dr. Hari Singh our incharge….bronchodilatory effects of tincture, clinical verification of cv drugs..formed background book as to what to prescribe….ferr phos in anaemia
  • 12. ABOUT HAHEMANN AND STATUS OF HOMOEOPTHY IN WEST • QUALIFIED ALLOPATH • MASTER OF SEVEN DIFFERENT LANGUAGES • RESEACH LITERATE : HAD GOOD ACCESS TO LITERATURE, INTERPRETATION AND CRITICAL EVALUATION OF CULLENS MATERIA MEDICA LED TO EVOLUTION OF HOMOEOPATHY • GOOD KNOWLEDGE OF RESEARCH TOOLS AHEAD OF HIS TIME LEDTO FORMATION OF DIFFERENT GUIDELINES FOR PRACTICE OF HOMOEOPATHY • HAS USED SYNONYOUS TERMS FOR RESEARCH LITERACY THROUGHOUT HIS WRITINGS as unprejudiced/clear headed/ clearly perceives observer well aware of advances in medical sciences • COULD DEFEND ANY ATTACK ON HOMOEOPATHY • CONTEMPORARY AND SUCCEEDING HOMOEPATHS EQUALLY WELL QUALIFIED AND RESEARCH LITERATE • EVOLUTION OF MARVELS OF MATERIA MEDICA, THERAPEUTICS, REPERTORIES
  • 13. INDIAN SCENARIO BEFORE RECOGNITION • a developing and poor nation before independence, Homoeopathy got strongholds as best cheap and effective alternative system. • The first Homoeopathic college came into existence in 1883 • primary aim was to spread awareness, popularity and effectiveness of Homoeopathy amongst masses through effective treatment. • The percentage of qualified practitioners with research literacy ( access to western literature ) in the beginning has been limited • The key role was played by registered practitioners who were out of dedication either doing Homoeopathy as part time or some full time and were more trained in Homoeopathic subjects usually limited to Materia Medicas and that too basic ones with little or no access to western literature and some were also not research literate in modern science.
  • 14. INDIAN SCENARIO • There were no uniform rules for practice amongst registered homoeopaths as their practice differed as per their understanding and access to Homoeopathic literature. Homoeopathic drug pharmaceutical industry titled homoeopathy to new dimensions of local applications and combinations. • could not put and project their work on those lines which has been done in the west as it was not need of the time • As long as Homoeopathy was not recognized, there were no problems as to the wide variation in clinical practice among Homoeopaths as one was not answerable to either within the system or to the other medical systems. ( individually tailored pathy as per one’s own wishes …meri marji)
  • 15. INDIAN SCENARIO THREE GROUPS OF HOMOEOPATHS EXISTED BEFORE THE RECOGNITION OF HOMOEOPATHY AS A SYSTEM IN INDIA • THOSE QUALIFIED IN EITHER CALCUTTA COLLEGE ESTABLISHED IN 1883 OR FROM WEST. THEY HAD ACCESS TO CLASSIC LITERATURE AND TO SOME EXTENT FOLLOWED THE CLASSICAL WAYS IN THEIR PRESCRIBING • THOSE REGISTERED AS HOMOEOPATHS TILL 1983 WAS A COMPLETELY DISSOCIATED GROUP OF HOMOEOPATHS AND MOST OF THEM DIFFEREED WIDELY IN THE WAY THEY UNDERSTOOD HOMOEOPATHY • THOSE WHO WERE SOMEHOW INVOLVED IN DRUG MANUFACTURING IN HOMOEOPATHY. THEY HAD THEIR OWN VESTED INTEREST
  • 16. INDIAN SCENARIO-ENTRY OF CCH • THERE WAS NO CLEARCUT VISION AS TO WHAT CONSTITUTES HOMOEOPATHY EVEN IN THOSE DAYS......... • THE SIMPLE DEFINITION OF THAT A PRACTIONER IS USING MEDICINES EITHER ONE OR MANY WRITTEN IN HOMOEOPATHIC MATERIA MEDICA WAS THE PARAMETER TO DECIDE ABOUT THE DEFINING THE SYSTEM. • HOMOEOPATHY PRACTISED BY BULK REGISTERED PRACTIONERS HAS NOTHING TO DO WITH THE BASIC PRINCIPLES OF HOMOEOPATHY BECAUSE INDIAN SCENARIO BASED ON TRIAL AND ERROR METHOD AND PERSONAL EXPERTISE HAS GROWN IN ITS OWN WAY WITH VERY WIDE VARIATIONS FROM PHILOSOPHY OF EITHER HOMOEPATHY OR MODERN SCIENCE ALSO • THE CLASSICAL HOMOEOPATHY HAD ALREADY SEEN SEVERAL DIVISIONS ...AS TOTALITY USED TO BE INTERPRETED IN MORE THAN FIFTEEN NUMBER OF WAYS
  • 17. INDIAN SCENARIO-CCH VISION OF A COLLEGE • EVERYTHING WAS BORROWED FROM THE WEST. ... IN WEST ALSO THE TEACHING MODEL FOR HOMOEOPATHY AS A SEPARATE SYSTEM HAS ALREADY FAILED BUT EFFECTIVITY OF HOMOEOPATHY WAS NEVER DISPROVED • NO DISCUSSIONS WERE HELD ABOUT THE SCOPE OF HOMOEOPATHY AS A RECOGNISED SYSTEM IN INDIAN SCENARIO...ITS LIMITATIONS • UPCOMING CHALLENGES FOR QUALIFIED HOMOEOPATH AS AN INDEPENDENT SYSTEM WERE NOT PERCIEVED • HOW TO FILL THIS GAP BETWEEN PRACTICAL HOMOEOPATHY AS PRACTISED AND WOULD BE HOMOEOPATHY WAS NOT PERCEIVED • WOULD THE COMING PRODUCT WOULD BE ABLE TO SURVIVIVE FINANCIALLY ALSO WAS NOT CONCIEVED ......BECAUSE TILL THAT TIME PART TIME PRACTIONER WITHOUT FINANCIAL MOTIVE WERE WORKING
  • 18. INDIAN SCENARIO – CCH VISION OF A COLLEGE • THE TEAM FAILED TO APPRECIATE HOW ALLOPATHIC SYSTEM AND ALLOPATHIC MEDICAL COLLEGES RUN AND IT IS WITH THAT SYSTEM THE EDUCATED HOMOEOPATH WOULD HAVE TO COMPETE WHO DECIDES WHAT IS TO BE TAUGHT IN ALLOPATHIC COLLEGES WHAT IS THE LITERATURE BASE, HOW IS UPGRADED...WHO CONTRIBUTES....ANY RESEARCH IN ANY SCIENCE IS IMMEDIATELY INTEGRATED ... A WELL ESTABLISHED SYSTEM WITH HUGE DATA BASE AND RESEARCH STUDIES WITH RESEARCH LITERACY AS AN INTEGRAL PART WORKING ON 24 HOURS SEVEN DAYS THROUGHOUT THE GLOBE • WHEREAS HOMEOPATHIC LITERATURE IN THE WEST WAS MINICULE AS COMPARED TO MODERN SYSTEM, SCATTERED WITH NO WELL ESTABLISHED SYSTEM TO UPDATE, DIVIDED INTO SEVERAL STREAMS, STILL UNDER EXPERIMENTAL STAGE WAS IMMEDIATELY ADAPTED AS A BASE MATERIAL FOR STUDY. THERE IS NO INTELLECTUAL HEIRARCHY IN THE LITERATURE. NO CONNECTION WITH ADVANCES IN OTHER SCIENCES ON CONSTANT BASIS, NO LINKAGES WITH RESEARCH AND RESEARCH LITERACY. NO METHODS TO UPDATE LITERATURE AS PER CHANGES IN THE MODERN SCIENCE • Any change in the existing Homoeopathic literature was perceived as a threat to the system and that feeling is still continuing …..NO SCOPE ON CONSTANT UPDATE
  • 19. Indian Homoeopathic education/evolution of research literacy• Homeopaths educated in Indian environment are caught between two extremes of modern medicine subjects and Homoeopathic subjects. The division is clearly visible in certain colleges. • The wisdom accumulated by registered Homoeopaths and passed over generations could not be communicated to qualified Homoeopaths as most of the time is against what is taught and is even ignored today…most of them hide due to several reasons • Qualified Homoeopaths faced tough time to practice Homoeopathy…most of them with no parental heritage have to start from a scratch…had no courage to share their prescription…still continuing….pure hit and trial …or shift to other supports like magnet, naturopathy, acupressure etc. • The initial priority was to create qualified Homoeopaths…again till the introduction of degree and post graduate course introduction research literacy culture could not be introduced in colleges as teachers with knowledge of even western Homoeopathic literature were few in number • The growth of Homoeopathic colleges is on the rise has outnumbered research literate Homoeopaths. Culture of research literacy though introduced is still in seed form and no where near comparison with Allopathic Medical Colleges.
  • 20. CHANGING needs of homoeopaths in changing scenario placed in different settings…. Need different source materials TO COMMUNICATE • Registered practitioners: concerned about more effective remedies with no restrictions as per classical homoeopathy… most difficult to control and unite • Teaching staff : how to upgrade the existing database and what to teach and how to teach…homoeopathy as a system or as a practitioner • Qualified practitioners: how to practice homoeopathy keeping a balance between effectively and philosophy…how to increase the range of treatment in day to day practice..diet supplements/pain killers/surgeries/vaccinations • Research workers: how to train the existing practitioners/promote the further research studies in Homoeopathy and fill the gap between research and practitioners • Policy makers: CCH/CCRH/HEAD OF INSTITUTIONS- how to put results of homoeopathy in comparison to other medical systems, how to popularize it , how to control the monopoly of drug pharmaceuticals, how to interact on global level as well as individual level in the community. How to spread and integrate it with Health care systems.
  • 21. CCRH role in research literacy • CCRH ITSELF TOOK MANY YEARS TO FRAME ITS POLICY AND VARIOUS RESEARCH WORKS • EVERYTHING WAS STARTED AS NEW ….TRAINED MANPOWER WAS A PROBLEM. • INITIAL FOCUS WAS TO STRENGTHEN ITS INFRASTRUCTURE AND ON GOING RESEARCH PROJECTS • THERE WERE VERY FEW PRACTIONERS WHO COULD UNDERSTAND WHAT IS CCRH AND WHAT IT IS DOING FOR HOMOEOPATHY DUE TO RESEARCH ILLITERACY • NOW CCRH IS CONSIDERED AS ROLE MODEL FOR UNDERTAKING ANY RESEARCH IN HOMOEOPATHY • NOW CCRH IS APPROACHING COLLEGES/STUDENTS/PRACTIONERS DIRECTLY TO INCULCATE RESEARCH LITERACY AS WELL AS RESEARCH CULTURE
  • 22. How to improve the condition on a greater scale..HOW TO CREATE THINK TANK…. • Like any other science, Emergence of computers with homoeopathic software’s has played a major role in promoting culture of research literacy but their access is limited to certain percentage of Homoeopaths. • The concept of Homoeopathic libraries parallel to National Medical library in each state has yet to take shape. • Nurturing the habits of research literacy at college level through regular interaction of teachers with CCRH …linking education with research AS WELL REGUARL INTERACTION CCRH WITH COMMON PRACTIONERS …LINKING PRACTITIONERS WITH RESEARCH THROUGH RESEARCH LITERACY • Easy and cheap availability of basic and research literature either through books at subsidized rate/establishment of libraries/regular free circulation of literature in Compact disc form/ or creating a central portal with database accessible either free or a nominal rate to each Homoeopath • Some research methods are very simple and can be practiced in clinics with minimum resources like case studies….this should be done on large scale….not only homoeopathic but also any odd finding should be documented…duty of each homoeopath to participate in research as per his strength and capacity • Preparation of FAQ on criticism against Homoeopathy : how to reply them : debates in each national international seminar…how to form strategy…..
  • 23. PROBLEMS WITHIN HOMOEOPATHY..VARIETY OF WAYS OF PRESCRIBING/SCOPE OF HOMOEOPATHY • How to connect seemingly different ways of prescribing and stop the emergence of new ones • Homoeopathic community instead of integration is getting more decentralized and disintegrated …during recent years some more schools have appeared not only from outside India but from India itself…the growth is welcome but not at the expense of unity with the already existing structure….any growth under the banner is welcome but with consensus on a large scale so that it could be included in the curriculum of CCH itself • There is one thing which is common to all deviations in homoeopathy, they are finding new ways to link the best medicine with the patient • Moreover many a times findings have to be communicated to members of other medical system…esp for those in policy making
  • 24. THE MISSING LINK It is through intensive study of source books of materia medica used by practitioners as the basis of prescription one can deduce • The percentage of so called constitutional drug is hardly 10 % in these books and most of those drug usages are also in conformity to the traditional usage also • The unproved drugs/partially proved/clinical symptoms/biochemic remedies/bach flower remedies/organ remedies/herbal remedies occupy equal value in the literature • monographs of several drugs available on net not only confirm certain use of the same drugs as written in materia medica but also contain more information which is not mentioned in Homoeopathic materia medica AND materia medica based on proving contain information not in agreement with drug action
  • 25. How to bridge the gap between prescriptions/ different homoeopathic practices…a critical evaluation…homoeopathic algorithm explained SUCCESS OF HOMOEOPATHY IS NOT basically EQUAL TO SUCCESS OF PRACTIONER/HOMOEOPATH ( hahenmann, kent, boger boenninghausen, clarke… vithoulkas, and all the emerging schools of Homoeopathy all are termed as expert opinions only in the Research webnar …and is also not equal to the success of homeopathy in various disease ( a total disastrous approach)……..the way we are approaching the problem…….for the last fifty years in CCRH .. The approach should have been from medicine to sick individual what a medicine can do …knowledge of medicine…
  • 26. How to bridge the gap between prescriptions/ different homoeopathic practices…a critical evaluation…homoeopathic algorithm explained ONE HAS TO NARROW DOWN OTHER PARAMETERS IN CLINICAL SETTING AND REDEFINE IT … Scope AND SUCCESS of Homoeopathy=========scope AND SUCCESS of drug===== scope of drug action=====already known actions confirmed by drug pharmacology=======all explanations further added must start from basic drug action however different it may be from previous uses may be on the basis of any philosophy/science……any correlation made deviating from the basic proposed action plan amounts to nothing if ultimately you are verifying the original basic proposed plan as is being done till today in Homoeopathy ====TO SENSITISE EACH HOMOEOPATH ABOUT THIS TRUTH ……SOME CORRELATIONS SHOULD BE MADE WITH THIS IN POSITIVE OR NEGATIVE WAY SO THAT WE DO NOT DEVIATE FROM BASIC TRUTH…THIS IS ONLY WAY WE CAN HAVE UNIFORM PLATFORM TO DISCUSS NOT ONLY WITHIN THE COMMUNITY BUT WITH OTHER SYSTEMS Why this confusion …who created this confusion……..?????? It started with Hahnemann himself …
  • 27. How to bridge the gap between prescriptions/ different homoeopathic practices…a critical evaluation…homoeopathic algorithm explained Value of repertory in selection of remedy… a critical analysis….a hypothesis Why repertory has utterly failed to improve the practice of Homoeopathy in Indian scenario….and why registered practitioners have and are still having edge over qualified practitioners who use repertory….can indexing of symptoms help reach the desired remedy….is this model can be replicated in the opposite direction if we apply to disease diagnosis….think of indexing symptoms of all diseases and using it as a tool to diagnose each case and reaching to diagnosis through repertorisation of disease symptoms…can you think in that direction….probably you will say no……..repertory is only a reference tool and never it can be used as the only basis of prescription……questions should be framed on this hypothesis and let a suitable answer come but again any attempt to evaluate repertory as bound to be a failure as explained earlier…no authenticity as to the hundred percent efficacy of the symptoms…full of observational and interventional errors…..
  • 28. How to bridge the gap between prescriptions/ different homoeopathic practices…a critical evaluation…homoeopathic algorithm explained If do not change the existing setup can we have uniform possibility of prescription and desire action in patients……Value of Homoeopathic Materia medica in the selection of remedy in the existing scenario … a critical analysis….a hypothesis Why the existing symptoms in the materia medica can not bring informity in the current scenario ???all of should no….symptoms collected from different sources…poisoning, overdosing, mother tincture/crude drug different individuals collected on the basis of expert opinion without animal model/authentic verification of source material are clubbed up and these are treated with potentized medicine which have no medicinal content………..a total deviation ….if you are using potencies than only symptoms induced by that particular potency should be used for that particular potency….the question of potency, quantity, repeatition are secondary to answer to this question………it is a form of questioning that should be evaluated with proper research techniques….similar to gigo concept in computers
  • 29. How to bridge the gap between prescriptions/ different homoeopathic practices…a critical evaluation • the proposed theory of Hahnemann that diseases are dynamic in nature can only be healed by dynamic medicine is frequently challenged in almost every video on net. • But it is fact that drug in potencies do act…….but problem is the same doctor with the same medicine in the same potency is not able to repeat the findings in next patient on regular basis …other unknown factors interfere with treatment • How non dynamic reasons such as cold air, warm air, different foods, sun are able to aggravate the disease since these are physical how they affect the vital force?????? …this is not the issue of todays topic…
  • 30. DRUG PHARMACOLOGY AS A POSSIBLE LINK • DRUG PHARMACOLOGY THAT INCLUDES ANIMAL EXPERIMENTATION IS THE BACKBONE OF MODERN SYSTEM OF MEDICINE • IT IS THE ONLY TOOL WHICH THEY UNDERSTAND IF WE HAVE TO COMMUNICATE WITH THEM • IT IS THE CONNECTING LINK BETWEEN DIFFERENT PARTS OF MEDICAL SCIENCES..ANATOMY, PHYSIOLOGY, BIOCHEMISTRY, GENETICS, BIOMEDICAL ETC...IT BRINGS ALL RESEARCHES AND ADVANCES ON THIS ASPECT • CCH HAS FAILED TO INTRODUCE DRUG PHARAMACOLOGY IN THE SYLLABUS OF BHMS AND HAD IT BEEN DONE THE STORY WOULD HAVE BEEN DIFFERENT...LATELY RECOGNISED BY CCRH AS AN IMPORTANT TOOL • THE POSSIBILITY OF EMERGENCE OF DYNAMIC MATERIA MEDICA AND THERAPEUTICS ON PERIODIC BASIS JUST LIKE CLARKE’S PRESCRIBER/HUGHES PPOM PARELLEL TO MIMS/DRUG TODAY SHOULD BE IMMEDIATELY MATERIALISED TO PUT A STRONG IMPETUS TO RESEARCH LITERACY
  • 31. THE MISSING LINK: DRUG PHARMACOLOGY * All the deviations in homoeopathy have emerged due to differences in practical application of drug as a remedy to the patient *All of the approaches have to rely on drug action as the source material….the action is either similar/opposite /dissimilar to the proposed usage of the drug * There is no harm in linking drug proving to animal experimentation also…already pointed out in previous year BY CCRH IN LAST YEAR WHD ….all the proposed drug usage which differ from each other must mention the traditional usage of drug in the beginning which are confirmed by studies available on net and then one can either extend that knowledge or deviate from that use by giving his own protocol and basis for the same….OUT MATERIA MEDICAS MUST CONTAIN SUCH STUDIES IN FINAL YEAR SYLLABUS..WE ALREADY HAVE SUCH MATERIA MEDICAS IN LITERATURE
  • 32. THE MISSING LINK: DRUG PHARMACOLOGY IN THE BEGINNING TO MAINTAIN UNIFORMITY , IF WE CONCENTRATE OUR STUDIES • CERTAIN NON TOXIC MOTHER TINCTURES • BIOCHEMIC MEDICINES • DRUGS NON TOXIC IN LOW POTENCIES…. WHICH CAN BE EASILY SUPPORTED ANIMAL EXPERIMENTATION AND REGULARLY QUOTE SUCH STUDIES IN SUPPORT OR AGAINST PREVALENT DRUG USE, MANY HURDLES IN THE RESEARCH WOULD BE AUTOMATICALLY RESOLVED AND IT WOULD PAVE THE WAY FOR HIGHER STUDIES AS COMPARATIVE MODEL FOR FURTHER STUDIES WITH DIFFERENT OR HIGHER POTENCIES THIS IS BEING ALREADY DONE IN CCRH BUT NEEDS MORE APPRECIATION
  • 33. WHAT WERE HAHNEMANS VIEWS ON DRUG SELECTION…APHORISM 145 FOOTNOTE • At first, about forty years ago, I was the only person who made the provings of the pure powders of medicines the most important of his occupations. Since then I have been assisted ….. when number of accurate and trustworthy observers shall have rendered their services in enriching this, the only true materia medica, by careful experiments on themselves! The healing art will then come near the mathematical sciences in certainty.
  • 34. Before criticising any homoeopathic study • ? Think in terms of different scenario/position of the homoeopath…. • Its relevance to your position • To whom it concerns • Access and read only those which applies to you • The answers to same question differ for different IQ persons • Think to whom to study is targeted….this applies undertaking studies also
  • 35. How to improve the condition on a greater scale • Start reading a research paper at least once in a month • Start sharing findings of research paper in journals or other media • Have at least one speaker in every conference on how to read research paper EITHER HOMOEOPATHIC OR FROM MODERN SYSTEM OF MEDICINE • PREPARING LIVE VIDEOS ON HOW DIFFERENT RESEARCH STUDIES ARE CONDUCTED BY CCRH..ENTIRE METHODOLOGIES • Have regular interactive panel discussions on several terms related to research • BE READY TO ACCEPT UPGRADATION OF ISSUES ON COMMON CONSENSUS • HOMOEOPATHIC DICTIONARY FOR TERMS USED DIFFERENTLY BY US…ALREADY DONE IN WEST
  • 37. AIM----RESEARCH LITERACY Homoeopathic data base with own search engine • This is the minimum requirement that is needed for continuation of culture of research literacy • It should take shape as early as possible • ?????we do not have sufficient number of studies AND GENUINE LITERATURE to put for search on web
  • 38. Why I should be research literate ayurvedic texts talk about three debts a person owns in his life as mentioned in Rigveda as deva rina, pitra rina and rishi rina or called gurudakshina As a physician it is our duty to pay respect to our teachers through enrichment of our literature from which we have been trained and this can be done through research literacy and suggesting any changes in the study literature that is needed in that scenario……updating data on modern epidemics of dengue, chikungunya, swine flu etc. As a busy practitioner, it is our moral duty to contribute something back to the system through proper documented report so that future generations do not face the same problem Moreover, once we understand research studies, Evidence based medicine is bound to happen
  • 39. Evidence based medicine Three requirements for EBM 1. Good studies 2. Similar patients 3. Decision on critical review of studies This is just like expert systems on repertory softwares but based on actual studies , one develops his own expert system in a much better way