What are the principles behind Homeopathy and does it work?
I intensely dislike all forms of medical quackery. Of course, my passionate, full-throated, defense of the scientific consensus on the safety and effectiveness of vaccines is fairly obvious. There are literally mountains of evidence that support my skepticism of the antivaccine beliefs.
But there’s more junk medicine out there than the pseudoscience pushers running around the vaccine world. One of my favorite ones is homeopathy. It is a scam that tries to convince people that a vial of nothing more than water (and sometimes ethanol) has some magical medical properties. And it’s expensive water, much more expensive than some bottled water that claims it’s bottled at the source of some glacier in the Alps.
What is homeopathy?
But let’s back up a bit, and explain the “science” of homeopathy, because a lot of people, mostly Americans, conflate homeopathy with natural medicine, like herbal medicine. It isn’t. Basically, homeopathy, known as the “law of similars”, relies on belief that “let like be cured by like”, and is a term coined by Samuel Hahnemann, a German physician who was appalled by the state of medicine at the time, the late 1700’s. And frankly, the state of medicine at that time was pretty bad, so any new idea might have been worthy of trying. However, when Hanneman was alive, basic scientific knowledge was missing. Cell theory and germ theory were a few decades from even a basic understanding.
Homeopathic potions are prepared by serially diluting the original substance (could be anything from diseased tissue to arsenic to snake venom plus mercury) with shaking and forceful striking on an elastic body, which they term succussion. Each dilution followed by succussion is assumed to increase the effectiveness. Homeopaths call this process potentization. So far, it’s just merely diluting and shaking, so nothing much there. But the level of dilution is such that there is only a tiny possibility of any molecule of the original substance showing up in solution.
The dilution is precisely described by Hahnemann. The first dilution is one part to 99 parts water. Then, one part of that first dilution is then diluted in another 99 parts water. Each of these dilutions is called 1C, so two dilutions would be called 2C, with one part of the original similar diluted in approximately 10,000 parts water.
But it doesn’t stop there. Homeopathy uses >30C dilutions, which means that the final dilution is simply water with an almost 0% probability of including even 1 molecule of the original similar.