Aus homöopathischer Sicht stellt das individuell richtig gewählte Arzneimittel das Optimum dar. Ein Kombinationspräparat, welches ein breiteres Symptomenspektrum abdeckt, ist jedoch bei
weitem einem möglicherweise falsch gewählten Mittel vorzuziehen. Wesentliches Argument für den Einsatz des Kombinationspräparates ist die unmittelbare Situation im Klinikalltag, die von
Notfallbedingungen und Zeitmangel geprägt ist.
[Graeme John Harpham]
Homeopathy is a self-consistent scientific system of medical therapy, which was founded by Christian Friedrich Samuel Hahnemann in 1796.
It is based on the observed biological fact that if a disease process disturbs an organism’s bio-energetic state, it can be predictably restored to normal by specially prepared medicinal stimuli that
need only be administered in small doses, or more often in sub-physiological deconstructions to which the body has an altered receptivity to (Gaier 1991). This receptivity occurs provided that,
in a healthy organism the medical agents chosen would produce symptoms and clinical features like those of the disease, and that obstacles to cure have been removed (Gaier 1991).
There are three main principles that feature in Homeopathy, the first is “Like Cures Like” which is also known as the Law of Similars which implies a match between the primary symptoms of
the remedy and the symptoms of the patient. An example of this would be the remedy for stings and histamine reactions being derived from bees (Apis), or the remedy for insomnia being derived
from the green coffee bean (Coffea) (Kayne 1997).
The principle of “Minimal Dose” is quite unique to homeopathy, remedies are diluted down to various degrees of dilution depending on the condition being treated, acute conditions are treated
using dilutions right down to 1 in 1060 and even further, due to the fact that the potency of the remedies are increased, this dilution process is called „potentisation‟.
However, different conditions require different potencies to be effective, therefore only the minimal amount of the remedy that is effective is used in treatment (Kayne 1997).
The „Single Remedy‟ principle comes from the belief that Hahnemann had that the body could not suffer from more than one disease at a time, and that any and all diverse symptoms were
linked to a single cause or disease process, Hahnemann therefore believed that only one simple remedy was all the treatment necessary to provide relief (Kayne 1997).
It has been found through clinical experience that some homeopathic remedies can be mixed together and administered successfully as a complex, breaking away from the „Single Remedy‟
philosophy. Traumeel S is such a complex.
Complex remedies can be administered if the prescriber is unsure of which remedy is the most appropriate, thereby increasing the chance of a correct prescription. Complexes are also used to
address multiple symptoms of a single condition at the same time which saves time and is more convenient (Kayne 1997).
This method of homoeopathic prescribing was developed in the late 1800’s predominately amongst French and German homoeopaths (Geddes and Grosset, 1997:404 - 405). This system
advocates the prescription of multiple low potency remedies at the same time, or as multiple remedies combined to form a compound homoeopathic formula (Jouanny, 1991:97 - 98).
Prescriptions are based on the presenting symptoms of a disease, and a complex may be administered to treat more than one symptom of the same condition (Kayne, 1997:105).
Complexes are also prescribed when the individually prescribed remedy is not available, or when the prescriber is not certain of which single remedy should be given (Ullman, 1991:22 - 23).
Complex prescribing further differs from classical homoeopathy in that a full consultation, to obtain the entire symptom picture of a patient, is not required as complexes are formulated to contain
most of the commonly prescribed or indicated remedies for a particular condition. Therefore a homoeopathic complex has a wide range of action and may be used by most of the individuals
afflicted by a certain condition (Cook, 1989:73). Complexes therefore lend themselves to over the counter and self prescribing.
Main (2004): a double blind placebo-controlled study to determine the efficacy of Nasosinus of Natura Laboratories (containing Hepar. D3, Nux-v. D3, Puls. D3) in the treatment of acute sinusitis.
30 participants were selected for the trial and randomly divided into 2 groups, with 15 participants in the treatment group and 15 participants in the placebo group.
The Patient Perception Questionnaire was used as a measurement tool. The conclusion of the study was that Nasosinus was not statistically effective in the treatment of acute sinusitis.
The researcher determined that this could have been due to the placebo effect, the small sample size, the short duration of patient treatment and monitoring, and
the need for a more objective measurement tool.
Lockyear (2003): a double blind placebo-controlled study on the efficacy of a homoeopathic complex (Canth. 12CH, Equis. 12Ch, Sars. 12CH, Staph. 12CH, Uva ursi 12CH) in the treatment of
nocturnal enuresis, with regards to the number of wet nights per week. 31 children were selected and randomly divided into 2 groups (treatment and placebo). Results showed that the
homoeopathic complex did not reduce the incidence of bedwetting in a statistically significant way, although both groups showed an improvement. The researcher concluded that the results could
have been due to the placebo effect and the possibility that the complex was inappropriate for treating enuresis as it was formulated to focus only on the urogenital system and enuresis as opposed
to the mental and emotional aspects associated with the disorder.
Botha (2001): Herpin 2 (containing: Ars-i. D10, Bov. D6, Fl-ac. D6, Graph. D30, Hydr. D8, Lyc. D4, Sulph. D30, Urtica D4) in the treatment of atopic eczema. The sample size was 30 was 15
patients receiving treatment and 15 patients receiving placebo. The study showed an improvement of subjective symptoms in both groups and an improvement in objective symptoms in the
treatment group only. However statistically there was shown to be no difference between the groups. This may have been due to the placebo effect and the inclusion of remedies in the complex
which antidote each other in action.
Vimlen Vaithilingam: Searches of the available literature revealed no other research into the efficacy of a homoeopathic complex in the treatment of job burnout.
Germanium metallicum: experiences symptoms such as anxiety and nervousness felt in the stomach, intense irritability with an aversion to answering questions. Feelings of impatience and pressure,
sudden explosive anger towards those around them. Feelings of despair, failure, demotivation, lethargy, isolation from others, depression and hopelessness (Sherr, 1997:187-196).
This remedy represents mostly the mental and emotional symptoms of burnout, therefore it was utilised in a potency of 30 CH, which is suited to the treatment of the mental and emotional
symptoms of burnout (Jouanny, 1991:96).
Nux-v.: the mental, emotional and physical aspects of burnout. Individuals are mentally sluggish, easily offended, abusive, angry, excitable, impatient and anxious. Of use in people who have become
run down by overwork and the resultant abuse of stimulants such as alcohol, coffee, cigarettes and medication in an attempt to cope. Physical symptoms include backache, diarrhoea, vomiting,
headaches, palpitations, nervous exhaustion with trembling and insomnia (Castro, 1996:317-321). This remedy was chosen in a potency of 12 CH, which is an intermediate potency, which covers the
treatment of both the mental and physical symptoms of burnout (Jouanny, 1991:94-95).
Kali-p.: physical symptoms associated with nervous exhaustion due to prolonged stress and overwork. Symptoms represented by this remedy include mental breakdown after periods of enormous
stress, mental fatigue and dullness, headaches from mental exertion, insomnia, offensive diarrhoea and hypersensitivity to stimuli (Kent, 2000).
This remedy was chosen in a potency of 6 CH as this potency is suited to the treatment of mainly physical symptoms (Jouanny, 1991:94-95).
Pic-ac.: nervous exhaustion associated with burnout. Symptoms as lack of willpower, disinclination to work and mental prostration after reading or writing.
Desire to be alone, inability to collect thoughts. Loss of appetite, insomnia, exhaustion and twitching of muscles. Diarrhoea in persons exhausted by overwork (Morrison, 1993:299 - 300).
This remedy was included in the complex in a potency of 6 CH, as once again this potency level addresses the treatment of physical symptoms (Jouanny, 1991:94 - 95).
Ineffective in the treatment of job burnout, as the complex was shown to be statistically no more effective than placebo.
Menopausal symptoms: Bach Flower remedies: Rock Rose, Impatiens, Clematis, Star of Bethlehem and Cherry Plum.
Rock rose: individuals who are in a state of terror, panic and extreme fright- whether the person is in good health or not. People who are suffering from this state of mind are usually in
a serious condition, It is also useful when the situation of the patient is so grave that it affects those around him (Chancellor, 1995:162 ). Many women experiencing menopause go through a
feeling of being unable to cope and fear of losing control.
Impatiens: impatient, irritable, extreme mental tension and for those who are quick in mind and action. The mental tension often manifests as muscular tension and pain. Impatiens is an
effective remedy for all manifestations of pain caused by tension such sudden cramp, an agonizing pain, other spastic conditions (Chancellor, 1995: 121).
It is common that women experiencing menopause also experience severe mood swings and irritability.
Clematis: individuals who experience a sense of indifference, dreaminess, inattention and unconsciousness. Has poor memories, they avoid difficulties or unpleasantness by allowing their
attention to wander and by withdrawing (Chancellor, 1995:76). Lack of concentration is a common symptom in women experiencing menopause.
Star of Bethlehem: after the effect of mental or physical shock. This remedy is one of the five indicated in Rescue Remedy and its function is to neutralize shock in any form.
Dr Bach called this remedy “The comforter and soother of pains and sorrows” (Chancellor, 1995:179). Women going through menopause do have a sense of vulnerability, insecurity and
Cherry Plum: for the desperation and deep depression of those on the verge of a nervous breakdown. The distress becomes so great, that they fear the mind will give way under strain.
They fear that they will lose control of their thoughts or actions, and be impelled to do something dreadful or to commit an act which in a happier time they would not consider for a moment
(Chancellor, 1995:61). Menopausal women commonly experience the feeling of losing control and anxiety.
“Quietude.” = a Complex. (Nux-m. C 4, Hyos. C 3, Passi. C 3, Stram. C 6)
Classical homoeopaths follow Hahnemann’s principles of prescribing only a single remedy at a time to a patient.
Few remedies can be combined and used successfully as a complex. Use of a complex increases the chance of a correct prescription and may yield better results and is used mainly when the
prescriber is unsure as to which remedy best fits the pattern of illness.
Another reason for the use of a complex is to treat more than one complaint at the same time and lastly it is used out of convenience. The unfortunate part of this type of prescription is that the
homoeopath will not be sure as to which single remedy in the complex cured the patient (Kayne, 1997).
Complex prescribing for menopause will assist a number of women who cannot make the time or have money for a consultation.
A study comparing the effectiveness of a herbal-complex (Arctium lappa, Berberis aquifolium, Echinacea purpurea and Taraxacum officinale) as compared to homoeopathic simillimum in the treatment
of Acne vulgaris.