Single or Multiple
Medicine Prescribing - A Debate
at the Royal London
Homoeopathic Hospital on 7 July 1992.
The debate was chaired by Dr Peter Fisher.'This House believes that the single
remedy is the
medicine of experience'
Summing up: opposing
Dr George Lewith:
I am not the opposition, I am the proposition. Mao
Tse-Tung said: Let a thousand flowers bloom. That is probably quite a reasonable thing to
do. The approach that you use works terribly well for you. The approach that the Chinese
acupuncturist uses works terribly well for him. He has a model of an illness which allows
him to work and understand, develop a treatment regime and approach a patient. The model
that I am using in complex homoeopathy is a different model to classical and is based on a
functional understanding, and works well for me. There is no problem with that. I am quite
happy to swap over to an acupuncture model. I find it very useful sometimes. Sometimes I
find, like Michael Jenkins, that not only do some patients fit a articular remedy, they
don't fit a particular illness model. So I find it useful to be at least bilingual in
medicine because it really helps, it gives you a better understanding. If you understand
three cultures, if you are trilingual, it is even better. I am trying for my fourth
medical language at the moment. I think this is genuinely useful because it gives you
better insight.
Francis Treuherz, ever the historian, gives me
quote for quote. You take Hahnemann, you quote him, you find a counter-quote, you could do
it for almost anybody. Hahnemann didn't invent homoeopathy, it was known to the ancient
Greeks, so I understand. So you can pick and choose and you can use it to support or
defeat your beliefs. The concept that complex homoeopathy is somehow evil, insidious,
untested, drug company based, nasty, horrible and will do us a lot of harm is an
interesting one. In fact the quality control and the legislation controls for many of the
continental complexes are far better than for many of the singles produced here in this
country. The complexes have been used for very long periods of time. They are not new
medicines. They are very safe and they are very widely used in Europe and their adverse
reactions are very widely reported if they indeed occur because they come under the same
legislation in Germany and France as conventional medicines. So I think that this is an
unreasonable worry.
I went into this with a great deal of humour
because when I was asked to take part in this debate I said well it's going to be a very
predictable outcome, whatever I say, so I might as well bring on the Chippendale's or
something we could have a much jollier evening. We all know what the outcome is going to
be, particularly sitting in the Royal London Homoeopathic Hospital. The proposers could
have almost said anything because the medicine of your experience, of most of you sitting
here, is the single remedy and that is why you will probably agree with the motion because
you have no other experience. Now that is a major problem for me because I can't give you
that experience in five minutes but at least you can open your minds a little and see that
there are other approaches. And that is really what I am asking you to do. I have a rather
large hill to climb and I don't seriously expect to be able to climb it. I think, however,
I can dispel some of the distrust, difficulty and obviously emotionally charged atmosphere
which has been directed on some occasions, not particularly this evening, at those of us
who use complexes. I certainly don't feel that about those of you who use singles. That is
all I can say. I am quite happy to let you get on with what you know. You are doing a good
job. If it works for you that's fine. But let me do my job, let me have my experiences,
let me be trilingual in medicine and if you would like to learn another couple of
languages please do, because it is great fun. It gives you different perspectives on the
patient and the aim of all of us is very simple. We, most of us in this area, are here to
have fun and, I hope, to get some professional satisfaction out of trying to help
patients, ideally to learn from our experiences with patients to become better doctors.
And most of us will choose slightly different paths. And that attracts the patients who
come to us and to a certain extent is an expression of the way in which we work and our
understanding of medicine. Thank God it is slightly individual and slightly separate. I
hope we don't get ruled by fanatics. I don't want to be told that there is only one way to
do homoeopathy because I don't think that that is constructive for anybody.
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