Balancing Homeopathy with Ethical Pragmatism

Balancing Homeopathy with Ethical Pragmatism

Recently, during a homeopathic doctors’ group meeting, I met a thought-provoking debate regarding the use of allopathic treatments (dissimilar medicines) in conjunction with homeopathy. The varying views on when and how these treatments could be applied brought me back to Samuel Hahnemann’s foundational teachings. 

His wisdom, as outlined in the Organon of Medicine, remains an essential guidepost for us as practitioners, and this meeting inspired me to reflect on these concepts and share them with my students and colleagues in the homeopathic field.

The Core of Homeopathy: Similia Similibus Curantur

As I reminded those in the meeting, Hahnemann’s principle of Similia Similibus Curantur—“like cures like”—is the cornerstone of homeopathy. This philosophy teaches us that the most effective way to treat disease is by focusing on its root cause rather than masking symptoms. The body’s natural ability to heal should be stimulated by carefully chosen remedies that support the patient’s intrinsic healing mechanisms, rather than artificially interfering with them.

However, there are situations, particularly in emergencies or life-threatening conditions, where Hahnemann allows for flexibility. He acknowledged that there might be a need for dissimilar medicines (allopathic interventions) in critical circumstances, such as in cases of suspended animation, as described in §67 of the Organon.

The Conditional Use of Allopathic Medicines

During the debate, I noticed that some colleagues seemed to advocate for the general use of allopathic treatments alongside homeopathy. However, this view overlooks the conditional emphasis Hahnemann placed on such treatments.

In Organon aphorism §67, Hahnemann described cases where a patient’s vital functions are temporarily halted—such as during a drowning, lightning strike, or other crisis. In these situations, life-saving allopathic interventions may be necessary.

Hahnemann’s message is clear: such interventions are not part of routine treatment but should be reserved for emergencies when no other options are available. Once the patient has stabilized, we must return to homeopathic principles to address the underlying causes of the illness. His balanced view highlights the ethical responsibility of prioritizing life-saving measures when needed, while still emphasizing the importance of treating the patient’s unique constitution and symptoms for long-term healing.

The Views of Dr. B.K. Sarkar and Prof. Dr. M.P. Arya

To better understand this delicate balance between homeopathy and allopathic intervention, I often direct my students to two important texts: Dr. B.K. Sarkar’s Commentary on the Organon and Prof. Dr. M.P. Arya’s A Study of Hahnemann’s Organon. Both works deeply explore the nuances of Hahnemann’s teachings on the use of dissimilar medicines in emergencies.

Dr. B.K. Sarkar, on page 323 of his Commentary on Organon, provides a critical interpretation of Hahnemann’s thoughts on suspended animation. He reinforces the idea that such situations are exceptions, not the norm, and highlights the need for restraint and judgment when determining when to deviate from homeopathic principles.

Prof. Dr. M.P. Arya, in A Study of Hahnemann’s Organon (page 193), elaborates on these cases, emphasizing the ethical dimensions of making life-saving decisions while remaining rooted in homeopathy. His insights help practitioners navigate the fine line between maintaining the integrity of homeopathic practice and ensuring patient safety in critical moments.

The Essence of Homeopathic Philosophy: Individualized Treatment

Another crucial aspect discussed during the meeting was the concept of individualized treatment. Hahnemann always emphasized that no two patients are the same; thus, no two treatments should be identical. Each person’s unique physical, mental, and emotional state must be considered when prescribing a remedy. This philosophy is critical to our practice, and as practitioners, it is essential to honor this individualized approach.

Miasmatic Theory and the Treatment of Chronic Disease

The discussion also touched on the treatment of chronic illnesses and the role of homeopathy versus allopathy. I reminded my colleagues that Hahnemann’s miasmatic theory forms the backbone of homeopathic chronic disease management. Chronic diseases, according to Hahnemann, are not merely collections of symptoms but manifestations of deeper disturbances in the life force. He identified three primary miasms: psora, sycosis, and syphilis, which he believed to be at the root of chronic disease.

As I have discussed in my lectures, modern interpretations of Hahnemann’s miasmatic theory align with contemporary understandings of chronic disease and immune system dysfunction. Research by George Vithoulkas and Dmitry Chabanov in their paper, The Evolution of Miasm Theory and Its Relevance to Homeopathic Prescribing (2023), and by Dr. Mohit Mathur in his paper, The Concept of Miasm – Evolution and Present-Day Perspective (2009), provides modern insight into how Hahnemann’s ideas can be applied today. They argue that chronic illnesses often arise from suppressed symptoms, a concept consistent with current scientific theories that long-term stressors or immune dysregulation can lead to chronic conditions.

Balancing Practicality and Principles

Hahnemann’s approach to medicine was not only practical but also deeply ethical. He understood that while homeopathy should be the cornerstone of treatment, there are situations where the ethical course of action is to use life-saving interventions. This wisdom challenges us to remain grounded in our principles while also recognizing the limits of our practice.

As I reflect on the debate, it is clear to me that Hahnemann’s teachings offer timeless wisdom. He challenges us not to be rigid, but to be thoughtful, ethical, and responsive to the needs of our patients. Whether we are dealing with acute or chronic conditions, the core of our practice must remain the same: to restore balance and facilitate healing through individualized, holistic care.

In conclusion, it is through this balancing of homeopathy with ethical pragmatism that we can truly honour Hahnemann’s legacy, ensuring that we provide our patients with the most thoughtful, effective, and ethical care possible.

Dr. Anil Singhal MD(Hom.)
Author: “Boger’s Legacy”
Former Guest Faculty

Bakson Homeopathic Medical College, Greater Noida

Nehru Homeopathic Medical College, New Delhi

Dr. BR Sur Homeopathic Medical College, New Delhi

Former Secretary (Education)

Medical Education & Research Foundation, India.

Reviewer, The Homeopathic Heritage, India.

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About the author

Dr. Anil Singhal

Dr. Anil Singhal MD(Hom.)

Author of “Boger’s Legacy”

Former Guest Faculty
- Bakson Homeopathic Medical College, Greater Noida.
- Nehru Homeopathic Medical College, New Delhi.
- Dr. BR Sur Homeopathic Medical College, New Delhi.
- Former Secretary (Education).
- Medical Education & Research Foundation, India.