BENEFITS OF HOMEOPATHY AS AN ADJUNCT TO ANTI-AGING PROCEDURES PRP & STEM CELL. Payam Hakimi DO

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1 BENEFITS OF HOMEOPATHY AS AN ADJUNCT TO ANTI-AGING PROCEDURES PRP & STEM CELL Payam Hakimi DO This lecture in its entirety is copy righted and the intellectual property of Dr. Payam Hakimi and cannot be reproduced in any kind without the written permission of Dr. Hakimi.

2 BENEFITS OF HOMEOPATHY AS AN ADJUNCT TO ANTI-AGING PROCEDURES PRP & STEM CELL Payam Hakimi DO Medical Director Body of Harmony Former Med Dir American College of Integrative & Functional Medicine Faculty Center for Education & Development of Clinical Homeopathy Adjunct Assistant Professor OMM & Family Med Touro University Clinical Assistant Professor Family Medicine Western University

3 KNOWLEDGE CAM Integrative Medicine Functional Medicine Homeopathy Research 1. Scientific base -Anecdote

4 OBJECTIVES Principles of Homeopathy Homeopathic medication of specific joints Homeopathic medication of connective tissue Homeopathic medication of capillaries Pre-procedure Homeopathic medication Post-procedure Homeopathic medication Research in Homeopathy

5 WHY USE HOMEOPATHY Your patients are choosing a healthy protocol They might not want medication Better procedure outcomes Increased patient satisfaction with the procedures Symptomatic improvement Adjunct to your conventional treatments

6 RX: HOMEOPATHY Homeopathic therapeutics may alleviate the symptoms of

7 PERSPECTIVE

8 Origins of Homeopathy Same substance that causes a disease, cures it. Hippocrates Hippocratic School Like cures Like

9 Origins of Homeopathy In the 16th century the pioneer of pharmacology and toxicology, Paracelsus, declared that small doses of what makes a man ill also cures him Like cures Like

10 Homeopathy The system is based on the idea that substances that produce symptoms of sickness in healthy people will have a alleviating effect when given in very dilute quantities to sick people who exhibit those same symptoms.

Founder of Homeopathy German physician Samuel Hahnemann (1755-1843) was disturbed by the medical system of his time

11 Founder of Homeopathy German physician Samuel Hahnemann ( ) was disturbed by the medical system of his time believed that its cures were crude and some of its strong drugs and treatments did more harm than good to patients.

Origins of Homeopathy Cinchona Relapsing fevers and chills Treated by Peruvian Bark Countess of Cinchon The birth of homeopathy was based on this,

14 Origins of Homeopathy Cinchona Relapsing fevers and chills Treated by Peruvian Bark Countess of Cinchon The birth of homeopathy was based on this, while Hahnemann was translating William Cullen s writings he noticed Cullen has written Peruvian bark was known to treat intermittent fevers Wikipedia

15 Experiments Hahnemann performed experiments on himself using Peruvian bark, which contains quinine, a malaria remedy. He concluded that in a healthy person, quinine creates the same symptoms as malaria, including fevers and chills, which is the reason why it is effective as a remedy. He then began to analyze the remedies available in nature by what he called provings.

16 Provings Provings Experiments with natural substances to establish their effects on individuals. Provings have been described as important in the development of the clinical trials, due to their early use of simple control groups, systematic and quantitative procedures, and some of the first application of statistics in medicine.

17 For example: evidence that nitroglycerin might be useful as a treatment for angina was discovered by looking through homeopathic provings.

Constantine Hering the father of American Homeopathy was born on January 1, 1800 in Germany in a religious family. At age eleven he was sent to the Classical School of Zittau.

18 Constantine Hering the father of American Homeopathy was born on January 1, 1800 in Germany in a religious family. At age eleven he was sent to the Classical School of Zittau. At the age of seventeen he was sent to the Surgical Academy of Dresden to study surgery for the following three years. He attended University of Leipzig and studied seven courses of medicine.

First Homeopathic Hospital USA In January 1833 his journey brought him to Philadelphia where he started practicing medicine with a big vision for the medicine of the future.

19 First Homeopathic Hospital USA In January 1833 his journey brought him to Philadelphia where he started practicing medicine with a big vision for the medicine of the future. At the time there was no formal education in Homeopathy and the very few practitioners were scattered. In 1835 he founded the first Homeopathic Institution in Pennsylvania, North American Academy of the Homoeopathic Healing Arts, which later merged with the Hahnemann Medical College of Philadelphia. There Hering and his students treated over 50,000 patients a year and trained a total of 3500 homeopaths.

Nitroglyerin Hering did vigorous and time consuming experimentation and provings of ninety one Homeopathic medicine, Hahnemann, the founder of Homeopathy

20 Nitroglyerin Hering did vigorous and time consuming experimentation and provings of ninety one Homeopathic medicine, Hahnemann, the founder of Homeopathy did forty six. Hering was the first person to use nitroglycerine for headaches and heart conditions 30 years before it was used in conventional medicine.

21 Experimentation Using Homeopathic dilution of natural substances (from Provings) to make sure they have the desired effect.

22 Materia Medica Substance Proving Experimentation Materia Medica

23 Homeopathic Reference

24 Materia Medica When prescribing a medicine, homeopaths will match a patient's symptoms with the proper medicine in materia medica. Based on the similarity of the patient s symptoms to the effects ( side effects ) of the substance.

25 APIS MELLIFICA stinging hymenopterous insect Honeybee phospholipase A2, histamine, dopamine, noradrenaline composition has immunogenic, inflammatory, and allergic properties.

26 APIS MELLIFICA Pink edema Stinging pain Inflammatory reaction Pruritus Fever Modality: better with cold,

27 Types of Homeopathy Classical Homeopaths prescribe only one medicine at a time. More than 1000 medicines Brings into account the totality of a patient s symptoms Lengthy interview Anecdotal? Clinical Homeopaths may prescribe more than one medicine for the relief of symptoms and different issues a patient has. Around 300 medications Based on Toxicology & Pharmacology

28 Principles of Homeopathy: 1. Law of Similars (like cures like) 2. Illness is Specific to the individual 3. Law of the Infinitesimal Dose

Vaccines provoke a reaction in the individual that protects against the actual

29 1- The Law of Similars Hippocrates in the fourth century B.C. Vaccines discovered by Edward Jenner and Louis Pasteur. Vaccines provoke a reaction in the individual that protects against the actual disease. Allergy treatments By exposing a person to minute quantities of the allergen, the person's tolerance levels are elevated.

2- Illness is Specific Homeopathic practitioners believe that illness is specific to an individual. Two people with headaches may not receive the same Medicine.

30 2- Illness is Specific Homeopathic practitioners believe that illness is specific to an individual. Two people with headaches may not receive the same Medicine. Profiling or Case-taking: The practitioner will take a complete history including habits, diet, lifestyle, personality traits, the nature of the illness. The physician will then prescribe a medication which has those specific characteristics in its Materia Medica.

32 3- The Law of Infinitesimal Dose Controversial among those outside the field of homeopathy. Diluted homeopathic remedies may have no chemical trace of the original substance. Practitioners believe that the electromagnetic energy of the original substance is retained in the dilution, but the toxic side effects of the remedy are not. It is this electrochemical message" that stimulates the body to heal itself. This is why Homeopathy could not be proven until now!

37 Dr. Luc Montagnier And Nano-molecules

41 A donor tube of a low "silent (not emitting EMS)" dilution of E. Coli (10-3 ) i.e. 3c was placed side by side close to a receiver tube of the positive "loud (emitting EMS)" highest dilution of the same preparation (10-9 ). Both tubes were placed in a mumetal box for 24 hours at room temperature, so that the tubes were not exposed to external electromagnetic noise, and only exposed to the signals generated by the structures present in the tubes themselves. The tubes were then read again by the signal detecting device, the donor tube was still silent (not emitting EMS); however the receiver tube which was emitting EMS became also silent (not emitting EMS).

42 Moreover, when further dilutions were made from the receiver tube 10c, 11c, 12c (10-10, 10-11, 10-12), these dilutions had became positive (emitting EMS). These results suggest that the receiver tube was made silent (not emitting EMS) by formation of an excess of new nanostructures, which could emit signals upon further dilution. See Fig.6

43 Recap Homeopathy is a complete system of medicine, established for over 200 years, that uses natural substances to stimulate the body's self healing abilities. In Greek, homeo means similar and pathos means suffering. Homeopathy is based on the principal of 'like cures like'. As opposed to suppressing, homeopathy stimulates. A Homeopath will choose a medicine based on the unique characteristics of an individual, taking into consideration their physical, physiological and emotional health and prescribe a remedy that elicits the same symptoms that the individual is suffering from.

45 CLINICAL HOMEOPATHY Specific Joints

46 SHOULDERS Causticum Pain Stiffness Tendinitis Aggravation from cold And at night

47 Causticum Potassium hydrogen sulfate neutralized by calcium hydroxide

48 ELBOWS Kalium Bichromicum Tendinitis Tennis Elbow Fibroconnective tissue Aggravated by cold Improved by heat

49 Kalium Bichromicum Potassium dichromate K 2 Cr 2 O 7

50 SACRO-ILIAC Bryonia Alba Painful joint Hydrarthrosis Aggravated by movement Improved by immobility and pressure

51 Bryonia Alba White Bryony Cucurbitacin glucosides resembling corticosteroid structure triterpenes sterols

52 KNEES Kalium Carbonicum Shooting and erratic articular pains Sensation of knee instability Aggravated from cold Improved by heat

53 Kalium Carbonicum Potassium carbonate K 2 CO 3

54 CLINICAL HOMEOPATHY Connective Tissue

55 PERIARTICULAR Rhus Toxicodendron Periarticular dense connective tissue Painful articualr stiffness Relieved by movement and heat Aggravated by immobility and humidity

56 Rhus Toxicodendron Poison ivy Phenolic derivatives Gallic tannin Flavonoid: fisetin anti-inflam properties

57 TENDONS ~ LIGAMENTS Ruta Graveolens Tendinitis, periosteitis, periarthritis Aggravated by rest and cold Improved by heat and movement

58 Ruta Graveolens Rue Rutin (quercetin 3 rutinoside) Furanocoumarins Alkaloids

59 CLINICAL HOMEOPATHY Capillaries

60 CAPILLARIES Arnica Montana Trauma Myalgia, ecchymosis Phlebitis, periphlebitis Stiffness and aching

61 Arnica Montana Mountain arnica Flavonoids Carotenoids Phenolic acids Helanalin

62 CLINICAL HOMEOPATHY Synovium

63 SYNOVIUM Apis Mellifica Hydrarthrosis Acute inflammatory arthritis Sensation of stinging / burning Improved by cold applications

64 SEROUS MEMBRANES Bryonia Alba Hydrathrosis Rheumatoid arthritis Improved by pressure Aggravated by movement

65 STEM CELL & PRP PROCEDURE Pre-Procedure Protocol

66 BASIC PROTOCOL Arnica Montana Decreases bleeding, bruising and inflammation Topical Arnica: cream, lotion, gel Cinchona Decreases bleeding Apis Mellifica Pink edema, stinging pain, inflammatory reaction, pruritus Gelsemium Apprehension anxiety

67 STEM CELL & PRP PROCEDURE Post-Procedure Protocol

68 BASIC PROTOCOL Arnica Montana Decreases bleeding, bruising and inflammation Topical Arnica: cream, lotion, gel Cinchona Decreases bleeding Apis Mellifica Pink edema, stinging pain, inflammatory reaction, pruritus

69 JOINT PROCEDURES Ruta Gravelolens Tendinitis, periosteitis, periarthritis Bone Marrow Aspirate Rhus Tox Periarticular dense connective tissue Bryonia Alba Painful joint, hydrarthrosis + Medication of the specific joint

70 SKIN PROCEDURES Arnica Montana Decreases bleeding, bruising and inflammation Topical Arnica: cream, lotion, gel Cinchona Decreases bleeding Apis Mellifica Pink edema, stinging pain, inflammatory reaction, pruritus

71 STEM CELL & PRP PROCEDURE Dr. Hakimi s Protocol

72 BASIC & SKIN PROTOCOL Arnica Montana Cinchona Apis Mellifica Gelsemium 30 C 5 PELLETS OF EACH 3 X DAILY

73 JOINT PROCEDURES Ruta Gravelolens Rhus Tox Bryonia Alba + Medication of the specific joint 30 C 5 PELLETS OF EACH 3 X DAILY

74 CLINICAL HOMEOPATHY Research

75 RESEARCH Acknowledging & appreciating the difference between Medical and Homeopathic research protocols (illness is specific) Exponential growth in research

87 Karp, J-C, Sanchez, C et al. Treatment with Ruta graveolens 5CH and Rhus toxicodendron 9CH may reduce joint pain and stiffness linked to aromatase inhibitors in women with early breast cancer: results of a pilot observational study Homeopathy, November 2016 Volume 105 Issue 4 Pages

91 The intervention and control groups both received standard physiotherapy treatment-massage, thermal therapy, and joint mobilization-every 2 wk. In addition, the treatment group received a homeopathic complex-6ch each of Arnica montana, Bryonia alba, Causticum, Kalmia latifolia, Rhus toxicodendron, and Calcarea fluorica. The control group a received a placebo. Results: Intergroup analysis revealed that the treatment group significantly outperformed the control group with regard to pain, daily functioning, and ROM. No difference existed between the groups, however, in the need for conventional pain medication.

96 Since

98 LIMITATION!

100 DR. PAYAM

Treating joint pains in the aging population A Homeopathic approach

Treating joint pains in the aging population A Homeopathic approach Payam Hakimi DO Medical Director Body of Harmony Medical Director American College of Integrative & Functional Medicine Clinical Assistant