Hahnemann and placebo

Samuel Hahnemann (1755–1843) known today as the founder of homoeopathy, was – as far as we know – the first physician who administrated placebos to his patient on a systematic and regular basis. This study is based upon unpublished documents (e.g. patients' letters) in the Archives of the Institute for the History of Medicine of the Robert Bosch Foundation in Stuttgart. It also profited from the critical edition of Hahnemann's case journals and the editorial comments which have also been published in this series. Hahnemann differentiated clearly between homeopathic drugs and pharmaceutical substances which he considered as sham medicine (e.g. milk sugar). A close look at Hahnemann's case journals reveals that the percentage of placebo prescriptions was very high (between 54 and 85 percent). In most instances Hahnemann marked placebos with the paragraph symbol (§).

The rationale behind this practice was that Hahnemann had encountered the well-known problem that patients were used to taking medicine on a daily basis as it was typical for the age of heroic medicine. The main reason for giving placebo was therefore to please the impatient patient who was used to frequent medications in allopathic medicine, not only every day but sometimes also hourly.

Keywords

Hahnemann - History of homeopathy - Placebo

• References

• 1 Kerr CE, Milne I, Kaptchuk TJ. William Cullen and a missing mind-body link in the early history of placebos ( http://www.jameslindlibrary.org/illustrating/articles/william-cullen-and-a-missing-mind-body-link-in-the-early-history last accessed 02/02/2014).
• 2 Jütte R. The history of placebo. World Med J 2010; (03) 56: 109-114.
• 3 Jütte R. The early history of the placebo. Complement Ther Med 2013; 21: 85-93.
• 4 Cullen W. Clinical Lectures 1772-3 RCPE Manuscript Cullen 4/2 299-300 (facsimile: http://www.jameslindlibrary.org/illustrating/records/clinical-lectures/key_passages last accessed 02/02/2014).
• 5 Cullen W. Clinical Lectures 1772 Feb/Apr RCPE Manuscript Cullen 4/4 218-9 (facsimile: http://www.jameslindlibrary.org/illustrating/records/clinical-lectures/key_passages last accessed 02/02/2014).
• 6 Mortsch M. Krankenjournal D 22 (1821). Kommentarband zur Edition. 2008. Karl F. Haug Verlag; Stuttgart: 151-155.
• 7 Papsch M. Krankenjournal D 38 (1833–1835). Kommentarband zur Transkription. 2007. Karl F. Haug Verlag; Stuttgart: 109.
• 8 Genneper T. Als Patient bei Hahnemann. Die Behandlung Friedrich Wiecks in den Jahren 1815/1816. 1991. Karl F. Haug Verlag; Heidelberg: 88.
• 9 Fischbach-Sabel U. Krankenjournal D 34 (1830). Kommentarband zur Edition. 1998. Karl F. Haug Verlag; Heidelberg: 96.
• 10 Hahnemann S. Transl. by Hempel CJ The Chronic Diseases 1845. Vol 1 Wm. Radde; New York: 165 note.
• 11 Schuricht U. Krankenjournal D 16 (1817–1818). Kommentarband zur Edition. 2004. Karl F. Haug Verlag; Stuttgart: 35.
• 12 Hahnemann S. Heilart des jetzt herrschenden Nerven- oder Spitalfiebers (1814). Schmidt J.M., Kaiser D. Kleine Medizinische Schriften. 2001. Karl F. Haug Verlag; Stuttgart: 648-650.
• 13 Edited by the Bundesärztekammer auf Empfehlung ihres Wissenschaftlichen Beirats Placebo in der Medizin 2011. Deutscher Ärzteverlag; Cologne: 159.
• 14 Benedetti F. Placebo and the new physiology of the doctor-patient relationship. Physiol Rev 2013; Jul (03) 93: 1207-1246 10.1152/physrev.00043.2012.
• 15 Holtz [owner of a brick manufacture]. Letter to Samuel Hahnemann, 1832, 8th September. Archives of the Institute for the History of Medicine of the Robert Bosch Foundation, Stuttgart, Bestand B 321150.
• 16 Haehl R. Transl. from the German by Wheeler ML, Grundy WHR Clarke J.H., Wheeler F.J. Samuel Hahnemann: His Life and Work; Based on Recently Discovered State Papers, Documents, Letters etc. 1927. Vol I Hom. Publ. Comp.; London: 327.
• 17 Kurze. Nachrichten von der Arzneygelahrtheit. Allg Dtsch Bibl 1787; 73: 401-419.