jueves, 24 de julio de 2014

Extreme homeopathic dilutions retain starting materials: A nanoparticulate perspective

Homeopathy (2010) 99,231-242 © 2010 The Faculty of Homeopathy
doi:10.1016/j.homp.2010.05.006, available online at http://www.sciencedirect.com

ORIGINAL PAPER
Extreme homeopathic dilutions retain starting materials: A nanoparticulate perspective

Prashant Satish Chikramane1, Akkihebbal K Suresh1,2, Jayesh Ramesh Bellare1’2’* and Shantaram Govind Kane1, 1 Department of Chemical Engineering, Indian Institute of Technology (IIT), Bombay, Adi Shankaracharya Marg, Powai, Mumbai 400 076, Maharashtra, India
2Department of Biosciences and Bioengineering, Indian Institute of Technology (IIT), Bombay, Adi Shankaracharya Marg, Powai, Mumbai 400 076, Maharashtra, India

Homeopathy is controversial because medicines in high potencies such as 30c and 200c involve huge dilution factors (1060 and 10400 respectively) which are many orders of magnitude greater than Avogadro's number, so that theoretically there should be no measurable remnants of the starting materials. No hypothesis which predicts the retention of properties of starting materials has been proposed nor has any physical entity been shown to exist in these high potency medicines. Using market samples of metal- derived medicines from reputable manufacturers, we have demonstrated for the first time by Transmission Electron Microscopy (TEM), electron diffraction and chemical analysis by Inductively Coupled Plasma-Atomic Emission Spectroscopy (ICP-AES), the presence of physical entities in these extreme dilutions, in the form of nanoparticles of the starting metals and their aggregates.

Homeopathy (2010) 99, 231 -242.
Keywords: Homeopathy; Nanoparticles; Nanocrystalline materials; Transmission Electron Microscopy


Introduction
Homeopathy, a mode of therapy, was established in the late 18th century by German physician, Samuel Hahne-mann. Hahnemann, during his experiments, prepared medi-cines from a wide variety of natural products. He discerned that the infinite dilutions of these substances carried out in steps and accompanied by vigorous shaking ‘succussion’ (together known as potentization) at each dilution step, elicited some kind of a potent activity to these solutions.1,2 In spite of the various controversies and frequent challenges by the scientific community regarding its efficacy, this mode of treatment has stood the test of time, and is still being used in many countries for treatment of various chronic conditions, with medicines being prepared from a variety of herbal, animal, metal and other mineral sources.

Correspondence: Jayesh Ramesh Bellare and Shantaram Go¬vind Kane, Department of Chemical Engineering, Indian Institute of Technology (IIT), Bombay, Adi Shankaracharya Marg, Powai, Mumbai 400 076, Maharashtra, India.
E-mail: jb@iitb.ac.in, sgkane@gmail.com
Received 6 November 2009; revised 22 April 2010; accepted 22 May 2010

However, a major lacuna has been the lack of evidence of physical existence of the starting material. The main dif-ficulty in arriving at a rational explanation stems from the fact that homeopathic medicines are used in extreme dilu-tions, including dilution factors exceeding Avogadro’s number by several orders of magnitude, in which one would not expect any measurable remnant of the starting material to be present. In clinical practice, homeopathic potencies of 30c and 200c having dilution factors of 1060 and 10400 respectively, far beyond Avogadro’s number of 6.023 x 1023 molecules in one mole, are routinely used.
Many hypotheses have been postulated to justify and elu-cidate their mechanisms of action. While some hypotheses such as the theory of water memory,3-5 formation of clathrates,6 and epitaxy7 are conjectural in nature, others such as those based on the quantum physical aspects of the solutions8,9 have not been sufficiently tested, either due to complexity in validating the hypothesis or due to non-reproducible results. The ‘silica hypothesis’10 is the only model that proposes the presence of physical entities such as siloxanes or silicates resulting from leaching from the glass containers. Following a dearth of credible and test¬able hypotheses to identify any physical entity responsible for medicinal activity, most modern scientists continue to believe that homeopathy at best provides a placebo effect.
Despite the extreme dilutions in 30c and 200c potencies, our approach has been to test for the presence of the starting materials in the form of nanoparticles.. Medicines selected were metal-based, and were so chosen that the metals would not arise either as impurities or as contaminants. The six metals and their respective homeopathic medicines were gold (Aurum metallicum or Aurum met), copper (Cuprum metallicum or Cuprum met), tin (Stannum metallicum or Stannum met), zinc (Zincum metallicum or Zincum met), silver (Argentum metallicum or Argentum met) and platinum (Platinum metallicum or Platinum met). Three potencies: 6c, 30c, and 200c were selected. The dilution factor for 6c is 1012 which is less than Avogadro’s number, whereas the dilution factors for 30c and 200c are well above. Market samples of these medicines in 90%v/v ethanol were obtained from two reputable manufacturers: SBL, India, and Dr. Willmar Schwabe India (WSI) Private Limited.
We examined the following physico-chemical aspects:
a.         The presence of the physical entities in nanoparticle form and their size by Transmission Electron Microscopy (TEM) by bright-field and dark-field imaging.
b.         Their identification by matching the Selected Area Electron Diffraction (SAED) patterns against literature standards for the corresponding known crystals.
c.         Estimation of the levels of starting metals by a 500-fold concentration of medicines, followed by chemical analysis using Inductively Coupled Plasma-Atomic Emission Spectroscopy (ICP-AES).
Materials and methods
Materials
The homeopathic medications used for the purpose of re¬search were obtained commercially from authorized distrib¬utors of a leading homeopathic drug manufacturer in India (SBL) and an Indian subsidiary of a multi-national homeo¬pathic company viz. Dr. Willmar Schwabe India Pvt. Ltd. Random batch number samples were purchased from the market and no special effort was made to get samples from the company. Since we purchased these medicines from the market, only in certain cases were we able to obtain them from a single manufacturing batch. Also no special ef¬forts were made to obtain the drugs from a batch. The High¬performance liquid chromatography (HPLC) grade ethanol used for the purpose of ICP-AES analyses was procured from Commercial Alcohols Inc., Canada. The TEM grids obtained from Pacific Grid-Tech (USA) were 200 mesh cop¬per grids coated with carbon—formvar.
Methods
Nanoparticle characterization by TEM/SAED: The TEM analyses were performed on Tecnai G2 120 kV Cryo-TEM (FEI, Hillsboro, USA). All samples were viewed at 120 kV. The TEM analyses were performed for the medicines by placing a drop of the original solution (without pre-concen-tration) on the carbon—formvar coated copper TEM grids in a clean environment. The drop of the solution was then allowed to dry completely after which another drop was added. The usual drying time for each drop was ap-proximately 30—60 min in air at room temperature. This procedure was repeated 5 times. After air-drying the sam¬ple for further 30—60 min, the grid was kept under an IR lamp for approximately 20 min to ensure complete drying of the sample and thereby preventing the possibility of solvent molecules from adhering to the particles on the grid. The SAED patterns of the particles were taken and the d-spacings were calculated using the camera length (calibrated daily using a standard gold colloid). The dark-field images were also taken by selecting three spots from two inner rings on the SAED pattern. The d-spacing values from SAED patterns and the crystallite sizes from the dark-field images were calculated using the Image-J software.
Elemental composition by ICP-AES: The determination of the starting elements in ultra-trace concentrations was performed on Ultima 2, (Jobin Yvon Horiba, Japan). The operating parameters for the ICP-AES instrument were as follows: plasma gas flow rate (Argon gas): 12 l/min; auxil¬iary gas flow rate: 0.2 l/min; sample uptake: 2.5 ml/min; integration time: 5.0 s, Spray Chamber: cyclonic chamber. The limit of detection of the instrument was 10 ppb. For the purpose of ICP-AES analyses, the samples were pre¬pared by pre-concentrating the solutions (6c, 30c, and 200c potencies) 500-fold in a vacuum rotary evaporator, Roteva Model #8706R (Equitron, India) at 45°C and 100 rpm speed.
The homeopathic medicines that we purchased were in ei-ther 100 ml or 500 ml capacity bottles. Most of the SBL homeopathic medicine bottles were of 500 ml capacity with a few of 100 ml capacity, while those obtained from Willmar Schwabe India (WSI) Pvt. Ltd. were all 100 ml bot¬tles. In the case of medicines obtained as 500 ml bottles, so¬lutions from 4 bottles of the same medicine and potency were pooled together for concentration, whereas for medi¬cines which were marketed as 100 ml bottles, solutions from 20 bottles of each medicine at the same potency were pooled. The concentration was carried out in a 50 ml clean round bottom flask on a rotary vacuum evaporator. The flask was filled with the solution (approximately 30—35 ml at a time) and the solvent was evaporated. Upon complete evaporation of the solvent, the flask was re¬filled with fresh homeopathic solution and the process was repeated till the entire volume of 2000 ml was evaporated. Only one bottle was opened at a time to maintain the integ¬rity of the purchased medicines. To prevent contamination, under no circumstances was the solution in the bottle kept exposed. The residues of Cuprum met, Stannum met, and Zincum met were acidified to solubilize the particles of their respective starting metals by addition of concentrated nitric acid. Similarly, aqua regia (concentrated nitric acid and con¬centrated hydrochloric acid in the ratio 1:3) was added to residues of Aurum met, Argentum met, and Platinum met. A 1:1 ratio of water: acid was maintained for all the concen¬trated samples. The amount of acid and water was adjusted so that the final volume was 4 ml, thus, amounting to a con¬centration by a factor of 500. The samples were filtered through Whatman 40 filter paper to remove the residual mat¬ter prior to analysis. The SBL samples were analyzed in trip¬licate and samples from WSI were analyzed in duplicate. As a negative control, 90%v/v ethanol samples were also pre¬pared using HPLC grade ethanol and Milli-Q water. These ethanolic solutions were also concentrated in the manner similar to that employed for the medicines.
The emission lines selected for measuring the concentra-tion of the metals are as follows: Gold: 242.795 nm, Copper: 324.754 nm, Tin: 283.999 nm, Zinc: 213.856 nm, Silver: 328.068 nm, Platinum: 265.945 nm. The instrument re-sponse was calibrated using standards prior to analyses of the samples.
Results and discussion
Determination of size and morphology by TEM
Zincum met, Aurum met, Stannum met and Cuprum met 30c and 200c were analyzed by TEM. The results are given as photomicrographs (Figure 1(a)—(p)), which clearly dem-onstrate the presence of nanoparticles and their aggregates. Due to extreme dilution often only a single nanoparticle or a large aggregate is seen. Hereafter, the term ‘particles’ col-lectively refers to the nanoparticles and their aggregates.
We noted a high polydispersity of the particles in the so-lutions with respect to their shapes and sizes for various medicines and potencies. A scrupulous examination of the entire manufacturing process of these medicines sug¬gested that two key processes played a vital role in impart¬ing the high polydispersity. They are:
1.         The dilution steps in the solid phase (till 6x potency) in-volved trituration of the raw materials with lactose. Such a comminution process is expected to generate particles of varied shapes and sizes. The physical characteristics of these particles are dependent on the type of raw mate¬rial and the shearing force applied.
2.         During liquid dilutions, the succussion process at each potentization step played a vital role. The succussions given to the liquid mass are expected to produce particles of varied shapes and sizes due to three factors including shearing forces generated during the pounding of the liq-uid container against an elastic stop, the properties of the raw materials involved, and variations during pounding of the container, between individuals.
The permutations and combinations of the above-men-tioned factors and the possible subtle differences in the manufacturing processes employed by various manufac-turers can explain the findings regarding polydispersity between different medicines and manufacturers.
We also made another prominent observation regarding the presence of surface asperities on the particles which were clearly evident from the differences in contrast on sur¬faces of these particles along with a substantial difference in their size between different starting metals. Thus, larger aggregates were found in Zincum met (Figure 1(a)—(d)) and Stannum met (Figure 1(i)—(l)) as compared to those observed in Aurum met (Figure 1(e)—(h)) and Cuprum met (Figure 1(m)—(p)) at the same potencies.
The mechanism of cavitation or generation of vapor bub-bles caused by ultra-sound irradiation (acoustic cavitation) in the entire liquid mass during manufacturing may explain the observations noted above. We suggest that the process of succussion is the cause of cavitation. As set out in a later section, the extant theories of cavitation11—14 can, in principle, provide an explanation of our findings.
The aggregation behavior of the particles seems to be de-pendent on the physical property of the starting metal, spe-cifically its melting point. We observed that the aggregates of zinc in Zincum met and tin in Stannum met were rela¬tively larger as compared to the smaller aggregates of gold and copper found in Aurum met and Cuprum met re¬spectively. The bulk melting points of tin and zinc are ~ 505 K and ~ 692 K respectively as compared to the higher melting points of gold and copper (~1337 K and ~ 1357 K respectively). A decrease in melting points of metallic and semiconductor particles with decreasing size has also been well characterized.15 A combination of ex¬tremely high surface temperatures along with a decrease in the melting point of these particles could facilitate the formation of aggregates that we found.
It is probable that during the succussion process, the col-lisions of the particles induce surface temperatures well above the melting points of tin and zinc, thereby facilitat¬ing their aggregation. However, the melting points of gold and copper being much higher, the occurrence of melting and fusion of these particles would be relatively less frequent than for tin and zinc.
Overall, our data for bright-field TEM do not indicate a major difference in the size or nature of the particles in a particular medicine as we increase potency from 30c to 200c. Therefore, the individual crystallite sizes were deter¬mined by dark-field TEM (as shown for Zincum met for both manufacturers in Figure 2(a)—(d)). We observed that the aggregates of all the metals tested had maximum crystal¬lites (~40—50%) in the size range of 5—10 nm, and that 70—95% of all the crystallites were below 15 nm (Figure S1 — Supplementary information). Thus, in the case of dark-field TEM also, there was no major potency- dependent difference in size distribution of crystallites.
Confirmation of elemental composition of particles by SAED
The nanoparticles and aggregates identified in TEM were analyzed by SAED for confirmation of the elemental compo¬sition. We took multiple SAED patterns of the same particle at varying intensities so as to focus on the inner and outer rings for calculation of the d-spacings of the respective ele¬ments. The SAED patterns of the nanoparticles and their ag¬gregates found in the metal-based homeopathic medicines are represented in Figure 3(a)—(p).
SAED analyses of all samples showed patterns consis¬tent with the starting materials. In particular, Aurum met and Cuprum met from both suppliers (SBL and WSI) in¬dexed to gold and copper respectively. Table 1 shows the values of the d-spacings calculated from the diameters of the ring patterns of particles observed in Aurum met samples. Similarly, in the case of Stannum met from SBL, the observed pattern indexed to a-Sn whereas that from WSI to b-Sn. In the case of Zincum met samples from both sup¬pliers, we did not observe pure metallic zinc, but the SAED patterns indexed to zinc hydroxide which is an expected compound derived from zinc (d-spacing data for zinc, tin and copper have been given as Supplementary information — Tables S2—S5).

The confirmed presence of these crystalline species of starting materials or those derived from them (as evident from the SAED patterns) despite the ultra-high dilutions 
such as 30c and 200c was astounding, proving that the starting materials were retained even with extremely high dilutions.

The d-spacing values for the particular elements con-formed well to the Joint Committee on Powder Diffraction Standards (JCPDS) data in literature in the range of ±2%. However, for some d-spacings corresponding to a few planes in the crystal, the values differed by approximately ±4%. The differences in some of the d-spacing values for each metal can be explained on the basis of induction of mi¬nor plastic deformations in the crystals. The initial tritura-tion process involving high shearing forces, together with the succussion process involving high-velocity collisions of nanoparticles resulting in the generation of shock waves caused by the imploding cavitations, may have induced minor plastic deformations in the metal crystals.

In a few of the SAED patterns for the metals analyzed, the particles also showed presence of diffused ring patterns similar to that of an amorphous material. The probable reason for presence of amorphous phases on the surface of the nanoparticles and aggregates is de¬scribed later in this paper. On the whole, the SAED data indicated that the particles of the starting materials were present in the homeopathic medicines even in po¬tencies such as 30c and 200c. In order to quantify the ex¬act amounts of these starting metals in ultra-high

potencies, we conducted the ICP-AES analyses of these medicines.
Estimation of concentration of the starting materials by ICP-AES
ICP-AES is an established technique for the estimation of metals and other elements. Our equipment had a mini¬mum detectable limit of 10ppb, thereby necessitating

Table 1 Electron diffraction pattern — comparison of d-spacing for Aurum met 30c and 200c potencies
hkl values
Relative
intensity
d-spacing Gold [A]
Aurum met 30C SBL — Figure 3(e)
Aurum met 200C SBL — Figure 3(f)
Aurum met 30C WSI — Figure 3(g)
Aurum met 200C WSI — Figure 3(h)
111
100
2.3550


2.3515
2.3312
200
52
2.0390
2.0300
2.0393
2.0213
2.0224
220
32
1.4420

1.4389
1.4454
1.4418
311
36
1.2300
1.2000
1.2598

1.2514
222
12
1.1774

1.1809
1.1732
1.1695
400
6
1.0196
1.0700
1.0072
1.0152
1.0211
331
23
0.9358



0.9530
420
22
0.9120

0.9120
0.9079

422
23
0.8325


0.8286

333
0.7850
0.7600
0.7843


440
0.7210

0.7179
0.7196

531
0.6890

0.6939


442
0.6800




620
0.6450
0.6600



533
0.6220




622
0.6150




444
0.5890




All d-spacing values are in A units. d-spacing data in ‘bold’ — from JCPDS#04-0784, remaining d-spacing data from Edington.16





concentration of the homeopathic solutions using a tech-nique in which there is absolutely no possibility of adding inadvertently the metal to be detected.
The analyses of the metal-based medicines, performed after the concentration of the solutions gave startling re¬sults. The starting metals were detected for all potencies (6c, 30c, and 200c) at concentrations of the order of picogram/ml (pg/ml). The measured concentrations are presented in Table 2. The data presented in the table are back-calculated concentrations of the metals in the origi¬nal homeopathic medicines. The analyses of the negative control of 90%v/v ethanol did not indicate the presence of either the noble metals or tin, and for metals such as cop¬per and zinc, indicated far lower concentrations than those in the medicines.
We analyzed several samples of Aurum met, Argentum met, and Platinum met for the presence of their respective starting metals. In the case of Aurum met (SBL), some of the samples tested, including higher potencies such as 30c and 200c indi¬cated presence of approximately 60—100 pg/ml of gold; the levels being much higher than the sensitivity of the instrument whereas in the ethanol—water negative controls there was no signal for the presence of gold. However, a few Aurum met (SBL) samples did not show presence of gold. Our results point towards a considerable batch-to-batch variation in the concentrations of the starting material. This is certainly not surprising, considering that the method of preparation in¬volved manual processes along with an absence of any at¬tempt to estimate the concentrations of the starting materials at the end of the manufacturing process of a partic-ular batch. The Aurum met (WSI) samples did not show gold in detectable quantities.
Analogous results were obtained for the Argentum met (SBL) samples wherein silver was detected in one 30c and one 200c sample (30.6 pg/ml and 116 pg/ml respec¬tively). The concentrations in the other samples were below the detection limit. Likewise, we discerned detect¬able concentration of platinum (~ 40—220 pg/ml) in the Platinum met (SBL) samples for all potencies.
The concentrations of non-noble metals such as copper, tin and zinc in their respective homeopathic medicines viz. Cuprum met, Stannum met, and Zincum met were higher (2—30 times that of noble metals) and easily detectable. In the Cuprum met samples (SBL), we detected ~ 500—2500 pg/ml of copper in the solutions. Similarly, 6c potency of WSI indicated high concentration of copper (~370 and ~900 pg/ml respectively in the two samples). However, the concentrations of copper in the higher poten¬cies viz. 30c and 200c were very low (~ 10—40 pg/ml) in some and below detectable limits in the others. Likewise for Stannum met samples (SBL) we detected tin; albeit with very high variations from ~70 to 1000 pg/ml. In the WSI homeopathic solutions of Stannum met however, lower concentrations of tin were detected in the range of ~20—180 pg/ml. As compared to the other samples of non-noble metals noted above, the concentration of zinc in the Zincum met samples was much higher. In the Zincum met samples we detected presence of zinc with a very high variation in the concentrations between manufacturers from ~200 to 2700 pg/ml and ~ 1400 to 4000 pg/ml for SBL and WSI respectively.
It was reassuring that there was good reproducibility in terms of the estimated concentrations of the starting mate-rials in the pair of samples of the same medicine, potency, and the manufacturing batch. We observed a variation up to 40% in the samples prepared from the same manufacturing batch as compared to a variation up to 1550% in samples from different batches. These results clearly highlighted the following:
1.         Validation of the accuracy of our method involving pre-concentration of the medicines prior to analyses as exemplified by the moderate variation in intra-batch samples (refer data sets for Cuprum met, Stannum met, and Zincum met marked in bold in Table 2).
2.         High inter-batch variation in the concentration of the starting materials for a given manufacturer and potency, and between manufacturers.




Figure 1 Bright-field TEM images of nanoparticles and aggregates. Zincum met. (a) 30c (SBL), (b) 200c (SBL), (c) 30c (WSI), (d) 200c (WSI). Aurum met. (e) 30c (SBL), (f) 200c (SBL), (g) 30c (WSI), (h) 200c (WSI). Stannum met. (i) 30c (SBL), (j) 200c (SBL), (k) 30c (WSI), (l) 200c (WSI). Cuprum met. (m) 30c (SBL), (n) 200c (SBl), (o) 30c (WSI), (p) 200c (WSI).








Figure 2 Bright-field and corresponding dark-field TEM images of nanoparticles and aggregates observed in Zincum met. (a) 30c (SBL), (b) 200c (SBL), (c) 30c (WSI), (d) 200c (WSI). Inset — SAED patterns of the corresponding nanoparticle/aggregate.









Table 2 Estimated concentration of starting metals in various potencies by ICP-AES (pg/ml)
Homeopathic dilution
SBL (pg/ml)


WSI (pg/ml)

1
2
3
1
2
90%v/v Ethanol
ND
ND
ND
ND
ND
Aurum met 6c
81.4
76.4
ND
Samples not obtained
Aurum met 30c
64.8*
ND
58.2
ND
ND
Aurum met 200c
ND
104.6
ND
ND
ND
90%v/v Ethanol
153.4
245.0
149.0
245.0
149.0
Cuprum met 6c
1199.0
995.2
1355.6*
893.4
370.8
Cuprum met 30c
730.2
703.2
1383.4*
38.6*
ND
Cuprum met 200c
485.4
432.2
2680.2*
ND
ND
90%v/v Ethanol
ND
ND
ND
ND
ND
Stannum met 6c
569.4
409.2
195.8*
180.8
153.0
Stannum met 30c
901.6
889.6
145.6
93.8
76.4
Stannum met 200c
877.8
1055.8
63.8*
20.8
73.0
90%v/v Ethanol
208.2
210.2
199.0
208.2
210.2
Zincum met 6c
380.0
366.0
1002.8
1432.6*
3989.6
Zincum met 30c
655.2
165.4
1224.0
3068.6*
1377.6
Zincum met 200c
357.8
191.2*
2743.6
2230.2*
2322.8
90%v/v Ethanol
ND
ND
ND


Argentum met 6c
ND
ND
30.6
Samples not obtained
Argentum met 30c
ND
116.0
ND


Argentum met 200c
ND
ND
ND


90%v/v Ethanol
ND




Platinum met 6c
220.6*

Samples not obtained
Samples not obtained
Platinum met 30c
41.0*




Platinum met 200c
213.6




Bold’ against a pair of samples in a row for given manufacturer and potency indicates their preparation from same manufacturing batch. The Limit of Detection (LOD) of the instrument was 10 ng/ml corresponding to 20 pg/ml in the original solutions. All concentrations below this value have been reported as ‘Not Detected’ or ‘ND’.
* Data indicate that the bottles used to make up the required quantity (2000 ml) were from the same manufacturing batch.




Thus, for each metal-based medicine of a particular po-tency, the estimated values appeared to be within a band of 2 orders of magnitude. These variations could be attributed to the processes employed for manufacturing. A visit to a reputed manufacturer revealed that the initial lactose trit-urations were performed on an automated machine using a mortar and pestle. Apart from the control of particle sizes of the metal powders at 1 x potency (wherein 80% of the particles of the starting material should be below 10 mm and none above 50 mm),17 there are no further checks for the distribution of the metals in the triturated 6 x mixture, which is the starting material for proceeding to the liquid based succussion steps. This is believed to be the cause of these large variations.
The liquid dilutions and the potentization steps (includ¬ing succussion) were done manually during manufactur¬ing, wherein the entire mass of the liquid in the glass container was pounded against a rubber stop 10 times, with inevitable variation in the force of impact and the ex¬tent of cavitation generated during these human powered succussions. Apart from the initial trituration with lactose, succussion per se could also be an important method of generation of nanoparticles of the starting materials, due to intense shearing of these nanoparticles against the walls of the glass containers, by the fluid shear and possibly by particle collision due to the implosion of the cavitations created by the ultra-sound waves generated. Therefore, a difference in the shearing force imparted during succus¬sion could result in a large difference in the formation of
the nanoparticle fraction of the starting materials, thereby reflecting as inter-batch variation.
Figure 4 Estimated concentrations of starting elements in homeopathic potencies. Part ‘A’ — estimated by Roder et al.18 solid symbols: expected concentrations, open: estimated concentrations, circles: Au3+, star: Fe3+, left triangle: Hg2+, right triangle: Zn2+. Part ‘B’ — estimated by ICP-AES in our work — squares: zinc concentrations, open: Zincum met (SBL), solid: Zincum met
(WSI), open triangles: gold concentrations in Aurum met (SBL) samples. The dotted line at 20 pg/ml indicates the LOD of the instrument.

Once the succussion process was completed, the entire mass of liquid was allowed to settle, prior to transfer of 1% of this dilution to 99 parts fresh 90%v/v ethanol. How¬ever, the settling time for the dilutions was not fixed. Also, the removal of one part of the previous dilution for the pur¬pose of transferring into a fresh solvent was carried out ran¬domly from the container and was a manual process. All the above-

mentioned factors combined are expected to im¬part a lot of disparity in the concentrations of the starting materials in the final medicines which we observed in our studies.
During our analyses we also noted the plateauing effect of the concentrations of the starting metals per se in a partic¬ular concentration range in potencies 6c, 30c and 200c, in spite of 30c and 200c potencies being 1048 and 10388 respec¬tively more dilute than 6c. It is interesting to note that the plateau for non-noble metals showed a higher metal content than for noble metals. Our ICP-AES results suggested that the asymptote effect commences around 6c potency (Figure 4).
Our findings appear to be an extension of the trends noted at lower potencies by Roder ef al.,18 who analyzed the concentrations of a few metals in decimal dilutions from 6x to 8x (corresponding to centesimal potencies of 3c to 4c). Part ‘A’ in Figure 4 explicitly depicts de¬crease in the concentrations of starting materials with di¬lutions. Only in the case of Au3+ in AuCl3 solutions, the actual concentrations determined were lesser than the expected concentrations (circles, solid: expected; open: estimated concentrations). On the contrary, the concentra¬tions of Fe3+ though slightly lower than expected at the 6x potency, did not decrease as expected, and were in fact slightly higher at 7 x and 8 x potencies (stars, solid: expected; open: determined concentrations). Likewise, the concentrations of Hg2+ and Zn2+ were almost 200% higher than expected at 8x potency. A scrupulous, concurrent analysis of these results suggested the com¬mencement of an asymptote formation in the vicinity of the 8x (i.e. 4c) potency.
When the data from Part ‘A’ of the graph are compared with our data (Part ‘B’), there appears to be a plateauing effect, reached at 6c potency.
While a plateau is reached for each metal, the concentra¬tion range varied from one metal to another and between manufacturers. The plateau of Zincum met (WSI) (solid squares) was appreciably higher (between 1300 and 4000 pg/ml) than that for Zincum met (SBL) (open squares), albeit with the inherent variation mentioned ear¬lier. Similar trends were also observed for all the other metals that were analyzed.
Possible key mechanisms at large dilutions
Acoustic cavitation, a well studied phenomenon11 e14 may explain our TEM findings regarding surface asperities and particle aggregation. Researchers have observed that the vapor bubbles generated due to the
high-energy sound waves had temperatures exceeding a few thousand degrees (~ 5000 K) along with intense pressures (~1000 atm). The bubbles so formed had very short lives before imploding, creating intense shock waves which propel particles in the solution at extremely high velocities resulting in collisions which induced the following morphological changes on the particle surfaces:
1.         When the particles collided head-on, localized melting occurred on their surfaces at the point of contact, with the temperatures being ~3000 K. With the surrounding liquid at ambient temperature, the melted surfaces instantly cooled at extremely high rates (>1010 K/s), thereby solidifying the melted area instantaneously and fusing the particles at the point of contact to form aggregates.
2.         The extremely high rate of cooling, while not allowing for re-crystallization at the point of contact, led to an amorphous phase on the particle surface as evident from the diffused rings obtained in the electron diffraction (ED) patterns.
3.         Collision of particles at a glancing angle led to fragmen-tation of the particle surface which may have given rise to surface asperities.
The above theories support our observations regarding the presence of the surface asperities we see in TEM, since the forceful pounding of the glass containers during the succus-sion process may have been instrumental in generating the ultra-sound waves, resulting in their formation. 
Another question that arises from our observations is how in spite of such huge dilutions the particles of the start¬ing materials are retained even at 200c potency? The an¬swer to this question could lie in the manufacturing process itself. We perceive that during the succussion pro¬cess, the pounding of solutions against a rubber stop gener¬ates numerous nanobubbles19 as a result of entrapment of air and cavitation due to generation of ultra-sound waves. The particles of the starting material instantaneously get adsorbed on the surface of these bubbles and cavitations. This phenomenon could be similar to the mechanism of formation of Pickering emulsions,20-22 wherein the emulsified phase viz. air bubbles or liquid droplets are stabilized by a layer of particles.
This nanoparticle—nanobubble complex rises to the sur-face and can be within a monolayer once the total metal concentrations are well below 1 ppm (Table S6 — Supplementary information). It is this 1% of the top layer of the solution which is collected and added to the next vessel, into 99 parts of fresh solvent and the succussion process is repeated. This transfer of the top 1% layer in each step will ensure that once we reach below a certain concentration i.e. well within a monolayer, the entire start¬ing material continues to go from one dilution to the next, resulting in an asymptote beyond 6c.
Conclusion
Using state-of-the-art techniques (TEM, SAED, and ICP-AES) we have demonstrated the presence of nanopar-ticles of the starting materials and their aggregates even at extremely high dilutions. The confirmed presence of nano-particles challenges current thinking about the role of dilution in homeopathic medicines. We have found that the concentrations reach a plateau at the 6c potency and beyond. Further, we have shown that despite large differences in the degree of dilution from 6c to 200c (1012 to 10400), there were no major differences in the nature of the particles (shape and size) of the starting material and their abso¬lute concentrations (in pg/ml).
How this translates into change in biological activity with increasing potency needs further study. Concrete evi¬dence of the presence of particles as found by us could help take the research in homeopathy a step forward in under¬standing these potentised medicines and also help to posi¬tively change the perception of the scientific community towards this mode of treatment.

Conflict of interest
There are neither any financial nor any personal conflicts of interest with respect to the work carried out for this article.

Acknowledgements
We thank the Department of Earth Sciences and the Cryo-TEM central facility at IIT Bombay for ICP-AES and TEM analyses respectively. We also gratefully acknowledge funding by Shridhar Shukla, S G Kane and
Industrial Research and Consultancy Center (IRCC), IIT
Bombay. We also thank P N Varma for valuable insights.
Supplementary data
Supplementary data associated with this article can be
found in the online version at doi:10.1016/j.homp.2010. 05.006.

References
1             Khuda-Bukhsh AR. Laboratory research in homeopathy: Pro. Integr Cancer Ther 2006; 5: 320—332.
2             Khuda-Bukhsh AR. Towards understanding molecular mechanisms of action of homeopathic drugs: an overview. Mol Cell Biochem 2003; 253: 339—345.
3             Davenas E, Beauvais F, Amara J, et al. Human basophil degranula¬tion triggered by very dilute antiserum against IgE. Nature 1988; 333: 816—818.
4             Chaplin MF. The memory of water: an overview. Homeopathy 2007; 96: 143—150.
5             Teixeira J. Can water possibly have a memory? A skeptical view. Homeopathy 2007; 96: 158—162.
6             Anagnostatos GS. Small water clusters (clathrates) in the homoeo-pathic preparation process. In: Endler PC, Schulte J (eds). Ultra High Dilution — Physiology and Physics. Dordrecht, the Nether-lands: Kluwer Academic Publishers, 1994, p. 121—128.
7             Rao ML, Roy R, Bell IR, Hoover R. The defining role of structure (including epitaxy) in the plausibility of homeopathy. Homeopathy 2007; 96: 175—182.
8             Walach H, Jonas WB, Ives J, van Wijk R, Weingartner O. Research on homeopathy: state of the art. J Altern Complement Med 2005; 11: 813—829.
9             Davydov AS. Energy and electron transport in biological systems. In: Ho MW, Popp FA, Warnke U (eds). Bioelectrodynamics and Biocommunication. Singapore: World Scientific Publishing Co. Pte. Ltd., 1994. Chap 17, pp 411—430.
10           Anick DJ, Ives JA. The silica hypothesis for homeopathy: physical chemistry. Homeopathy 2007; 96: 189—195.
11           Doktycz SJ, Suslick KS. Interparticle collisions driven by ultra-sound. Science 1990; 247: 1067—1069.
12           Suslick KS, Doktycz SJ. The sonochemistry of Zn powder. J Am Chem Soc 1989; 111: 2342—2344.
13           Suslick KS, Price GJ. Applications of ultrasound to materials chemistry. Annu Rev Mater Sci 1999; 29: 295—326.
14           Suslick KS. The chemical effects of ultrasound. Sci Am 1989 (Feb);80—86.
15           Goldstein AN, Echer CM, Alivisatos AP. Melting in semiconductor nanocrystals. Science 1992; 256: 1425—1427.
16           Edington JW. Philips technical library — monographs in practical electron microscopy in materials science 2 — electron diffraction in the electron microscope. Eindhoven: N.V. Philips’, 1975, p 110.
17           Varma PN, Vaid I. Encyclopedia of homoeopathic pharmacopoeia & drug index. New Delhi: B. Jain Publishers, 2007, pp 2722—2745.
18           Röder E, Putz W, Frisse R. Bestimmung von Au, Fe, Zn und Hg in homöopathischen Dilutionen durch zerstörungsfreie Neutronenak¬tivierungsanalyse. Fresenius ZAnal Chem 1981; 307: 120—126.
19           Roy R, Tiller WA, Bell I, Hoover MR. The structure of liquid water: novel insights from materials research; potential relevance to home¬opathy. Mater Res Innov 2005; 9: 577—608.
20           Pickering SU. Emulsions. J Chem Soc 1907; 91: 2001—2021.
21           Binks BP. Particles as surfactants — similarities and differences. Curr Opin Colloid Interface Sci 2002; 7: 21—41.
22           Binks BP, Lumsdon SO. Influence of particle wettability on the type and stability of surfactant-free emulsions. Langmuir 2000; 16: 8622—8631.





Medicina Homeopática y el Método Científico

Dr. Roberto López Flores*
Dr. Carlos Falcón Aguilera**
Dr. Carlos Hernández Chanona**
M en C. Ma. De Jesús Granados Salas***
*FES Iztacala: UNAM.
** A.N.M.H.C.P. dei D.F. "Dr. Mateo Rubio Septién."
*** ESIME IPN
 Dr  Samuel Hahnemann
El conocimiento científico es un conocimiento probado. Las teorías científicas se derivan de modo riguroso, de los hechos adquiridos por la experiencia mediante la observación, la experimentación y la comprobación.
La ciencia está basada en aquello que podemos ver, oír, tocar; el conocimiento científico es confiable porque es un conocimiento objetivamente probado.
Todo esto resume lo que en la era moderna se dice acerca de lo que es el conocimiento científico, el cual se desarrolló como resultado de la revolución científica iniciada por Galileo y por Newton y que tuvo lugar en el siglo XVII.
En el terreno de las ciencias naturales se estructuran las leyes a través del desarrollo de cada uno de los pasos del método científico. En el presente ensayo se demuestra cómo en forma implícita, el Dr. Samuel Hahnemann desarrolla el método científico en el texto del Organón de la Medicina y algunos otros de sus libros.
El llamado método científico se define como el conjunto de pasos que deben cumplirse para llevar a cabo una investigación. Este método, con el tiempo se ha venido enriqueciendo y en nuestros días, para que una hipótesis sea aprobada y aceptada como cierta, debe desarrollarse y comprobarse íntegramente. Dicho método consta de las siguientes etapas:
Planeación. En la que a través de la observación se tiene contacto con el problema a resolver.
Investigación Documental. La cual es una recopilación de información existente sobre el tema en libros, revistas científicas, bancos de información computarizados y otros más que existen actualmente.
Después de delimitar el problema, que se basa en la observación y en la investigación documental, se tienen los elementos necesarios y procede a la definición del problema.
Planteamiento de la hipótesis. Ya conocidos los parámetros mencionados, se hace una proposición aceptable o refutable por la observación y experimentación de los hechos, los cuales fa confirmarán o la negarán según el caso.
Elaboración del diseño experimental; en el que se van a desarrollar una serie de experiencias lógicas, con el fin de someterlo apruebas que no dejen dudas, para demostrar la validez de la hipótesis previamente elaborada. Tal diseño experimental consta de Material y Método, en donde se deben tomar en cuenta las distintas variables y controles que intervienen en el experimento. En seguida se pasa a la Obtención de resultados, o sean las conclusiones que se desprenden de los datos experimentales. De allí se llega al análisis de resultados en el que se analizan los resultados que se han obtenido de los experimentos, para conocer la aseveración o la negación de la hipótesis planteada.
Constatación; en este paso simplemente se ve sí los resultados obtenidos coinciden o no con la hipótesis planteada. Finalmente se hacen las Conclusiones, que son la afirmación sobre la veracidad de la hipótesis propuesta.
Actualmente cualquier investigador que siga estos parámetros en la forma expuesta, estará cumpliendo con los postulados del método científico para probar cualquier hipótesis, que después podrá ser aceptada como verdad científica (1, 2,3, 4, 5, 9).

Si nosotros, con espíritu crítico y mentalidad científica leemos el Organón del Arte de Curar de Samuel Hahnemann, comprobaremos que no obstante haber sido escrito hace más de 200 años, cumple rigurosamente con el método científico para comprobar su hipótesis del axioma Simila Similibus Curantur (8).
De acuerdo con esta exposición a continuación presentamos el análisis hecho del Organón y otros libros de Hahnemann para demostrar cómo a lo largo de su exposición siguen el desarrollo del método científico.
1.         Observación. La primera observación de Samuel Hahnemann fue traduciendo la Materia Médica de Cullen, en donde llamó su atención las explicaciones que su autor daba acerca de la acción de la corteza de quina (Cinchona) en el tratamiento de la malaria. Experimentó en sí mismo y descubrió que sí un individuo sano toma la sustancia, sufre los síntomas que ocasiona la enfermedad (8). La segunda observación la encontramos en la Introducción de Organón; Hahnemann habla ampliamente de la afirmación que hizo a lo largo de muchos años de ejercer la medicina de entonces. Los métodos terapéuticos de aquella época consistían en purgantes, sangrías y vomitivos entre otros. Esta forma de terapéutica la consideró antinatural, agresiva y nada benéfica para el enfermo; por el contrario lo único que hacía era restar fuerza vital al enfermo, por lo que pensó que era necesario encontrar otra forma de terapéutica, lógica, que fuera útil para tratar los diferentes padecimientos.
2.         Investigación Documental. En los parágrafos de sus obras hace varias citas en las que demuestra una vasta y tenaz investigación tras muchos años de leer las publicaciones, más prestigiadas de la época; en el Organón del Arte de Curar, cita más de 290 referencias (8).
 3.        Todas estas se refieren a publicaciones hechas por médicos que habían obtenido la curación de algunas enfermedades con medicamentos que fueron capaces de producir los síntomas de esos mismos padecimientos (Hutted's Joumal X11 I, Ratia Mendi Up 126, Medicin RAt Sistem T IVV P 7, Praxis Med. P 346).
Hahnemann cumplió en esta forma con el requisito de la investigación documental en forma exhaustiva.
4.         Delimitación del problema. En el Organón del arte de curar o exposición de la doctrina homeopática (6a. Edición, paginas 57 a la 99), Hahnemann refiere varios ejemplos de curaciones homeopáticas en forma involuntaria, hechas por médicos de la antigua escuela. Con esta serie de experiencias involuntarias hechas por médicos de entonces, Hahnemann refuerza sus observaciones acerca del axioma lo semejante se cura con lo semejante.
5.         Planteamiento de la hipótesis. La hipótesis que planteara Hahnemann la encontramos en las páginas del mismo Organón, en donde se reafirma su idea sobre el Similla Similibus Curantur.
6.         Observación y experimentación. Más tarde experimenta en personas sanas de ambos sexos, de diferentes edades y razas, una serie de medicamentos estandarizados en cuanto a su procedencia y preparación, comprobando su utilidad (6,7). Además recoge o recopila los síntomas físicos y mentales producidos en cada uno de los individuos dé experimentación, lo que le permitió ordenarlos con el nombre de patogénesis de cuya elaboración surgió la que llamó Materia Médica Pura; así experimento 90 medicamentos a lo largo de su vida. Los sujetos en los cuales experimentaba eran voluntarios, a los cuales sometía al experimento, colocándolos en diferentes grupos y administrándoles dosis variables de cada medicamento de estudio.
 7.        Obtención de resultados. Los resultados de sus experimentos fueron cuidadosamente registrados y clasificados durante años de experimentación (7,8).
8.         Análisis de resultados. Una vez obtenidos los resultados, relacionó los síntomas que producían los medicamentos en la personas sanas, con los síntomas que presentaban los pacientes de la enfermedad, con lo que comprobó la veracidad del axioma símilia similibus curantur.
9.         Constatación de la hipótesis planteada. Los resultados experimentales que obtuvo al proporcionar diferentes medicamentos a personas sanas a las cuales les produjeron una serie de síntomas, le permitieron administrar estos mismos medicamentos a enfermos que presentaban los mismos síntomas que habían sido producidos en personas sanas.
10.      Conclusiones. Finalmente Hahnemann comprobó la veracidad de su hipótesis al verificar la curación de numerosos enfermos, con esta nueva modalidad terapéutica.
Desde la página 100 del Organón; hasta el final del libro, una vez que hubo comprobado la hipótesis de que los semejante se cura con lo semejante, Hahnemann desarrolla y da cuerpo a una doctrina que denominó homeopática, sin dejar dudas sobre la comprobación científica de sus observaciones.
Ahora nosotros podemos concluir que hace falta actualizar la obra científica de Samuel Hahnemann, ya que hasta la fecha nadie se había preocupado por confirmar que la obra de este hombre cumple ampliamente con lo científico en la forma de verdad, expuesta en este ensayo y pensamos que con esto no habrá motivo para que cualquier medico que piense seriamente, tenga dudas sobre el planteamiento del método científico cuya veracidad siguen comprobando sus seguidores día con día.
Por último, queremos señalar que es pertinente llamar la atención de los médicos que practican homeopatía o que hayan escrito, traducido o comentado sobre la obra de Hahnemann, ya que en algunos trabajos distorsionan o hacen incoherente la obra original, sucediendo entonces que estaba apegado al método científico, por este motivo parezca empirismo puro.
Resumen
De acuerdo con lo expuesto, el método científico fue rigurosamente seguido por Samuel Hahnemann para desarrollar y fundamentar la Doctrina Homeopática, que se llevó muchos años de trabajo exhaustivo.
•         Las partes que integran el método científico son:
•         Observación
•         Investigación documental
•         Delimitación del problema
•         Planeación de la hipótesis
•         Elaboración del diseño experimental
•         Obtención de resultados
•         Constatación de la hipótesis planteada
•         Conclusiones
Samuel Hahnemann cumplió con estos pasos, como lo demuestra a través de sus escritos, en los tratados documentales de sus libros, Organón de la medicina, la Materia Médica Pura, las Enfermedades Crónicas y otros.
 Se puede concluir que sin duda, el método terapéutico fue científicamente comprobado por su autor.
Actualmente investigaciones avanzadas en países de Europa como Francia, Inglaterra, Alemania e Italia incluyen el tema de la homeopatía, la prueba la tenernos en la publicación de J. Benvenistel°, la memoria del agua, que este autor y otros más hacen publicaciones constantemente en revistas científicas.
Jacques Benveniste (12 de marzo de 1935 – 3 de octubre de 2004) fue médico, bioquímico e inmunólogo francés co-descubridor el factor de activación plaquetario (Patlelet Activation Factor)
Benveniste publicó 230 artículos científicos
En 1979 publicó un conocido artículo sobre la estructura de un factor de activación de plaquetas y su relación con la histamina.
En 1988 Benveniste publicó un artículo en la prestigiosa revista científica Nature en el que exponía una serie de experimentos sobre degranulación de basófilos disparada por anticuerpos IgE (del grupo de la inmunoglobulina E) muy diluidos. Estos hallazgos apoyan el fundamento de la Medicina Homeopatica.
Bibliografía
1.         Baena Paz, Guillermina Instrumentos de investigación. Primera Edición, México, Editores Unidos, S. A.
2.         Braunstein, Néstor A. Y Pasternac, Marcelo. Psicología Ideología y Ciencia. Sexta Edición, Siglo XXI Editores, S. A.(1979)
3.         Bunge Mario. La Ciencia, su método y su filosofía. Argentina, Edición Siglo XX
4.         Cervo A. L. Bervian P.A. Metodología Científica. Traduciendo a la segunda edición de Metodología Científica. Brasil Editora McGraw-Hill 1979 Colombia. Edición McGraw-Hill ((1982).
5.         Tamayo y Tamayo Mario. El proceso de la investigación científica. Primera edición, segunda reimpresión. Editorial Limusa S.A. (1983).
6.         Samuel Hahnemann. 90 medicamentos homeopáticos. Miraguano Ediciones. Madrid (1988).
 7.        Roger Lamaudie. La vida sobrehumana de Samuel Hahnemann. Fernando Aidape Barrera Editor (1975).
8.         Samuel Hahnemann. Organón de la medicina. Sexta Edición.
9.         Granados Salas Ma. de Jesús. "Principios fundamentales de la investigación científica". Editorial Raúl Juárez Garro, 1999.
10.      E.         Davenas, F. Beauvais. J. Amara, M. Oberbaum, B. Robinzon, A. Miadonna, A. Tedeschi, B. Pomeranz, P. Eortner, P. Belon, J. Sainte Laudy, B. Poitevin & J. Benveniste. Human basophil degranulation triggered by very dilate antiserum against IgE; Reprinted from Nature, Vol. 333, No. 6167, pp. 816-818, 30th June, 1988 C. Macmillan Magazines Ltd; 1989.











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Introduction
Background
Homeopathic medicines are prepared through a characteristic process known as potentization. Potentization involves serial dilution and agitation (by means of strong strokes) or trituration at each stage. Trituration consists in the fine grinding of a starting-substance with lactose, which is used when the starting-substance is not soluble in water or alcohol. Potency levels are designated as ‘x’ (or ‘d’) and ‘c’ when they are diluted 1:9 and 1:99 respectively at each stage. Without agitation (or trituration), a dilution is thought to be devoid of any therapeutic effect and should not be termed potency. For example, potency 12cH was diluted 1:99 12 times with strong strokes at each dilution level; ‘H’ here stands for Hahnemann’s method. According to Avogadro’s number, there should be no molecule of the starting-substance in potencies above 12cH. Nevertheless, much higher centesimal potencies, such as 200, 1,000, 10,000 cH, etc. are routinely used in homeopathic clinical practice with satisfactory results.

299

Original Article
Homeopathy emerging as nanomedicine
Rajendra Prakash Upadhyay1, Chaturbhuja Nayak2
(1) Department of Bio-chemical Engineering and Biotechnology, Indian Institute of
Technology (IIT) Delhi, New Delhi, India (2) Central Council for Research in Homeopathy, New Delhi, India
ABSTRACT
Background: Homeopathy is a time-tested two-century old empirical system of healing. Homeopathic medicines are prepared through a characteristic process known as potentization, where serial dilutions are performed with strong strokes at each step of dilution. Homeopathy is controversial because most medicines do not contain one single molecule of the corresponding starting-substance. Aim: To investigate a possible nanoscience mechanism of action of homeopathic medicines. Methodology: Ultra-pure samples were prepared and were examined under scanning (SEM) and transmission electron microscope (TEM) along with selected area nanodiffraction (SAD) and energy-dispersive X-ray analysis (EDX). Also trace element analysis (TEA) for silicon was performed. Results: Homeopathic medicines showed not to be ‘nothing’, but exhibited nanoparticles and conglomerates of them, which had crystalline nature and were rich in silicon. Conclusions: During the violent strokes involved in potentization, information arising from the serially diluted starting-substance might be encrypted by epitaxy on silicon-rich crystalline nanoparticles present in the resulting homeopathic medicine. The ‘size’ of the information encrypted on nanoparticles might vary together with the degree of dilution. As homeopathic medicines exhibit healing effects, these nanoparticles along with the interfacial water on their surface might carry this information - which biological systems are able to identify - to the target. As various forms of silica are known to interact with proteins and cells of the immune system, homeopathy might represent a nanomedicine system. Possible confirmation, however, requires further research in materials and interfacial water.
Keywords: homeopathy; epitaxy; nanoparticle; interfacial water; nanomedicine.



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From the perspective of conventional medicine, all homeopathic medicines are nothing but placebo used to give some psychological relief to patients. Despite all criticism, the time-tested clinical results of homeopathy observed also in infants caused widespread popularity among users.
Reilly et al. [1] concluded that since homeopathy elicits much more than placebo responses it is an empirical puzzle and a challenge to orthodox scientific models. A strategy for structural exploration of homeopathic medicines was suggested [2]. With the advent of new tools supplied by nanoscience and nanotechnology, new research paths were opened. The aim of this study was to investigate possible nanoparticles/materials in homeopathic medicines, and if positive, to examine whether this suffices to qualify homeopathy as a form of nanomedicine.

Current Status of Research
The composition and properties of bulk water was the subject of much study, however very little attention was paid to the suspended solid phases that make it ultra-diluted aqua sols [3]. As succussion is mandatory in the preparation of homeopathic potencies, epitaxy was adduced to explain the transfer of structural information even in the absence of starting-substance [4].
Epitaxy is a frequently observed phenomenon in materials science and technology, especially in the fabrication of semiconductors. It refers to the transfer of structural information without transferring matter, whereupon crystalline material grows on the surface of another mimicking the structure of the latter. Therefore, the so-called silica hypothesis might be considered an important framework for the understanding of the mechanism of action of homeopathic medicines [5].
A recent study [6] with market samples of some metal-derived homeopathic medicines found that extreme homeopathic dilutions retain the starting materials in the form of nanoparticles. The size distribution of these nanoparticles and their clusters was found to be nearly the same in different potencies. Nevertheless, the opposite was observed in a different study [7] on membrane anisotropy, suggesting that the cluster’s size decreases with the increasing potency. Further, a seeming hurdle in the explanation of extreme homeopathic dilutions, Avogadro’s constant was doubted for its validity [8].
There are some interesting observations regarding the preparation of homeopathic medicines, which might provide clues for their understanding. Homeopathic potencies (medicines) have always been prepared in glass vials. Witt et al. [9] suggested that when these vials are lined up with paraffin, their effects decrease and further, upon addition of powdered glass to potencies prepared in plastic vials, the lost effects reappear.
Moreover, recent developments in the understanding of interfacial water are truly extraordinary [10]. This water has not been as much studied and understood as bulk water. It is coherent and liquid crystalline in nature, and it exhibits strange properties. Also the properties of nanoparticles are rated ‘strange’ compared to their bulk matter. Both are new fields of studies and much has yet to come out.
Quite recently Montagnier et al [11] reported the presence of electromagnetic signals produced by DNA sequences in high aqueous dilutions. This opened up a new area of research also in homeopathy, since homeopathic medicines may be tested for electromagnetic signals emission and if affirmative, studies may be designed to establish how the information carried by a starting-substance is transferred to high-dilutions during the process of potentization.

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Material and Methods Sample Preparation
We prepared samples of plant-derived homeopathic medicines Colchicum, Pulsatilla and Belladonna obtained as mother-tincture from Schwabe India; we decided to prepare the medicines by ourselves to grant ultra­purity and to develop controls to compare results. Potencies were prepared up to 15cH, where the starting- material is unlikely to be any longer present. Simple dilutions without agitation (strokes) were also prepared from the respective mother-tinctures up to the 15th centesimal level to serve as controls. Potencies of ultra- pure Milli-Q water were also potentiated up to 15cH as another control. All these dilutions were prepared in borosilicate glass vials (Schott Duran, Germany). Potencies were also prepared up to 15cH in plastic vials (Tarsons, material: PP autoclavable) containing no glass whatsoever to observe the alleged interference of glass in the preparation of samples.
All samples were prepared in clean containers using Milli-Q water (electrical conductivity 18.2 MQ x cm) and alcohol (99.5%, pharmacopoeia grade, Merck, Germany) as per established methodologies. Samples were prepared in 89% alcohol (v/v) by the same person to avoid variations in strokes. Dilution was performed according to the standard centesimal ratio 1:99 for starting-material and diluent medium respectively by means of micropipette with disposable plastic tips in sterile conditions under laminar hood (clean environment). As no trituration was performed at any stage, lactose crystals were not present in samples.
Scanning Electron Microscopic (SEM) Studies of Samples
SEM was performed on samples with Zeiss EVO 50 equipment. To prepare specimens, one drop of sample was air-dried on a glass cover slip and mounted on a holder. Since these are nonconductive solid specimens, they were coated with an ultrathin layer of electrically conducting material gold laid on the sample by sputter coating (EMITECH K550X). Such coating prevented the accumulation of static electric charge on the specimen during electron irradiation and also increased the signal, thus improving contrast and resolution.
Transmission Electron Microscopic (TEM) Studies of Samples
TEM was performed on samples by means of Technai G20-stwin (200kV) with EDAX attachment (EDAX Company USA). The carbon-coated grid was dipped in the sample and let to dry before observation. Selected area nanodiffraction (SAD) patterns with TEM were also obtained. Also energy-dispersive X-ray (EDX or EDAX) analysis was performed.
Trace element analyses for silicon
TEA for silicon was performed in the 15cH samples by means of inductively coupled plasma - optical emission spectroscopy (ICP-OES) with VARIAN Make - model Vista MPX.

Results
Study of samples by SEM
Samples (homeopathic medicines and controls) showed presence of material even above dilution level 12cH, where the starting-substance is unlikely to be present according to Avogadro’s number (Figures 1 -4). However, very low potencies such Pulsatilla 1cH and Pulsatilla 2cH most likely still exhibit starting- substance material (Figure 5).

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Figure 1 - Scanning electron microscope (SEM) image of Colchicum 15cH (homeopathic medicine) showing nanomaterials.

Figure 2 - Scanning electron microscope
(SEM) image of
Colchicum 15cH
(homeopathic medicine) showing
conglomerate.

Figure 3 - Scanning electron microscopic (SEM) image of Water 14cH (pure water used as starting- material) showing nanomaterials.






Int J High Dilution Res 2011; 10(37): 299-310

Figure 4 - Scanning electron microscope (SEM) image of Colchicum 15cH: a control prepared in plastic vials showing nanomaterial, however, its appearance differs from samples prepared in glass vials.


Figure 5 - Scanning electron microscope (SEM) images of homeopathic medicines (a) Pulsatilla 1cH and (b) Pulsatilla 2cH, where the starting-substance is most likely present. Materials seen are lumps of nanoparticles as they formed in the area imaged. One drop of sample was dried on a glass cover slip under clean laminar airflow and nanomaterial was looked for in that drop in a nanoscale vast area. Wherever such materials with some interesting form were found, the corresponding extremely small area was imaged.


303



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Study of samples by TEM
Nanoparticles/materials were observed in homeopathic medicines (Figures 6-7) as well as in controls (Figure 8). However, during experiments nanoparticles/material were comparatively more easily found in homeopathic medicines because they exhibited better presence. Leaching also occurred in simple dilutions without agitation but in lower amounts. Figure 8 might be a nanochunk peeled off the glass vial with nanoparticles.


Figure 6 - Transmission electron
microscope (TEM) image of homeopathic
medicine
Pulsatilla 15cH showing
nanoparticles.

Figure 7 - Transmission electron
microscope (TEM) image of homeopathic
medicine
Pulsatilla 15cH showing
nanoparticles with conglomerate.


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Figure 8 - Transmission electron
microscope (TEM) image of
Pulsatilla 15th centesimal dilution
(without agitation) showing
nanoparticles with conglomerate
or a nanochunk.

SAD by TEM instrument indicated the crystalline nature of the nanomaterial present in homeopathic medicines (potencies). Similarly, also nanomaterials present in controls (dilutions without succussion and plastic vessel potencies) had crystalline nature. (Figure 9)


Figure 9 - Selected area nanodiffraction (SAD) patterns for (a) Pulsatilla 15cH (homeopathic medicine), (b) Pulsatilla 15th centesimal dilution without agitation (control), and (c) Pulsatilla 15cH prepared in plastic vials (control): all show the crystalline nature of the present material.

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EDX showed high silicon contents in the nanoparticles present in homeopathic medicines (potencies) prepared in glass (Figure 10). Such high silicon content was not observed in nanoparticles present in controls.


Figure 10 - Energy-dispersive X- ray (EDX) analysis of the selected area using carbon coated copper grid for homeopathic medicine Colchicum 15cH showing high silicon content.

Trace element analysis (TEA) for silicon
Samples prepared in glass vials where agitation (strong strokes) was performed (namely, homeopathic medicines and potency of water) had high and nearly the same silicon content. Dilutions without agitation, which are not homeopathic medicines, had one-third silicon content compared to samples prepared in glass vials where agitation was performed. Dilutions with agitation (i.e. potencies) in plastic exhibited the lowest silicon content. Therefore, TEA for silicon confirms the high presence of silicon in homeopathic medicines (potencies) compared to controls. It is obvious that silicon leaches from the glass wall of vials, especially during the strokes of potentization irrespective of the starting-substance. (See Table 1)

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Table 1 - Trace element analysis (TEA) of samples for silicon by inductively coupled plasma- optical emission spectroscopy (ICP-OES)

S.No.
Name of sample
Samples detail
Silicon content (ppm)
1
Pulsatilla 15cH Colchicum 15cH Belladonna 15cH
Potencies, i.e. medicines
2.4
2.3
2.4
2
Pulsatilla 15th cent. dil. Colchicum 15th cent. dil. Belladonna 15th cent. dil.
Dilutions without agitation, i.e. controls
0.8
0.9
0.7
3
Water 15cH
Potency of water, i.e. control
2.3
4
Pulsatilla 15cH Colchicum 15cH Belladonna 15cH
Potencies prepared in plastic vials, i.e. controls
0.4
0.3
0.3
Discussion: Do homeopathic medicines qualify as nanomedicines?
The dose of homeopathic medicine a patient takes may contain few (or zero) molecules/atoms of the starting- substance, but this fact alone does not make homeopathic medicines a variety of nanomedicines [12]. Toumey
[12]   compared homeopathic to nanomedicines, and quoting the example of nanomedicine Aurimune®, argued that nanomedicines differ from homeopathic medicines. The major difference is the use of a known amount of medicine in case of nanomedicines compared to homeopathic medicines. In addition, gold nanoparticles in nanomedicine Aurimune® act as the carriers of the active agent to the target.
In the case of homeopathic medicines, crystalline silica (or silicon) nanoparticles (along with other trace elements leaching from the glass wall of the vial) with interfacial water on their surface may acquire the structural information of the starting-substance during the process of potentization. In medium and high potencies, which are commonly used in clinical practice, the presence of starting-source is likely to be zero but it is ‘immaterial’. It may be argued that what matters here is the ‘size’ of the possible encrypted information, perhaps with the electromagnetic signature of the starting-substance. Such ‘size’ might derive from the dilution level of the homeopathic medicine, since homeopathic medicines in different potencies exhibit different effects and properties. Furthermore, silica (or silicon) nanoparticles might also act as carriers of information. Such nanocarriers might convey the information of the starting-substance - which biological systems are able to identify - to the target, which the starting-substance molecules in themselves are not able to reach. The target, however, is unlikely to be local because homeopathy is rated a holistic therapy assumed to work by means of the immune system. It is worth to remark that various forms of silica are known to interact with proteins and cells of the immune system [13].
As homeopathic medicines might have both the ‘size’ of the information of the diluted away starting-substance and the carriers needed to convey this information - which biological systems are able to identify - to the target, they may qualify as nanomedicines. Consequently, the nature, composition and surface features of the crystalline material (along with interfacial water) present in homeopathic medicines compared to controls have paramount importance. These must be further investigated, while keeping an eye also on possible electromagnetic emission. This investigation requires suitable developments in the fields of materials and interfacial water.

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Conclusions
Three homeopathic medicines very frequently used in clinical practice were found not to be ‘nothing’, but exhibited high nanoparticle contents. Such nanoparticles were rich in silicon and had crystalline nature. During the strong strokes of potentization, the nanoparticles might acquire the information of the diluted away starting-source encrypted on them by means of epitaxy. As various forms of silica are known to interact with proteins and cells of the immune system, these nanoparticles (along with the interfacial water on their surface) might also act as carriers of this information to the target. The ‘size’ of information might be related with the dilution degree of medicines. Under such possible conditions, homeopathy qualifies as a nanomedicine system not requiring high technology. For confirmation and further elaboration purposes, new research in materials and interfacial water are required.

Acknowledgements
This work was carried out under the supervision of Prof. Prashant Mishra, Department of Biochemical Engineering & Biotechnology, Indian Institute of Technology Delhi, New Delhi. Thanks are also given to Dr. Ch. Raveendar and Dr. K. R. Janardanan Nair of Central Council for Research in Homeopathy, New Delhi for administrative help. Part of this work was financially supported by the Central Council for Research in Homeopathy, New Delhi, India under the collaborative program.

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