Heinz Inge Christine
Med Ges Gesch. 2009;28:213-36.
The nearly 500 pages of letters (edited and commented in a medical dissertation by the author), written by a Prussian Princess in the 19th century to Dr. Samuel Hahnemann, the founder of homoeopathy, provide a fairly complete patient history thanks to the homoeopathic method which obliges patients to observe and describe the complaints and the changes they experience during treatment. The achievements of Hahnemann's therapy were so remarkable that the patient engaged his disciple Dr.Julius Aegidi as her court physician during the years 1831 to 1834. In no other of Hahnemann's published case histories so many dreams are described. The diagnosis within the historical context could be hysteria, hypochondria and melancholy. The therapy consisted in the prescription of homoeopathic remedies but also, among other prescriptions, in taking placebos, application of mesmerism, diet and life style advice. Hahnemann was opposed to vaccination. The doctor-patient-relationship became very intense. It can be said that Hahnemann acted as a psychotherapist. As the Princess rather liked speaking about her complaints her compliance in describing symptoms was excellent. It was less so in taking verum, applying mesmerism and changing her lifestyle. The success of the treatment was limited by the Princess's court and family circumstances and probably by Hahnemann's restriction to psora theory and C30 potencies. The dissertation is the most extensive patient history from Hahnemann's medical practice ever published.
这位普鲁士公主在19世纪写给顺势疗法创始人塞缪尔·哈内曼医生的近500页信件(由作者在一篇医学论文中编辑并注释),由于顺势疗法要求患者观察并描述治疗期间的症状及所经历的变化,从而提供了一份相当完整的患者病史。哈内曼疗法的成效显著,以至于在1831年至1834年间,这位患者聘请他的弟子尤利乌斯·埃吉迪医生担任她的宫廷御医。在哈内曼已发表的病例史中,没有其他病例描述过如此多的梦境。从历史背景来看,诊断结果可能是癔症、疑病症和忧郁症。治疗方法包括开顺势疗法药物处方,此外还包括服用安慰剂、施行催眠术、提供饮食和生活方式建议。哈内曼反对接种疫苗。医患关系变得非常密切。可以说哈内曼起到了心理治疗师的作用。由于公主相当喜欢谈论自己的症状,她在描述症状方面的依从性非常好。但在服用有效药物、施行催眠术和改变生活方式方面则不然。治疗的成功受到公主宫廷和家庭环境的限制,可能还受到哈内曼对疥疮理论和C30药力限制的影响。这篇论文是哈内曼医疗实践中发表过的最详尽的患者病史。