The problem is that people who tried homoeopathy and nothing happened don't usually run around telling everybody about it. So this "silent majority" is never really accounted for when weighing up the evidence.
It's only natural that the "miracle cure" tales are the ones that are trotted out at one dinner party after another, and passed on second and third hand. On the other hand, until recently it would never have occurred to me to bother to tell anyone that when I was 14 my mother took me to a homoeopath because of my acne, and the suger pills had no effect whatsoever.
The apparent effects of homoeopathy have two main causes. One is a change in perception - people really do feel a little better when they think someone has the answer they're looking for and has taken control of their problem. They're not objectively better, but subjectively they think they are. This effect can be very much enhanced by the homoeopath insisting to the patient that they are in fact better - the old joke, "I don't feel any better but my homoeopath insists I'm doing great!" The other is simple coincidence. There are a lot of conditions which are liable to go away quite suddenly, or at least dramatically improve on a temporary basis. If such an improvement happens to coincide with homoeopathic treatment, guess who gets the credit.
What you really need to know is, are these miracle cures more common among people treated by homoeopathy than among a similar group not treated? That's where the controlled trial comes in, and the answer seems to be, no they're not.
One thing which would be very illuminating would be access to a homoeopath's unedited casebook, to see just how common such miracle cures were among all the people consulting him. I've never heard of anyone getting access to such a casebook for human patients,
but one vet did.
I became more and more concerned at, what I can only term the "brain-washing" of clients into thinking that, somehow, the homoeopathic treatments were actually working when it was patently clear to an objective outsider that they were not. Many of these animals had been undergoing treatment for years without significant improvement. [....]
Any good veterinary surgeon knows the power that we all wield in the consulting room. [....] It is .... possible for a veterinary surgeon with "gift of the gab" to convince a client that an animal with an incurable disease is actually getting better with the help of a few sugar tablets.
The vet who wrote that also told me that when he scrutinised the whole case book, he saw that the impressive recoveries that had been used to persuade him to get involved with the homoeopathic practice were in fact just a few isolated cherries plucked from a long and boring litany of cases trickling along going nowhere. "However, with time, I came across increasing numbers of cases in which good-quality conventional medicine was able to improve the lot of many animals now under my care."
This is the reality of homoeopathic practice. That and the "Remedies charged out at over £10 [which] actually cost pence to produce (including materials and labour)." Nice work if you can get it.
Rolfe.