{"id":4411,"date":"2021-09-08T16:31:51","date_gmt":"2021-09-08T14:31:51","guid":{"rendered":"https:\/\/www.pharmacie-homeopathie.com\/blog\/?p=4411"},"modified":"2021-09-10T15:48:10","modified_gmt":"2021-09-10T13:48:10","slug":"preparations-homeopathiques-methode-hahnemann","status":"publish","type":"post","link":"https:\/\/www.pharmacie-homeopathie.com\/blog\/preparations-homeopathiques-methode-hahnemann\/","title":{"rendered":"Pr\u00e9paration des rem\u00e8des hom\u00e9opathiques selon la m\u00e9thode de Hahnemann"},"content":{"rendered":"<p>La m\u00e9thode de fabrication des rem\u00e8des hom\u00e9opathiques a \u00e9t\u00e9 mise au point par <a href=\"https:\/\/fr.wikipedia.org\/wiki\/Samuel_Hahnemann\" target=\"_blank\" rel=\"noopener\">Samuel Hahnemann<\/a> (1755-1843), m\u00e9decin allemand reconnu comme \u00e9tant le p\u00e8re fondateur de l\u2019hom\u00e9opathie. Les travaux et exp\u00e9rimentations qu\u2019il a men\u00e9 \u00e0 partir de 1790 lui ont permis d\u2019\u00e9tablir les grands principes de l\u2019hom\u00e9opathie, ainsi qu\u2019une m\u00e9thodologie pour l\u2019\u00e9laboration des rem\u00e8des.<\/p>\n<p>Plus de deux si\u00e8cles apr\u00e8s, bien que les techniques se soient modernis\u00e9es, la m\u00e9thode d\u00e9crite par Hahnemann sert de r\u00e9f\u00e9rence au sein des unit\u00e9s de production des m\u00e9dicaments hom\u00e9opathiques.<\/p>\n<h2><strong>Point de d\u00e9part : la teinture-m\u00e8re et ses principes actifs<\/strong><\/h2>\n<p>Tout le processus de fabrication d\u00e9bute avec une teinture-m\u00e8re. Il s\u2019agit d\u2019<a href=\"https:\/\/www.pharmacie-homeopathie.com\/fr\/toutes-les-teintures-meres-de-a-a-z-c1189.html\">une solution \u00e0 forte teneur alcoolique<\/a> qui renferme les principes actifs issus de la mati\u00e8re premi\u00e8re choisie. Cette mati\u00e8re premi\u00e8re correspond \u00e0 ce que l\u2019on appelle la \u00ab\u00a0souche hom\u00e9opathique\u00a0\u00bb et elle est d\u00e9sign\u00e9e traditionnellement par son appellation latine (par exemple <a href=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/stress-ballonnements-nervosite\/\"><em>nux vomica<\/em><\/a> pour la noix vomique ou bien <a href=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/homeopathie-arnica-montana-cet-inconnu-familier\/\"><em>arnica montana<\/em><\/a> pour l\u2019arnica des montagnes).<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>Origine des souches hom\u00e9opathiques<\/strong><\/td>\n<td><strong>Pourcentage<\/strong><\/td>\n<\/tr>\n<tr>\n<td>V\u00e9g\u00e9tale<\/td>\n<td>45%<\/td>\n<\/tr>\n<tr>\n<td>Chimique ou min\u00e9rale<\/td>\n<td>37%<\/td>\n<\/tr>\n<tr>\n<td>Animale<\/td>\n<td>16%<\/td>\n<\/tr>\n<tr>\n<td>Myc\u00e8tes (champignons)<\/td>\n<td>2%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Environ <em>3000 souches hom\u00e9opathiques<\/em> sont r\u00e9pertori\u00e9es \u00e0 ce jour et la majorit\u00e9 provient des plantes. <a href=\"https:\/\/www.pharmacie-homeopathie-generale.fr\/197-teintures-meres\">A chaque souche correspond une teinture-m\u00e8re<\/a>. Cette derni\u00e8re est soumise \u00e0 un contr\u00f4le qualit\u00e9 permettant d\u2019en v\u00e9rifier la conformit\u00e9.<\/p>\n<h3><strong>Une question de dilution<\/strong><\/h3>\n<p>La teinture-m\u00e8re passe par <strong>une s\u00e9rie de dilutions successives<\/strong> permettant d\u2019obtenir des <em>solutions filles de concentrations diff\u00e9rentes<\/em> (cf sch\u00e9ma ci-dessous). Il s\u2019agit, soit de dilutions au dixi\u00e8me (DH pour d\u00e9cimale hahnemannienne) soit au centi\u00e8me (CH pour cent\u00e9simale Hahnemannienne).<\/p>\n<div id=\"attachment_4420\" style=\"width: 650px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/wp-content\/uploads\/2021\/09\/Dilution-Hahnemann-e1631110850611.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4420\" class=\"wp-image-4420 size-large\" title=\"Sch\u00e9ma d\u2019une s\u00e9rie de dilutions successives au centi\u00e8me \u00e0 partir d\u2019une teinture-m\u00e8re\" src=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/wp-content\/uploads\/2021\/09\/Dilution-Hahnemann-e1631110841513-1024x369.jpg\" alt=\"Sch\u00e9ma d\u2019une s\u00e9rie de dilutions successives au centi\u00e8me \u00e0 partir d\u2019une teinture-m\u00e8re\" width=\"640\" height=\"231\" \/><\/a><p id=\"caption-attachment-4420\" class=\"wp-caption-text\">Sch\u00e9ma d\u2019une s\u00e9rie de dilutions successives au centi\u00e8me \u00e0 partir d\u2019une teinture-m\u00e8re<\/p><\/div>\n<p>Pour obtenir la solution 1 CH, il faut pr\u00e9lever 1 volume de teinture-m\u00e8re que l\u2019on dilue dans 99 volumes de solvant (un m\u00e9lange d\u2019eau et d\u2019alcool). L\u2019\u00e9tape se r\u00e9p\u00e8te \u00e0 partir de la solution 1 CH pour obtenir la solution 2 CH et ainsi de suite. Il en r\u00e9sulte une trentaine de dilutions hom\u00e9opathiques, allant jusqu\u2019\u00e0 la 30 CH. Pour rappel, <a href=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/dilution-homeopathique\/\">les dilutions les plus courantes en France<\/a> sont :<\/p>\n<ul>\n<li>4 CH et 5 CH (les basses dilutions),<\/li>\n<li>7 CH et\u00a09 CH (les moyennes dilutions),<\/li>\n<li>12 CH, 15 CH et 30 CH (les hautes dilutions).<\/li>\n<\/ul>\n<h3><strong>La dynamisation<\/strong><\/h3>\n<p>Autrefois r\u00e9alis\u00e9e manuellement, l\u2019op\u00e9ration de <em>dynamisation<\/em> est de nos jours effectu\u00e9e \u00e0 l\u2019aide d\u2019une machine, ce qui permet d\u2019en garantir la parfaite reproductibilit\u00e9. Elle consiste \u00e0 secouer vigoureusement (au moins une centaine de fois) la pr\u00e9paration. Cette op\u00e9ration est r\u00e9p\u00e9t\u00e9e rigoureusement apr\u00e8s chaque <a href=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/dilution-homeopathique\/\">dilution<\/a> et constitue une \u00e9tape essentielle du processus de fabrication du m\u00e9dicament hom\u00e9opathique car elle entraine des modifications dans la structure physique du rem\u00e8de.<\/p>\n<h3><strong>Le choix de la forme gal\u00e9nique<\/strong><\/h3>\n<p>Les m\u00e9dicaments hom\u00e9opathiques peuvent se pr\u00e9senter sous plusieurs formes gal\u00e9niques diff\u00e9rentes (<em>tube granules, dose, gouttes buvables, pommade, suppositoire, trituration, ovule etc\u2026<\/em>) et bien \u00e9videmment chacune de ces formes poss\u00e8de un mode de pr\u00e9paration qui lui est propre. Les formes gal\u00e9niques les plus c\u00e9l\u00e8bres et les plus courantes sont les tubes granules et les doses. Les tubes comportent en moyenne 70 \u00e0 75 granules tandis que les doses contiennent quant \u00e0 elles environ 200 globules.<\/p>\n<div id=\"attachment_4421\" style=\"width: 860px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/wp-content\/uploads\/2021\/09\/Schema-de-fabrication-dun-tube-granule-e1631111028378.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4421\" class=\"wp-image-4421 size-full\" title=\"Pr\u00e9paration d\u2019un tube granules : exemple de l\u2019arnica 9 CH\" src=\"https:\/\/www.pharmacie-homeopathie.com\/blog\/wp-content\/uploads\/2021\/09\/Schema-de-fabrication-dun-tube-granule-e1631111028378.jpg\" alt=\"Sch\u00e9ma de fabrication d'un tube granule\" width=\"850\" height=\"327\" \/><\/a><p id=\"caption-attachment-4421\" class=\"wp-caption-text\">Pr\u00e9paration d\u2019un tube granules : exemple de l\u2019arnica 9 CH<\/p><\/div>\n<p><strong>Si l\u2019on souhaite produire un tube granules d\u2019arnica montana en 9 CH :<\/strong><\/p>\n<ol>\n<li>il faut diluer la teinture-m\u00e8re d\u2019arnica montana au centi\u00e8me neuf fois successivement (avec dynamisation \u00e0 chaque fois),<\/li>\n<li>puis impr\u00e9gner des granules avec la dilution en 9 CH obtenue,<\/li>\n<li>laisser s\u00e9cher et,<\/li>\n<li>enfin conditionner dans un tube pr\u00e9vu \u00e0 cet effet.<\/li>\n<\/ol>\n<p>En pratique, les fabricants constituent dans un premier temps une <strong>diluth\u00e8que hom\u00e9opathique<\/strong>, c\u2019est-\u00e0-dire une r\u00e9serve de souches avec leurs diff\u00e9rentes dilutions pr\u00e9par\u00e9es \u00e0 l\u2019avance. De cette fa\u00e7on, lorsqu\u2019ils souhaitent produire un rem\u00e8de, ils n\u2019ont pas n\u00e9cessairement besoin d\u2019effectuer toutes les \u00e9tapes de <strong>dilutions<\/strong> et <strong>dynamisations<\/strong>. Ils peuvent tout simplement se servir dans leur collection de souches et op\u00e9rer uniquement les derni\u00e8res phases du processus.<\/p>\n<h3><strong>Les Bonnes Pratiques de Pr\u00e9paration<\/strong><\/h3>\n<p>Avant l\u2019\u00e8re industrielle, tous les m\u00e9dicaments \u00e9taient pr\u00e9par\u00e9s au sein des pharmacies. Bien que ce ne soit aujourd\u2019hui plus le cas, la pr\u00e9paration des m\u00e9dicaments hom\u00e9opathiques est toutefois rest\u00e9e une tradition dans les <strong>officines sp\u00e9cialis\u00e9es<\/strong>. Cette activit\u00e9 r\u00e9pond \u00e0 un cahier des charges stricts appel\u00e9 <em>BPP<\/em> (Bonnes Pratiques de Pr\u00e9paration) \u00e0 l\u2019instar des <em>BPF<\/em> (Bonnes Pratiques de Fabrication) qui s\u2019appliquent \u00e0 l\u2019industrie pharmaceutique. La conformit\u00e9 aux BPP garantit ainsi la qualit\u00e9, l\u2019innocuit\u00e9 et la tra\u00e7abilit\u00e9 des rem\u00e8des hom\u00e9opathiques pr\u00e9par\u00e9s en officine.<\/p>\n<p><strong>Sources\u00a0: <\/strong><\/p>\n<ul>\n<li><em>Le dictionnaire de l\u2019hom\u00e9opathie, <\/em>Dr Daniel Scimeca, \u00e9ditions Alpen.<\/li>\n<li><em>Hom\u00e9opathie \u2013 <\/em><a href=\"https:\/\/www.google.fr\/books\/edition\/Hom%C3%A9opathie\/yUFStwEACAAJ?hl=fr\">Le livre pour se soigner au naturel<\/a>, Dr Martine Gardenal, \u00e9ditions Guy Tr\u00e9daniel.<\/li>\n<li><em><a href=\"https:\/\/www.google.fr\/books\/edition\/Ma_bible_de_l_hom%C3%A9opathie\/yClimQEACAAJ?hl=fr\">Ma bible de l\u2019hom\u00e9opathie<\/a>, <\/em>Dr Albert Claude Quemoun, \u00e9ditions Leduc.s.<\/li>\n<li><a href=\"https:\/\/www.google.fr\/books\/edition\/Le_guide_de_l_hom%C3%A9opathie\/qkafAAAACAAJ?hl=fr\"><em>Le guide de l\u2019hom\u00e9opathie, <\/em>Dr Bernard Chemouny<\/a>, \u00e9ditions Odile Jacob.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>La m\u00e9thode de fabrication des rem\u00e8des hom\u00e9opathiques a \u00e9t\u00e9 mise au point par Samuel Hahnemann (1755-1843), m\u00e9decin allemand reconnu comme \u00e9tant le p\u00e8re fondateur de l\u2019hom\u00e9opathie.<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":3,"featured_media":4431,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[80,4],"tags":[],"class_list":["post-4411","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lhomeopathie-de-a-a-z","category-actu-sante"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - 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