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. 2022 Feb 25;111(3):202–209. doi: 10.1055/s-0041-1740104

Table 4. MOdified NARanjo Criteria for Homeopathy (MONARCH), with agreed total score.

Domains Reviewer 1 Reviewer 2 Agreed score
1. Was there an improvement in the main symptoms or condition for which the homeopathic medicine was prescribed? 2 2 2
2. Did the clinical improvement occur within a plausible timeframe relative to the medicine intake? 1 1 1
3. Was there a homeopathic aggravation of symptoms? 0 0 0
4. Did the effect encompass more than the main symptom or condition? 0 0
5. Did overall well-being improve? 1 1 1
6.a Direction of cure: Did some of the symptoms improve in the opposite order from the development of the disease? 0 0 0
6.b Direction of cure: Did at least one of the following aspects apply to the order of improvement in symptoms:
From organs of more importance to those of less importance?
From deeper to more superficial aspects of the individual?
From top downwards?
1 1 1
7. Did ‘old symptoms’ reappear temporarily during the course of improvement? 1 1 1
8. Are there alternative causes (i.e. other than the medicine) that—with a high probability—could have produced the improvement? 1 1 1
9. Was the health improvement confirmed by any objective evidence? 0 2 0
10. Did repeat dosing, if conducted, create similar clinical improvement? 1 1 1
Total +8 +10 +8