Professional Documents
Culture Documents
Honorary Advisor
Dr. Prafull Vijayakar
Editorial Board
Dr. Dipali Gupte
Dr. Kavita Sawant
Dr. Bhakti Poojara
5. Predictive Homoeopathy
6. Journey of Dr Hahnemann
7. Organon section
a. Explanation of Aphorism 1
b. In depth case taking.
9. Repertory section
10. Study of systems and organs with clinical correlation of their pathology with miasms
This proverb has been the inspirational force behind the inception of this E magazine “The
Genetic Code of Homoeopathy”.
Just like every old thing is replaced by an updated, advanced and “in” thing, similarly we
as Homoeopaths should be proud that our science Homoeopathy is the most recent,
advanced and highly scientific, being only 200 odd years old!
The answer is simple and shameful- We have not understood our Master Dr Samuel
Hahnemann, who had feared that his followers would not be able to understand this
wonderful science to the fullest and would only be superficially understanding and
applying their half learned knowledge practically in treating their patients, thereby,
bringing down their success rates in curing cases.
It is only a few handful of his followers like Dr Prafull Vijayakar who has not only gone into
the depth of Hahnemann’s teachings in his Organon, but has also understood the
modern sciences and has bridged the gap between the two by scientifically explaining
their co-relation.
He has understood “The Hering’s Law of Cure” to the fullest and uses it day in and day out
to assess his failures and successes.
It was therefore the “necessity” of the hour to bring to light his incredible work and
understanding that he has gained by working day and night in his clinic over the past 35
years.
This issue covers aphorism 1, case taking in the organon section, the rubric abusive,
remedy lachesis and the ophidea group and the skin along with cases by Dr. Prafull
Vijayakar. This E magazine “The Genetic Code of Homoeopathy” is an attempt to
spread Dr. Prafull Vijayakar’s understanding, so that we Homoeopaths all across the
globe can be confident and proud of our science and “Dare to be Wise” in taking up
challenging cases and showing the world with our results that Homoeopathy is not an
alternative form of medicine, nor is it a “witchcraft” as quoted by some of our fellow
friends, neither does it require the crutches of any other form of medicine and is a
complete science in itself.
Aude Sapare,
Yours in homoeopathy,
Dr. Prafull Vijayakar has been practicing Classical Hahnemannian Homoeopathy for over 30
years. In spite of a massive practice , seeing around 200 patients a day, he has devoted a lot
of time for research and study.
Dr Vijayakar is known for his expertise in face- reading, body language and intuitive
prescriptions. However even his speedy, snap-shot prescriptions, though appearing intuitive
have a complete scientific reasoning and explanation to mathematical accuracy and details.
“Intuition” he always says, “ is to tuition you”. It has to develop through deep study and hard
work.
However you ought to know what to study. You ought to know what to look for and where.
His favorite quote, “Eyes do not see what the mind does not perceive”.
20years ago, when Homoeopathy was considered just an alternative system of medicine
used for treating simple cough, cold and skin ailments, Dr. Vijayakar took up the challenge of
showing to the world how homoeopathy is a complete system of medicine and the science
behind homoeopathy.
He stresses on the importance of a thorough knowledge of Life sciences like Anatomy,
Physiology, Biochemistry, Embryology and Genetics in treating diseases. His success and the
incredible results in incurable and hopeless cases are on account of “Miasm as defense
process at the genetic level” that he takes into consideration in every case as also
“Law of cure”.
Dr. Vijayakar has correlated the Law of cure with Embryological development of the human
being and this has made the law of cure crystal clear. He has elicited exactly which organ is
more important and which is less in importance, a question that has baffled homoeopaths
since ages.
Above downward,
Within outward
Dr. Vijayakar with his passion for homoeopathy and desire to spread the right kind of
homoeopathy, started teaching his methods to a lot of homoeopaths. Soon his followers also
started getting fantastic results and developed a strong conviction in homoeopathy.
Thus the predictive school of homoeopathy was born.
Another very important contribution that Dr Vijayakar has made is the simplified explanation
of miasms.
Dr Vijayakar's crystal clear understanding of miasms , just as put forth by Hahnemann is the
breakthrough in treating not only simple cases but even hopeless incurable diseases. He has
been doing invaluable work in cases such as Mutism, Blindness, Autism, Deafness, Cerebral
Palsy, Mental retardation due to birth defects. 'Predictive homoeopathy' regularly conducts
camps in Mahabaleshwar , Mumbai and interiors of India with great success. The successful
treatment of such cases he owes to his deep study of Evolution of the animal kingdom and
basing the treatment on miasm.
Dr Prafull Vijayakar has indeed made a stupendous contribution to the field of homoeopathy
and through his intensive training courses is empowering homoeopaths all over the world in
the successful practice of homoeopathy.
Dr Hahnemann has laid down before the world in great detail the method of how to practice
this wonderful science and art of Homoeopathy. To this date not many homoeopaths have
completely understood the ideas Hahnemann has put forth. The entire science that he has
formulated is based on Genetics.
When Dr.Hahneman talked about individualization some of his followers started
understanding mind as the identity of the man, some thought Disease as the identity of the
man, some thought generals as the man's identity .His followers did not understand him in
Toto. They started misinterpreting him as per their whims and fancies. This caused
homoeopathy to go into chaos and mockery. That is how homoeopathy became non
standardized. Cures were sporadic .Nobody was able to show law of cure in cases treated .
5. Every physician has to treat Miasm and 9. As mentioned in Aph 144 of Organon of
not the disease or symptoms. Eg he or she medicine, a homoeopath should never
should not give Merc sol for ulcers, Kali- Ars, interpret patient's symptoms in terms of
Ars Alb and Blatta Orientalis for Asthma. illusions, delusions which is malignant to
Should not give specific medicines for homoeopathy.
diarrhea like Aloe, Podophyllum e.t.c or
medicines like Glonoine, Cactus specific for
heart or give specific medicines to remove a
“Genetic code of Homoeopathy” is not just a journal . It is a complete clinical guide for
every Homoeopath..We at Predictive Homoeopathy wish to impart Dr.Vijayakar's
teachings and his latest developments and research to the readers and update them
through the medium of this journal.
My sole objective will be to restore and maintain health among my fellow-beings and to
accomplish this noble mission
2. I shall follow the 'Law of direction of cure' as advocated by Hahnemenn and Hering..
3. I shall treat the MIASM which is the cause and the underlying process of the chronic
disease and not only the symptoms arising out of it. Thus I shall not give Merc sol for
ulcers, Kali- Ars, Ars Alb and Blatta Orientalis for Asthma. I shall not give specific medicines
for diarrhea like Aloe, Podophyllum e.t.c or medicines like Glonoine, Cactus specific for
heart.
4. I shall individualize every patient and give him a minimum dose of a single remedy of
the similimum.
5. I shall not keep any knowledge, a secret to myself. I shall share it with the world for the
betterment of the human race and homoeopathy.
6. I shall try to learn and understand 'Organon of medicine' in the light of latest
developments in the medical sciences.
7. I shall strictly exclude everything that is conjectural, all that is mere assertion or
imaginary from Homoeopathy and from my practice. Everything should be the pure
language of nature carefully and honestly interrogated.
8. I shall put in Newer and scientific ideas which would contribute to the knowledge of
principles of Homoeopathy.
9. I shall do everything in my capacity that will help to spread the right Homoeopathy.
10. I shall dissuade people from practicing wrong homoeopathy and persuade to practice
right homoeopathy
It is a registered organization and Institution established for the development of the science
of Homeopathy. It is based on the teachings of Dr Prafull Vijayakar, who has tried to explain
the principles of practice of Homeopathy on the basis of cellular Biology, Embryology and
Genetics. In doing so he has succeeded to a great extent in removing the tentativeness and
uncertainty in Homeopathic practice thus making young homeopaths more sure in their
practice.
The great Master Dr Samuel Hahnemann, MD physician, discovered this science 200years
ago, as an alternative to conventional science which for years has not been able to cure or
eradicate any chronic disease that has plagued mankind from times immemorial. Man has
suffered from illnesses that never leave him.
He discovered this new science that could eradicate most if not all these illnesses, if practiced
properly. Hahnemann had himself promised this science to be of mathematical certainty. But
to this date various tumors, cancers, auto-immune diseases, diabetes, manias,
schizophrenias or even ordinary cases of hypertension are not within the scope of curability
of many homeopathic practitioners.
To this he added that if at all a disease has to be cured, the order of disappearance
of symptoms should always follow a pattern that can be gauged by a 'compass'
called LAW of CURE.
Hahnemannian Quotes: Hahnemann has mentioned in the preface of his book The chronic
diseases “ we have no means of reaching with our senses or of gaining essential knowledge as
to the process of life in the interior of man……..therefore we have to draw speculative
conclusions….., we are unable to furnish conclusive proof of our explanations and hence I
furnished indeed a conjecture about it.” At the time of Hahnemann science was not advanced
. There were no electron microscopes or no means to study in details about human physiology;
human biochemistry or molecular biology namely Genetics. Hahnemann confessed that he
was helpless because he could not prove his theory concretely and had to put forth only
hypothesis and conjectures.
Dr Prafull Vijayakar states: Science and human related discoveries have advanced today. We
are fortunate enough to have the knowledge of these modern advances and study of Human
being. Let us now understand and apply the advances made by modern sciences to the
theories and principles put forth by the great master Dr Hahnemann so that there will be
standardization in Homeopathy. We should be able to say who is a right Homeopath and who
is a wrong Homeopath because no one has the right to play with the most prized possession of
a man, and that is his Life.
The four and a half year course in Homeopathy in India is a very comprehensive course that
gives knowledge of homeopathic principles as well as in depth knowledge of human related
sciences like Anatomy, Physiology, Biochemistry, Gynecology, Medicine and Surgery etc.
Unfortunately the science of Embryology and Genetics that are very important not only to
understand the basic development and behaviour of a human but also for the understanding
of homeopathic laws and principles has been omitted from the University Degree Syllabus.
This has made homeopathic students difficult to understand the principles of homeopathic
practice resulting into failures and lack of conviction. This has also had an adverse effect on
admissions to the main course.
In order to counter this, Predictive Homeopathy has designed this course that not only
enhances the knowledge of Homeopathic graduates but instills confidence and success in
their practice. Those who have been associated with Predictive have automatically attracted
and cured serious and incurable cases in their practice.
Thus this science that is very economical compared to the prevalent modes of treatment has
got a Phillip in rural based India and has now started taking deep roots in the interiors of many
states thanks to courses conducted by Predictive Homeopathy.
This is besides the fact that most of our family of Predictive homeopaths have increased
their incomes manifold!
Most IMPORTANT gain has been that all like-minded Homeopaths who wanted Homeopathy
to grow and prosper have come together to form a really big family called the Predictive
Family.
Many of them have provided Hope for the Hopeless patients- with Impossible Cures.
Hope for the Hopeless was provided to Doctors too- Those who were fighting for Survival in
the homeopathic field and wanted to leave Homeopathy, have now turned back and become
flourishing homeopaths.
Samuel Hahnemann
April 11, 1753 - 1843
Dr Samuel Hahnemann, founder of homoeopathy , had the courage, conscience and the
prudence to walk away from the beaten path of the, then existing practice of medicine.
Standing tough and combating single handedly the strong opposition and criticism of an
entire medical fraternity he walked on ....to create a legacy , a complete system of medicine
which will heal for generations to come, liberating mankind of unfathomed miseries.
Hahnemann, switched on to a new science because he was not satisfied with the practice of
medicine in those days. He was disheartened with the ruthless, cruel methods of venesection
along with the other prejudiced and thoughtless ways of medical practice.
He believed that the methods then used were doing more harm than good. He believed there
have to be principles of cure and certainty in treating diseases. Other sciences have principles
of practice but no principles of cure. Over years of careful experimentation, thoughtful
reasoning and deductions , Dr Hahnemann pioneered a complete system of medicine…..a
futuristic science based on rock- hard principles and laws that are timeless and infallible. A
science based on genetics to which the medical world is just about opening its eyes to.
At this point of life, he started getting dismayed at the ignorance with which the medical
profession appeared to be content. He moved to Dresden . Here he made friendship with the
famous chemist Lavoisier. He became a locum medical officer here and continued translation.
He would treat and medically supervise inmates of i) Military hospital (ii) Workhouse (iii) Cross
school ( iv) Orphanage ( v) Prisons.
Here he got an insight which led him later to become an ardent advocate of prison reform. He
had a great sense of justice and compassion and wanted to improve the prisons.
1789, he moved to Leipzig. Here he was mainly engaged in literary work. He was the first to
discover that sulphuretted hydrogen in acid solution precipitates arsenic, lead, antimony,
silver, mercury ,copper, tin or bismuth but not iron. Besides this he worked on “ Poisoning by
Arsenic”.
Leipzig 1789-1792, Here the first volume of “Friend of health” was published, here he writes
on hygienic. Also handbook for mothers , authored by the great Rousseau was translated.
From Leipzig, he moved to a little place Stotteritz.
On account of the mounting expenses, Dr Hahnemann moved out of Leipzig into its
neighborhood. He was thus drawn from one township to another ,sometimes by reason of
the need of fuller laboratory opportunities, or sometimes to earn a sufficient earning, or to
reduce expenses or to get healthy conditions for his family.
Birth of Homoeopathy
1790- Dr Hahnemann stumbled upon a line in Cullen's material medica which read
“ Cinchona cures malaria because of its astringent properties”. Refusing to take the statement
at face value, he tested it on himself by consuming the dose . He developed symptoms of
malaria . He was astonished and tested other substances on himself and others.
Thus he came to the conclusion that “ A substance which produces a set of symptoms when
taken by a healthy person can cure the same set of symptoms in a diseased individual. Thus
was formulated the “ Law of Similars”. However for 6 years, he continued experimenting with
different substances to ascertain their effects on himself and others.
In the words of Dr. John Clarke , Cinchona bark was to Hahnemann what the falling apple was to
Newton or the swinging lamp to Galileo. Far-sighted, unprejudiced, with courage and zeal
Hahnemann fought all the opposition and condemnation that came up. Great men in the
history of medicine had said that the whole nature of the medical science is such that it is not
capable of any certainty.
“ What a shameful, blasphemous thought- I struck my brow that the Wisdom of the Infinite
Spirit ,animating the Universe should not be able to create means to pacify the sufferings of
diseases which He, after all , allowed to arise !”
Hahnemann elsewhere also had strong observations on the use of the term incurable except
as a measure of human ignorance.
“ Yes , I hear the medical school whisper with a seemingly compassionate shrug, there are
notoriously incurable evils ,our books tell us they are incurable. As if, indeed ,it could comfort
the millions of sufferers to be told of the impotence of our art!”
“ Would he , the father of all, coldly survey the torments of disease in his dearest creatures?
Would he leave open no way to the genius of mankind otherwise so infallible no easy, certain
and dependable way of regarding disease from the right angle ,
Torgau was being made the scene of military activities on the command of Napoleon. For his
family's peace and well being, which Hahnemann cared for a lot, he moved to Leipzig leaving
behind his pretty house with a garden ,where he said “ I think I have puzzled out many things for
the good of man.”
His house in Leipzig, in the Burgstrasse, bore the name “The Golden Flag” and Hahnemann
hoped that it would become a medical institute some day.
He lived in Leipzig from 1811 to 1820.
1805- “Fragmenta De Viribus” was published. It contained the first collection of remedies
which had been proved on a healthy subject. Later a band of provers was formed that is of
persons willing to test drugs on themselves. It included names of Stapf, Gross, Hornburg, Franz,
Wislicensus,Teuthorn,Hermann,Ruckert,Hartmann and Hahnemann himself.
Around the year 1823, in a letter to royal Prussian Consultant general Baumgartner,
Hahnemann has written, “I have striven night and day for the last four years to discover the
missing keystone and thus find the means of stamping out the old chronic diseases, this
invaluable discovery , the worth of which to mankind exceeds all else that I have ever
discovered”. Thus “Theory of Miasm” was born.
In a letter of Dec 18, 1826, Hahnemann wrote while treating Staph's daughter, The frequently
repeated doses ,although small became in your daughter's case , a wrong and therefore
injurious medicine, on account of the repetition.
In the year 1828, Hahnemann's “Chronic Diseases” appeared in print. 1830-1832,
Hahnemann was at Kothen . Around this time Homoeopathy started spreading to other
countries like Switzerland, the United States, and Russia .
1832-1843 Paris
Soon after His 88th birthday, on which the doctor was in excellent health and spirits, he became
nd
affected with a bronchial trouble and at 5am on July 22 , 1843, Hahnemann breathed his last.
Unusual capacity for work, energy, industry and zeal. This is an example of the great versatility
and mental elasticity of this man . Such magnanimous work of unearthing and erecting an
entire science of therapeutics with one mission , such passion coming out of true compassion
for the sick.
No wonder Dr Hahnemann could sit back and really say “ I have not lived in vain .”
Let us keep the torch strongly lit and remember ; 'Aude Sapare', “ Dare to be wise”.
He was the first one to establish that there is something in common between different diseases
occurring in different organs and systems. A skin ailment can metamorphose into a respiratory
ailment which in turn into a rheumatic ailment and finally the patient can land up with a cardiac
problem. Thus all these looking apparently different were told by Hahnemann to having its
root in the same process and exhibiting it in different places. Hence Hahnemann insisted that
if there was an order in the disorder ,cure also has to have an order but in the reverse manner-
' To restore the sick to health'.
Dr Samuel Hahnemann dared to shun away the existing methods of practice which were
followed even by the celebrated physicians of yesteryears and those of his time. He had the
prudence to observe and reason and from that experimentation, reasoning and deduction
was formulated an entire science of medicine.
Since Dr.Hahnemann's time, Homoeopathy is been practiced in various ways. There are
Homoeopaths who give single dose of single remedy , some give multiple doses of single
remedy ,others give multiple doses of multiple remedies ,some give mother tinctures
.Everybody practices as per their whims and fancies and everybody claims cures.
Homoeopaths practicing single dose or multiple doses or polypharmacy claim that they have
been curing patients.
When the symptom is removed, where does it go? It just can not disappear in thin air
.Everything in this world has precursor and a follower. It is only the keen observer who sees
where the symptoms go. It always goes from one system to another. Disease always travels or
transfers. Therefore, only time can tell whether the patient is cured or not after the
treatment.
Master Homoeopath, Dr.Hering had keenly observed this transfer of disease. He had
followed the direction of this transfer of disease from one system to another on the way to
cure and formulated the 'Law of Direction of Cure'.
Hering's law of direction of cure states that
Cure takes place with symptoms disappearing
It means that if the symptoms are going as per the Hering's law of direction of cure, patient is
progressing towards cure, but if the symptoms are going in the opposite direction i.e. either
below upwards or from outside to inside, it means the patient is getting suppressed.
This 'Hering's law of direction of cure' sets Homoeopathy apart from all the other existing
therapeutic systems. None of the other therapeutic systems have any direction for the cure.
All of them concentrate on giving just a symptomatic relief to a patient .None of them follow
the journey of disease in a human body. It is only Homoeopathic science that traces journey
of disease in disease axis and in cure axis with the help of Hering's law of direction of cure.
This law gives a solid footing to Homoeopathy in the medical field. Such an important law but
neglected by most of the Homoeopaths. Reasons given by them are
The great master, Dr.Hahnemann was a keen observer of the symptoms. He has always
talked about the transfer of disease and causing suppressions. If he has established the
relationship between the disappearance of the symptoms in one system and appearance
of grave disease in another system (suppression), is it possible that he has missed the
symptoms going exactly in opposite direction while getting cured?????
He was a genius!!!!!
The problem is that we have not understood Dr.Hahnemann. We have not understood the
exact meaning of Aphorisms.
Then, how do we decide which is more important organ and which is less important? What do
we mean by above downward? What is the meaning of within outward?
These are the questions that haunt us even if we want to follow the law diligently .These
question did not allow many homoeopaths to follow the law.
It was Dr.Vijayakar who has simplified this law by explaining it on the basis of
embryological development of the organs and the systems and formed a chart of 7 layers of
Suppression.
Thyroid,diabetes,infertility,neurosiss,depression
Hypertension,atherosclerosis,ischemia,pul
monary kochs,renal parenchymal disease
Hairfall,arthritis,peritonitis,tooth
Cold,cough,/acidity,gastritis/
jaundice/urinary infn.
Eczema,boils,rash,conjunctivitis
Here 7 layers are put as per their development in the embryo. Organs and systems are in
each layer as per their origin .If the symptoms are going in upward direction of the chart it is
suppression and if it is coming down the ladder it is cure.
The disease travels from one system to another in certain way. There is always an order in
disorder. In every case one has to trace this journey of disease from its beginning. After
giving similimum reversal of the symptoms is seen in the same manner. Similimum is
nothing else but the stimulus to the nutritive gradient of the body.
It is seen that the Growth of embryo shows certain pattern. In embryo first to develop is
prochordal plate which forms the head
Development of Embryo
Head-
end 1 st to develop
is th e
prochor dal
plate
T his forms th e
HEAD-end
right
left
Central- axis
Tail-end
Then develops primitive streak or the tail end. There is a flow of nutrition from
prochordal plate to primitive streak.
T h is ax is o f
N u tritio n is
Primitiv e stre ak C EPHALO -
C AU DAL
G RA D IE N T
Tail-e nd
THIS shows existence of a flow of NUTRITION from HEAD to TAIL end. This axis of
Nutrition is CEPHALO-CAUDAL GRADIENT
Development of MESODERM
Above- Procordal
plate
downwards
DORSO-VENTRAL GRADIENT
from centre to periphery
After primitive streak develops mesoderm invaginates between ectoderm and endoderm
dorsoventrally. This shows axis of nutrition from dorsum to ventral.
Growth of the embryo shows that there exists a FLOW of nutritive or metabolic products
which are the building material. They flow in certain directions only.
Supply nutrition
Remove or eliminate toxic proteins
Promote health & growth.
ALL MORPHOGENETIC GRADIENTS
ALL MORPHOGENETIC
• Are passive gradiants
• Are directed towards skin
• Do not require energy
• Promote elimination
• And promote LIFE
• THESE WHEN ENHANCED CAUSE CURE.
•
•
•
•
• Are passive gradiants
Are passive gradiants
• Are directed towards skin
Are directed towards skin
Do not require energy
Promote elimination
And promote LIFE
HOMOEOPATHIC REMEDIES
• PROMOTE ALL MORPHOGENETIC OR NUTRITIONAL GRADIENTS
CURE.
• From Above
downwards
• From more
important to less
important
• Center to
Periphery
1. Downwards …………..CURE
2. UPWARDS ……………SUPPRESSION
It's only the direction which the symptoms take can tell us if the patient is on the way of
recovery or suppression. It's possible only with the help of Hering's law of direction of cure.
If a hypertensive patients gets similimum he should come up with backache or some
joint pains once his BP is normal , later he should come up with acidity and finally some
eruptions on the skin. This is a right direction of cure. If the patient comes up with increased
blood sugar or thyroid problem while getting treated for BP ,this is definitely a suppression
.We know this is wrong direction only because of Hering's law and embryological chart of
suppression. When we know ,we are on the wrong path, we can immediately take the right
actions i.e. change the remedy and save a patient of his sufferings.
That is why in Predictive Homoeopathy how to take Follow up is taught first. Dr.Vijayakar
insists on knowing Follow up criteria well than case taking , before starting Homoeopathic
practice. It is only abiding by Hering's law of direction of cure that leads to the successful
cures in practice.
To practice Homoeopathy
• We try to • We try to • We try • WE try to
understand understand to apply assess the
the the
the patient materia
and his medica
problem by /drug
a materia pictures
medica
comprehen to the
sive /Drug
Pictures/
patient’s • follow
picture
• case and
Reportory
as up
history. similimum
(Stimuli mum)
B CURE
A C
The next question which comes to our mind is- ‘Why do we have to understand the
patient and his problem’?
The Physician's high and only mission is to restore the sick to health, to cure as it is termed.
He uses the word “sick to health” (and not sickness). This means that we treat the man who is
sick and not his sickness; that is we treat the Man in Disease and not the Disease in Man.
The answer lies in the fact that all are different Individuals with different constitutions who
react differently to one given situation. Hence, by case taking, we individualize every patient
and find out what is peculiar, strange or rare in his constitution which differentiates him from
another person in the same given situation.
At each and every step, we have to remember that we treat the man in disease and not the
disease in man.
Useful to the physician in assisting him to cure are the particulars of the
most probable exciting cause of the acute disease, as also
the most significant points in the whole history of the chronic disease, to
enable him to discover its fundamental cause, which is generally due
to a chronic miasm
In these investigations, the ascertainable physical constitution of the
patient (especially when the disease is chronic), his moral and intellectual
character, his occupation, mode of living and habits, his social and domestic
relations, his age, sexual function, &c., are to be taken into
consideration.
Here, he tries to tell us that for prescribing one needs to take into account the exciting cause ( in
acute disease) and the fundamental cause in chronic disease. He says that when the disease is
especially chronic, the patient's moral and intellectual characters , his occupation, mode of
living and habits, his social and domestic relations, his age, sexual functions etc are to be taken
into consideration.
The next question which comes to our mind is ‘how do we get this information from the
patient’?
Here, he explains to us that the information can be derived from the patient, but it is an
“art” and it is definitely not methodical.
Why is it an art?
Just as an artist, who is creative in his field, with his perfect, different strokes and colours
carefully makes a picture which resembles something or someone very closely , similarly we
Homoeopaths have to have the art of History Taking. Like the artist, we have to elicit
information from the patient regarding his illness very carefully, Individualize the patient and
form an Original Unmodified picture of the disease. We then match this picture with the
picture of our drugs from the Materia Medica and give the patient his Similimum or
Stimulimum as we could call it.
The physician takes the details of the patient's sufferings from him, from those ( friends or
family members who have accompanied him) who have heard him complain, seen him
behaving and what they have noticed in him.The physician sees, hears and remarks by his
“senses” what is altered/unusual or characteristic in the patient.
He accurately writes down whatever the patient and his friends/family members have told him
in the “very expressions” used by them.
He keeps silent and does not interfere or interrupt them( patient and relatives) unless
they wander off to other matters which are not important for the history or relevant to
it.
He should start every new symptom on a new line, one below the other and leave space
in between so that just in case the patient has earlier mentioned a symptom vaguely,
which he realizes then in detail, it can be added by the physician.eg if he remembers
certain modalities like <4-8pm < eating > rest, these can be added to the complaint in
the same place.
Once the patient and his relatives have finished narrating the symptoms, the physician
should go back to each symptom and try to elicit more details regarding the location,
sensation, modalities or concomitants if they are not narrated properly by the patient .
eg if there is pain in the head- he could ask regarding where the pain in the head
is?what type of pain it is? What < or > the pain etc
The physician should not ask leading questions- which the patient answers in yes or no
or else he will be misled as the patient might answer something which is untrue, half
true or something which is not correct either from indolence or to please the
physician, hence the physician would form a false picture of the disease and give the
patient a wrong remedy.
Once the patient has answered fully and the physician has traced a tolerably perfect
picture of the disease, Dr Hahnemann mentions that the physician is then at liberty and
obliged, if he feels
Then what is the difference in the Case Taking in Acute Diseases and Chronic Diseases?
Dr Hahnemann in Aphorism 5 and Foot note 120 tells us that in Acute diseases, the
particulars of the most probable exciting cause is useful to the physician in assisting
him to cure, whereas, in a chronic disease, the fundamental cause which is generally
due to the chronic miasm is most important to be elicited.
Eg If a patient comes with an acute episode of say asthma, the physician can find out if
there was any anger, embarrassment, indignation which preceded the attack and if so,
it would be important for the case.
Hence, in case taking for acute diseases, we try to find out the causative factor
involved.
In chronic diseases, we find out about the patient's occupation, his diet, his mode of
living, domestic situation as these could be maintaining causes and may be hampering
cure in the patient, hence they have to be carefully removed.
Also, in chronic diseases, the minutest details of the disease are to be elicited from the
patient, as these are long standing diseases and the patients become so used to their
sufferings , that they pay little or no attention to the accessory symptoms, which are
characteristic at times and important for the physician in prescribing.
They consider these signs and symptoms as healthy conditions and do not see the
connection of these symptoms to the chief complaint, which has to be done by the
physician with his skillful case taking.
Also, the physician has to differentiate between the two sets of patients- one which is
hypochondriacal, where they exaggerate their symptoms, so that the physician gives
them relief and the other set of patients who are opposite in character- partly from
indolence,
And yet very little reflection will suffice to convince us that no external
malady (not occasioned by some important injury from without) can arise,
persist or even grow worse without some internal cause, without the co -
operation of the whole organism, which must consequently be in a diseased
state.
.It could not make its appearance at all without the consent of the whole of
the rest of the health, and without the participation of the rest of the
whole (of the vital force that pervades all the other sensitive and irritable
parts of the organism);(a) indeed, it is impossible to conceive its
production without the instrumentality of the whole (deranged) life; so
intimately are all the parts of the organism connected together to form an
indivisible whole in sensations and functions.
.No eruption on the lips, no whitlow can occur without previous and
simultaneous internal ill - health.
Here, we understand that nothing in this It is the genes inside the cells which are the
body or mind occurs without the co- only factor that connect the body completely
operation of the whole organism and and are responsible for every little thing that
nothing can appear in the body and makes occurs in the organism.
its appearance at all without the consent Genes are the functional unit of Inheritance.
of the whole of the rest, and without the They are the blueprints of the physical and
participation of the rest of the whole. mental make up of man e.g. the height of a
person, the characteristic nature, the hair, the
What is it that is responsible for shape of the face, even the emotions that an
everything in this body and mind and individual feels are a result of various proteins
what is it that pervades all the parts of the in the form of neurotransmitters which are all
body? under the direct influence of genes.
Is it the nerves?
Could it be blood?
In order to find the Genetic Constitutional Similimum or G.C.S. in a given case and to
make a genetic based prescription, the presentation of the gene in the human body which
is individualistic for that body and differentiates it from another individual has to be
understood in depth. This can be done by a “skillful “ history taking where a specific
pattern and system of questions are followed in each and every case. Since every
emotion, every look, every disease presentation and so on are all representations of the
gene, but the proteins which are being coded will govern the presentation of the gene by
it and will also depend upon the MIASM( the underlying fundamental defense process),
we can broadly classify Case Taking as:
1. Case Taking
2. Observation
CASE TAKING
CASE TAKING
Disease make up
Mental make up Physical make up General make up Defense mechanism
INTROVERT, HAIR SPEED PSORA
EXTROVERT
WILL FACE TYPE ACTIVITY SYCOSIS
SLEEP
“ “
1. Case Taking
A) Mental Make up:- Here, we take the very innate characteristics of every
individual which is the presentation of the gene.
Vivaciousness e.g. Aurum, Croc, Ign, Lach, Phos, Stram, Teucr etc
Talk Wandering Bell, Hyos, Lach, Lyco, Nat Mur
Jesting Croc, Lach, Ign
Childish Baryta Carb, Cicuta, Baryta-Mur
Boaster Plat, Lach, Sulph
Lewd Hyos, Lach, Phos, Plat etc
2. Will: It is defined as the faculty by which a person decides on and initiates action and
depends on the fundamental miasm. It can be divided into:
Will can be elicited by asking the individuals what their reaction is in a crisis and also
trying to find out what measures they take to avoid this crisis.
Eg. In Lach, Hyos and Coffea, the memory is active and can remember, understand and
comprehend easily, whereas in Baryta Carb, Bufo etc, the memory is dull and
compromised due to different reasons and therefore, the individual is dull in
comprehending and reacting to a situation.
4. Morals: Our society accepts and does not accept certain types of behaviour by
individuals which are taught to us in our early days or formative years.
MORALS
5. Sensitivity: Every individual on this earth is sensitive or not sensitive to something or the
other which is peculiar to him and him only.
eg. A Carcinocin will be sensitive to reprimands whereas a Nux Vomica could be sensitive to
noise.
The sensitivity belongs to a constitution , but the reaction of this sensitivity will depend on the
fundamental miasm.
Eg. A Nux Vomica reaction would be more of anger whereas that of an Ignatia or Acid
Phos would be grief or sadness.
“ “
Therefore, Diligence or Conscience makes an individual exist and progress in life.
1. Hair: The different types of hair, can be interpreted differently by the physician.
a) Thin, smooth and well placed hair as in Arsenic, shows the fastidiousness of the
remedy even at the level of the hair.
b) Thick and raised hair as seen in Mercury and Opium, tells us how defiant these
remedies are.
c) Magnesiums will have hair which is thick, tough and stuck to the scalp which
shows the history of suppression in the childhood.
d) Ophidia Group will have curly, wavy hair.
e) Messy and untidy hair is seen in Sulphur, Tarentula , where the uncleanliness
comes forth.
f) Timidity and Lack of confidence of a Baryta carb, Silicea and Tub are seen by the
fact that their hair is Thin and they have premature balding.
g) The Brittle hair of a Kali Carb, Psorinum and Flouric Acid shows that these
remedies have fear of poverty.
a) Mental : This is a pear shaped, pointed ,thin face, with sharp features and a
tapering chin. This type of face represents people who are sensitive,
intelligent, consciencious and artistic. eg Phosphorous. This is a more Psoric type
of face.
b) Vital: People with this kind of face, have a round, chubby face with thick, bushy
hair as seen in Lachesis, Opium etc. These are Sycotic people who are money
minded, precarious, cheerful with good oratory qualities.
c) Motive: These are strong, courageous, positive people with leadership qualities.
These are mostly Syphilitic. Most metals, Calcareas, Barytas would fall in this
group. They have a squarish face, with prominent cheek bones and strong jaw.
3. Height:
The height of a patient can be broadly classified into 2 major groups:
a) Tall: like Calc Phos, Kreosote, Mag Phos, Tub and Phosphorus.
b) Stunted, Dwarfish: like Baryta Carb, Calc Phos, Medo,Syph, Sulph
4. Muscle Fibres:
This can be of 2 types:
a) Rigid as seen in Barytas and
b) Soft as seen in Calcareas
5. Built:
Here, we have
Lean, thin( Calc Phos, Secale Cor, Natrum Mur,Sulphur)
a) Short
Obese (Baryta Carb, Medorrinum)
b) Obese: Calcarea Carb, Capsicum, Graphites, Ferrum, Phytolacca
c) Obese yet active: Opium, Mercury
a) A Platina, would be sitting erect with a slight tilt towards the back, showing
its haughtiness and diligence
b) An Argentum Nitricum on the other hand would be sitting erect with a
slight tilt forward, showing it's anxiety
c) A Kali, Calcarea Phos, Phos or Sulphur on the other hand, would show it's
anxiety by sitting erect, but at the edge of the chair
d) A Sulphur on the other hand, shows his casual attitude by sitting in front of
the physician with stoop shoulders, one hand on the other chair with or
without one leg over the other knee
Hence, we come to know how useful these physical make ups of a person is to the
“ “
physician in helping him arrive to a Genetic Similimum.
1. Speed: Every individual has a speed with which he/she does his daily work.
Some people are:
Here, speed and activity have to be differentiated. A person can be working the
whole day, but their speed might be slow and a person who works fast might not
be active.
2. Side Affection: Side affection has a basic relation with the behavior of the
patient, hence it is an important tool for a genetic based prescription. It is a
valuable tool to enhance the technique of case taking and prescription.
It is particularly important in 'Sycotic' patients, where it is difficult to identify
the innate characters as everything is a 'façade' or 'hidden'.
The side affections can be either right or left.
Right sided people are governed by the Left brain and Left sided people are
governed by the right brain.
Right Sided people are generally strong, dominating, angry, achievers, analytical,
Positive, logical, industrious, have a good command on languages, money-minded,
calculative and have a thrust.
These are mostly Metals like Alumina, Argentum Met, Aurum Met, Palladium,
Stannum Met etc.
On the other hand, Left sided people are generally mild, sensitive, timid, creative,
imaginative, artistic, poetical, spiritual, philosophical, hysterical and have a lot of
illusions and delusions.
These left sided people could be Oversensitive metals like Cuprum Met, Ferrum
Met,Platina.
They could also be Hysterical remedies like Ignatia, Cyclamen, Viola O, Cimicifuga.
They could also be sensitive,hysterical remedies like Asafoetida, Asarum, Capsicum,
Crocus, Moschus, Phosphorus etc.
If however we find a timid, sensitive and mild person with right sided affections, we
can think of BARYTAS, CALCAREAS, KALIS, CARBONS, IGNATIA ,ALUMINA.
Similarly if we find a strong, dominating personality with left sided affections, we can
think of Platina, Ferrum, Lachesis and Sulphur.
Hence, a Chilly patient would be able to tolerate the heat better, and a Hot patient
would be able to tolerate the cold better.
7. Appetite: Some constitutions eat well but do not put on weight, while some have
a ravenous appetite. Hence, the appetite of a patient is important to consider.
8. Sleep: The pattern of sleep, position in sleep is important. Dreams, if any which
are significant can be considered for remedy differentiation.
“ “
discharges in Kali Bi would be stingy and ropy.
D) Defense Mechanism: In each and every case, we have to find out the Miasm
involved:
Psora: which is the primary or physiological defense at work where the 1st line of
defense is by inflammation
Syphilis: which is the third line of defense where destruction takes place.
2) Observations:
While the case taking is going on, the physician observes certain traits in the patients
like:
Physically: what is the speech of the patient, what is the gait and so on
Mentally: We have to see the expressions on the patients face or their behaviour
which tells us whether they are anxious, timid and so on.
Hence, we see how Dr. Hahnemann has simplified our job as a physician, by giving us
guidelines for case taking. If we as true homoeopaths, follow his guidelines in each
and every given case to the core, we would be able to reach to the Right Genetic
Constitutional Similimum in a very easy and simplified manner.
“ “
After the 'Law of Similia', it was 'Drug Dynamisation' - the major break through in the field
of Homoeopathy. Dr. Hahnemann in footnote 146 mentions,
Physicians could not believe in Dynamisation, but it was this principle with which the most
'deadliest venoms' of the deadliest snakes were turned into the 'life saving remedies.' Today
remedies prepared from the Snake venoms are integral part of the Materia Medica. All these
remedies are put together in the group “OPHIDIA”. All these snake remedies have certain
common features which we term as group symptoms of the Ophidia.
Lachesis is predominantly a left sided remedy. That means it is right brain dominant .It is
mainly hysterical & sensitive remedy. (arg.nit, asaf, asar, caps, cina, clem, crocus, graph,
kreos, mez, phos, sep, sul)
In Psora, Lachesis is initially timid but once they mingle up they become Vivacious,
loquacious, cheerful, jesting, jovial Witty. Jesting with loquacity.
Intellectual, very intelligent & quick to react.
In sycosis ,Lachesis patients are well dressed or overdressed with lot of make up &
jewellery. They wear bright colours.
They are dominating, egoistic & haughty. They are very competitive & ambitious ,who like
to hold top position either in any organization or company. They'll use any means to get
there.
It is one of the Positive remedies. Brain is used to go ahead in life or get work done,
making him manipulative.
Therefore they are contemptuous & hard with inferiors & soft with superiors. Ladies who
are very sweet talkers when talking to Doctor but with your compounder they behave
very rudely & contemptuously.
They have very high self esteem. They keep boasting about self. Always keep comparing
with others & are jealous about others. Censorious & critical about others. Sarcastic,
mocking out of jealousy.
Females who are more into gossiping. Quarrelsome who usually start the fights.
Housewives who enjoy attending & arranging kitty parties. Like to be center of attraction.
Where they get chance to flaunt their richness, show off.
Increased sexuality. They talk more about sex without you asking them anything. Tell you
vulgur jokes. Or takes out double meaning of anything. Amativeness.
Get offended easily. Keep the grudges against the person who has offended .Malicious. It
is more of verbal malice.
Common clinical conditions covered by this remedy are tumours, heart & circulation,
hypertension, varicose veins, carbuncle, dropsy, flushes of heat, climacteric complains
When a Lachesis constitution comes to you with a sycotic tumour, it will be on the right
side. So nature also will be different.
We can recognize Lachesis as soon as it enters the clinic. A Lachesis child comes always
behind his mother trying to gauge the surrounding in the room. Is the doctor or assistants
dangerous? It is like a snake coming out of its hole. First it will see & when there is no
danger ,he will come out & as the case progresses , they start their sly mischief. Next time
when he comes , he will directly sit on table. He knows you are not dangerous to him .So
,the sensitive ,fearful Lachesis later on becomes the boss- hard on inferiors and soft with
superiors. Superiors for him is someone whose mind he does not understand enough.
Inferior is the person on whom he can dominate because they will not do him any harm.
So, grandmother ,mother is inferior to him & father is superior to him.
Very intelligent. Aptitude for maths. Like to stand first in class . Competitive. Talkative even
in class. Desire to be magnetized. friendly with teacher. Always like to go & meet teacher
,touch the teacher. Lachesis child ,once is friendly with you ,comes & sits on the hand of
your chair ,like to touch you.
Lachesis in acutes
During fever start talking too much Even in sickness their speed is fast. In fever state it is
hot ,never takes covering but the pulse is normal. All the activities increased especially
verbal. Speed is fast too. Sensitive to tight clothing especially around the neck.
OTHER INDICATIONS:
1) Eructations, hiccoughs with fever,
2) Speech becomes fast.
3) Jesting with pain and acute complaints.
4) Quick in action and perception.
5) Night or sleep<; waking <.
9. Motion <
10.Loquacious Quiet disposition
11.Anger is increased,easy anger Anxious ,not so angry
with snappish answers
12.attacks others Attacks oneself ,Anxiety
conscience of
13.thinks people are troubling Neglected feeling,but does not
him talk to anyone,only broods
14aversion to family Del .neglected his duty
15.If questioned ,answers Sudden & sad , averse to
Drug picture:
Lachesis + chilly+ Libertinist ( like to go against the existing social norms) .
Girls who like to wear clothes more exposing. Wear indecent dresses that expose
shamelessly in name of fashion.
Ladies who do not like to do domestic duties , household work. Ladies who refuse to cook
at home , wash clothes.
Wants to do outside work.
Avoids routine work. Doesn't mind cooking something like delicacy at home like
chocolates, cakes ,something different .
Almost revolting but can't revolt as they are timid.
Hatred for parents. Do not care for, no attachments with parents or children..
More sexually oriented with dreams of sex and being raped.
Timid, selfish ,self centered & ungrateful.
Libertinism.
SOA ---liver ,spinal cord
Desires, bacon.
Desires, cold drinks.
Amorous.
Animals.
Animals, biting.
Animals, copulating. UNIQUE.
Animals, wild, pursuing him.
Autopsies, dissecting dead bodies.
Bitten, snakes by being.
Bodyparts, teeth pulled out being.
Confused.
Dead bodies-dissecting dead bodies.
Dead, (of the).
Dissecting, dead bodies.
Drunken, people. UNIQUE.
Fantastic.
Fire.
Frightful.
Men, following to violate her.
Naked, people. UNIQUE.
Nightmares.
Pleasant.
Pursued being-animals by.
Pursued being-man to violate her by a.
Rape.
Rape, pursued for rape being.
Robbers.
Snakes.
Snakes, biting him.
Teeth, pulled out.
Terrapin. UNIQUE.
Vivid.
Wandering.
Elaps corallinus.
Main features :
Desires ice or icy cold things,butter milk, milk
Bluish discolouration of the skin.
Loves nature, rain
Timid, anticipatory
Side left to right
Cenchris
Lachesis+chilly+Liberti
nist
Aversion to domestic
duties
Dreams of sex and
being raped
Elaps
Timid
Desires ice,buttermilk
Loves rain
Crotallus Cascavella
Clairvoyance
Sees ghosts and spirits
Abusive (W)
"Using rude speech, reproachful language, offering harsh words or
ill-treatment". With "Abusive" the behaviour is definitely addressed
at individuals where "Cursing" is simply a matter of being inclined to
intersperse one's speech in general with "profane" language.
Abusive is hurting somebody. Purposefully with wrong words, bad words, unconstitutional
words,
Uncivil
Let us see what kind of people can be abusive? When would somebody abuse?
If Abusive is a harsh verbal attack it can be done
When somebody looks down upon others- So haughty ,contemptuous remedies can be
abusive.
People who have a tendency to shout at others, reproaching remedies can be abusive.
Insolent haughty attitude or insulting act, arrogant in speech or conduct towards the higher
authority.
Quarrelsomness Apt or disposed to quarrel; given to brawls and contention; easily irritated
or provoked to contest; irascible; choleric.
Syn: Pugnacious; irritable; irascible; brawling; choleric; fiery; petulant. -
Reproaches others to find fault with (a person, group, etc.); blame; censure. Blame or
censure conveyed in disapproval
Slander disposition : tendency to maliciously recount false rumours and tales about others
ABUSIVE,insulting(73)
1. CHAMMOMILLA
It is a very sensitive and angry remedy. Sensitive to every impression; sensitive to
surroundings; sensitive to persons; and above all sensitive to pain. Quarrelsome, abrupt and
snappish. Easily affected by mortification , by chagrin. She forgets all about her prudence and
her diplomacy. Loss of generosity; she has no consideration for the feelings of others. She will
simply enter into a quarrel or dispute regardless of the feelings of anybody. Angry and
abusive, uncivilized.
In the child, the child whines and cries and sputters about everything.
It wants something new every minute. It refuses everything that it has asked for.
If it is for something to eat for something to play with for its toys when
these are handed to the child it throws them away; slings them clear across the room.
Strikes the nurse in the face for presuming to get something or other that
the little one did not want yet had asked for. Capriciousness. Child is better only by carrying.
Otherwise shrieks and screams. The Chamomilla child cannot be touched.
Wants to do as he pleases. Never satisfied. It seems to have no peace Wants to change; wants
to do something new. The answer from both the adult and the child are snappish.
Complaints come on from contradiction; from anger.
Bad effects of having the feelings wounded.
Redness + impatience + anger
2. LYCOPODIUM:
It is a remedy of esteem and ego . Though Lyco personality is domineering and haughty,
basically it is timid . Haughtiness is over people who are inferior to them and they are soft
with superiors. Lyco abuses and insults those who he feels are inferior to him. That is the
reason lyco abuses his parents too. Lyco is usually dominating at home but outside he is
timid. Kids who fight with siblings at home but outside they can not fight with friends
.Toddler who comes with mother to the clinic ,expresses his anger on the mother. He always
hits mother, he does not have guts to hit the doctor .More you try to pull his cheek on one
side ,more he pulls it to the other side and hits mother in anger or slowly starts crying.
ABUSIVE, insulting imaginary persons, at
Abusive, fever, during typhoid. UNIQUE.
A very conscientious person in doing his duties .
Ambitious in his life.
Right sided affection.
Hot
Thirstless
Desires warm food, sweets
3. AMMONIUM MUR
Hyoscymus is a very intelligent ,quick ,vivacious and witty ,mischievous remedy. It is all the
time playing antics , inciting others.
It goes into a state of rage because of jealousy and suspicion. In the state of rage it is angry
and abusive but the violence is not so sustained as that of Bell.
It causes a perfect picture of mania of a quarrelsome and obscene character.
Inclined to be unseemly and immodest in acts, gestures and expressions.
5. LYSSIN
Suitable to nervous; irritable excitable persons.
Emotions and bad news aggravate, also, thinking of fluids. Fright disappointed love.
Jealous ,Suspicious .
Fears; being alone being pursued; of water; being poisoned being bitten
Angry and impatient .
In syphilitic state violent temper, impelled to do reckless things, [such as throwing a child
through the window.] Rude, abusive, bites and strikes. Ill-humor. Rage; with desire to strike,
bite, fight, insult, scold and to kill.
6. AURUM MET
In sycosis it is timid, industrious, duty conscious, responsible, contradiction intolerant of, A/F
grief
In syphilitic state there is anxiety conscience, self reproach, depression, hopelessness, disgust
of life ,loathing of life, suicidal thoughts .
In hysterical state ,it becomes vivacious, loquacious, quarrelsome ,abusive and insulting
Chilly
Sunset to sunrise
Zealous fiery temperament. Nux patients are easily chilled, avoid open air, etc. Very irritable:
sensitive to all impressions.
Ugly, malicious. Cannot bear noises, odors, light, etc. Does not want to be touched or
disturbed . Even the least ailment affects her greatly. Disposed to reproach others.
Sullen, fault-finding. Abusive, drunkenness, during. Abusive, husband insulting wife before
children. Abusive, insulting.
8. ANACARDIUM
9. IGNATIA-
10. SEPIA-
Is an industrious, conscientious remedy. Chilly and thirstless. It is courageous and > busy also
with violent exertion, exercise and dance. In the sycotic and hysterical state it becomes
abusive and insulting. The abusiveness comes because she is angry; sensitive; irritable; easily
offended and miserable. It also comes from indifference to work and to people. In the
syphilitic state there is marked indifference.
11. TUBTRCULINUM-
It is a lean, thin, restless person who cannot sit in one place. Always wants a change wants to
travel; does not want to remain in one place long, wants to do something different
Abusive, insulting. Fits of violent temper; wants to fight, throws anything at any one; even
without a cause . Anger, waking, on. Desire to use foul language, curse and swear.
Shrieking in children. There is destructiveness and desire to break things.
Emaciation inspite of eating well.
12. TARENTULA-
Is a haughty, pompous and a courageous remedy. There is great need to show and display
their wealth. Hence squanders wealth. Very concerned about their social position . Abusive,
insulting, Abusive, husband insulting wife in front of children. Cursing in rage, Cursing and
swearing.
Hot, Desire for ice, chilled drinks and sour fruits and juices. Cold sweat.
Many times diseases on the skin may be manifestations of systemic diseases. Is Leucoderma
a good sign after asthma getting treated? Is urticaria a good sign after diarhhoea is treated?
The answer is though both are manifested on the skin the pathology is deeper. So they
cannot come as exteriorization even after asthma or diarrhea.
The study of pathophysiology helps us in understanding the miasms. It tells us what is the
defense process going at the genetic level. Therefore, in depth study of each organ and
system is essential.
This section will be dealing with the anatomy, embryology, physiology, pathology of each
system and organ and classification of its diseases on the basis of miasm.
This issue deals with the outer most layer of the body, Skin. Following is the anatomy,
physiology, embryology and miasmatic classification of the various skin manifestations.
Below are a few skin diseases with their miasmatic explanation, pathology and the layers
involved. When diseases in an organ or a system are studied in this manner one can be sure
whether we are proceeding in the right direction or not.
Stratum spinosum has many layers of squamous cells containing PAS- precursor of
keratin.
Stratum lucidum present in palms and soles as a thin homogenous non nucleate zone.
Epidermis which has the function of Protection, Heat regulation, Sensation and
Respiration. It is derived from surface ectoderm, at first single layered, later giving rise to
stratified squamous epithelium by proliferation. Melanoblasts are derived from the neural
crest.
Dermis: Has 2 parts namely Papillary Dermis and Reticular Dermis, containing blood
vessels, lymphatics, nerves, cutaneous appendages like sweat glands, sebaceous glands,
hair follicles, arrectores pilorum and nails. It has the Pacinian corpuscles concerned with
pressure, Meissner corpuscles as touch receptors and Ruffini corpuscles as cold receptors.
Functions and Embryology- Dermis has function of Sensation and Secretion, is formed
from condensation and differentiation of mesenchyme (Derived from dermatome of
somites) underlying the surface ectoderm.
Sweat glands: Developing as a solid downgrowth from the epidermis which later gets
canalised and lower end becoming coiled and forming secretory part is of 2 types- Eccrine
present all over deep in the dermis and Apocrine present in some areas only like external
ear, axillae, anogenital region, eyelids and breast.
Sebaceous glands: Which are formed as a bud arising from ectodermal cells are found
everywhere on the skin except on palms and soles, in association with hair but can be
seen in the external auditory meatus, nipple and areola of breast, labia minora, prepuce
and meibomian glands of eyelids.
Sebaceous glands and Sweat glands helps in Secretion making skin soft-pliable, regularize
the body temperature and gives out waste material.
Arrectores Pilorum are bundles of smooth muscle attached to each hair follicle. When muscle
contracts, hair becomes more erect, producing 'Goose skin'.
Nails: Develop from surface ectoderm which gets thickened to form primary nail field
migrating from tip to the dorsal aspect with multiplication of cells of germinal layer to form
thick matrix, forming the nail substance. Thickenings of the deeper part of stratum corneum
that develops at specially modified portion of the skin called nail bed.
eg- Diseases of epidermis are all ectodermal in origin as seen above. Hence any disease like
asthma ( endoderm) when getting better is followed by skin eruptions ( ectoderm) but if
asthma while getting treated is immediately followed by leucoderma ( layer 5 disease) or
psoriasis ( dermis- layer 3, mesenchyme) it is going in the wrong direction and steps need to
be taken to change the course of the treatment.
Layer- 1 - Ectoderm
Psoriasis-
It is a chronic inflammatory dermatosis where the most typical lesion is a well demarcated,
pink to salmon colored plaque covered by loosely adherent scales which are
characteristically silver-white.
In rare variant called pustular psoriasis, multiple small pustules form on erythematous
plaques.
Miasm- It is a trimiasmatic disorder, Psora ( Itching), Sycosis( scales and flaking) and
Syphilis ( cracks and bleeding).
Pruritic, Purple, Polygonal papules are the presenting signs of this disorder of skin and
mucous membrane. Cutaneous lesions consist of itchy, violaceous, ,flat topped, papules
which may coalesce focally to form plaques.
Pathogenesis though not clear it is possible that antigens at the level of the basal cell layer
and the dermoepidermal junction may elicit cell- mediated cytotoxic immune response.
Layer- 3- dermis.
Miasm- Sycosyphilitic
4. Blistering Diseases-
Pemphigus-
is a rare autoimmune blistering disorder resulting from loss of the integrity of normal
intercellular attachments within the epidermis and mucosal epithelium.
Pemphigus vulgaris is the most common type involves mucosa and skin. Primary lesions
are very superficial vescicles, bullae that rupture easily, leaving shallow erosions covered
with dried serum and crusts.
Lesions are tense bullae, filled with clear fluid on normal or erythematous skin. Bullae do
not rupture as easily as in pemphigus and if uncomplicated by infection heal without
scarring.
Layer- 7th(autoimmune)
Miasm Syphilitic
Tumours
Benign and Premalignant epithelial lesions
Seborrhic karatosis
Keratoacanthoma
Verrucae ( warts)
Actinic Keratosis
Miasm-Sycotic
Miasm-Syphilitic
The following is the extract of the history that he could gather on which we had to
prescribe.
The reports of the hospital showed she had been empirically diagnosed as acute
exacerbation of chronic long-standing appendicitis. The circumstances that had
led them to this diagnosis was recurrent pain in the right iliac fossa for last 6 to 8
months with high white blood cell count and high number of Neutrophils and pus
cells in urine. The patient was initially treated for urinary tract infection with
antibiotics but the pain that came in paroxysms did not respond. Though the
Barium meal X-ray did not show any signs of appendix inflammation it was
decided by team of doctors that since no other positive findings were found she
must be having a hidden appendix which will have to be knocked out.
The pain recurred after 40 days and a similar line of treatment was administered. In the last
one year this pain had occurred about 3-4 times.
The pains were so bad and excruciating that she had to be admitted to the hospital for relief.
She was treated with antibiotics for urinary tract infection recurrently.
This time she was tired and was not happy with the diagnosis made by the doctors every time
because, though they were able to control the pain, they were not able to get to the root
cause and prevent the recurrence. “What was the guarantee that after they knock out my
appendix this pain will not appear again after a few months?” was the question asked by her.
She was firm that this time she wanted to take homoeopathy.
But the pain was so severe that doctors would not allow her to take discharge form hospital
and threatened her that the appendix would break open.
The pain in the abdomen was predominantly on right inguinal region. The pain was stitching
type. It used to come in paroxysms. The paroxysm would start suddenly and go down
gradually. It was worse when she was travelling, especially due to any jar in the car or
rickshaw.
She was chilly and required woolens even in the warm weather of Mumbai. She was
thirstless.
Her childhood: she was a very diligent girl, studious, always scoring good marks in school.
She was quiet and disciplined and was appointed the leader of the class because she had a
good girl image.
She grew up in an orthodox atmosphere. As she grew up she became very angry girl.
She was a resident of Delhi and was married to a businessman from Mumbai (Bombay). She
was quite happy with her husband.
Her reaction to this situation in the house was that I have to ultimately live for my child
and my husband and I don't mind to bear this irritation if it is going to make my husband
happy.
My assistant Dr Ravi came and told me that sir the remedy is clear she has to be given
Sepia.
I asked why?
She is frank outspoken, she is carrying on to live with joint family in spite of not being
happy with them.
Form the above history it was clear to me that today's pain is no different from the
pains that she had been getting again and again for the last one year. This could not be
treated as an acute episode or acute illness. She had to be treated constitutionally.
This means Inflammation. And this inflammation is occurring again and again for the
last one year. i.e the tissues are defending themselves Psorically for one year without
going into sycosis or chronic inflammation. But as the pain is very excruciating,
stitching, stinging the other miasm in the constitution has to be Syphilis. So the
remedy has to be Psoro-Syphilitic.
Some of the answers that I did not get from this information were:
When did she first get this pain? Was there an emotional cause?
If there was an emotional cause was it also responsible for the other episodes?
What was the syphilitic symptom during the attack of pain?
She said: doctor when you are standing and if you keep your hands on your hips or
waist where the index finger is placed there is this painful spot.
I was surprised at her intelligence! Very few patients will direct you or explain to you so
vividly on the phone and that too from the ICU of the hospital.
This gave me two clues: (i) this remedy or constitution is really sharp in intellect; (ii) it
has to have spotty pains;
I asked her when did these pains start was it immediately after you delivered the baby
girl?
No, she said. She was absolutely OK even when her first child was born.
Was she disappointed because she got a baby girl or was she criticized by anyone for
that? No was the answer.
The pains had started when this girl was 3 years of age.
I asked her: Do you remember the day you got your first pain?
I remember this day because this was “open house day” in my child's school.
Oh can you tell me why do you remember this day? What happened on that day?
The teacher of my child asked me why was I treating my child so badly? I was shocked!
How can I be bad to my own child?
The teacher said that your child says so. The child says that her granny and the aunty
are very good and my mom is very bad.
I was shocked to hear this. I thought I was a very ideal mother giving her all the love
and care and why should such an impression be formed in the mind of my child?
I was disturbed. When I went home I asked my daughter very nicely why she said so.
She replied that the aunt had taught her to say this.
The aunt that was this ladies' sister-in-law was not on good terms with her but used to
stay with them. She would give the child everything that the mother refused like too
many chocolates, outside junk food, ice-creams etc. all this the mother was refusing
because her doctor had advised.
On that day she got angry on her sister-in-law for misleading her child.
That very night she developed the pain for the first time.
Do you remember of any such incidences just before your previous attacks.
May be other times that I got this pain I may have had some incidence affecting me
but I don't remember.
My next question was, does getting angry always cause you problems.
No, she said, I am an angry person and I get angry so many times but this does not
affect me so much.
What hurt me the most was the teacher said all this in front of all other parents. I was
embarrassed. For me my image and position is very important. Till then I was known to
be an ideal mother. and that complaint spoiled my image in every ones eyes.
Even in the second instance my image was spoilt in front of the maid and vendor, and
my sister-in-law by my mother-in-law.
The cause was now clear. loss of reputation and embarrassment was the cause. This
indicated that she had a lot of ego and self-esteem.
Case II
Report as on 21.9.03
1] Child drinks milk very fast initially but latter very slowly. Very frequent requirement of
feeds during night.
2] Frequent urination. Weeps before urination and after bed-wetting.
3] Child drinks the milk initially fast then becomes sleepy and falls asleep before finishing the
whole bottle.(observed by mother).
4] Sleepiness while drinking milk.
5] Child is breast-fed 4-5 times a day and also bottle fed of baby food 5-6 times a day.
The child pushes the bottle or breast away by hand if the child is not willing to drink.
6] Flatulence is loud and frequent nearly 10 times a day.
7] Child plays & smiles when touched on scalp, cheeks or lips.
8] Likes company of mother or someone (observed by mother)
9] Better when wrapped. Wants to keep the arms away from the body, wants to keep them
aloof (observed by mother).
10] Strains for stool but passes normal stools.
11] Child sleeps comfortably on the lap of mother or nurse. Keeps awake more at night and
towards early morning than in day time.
12] Startles now & then about 3-4 times a day.
14] Hiccough now & then.
15] Twists and turns frequently as if shrugging laziness.
16] Keeps changing position of arms & legs.
17] Keeps the mouth open.
18] Often keeps the hand above the head.
The child was not looking 3 months old but 6 months whatever is peculiar, we have
to take into consideration. So we want a fast growing remedy.
Within 3 months the child had suffered from bronchopneumonia, enterocolitis and
finally ROP, a remedy that was syphilitic, so we have Merc, Iod, Nit-ac, Tarent, Fl-
ac, Hep, Tub. It is difficult to assess thermals in this case.
Complete - Generals
SIDE right left, then (43)
1 acet-ac, 1 acon, 1 am-c, 1 ambr, 1 anac, 1 androc, 1 ap-g, 2 apis, 1 ars, 1 ars-met, 1
aspar, 1 bar-c, 1 bell, 1 benz-ac, 1 bry, 1 calc-p, 1 canth, 1 carb-ac, 2 caust, 1 chel, 1 choc, 1
cupr, 1 graph, 1 hydrog, 1 lil-t, 3 LYC, 1 merc-i-f, 1 mez, 1 ol-j, 1 ox-ac, 2 phos, 1 ptel, 1
rheum, 1 rumx, 3 SABAD, 1 sang, 1 saroth, 1 spong, 1 sul-ac, 1 sulph, 1 syph, 1 thiop, 2
verat
Can she be Phos, what does she like? Caressing of the mother!
Calc-p.and phos both are fast growing, both are timid. Both are tall. Both are right to left.
Calc-p. is more on the bones less on the blood vessels, more on the muscles and
tendons.
After Phos something peculiar happened, the doctor didn't stop the next operation .... if
the remedy is working, a surgeon can never touch our patient, so this time, when she was
given anaesthesia, she had to be taken out of the operation theatre, she reacted so badly
...
Our remedies, if right, are like a protection shield against any bad influence!
Follow-up
11.09.2004
With the left eye she can see and with the right eye a little bit.
No vaccination, no antibiotics given so far.
Next Follow-up
She is very fine, She developed eruptions on her body, her eyesight has come back.
Today she is going to a normal school, normally growing up.
On the day of birth the child was given BCG vaccination. The child developed rash on the
right leg and thigh.
The child developed physiological jaundice after birth and was treated with photo-
therapy.
When the boy was 6 days old, he started passing black stools and started crying incessantly.
He was diagnosed as mal-rotation of intestines and operated when 8 days old. The boy was
admitted for acute Gastroenteritis with dehydration several times in 2001-2002. In June
2002 developed swelling in perineal region. The boy was operated in first week of August
2002 Within 15 days of the operation another swelling appeared in right side of scrotum.
Another operation was advised. Patients parents were in no mood to follow the surgeons
advise as he told them bluntly that this tumor could recur even seven times and would need
operations again and again.
The child had craving for Sweets and Fried things. Thirst: was for sips of water at short
intervals. Perspiration: Always profuse on the neck and scalp sleep during. Cannot
tolerate heat as well as cold Ambi-thermal.
Physical make-up of the child: The boy was lean, thin, with long, neck, sharp vigilant
eyes. He looked intelligent.
Mental make-up:
Physical Activity: The boy was very active, restless, did not sit in one place.
He was playful and liked to play active games. He was a careful child and would never play
games where there was a possibility of getting hurt. Throughout his three years of childhood
he never got injured. He never took risks, never a climbed onto a windowsill or never jumped
from windows or any high places.
His Intellect was sharp. He was intelligent and good in picking up knowledge. He was
interested in general knowledge and very inquisitive about every new thing.
His Will: He was very obstinate and angry child. Angry when contradicted. When angry he
may throw things and throw tantrums but never hurt anyone nor break valuable things. He
was not a fearful child but since his surgery he started getting fear of injections. He was
careful about his health and loved to take medicines.
His emotional reactions: First reaction to any stimulus was anger but not very destructive.
Fear of taking risks and recently of injections.
Let us now try and solve this case.
Step 1- Try to ascertain the diagnosis. This gives us the insight into the physio-pathological
process going on inside the constitution. What was the chief complaint here?
Hamartoma
Hamartoma is a mixed tissue tumor. This tumor involves all three germinal layers ectoderm,
endoderm and mesoderm.
The chief complaint or the diagnosis will tell us what is the MIASM. This means we will
come to know what is the process going on at the genetic level that has given rise to this
disease manifestation.
Now the question arises why should we first try and find the pathological diagnosis?
Let us try and understand the instruction given by the great master in the organon.
APH-189 - And yet very little reflection will suffice to convince us that no external malady
(not occasioned by some important injury from without) can arise, persist or even grow
worse without some internal cause, without the co-operation of the whole organism,
which must consequently be in a diseased state. It could not make its appearance at all
without the consent of the whole of the rest of the health and without the participation of
the rest of the whole (of the vital force that pervades all the other sensitive and irritable
parts of the organism);(a) indeed, it was impossible to conceive its production without the
instrumentality of the whole (deranged) life; so intimately are all the parts of the organism
connected together to form an indivisible whole in sensations and functions.
No eruption on the lips, no whitlow can occur without previous and simultaneous internal
ill - health.
In this aphorism Hahnemann clearly emphasizes that any disease in the human body can
exist, arise, persist and grow only because of an internal cause. ( theory of cause-effect
relationship). The cause he attributes to certain processes going on inside the whole
organism collectively in all the cells and tissues. In aphorism 74 he has enumerated the three
processes that give rise to chronic diseases. He named the three processes of chronic
diseases as Psora (process of irritation and inflammation), Sycosis (process of growths,
indurations, accumulations) and Syphilis (process of destruction, ulceration etc.).
Coming back to Aphorism-189, he says that whatever was happening inside the human body
was not due to any local cause. No symptom or sign or pathology can exist without the
permission of the other cells and tissues. If some process that of inflammation, growth or
ulceration has occured anywhere in the body, the indivisible whole as he calls it- was aware
of it. So intimately are all the parts of the organism connected together to form a whole. In
modern terms we now know that
At the genetic level the individual organism decides the production of Itch, Wart or Ulcer or
for that matter a benign boil, a tumor or some destruction of tissues.
Therefore he mentions -No eruption on the lips, no whitlow can occur without previous and
simultaneous internal ill - health.
In APH-204 he says and emphasizes again that whatever chronic that was happening in the
organism was due to Miasm ruling that organism.
Aphorism-204: says most of the remainder of chronic diseases result from the development
of these three chronic miasms, internal syphilis, internal sycosis, but chiefly and in infinitely
greater proportion, internal psora, each of which was already in possession of the whole
organism, and had penetrated it in all directions before the appearance of the primary,
vicarious local symptom of each of them (in the case of psora the scabious eruption, in
syphilis the chancre or the bubo, and in sycosis the condylomata) that prevented their
outburst.
Thus every chronic disease that occurs in a patient was invariably due to the process at the
genetic level (miasm) and should not be treated by local ointments or operations. Neither
should these be treated with homoeopathic specifics. For example if this hamartoma was
treated as a tumor to be cut or removed, with homoeopathic specifics or compounds for
tumors like calc-flour or conium or baryta-mur with interposing of tuberculinum, carcinosin
etc. was a gross unforgivable violation of Homoeopathic principle of Similia Similibus
Curentur.
This is an unhealthy habit of some physicians who have not understood homoeopathy and its
universal principle. They may remove the tumor but damage the patient further or even be
responsible for shortening his life as Hahnemann mentions further in the same aphorism
204:
In aphorism-205 Hahnemann warns what a homoeopathic physician should not do and what
he should do.
Aphorism-205: The homoeopathic physician never treats one of these primary symptoms
of chronic miasms, nor yet one of their secondary affections that result from their further
development, by local remedies (neither by those external agents that act dynamically, nor
by those that act mechanically) but he cures, in cases, only the great miasm on which they
depend, whereupon its primary, as also its secondary symptoms disappear spontaneously
This means homoeopathic physician should first and the foremost find out what was the
diagnosis and what was the process or miasm that has given rise to it as he has to cure this
miasm. If he does not take cognizance of miasm his limitations will be the same as allopathic
physician. He will therefore find complete cure impossible in diseases like diabetes,
hypertension, fibroids, thyroid problems, tumors and cancers etc.
This was true not only in physical cases but was equally true in diseases of the Mind. The
genetic code of the individual governs both physical attributes as well as mental attributes.
The mental behavior and mental diseases also change with change in miasmatic process at
the genetic level. ( Details in Predictive Homoeopathy Book-III, End of Myassumptions of
miasms.)
But whether it was sycocis or syphilis, the original miasm or process has to be Psora. Psora is
the mother of all the miasms. No man can be free of Psora said the great master Hahnemann.
All the complicated chronic diseases or in-curable diseases have to build up on primary Psora.
All chronic pathology before developing will have to start as inflammation. The books of
pathology tell us that every induration or destruction was consequential to inflammation not
treated properly. Every growth or destruction was a result of Psora not treated properly.
This child was already having tumors (growths) meaning that sycosis has already set in. we
need to find out where and how Psora started and how and when it got transformed into
sycosis. This was what we call as journey of disease.
Journey of disease
Birth history of the child:- The child was given vaccination of BCG i.e. for Tuberculosis. On
birth the child developed Neo-natal or physiological jaundice. This was treated with photo-
therapy.
Understanding the above in terms of Miasms:-What was the miasm of neo-natal jaundice?
Illness developed due to 'change in physiology' was generally a psoric illness. When there was
'excess accumulation'(or growth) or 'excess synthesis' of any pigment (like bilirubin here), it
points out towards trait of Sycosis process. But here we observe also 'destruction' of RBCs
and destructive element points to Syphilis factor. Thus at this stage the child showed that it
was born with genetic traits of developing Psora-Sycosis-syphilis illnesses. The child's genetic
code showed pollution of all three miasms or disease processes inherited at birth.
A child born with physiological jaundice at birth, though the gynaecologists and pediatricians
call it normal, was an indication to us that this child was a potential time-bomb that may erupt
easily into any chronic sycotic malady (like tumors) or a potentially dangerous destructive
illness (like cirrhosis, physical or mental handicap or even leukemia), if primarily any
inflammatory condition or psora was suppressed with local treatment of disease like photo
therapy, anti-biotics, or partially indicated homoeopathic similimums etc!
The child was operated for removal of tumor in first week of August. Again a folly of the
surgeon. Without treating the process that was leading to tumors the end product of the
disease process was chopped off. A new tumor had to develop sooner or later. New tumor
developed inside scrotum within 15 days of the operation. (see organon footnote 118).The
child was brought to us at this stage, which was in SYCOSIS.
We are called on to treat here not the tumor or hamartoma but to return the child from
Sycosis to Psora.
N.B. It will be observed by a keenly observing physician that when a child was in sycosis he will
not suffer from any inflammatory conditions. That means the previous attacks of colds and
coughs or diarrhoeas that the patient suffered before he developed tumors (sycosis) will
either be completely absent or may be infrequent and or transient. Our duty was to bring him
back to psoric illnesses by giving him the right similimum along with subsequent
disappearance of Tumors.
Now how do we find the similimum that can reverse the process at the genetic level? Was
it really possible to cure a patient accordindg to the Law of Cure as mentioned in our
books? We take the help of organon to proceed.
Aphorism 5:Useful to the physician in assisting him to cure are the particulars of the most
probable exciting cause of the acute disease, as also the most significant points in the
whole history of the chronic disease, to enable him to discover its fundamental cause,
which was generally due to a chronic miasm. In these investigations, the ascertainable
physical constitution of the patient (especially when the disease was chronic), his moral
and intellectual character, his occupation, mode of living and habits, his social and
domestic relations, his age, sexual function, &c., are to be taken into consideration.
In this case:
a) Exciting cause = ? vaccination ;
b) Fundamental cause: SYCOSIS;
c) Physical make up : Lean, thin, excessively active
d) Mental make-up: Very cautious does not play dangerous games. Very fearful of
jumping from high places like window sill or compound wall or even bed. Never gets
hurt and takes care of himself very well. In play-school has many friends. Good in
picking up knowledge. Interested in general knowledge and very inquisitive about
every new thing. Respects his elders very much. On being contradicted gets angry
and can throw tantrum. Fear of injections: Since surgery before that never used to
get scared of injection. Loves to take medicines.
Mental make-up shows the disposition of the child to be : Cautious, Angry when
contradicted, Conscientious.
e) General make-up: Ambithermal Thirst not specific. The remedies that came
common in the repertorization were- Arsenic, Sepia, Silicea, Thuja
Good or Bad?
had developed a fistula! A fistula has more of destructive pathology. Thus the growth
process or pathology i.e. sycosis was getting less but destuctive pathology i.e. syphilis
pathology was on the increase! This by any means does not imply a Homoeopathic cure. This
is suppression. This is also confirmed by the fact that his nature became angry , aggressive,
threatening, defaint and harmful as in syphilis. If we continue with the same line of treatment
and still allow Thuja to work onthe child this child might develop malignancy! We were on
wrong track and we needed to change the remdy. We needed a remedy that should bring the
child back from the process of growth to the process of inflammation or in short this child
should start suffering from cough cold, tonsillitis or loose motions etc. This should be an ideal
cure.
Whenever we go wrong we need to analyse the case with reference to the previous
medicine given. An Hamartoma or an incurable pathology like leucoderma or psoriasis is
not easily removable. Even if the Pathology has moved in the wrong direction i.e from
sycosis to Syphilis giving rise to suppression we know that this remedy had worked
partially.
Mental make-up: In this case we needed a constitutional remedy that was angry and Very
restless.
The way he would point out a threatening finger to the father indicated that he was ready for
revolt any time. Rubric thus taken was Revolting (syphilitic mental attribute).
He seemed to be very cautious did not play dangerous games. Very fearful of jumping from
high places like windowsill or compound wall or even bed. Never got hurt and takes care of
himself very well. He loved to take Medicines. Instead of taking cautious (which is more
sycosis mental attribute), we understand this as taking care of himself like an adult. He was
good in picking up knowledge and interested in general knowledge and very inquisitive
about every new thing. He generally respected his elders very much unless he was
contradicted. All this amounts to more understanding and maturity to his age. This is taken as
Precocity. On being contradicted gets angry and can throw tantrum. Rubric is Contradiction
is intolerat of.
The Cure was thus complete by reversal of Miasm from Syphilis to Sycosis to Psora.
Conclusion : A true Homoeopath is he who treats the Miasm in a patient and stops the
process at Genetic level and confirms the cure by reversal of symptoms by Hering's law of
cure. Just making symptoms disappear with homoeopathic medicine without application
of Law of Cure is Homallopathy i.e. allopathic treatment with Homoeopathic medicine!