Part Three: The progression

The next major stage in the development of miasmatic thinking has been the introduction of other miasms. If the three major miasms, stemming from the primary afflictions that Hahnemann spoke of - to the thematic expressions that Ortega and others described - act as a foundation, then practically speaking, the miasms of Tuberculosis and Cancer belong in a very similar category. However, there are distinct differences between the two miasms, the most important one being that Cancer is the only miasm that does not stem from an infectious disease. The other four all have an infectious disease or contagion principle involved in it. However, for all intensive purposes, it conforms to all the other major criteria for a miasm, in that there is a distinct inherited disposition to it, there is a clear nosode with a profound remedy image and there is a larger pattern of physical and mental symptoms and behavior connected to it. In other words, there is a systemic totality. Historically, Tuberculinum was made and proven around the same time as Medorrhinum and Syphilinum and by the same prover, Swan, who conducted provings of these remedies between 1880 and 1885. Carcinosin, on the other hand, did not having any substantive provings, most of the information coming from clinical anecdotes and observations of Donald Foubister, an English homeopath, who wrote about the remedy in his book Tutorials on Homeopathy. However, Burnett did a self-proving of Scirrhinum around the time that Tuberculinum and the other nosodes were being used. When studying tuberculosis, the two key remedies are the nosode Tuberculinum and the remedy Phosphorous. The image of the tubercular miasm is well-known, the disease itself providing a clear image of one part of its picture, the affinity for the lungs, the breaking down of tissue and the formation of tubercules in the lungs; the chronic cough, night perspiration, emaciation and affinity for other glands in the body and also the bones. Also, the “tubercular age” gave us the dynamic influence of the disease, affecting the romantic poets and the travelers of the world, exploring far flung places just because it was possible, endlessly optimistic and determined to experience as much as possible before burning out. The tubercular miasm (as well as the cancer miasm) are interesting to study from the point of view of the circumstances and historical time of their ascendance. Although there is evidence of TB’s existence for many thousands of years, its proliferation in the 19th century of industrial cities and urban congestion and pollution is a direct reflection of the nature of the disease and miasm – a feeling of oppression, pressure, restriction with the consequent desire to escape, to travel, to get away from the imposed restrictions and limitations. The tubercular person wants to breathe and if they can’t, they implode, like the sunken narrow chest of the classic consumptive. In the remedy Tuberculinum, one sees these desires, the extremes of craving to travel, to move onto something new, the restlessness and then the dissatisfaction, irritability and destructiveness when they can’t have that. The latter symptoms can look like all the other major miasmatic pictures, but the former symptoms are more unique to the tubercular miasm. Phosphorous expresses the unfettered, freed up tubercular state. Sensitive, refined, delicate, romantic, open and vulnerable, the person needing Phosphorous floats through life relatively unscathed by the vicissitudes of traumas, like the tubercular nature that in its optimism and openness moves onto the next thing. However, in Phosphorous we see the physical burn out of the tubercular miasm, the depletion and exhaustion, the affinity for all sorts of chest conditions as well as the liver, the bones and nerves. Phosphorous can go all the way to actual tuberculosis and complications of all chest infections, however long ago they may have occurred. Calcarea phosphorica however, possesses much of the classic mental dissatisfaction of the tubercular state, but less of the classic physical condition, its affinity more for the joints and bones than the lungs. The cancer miasm is the newest of the big five but perhaps has become the most important of all the miasms in the modern age. We live in the age of cancer. It is the disease we all fear and that has traumatized the modern world. It’s causes are complex which adds to it’s complications as a homeopathic miasm. Not all cancers are inherited miasmatic conditions. Many are caused by modern environmental toxicities, including especially hormones, both natural and synthetic, especially the estrogens, petroleum based toxins found in the atmosphere and in pesticides etc and and increase in radiation exposure, like x-rays, nuclear exposure etc. However, we also see a theme identified in the cancer miasm that can predispose some people to cancer and to the broader miasmatic condition. This is clearly seen in the remedy image of Carcinosin, the nosode and also in cancer remedies such as Arsenicum album, Nitric acid and Conium. It has been stated by Rudolph Steiner and others that there are two biological expressions: inflammation and tumor formation. One represents the expressive outward manifestation that we see in a fever, an inflammatory process, and the other is an internalization process, one that “eats away” at itself, manifesting ultimately in tumor formation. Therefore conditions in which there is excessive inflammation or no inflammation at all, or where there is a morbid internalization, a suppression of normal physical and mental expression, indicates the cancer miasm. In other words, there is a great tension and polarity between the dynamics of expression and suppression, an actual confusion of identity on a cellular, emotional and existential level. One of the keynotes of Carcinosin is when there is a history of domination, of oppression in which the person passively accepts this domination, often out of guilt, morbid responsibility and duty or weakness, which is then followed by periodic expressions of fever, rage, dancing, travel, romance, escape, wildness, violence etc. After a while, the morbid internalization or suppressed emotions seek an escape valve which is then expressed in the ways described. In any given case though, a person may be anywhere in this continuum, which may make it harder to see the remedy. More than any other nosode Carcinosin can look like many other remedies, sometimes all at once. This is an aspect of the confusion prevalent in its dynamic. In one stage its all about suppression, denial, morbid grief, something is “eating away” at the person, and the next it’s raging, wild, dancing, traveling, full of romantic ideas. Control is another key expression here, manifest in the chronic constipation and insomnia. They can’t let go. In many ways, it can look similar to the tubercular miasm picture, the main distinction being that the tubercular dynamic will not let the person become so morbidly suppressed. They will seek escape a lot earlier than in the Carcinosin picture. However, in practice, it is not always so easy to distinguish between them. Carcinosin, the remedy, is made from breast cancer tissue, traditionally from one woman, although a new remedy from multiple breast cancer tissue has been made. There are other cancer remedies as well, including cancer from the stomach and Scirrhinum. The remedy Conium is one of the great clinical remedies for cancerous conditions and represents a key aspect of the cancer miasm, which is the process of internalization and suppression of feelings, until there is a great slowing and hardness of emotional states, leading to the growth of hard cancerous tissue. Arsenicum album, on the other hand, as well as Nitric acid expresses the morbid anxiety that can be found in the cancer miasm, the kind of intense anxiety and worry that eats away at the person. Both remedies are very good remedies for a variety of cancers. The remedy Carcinosin is now used widely, although even twenty years ago, Vithoulkas and the Greek homeopaths as well as many in the United States rarely used it. Its use was mainly popularized by British homeopaths, beginning with Burnett and then by Foubister in the 1960’s. Two books that describe well these five main nosodes and the broader miasmatic picture are Dr. H Choudhury’s book, Indications of Miasms and Henny Heudens Mast, The Foundation of the Chronic Miasms in the Practice of Homeopathy. Choudhury’s book is a very clear explanation of Hahnemann’s original thinking, when he spoke of the infectious origin of miasms, preempting modern bacteriology and germ theory. However, Choudhury also proceeds to list many of the secondary symptoms of psora as defined by Hahnemann, which for many homeopaths seems rather vague and generalized and not that helpful in general clinical practice. There are also some rather questionable descriptions of the characteristics of the psoric state, e.g., “He is a man of hide and seek nature. In most times the psoric patient is a dishonest man, privacy, wickedness and impurity play a good deal in him.” Also, his list of anti-psoric remedies suffers from similar confusion that Hahnemann’s and subsequent lists have. He describes, using the source of various authors, the characteristic qualities for the other miasms, including tubercular and cancer miasms. Some of these descriptions are consistent with commonly accepted qualities, while others are more dubious, e.g., “All the vicious individuals on earth – thieves, robbers and murderers, are the products of Sycosis. It makes a beast out of man.” (Dr P.N. Bannerjea) He gives an exhaustive list of the secondary symptoms of the Tuberculosis miasm, and in so doing, merges the original ideas of Hahnemann’s secondary symptoms of psora, which Hahnemann perceived as the inexorable internalization of an active disease state after suppression of the primary infection with the inherited disposition and

especially as it relates to miasms is the concept of suppression. In homeopathy.” This is very debatable. feel that homeopathy can easily suppress symptoms to a deeper level of miasmatic depth. in the repertory.g. Her main point is that if we can identify the complete miasmatic picture it will allow us to understand the case as it unfolds over time and how miasmatic layers may be revealed during treatment. who merely sits in the corner becoming more befuddled but with none of the violence or wild exuberance of the syphilitic or sycotic miasm. For example. an inability to express emotions. This aspect of miasmatic thinking is well described in Heudens Masts book. She identifies Nux vomica as psoric whereas other people would say it has a strong syco-syphilitic aspect. it can easily look like a broad overgeneralization in making this classification. Her descriptions only further confuse the difference here. which seems to be one further step removed from simply looking for the truly characteristic symptoms in any given case. psora is already there. That interpretation only took real root with Kent’s interpretation of miasms. This can miss the whole point in understanding the value of miasmatic thinking which is to identify if there is one overriding miasm present. this is open to dispute.. This especially can happen when individual symptoms are misidentified. in Generalities there are rubrics for Sycosis and Syphilis but not Psora. if there was an active psoric and sycotic influence at the same time. of course. whether its in dreams or in the life experience. the understanding that the disease is only being pushed to a deeper level is not recognized. No doubt people didn’t feel good about having Syphilis but in the early years of syphilitic outbreaks in Europe. He may then follow with a sycotic or a syphilitic remedy if he perceived that miasm to be active. similar to many situations in homeopathic treatment – including Hahnemann’s experience – when the remedy simply isn’t the most correct . knowing the remedy picture is enough. Her analysis of which symptoms belong to which miasm is interesting and perhaps would not be agreed on by different homeopaths. This she bases on the classifications that Ortega outlined but uses the words too little = psora. people were alienated by mainstream society. As has been discussed earlier. one can see beyond mere symptoms to include a more complete analysis. not an inbuilt guilt and sense of wickedness. the difficulty of looking at cases from this mixed miasmatic perspective is that it can lead homeopaths to somewhat artificially separate individual symptoms from the collective totality and somehow numerically add up the number of symptoms attributable to each miasm. Heudens Mast has taken on some of Kent’s analysis in describing the impact of Syphilis. Graphites. she states that Psora likes consolation and will ask for support (based on the overriding theme of psora being weak). leading to “a sense of wickedness or corruption and the desire to hide it’s evidence. In this way. Miasmatic theory especially allows us to recognize why certain people react in certain different ways to similar circumstances. One of the unique aspects of homeopathic theory. as the mechanism of catching Syphilis is an act of will. Her description of the various miasms is in fact a description of the miasmatic susceptibility and impact of the original disease. this entailed Hahnemann beginning a case with Sulphur. However. which can help in perceiving which remedy is the most similar. It is however not clear whether Heudens Mast is talking of Syphilis the disease or the miasm when she states that we have all seen the Syphilitic disease is the 3rd stage. In his time he was seeing many cases in which acute and chronic symptoms of gonorrhea and syphilis were present and therefore would have been dealing with much more graphic images of symptoms based on these miasmatic influences. and also much of supposed holistic healing focuses on symptomatic treatment. There is no need at all to identify which miasm is present or which portion of a case is related to which miasm. which is more likely than when one is analyzing the miasmatic “gestalt” of the whole case. the value of defining miasmatic themes in such a broad way is that it can give a good impression or flavor of the dynamic of each miasm and how this generalized dynamic permeates the story of a case and from this can help in the process of the type of remedy one can look for. She also states that when syphilis is there. not built up out of the base of psora. However as in many forms of systemic analysis. It needs to be emphasized that in many cases. as outlined in the book.) However. similar to the way lepers were. One of the challenges of identifying certain themes of behavior and broader personality qualities as belonging to one or other miasms is that. Some homeopaths. Similarly. the syphilitic drunk. one would begin with a psoric remedy and then follow up with a sycotic remedy and then finish up with a psoric remedy again. probably without knowing it was the disease – this is when we see “dullness. It is seen as a “different” disease state. when describing the syphilitic miasm. depression or physical disturbances. The concept of suppression by superficial homeopathic treatment is often discussed in the book. especially in the way that Hahnemann originally meant it when he saw each miasm (disease) as being distinct from one another. Some other aspects of her classification of characteristic symptoms of each miasm suffers from similar over generalizations e. and not the disease itself. recognizing the way miasmatic influence affects symptom development after suppression of more superficial states. not connected to the former one. as apposed to the psoric drunk. One of the other main ideas that Hahnemann put forward was being able to identify symptoms in a case belonging to various miasms and having to choose a remedy based on which miasm seemed more active. as described by Dimitrialis earlier. in Heuden’s Mast book. This conforms to the general understanding of the word miasm as its used in regular homeopathic discourse. The problem with giving so many symptoms of secondary symptoms of the tubercular miasm as well as secondary psora is that it takes away from understanding the main thematic dynamics of each miasm and compounds some of the more dubious symptom classifications that Hahnemann identified with the psoric miasm. she approaches cases by identifying clearly which miasm is active in any given case and recognizing the mixed miasmatic components of various remedies. whereas for some guilt is extremely sycotic. In many cases. but on the dominant miasmatic and constitutional complexity of both the characteristic symptoms and the overall case. it can also be argued that in many cases. This further confuses the argument between infection and diathesis presented earlier on by Dimitrialis. Also she discusses which professions and which cars a psoric person would have. we draw the connection between the two. who becomes violent and deranged after one drink. not just based on specific symptoms. This is a point of debate within the profession. As conventional medicine. as with the classifying individual symptoms. Interestingly.” (many non syphilitic remedies have strong cracks e. However.. perhaps alternating with Hepar sulph or Nux vomica.“diathesis” of chronic disease possibilities. “cracks in the skin are syphilitic and can be very painful. the recognition of the depth of the experience in the case is helpful in identifying a remedy with a similar depth. and an understanding of miasmatic susceptibility gives homeopaths an enlightened perspective on why certain diseases and mental states occur after other more superficial diseases have been suppressed.” What she is describing is most likely NOT the disease syphilis but merely the miasmatic influence of the Syphilitic miasm. in this case the syphilitic miasm. Heudens Mast discusses how one can learn the symptoms of the miasms to identify them in the different remedies. For example. her miasmatic perspective in cases. which may help identify a remedy and or consider a nosode. for example. too much = sycosis and destructive = syphilitic. Therefore. “Many butchers are syphilitic” (as syphlitic people choose professions where they can use a knife. However. Also.) “Blue sclera is a tubercular symptom” (whereas it is also a symptom of the cancer miasm. she uses the word not to describe the disease itself which is how Hahnemann originally defined the term miasm. It is not always that straightforward as also is the argument about which remedy belongs to which miasm. this is useful as if one sees a strong thread of violence in a case. Clinically speaking. a miasmatic perspective may or may not help and it is always possible that it can create confusion for homeopaths that misidentify which miasm seems most prominent.g. Heudens Mast included. reveals both the strength and weakness of miasmastic philosophy in homeopathic prescribing. The alienation was due to the social stigma. that most guilt is psoric. for many people Natrum muriaticum is psoric (struggling for identity and emotional integration) which as we know does not like consolation. a superficial remedy may well palliate and not cure. leading mostly to suppression. In Henny Heudens Mast book. and mostly the effect won’t last and the symptoms will return. Heudens Mast states that remedies not in either list can generally be classified as Psoric but she does not question or critique the list of remedies in these rubrics and how questionable their miasmatic classification really is. even if it is different to Hahnemann’s original meaning.

The fact that this area of homeopathic strategy is debated so strongly is an interesting aspect of our homeopathic work. Since these “big five” miasmatic states have been well defined and the requisite nosode used along with other complementary remedies. it doesn’t interfere. as mentioned above. The man made possibility adds an interesting element to the equation here. However. For homeopaths. Heudens Mast discusses the development of AIDS as a result of the suppression of other diseases. No doubt there is truth in this. including there being a nosode of AIDS. It is helpful for students and practitioners to read this material. we can make a case that each of the miasms are unique and not dependent on one another. Nothing exists in a vacuum. aids. However. in practice the distinctions are not always so clear and there can be many overlaps. she builds a case of the tubercular miasm lying on top of the other miasms. It is also a contrast to some extent to the perspective of Heudens Mast and other homeopaths that see the progression of miasms – psora. societal and cultural levels are broken down. based just on observing how the disease initially manifested in the west. remains a possibility when looking at how a new disease suddenly manifested in certain elements of the population. leading to destructive changes and often found in cases where their has been a history of suppression of the diseases gonorrhea and syphilis. sudden. In spite of the attempts to clearly delineate the main thematic functions of each major miasm – under function. a form of cannabilism). a symptom of a broader global consciousness in which boundaries on personal. the experience is that repeating a remedy once every 1-3 months . which implies that they need at least two remedies to cure the person. as expressed both in individual disease and the collective consciousness of society. Heudens Mast takes a very conservative perspective on this. different to the primary expression of syphilis. tuberculosis. a unique inherited disposition based on AIDS has not been clearly defined. whether miasmatically inflected or not. However. the disease is a reflection of the culture changes and challenges at any given time. There is no doubt some truth to this theory. However. there can be a tendency to over generalize certain themes and also. In spite of ourselves. cultural. One such possible miasm is the AIDS miasmatic disease. in order to be able to more clearly recognize the main themes of the miasms in cases. has only created further problems in identifying characteristic behavior qualities of the virus and it’s expression. This perspective adds another dimension to the otherwise depressing analysis of the degeneration of the human species through the suppression of primary expressions of various diseases. The whole evolution and development of AIDS is highly controversial and political. with each miasm having a unique signature that can be traced to the original disease and the bacterial origin of that disease. many argue that the so-called damage created by the “incorrect” remedy is exaggerated leading to a more fearful and inhibited relationship to prescribing. as expressions of a deeper degeneration and suppression. and these “new” diseases will manifest as we are all challenged in the ever changing dynamic of evolutionary change. given the dubious origin . ending with an anti-psoric remedy to address the fundamental root. Most people have at least two. especially from the original perspective of the miasm as an infectious disease (cancer excepted). or if it is not needed. The stigma of it affecting certain parts of the population more than others – gays. whether they exist separately or are only another expression of one or more of these miasms. he takes the description out of the personal infectious level – as described by Hahnemann and also further than the broader miasmatic themes as described by Heudens Mast – and describes the miasm as part of a broader social. However. then AIDS may be the result. This apparent division between the idea that there is only one remedy and more layered approach. However. violent disease expressions. This is discussed in Peter Fraser’s book. passed on through sex. prostitutes. but especially gonorrhea and syphilis and when mixed with tubercular dynamic. like hemophiliacs requiring blood transfusions. exaggeration and distortion being common words used. 105) is the idea that repetition of the remedy too early disturbs the original dose and that one can’t hurry the remedy any more than the stimulative effect of the original dose unless it is obviously clear that the remedy has relapsed or been antidoted. there are few people who are infected with only one miasm. a confusion on all levels of personal and collective identity. phenomenological dynamic. The AIDS Miasm. It can be argued that the concept of homeopathic suppression is rather exaggerated and as a result it can lead to a more fearful relationship to and teachers present cases in which just one remedy is given. these diseases reflect the cultural challenges of the day and although the concept of miasmatic suppression has truth to it. This again reflects some interesting differences in analysis of complex cases and how much emphasis is put on miasmatic classification. This is similar to the concept of finding a basic constitutional remedy that may lie underneath a “lesional” or “fundamental” remedy needed for the presenting symptoms. attributing the disease to only the consequences of a suppressed immunity due to lifestyle factors. stemming from contaminated vaccine material that had been incubated in monkey’s kidneys. Lauroceraus. and perhaps fits into a broader theme of the AIDS miasm. as is found with miasmatic comparisons. She gives an example of a case in which the remedy. As mentioned earlier. As Fraser says. vulnerable people with weak immune systems. that acted as a vector and initiator of the miasmatic susceptibility. sycosis. There is quite a lot of evidence that the virus could have been man made. Some medical theorists (see the work of Peter Duesberg) have even disputed the fact that the virus exists at all. preferring to wait for extremely long periods of time than to repeat a remedy. is another of the interesting dichotomies in homeopathic prescribing. They are symptomatic of societal change and express the energetic vibrations of a cultural consciousness. In Fraser’s analysis. cancer. leading to ever further degradation of health and by implication moral well being. Initially it killed many thousands of people in the United States and Europe. similar to the challenge of differentiating between nosodes in clinical practice. The AIDS miasm conforms to most criteria of miasmatic thinking. They are a reflection of a rapidly changing culture. which can create confusion or suppression in a case. including of course studying the materia medica of the main nosodes and complementary remedies. in which he identifies the qualities of a breakdown in boundaries. there has been debate about the classification of new miasms. the other four miasms must be present. it is not the only way to explain the advent of these diseases. It is very difficult to know in long term cases when the remedy has ceased its action and therefore “judicious” repetition can be an appropriate strategy. in practice. In other words. The tubercular can manifest in a similar way to the sycotic miasm in the symptom and behavior presentation but it is a different miasm with a different origin. When discussing the tubercular miasm Heudens Mast states that it can only exist when ALL three of the main miasms are present to some degree. The implication that each of the miasms are built on top of one another means that if.even if the case has not relapsed . an inexorable change in which opportunities for evolution occur at the same time as disease manifests. In Fraser’s work. Perhaps there is no susceptibility on the other levels and only a cancer miasm remedy is needed. This way of understanding disease gives another perspective to our understanding of miasms. For many homeopaths. many homeopaths seek the one remedy that seems to be indicated for the complete picture. In analyzing miasms in this way. the sudden explosion of the disease does make us question that a viral factor was involved. that is not seen that often. This can clearly be discussed. It will take another generation or two before any unique patterns may be seen. it also has a unique pattern to it. again reflecting a breakdown in boundaries (as CJD is caused from prions created by feeding livestock animal products never designed to be eaten by animals. miasmatic diseases can be seen as “acute diseases of society itself”. for example. crossing the animal/human barrier through vaccines has received a lot of attention. but it is also important to consider the actual infectious element in this disease. it has seemed remarkably like “syphilis revisited”. It is rarely the situation where repetition of the previous remedy that worked well interferes with the action in the case. Either it works or does nothing. The simian virus contamination. the distinctions are not always that clear. The inability to isolate the virus and reproduce it to find a vaccine and the highly differentiated symptom complex has confounded the medical profession and society at large. other diseases such as CJD/Alzheimers can be said to be part of this miasm. Similar to her position that sycosis and syphilis can only exist if psora is present. focusing it seemed on the gay population in major urban areas. the cancer miasm is present. AIDS erupted onto our world in the late 1970s and 1980’s. However. the human species is moving forward (perhaps back as well) and new situations and technologies will evolve.further assists the case. Apart from the disease AIDS. It does not depend on the existence of the other miasms. In Heudens Mast’s opinion. syphilis. She further states that for the cancer miasm to be present. One other controversial area discussed by Heudens Mast (p. it’s use has not been verified to anything like the degree of other major nosodes and right now. It can’t exist if only two of the miasms are present. taken from the blood of a man with AIDS. George Vithoulkas often talks about the damaging effect of superficial homeopathic treatment. A study of possible causes of the virus causing AIDS is also interesting in this regard. out of which new diseases and mental and emotional challenges will arise. was only repeated once in four years. a remedy will be needed not only for the cancer miasm but then for at least some of the other miasms afterwards. and while dismissed by mainstream medical thinkers. which often express at times of transition and stuckness. along with other sources. Heudens Mast’s detailed descriptions of each miasm is a very good study of some of the most important themes for each miasm.

Belladonna and Stramonium as part of this miasm. leading to chronic problems. in studying its disease manifestation. e. Streptococcinnum.g. meaning that the disease of rabies has a long prodrome and then a sudden violent action. However. It affects the intensity of the symptom presentation. The nosodes from disease bacteria are often used when a person has never been well since a particular diseases and examples a specific and occasionally useful form of prescribing. which would lead it to be identified within the AIDS miasm. 3) Each patient has only one miasm evident at any time. e. The fact that we have taken his thinking much further and developed broader images of the other miasms and even refuted some of his ideas of the origin of psora do not take away from his original thinking. it can be seen how a miasmatic influence is affecting the picture that is being presented but it may be apparent that another remedy picture. However. In many cases. Scales up on the scalp. then the energy that created AIDS may just go to another disease. which Hahnemann described as a half-acute miasm. in this cases the mutation of a bacteria found on ticks. Similarly. This was described earlier on in this article. with the nosode ringworm attached to it. in some cases acting like neurological AIDS cases. with its nosode being Leprominum. it is very different to the way other people classify the miasmatic classification of remedies. it is true that usually only one miasm will be prominent and will require a specific remedy. with different bacterial/viral origins. or Cannabis-i and Medorrhinum. with a clear miasmatic infectious diseases. In modern miasmatic thinking. This is how Hahnemann saw the venereal diseases. which were the childhood diseases such as measles. mumps and chicken pox as these diseases only occurred once in a lifetime. Rajan Sankaran has been the main exponent of these miasms and Roger Morrison explains the qualities that Sankaran identified with these miasms. 1)Each remedy is assigned to a specific miasm and only one. its definition and use is more identified thematically than as an inherited disposition. extrapolating a more metaphorical and broader gestalt than just the symptoms connected to the disease. mostly with a nosode attached and a characteristic set of symptoms and also remedies that fit that miasm. becoming chronic disease states. He then introduces the malaria miasm. not so specific Psora In children: Ascarides and other worms. However. leprosy clearly shows aspects of the syphilitic miasm and as such Sankaran puts it in between the tubercular and syphilitic miasm. Recently there has been the suggestion of other miasms. one of Sankaran’s qualifications has been to identify a remedy more exclusively with a certain miasm. along with most other acute diseases that would have exacerbations at intervals. However. Interestingly. The other new miasm he introduces is the leprosy miasm. which have been part of the homeopathic materia medica for many years. Leprosy has not become a chronic miasm with a broader inherited susceptibility as the other major miasms. a remedy proven by Prakash Vakil. for most of our prescribing. a kind of psora unplugged. Falling of hair. one that in time will be revealed to the rest of medicine as a great contribution to the evolution of medical thought and disease classification. The typhoid miasm is clearer to identify according to conventional miasmatic thinking and also has a nosode attached – typhoidinum – although it’s use is more limited to when someone has never been well since having typhoid and not so much as a chronic hereditary disposition. Pneumococcinum and also the bowel nosodes. Right now. There are also times when two remedies seem equally well indicated. taken mainly from clinical observations of disease symptoms and the appearance of these bacterias in bowel flora. connected to the breakdown in boundaries between species. not necessarily the precise symptom.of the AIDS virus. the centrifugal energy manifesting with an intensity not often seen in psora because of suppression and how disease used to manifest before it was controlled by “civilized” behavior. Insatiable appetite or want of appetite. One has to see the overall dynamic pattern being presented in the case. not connected to any particular disease or nosode. Hahnemann identified Leprosy as a form of pure psora. If one sees all disease as merely expressions of energy. one can get a good idea of its broader image and “gestalt” and how certain remedies can be identified with the miasm.both physical and mental -. and one experienced through the ages. We don’t tend to see the rabies miasm (with Lyssin as the nosode) as a broader miasm as not many people in the past survived the acute disease and its impact is much more limited and less prevalent than the other diseases. 2) Each miasm was given extremely clear and tight defining characteristics -. with the somewhat challenging concepts of the consequence of allowing leprosy to be mollified by hygiene. Hahnemann identified ringworm as an expression of the psoric miasm but clinically speaking it does make sense to put it in between the two major miasms as many fungal diseases have a sycotic flavor to them. he includes Lyssin in this miasm. from India. . Again. Thuja and Medorrhinum. which is purely thematic. It’s image and dynamic has been somewhat split between the psoric and syphilitic miasm. to state that only one miasm can be evident at any one given time contradicts some of the writings and experiences of many homeopaths. no longer leashed in but allowed to flourish on the skin. which is of a disease. The influence of these diseases through many generations and their unique patterns found in many different symptom pictures and disease conditions makes an understanding of miasmatic theory of great significance and validates Hahnemanns’ original postulates about the origin of disease. the nosode and miasm have a more general influence. A nosode can work by affecting the overall dynamic and then lead to the more effective prescription of a remedy indicated for the individual symptom-picture. the use of the big five nosodes and the impact of the broader miasmatic influence dominates our use of miasmatic prescribing. Distended abdomen. While that can be done in the manner in which he classifies miasms. not dissimilar to the spirochete of Syphilis. based on a combination of a connection to specific disease states. Head—frequent one-sided headache even from moderate emotional disturbances. He was looking at remedies such as Aconite. essentially belonging to a different miasm may be seen underneath. Hahenmann also described certain diseases as fixed miasms.which are readily identifiable in the homeopathic interview. or Phosphorus and Tuberculinum. There could be said to be other miasms relating to specific diseases. One important factor in understanding how to give nosodes is that the miasmatic influence gives a ‘veil’ or ‘color’ to a case. The bowel nosodes have their own picture attached to them. To limit each remedy to only one miasmatic influence does seem to be an oversimplification of the whole idea of miasmatic influence. So it still belongs more in an acute miasmatic influence. and may die out much quicker. the bacteria is a spirochete. Then it can be hard to know which remedy to begin with and one can justify a nosode. a clear primary state and well defined secondary states if the primary condition is internalized into the body. even though a chronic disease condition. There is quite a lot of evidence to suggest that this disease is also a man made disease. Some of his thinking is very similar to how Hahnemann defined a miasm. As mentioned earlier. However. which could be said to be a classic Hahnemannian classification. Hura brasiliensis. we are seeing the explosion of Lyme Disease. As is known. it might not pass onto future generations in a similar way to other miasms. The next new miasm he introduces is the ringworm miasm. although Hahnemann saw malaria as part of the psoric miasm. Hahnemann described a cholera miasm and Sankaran describes a typhoid miasm for example. diet and general good living.g. Some homeopaths have used nosodes from various diseases like Staphyloccinum. It is a unique and vital part of homeopathic thinking.. This has to be said to be somewhat challenging to fully accept and reflects perhaps Hahnemann’s own confusion in establishing the true causes and expressions of psora. His first miasm he classifies as an acute miasm. much of Sankaran’s classification is based more on a thematic dynamic than just the disease symptoms. leading it to be more easily suppressed and then leading to secondary symptoms of psora. Heudens Mast talks of the percentage of different miasms within certain remedies and most homeopaths understand that so-called “polycrest” remedies have qualities of more than one miasm in them. In other words. orMercurius and Syphilinum. He posits it in between psora and sycosis. a remedy he proved himself.

Throat – frequent pain and hoarseness. Repugnance to cooked. cracked skin of the hands and of the lower limbs. Swelling of cervical glands. Perspiration. Long lasting scabs under the nose or on the upper lip. Nasal obstruction with dryness. dry skin. Inflammation of eyes. Ear -. Fetid smell in the nose. But when his health have been very much weakened by an exciting or maintaining causes like an acute infectious disease or a shock. Head ache after mental exertion. warm food. Short sightedness / Farsightedness. the sad losses of beloved relatives etc. Long continued obstruction of one or both nostrils. Nausea in the morning. Grinding of teeth during sleep. Modalities – Aggravation – while at rest. Nose -. but has to run here and there and often falls in to perspiration. when down or upward. the breaking of a leg or arm. will still consider him self as healthy and is supposed to be so by others.Over sensitiveness to noise. Weeping disposition. Falling of hair. fear of being alone. Sense of smell perverted.Epistaxis. when closing the eyes. hard labor. Eruption on the head. the latent psora awakens and appears as numerous chronic diseases of psoric character termed as secondary manifestation of psora. Nose -. severe burn. Weeps for several hours without any cause. fall. Stomach -. no overexertion etc). Throbbing headache with violent nausea and vomiting. Usually the patient then find no rest. Taenia capitis with crusts. of being insane etc. Extremities – Numbness and cramps. see only one half etc). False vision – (diplopia. Face – Frequent redness of face.Head ache in the morning immediately on waking.Frequent attack of dyspnoea.Hemorrhoids. Female – Amenorrhoea and all types of menstrual irregularities. Cutaneous eruptions of the beard with itching. Rectum -. Offensive discharge from ear. do not live in vexation or grief. Bad smell from mouth especially in early morning and during the menses. Eyes – Photophobia especially to daylight.Unhealthy. Rough scaling spot on the skin which causes itching and after rubbing a burning sensation. especially when he living under favorable external relations (satisfactory income.Predisposition to catching cold Epistaxis in girls and youth. Secondary manifestation of psora Mind-. Itching of scalp with or without dandruff. Vertigo-. Headache with marked periodicity. Cracking in one more joints when walking. All types of fear – fear of fires. Anxiety with restlessness. Nasal polyp with anosmia. Many sounds cause pain in the ear. Predisposition to strains even from carrying or lifting a slight weight.White or pale tongue with cracks. Frightful dreams Skin -. Head -. Itching of anus Urine -. Melancholy. Looseness of teeth and many kinds of . Night blindness/ day blindness. Eyes – Frequent inflammation of the eyes.Aversion to milk and meat.Vertigo -.On the head during sleep On the palms with coldness On the feet with offensive smell Perspiration breaks out too easily even with little movement or Inability to bring out perspiration Sleep – Unrefreshing sleep. Sour taste inthe mouth.pale.Face. Yellowness of white of eyes. Mouth – Easily bleeding gum. night and winter Amelioration – while in motion A person who has the psora slumbering within him. Frequent boils and felons. every little lesion passes into sores. Changeability of mental state. Varicose vein. Dryness or ulcers of nostrils Mouth -. on turning around briskly.Inability to think or to perform mental labor. Sensation of emptiness in stomach.dark urine Chest -. passage of blood with stools Constipation with hard stools often covered with mucus.while walking.

which now makes its manifest appearance. Stools in the beginning very hard and troublesome followed by diarrhea. Warts on the face. Somnambulism. Cough with yellow expectoration. Continued spiting of saliva. Nocturnal seminal emission. Bleeding piles with or without pain. Asthma especially after midnight. pregnant with disease. Frequently repeated diarrhea with cutting pain in the abdomen lasting many hours or days. Long continuing. the arm and the thigh. especially in the thigh. Sleepiness during the day especially after meals. Frequent flushes of heat especially in the face. Pain in tooth aggravated during night. the upper arm and body.syphilis and sycosis cause a smaller part of the chronic disease. Stutting and stammering.Constipation with repeated ineffectual urging for stool. Perspiration – One-sided perspiration – Only on one side of the body. Dryness of skin.mentioned symptoms occur repeatedly or become constant.Discharge of prostatic fluid while straining at stool or urine. Pain and enlargement of breast with indurating gland. Respiratory -. [2] Crusts – raised above the surrounding skin with deep red painless borders. All symptoms of bdomen All symptoms of hyperchlor hydria. will treat first in . Loud speaking or screaming during sleep. Sad. Fever – all types of intermittent fever.nightmare – restless sleep from frightful dreams.various types of skin eruptions like [1] herpes –dry or moist with itching and burning after rubbing them. Female -. in small knots like sheep dung. Extremities -. Boils returning from time to time.deterioration of teeth even without toothache. [4] Freckles in the face. Male -. Chest -. which showed that the internal psora is coming forth from its latent state. covered with bran like dry scales. Pain stomach eating after. Increased frequency for urine during night. Corns with burning lancinating pain. White coating on tongue with cracks. painful erection without pollution. Skin -.causes her to move about. Aggravation from motion. Cannot sleep after 3 o’ clock in the morning. When the above.Irregular menses or all types of menstrual irregularities. the back. the psora. Throat – Frequent inflammation and swelling of throat Stomach Eructation with smell of food several hours after eating. Cough mostly in the evening after lying down and whenever the head lies low.Pain in the heel and soles of the feet while standing. Stools hard as if burnt. Sleep -. Hydrocele. Pimples without pain in the face. The two miasmata. Increasing disposition to strains.Hoarseness after exposure to slight cold or least use of voice. Only on upper part Only on lower part These are the characteristic secondary symptoms of the long unacknowledged. [3] Small round spots on the skin. thousand headed monster. The patient has to sit-up and stooping forward. He has to open the windows. Sour eructation after milk. coughing or laughing. Painful when touching or bending them. Leucorrhoea several days before menses. Involuntary dribbling of urine while walking. Dryness of tongue. sneezing. Warm air in the room make her rest less. When he is chilled he cannot urinate. The joints of the fingers swollen with pressive pain. Fetid smell from mouth.Painful retention of urine. hands and chest. Empty & loud eructation. the chest. anxious. Unrefreshed sleep— more tired when rising from sleep than in the evening when retiring. The joints are easily sprained at any false movement. Urine -. Indurations and enlargement of prostatic gland. Distension of abdomen with flatulence Rectum -. Lack of sexual desire in both sexes. Yellowness of the skin. Glandular swelling around the neck and groin.Pain in the chest on walking as if the chest was about to burst. Prostration after stools. frightful lascivious dreams. and the original miasmatic malady. The treatment of chronic disease becomes impossible without the help of Homoeopathic anti-miasmatic medicines. Softening and curvature of spine and long bones. Cure of the chronic diseases: Cure Here Hahnemann describes about the Homoeopathic medical treatment of large number of chronic diseases. Cough aggravated at night and after eating.

hyperdynamicity. periodicity. desires and dispotion in time and space is well marked. eating. thin. PATHOLOGY: Caseation is present with giant cells in the center surrounded by macrophages (often endothelial cell) which is further surrounded by few collagen strands and lymphocytes. walking. Eruptions are better by bathing. loss of muscle mass despite eating well. potatoes. there is induration leading to sinuse or fistula formation with subsequent healing by scar formation. 9) Sexual precaucity is marked with lasiviousness. early morning on awakening. diarrhoea. mental excitement or exertion. 3) Erraticity.m. 7 p. when too many medicines have been given or a deep acting medicine acts only for a few weeks. rest. studing. blond hair and long eye lashes. lean (body growth is disproportionate to height). before and during a thunder storm. heat.m. seaside. long delicate fingers and fine silky hair especially down the spine with white spots or ridges on nails and posterior cervical glands are enlarged. 6) Increased catabolism and decreased anabolism with poor assimilation is seen. pleural effusion. noose bleed. This diathesis is found in offsprings of those who had suffered from tuberculosis. Pains are ameliorated by hot applications and in the daytime. from a warm room. 10) Recovery takes along time due to weak system . all the responses are fast. 7) Emaciation rapid and pronounced . quiet place. Takes cold easily without knowing how and where.. 10 a. to 11 a. fears and alteration of emotions. natural discharges i. standing. high altitude. night. Tubercular: The person is tall. tubercular meningitis etc. becoming fatigued. sleep. cow’s milk.order to make the path free to the therapeutics of the immeasurably greater number of the various diseases. ON CLINICAL GROUNDS the pathological findings suggestive of tubercular miasm are as follows: 1) CBC : Leucocytosis with lymphocytes and mononuclear cells. bathing. curved spine with drawn clavicles and a drum belly. yet attractive with blond or red hair. sitting in a draft.m. small and shotty. fair in colour and the venules can be seen under the skin. loss of vital fluid and exposure to damp weather. 4) In the third phase of disease progression. dentition troubles. . He called it “comsumptiveness” and he wrote a book called “New cures for consumption by it’s own virus”. 8) Pains are variable. from evening till midnight. with blue sclera. 5) Superficial disturbances of circulation are seen .. scratchine. DIATHESIS : Comptom J. Pott’s disease.bluish pallor. AMELIORATION: Open air. riding in a carriage. AGGRAVATION: Exposure to cold. rest. b) SCROPHULOUS DIATHESIS : it is similar to tubercular lymphadenitis i. Burnett was the first person to describe this state to homoeopaths. overeating. warm damp weather. after sleep. during menses. generally throbbing in affected parts or sore. weather changes. rainy weather. 11) Where there is a lack of reaction in a given case. sweat. nose bleed etc. meat and sunset.e.has not been well since. GENERALITIES : 1) A strong predisposition to Koch’s. though chilly longs for fresh air and open windows. The word “Diathesis” can be explained as a borderline state between disposition and expression or it can be defined as a borderline state between normal susceptibility and expression of the disease.e. and 5 p. fresh air. anticipation.m. They are emaciated. suppressed eruptions especially ringworms. It may also be observed in some individuals who do not respond to anti-tubercular treatment. 2) Increased activity at all levels mental and physical followed by debility at all levels. aching which are relieved by warmth and movement . overwork. winged scapula. nymphomania etc. Hence two types of diathesis can be dedcribed : a) TUBERCULAR DIATHESIS OF TUBERCULINISM : the French called it “elat tuberculinique”. tubercular glands. uncovering. motion. changeability. stooped shouldered with narrow chest and depressed sternum. purple condition of extremities with chilblains and hypotension. heat of fire. bruised. before breakfast. which spring from the psora. MODALITIES: AILMENTS FROM : Suppressed foot or axillary sweat.

MENTAL GENERAL 1. then it is necessary to treat the psoric component first. Presence of urates. .2) BLOOD SUGAR: Increased levels of fasting and / or post prandial blood sugar levels. 4) STOOL EXAMINATION: Tarry stools with fresh or occult blood with presence of E. which appears several days to several weeks after infection with coition. Ø All hyperplasic conditions. Puls. 3. Puls and Sepia. B) DRUGS THAT FOLLOW WELL : Calc-phos. Selfishness or covetousness. escape. escape.) Sycosis The sycosis is the miasma. tenting of diaphragm. Hydrastasis. is in no way diminished or destroyed by the external treatment of excrescence or by the internal treatment with Mercury. Baryta-carb and Silicea. hyperplasia. GENERAL FEATURES OF SYCOTIC MIASM Ø Inco-ordinating miasm Ø Mischievous miasm Ø Over production of growth. Calc-carb. Then to make use of the remedy for sycosis and lastly proper dose of the best preparation of Mercury is given against syphilis. Calc-carb. Pulmonary artery is relatively wider than the aorta. 3) URINE ROUTINE : Increased specific gravity (1. these excrescences come forth again and they are subjected again to this painful cruel treatment and are always vain. Heart shadow is narrow. destruct full. Kali-sulph.histolytica.e.023) or fixed at 1. Ø Excess. would appear in other and much worse ways.010. If the drug tuberculinum produces a fearful aggravation.016 to 1. Mischievous. Human barometer-when it rains he has pain. After this sort of treatment. Ø Organs and tissues mainly it acts is on pelvic and sexual organs. tubular. The rain.Taking of advantage of others through lack of consideration. 5) SPUTUM EXAMINATION: May show presence of A. hyperplasia 2. Calc-carb or Calcphos in low potency may check the effect (Homoeopathic Recorder November 1928. sugar. C) ANTIDOTAL DRUGS: Phos. the snow. China.Sycosis makes the victim devoid of all sense of righteousness. i.F. burning and cutting or by ligature. Sepia and Sulphur. redness and erythema seen after 48 to 72 hours-7 to 10 mm or more induration is definitely positive. When the atmosphere is filled with moisture he suffers. Even after this sort of violent treatment. RELATIONSHIP TO THE HOMOEOPATHIC MATERIA . Calc-silicata. which produces the fewest number of chronic diseases and has only been dominant from time to time. slender. because the fig wart miasma which rules in the whole organism.B. Psor. Excess. The first manifestation of sycosis are these genital excrescence that almost always associated with a urethral discharge.MEDICA : A) Compatable Drugs: Bell. The same alternating treatment may be continued until a complete cure is affected. Ø Primary manifestation is condylomatous growth on the body some times associated with gonorrhoeal discharge. Bry. Calc-phos. acetone blood and casts. soft-tissues (blood) and endoderm. with calcified aortic knuckle. This miasma was treated almost always in an inefficient and injurious manner internally with mercury but the excrescences on the genitals were treated by the most violent external ways by cauterizing. the cold are his enemies. robberers. The use of Mercury in the treatment of sycosis can only deteriorate If the patient was at the same time affected with another chronic ailment. in secondary ailments. Thief’s. the fig wart disease which is deprived of the local symptoms. 6) MANTOUX TEST : Induration. with specific antipsoric medicines. internal organs. psora complicated with sycosis or both the miasma (psora and sycosis) are conjoined in threefold complication with syphilis. murderers are the product of sycosis. Worst form of cruelty. Ø Slowness of recovery. Ø Deposition and infiltration of tissues. Giardia Lambia and other helminthic infestations. 7) X-RAY CHEST FINDINGS: It may show caseous hepatization of lungs / military mottling.

All the vicious individuals on earth-thieves. Red nose with enlarged capillaries. Living barometer-sensitive to atmospheric changes. Same type vertigo at base of brain. mental and physical exertion. It makes a beast out of man. crying. no crusts. meat. copious. 6. and arthritic troubles of eyes. pus formation (greenish or yellowish green). Mentally sycotic patients are malactive. warm application. There is poverty of language and thought.B. Frontal or vertex head ache. moles. 5. Recollection of recent things difficult while they can recall things of past. 4.They harm others. no ulceration. rainy weather. prematurely gray hair Hair falls out in little circular patches. FACE All warty eruptions. Hay fever-nose clear one hour. 7. Brooding over things. Quarrelsome. < At or after mid night. hyperplasia.forgets recent happenings in respect of name and date. EYES AND VISION Sycosis never gives a true ulcer. No love or affection for others. 8. Making a secret of every thing. 9. Extreme irritability. change of weather. worrying Head symptom resemble syphilitic in < at night and lying down.changing. Pain and colic. scalp perspires ( But there are not the moist matting eruptions of syphilis). Cross-. night. lying on abdomen. suicidal tendency but will not perform the act and have a superiority complex. Headache with feverishness. getting wet. chronic corneal ulcer in children Thick. . TEETH AND GUMS Gouty concretion. Condylomatous growth. 6. over growth. Yellowish discharge. erratic. hypertrophied turbinates]. intolerance of meat.C. Fish brine odour. 8. 2. Over construction. gout of eyes. TASTE Putrid.’s due to imperfect oxidation. Anaemia-destructionof R. neuralgia -<change of weather. papiloma. moisture. Men and women who commit suicide today are mainly sycotic. 11. return of suppressed normal discharge. Opthalmia neonatorum (Babies born from sycotic parents). mischievous. NOSE AND SMELL Loss of smell. 7. 5. musty or fishy taste DESIRES AND AVERSION Craves beer. harm animals. 3. stabbing. dry weather. snuffles (stoppage is due to local congestion thickening of membrane. Modalities-<-Damp wet. EAR Gouty concretion. VERTIGO Vertigoes beginning in the base of brain are more apt to be of a sycotic or syphilitic nature or may be of tubercular origin HEAD Night headache. absent minded. PHYSICAL GENERAL 1. HAIR Dead broken hair in beard. Take cold easily in children from sycotic parents complicated with gout. > Gentle motion. erysipelas of face-psoric and sycotic CAVITY OF THE MOUTH. fishy odour from hair. restlessness. >-Slow motion. cunning. cruel. robbers and murderers are the product of sycosis. bad. Sycosis coupled with psora is the basis of criminal insanity and of most suicides. If purulent-fish brine odour. Mental conditions of sycosis are ameliorated when warts or fibrous growth appear.Suspiciousness that leads to jealousy. the next he cannot get a particle of air through his nasal passages. Forgetfullness. desires hot or cold food 4. snuffles in new babies born of sycotic parents. lying down. 10. unbearable and ameliorated by hard pressure. Approach of storm or rain leads sycotic patient to burst.

watery. by violent motion Pains-Crampy. clotted. gouty concretions in urethra of young babies when born of sycotic parents. BOWELS AND INTESTINAL TRACT Appendicitis. soreness. riding or gentle exercise. > rubbing. puffy. pruritus Painful and often frequent urination. changeable. > rubbing. colicky. acrid discharges. stringy Leucorrhoea-This look like dirty water. even mothers milk. > dry weather. Even child smells sour-inherited sycosis. motion. Odour is-state fish or fish brine. especially if local applications are used to relieve the pain. . watery discharge oozing from rectum has a fish brine smell. Menses flow often and only with pain. stretching. fish brine odour. thin. < Damp weather. motion. Menses-dark. gout of the bladder. soft Patients-fleshy. finger. CHEST. Very little mental disturbance in heart trouble even at critical period of disease Die suddenly without warning. paroxysmal. but always taking cold on least exposure to cold. some times scanty. stretching Stiffness. Bleeding hemorrhoids Pruritis-Scanty.Puss yellowish. colicky and paroxysmal. hard pressure Ulceration of umbilicus. Discharge-acrid. Valvular disease of heart.offensive discharge.During summer. Brights disease. paroxysmal pain. HEART. Diarrhoea from getting wet Tenesmus present. prolonged teasing bronchial Expectoration. > bending double. Gas is frequently expelled from stomach with great force is quite pathognomic of sycotic colic. by pressure over region of stomach. Many of the ovarian or tubular symptoms that develop during the menses. excoriating. Greenish yellow. fistula and fistulous pocket are all of a tubercular origin or have pseudo psoric nature. sinuses. HEART Dangerous heart condition. Menses-acrid. acrid producing hitting itching and burning of the parts. Rheumatic heart disease. biting and burning the pudendum. Discharge produces little vesicles or excoriations on the pudendum. True colic-simplest form of food produces colic and pain in abdomen or through out the intestinal tract. thin. fibrous change in kidneys. excoriating. Reflex from rheumatic trouble. LUNGS Cough-dry. Pain in joints due to gouty concretion. Diarrhoea -Stool-slimy mucous. green. < Eating fruit. URINARY ORGANS Screams when urinating. little vesicles of excoriation Pain-spasmodic. sour smelling. are dependent more on sycosis than to any other miasm UPPER AND LOWER EXTREMITIES Gouty diathesis. But are greatly magnified by sycosis. Pulse-Slow. They are constantly gaining in flesh. < Rest. renal stone Rectum-Combination of tubercular diathesis with sycosis produce cancerous affections) SEXUAL SPHERE Complaint < at or during menses. periosteum. Spasmodic. Heart troubles for years without causing pain or dyspnoea. small joints are affected with shooting tearing pain. colicky. Pain from shoulder to heart or from heart to scapula in rheumatic cardiac troubles. symptoms usually free. lameness is very characteristic of sycosis. better by lying on stomach. offensive-fish brine odour. Ropy or cottony nature Bronchitis often in autumn/winter Coryza. Rheumatic diathesis. Prefers food warm Heat gives temporary relief. As a rule they cannot breathe through mouth. Like dirty green water. Muscles. If sycosis present in diabetic patients it is more malignant and more fatal. prostatic trouble.Meats in sycotic assist in developing the uric acid gouty diathesis STOMACH SYMPTOMS Worse by eating any kind of food. Heart patient even anginal pain better motion as walking.Clear mucous and scanty. Rectal structure. obesity lies at the bottom of their dyspnoea.

Alopecia areata on head and face. she is made of. strict privacy concealment. all kinds of tumours and tumourous growths. . Bronchial asthma or gonorrhoea. All the vicious individuals of the earth – thieves. · Glass. is. Natural discharges like diarrhoea. It makes a beast out of man. SKIN Skin lesions in tertiary stage. body parts. cold. For that reason it is also called the formative miasm. abscesses. rain and rainy weather. Acquired gonorrhoea or history of hereditary gonorrhoea. deformed. dishonesty etc. brittle. 4 – 6 am. even perspiration gives no amelioration. · Divided. Fear. long. even acute diseases recover slowly. Oedema or anasarca in any part or of the whole organism. free urination. selfish and forgetful. sycosis attacks the internal organs. severe acute mania. Despair of recovery. Chronic or long continued inflammation. Mentally suspicious. Joints and connective tissues are affected. Acne-do not suppurates. Scales-patches in circumscribed spots. the mentality of sycosis is suspicious. he is. jealousy and privacy. Benign hypertrophy of the prostate gland and prostate malignancy. Malformation. All forms of ringworm. better by heat. Recollection of recent events is difficult. especially the pelvic and sexual organs in the worst specific form of inflammation producing hypertrophies. Worse by rest. mean. Absent-minded. but are sore to touch and sensitive. immaterial. Warts and moles Unusual fleshy growths. · Heavy.Nails-ridged. The sycotic mind is grossly debased. Tip of the nose is red. LINICAL POINTERS TO THE SYCOTIC MIASM In coordination. Better by movement. it produces headaches. Unwanted hair. cystic degenerations. into. legs. made of. Sycosis makes the victims devoid of all sense of righteousness. Haemangioma. When it rains he has pains – is one of the great indications of sycosis. It makes him a liar and a vicious scoundrel. Hair is thick and coarse. intemperance. Fixed ideas especially about religion. moral degeneracy. Sycosis is the mischievous of all the miasms. he is. · Light. Skin is oily. his head belongs to another. If suppressed. when the atmosphere is filled with moisture. Forgetful. Nails are ridged or ribbed and thick. Vague sensations in the form of phobias regarding the shape and size of the body characterized by various delusions such as · Body. Excrescences. Tendency of making a secret of everything. Gonorrheal inflammations or blockage of the fallopian tubes and sterility. dissatisfaction. because of the basic suspicion. Slow recovery. especially of joints. which are permanent. two parts. mid day to mid night. excess or a proliferation of tissues is the most significant indication of sycosis. and when thrown up to the brain. too. In arthritis or rheumatism we have an infiltration of inflammatory deposits but it readily absorbs and is never formative as we find in syphilitic and tubercular changes. lichen planus (sycosis and pseudo psora) Psoriasis. robbers and murderers are the products of sycosis. He is always focused upon mischief and misdeeds. repentance. while in active condition. · Wood. · Double. warty eruptions or warty growths Condylomata (presence of syphilis and sycosis. mischievous. whilst they can recall things of the past. Condylomatous growth. mucus cysts etc. incorporeal. Eczema. damp cold weather and places. Develops the worst forms of degeneracy. insanity. with cracks which oozes sticky fluids. To sum up. destitute of all love and affection for others and thus making him mean and selfish.

which is more widely spread than sycosis. Cauliflower erruption ULCER. Worried. In the cure of the venereal disease three states are to be distinguished. emaciation of particular parts. Friendly. Revengefulness. Robbery. Acne Scabies. Slow. Malignant Skin.Sycosis disturbs the endocrinal axis thereby affecting various metabolic and hormonal functions. myxoedema and Addison’s disease. Destructive. Poverty. Contact Dermatitis. When the syphilis is still alone and attended with associated local symptoms (chancre) or the local symptoms has been removed by external application or associated with some other local symptoms which act vicariously for the internal disorder. Hopeful about Life. When syphilis is alone (without any complication with the other miasmas) and deprived of the local symptoms. Suppressed skin disease. Suspicious Fear of Death . while the local symptoms may either be present or has been removed by local application. MIASMATIC EVOLUTION – PSORA.Sycosis – Tubercular. Sycosis affects organs developed from the tissues of endodermal origin. Stuborn. Hairfall. Hardworking. foolish. When it is already complicated with another chronic disease. cretinism. Criminality MIND: Prepared from pus of Psoric Prepared from Gonorrhoeal virus collection from Tubercular abscess lesion Irritability Anger. Mole. Artistic. theft. Suppressed Anger Suppressed Desire Skin: Redness. Self Importance. Irritability. Social. i. Grey Hair.e. Accident. itching. leading to dwarfism. Egoistic. Alopecia Areata. Tumour. intelligent. Acne Vulgaris. Eczema. Baldness. Death. patchy hair loss. Pervved sexual disorder. Cosmopoliton. with psora which is already developed . Fear of Dark. Contageous Skin disease. Jealous. Syphilis The syphilis is the chronic miasma. Dandruff. Sluggish. obstinate. Hyperactive. Disappointment in Love. Forgetful.Syphillis.Irritability < contradiction Active. Antisocial. cutaneous errup Wart. anaemia. vesicle.Idiotic. Grey hair. Recurrent Acne with Pus VITILIGO. Fear of Fear of Been Alone. Hurried. non healing ulcers . PSORA FUNCTIONAL CHANGE SYCOSIS STUCTURAL CHANGE TUBERCULAR RECURRANCE SYPHILLIS DESTRUCTION Prepared from Syphillitic Virus Schizophrenia. Carbuncle. Psoriasis.

Vomiting FLUID. offensive. FAECES GASTRIC ulcer. Adenoids Recurrent tonsillitis.Gastro-IntestinalSystem: Nausea. bronchitis . peptic ulcer CIRRHOSIS OF LIVER. Cardiac arrest. space occupying lesion of brain. vertigo. Diplopia. transient Ischaemic tumour of brain. Caries of nasal Septum. HYDROCEPHALOUS Benign Meningitis. Diphtheria. increase urination Retension of urine. Hemiplegia. . pneumonia. Parkinsonism. oozing of haemoptysis. paralysis URINARY Burning Micturitation.Comatose. renalHaematuria. otitis media. Angina pectoris Pain Cardiomegaly Endocarditis. heart attack. myocardial infarction Myocarditis CARDIOVASCULA R SYSTEM: CENTRAL NERVOUS SYSTEM: HEADACHE Migrain. Inflammed tonsil. Tuberculosis. bronchitis chickenpoxs Hypertension. Rhinitis. chronic asthma. FIBROID. Meningioma. deafness. Cancer of GIT RESPIRATORY SYSTEM: Cough. Kissing tonsil.FAT. Pneumonia. recurrent urination. tetanus. retinal Detachment . attack. breath. Endocarditis. Past History of AIDS. neuropathy. blurred vision . Anuria. pleural effusion. chronic headache Cephalhaematoma. Epistaxis. asthma. diabetic. coryza Sinusitis.

RHEUMATISM. Child Fa ir. Diabetis. gonorrhoea. ABORTION Recurrent ABORTION Habitual ABORTION MALE GENITAL SYSTEM Nocturnal emission TORSTION OF TESTIES. FIBROID. sterility STERILITY. impotency.Nervous. dysmenorrhoea MUSCULO-SKELETAL PAIN . Impotency. slender. Choleric. ANKYLOSIS TUBERCULOSIS OF BONE.stone. spasmodic SYSTEM: VDRL. Tall . Gangrene. SPINE SColiosis FEMALE GENITAL SYSTEM Amenorrhoea. SWELLING SWELLING.Beautiful. malnourished.down Syndrome.DYSMENORRHOEA. POTTS SPONDYLITIS. Haemorrhagic. Bilious Anorexic. fat. OSTEOPOROSIS. Cancerous. Anaemic Cretinism. ARTHRITIS. cysts Undescended testies ORCHITIS. libido. Flabby Healthy. GOUT OSTEOARTHRITIS. OSTEOCHONDROSIS. Phlegmatic .

hair thick matted. 5 Too many Symptom in a case 6 Paucity of symptom in a case 7 As a Second Prescription . Blond. Anaemic OBESE.Nervous. Cancerous. fine hair HAemorrhagic. Sanguine.Low HIGH-Medium LOW Potency selection HIGH HIGH-Medium HIGH-Medium LOW LOW Medium LOW Repitation when required(sos) Syphillinum-1m-200. Sanguine.30 Carcinocin 1m-200.Phlegmatic Handsome HAemorrhagic. 3 Potrait of Disease indicating miasmatic Remedy.Healthy. HYDROGENOID Medium Anorexic.Phlegmatic. tall. Anaemic men OBESE. 4 Well selected Remedy Fail to give desire result. Cancerous. Bilious Anor exic. malnourished. HYDROGENOID . Sanguine. Choleric. Robust.OBESE. HYDROGENOID Adult Beautiful Healthy. Choleric. 2 Totality of Symptom indicating miasmatic Remedy. Bilious HIGH-MEDIUM LOW Sensitivity HIGH susceptibility HIGH Medium.30 INTERCURRENT REMEDY SINGLE DOSE SULPHUR 1M PSORINUM 1M Repitiation THUJA (1m-200) Medorrhinum (1m-200) Frequent Repitation TUBERCULINUM 1m Bacillinum 1m INDICATION OF ANTIMIASMATIC REMEDY 1 A deep acting anti-miasmatic medicine as a Constitutional Remedy.Nervous. malnourished.

as removal of layers of suppression are manifested as clarity of symptoms 10 A case diagnose for selection of particular miasm 11To fulfill Hahnemann’s three injunctions of cure: rapid. 12 When Past history of patient indicate peculiar miasm to remove miasmatic block in a case. gentle and permanent. 14 To remove layers of Suppressions from syphilis-tubercular-sycotic-psoric level 15 To get ideal cure according to Herrings law of cure. . when a few symptoms have disappeared after the first remedy has been administered. 13 When family history of patient indicate peculiar miasm to remove miasmatic block in a case.8 To evaluate the necessity of a change in the plan of treatment. or a change of remedy. yet the miasmatic totality shows the preponderance of the same miasm on the surface. as that which was originally covered by the initial remedy 9 To evaluate the homoeopathic prognosis of the case.