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SANKARAN R., The Substance of Homoeopathy (sk2)
SANKARAN Rajan

Introduction Introduction
As students of Homeopathy we found the whole system quite confusing - we could see no system, no order. There were many schools of thought and practice. Many rules, dogmas and habits took over where there was a lack of understanding of the principles of the Materia Medica. Our results were consistently poor, yet the occasional brilliant cure convinced me that there was some explanation to such success which, once understood, would allow us to repeat the process with similar results. Studying these successful cases, I tried to understand the main idea behind Homeopathy. This took me on a fascinating journey, leading to a new understanding of health, disease and cure, and this forms the basis of my previous book "The Spirit of Homeopathy". In it, I have explained the concept of disease as a delusion, and how this idea can be applied in practice to heal. The book has become quite popular and many colleagues have reported that they found the ideas very useful in practice. This was only the first step, however, many things had yet to be explained. For the same patient, different homeopaths prescribe entirely different remedies. I had thought initially that this was due to differences in case-taking. But even in seminars where I took cases in front of the audience, and all could observe the same, there were at least twenty different suggestions for the same case. Which meant to me that we were still prescribing on symptoms; each would take some symptoms or some idea and come up with some remedy. There had to be a way, I felt, whereby all could arrive at a small group of closely related remedies, if not the same one. There was a need for a map to chart our way in this ocean of drugs and disease. My effort in the passed two years have been in this direction. I had already developed my concept of disease as delusion, and now wondered if disease states could be classified. I somehow saw such a possibility through Hahnemann's idea of miasms. The idea of miasms, which I had discarded earlier as unimportant for practice, suddenly struck me as a most useful tool to classify disease states. I interpreted the miasms using my understanding of disease as delusion, and the result, I find, is a classification of the most practical utility. Miasms now represent to me the different possible types of reaction, which naturally mean the different types of perception of reality. One type perceives reality as an acute threat and reacts instinctively and suddenly in an impulsive manner. This is the acute miasm, as I have termed it. In psora, reality is seen as a problem that can be solved by a struggle. In sycosis, the problem seems insoluble and the reaction is an attempt to cover-up this inability to cope. The syphilitic perceives the situation as a hopeless, desperate one and becomes destructive as a result. I found that disease states could be beautifully worked out on this framework and the patient understood better; it became easier to arrive at the remedy. To make the process more accurate, more points were required on this map. I worked on other miasms in between the main miasms, and discovered the subacute, ringworm, malarial, leprous, and cancer miasms. These, together with the tubercular miasm, provide a valuable map to study disease. To verify the truth of my hypotheses, I undertook to prepare and prove the Ringworm nosode and also did a proving of Bacillinum. The provings further substantiated what I already found in practice - that the idea of miasms was valid and most useful. The concept of miasms not only helped deepen my understanding of disease processes but also gave me insight into other phenomena in the world around, as for example, the reason for the increase in "new diseases". I am very happy with this discovery. But this was not still enough. The substances that make up the homeopathic Materia Medica had to be understood deeper and if possible, classified and mapped out, just as we have mapped disease states. I got my first hint while preparing a lecture on Argentum metallicum. I noticed that the symptoms of this remedy reveal the qualities of performance and show (e.g. troubles of speakers, singers, preachers, etc.) which I could readily relate to silver itself (silver tongue, etc.). Silver is for show! Similarly, Aurum metallicum (gold) also has a strong theme of performance (Responsibility, Industrious, Conscientious). I wondered if this theme was common to all metals. After studying the metals one by one, I was convinced that all the metals have in common the theme of performance and © Copyright 2000, Archibel S.A.

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defense - which, in everyday life too, is their function! This drew my attention to the Periodic Table, which I studied with keen interest. I found that as the metals got heavier (atomic weight), their performance increased in degree. Moreover, closely related remedies were placed in the same group of the Table. E.g. , Palladium and Platinum, two well-known complements in Homeopathy, are placed in the same group - Platinum, the heavier one just below Palladium. I then started studying other elements in the Periodic Table and found a common theme for the cations, another for the anions and then for the salts and acids. There were some elements that could not be understood in their essence from the available proving records; these I decided to prove myself. With some students and colleagues, I conducted a proving of Ferrum metallicum and later, of Iodum. These provings deepened my understanding of these remedies and also of the Periodic Table in general. I studied the well-known idea of using remedies by studying their component parts (e.g. Magnesium and Sulphur in Magnesium sulphuricum) and developed it further. I found that the components of a salt do not just coexist, but there is an interaction between the component ions and an understanding of the ions and their interaction enables us to deduce the possible state of drugs. This is useful even with the old, frequently used drugs, but especially so with the lesser known and poorly proven ones. I put this idea straightaway to test in practice with the most gratifying results. At this point, I met Jan Sholten from Holland who had been working along similar lines. His work confirmed and added to my findings. After studying the minerals, I turned my attention to the animal kingdom. With my friend Jurgen Becker I held a seminar in Bombay, where we proved Naja, the Indian cobra. This proving encouraged us to study snakes in general and we started using other snake remedies like Crotalus cascavella, Crotalus horridus, Vipera and Elaps corallinus based on an appreciation of the quality of a snake, with finer differentiation to decide which one in particular. Having found a theme common to snake remedies, I went further and try to discover if there was a common theme in the entire animal kingdom - there had to be, for animals have distinguishing qualities. Thus I came to my simplest and most important discovery, viz. the differences between remedies (and patients) belonging to the different kingdoms - Plant, Animal, Mineral, Nosode. This discovery was built gradually from observation of several hundred patients and confirmation in several others. These observations of natural phenomena have formed a beautiful map of remedies which, if well understood and correctly used, makes our task so much simpler. The study, however, revealed more clearly than ever the deficiencies in our Materia Medica. There are few well-proved animal remedies and many of the elements in the Periodic Table remain to be proved. It is heartening to find that colleagues like Jeremy Sherr are actively taking up this task. I have found my own knowledge of botany rather poor and hence could not easily link plant sources to the remedy provings. I wish to undertake a detailed study of this shortly, but have for now given in the section on plants some general directions towards this vast kingdom. There is so much to learn still and ignorance is no bliss - it allows the mind no rest. In a seminar in California, I decided to prove Cannabis (in potency, of course) with colleagues. The proving was most rewarding; not only did we learn much about Cannabis, but also made a startling observation. The most characteristic symptoms of the drug was produced in a woman (seminar participant) who had not taken the proving dose! She developed symptoms that she had never experienced before in her life, and these coincided with those who had taken the dose. A similar phenomenon was observed again at the Spiekeroog (N. Germany) seminar, where Bacillinum was proven. The best provings were from those who had not taken the dose. This is enough to set the mind thinking for a long time. In "The Spirit of Homeopathy", I talked about Homeopsychoterapy, i.e. presenting the image back to the patient instead of giving the remedy, in order to bring about awareness in health. This had already demonstrated to me that the homeopathic stimulus need not be in a drug form. I have now chosen another medium - one close to my heart - music. Music can affect the state of mind and produces moods. Why, then, can it not be used curatively on the homeopathic principle? This thought resulted in the music provings, where we proved four tunes (Indian ragas) on large audiences at different places. The results were remarkable, and I think that these proved ragas can be used effectively on the homeopathic principle as music remedies. I had found some aspects of homeopathic philosophy rather puzzling, and the solution, I felt, had to be of great significance. For instance, when does a state crystallize into organic tissue changes? An interesting observation made in a case provided the clue to the answer. I believe my idea on "state and pathology" will be of immense value in practice. These theories and experiments, ideas and experiences, have all helped me to grow as they developed. Though I realize that this is but one step forward in a long journey, even a little ray of light is most encouraging to a mind in darkness and gives impetus to the movement. I wanted to share all these experiences with my colleagues at this stage, and hence this book. I would like the reader to be with me at every step, and therefore urge him or her to read first "The Spirit of Homeopathy" after which this book will be much easier to understand and follow. © Copyright 2000, Archibel S.A.

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Finally, while the study of symptoms forms the bedrock of our practice, the ideas in this book will help expand the possible applications of the law of similars. It affords a new view of the world where Homeopathy is brought closer to other branches like Chemistry, Botany, Zoology and Music. As we take each branch of knowledge and move inward, closer to the stem, we are able to relate to the other branches. Once at the very stem, the differences between the branches disappear - we have reached the point of origin of all the various branches, and we are now free to take any of them. I hope this book initiates your movement towards the stem of knowledge, just as the ideas in it have done for me.

The story of this book
(taken from "the spirit of homoeopathy")
The purpose of this introductory is to lead the reader from the ideas expounded in "The Spirit of Homoeopathy" to the most recent developments in my understanding and practice of Homoeopathy. This introduction (intro: into; ducere: to lead) is essential to those who have not read the earlier book and will serve as a revision to those who have already done so. I have thought it best to give some excerpts from "The Spirit of Homoeopathy" as a summary of that book, but would advise the reader to study the book itself and familiarize himself with the concepts detailed therein.
As students of the Homeopathic College, we found the homeopathic Materia Medica very dry, the Repertory mechanical and the philosophy theoretical and obsolete. In fact, philosophy was our worst subject because we could not relate it in any way to practice. We found the lectures so boring that we had literally to be dragged into them This was just the beginning of our troubles. When we started our practice, we found different schools of thought, different ways to look at Homoeopathy. Some practitioners were giving combinations of medicines, some were giving specifics, some were looking only at pathology, a few were basing their prescriptions upon keynotes, and others were using the Repertory. Among the last group some were using Kent's method, others worked with Boger's, and a select few were following Boenninghausen's. Some gave importance to miasms while others criticized them. This situation only added to our confusion.

First steps
Once I got out of college, I started working with the Repertory because of prior familiarity with it and I started repertorizing cases mechanically. I was trying to use the characteristic and peculiar symptoms mainly because there are less remedies in these rubrics which made repertory work easier. I would choose a few characteristic symptoms, look at the relevant rubrics in the Repertory and prescribe the medicine which was common to them. In some cases it worked, but in many it failed. I remember one early case of mine: my grandmother had difficulty in swallowing and I took her symptoms: "Potatoes disagree" and "Choking, esophagus, on swallowing", and from these I came to the remedy Alumina, which helped her wonderfully. However, in many cases this approach failed, and so I poured all my energies into the search of a method which would prove a success in every case. I knew that the clinic was the best laboratory I could find and the scientific mind the best tool. The one principle I have adhered to throughout is to use only one remedy or therapeutic method at a time, and I have tried to keep everything else constant as far as possible. This has helped me a great deal in validating my observations.

Precedence of mentals and generals
Together with my colleague Dr. Jayesh Shah, I started studying our cases of success and failure. What became quite obvious was that those cases in which we prescribed on mentals and generals were much more successful than those in which we had relied upon particular symptoms or used pathology as the basis for our prescription. We looked at this idea purely from a practical point of view without really understanding the reason for it, and started trying it out cautiously in some of our cases. I still remember an early case of "vitiligo" (given in detail in the chapter Central disturbance). I could not get any symptoms from this lady except for my observation that she was a very humorous and talkative person. Also, she was warm blooded and liked to walk in the open air. Repertorizing the symptoms, a) "Loquacity with jesting", b) "Walking in open air ameliorates" and c) "Warmth in general aggravates", I found the remedy Kalium iodatum. However, Kalium iodatum was not even mentioned under the rubric "Skin, discoloration, white spots". I was in a dilemma - Will this remedy work? So far, we had been selecting a remedy based on mentals and generals but we also made sure that the remedy covered the local (presenting) problem as well. This was one of the first cases where the pathology was just not covered. I decided to © Copyright 2000, Archibel S.A.

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take a chance by ignoring pathology and gave this lady Kalium iodatum. The remedy worked beautifully. I started asking some questions. Why did it work? How did it work? How could the remedy cure something which is not known to be capable of causing or curing? What was the principle involved? At this time, I suddenly realized that when a remedy is potentized beyond 12 C, there is not one molecule of the original substance left; what remains is only energy. Since there no material substance left, it cannot cause any material changes in the body directly. It can cause no physical, physiological or chemical changes in the body; it can only cause dynamic changes. The sentence that came to my mind was: Potentized remedies have dynamic effect only. This sentence was the door to a totally new look at Homoeopathy and my first step to real understanding of disease. What exactly is a dynamic disturbance? This was the question. We had seen in our practice that a remedy that covers the mentals and generals cures the pathology, even if it is not mentioned in the Materia Medica. We found that in patients, it is the mentals and generals that are common to most patients of a particular remedy, whereas the "particular" or local symptoms differ from person to person.

Central disturbance
So, the general disturbance (represented mainly by mentals and generals), the central disturbance as we called it, comes first and this is followed by changes in the various organ systems depending upon each individual's pathological tendencies. Pathology grows on the central disturbance like a creeper on a stick. What we have to do is to remove the central disturbance.

Components: rubrics connected by a situation
My understanding progressed further when I started asking the question: What is a mental state? I then got the clue, that understanding the mental state of a person is different from listing his mental symptoms. Initially I tried to understand the mental state of patients and remedies in terms of essences or cores, but found that the core did not seem to cover the whole remedy. That is the time when I conceived the idea of understanding remedies in terms of components. Take for example the symptom "Predicts the time of death" in the remedy Aconitum. Immediately two things become clear: one is that Aconitum has fear of death, and secondly it has the ability to predict (clairvoyance). These two components together make the symptom "Predicts the time of death". In this way I started studying remedies as a characteristic combination of components. This idea helped me greatly in practice, but then came the question: Are these components merely unconnected phenomena or is there something in the background which connects them? A hint of the existence of such a background connecting the symptoms can be seen in the study of Fluoricum acidum. In Fluoricum acidum, there are components like "Indifference to loved ones, yet talks pleasantly with strangers", another component is "Increased sexual desire" and a third is "Lack of morality". If we look at these three aspects, they seem at first sight to be unconnected. How, we could ask, is increased sexual desire connected with indifference to loved ones? One situation can explain all these components, namely, when a man finds that he has married someone totally unsuited to him, and needs to dissolve the marriage. In such a situation he needs to develop an indifference to his family, to become irresponsible and have increased sexual desire along with sociability. I looked into the Repertory and found the rubric: "Delusion, marriage, must dissolve", and the only remedy given is Fluoricum acidum! Such observations created a new wave of thinking in my mind and I postulated that components of a state are not unconnected; the connection is that all of them are needed in one particular situation. A corollary to this is that each remedy represents a particular situation and that each patient's state also comes from a particular situation in the past in which the components of his present state were necessary. From these observations the idea of disease as being a survival mechanism in a particular situation became clear. The concept of Situational Materia Medica was born.

Root of disease
As thinking along this line progressed further, I saw that even children (with no special past situations) have states, and that adults too have states which cannot be explained on the basis of past situations in their lives. I came to the conclusion that these states may have been inherited from earlier generations. When I looked at cases in this new light, I found a very striking resemblance between the state of the mother during pregnancy and the state of the infant. I also found similarities between the state of the parents at the time of conception and the state of the child. This is how © Copyright 2000, Archibel S.A.

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the idea of roots of disease developed. Roots are tendencies which, when excited, manifest as specific states of disease. These tendencies are impressions from specific situations in the past (or from previous generations) and make a person feel and react as if he is in that situation (delusion).

Delusions: what they really mean
I also realized the importance of the section on delusions, because a delusion is a false perception of reality, and disease too is a false perception of the present. The whole mental state of a person is an expression of this false perception (delusion).

Understanding the mental state
With all this understanding, I tried to find more ways of understanding the mental state of a person and evolved some techniques. One was to use dreams since the theme of a dream represents the prominent components of the state of the dreamer. I also studied the way the patient expresses himself and how he relates to the people around him. Such techniques became an integral part of my practice. With new perceptions in my practice, many ideas were generated. These include ideas about remedy relationships, the Situational Materia Medica of several remedies and ideas about pathological and homeopathic prognosis. Much more importantly, however, I could look at the question of what it really means to be healthy. This could be related not only to Homoeopathy but to Philosophy in general.

Higher purpose of life
Health, I realized, was man's freedom to be in the moment and fulfill the purpose of life. I could not appreciate Hahnemann's vision that man, like all creatures, is an instrument of the spirit and is assigned a specific purpose by it (Aphorism 9 of the Organon). Disease comes in the way of the organism's ability to fulfill this purpose, since it doesn't allow man to react to the present. It makes him react according to a situation from the past. Cure is restoration of health. It is achieved by man becoming aware of his false perception of reality. This is made possible through exposure to his delusion. This is the basis of the law of similars on which Homoeopathy is founded. Practice became more simple; Materia Medica came alive and repertorial rubrics took on a new meaning. Philosophy, which earlier we had to be dragged into, became one with the spirit of life itself.

Sharing insights
Each chapter deals with a specific question. Each idea in this book seems so obvious to me now, but to get to it was a struggle. In practice an idea or question would flash in the mind. Then came sleepless nights while the mind grappled with the problem. Some solution would appear and this had to be tested the very next day case after case. Practice, a strict and impartial judge, mercilessly shatters some of your most carefully constructed theories. The ideas that stood the test of practice were subjected to further scrutiny; further observations were made and then I could go to the next step, just like a mountain climber who makes sure of his foothold before going higher. Step after difficult step I came closer to the understanding of Homoeopathy. I wanted to share all these insights with students who might face the same difficulties that I did. It was with this aim that I gave a series of seminars in Europe and India between 1986 and 1990. I had made some notes for these seminars which, together with some more recent insights, I have now put together and given shape to in the form of this book. It is possible that what I say may not be new - but to have knowledge of and, on the other hand, to actually experience and strongly feel something as correct and true are two very different things. Generally, most classical homoeopaths would agree with the ideas in this book. However, some of the ideas are new in Homoeopathy or at least are not stated so clearly and pointedly elsewhere. This include the ideas of roots of disease, components of mind, importance and use of delusions and dreams, compensated and uncompensated feelings, homeo-psychotherapy and Situational Materia Medica. My view of remedy-states and understanding them through the situations from which they originate promises to be the basis of a new Materia Medica, of which I have made a beginning through this book. If you read through all the chapters, I think that you will get a fairly accurate view of my thoughts and approach. As each chapter was written independently, there is bound to be some repetition and a lack of sequence. I must also add that © Copyright 2000, Archibel S.A.

and not by enquiry. the importance of pathology. We are going to talk about peculiar and characteristic symptoms and how they too represent the central disturbance. and Hahnemann says.all these questions will be solved quite easily once this vision develops. It is to have the unshakable conviction that if we treat the disturbance at the centre. Aphorism 211 says: "The state of disposition being characteristic. you will be lost in the jungle. These points need to be stressed repeatedly. Each remedy produces a state. Archibel S. still I have the feeling of having seen only the tip of the iceberg. there will be only one. the differences in the various approaches to totality. or "Dictatorial". We are going to begin with one of Hahnemann's most profound observations which he mentions in Aphorism 211 of the "Organon". to feel and to know as the truth that disease is not something local but a disturbance of the whole being. selection of potency and the prognosis of the case ." Look at the words." Each remedy has a peculiar state of mind which is characteristic to it. Aphorism 211 from the "Organon" reads: "This holds good to such an extent.Encyclopaedia Homeopathica 6 even though my perception of Homoeopathy has become much clearer. Every remedy has a different state of disposition. The word is observing. This and only this conviction can make us staunch and successful homeopaths and remove from our minds the confusions that arise in practice. I therefore make no pretence that this book is either complete or final. I am confident that in doing this the wonderful spirit of Homoeopathy will touch you. You have to experience the © Copyright 2000. I can say I have made an honest attempt to tell you the story so far. He did not ask us to record the symptoms. Truth has the quality of striking deep within. Try to understand. We say mental symptoms are most difficult to get. "it can least of all remain hidden from the accurately enquiring physician". you will find that there is only one remedy which produces that state. This vision will make several things clear. no patient can hide his mental state from you. and the rules and principles of Homeopathy will become absolutely logical derivatives and no longer remain dogmas.A. namely that the mental state often chiefly determines the choice of the remedy. If you understand the state. "the state" and not the "symptoms". and every medicine does so in a different manner. If you compare symptoms. the local problems will be lessened. "from the accurately observing physician". It is for this reason that I am writing this. "it can least of all remain concealed". But if you look at the state. which can least of all remain hidden from the accurately observing physician. the altered state of the disposition and mind. Each patient has a state of mind. We will see the oneness of Kent's. Mental state has to be found mainly by observation. from whom?. that the state of disposition of the patient chiefly determines the selection of the homeopathic remedy. If you look at the symptoms you will be led to many remedies. . We are going to examine what a mental state means. Boger's and Boenninghausen's philosophies. He never wrote. for there is no powerful medicinal substance in the world. At best. you have to see. If you are able to observe. intolerant of". Don't write "Contradiction. Questions about the importance of mind. We will use case illustrations to bring home all that we have said. the evaluation of symptoms. He asked us to understand the "state" of the patient's mind. Understand the state of mind from which these symptoms come." Look at the words. which does not notably alter the state of the disposition and mind in the healthy individual who tests it. you have to understand and you have to feel the state. The physician is an observer. these are all mere symptoms. You have to look. It is to be able to perceive. Hahnemann did not write "this holds true to such an extent that mental symptoms determine the choice of remedy". explained and exemplified so that they become a part of our thought process. as being decidedly characteristic symptom which can least of all remain concealed from the accurately observing physician. the site of action of a remedy. It says "the state of disposition". What is to be cured in disease (adapted from chapter 9 of "the spirit of homoeopathy") Vital to developing the homeopathic vision is the understanding of what is to be cured in disease. Aphorism 212: " The creator of the therapeutic agents had also had particular regard to this main feature of all diseases. It is to understand that remedies in potency produce the central disturbance alone. My aim in doing so is to stimulate the reader to make his own observations and develop his vision.

and I have been successful.if. Archibel S. as it is termed.as also in respect to the exact mode of preparation and quantity of it required (proper dose) and the proper period for repeating the dose . If we have a clear concept of what is to be cured in disease . Now." Get the meaning of it: "If the physician. some symptoms which are common to some of the provers. This means that a drug when given to 100 provers will develop some symptoms which are common to all of them. then he understands how to treat judiciously and rationally. Does this make sense? Diseases have to be cured. but who quarrel. Hahnemann describes something very fundamental. because truth is one. according to clearly defined principles. . One of the principles of Logic is that controversies arise out of ignorance. Most of you will agree with me. If a remedy covers the particulars. The third Aphorism is perhaps one of the most important of the "Organon". on easily comprehensible principles.what is to be cured in diseases. in every individual case of disease (knowledge of disease. that the two principles that I have given are not entirely novel. the disease has to be cured. what is curative in medicines to what he has discovered to be undoubtedly morbid in the patient." Cure is removal of disease. Step by step we are going to use logic to try and find the answer to this question. that all provers will produce? If you read the Materia Medica Pura. . others more rarely or in few persons. Then why is he writing in the third Aphorism. indication). I am stressing this point again and again because it needs to be stressed. This is one of the lessons I have learned from practice. the medicine indicated). . which are those common symptoms. so that the restoration may be permanent. clearly perceives. In so many cases I have prescribed on mentals and generals. Now. whatever be the symptom. But when I tried the reverse.Encyclopaedia Homeopathica 7 experience of the patient. in the shortest. He says: "If the clinician clearly perceives: . he knows the obstacles to recovery in each case and is aware of how to remove them. The person who knows what is to be cured "in disease" will succeed. some on very few healthy bodies. These are pure data of observation. Bryonia will be aggravated from motion and Rhus toxicodendron will be ameliorated by it. We will try to resolve the conflict between the various schools and one explanation will resolve many of them. and there will be some symptoms that only individual provers will produce. as well in respect to the suitability of the medicine most appropriate according to its mode of action to the case before him (choice of the remedy. we will not cure. Know what is curable in disease In the third Aphorism of the "Organon". it is bound to fail. there must be ignorance. that is to say. This is the art of case-taking.and if he knows how to adapt. what is the explanation for these observations? The explanation is the key with which many doors of our philosophy can be opened and the key to reduce the differences between various approaches and schools of thought in Homeopathy. to cure.that is to say in many individuals. When a remedy is proved. The highest ideal of cure is rapid. gentle and permanent restoration of the health or removal or annihilation of the disease in its whole extent. especially with mental symptoms.A. missing the particular symptoms in the Repertory. So in persons who seem to be knowledgeable. so that the recovery must ensue .to adapt it. that is to say.we will cure. When there is knowledge. in the introduction to Bryonia and Rhus toxicodendron. some which are common to 30 or 40. what is to be cured in disease? I consider this word "in" to be very important. © Copyright 2000.if he clearly perceives what is curative in medicines. Hahnemann writes in his first and second Aphorisms: "The physician's high and only mission is to restore the sick to health. most reliable and most harmless way. The first is Aphorism 116: "Some symptoms are produced by the medicines more frequently . I have always failed. and he is the true practitioner of the healing art. So. They have been emphasized by many masters and teachers of Homeopathy. Hahnemann observed that whoever be the prover." This refers to provings. It is not just not asking questions like "Are you angry? Are you sad? Are you depressed?" A remedy that covers the mental state and general symptoms of a patient has got a greater possibility of curing than the one that covers the particulars without covering the mentals and generals. If we don't. it produces some symptoms which are common to all the provers. and some symptoms which are the symptoms of the individual provers. clearly understands what is to be cured in diseases". finally. without covering the generals and mentals. there is no quarrel. in each individual medicine (knowledge of medicinal power) .

So. there will be only one godfather.I. The centre has to be captured first. does this information give you the name of the culprit? No. disturbance. There is no physiological. The peculiar modality will show you who is the culprit. everything will become clear. In Aphorism 212. It is clearly written in "Organon" that remedies have dynamic effects only. There are no local remedies when they are potentized.Immunological) disturbance. but it will come back again. and in all the provers. What is to be cured in diseases? It is the central disturbance that has to be cured in diseases. will give you many more particulars. you can assume that if proved in a susceptible person that remedy would have produced the same particulars (local effects). They will not allow a second godfather to operate. E. but the craving for motion in open air. it will affect his liver and if he has a tendency to insanity. The reverse is not applicable. The moment you catch the central thread of one remedy. the remedy that covers mentals and generals has got much greater possibility of curing. and not the pathology. Therefore. its aggravating influence on the peripheral pathology will automatically disappear. then its aggravating influence on peripheral pathology will disappear. Suppose your house is susceptible to robbery and the robbery has taken place.N. Stramonium will produce terror and Pulsatilla will produce a tearful disposition. Somebody writes that it is a good remedy for liver troubles and jaundice. nor liver. this will be affected. Digitalis potentized becomes a dynamic agent that causes a central disturbance at the level of mind and generalities first. So. does the modality represent the central disturbance or the pathology? The peculiar modality represents the central disturbance and not the pathology. Potentized remedies have dynamic effects only. This is the law of disease.N. This means that there is no material dose remaining in them. That is why we say." Digitalis is not vertigo. In Homeopathy. I like to compare disease to the Mafia. Because it had the opportunity and it did not produce them. Therefore you missed it. If you remove the Mafia boss. Archibel S. the cause. (Psycho-Neuro-Endocrino. The term local remedy when it is used for a potentized drug is a misnomer. no pathological. you will not succeed. Somebody else writes: "Vertigo from hunger is Digitalis. if a remedy clearly produces mentals and generals. Aconitum will produce violence in the mind. if proved further. and nothing will happen. no organic effect. There can be no disease in the organs without central disturbance.A. There is no physiological effect. once you remove the P. E. can you assume that it will produce the same mentals and generals? Impossible. The name of pathology will only point to individual's tendency. That is the secret. Digitalis no longer remains a heart remedy. The first rule of Mafia is: Only one don can rule at the centre. But if you identify the boss and hit him on the head. his P. and the state of mind with loquacity and jesting were produced in most of the provers. All the particular symptoms for which you are searching can be missing. Digitalis is a dynamic disturbance. Whoever be the prover. The Mafia Organization (we may assume) is governed by certain definite rules and principles. he will become insane. There can be no affection of the parts without the affection of the whole. Our medicines are potentized. A well-proved remedy. the central thread of the patient. Digitalis has an effect on the heart in physiology not in Homeopathy. all the smuggling and other activities will automatically stop. the second thing a remedy produces that is common to all provers is "a mental state". Arsenicum or Phosphorus. Hahnemann writes of Aconitum that it cannot be given to a calm person. but not as many more generals. and then this central disturbance will go and act upon those organs which are more susceptible. bilaterally symmetrical affections. Kalium iodatum was not proved nor given as a remedy in a person who had a tendency to leucoderma. © Copyright 2000. than one that covers particulars without covering mentals and generals. Try to stop the drug racket and it may stop for the time being. Unless the don controls the centre. otherwise he cannot operate his smuggling and other rackets. The modality will give you the identity of the fellow at the centre who is causing all this trouble. and if his prostate is susceptible. lung or spleen. The way in which the act of robbery was executed will give you the name of the culprit. if his liver is a weak point. not heart. and then if there is tendency to heart trouble then it will be affected. As long as you handle particulars as particulars. But if you see a remedy that produces particulars.Encyclopaedia Homeopathica 8 Mental state versus mental symptoms This means that general modalities are common to all provers. Mind is a state which is produced in all diseases. Kent writes that it is one of the best remedies for prostate. . Try and stop the smuggling locally. Once you remove the central disturbance.I. which it produces in all provers. then everything will stop. and he has to control the centre. he cannot act on the periphery. we have already read that all remedies produce a mental state in all provers which is peculiar to that remedy. I am trying to point out that having mental symptoms doesn't necessarily mean that the mind is affected. It is the central disturbance that comes first. Once you cure the central disturbance. but with the modus operandi (type of characteristic action) of the central disturbance.

if a person has a mental state.Encyclopaedia Homeopathica 9 The other thing that becomes clear is that since there is only one central or P. tedious diseases. for a long time. asking whether it is possible to divide diseases into categories. © Copyright 2000. The central disturbance being the same all over. The local peculiarities are also indicative of the nature of the central disturbance and hence can be generalized (Boger). Any classification is just a means to an end. we have to focus in every case on the central disturbance.) makes profound sense. If you have a nervous symptom. The natural classification of diseases Historical perspective As long as man has known disease he has strived to attribute it to some or the other cause. It seems reasonable to study his classification without going into argument as to whether his theory is sound or not. It is the factor behind all local problems. Hahnemann found that: "The disease would continue to progress." Hahnemann discovered that the chronic diseases nearly always had a pattern that could be related to psora. and whether such a division (classification) helps in arriving at the similimum more easily. He proposed that the chronic diseases resulted from badly suppressed scabies (itch). It can be identified especially from the mental state and general symptoms.A. E. we discard it. you cannot prescribe on it alone.N. and the disease increased from year to year. if not. minimum. their issue hopeless. we accept it. This particular classification has helped me in greatly simplifying remedy selection. no progress was made in the cure of chronic diseases. has aroused more controversy than all his other tenets and doctrines. and at length he succeeded in solving "this sublime problem through unremitting thought.. in spite of additions yearly made to the Materia Medica.such classification offered a feeling of security against the unknown. disturbance. a great boon (which) had not been put within their (physicians') reach by what Homeopathy had taught hitherto. etc. indefatigable inquiry. unless there is no contradiction at the level of mind-endocrine-immunologic systems. However." "And yet. Thus a classification was not.the chronic miasms. my practice of Homeopathy has become much simpler and my prescribing more certain. even as far back as history extends. You must expect concomitants in the neuro-endocrine-immunologic systems. the doctrine itself is built upon the steadfast pillars of the truth. sycosis or syphilis . The peculiarity of the homeopathic system of medicine . and must ever remain so.. That means. you cannot prescribe on it alone. The easiest way of identifying it (especially in illness with bodily pathology) is to understand the mental state (Kent). I would liken it to a map which put you on the correct street. all the four systems must indicate the same remedy-state. attempting to classify them ." Hahnemann was not willing to ascribe these failures to the want of sufficient number of medicines proved. especially as. whereon you could knock at the individual doors and look up the occupants. owing to the numberless. if the theory can be understood in spirit and applied in practice. a way of looking at things. based on a theory of origin of diseases.distinctive from all other schools . To summarize. trying to find some order in these onslaughts on his health. He indicated the drugs likely to be most useful in treating such cases: the anti-miasmatics. for this is the main objective. He says that from the year 1816-1817 the solution of this problem occupied him night and day. I find that after understanding the miasms in the light of my own concept of disease as a delusion..I. If the classification is of practical utility. Archibel S. With this new understanding of the chronic diseases. being logical. simplex. Their commencement was cheering. deemed essential by Hahnemann and other pioneers of Homeopathy. All that he had written earlier (drug provings." The purpose of classification Hahnemann's classification. faithful observation and the most accurate experiments made for the welfare of humanity. their progress favourable. gonorrhea and syphilis respectively. . in a large number of chronic diseases.is that it enables the physician to approach even unknown pathological conditions with reasonable certainty of finding a remedy for the patient. even when the treatment was apparently conducted strictly in accordance to the doctrines of the homeopathic art as hitherto known. we can find its indications concomitantly in more than one sphere (Boenninghausen). the remedies employed would do little or no good.. With this attitude I began to look into Hahnemann's theory of miasms. law of similia. Hahnemann found that one became "able to deliver mankind from the numberless torments which have rested upon the poor sick.

that I was greatly aided in arriving at these conclusions from my understanding (clinical) of drugs and patients. Therefore runs. attempting to find the common theme in them if there was one. killed. there is terror on his face. Children wake up screaming. In order to find out if there was a particular theme to each miasm. Danger. I have tried to restrict myself entirely to rubrics that can be found in the text . he reacts as though he had seen a lion (previous situation). (As in nearly all cases the response is not due to an exciting / maintaining cause which. dogs attack him. if present. of accidents. Chronic : Psora . Belladonna. when he suddenly sees a cat. Thus we see that disease expressions are the response to a delusion in all cases where there is no exciting / maintaining cause to account for the response. the classification is both a "disease state" and a "drug state" classification. Acute : Aconitum. Later. cling to those nearby. Delusion. impression of.Sulphur..Mercurius. presentiment of.. a delusion. Stramonium: Delusion. As drugs are nothing but artificial diseases. a man suddenly comes to face a lion. resulting in Delusion. However. This false perception of reality has its root in an actual situation which existed either in the patient's own life earlier or as a state in the parents. In other words. awareness is cure" in "The Spirit of Homeopathy". however. Syphilinum I shall now give a brief analysis of these groups and the conclusions that could be drawn from the same. © Copyright 2000. the impact of that situation is such that when faced with another situation the patient's reaction is still as though he is in the previous situation.. Archibel S. As this is an abstraction derived from personal experience. Psorinum Sykosis . I have not included it in the analysis. Relating this idea to the theory of miasms it becomes clear that the classification of diseases must be a classification of delusions. sudden death.the conclusions that follow are therefore not based on my personal experience alone. This is his delusion. alternating with rage. recognize no one. of suffocation. lost in the wilderness. escapes. Lyssinum. happen.. He is panic-stricken and flees from the spot.Encyclopaedia Homeopathica 10 Understanding miasmas I have dealt extensively with the concept " Disease is delusion. pursued. Thus I recognize Medorrhinum as a person who is very anxious that his weakness should not be exposed and uses egotism to cover up this weakness. pursued by police and soldiers. about to die. We know that disease is a false perception of reality. Belladonna: Delusion. Analysis Acute Aconitum: Fear. Medorrhinum Syphilis . Feeling he will be Visions of gallows. It is these responses that we perceive as symptoms. For example. Desires light and company. Fear.A. and can be reached by anyone who makes a similar study. A similar study could be made of Hyoscyamus. Impression of danger. I shall deal with disease entirely as a delusion. Seeks a safe spot. I used Hahnemann's classification of diseases and drugs: 1. rage. Veratrum. with fear. . must be removed. something sudden will Death.Thuja. qualifying this where necessary). of walking across a busy street A feeling that Fear. I studied some drugs generally accepted to belong to that miasm. etc. The fact remains. Stramonium 2.

Therefore to keep things Delusion. Covers up with egotism. will not be touched or anyone to come near approached (Phatak's MM). Ailments from anticipation.Encyclopaedia Homeopathica 11 Conclusion We find that in all these drugs there is a feeling (delusion) that "there is a strong threat from the outside world". to get it back. is very evident. are faults in him that Fear of misfortune. is loosing something though ignorant. up by not allowing Insanity.anxiety from doubts about his ability (capacity) to deal with this stress: "Will I be able to do it?" However. is made of glass. The patient covers this Religious fanaticism. evoke criticism. It will be noticed that Aconitum and Belladonna which are the best examples of the acute miasm are given in Synthetic Repertory (II) under "Sudden manifestations". may be noticed and Anticipatory anxiety. Fixed ideas. Medorrhinum: Sensitivity to a slight critique. reflex manner. and the person reacts in an instinctive. and "money". Conclusion The delusion here has two components: . A feeling of a fixed Delusion. Washing hands. any time though they are Feeling that business will fail fine at the moment.stress from outside and .A. Psorinum: Despair of recovery There is a feeling that during convalescence. . despises literary and must struggle men and education. We find that there is Delusion. Archibel S. is thin. a struggle with "ego" Talks of business. © Copyright 2000. as they are. Psora Sulphur: Fear of poverty. Feels good and bad in turns. failure here does not mean the end of the world. Sycosis Thuja: Delusion. Anxiety when a time is set. and psychologically. though it is prosperous. A feeling that there Sensitive to reprimands. weakness in himself As if body is fragile (Phatak's MM). disgraced. he is getting thin. Averse to responsibility. Delusion. him both physically Secretiveness. The feeling is that he Imagines himself a great man. things may go wrong at Fear of poverty. he must struggle. going to lose his fortune.

You instinctively stop the car and get out as fast as you can. Liar. Thus infection with T. This feeling probably arises after struggling without success for some time. Imagine that you are driving a car on a lonely mountain road and suddenly there is a loud noise and the car starts wobbling. Washing hands. Kill. considers everyone attacked from all sides his enemy.death or recovery. When a person reacts to any situation in an inappropriate manner.ulceration. i. The nature of the infection determines the response. This is a syphilitic response and the underlying miasm is syphilis. desire to. not hopeless. . These conclusions are corroborated by the central features of the infection itself. you find that © Copyright 2000. to recognize the miasm." The response to this feeling is a drastic do-or-die attempt to change either himself or the environment . Syphilinum: Antisocial.e. Archibel S. I cannot adapt to this unfavourable situation nor can I control or cover up my weakness. The patient keeps trying to make up for this specific weakness in him even when the situation does not demand it. Something is wrong with me. Acute : Sudden onset. then the underlying miasm is syphilis. Conclusion The feeling is: "I cannot manage. he evidently felt it was a hopeless situation requiring a drastic solution. Horrid depression and antisocial.. A feeling that there Hopeless despair of recovery.g. Psora : (Scabies) Itching. to come out of it. However. Sycosis : (Gonorrhea) Gleet is the most characteristic manifestation. if he commits suicide. steady. Once out of you car. but not a desperate situation. despair (Boger's SK). I can't cope with the problems both inside and outside. in a syphilitic manner where all that was required was a struggle. start sweating and are in a state of great panic and excitement. though the environment is normal. to do desperate things Impulse to kill his beloved ones. want of moral feeling. rapid progress and swift determination . e. . While the person tries to regain control. A violent effort in a hopeless situation. Let me illustrate this concept of miasms with an example. Pallidum calls for a specific type of response . there is an internal feeling of despair and futility. Indifference. Consider a student who has failed an exam. Perception of reality differs according to the miasm of the individual. determine how reality is perceived by the patient. The body responds to a particular infection in a specific manner.. is absolutely no hope. A chronic. Suicidal. Therefore.a violent process.the syphilitic response. 12 Conclusion The feeling is: "I am incapable of handling this situation. the situation appears hopeless. etc. etc..A. kills. a last ditch attempt." With this admission of a weakness in self is an attempt to cope with it and cover it up. caries.. fixed defense with no likelihood of complete recovery. a constant struggle.Encyclopaedia Homeopathica Egotism. All he needs is to study hard (struggle) to pass the next time. Syphilis : A chronic desperate struggle where the body destroys itself in an attempt to survive . You get palpitations. Syphilis Mercurius: Delusion. Feels viciously Suspicious. surrounded by enemies.a desperate situation Impulse to kill the person which requires him who contradicts. with extreme discomfort fort but not life-threatening. The reaction is violent.

unmoving). or "Think positive". If he later reacts in the same fashion on seeing a cat. Here I must point out for clarity that our miasmatic classification is not built around characteristics of any infection. an adult may throw a stone and try to send it away (struggle). The four phases of this incident represent the four miasms. are all in response to the rise in sycosis.g. but inappropriate for the moment. The acute is the immediate reaction necessary to survive. A girl who feels she is ugly (delusion) may try various methods.Despair . "How to look more beautiful?". a middle-aged person would sit where he is and wave a stick to keep it at a distance . her feeling is the same ("I am ugly"). of having a tough time with the self in the struggle for existence. however. . or both. it is undoubtedly inappropriate.Encyclopaedia Homeopathica 13 it was only a burst tyre. The various miasms represent a progressive failure to cope with the situation. This is usually an end stage and the survival response may break down completely.Syphilis We can see here how the first stage could possibly require Aconitum. There is a sense of inadequacy and inferiority. © Copyright 2000. Unfortunately. the delusions and reactions most often seen. neurotic acts.Sycosis 4 . wondering if you can do it. As the person fails in his struggle (Psora) to cope. namely a burst tyre.you know that no one is going the help you out and you cannot do it yourself. such as we see in drugs like Silicea. for here he doesn't need to flee to survive. he starts developing bad feelings about himself and becomes fixed (Sycosis). "I am beautiful". In other words. etc. etc. leading to suicide. Your panic recedes on realizing that the situation is not threatening. self-improvement techniques. they naturally fit into the classification and help us to understand it more easily. What is interesting is that the external situation is the same. You realize that you have to change the tyre. These are only ways of coping with the same feeling of inferiority rather than a true diminution of the feeling. no matter which miasm they belong to. represent the survival mechanism called for in the original situation. It is based on common states of being. the third Argentum nitricum and the fourth Syphilinum respectively. but in the final analysis. the person is reacting to a situation which does not exist now. while the aged infirm person just wait for the dog to get him. I would like to stress again that the same external situation (reality) is perceived differently depending on the miasm.A.a constant effort so that it does not approach him (fixed. Thuja and Medorrhinum. psoric. Sycosis is the reaction to a situation that demands that he accepts his own weakness and covers it up in order to survive. A person flees from a lion in order to survive. Survival response We must not forget that all symptoms of a disease (or a drug).Panic . indifferent to what happens.Struggle . and start struggling with it.. Psora is the reaction to a situation which demands that he struggles with the circumstances outside in order to survive.. This is his delusion. Thus. Archibel S. The growth of psychotherapy. As infections are secondary to these states. but he feels that in order to survive he must respond as if to the original situation. but now she is further away from awareness of this feeling. The miasm depends on the external situation. 1 . and when this reaches a certain level. A good number of people in the world today are in a sycotic state. being distinct. sycotic or syphilitic response predominantly. So you kick the car angrily and lie down. obsessive compulsive habits ("I need to check and recheck my work because I am not good enough").Feeling of incapacity and cover up .Acute 2 . mostly spoken of common infections of the human race and seen that the characteristics of that infection fit in with the miasmatic classification. Finally you lose all hopes . In order to cover up his inadequacies. he becomes filled with despair (Syphilis). Thus if a dog approaches a child. the second Lycopodium. I have benefited immensely from it already though there is much still to be learned. After some time you realize that you are incapable of doing it and light a cigarette while waiting for someone to help you out. well-known entities.Psora 3 . The syphilitic reaction comes with the realization that adjustment is no longer sufficient and that in order to survive he must bring about a radical change in the internal or external circumstances. The miasmatic classification is one of the most brilliant contributions made by Hahnemann to the medical world. its severity and duration and also on the capacity (ability to cope) of the individual to face it. e. his disease. most such methods manage to achieve the opposite because they only bring about a better adjustment to fixed ways of thinking and living. The original situation of each remedy demands either an acute. it will panic. the sycotic puts up a defense of fixed ideas.

We know that the mind and body work harmoniously as a unit. Correlation with other classifications As will be seen.. our map will become more and more precise. etc. I have benefited immensely from it already though there is much still to be learned. the psoric miasm will be prominent in the years where one has to stand on one's own feet and face the world . Acute miasma: An immediate." Conclusion In concluding this section on in-between miasmas.youth and adolescence. Psoric miasma: Expressed by a reaction of body on exposure to environmental stimuli. light. a middle-aged and an aged person respectively would look at the mountain. sycosis is the man who is stuck somewhere halfway and has decided to settle down there. of being sad. and the dreamer being unable to help. strong response like high fever. e. the acute miasm will be found more in babies and children because this is the time when threatening situations from outside are more often found. etc.g. they naturally fit into the classification and help us to understand it more easily. The acute miasm is the first instinctive. discomfort. Thus. is not restricted to the mental state alone. this classification of disease corresponds to certain natural as well as scientific classifications.Encyclopaedia Homeopathica 14 Physical expressions This miasmatic classification of disease. The sycotic miasm will be seen predominantly around the middle age when the person. bounding pulse. as in Belladonna or Aconitum. Therefore. there will be a kind of childishness in his response (the type of response helps in recognizing the miasm). after struggling long. The theme seems to be of: dream of danger. even when we find it (acute miasm) in an adult. e. Here I must point out for clarity that our miasmatic classification is not built around characteristics of any infection. Sycotic miasma: There is a hypersensitive response to something specific arising out of a deficiency of the normal response. of being pursued. I would like to say that there may be many other miasmas waiting to be discovered. It is like burning your own property before retreating in a war (scorched earth policy). sees many © Copyright 2000. instinctive and childlike reaction. Provers experienced a lot of dreams of parties. a reaction to one's surroundings. flushed face. producing functional disturbances.A. while psora. . a period of struggle. The four stages of life Consider the different miasms in terms of a situation where a huge mountain is to be climbed. Syphilitic miasma: The situation is not manageable. With time. The miasmatic classification is one of the most brilliant contributions made by Hahnemann to the medical world. odours. and thus we find destruction in the form of gangrene. sycosis and syphilis may be represented by the way a youth. tumors and allergies. Keloids are a good example where the "deficient" feeling gives rise to an increased attempt to repair the fault. nausea. It is based on common states of being. The reaction of the acute miasm is an innocent. while syphilis is the man who is falling down. and the disturbance is uniformly expressed in both spheres. the delusions and reactions most often seen. headache.g. Psora is the struggle to get to the top. Archibel S. being distinct. We can therefore say that the basis of this classification is true because it is universal in application. well-known entities. Of somebody facing a danger. Thus.. sudden response at the sight of a big mountain: "Oh!" He is taken aback. You must have noticed in the above examples that we have mostly spoken of common infections of the human race and seen that the characteristics of that infection fit in with the miasmatic classification. In the same way. One might say the acute miasm is the way a child would look at a mountain. though based on a concept of disease as a delusion. feasts. we find the physical and the mental states in tune with each other.g. As infections are secondary to these states. Aggravation from consolation. e. etc. sensitivity in the same person to many factors like noise. ulceration.

He then has a kind of anticipatory anxiety though he is not so distressed (latent psora). menstrual disturbances. Sometimes the balance is on his side and he feels high. He never hopes to get rid of his weakness. He feels that it is not possible to modify what is wrong. it has to be radically changed or destroyed. sycosis and syphilis. he can have impulsive reactions to situations. diseases are classified into Functional. etc. So. at other times. With this internal feeling which eats him up. there are more destructive diseases such as myocardial infarction. 2. criticism or domination . The sycotic personality The main feature of the sycotic personality is secretiveness. The syphilitic personality is also marked by very rigid ideas. There is a lack of confidence in facing the situation. the syphilitic person is characterized by deep and chronic pessimism with occasional sudden impulsive violence directed at himself or others . This is the time when ideas become rigid. In Psychiatry. It depends on the intensity of the roots of the disease. asthma. sensitivity and anxiety about the future. imbalance of growth.Encyclopaedia Homeopathica 15 defects in himself and tries to cover them up. he has a strong pessimistic view of life. the struggle is over. we find functional disturbances like anxiety from problems which are solved with some time and effort. however bad the situation. There is no hope now. 3. and therefore describes his symptoms vividly and well. He is observant. This correspondence does not mean that the acute miasm is seen only in children and the syphilitic only in old age. . gangrene. e. The psoric personality has highs and lows. freedom restricted and the person is content to cope rather than struggle. etc.conditions which almost always create panic because when untreated. These correspond to psora. These ideas are not only about himself as you see in the sycotic person. Depending on the everyday situation. acne. like measles. It is also present. insecurity. The psoric person is seen to be active. There will be many and varied dreams. Archibel S. In middle age. That is why they are usually © Copyright 2000. he thinks and acts in particular ways and even the dreams are specific. The syphilitic personality The syphilitic person has neither the highs and lows of psora nor the secretiveness of sycosis. diarrhoea.his feeling is that the matter has gone beyond a tolerable limit and there is no point in trying to adjust. osteoporosis.. Neurosis and Psychosis.A. This causes a kind of internal restlessness. death is a possibility. But there is always hope. This causes constant anxiety which becomes marked when he is actually confronted with the situation (active psora). he is more closed during the interview. a feeling that he may not be able to do it. dissatisfaction. 5. ischemic heart disease. but to a much lesser degree when he is not facing a situation. In young adults. parkinsonism. we see restrictive diseases such as arthritis. all that he wants is to somehow cover it up. These constant efforts to cover up his weakness make even everyday life stressful. but also about the situation.a mercurial temper.be it an insult. The struggle is like a tug of war with the outside world. Consequently. These various phases correspond to the acute. while in old age. If there are roots of equal intensity for diseases belonging to all four miasms. being keen of mind. 4. then it is very likely that the acute will become manifest in childhood and so on. . He is always trying to hide his weakness and is constantly tense. The age of syphilis is the age of senescence. sycotic and syphilitic miasms. The sycotic individual is less active and more reserved than the psoric. psoric. the dreams will reflect his anxiety about not being able to cope and about the struggle (effort to cope). Even coping with the self is not possible and the only way out is death and destruction. etc. Personality types The psoric personality 1.g. The psoric person is usually expressive during case-taking. the balance is on the other side and he feels low. The sycotic person has fixed habits and traits. The struggle is an active process which becomes apparent especially at times of stress. It does not matter what the situation is . In children we see illnesses of an acute nature.

exacerbations. psora will tend to cause functional disturbances at the level of various systems and reversible pathological changes although this is not invariable. deep-seated pessimism. threatening conditions that cause panic in the mind of the patient and those around him. we see overgrowths. its physical state will reflect the miasm. What is more important is the nature of the pathological process . The syphilitic response occurs when a person is faced with a superhuman task . the modalities too are very specific and few in © Copyright 2000. therefore. therefore. would represent the sycotic miasm. its reaction will be concentrated at specific sites and organ systems. a compensated and an uncompensated. The sycotic miasm in its physical aspect also has a hyper-reaction. In sycosis we find a tendency to discharges that leave indelible (fixed) stains. It is a state of alarm and here. yet it can be aggravated by something very specific.one where no man can succeed. the acute personality is excited. In psora the reactions are to a variety of stimuli since the struggle is with outside irritants. severe sudden destructive episodes (gangrene. slow troubles usually with a tendency to overreaction in that particular sphere (note: this aspect is further amplified in pathology and miasms).. 16 The acute personality The features of the acute personality are that he perceives the situation to be one of acute threat and. In general. they function at a very high voltage. because his actions will otherwise be funny and totally out of context. The acute miasm will show sudden and violent reactions. hyperimmune responses. are dictatorial and are not amenable to change unlike the psoric personality.a Stramonium (a remedy known for fear of dogs) patient may have many pet dogs. since one is trying to cope with the body's own specific weakness. it does not show a plethora of modalities as does psora. The reaction will also be the same no matter what the stimulus is or even with no stimulus. sudden. Many go into a contraphobic behaviour which means they do exactly the opposite in their life to what they fear . and structural pathology. The syphilitic miasm shows slow degenerative processes with occasional. these are actually manifestations of a compensated phase going into an uncompensated phase. Thus.Encyclopaedia Homeopathica aggravated by contradiction. not syphilis (ulcer). It will demonstrate hypersensitivity to external factors and will manifest the same struggle and activity. feelings about one's own self are not in the forefront. There may also be sudden. and there may be several and varied modalities in the same patient. Such seemingly acute conditions are usually based upon a degenerative process that has been taking place over a long period of time. which is more impressionable. In its pathology. In sycosis. The disease usually has an insidious onset and the course is steady. If the acute miasm is present in a chronic situation then the person is required to compensate the most. Many of these unacceptable and "funny" features will be heavily compensated and they will become uncompensated in a stressful situation or will be expressed in their uncompensated form in very special ways. and goes sometimes to the other extreme of being completely shut off and insensitive. fixed and steady states like asthma. tending to cause chronic. etc. An acute miasm does not usually cause chronic structural pathology. threatening situations.A. usually shows acute. They can also have manic defense reactions like excessively loud laughter or abnormal bursts of courage and cheerfulness. Physical symptoms of the miasms When we talk about the physical symptoms of the miasms we do not mean the pathology.the reaction will be the same. The acute personality has two phases. since they are meant for an acute threatening situation. It is as if the situation itself is so overwhelming that it doesn't matter who is facing it . intense reactions to stimuli. reacts instinctively. These two phases are true for all miasms but are especially marked in the acute. an indolent ulcer with hypergranulation (proud flesh) following an injury. Sycosis has very special cravings and they are usually limited in number. . The acute miasm. Thus. However. Here the weakness is perceived within the self. Thus. the acute miasm can aggravate structural pathology especially when the tendency to such a pathology (genetic predisposition) is quite strong in the patient. myocardial infarction). The reactions in these circumstances will be sudden and quick as if the person is facing an acute threat. Archibel S.the pathogenesis. Psora shows the maximum generalities. They can appear to have mood swings but if examined closely. Whatever the pathology in the case. The dreams too are full of excitement and represent acute. the maximum cravings and aversions. The psoric miasm in its physical aspect will show the same highs and lows as we see in the mind. excitable and hyperactive. impulsive violence as in the syphilitic personality but without the counterpart of the chronic. In general. sharply and intensely. so sycosis is usually not much affected by external factors.

In psora. we find the racing pulse. Normally. cold hands and feet. Mentally this is seen as a "Fear of death". We see that there are hyper-responses to definite factors and the response is specific.A. In the physical sphere.g. . a hypersensitivity that prevents him from coming into contact with injurious or insulting stimuli. Arsenicum is a drug with a strong sycotic aspect with its main delusion being that he is old. cautious and anxious. this feeling is reflected in the physical sphere too in the form of ulcers. Following this. if long term sequelae such as restrictive pulmonary disease due © Copyright 2000. so I have to find a way around and constantly see to it that it is kept at a distance. The main sphere of Staphysagria is sycotic. hypersensitivity and irritability).Encyclopaedia Homeopathica 17 number. with their foul smell and decay representing this destructive process. The mind and body move towards destruction. The same reaction exists in the body. and I can't cope"." The mind and body overreact. the feeling is: "There is a problem which I am not capable of solving. For example. should not expose his "lack of control". measles in childhood and degenerations like parkinsonism in old age. Belladonna. tooth extractions and pains following surgery. when stimulated. vomiting. delusions and miasms The state of the mind and body are always related: the delusion belongs to the person as a whole and is reflected at both levels. This is the subacute stage where the body has contained the inflammation but the threat is still present. the same feeling of vulnerability to external injurious factors is manifested by its overreaction to several stimuli. Neutrophils attracted to the site by chemotaxis are enabled by the fibrin scaffolding to engulf the organisms. Therefore. the feeling is: "Something is happening to me and I must do something about it. . and then react abruptly in a destructive manner. However. and that there are thieves around who intend to take advantage of his weakness. In Aconitum (acute miasm). burning. the symptomatology will call for this group. If the condition does not spontaneously resolve at this stage (progress depends on intensity of roots). Physical states. They seem not to react up to a certain degree of stimulation. Let us look at this correlation between the mind and the body in drugs. psora is active and drugs like Sulphur and Lycopodium will be required. Pathology and miasms Earlier we looked at how certain miasms are more common in particular ages and how some pathologies reflecting the different miasms are also more commonly seen in the different ages. The mind and body react. The pains of Staphysagria therefore come on from touch. Note that the mind and body of Staphysagria show not the constant intense irritability as in Belladonna and Chamomilla.g. the condition does not go beyond this. etc. Similarly the evolution of the disease will reflect the miasm. palpitation and flushing of face alternating with paleness. the symptoms of the body and mind are often found to be common (e. "Anxiety" and "Restlessness". In Mercurius. high fever. the body mounts an active inflammatory response with exudation of plasma proteins like fibrinogen which cause consolidation of that portion of the lung. e. Therefore. he develops a hyper-response. weak and defenseless. produces a sharp reaction. In the body. fastidious.e. . There must be change.In sycosis. the perception of the body is that things have gone too far and that he must sacrifice (suicide) or destroy (kill) what cannot be changed. . the body has to clear up the debris for complete resolution. i. but a tremendous sensitivity to a particular spot which. This stage requires drugs like Rhus toxicodendron and Bryonia.The syphilitic feeling is: "The situation is desperate and hopeless. etc. Arsenicum is aggravated from dust. Archibel S. To summarize: . though it is not always easy to see the connection. etc. The feeling is : "Something terrible is happening". In the syphilitic state. and so has to bear (suppress) everything.The acute is a state of instinctive reaction. and the main theme of the pain is extreme sensitivity or touchiness. diarrhoea. This is the stage of the acute miasm and requires drugs like Aconitum. especially at night (the time of maximum danger). This is a struggle. there is a feeling that something sudden will happen leading to his death. the first reaction is one of severe pain. When this process is unduly delayed. Staphysagria is thus commonly indicated in toothaches. restlessness and quickened pulse. We see a hyper-response in the form of becoming restless. with an inflammation of the lungs (pneumonitis). rich or spoiled food and ice-cream. a perceived weakness within. and the response is in the form of restlessness." The mind and the body struggle. The feeling in the mind is that he cannot afford to react sharply to insult or injury. Syphilis too has few and specific cravings and its sensitivity to stimuli is much lesser than psora.

I further believe that the inheritance of the miasm (specific remedy / disease states) is not genetic and actually takes place because the vital force of the parents is tainted by such states. the ulcer. is Arsenicum. a disease state is usually a combination of miasms with its main focus on one miasm. for the purpose of understanding. This shows the acute miasm. sees thieves"). quite correctly that psora does not usually causes structural changes. Thus. he works in the same manner. may be because his basic nature is that of a smuggler. e. This can be understood by an example. Now. These ulcers are sensitive. he will do his job very well. Here. and physical (type of reaction / response at physical level) state have already been discussed. etc. we must remember that it is not the pathology which shows the miasm but the state. that the underlying miasm is syphilis.g. the situation may get too acute and he sees thieves in the house ("Delusion. Stramonium may be the remedy provided there is a Stramonium feeling and reaction to the hair loss. unhealthy and destructive. Finally. painful. . how he perceives himself. In such cases. Certain pathologies fall into particular miasms or remedy states. If the patient has a predominant psoric miasm.g. we must remember that the miasms are only a classification. A normally chronic problem. "Suspicious"). It has been mentioned in our literature. a remedy will have one predominant miasm with extensions into the others.e. panic and crying for help. The same holds true for the acute miasm too.A psoric ulcer would be one following trauma in which there is a struggle to restore the normal skin. you are likely to find a strong genetic predisposition to that condition. in a particular case. It is most important to perceive each miasmatic state of the remedy in order to understand the disease state in toto.e. warts belong to sycosis and call for drugs like Thuja.Encyclopaedia Homeopathica 18 to fibrosis between pleural surfaces. Diagrammatically. likewise."Curling's ulcer". The pathology per se is not as important as what is characteristic of the pathology in that individual. Drugs like Silicea are now needed. are found. or it may not be so bad. He knows that he is weak and needs people but has to be very careful and cautious or else they will rob him ("Fear .A. "Cautious". i. with cunning and secrecy (as if he is still smuggling). and how he reacts when things within and outside become unmanageable. because then we become aware of how a person perceives and reacts to the environment. . if he is in a country where there are very strict customs restrictions and hence almost impossible to smuggle goods into.The sycotic ulcer will be indolent. it indicates sycosis. But if a person has a strong tendency to warts and if his state is Stramonium. as is evident. At the same time. It is a hopeless situation and suicide is the only way out. We do not conclude from the pathology. . Sometimes. the person is carried through to the various stages of pathology described above. Archibel S. alone. If a gangster is well trained in smuggling. For example. with proud flesh (hypergranulation) and often painless. Depending on the intensity of the roots. The three together reflect the miasm. what must be cured is the disease state. The mental (delusion and response). this is usually in keeping with the mental and physical state.Acute ulceration of the gastric mucosa often results following severe burns . e. and there is healthy granulation tissue but the process is slow. we find drugs like Hepar sulphuris and Mercurius often indicated. consider an old man alone in the house with his money. I believe that miasms are inherited or acquired separately from the tendency to pathology. . although Stramonium is not known for such a pathology. This must not be taken to imply that where there are structural changes. with sycosis in the forefront. we have been considering each miasm separately.. this Stramonium state will also aggravate the warts. hair loss can. In some cases.he is robbed. Consider the following: . To understand "what is characteristic of the pathology in that individual". the infection results in a lung abscess. The situation may go out of hand . We have to find what is the state that indicates the miasm rather than finding the miasm on the basis of the pathology. Some erroneous notions have risen from lack of understanding of this concept. these multi-miasmatic states could be represented as follows (taking the above specific example to illustrate): © Copyright 2000. we see a situation in which elements of all the miasms are found. indicating syphilis. he may enter politics but here too. The remedy.Syphilitic ulcers are spreading. of being". i. imperfect resolution. manifest with acute expressions. Only such an explanation can account for my observation that the states of father and mother at the time of conception are seen to be transmitted to the offspring. Multi-miasmatic disease states and remedies So far. we will often see pathology corresponding to that state persisting. However. in which case it is a struggle to safeguard the money. We find that Arsenicum has all the miasms with a predominance of sycosis followed by acute then syphilis and only some psora. let us take the example of an ulcer. the case is not psoric.

etc.Recurrent attacks of cold. or an intense situation creating the acute state in the mother during pregnancy. As the state changes.Clinging to mother . depending on which miasm is prominent. Consider a Stramonium state. etc. It is the most likely of all the miasms to be present alone. Other reactions and thoughts may come and go. we find that the Stramonium state comes up most easily in Calcarea type of patient. let me try to change the tyre though I have never done it before. but this startled expression and fear will persist.. At any particular time in a case. the remedy must cover the most prominent miasm as well as the others. i. it may be found that a different miasm shows predominance. they are often © Copyright 2000. However. A Calcarea patient when chased by a dog would be likely to develop a Stramonium state while a Platinum type of personality would take a stone and throw it at it. I have added the acute as the fourth miasm in the classification. the person is bound to get out quickly and be startled. the state of the patient is usually never purely psoric or purely acute. This is in keeping with our understanding of the miasms.Child aged 2 years . the person will continue to look startled with a blanched face and palpitations long after he gets out of the car and realizes that it is only a burst tyre. cough and fever . Infrequent doses were given for several months. but there will be glimpses of symptoms showing the other miasms too. For this reason. and she stopped grimacing. Such occurrences are quite rare. Her fear of strangers and clinging decreased. I will call someone.A. He will then feel that something is wrong with him and tries to cover up this perceived weakness. Archibel S. this could be an acute miasm. Where the acute miasm is prominent. The following diagram of the same patient's progression in a case is illustrative: We see that the entire diagram illustrates one state where syphilis is prominent but others are present as well. Calcarea and Lycopodium follow each other well. it is an acute state. her fear of animals remained and she developed obstinacy. This helps us to understand why Hahnemann called psora the mother of all diseases. is that though the condition is chronic.e.Fear of strangers. In a given case where two or more miasms are found to be prominent." Finally. in a predominant syphilitic state. Thus. with clinging. animals . with sycosis and syphilis becoming more and more common. It is seen that in a dominant sycotic state too there is likely to be a psoric element. and there is no one to help. Belladonna and Hyoscyamus have effected complete cures in chronic diseases (including reversal of pathology). for example: It is mentioned in homeopathic literature that Sulphur. The remedy she now needed was Calcarea carbonica. why does such an intense state exist at all? It might have come from an intense situation but also (and more commonly) from a less intense situation in timid person. he feels: "I can't do it. the state may change with a predominance now of sycosis. However. and usually we find the psoric miasm present in nearly all cases. Such a state could be diagrammatically represented as follows: The remedy that we give for this predominant acute state must also cover the reactions from the other miasms. sheer terror. that reaction will be intense and persistent. for example. Similarly. The drug may be Mercurius or Aurum metallicum. . I have found that acute states can exist independent of other miasms even for a long time. At the loud bang. there are likely to be both psoric and sycotic elements. After being treated by the indicated drug for a long time (usually years). The reason as already explained. though only one is prominent at a time. There was no more fever but the recurrent cold remained. I give up. then think: "OK. Case: .Encyclopaedia Homeopathica 19 Separate states There can be and usually are two or more miasms in a case. We can use an example to illustrate this.Grimacing Stramonium 1M was prescribed for her. the situation of the burst tyre. the perception of the condition and the expressions thrown out are acute in nature.. This is easy to understand if we analyze a person's reaction when faced with a situation. if I can't do it. Who is most likely to feel that something is lacking in him? It is one who has struggled to cope with the external situation and failed. and then. and copious perspiration of the scalp. and is nearly always present when there are other miasms." However. The main focus of its symptomatology will be on one miasm. where there is a hyper-response of fear. A purely acute miasm would exist when the root is very strong of a very intense situation in a person in the past. However. I have seen in practice that the acute remedies (purely acute miasmatic expressions) like Stramonium.

However. . In fact." Arsenicum also has a syphilitic part. The following is a diagrammatic representation of a case where such a sequence occurs. we find Arsenicum to be predominantly sycotic in dimension. I would like to stress once again that these changes take place over a large time-scale and the indications for the respective drugs are very clear cut. The following account of a patient's life-style as described by a relative makes it easier to understand Arsenicum. yet feels that they are people who cannot be trusted. When we examine the mind. sick.Delusion. is the most syphilitic of all the psoric remedies. A 65 year old man. All the same. He is dependent on others because of his weakness. Thus. He calls himself a recluse.Mania. Calcarea and Lycopodium We find that in these psoric remedies. yet fear of people. For one reason or another. for company. he would change the servants. and from clinical observations. people who are more interested in his money. it must lie in the acute miasm and the original situation must be of an acute threat from outside. The miasm concept helps us to arrive at an understanding of the basic delusion because if there are traits of a particular miasm in a remedy. one would classify Arsenicum in the acute or psoric miasm. He usually employs young children or a married couple to work for him .Desire. and so one can say that the main essence of Arsenicum lies in the sycotic miasm with extensions into the other three. However. This is probably because he is himself a greedy person who would go to any lengths to acquire money. he cannot afford to offend them. while Lycopodium is the most syphilitic amongst these three psoric remedies. it has been given 2 marks (Synthetic Repertory). . wants to be held. This is borne out by the fact that Arsenicum is given under psora with 1 mark. He feels unloved.A. I consider one of the main delusions of Arsenicum to be "Delusion. This indicates that there is also a strong sycotic component. Classification of remedies according to miasms There is no formula for classifying a remedy into a particular miasm. let us consider Arsenicum album. All are psoric remedies with other miasmatic dimensions.Delusion. when we examine the symptoms of Arsenicum.Fear. Such a classification would depend upon out understanding of the remedy. . I find it necessary to bring this point to notice because I have seen a rapid alternation of remedies by many beginners (and some older physicians) with "change of miasm" being offered as a reason. of offending a friend. even if he is going out for half an hour. seen in the "Despair of recovery" and a strong "Suicidal disposition". various servants have left the job after working for a long time. This understanding comes from a deep study of the symptoms.never a single adult. they are fed. of being.never "servant".Encyclopaedia Homeopathica 20 indicated in this sequence. is so great that even his children are disgusted and feel: "We don't want his money. For example. He calls them "my niece" or my "nephew" . living in a huge house with two servants. he doesn't trust them at all. dejected and very insecure. He is very fastidious. His children are all staying away from him. a collector of curios which he polishes for one hour a day after the servant has finished. The panic. the main feeling is that of internal weakness. Calcarea has a marked sycotic element too. and he has kept a television in a separate room just for the servants. All the same. This man improved marvelously on Arsenicum album 1M. The cyclical sequence thus actually represents the treatment of a predominantly psoric state with the various phases showing a relative prominence of psora. he locks up his room. This greed. Sulphur Calcarea Lycopodium Diagrammatic representation of the multimiasmatic states of Sulphur. He needs them twenty four hours. Archibel S. © Copyright 2000. before leaving the house. including his own children. of its basic delusion. struggle and suicidal disposition all rise from and are related to this one basic point. let him keep it. the delusion of that remedy must lie in that particular miasm. To take an example. He thinks that everybody. we see the following symptoms which clearly define the basic delusion: . or rather need. . is trying to get a share of the money. while under sycosis. as he is too weak to support himself. but don't dare to take advantage of this because the minute he feels they are getting smart. They are given a place in the house to stay. we see that there are obsessive and compulsive traits like fastidiousness and a mania for cleanliness. sees thieves". . I believe Lycopodium. sycosis and syphilis. time has come to die. The servants know it too. Sulphur has the greatest element of psora. if we see constant excitability in a remedy. This is a completely external factor and so. It is very evident to those who know him well that he goes out of his way to please the servants so that they won't rob him. both physical and mental.

A fixed idea then enters him that he lacks self-control. pursued by enemies". If this man had self-control or felt he had. . excitable.Fear. we see fixed ideas and fixed actions. e. There are only a few remedies that belong almost solely to one miasm. but because of our bias against some remedies we restrict their use. then no problems would arise. and psoric symptoms like anxiety from anticipation. it is possible even to predict which psoric remedy would be a counterpart of which sycotic remedy. . "Cruelty". Thus Anacardium falls in the syco-syphilitic (cancer) miasm. This is not because it has no effect in chronic situations.Frightened easily. In that case Argentum nitricum would be a psoric remedy. The reader is referred to "The Spirit of Homeopathy" for the description of Psorinum and Medorrhinum. "Cannot rest till things are in place . For example.Excitement. This correspondence is seen in the following rubrics. and obsessions with fixed ideas that he cannot pass a certain place. He must feel a tremendous sense of fault within. Let us study the important components of Aconitum: . I had believed earlier that the situation of Argentum nitricum arose from being trapped in a situation alone and trying desperately to find a way out.fastidious") and syphilitic ("Moral feeling. high places and success. Acute : Aconitum Psora : Psorinum Sycosis : Medorrhinum Syphilis : Syphilinum A study of these remedies with their delusions and responses helps in perceiving the central features of their respective miasms. when looking down from a high place or if he has to catch a train. there are syphilitic manifestations like ulcerations and degeneration. The above is another example of how psora is the mother of sycosis. Argentum nitricum has panic reactions such as diarrhoea from anticipation. its counterpart in Lycopodium is "Fear of not being able to reach his destination" and "Fear of undertaking anything". desire to"). A study of these four remedies is essential for an understanding of the respective miasms. Here I would like to describe my clinical experience with Aconitum and Syphilinum. In whatever situation self-control is involved. Anacardium comes from a situation where he is the dependent son of a dictatorial parent. In its symptomatology. The psoric element is not seen prominently. Aconitum napellus Kent begins the lecture on Aconitum with: "Aconitum is a short acting remedy". which I consider to be one of the leading rubrics of Argentum nitricim. Archibel S. he develops a syphilitic state. However. but there are mainly sycotic symptoms of obsessive and compulsive behaviour. in fact.Clairvoyance / prophesying. the main focus is on both the sycotic ("Want of self-confidence". This is the basis of sycosis. Lycopodium is likely to be the psoric counterpart of Argentum nitricum since it is involved in a struggle which is concerned with self-control. want of". Aconitum is a remedy rarely used in chronic conditions. In this way both the sycotic and the syphilitic miasms are based on psora. "Anxiety as if pursued by enemies". of death. Argentum nitricum has several sycotic traits. .g. but by examining a little deeper we find that behind all these fears there is something more which. These can be considered archetypes of the miasm. When a person loses his struggle in the sycotic state. At a point. such as compulsion about time. nervous. . I have been able to understand remedy states more deeply using the concept of miasms. Ultimately. about doing things in a particular way. which he is trying to cover up by his behaviour. Argentum nitricum: "Undertakes nothing lest he fails". We say this because the feeling that he lacks self-control would arise most often in a person who has struggled for a long time with a situation that needed self-control and failed time and again.A. Argentum nitricum will become panicky. etc.Encyclopaedia Homeopathica 21 In this manner. The features of Anacardium can seem very acute. when he finds the basic fault not correctable and/or the situation is too stressful for him. he becomes highly nervous because he feels he lacks it. © Copyright 2000. This is shown in the rubric "Fear of losing self-control". . forms the basis of the fears. So. especially fear before exams. In the very situation where one needs self-control.RESTLESSNESS. If we just open up our mind a little we can see how many people around us need Aconitum as a chronic constitutional medicine. compulsion about planning things. I shall now give two more illustrative examples. "Kill. This is also seen in the rubrics "Delusion.

It is like Arsenicum and Rhus toxicodendron .summon all the doctors and may even land himself in the hospital after that .Anger. etc. anything that causes more excitement of the mind is bound to aggravate the situation further. sometimes © Copyright 2000. . II. very. . groaning. tremendous fear. get worked up . This excitement will be manifested suddenly and violently . Rubric: .Moaning. more vigorous.Irritability. . high places. He tosses about.Sensitive / beside oneself.Mood.termed anxiety neurosis. more sudden. very restless. nervous." We have already seen two aspects of the Aconitum personality. but always in a panicky. can get frightened and start moaning and groaning." H.one who cannot take anything easy.Excitement. everything excites him.Sadness / weeping. a problem with anyone and he does not react in a cool manner. One could almost say it is contra-indicated in calm people. worry. . 616). violent/violent. Hence.with nonspecific yet intense anxiety attacks. Aconitum should be added to the sub-rubric: "Palpitations. etc. Coffea and Graphites. before a journey. . And then. . we must look for the excitable person . Rubric: . violent fear. Archibel S. Nux vomica is not so restless nor is Staphysagria or Coffea or Ignatia. for instance passing a certain point.Anguish. Here it may be compared with Argentum nitricum which also has these sudden anxiety attacks. Rubrics : . nervous excitability and restlessness. the anguish of mind and body.Gestures.Encyclopaedia Homeopathica 22 . what to do with himself. He does not know where to go. He is excitable and becomes very.Sudden manifestations (Synthetic Repertory. fear accompanies the most trivial ailment.. in closed places. Staphisagria. more acute. It is a sudden burst of tremendous excitement.Joy / laughter. Fear. the disquiet not to be allayed. The proving reads: "Fear to go where there is any excitement. . . It is not the constant physical restlessness of Rhus toxicodendron. can get frightened very easily. vol. but also the health of people around him causes him great concern. fright. p. jerky fashion and will raise a big hue and cry. From these components one can get a fairly good idea of an Aconitum person.violent anger. Pierre Schmidt feels it is the most important remedy for "Restlessness. different from others. Naturally. "Anxious restlessness". wild throwing motions of the hands.C.Beside oneself. Here it comes close to remedies like Nux vomica. . fear or anxiety with intense internal restlessness. Pain can make him beside himself. The first of these is "Restlessness"." The great nervous excitability is the most important component of the mental state of Aconitum. We have also seen the suddenness of effects. changeable. The anxious restlessness is a feature which is most prominent in Aconitum alone. with great restlessness. you must above all observe the moral symptoms.only it is more intense. Allen writes: "This mental anxiety. Chamomilla. will go up and down. He just can't sit. The only difference is that in Argentum nitricum the anxiety attacks appear in some fixed situations. anxiety neurosis .A. Argentum nitricum has more of the phobic kind of neurosis and Aconitum. This nervous excitability is linked with other components so as to make Aconitum a unique remedy. Fear. Not only his health. with". pace back and forth and show an acute panic reaction.so great is his excitement! No wonder that Hahnemann wrote: "Whenever Aconitum is chosen homoeopathically. viz. It comes and goes like a storm. The Aconitum person who is calm can suddenly flare up and starts shouting. and we have a hint about the anxiety and fear of Aconitum . his mind is just concerned and ruled over by a tremendous anxiety and fear. anxious" (Synthetic Repertory). In short. whining. and be careful that it closely resembles them.Hurry. anxiety dominate the sudden attacks of the Aconitum excitability. and can get so panicky that he can start throwing his arms wildly about. before engagements.paces back and forth . . the restlessness. . in these times Aconitum avoids crowds and crossing the streets. leaving almost no trace of itself. Let us go further. can flare up all of a sudden.Shrieking with the pains. as suddenly as the whole state came. He is very excitable. Nor is it the desire to pace back and forth as in Arsenicum. it just disappears.

never" (Arsenicum) and also "Cheerful" (Argentum nitricum is not there) (Synthetic Repertory). But in any case. I am pointing out the cheerful side of Aconitum to convey the idea that Aconitum person is not always in a panicky state. .Shrieking. . groaning. wants things at once. something severe.Irritability. alternating with madness . something inexplicable. it is death. red. Rubrics: . this soon supplanted by another and so on.Reproaches others. and runs about the house. loud whining or weeping. © Copyright 2000.Exhilaration." One more dimension of the excitability of the Aconitum person is his easy irritability. .Anger.Thoughts. jerking suddenly from one to another subject. . the face becomes red and hot. It should be added to the rubrics: "Heat" and "Discolouration. See rubric: "Smiles. violent. respiration is oppressed. nor the anxiety about health of Arsenicum.Joy. . variable. One thing that is marked in an Aconitum person.A. is: "Hurry". .Dancing. No. the steady state of the Aconitum person. sometimes a definite fear of death. This can be excited by trifles. This makes of the Aconitum person a quite good company despite his excitability.Rage. Great restlessness accompanies these states with anguish. The speech is hasty. The proving symptom reads: "He does everything in a hurry. But here again he is excitable and the slightest trifle can change his mood from cheerfulness to anxiety. this state is not the permanent state of Aconitum. Easily startled and very sensitive to noise. This person can get very angry.Moods. laughing.Quarrelsome.great impatience.Ecstasy. His speech is hasty too . rapid change of thought.Speech.Loquacity. "Fitful moods" (Phatak)." He is hurried in movements. . changeable.Weeping alternating with laughter. . .Contradiction. He can shout or even become violent. intense fear from trivial causes is characteristic.Affectionate. of face in anxiety and excitement" (Materia Medica Pura). . . limbs feel weak.Encyclopaedia Homeopathica 23 nonspecific.foolish. rapid quick. Rubrics: . changeable and variable. nor the terror of Stramonium. Nitricum acidum or Kalium arsenicosum. spasmodic. wandering. The proving reads: "On attempting to think of one thing.Singing.Laughing. There is moaning. sometimes specific. ailments from excessive. and inclined to sing and dance". Rubrics: . singing.alternating with bursts of passion. . sudden. So. The excitability can work the other way too and this person can be a cheerful person. we have moods. It is not the insecure feeling of Calcarea.Cheerful . It soon passes off and then comes the normal state. sudden panic state that something is going wrong. The proving reads: "Alternate attacks of opposite states of humour". in his occupation and in walking. . wandering speech. . In fact. another thought intrudes. howling. or jerky: excited speech. suddenly. . it is this cheerfulness that could distinguish it from Argentum nitricum or Arsenicum. The wandering thoughts is an important aspect of the Aconitum mind. Rubrics: . hasty. . alternating with moroseness. it is the intense. fury. The physical symptoms of his state are clear: tremendous palpitation with great anxiety. which has some characteristics too as we shall see. even in his normal state. Archibel S. intolerant of. As I have already said. . dancing: "Becomes gay. as if it is the end.

his efforts are finally of no use.Dream. The dreams of Aconitum reflect the same excitability and anxiety. things.Face. heat. future events. from.Censorious. Rubrics: . music. . also things which may not have any foundation in logic or fact. predicts the time. . Some rubrics: . it is too much for him.Abusive.Violent. on (Phatak). can't lie on the sides. burning. He feels he can never fulfill it. In Mercurius the feeling is specific to being dominated .Sadness. . during. cheeks. of. So. death. excitation of.Throws things away. he will cool down soon . anxious. The sleep can be very restless: Sleepless from anxiety. The last dimension to the excitability of Aconitum is sadness. anxious. red. The last rubric: "Predicts the time of death". viz.Prophesying. The people around know that this man is very excitable. The main symptom of Syphilinum is: "Hopeless despair of recovery" (Phatak's Materia Medica). . They also know that he has no ill will. .A.Encyclopaedia Homeopathica 24 . Rubrics: . . The clairvoyance of Aconitum is manifested in its "Prophesying".Squanders. Archibel S. with constant agitation and tossing. Lies on back with the hand under the head or sleeps in a sitting posture with head inclined forward. "Passes off soon". . "Restlessness". Also he can get internal feelings. Sleepless . "Intense". Starting in sleep. One other very prominent feature of Aconitum is its "Clairvoyance".Discolouration. during.Perspiration.Thirst. clairvoyant. and predicts events.Antisocial (Phatak's Repertory). perspiration. This is the broad and general feeling of Syphilinum. In Aurum metallicum this feeling is specific to his duty and responsibility. want of. It is accompanied by the usual features of Aconitum. This indicates that the feeling of Syphilinum is one of desperation. "Moaning and groaning".Desires.Heat . is a combination of "Clairvoyance" with "Intense fear of death". beer bitter drinks acids. The dreams are: . "Anguish". In the different remedies of the syphilitic miasm this feeling is more specific than general. .Dipsomania. anxious.Clairvoyance.Fancies.Moral feeling.so. Syphilinum Some rubrics of Syphilinum are: . . uncovered parts. whatever he does he cannot regain his position (recover means to gain lost ground). In Fluoricum acidum the feeling is that © Copyright 2000. Light sleep. he can read faces.Fear. . during. . Again the three features of the Aconitum personality are found in its sadness: "Sudden".Dreams. as if in a. .Indifference to the future. .constant tossing.Liar. The sleep of the Aconitum person also shows symptoms of his excitability in the form of "Somnambulism". So. . . palms. "Talking in sleep". expression. it is only this sudden excitability that makes him so. .here he feels he must desperately revolt. chill. there is no sense exciting him further it is better to keep quiet and allow his anger to subside. . frightened. . an Aconitum person can get intuitive feelings about people.restless .

obstinate (functions and actions).g. He desperately tries .which can lead to the worst of human behaviour including serial killing. These arise from the specific situation of that drug. Stramonium where Mercurius is required. to destroy itself because it sees no hope.g. we arrive at the basic delusion .What he feels is wrong with himself (e.this is seen in manic attempts. sensations. Thus. Archibel S. persecuted". Specific situations It is very evident from the various examples already given that remedies belonging to the same miasm show their own special individual features. The delusion will have acute. e. I cannot overstress the need to settle upon the miasm before searching for a remedy. like the mind.What he feels outside of him that is urgently threatening (e. without proper treatment a syphilitic dies a slow.g. The mind and body give up and go into a state of self-destruction without caring what happens. after taking the case we could ask ourselves the following questions about the patient: .A. When we consider all the components of these miasms.Encyclopaedia Homeopathica 25 he cannot save the relationship. poor reaction. "Egotism"). murder. Application of the miasms theory Understanding the case Each case needs to be viewed from the point of his miasmatic totality in order to understand it completely. psoric.What is outside that he has to struggle to adjust to? . The acute components of the delusion are: ."I don't care" attitude . infarctions. the drug must match the pace and nature of the disease. sinned away his day of grace". deceit.the situation gets too hopeless and the person decompensates into an antisocial . It is as if the body has decided.What does he do to adjust to this defect? © Copyright 2000.What is outside (external) that he reacts to? .What does he do to adjust to that? . "Delusion. To work in this fashion. while in Stramonium. The psoric components of the delusion are: .g. small"). .What he feels outside of him that needs adjustment. The characteristic symptoms of the case are those which represent the delusion of the patient. "Despair of recovery").What in himself does he feel is lacking? . desire to escape). etc. in manic tendency to wash his hands or keep his bowels clean. although all the drugs belonging to the acute miasm have the common delusion of a threat from outside. ulceration. he has to break it. But all this is felt to be insufficient . "Washing hand". pursued by animals).How does he react? . it is like that of a person lost in a jungle. .that the situation is beyond his capacity to salvage .What he has an impulse to do (actions. "Delusion. In the pathology of Syphilinum too. difficult death.g. The sycotic elements are: . in Belladonna the specific situation is like that of one who is going to be taken to the gallows. The syphilitic element again has two components: .What he feels requires a radical change (delusions. hemiplegias and so forth. The pathologies are concerned with destruction.g. abuse. "Delusion.g. The foetus is already in a process of self-destruction. e. e. It will not do to give a remedy belonging to the acute miasm in a syphilitic case.What symptoms represent his adjustment to his feeling (e. This will come under the rubrics of delusions and fears (sensations) and feelings .The adjustment he needs to make or the symptoms that represent this adjustment. already has the feeling: " I wish I had never been born". for example in fanatic and manic religiousness. . suicide.The panic which he has to react to save himself (e. . In Syphilinum the feeling is in all these and other spheres . Syphilis itself is a taint which slowly and steadily destroys. It is not surprising that syphilis in the mother is associated with habitual abortions. functions) e.it is all too much for him.g.the disease. sycotic and syphilitic elements. one sees the absence of hope.

. robbers. medical student. you realize why Lachesis has egotism and Hyoscyamus does not. Speech is fast and very tense. This is his struggle. darkness 3. Lachesis is mildly psoric with a strong syco-syphilitic element. has the delusion that not only is there a threat from outside in terms of competition but also that he is lacking. he therefore concentrates on himself and tries to make up for this lack. She has a very strong image of what she has to be. Both have loquacity. homicidal tendencies. Finds it difficult to mix about with others. and doesn't like meat (feels it is dirty).he doesn't care (antisocial. Once he realizes he is doomed. Thus. The internal feeling indicates the sycotic miasm. In this situation. there is no hope and the person is doomed. Medorrhinum and Syphilinum. people. quality and underlying element? In the Repertory. we know that the drug must have both the acute as well as the sycotic aspects © Copyright 2000. Menses suppressed by bathing which also causes swelling of the feet: during a menstrual period. The difference can be seen through their miasmatic classification: Hyoscyamus is acute. high places. 22 years of age. and 2) scanty menses since four years. chocolates. Psorinum. What is its space. if she took a bath. robbers. though he knows it will not go. if she wakes up in darkness feels breathless and anxious. Internal situation : Timidity. ghosts. Conscientious about trifles. drunkards. shy of public places.Encyclopaedia Homeopathica . Once you understand this.and makes a desperate attempt to wash off the traces of his crime.an unpardonable sin . There is much fear of darkness. washing in Medorrhinum is a cover up. She had numerous complaints before exams: urticaria the evening before the exam. and why Hyoscyamus has the delusion his wife is faithless and Lachesis does not.How does he want to bring about this change? 26 Understanding and differentiating remedy states Let us look at two remedies that are very similar: Hyoscyamus and Lachesis. From an understanding of the miasms. By this we mean that the delusion of Hyoscyamus is an external problem. the first group of symptoms would have led to a prescription of Stramonium or a closely related drug. marked fear of dogs. In a routine prescription. came with complaints of : 1) bilateral oedema of feet since four years. Archibel S. aggravated in evening. appearing in public. There is not much of psora or syphilis involved here.) Selection of the remedy Miss T. Using the repertory While using the Repertory we must remember that no symptom by itself belongs to any particular miasm. we find under "Washing hands". the situation is like that of a person who has tainted his hands by killing someone . Each symptom has to be examined as to where it originates and what it represents. jealousy. aggravated by hanging legs down. very self-conscious. fish and spices. Cannot tolerate hunger. Fear of exams. Destructive feelings/reactions : None The external situation is threatening: acute miasm. Averse to milk. ghosts and high places. His wife is trying to poison him or run away with someone. suspicion. Analysis External situation : Fear of dogs 3. The fault is not his and there is nothing he can do but react with suspicion. The menses would leave indelible stains. etc. In Syphilinum. Lachesis. Medorrhinum is like a boy who has smoked a cigarette and tries to wash his mouth in order to hide the smell as far as possible. This is rather like the "hands washing" of Lady Macbeth. foolish behaviour. the menstrual flow would cease abruptly and resume after three to four days. Psorinum is like a motor mechanic who keeps getting dirty and must wash often to keep clean.A.P. hairfall and also nausea and giddiness before the exams. sleeplessness to the extent that she would take (allopathic) medicines. She had a craving for sweets. lasciviousness and persecuted feelings.What is outside or inside that he feels he must change in order to survive? . representing three different miasms. on the other hand. threats and homicidal violence. he not only stops washing his hands but goes to other extreme . The second group of symptoms would have led to Silicea. . Cannot sleep in total darkness. the same also being the case with perspiration.

sees. we find Aethusa cynapium. You must have noticed in the above examples that we have mostly spoken of common infections of the human race and seen that the characteristics of that infection fit in with the miasmatic classification. © Copyright 2000. We have seen how remedy selection becomes greatly simplified once we arrive at the particular "group" (miasm). A new repertory Disease states (and drug state) take on specific patterns allowing us to classify them logically into groups. Aethusa was given to this patient with a very satisfactory response. being distinct. i. . Coming closer I see a person inside and a pack of biscuits.Anxiety. Prognosis Once we understand the miasmatic element in a case. fruits.Fear. . appearing in public. A repertory is formed by breaking down the entire (whole) disease state with its expressions into components. people are looking at me. Suddenly I feel scared. It would be most useful to have an arrangement of symptoms which would lead us most swiftly and certainly to the group . . dogs. As the multimiasmatic case moves towards psora from syphilis in the course of treatment.Timidity." Conclusion In concluding this section on in-between miasms.. Thus. I feel relieved. we must remember that the most characteristic symptoms are those which point definitely towards a miasm. I have benefited immensely from it already though there is much still to be learned. in. examinations. This consideration led me to conceive a new repertory. of being pursued. The new Repertory would list various components in a way such that when assembled. Most of the time it is a very difficult situation.Menses. . they naturally fit into the classification and help us to understand it more easily.e. of. There is one coconut tree and below is a small shop blue in colour. suppressed. . As infections are secondary to these states.Encyclopaedia Homeopathica 27 necessarily.A. It is clean and surrounded by water but I have the feeling that it is going down. darkness aggravates. The miasmatic classification is one of the most brilliant contributions made by Hahnemann to the medical world. Evaluation of the symptoms is no doubt important but in this process. With time. there is scarcity of essential commodities. Aggravation from consolation. We subsequently use the repertory to unify various components found in a patient into a sensible entity which we feel represents the disease state. so I have to go out and walk on a deserted road. it shows embarrassment and inability to get out of a situation. Here I must point out for clarity that our miasmatic classification is not built around characteristics of any infection. It is based on common states of being. darkness. well-known entities. Provers experienced a lot of dreams of parties. "Fear of dogs". i. bathing. when we search for a drug which has both.Respiration difficult. The acute miasm has the best prognosis: a rapid cure. Rubrics . the delusions and reactions most often seen. the prognosis improves. but it is necessary to find a drug having a similar "threat" source) and the sycotic "Deficient" feeling related to exams. it looks hopeless but finally the dreamer gets out of it. Of somebody facing a danger. I would like to say that there may be many other miasms waiting to be discovered.e. So. from. of being sad. sycosis and syphilis have increasingly poor prognoses. our map will become more and more precise. etc. an acute treat from an animal force (we may not be able to get the exact rubric.Delusion. However. The theme seems to be of: dream of danger. an ordinary evaluation of symptoms might give a secondary place to the acute or sycotic aspect and this may consequently be left out in the repertorial process. as seen in the following dream: 6) There are floods in Bombay. the sum would indicate the miasm. 5) I am riding a bicycle which is as high as a double-decker bus.the particular miasm. I try to brake but it is of no use. feasts. and the dreamer being unable to help. . we can anticipate the outcome of the case with greater certainty. Archibel S. Psora. This is the manner in which we could proceed in selecting the remedy.

Sick. and whether it comes from people or other elements like fire. we can turn to the traditional Repertory for the specific rubrics of fears. We can also find remedies for a combination. the concept of such a Repertory helps us a great deal in how to proceed to understand a case. to property or to relatives. danger to life. miliary tuberculosis. etc.g. For example. sycosis and syphilis. Handicapped. The method outlined above may seem tedious but is much simpler. Guilty. Weak. suicidal by hanging. the internal situation will be finely differentiated. shooting oneself or jumping out of the window. for example due to fibrosis. we define the exact nature of the danger. The main feeling of the patient is a sense of oppression. there are actions and destructive feelings which represent syphilis. accounting for much morbidity and mortality. There is a great need to take a deep breath: oppression of chest. progressive features which are almost totally hopeless without medical intervention . Reaction of strength Positive Negative Dictatorial Homicidal Contradiction. However. of unavoidable danger from a natural element in a physically handicapped person.Encyclopaedia Homeopathica Then.e.B. We have the sycotic aspect wherein the situation is not totally lost but the person lives for the rest of his life with a fixed weakness and very often has tendencies to recurrent colds and other respiratory affections. . 28 External situation Threatening Non-threatening e. Thus.g. In the pathology of tuberculosis we see much destruction of tissues and lasting disability in the form of restricted lung space. further differentiation will enable us to come to the similimum. and to plot diseases on this map more specifically it was necessary to have more points on it.g. Dependent. Such a Repertory will be very difficult to construct since we have much to understand before we put down the situational Materia Medica of drugs.g. and thus arrive at the similimum. e. meningitis. the tubercular miasm seems to fall between sycosis and syphilis. suffocation. On the other hand. conditions like T. Archibel S.e. The "Concise Oxford Dictionary" defines the word "Oppress" as follows: © Copyright 2000. delusions and reactions which best represent the particular (specific) situation. etc. intolerant of Suicidal Revolutionary Antisocial Cruel Each of the main situations in psora and sycosis will be further differentiated into its exact situation. emotionally or physically? Likewise the reactions . more logical and therefore more certain. Finally. For example. Tuberculosis is one of the most widespread and most important infection mankind has known. handicapped . Miasms in between the main miasms Tubercular miasm The miasmatic classification represents to me a map of diseases. if there is danger in the situation. then it would be differentiated into danger where help is available and where not. The same feeling is found in the mind. At this point. tuberculosis is also known to have violent. Similarly. Robbers Exams Animals Problems at work Fire Difficulties in journey Internal situations (feelings) Small.is it intellectually. Besides the classical trio of psora. there is abundant literature on the tubercular miasm. danger that can be avoided or has to be faced.A. Thus.

Obstinate prosecution of resolutions he had formed. There are three delusions available: . Extremely uneasy. a trifle put him out of humor. Anxiety in solitude . An unimportant circumstance excited him so much that he was beside himself with rage. Anxiety. There is a feeling of weakness due to which he is dependent. . 3) (of weather) close and sultry. uneasiness of disposition and anxiety. being deceived". as if enemies would not leave him quiet. . Phatak's Repertory lists only two drugs: Drosera and Ruta. etc. Even the cough is described in Phatak's Materia Medica as harassing. . someone behind him and desire to see. also has a suicidal inclination. which people cause one another and himself. he feels his weakness is taken advantage of. Very peevish. with anxiety.he imagined he was being deceived by spiteful . envious people. the boldness and daring. until he fell asleep. Archibel S. Drosera feels harassed by others and let down by his own friends. Drosera.Encyclopaedia Homeopathica 29 Oppress: 1) Keep in subservience by coercion. To understand Tuberculinum better.he wished to have someone always near him. This is a typical tubercular feeling. want of appetite. the need to travel.Hopeful. Tuberculinum has very few known delusions. 3) Mental distress. at the same time. disheartened and concerned about the future. the state of being oppressed. let us look at the other symptoms: . Oppressive: 1) Oppressing. harsh or cruel. as if he had to do with none but false people. The feeling is that one's weakness is being exploited. .Delusion. at the same time. The drug has not been well proved and the indications commonly prescribed on have been derived clinically . and at the same time. he always feared he was about to learn something disagreeable. all day .Hopelessness (Phatak). The drugs that the best represent the tubercular miasm are Tuberculinum and Drosera. sad disposition.A. snakes in and around. but at the same time. The situation is one where people who do not wish him well ("Delusion. people seem big"). He is sad and dejected about the ills of life. people seem big. of being deceived by one's own friends and yet." In "Delusion. 2) Prolonged harsh or cruel treatment or control. Drosera rotundifolia Phatak's Materia Medica gives the following description: "Fears being alone and is suspicious of friends. 2) Govern or treat harshly or with cruel injustice. The patient reacts to this "oppression" rather violently. Oppression: 1) The act or an instance of oppressing. snakes in and around her") are behind him ("Delusion. © Copyright 2000. Imagines being deceived by spiteful envious people. The slightest irritation causes violent bouts of cough excited by a tickling sensation in the throat. Silent and reserved. he was all the more anxious.these indications are very reliable. respecting which he is anxious and concerned.Delusion. Hahnemann's Materia Medica Pura gives the following symptoms under Drosera: "All day long. Tuberculinum bovinum kent We know the expressions of this nosode better than its central feeling. but when they again left him in solitude.Delusion. 3) Weigh down (with cares and unhappiness). 2) Difficult to endure. could not bear to be without companions and was quieter when he had someone to speak to. He is dejected about the malice of others on all hands. on awaking. envied and persecuted him." The theme of Drosera is that of being stabbed in the back. great dependence on them. as we have seen. The prominent features are the violence. the desire for change. We do not have such a rubric in the Repertory but the closest we can find is "Persecution" in which Drosera is one of the most important drugs. someone behind him and desire to see"). the anxiety returned. full of mistrust. and they are much more powerful than he is ("Delusion.

Often we find only strong expressions which are the natural outcome of such intense states (especially leprosy and syphilis). daredevil exploits. The wolf in the story represents the animal side of man. By parents I mean not only those who have given birth but all those who have taken up a responsibility towards a person and to whom that person is consequently responsible. She is warned that if she deviates from this path. The youth today feel they have a right to live their own life . At the other end there is the lepromatous leprosy which is rapidly progressive and destructive. with an intense desire for change. Riding Hood is the young girl who has been told by her mother to walk along straight path (and no other) in order to reach her grandmother's place. the drug which most characteristically represents the leprosy miasm is Secale cornutum. The Tuberculinum patient may be one who sees the rules of society as being too rigid and strict . We find that the tubercular.they feel imposed upon by the "restrictions" laid down by their orthodox parents. that they often seem acute. It is known for its destructive pathologies especially gangrene. bold and rash. The wolf tempts her to leave the path and try a different one . The symptoms we find in a leprosy patient are loathing for self. eruptions. Riding Hood takes her chance and. This represents the sycotic and syphilitic aspect of the miasm. as we know. It is an almost hopeless situation. resembling syphilis. "Forsakes his relatives" and "Becomes shameless". leprosy and syphilitic miasms have such an intense feeling of hopelessness and desire to change the situation. I see the Tuberculinum situation today in what has been termed the "generation gap". desire to.Travel. the church or school. as we know. they do things which are not approved by society. According to me. Jurgen Becker sees the theme of Tuberculinum in the fairy tale of "Red Riding Hood". This could be.the rash. go in for wild. abandoned (forsaken).the code of society. ashamed. "tries to kill people". etc. We further note that it is usually the malnourished and poor man who develops the disease. It has a tuberculoid type which. we find another widespread infection in this country (formerly all over the world) leprosy. . has a desire for change and these two features explain to an extent the typical Tuberculinum patient . . she might lose her way and get into trouble.A. Thus. hatred and despised. there is intense oppression (lepers are treated worse than animals. "Forsaken" and "Shameless".it promises excitement instead of monotony. Kent gives Secale cornutum and Sulphur in bold type in his Repertory under the rubric: "Skin. wants to". abusive. bringing about the desired change. Leprosy in its pathology has three distinct types. hardly a surprise to find tuberculosis in vast populations of Indians. which would be one of the © Copyright 2000. In my experience.. though progressive. It is. .. They do things which cannot be termed antisocial but are at the borderline of what is acceptable to society. "Fight. bold person who does daring things and at times is destructive. We have young people nowadays who zoom about on motorcycles. therefore.Cursing. has a better prognosis than the other types . In Secale we find "Violent".there is hope.almost oppressive. The leprous miasm has features that indicate that it is almost exactly between tuberculosis and syphilis. The intermediate type lies between these two. etc.again the strong element of sycosis (weakness) in the background. The main feeling of the leprous miasm must be similar to the tubercular miasm (only much worse) as we find both these infections rampant in this country. are important in the Tuberculinum situation.this represents to me the clinical picture of Tuberculinum. Archibel S. Leprous miasm Speaking of the tubercular miasm. This feeling of being oppressed. This theme of oppression is reflected even in our movies . it represents sensuality and excitement without the need for control or discipline. desire for.the common man in India dreams of liberation from oppression (a desire for change) which is what he sees in the movies. of suffering injustice and labouring under a burden difficult to endure is found most prominently here in India. . especially the more destructive and progressive form . It also. the wolf reaches the grandmother and eats her up before Riding Hood finds her way to the cottage. etc.Fear of dogs. seeking change and excitement .Shamelessness in children. The straight path is what society proclaims to be right . for example.Encyclopaedia Homeopathica 30 . often the objects of loathing) and an intense hopelessness. Tuberculinum has "Dreams of being a prude" which shows that rules of social conduct. In order to prove (often to themselves) their independence.Change. We also see in these movies that it is usually a man who is already poor and destitute who is subjected to further atrocities and he reacts in the end with violence. . leprosy".Dream of being a prude. . Tuberculinum patients often seem to be breaking free from the bonds of society.

Sensitive to reprimands. I believe that a large number of patients fall in this miasm but are not recognized.the specific situation here being like a lawsuit. We often find a history of high expectations on the part of the parents and usually a high level of performance on the part of the subject to live up to them. We find Carcinosinum listed under: . These two remedies are quite unlike each other but if we can see the common theme in them we have grasped the feeling of the miasm. . desire to. Cancer miasm As I have said.Dancing.very different yet similar. for failure means death and destruction. The feeling of the cancer miasm is that he is expected to fulfil a great demand which he feels incapable of doing. . . then tubercular state develops. stretching oneself beyond the limits of his capacity in order to survive.Obstinate. The cancer miasm has this theme of superhuman effort in order to survive. desire for. . yet society has greater and greater expectations. . the breakdown like syphilis. This miasm requires a much deeper investigation and I have not been able to understand it fully yet. . Though he would like to cover up for this. . the theme of which is a tremendous effort. we find that the syphilitic state develops when a sycotic (with a fixed weakness) is subjected to extreme stress (oppression) and is expected to perform well in such a situation.Ailment from anticipation. Carcinosinum The clinical picture of Carcinosinum is of a person who is a model of perfection .Suicidal. What if the sycotic is expected to perform exceedingly well. If we analyze the progression from sycosis to syphilis. By now it is quite obvious that we are talking of cancer.Encyclopaedia Homeopathica 31 prominent pathologies of the leprosy miasm. .Change. Archibel S.Dwarfishness. etc. . It has the sycotic element of building up growths.A. this is not sufficient and he has to put everything he has and much more in a really intense effort to survive.Obstinacy. . We are looking for yet another miasm between sycosis and syphilis. It has the symptoms: . © Copyright 2000.Indifferent.one with whom it is difficult to find fault. stretches himself to the limit of his capacity.Travel. . both very prominently.Discontent. The main remedies of the cancer miasm are Carcinosinum and Nitricum acidum. . Nitricum acidum Nitricum acidum has the features of sycosis as well as syphilis equally. the tubercular miasm falls between sycosis and syphilis.Timidity. in which he battles desperately. It is a continuous and prolonged struggle which seems to have no end. to live up to expectations? This is a common situation today.Fastidious. It has in its pathology warts and ulcers. This miasm should have the sycotic fixity as well as the syphilitic destructive dimension. The patient is constantly striving to be perfect and in doing so. with fixity and at the same time. There is no rest or freedom from tension. We find cancer increasing in incidence all over the world and this is not entirely explained by control of other infections or an increase in life span. The idea of Nitricum acidum is of an intense superhuman struggle to survive . Everyone has this feeling of weakness within.. . They are like Aconitum and Lyssinum of the acute miasm . These symptoms show both the sycotic and the syphilitic dimensions and the strong need to perform.Dreams of murder. If the sycotic is only subjected to oppression.

persecuted and hindered feelings which gives rise to theorizing and planning without any hope of executing these plans. Ringworm miasm As for the miasm between psora and sycosis. days before the temperature rises significantly. One of the main drugs for this miasm is Bryonia. and on the other. etc.e. incurable disease. we find other widespread infections which afflict mankind in near epidemics. Typhoid has a prolonged prodrome with a feeling of malaise. Persecution is a harassment. he must strive for perfection. It is useful at this stage to differentiate "oppression" and "persecution". fixed and continuous battle with much destruction.something akin to persecution. the acute threat with its fear of dogs. and how intensely he is struggling against it . I had great difficulty in finding one that had the characteristics of psora. the cancer miasm is showing itself in greater frequency. China has two components. Ringworm is characterized by periods when it is just another skin lesion and times when it itches terribly like scabies. the struggle with anxiety about success.Unmoved by apologies. In this miasm there must be an acute feeling of threat that comes up intermittently in phases between which there is a chronic underlying fixed feeling of being deficient. followed again by a quite phase.Hatred of persons who offended. As the world becomes a more competitive one. talks of business" which gives an indication as to how critical and acute the situation is. cruelty and suppression. Bryonia has the fear of poverty and the struggle for wealth. It is as if atrocities are being committed on him . i. will end in total recovery.the response is not just instinctive but has the component of a struggle. . Oppression is a continuous feeling of injustice. and another between psora and sycosis. Another important drug belonging to this miasm is Colocynthis. has. Malarial miasm Malaria is a very common infection marked by periods of relative dormancy. Phatak describes the pains as "atrocious". 32 Other miasms Looking around.. it has fixed ideas and the chronic. . This remedy has severe spasmodic colics and periods of quiescence. tormented. I concluded that the "subacute" miasm between the acute and the psoric miasms had to be typhoid. on the one hand. The person cannot relax for a moment. which if properly handled for a critical period. I thought of a miasm between the acute and the sycotic miasms. The latter is derived from "secut" which means to follow. Typhoid has both the acute features as well as slowness. The main remedy of the malarial miasm is China. with its fixity and given up state with no hope of recovery (yet not life-threatening). The main feeling of this miasm and China is that of persecution. something that follows a person and troubles him. Thyphoid miasm Having discovered these miasms.Violent.Anxiety about health. It is an intense struggle in which there is an acute threat from outside .Encyclopaedia Homeopathica . . . compelling © Copyright 2000. nor can he afford to make mistakes (for example in a lawsuit). We see a constant. with sudden acute attacks of fever with chills. It has "Delirium. After much thinking and reading. a sign of the desperate struggle to survive. I wondered if there could be a miasm between acute and psora.Cursing. This is the thread that links Carcinosinum and Nitricum acidum. The fever is continuous. destructive. The idea that came to me immediately was the malarial miasm. The feeling is that of a critical situation.Delusion.Bryonia is also given under "Fear of starving". I was searching for an infection that comes up suddenly with an intense struggle which is not life-threatening but at other times is quiet and fixed. rises higher each day and can become quite life-threatening. and sycosis. . .A. I got the idea that this infection was none other than Ringworm. Archibel S.

the delusions and reactions most often seen. The miasmatic classification is one of the most brilliant contributions made by Hahnemann to the medical world. This is the situation in my life where on the one side I want to act (psora) and on the other I don't (sycosis). chocolates and calories. so that he had to get back again. there were periods of trying to do something with a feeling of hope while at other times. I can't park my car in the clinic because my space is occupied by someone else. well-known entities. he just gives up and accepts it. a few yards from the clinic.up to 8 days in some instances. I got a specimen of ringworm scraped from the skin of an infected patient. So he tries periodically but when he fails. I get angry but I don't show it. he just sits and broods over his misfortune. Similarly. followed again by another trial. I tell him: "I want my car parking space. one person had a dream that he was inside a little tent and was trying to come out of this tent. being distinct." In reality my parking place is sometimes occupied. If it is. The lethargy must be shaken. but outside the tent were thousands of crows that pecked him when he got out. This reminds me of the struggle of obese people trying to lose weight. Prover 2: He had a dream in which he was anxious that he had not taken enough notes from the "Organon" and had difficulty trying to © Copyright 2000. the King. I want to tell the people in charge of the building but I don't. they naturally fit into the classification and help us to understand it more easily. while not threatening. I put my mother on a bullock cart and I am running behind the cart. The main theme of the dreams was a feeling of "trying to do something". My mother has purchased some things. Proving of ringworm I collected the specimen as described earlier and potentized it up to 30 C potency. He would try again but the same process would recur. For example. None of them knew what they had taken. On one hand. "Impatient" and "Anticipatory anxiety". it is good for him to succeed. The situation is on the borderline of his capacity and. The volunteers did not know what they were taking. This alternation between struggle and giving up was seen in the dreams of most provers of this nosode. No doubt further provings are needed to understand this nosode better. there was resignation and acceptance of the situation. He feels he is not appreciated and so tries to win appreciation.thus. "Hasty" and "Hurried". etc. I relied mainly on the dreams to reveal the inner essence of the remedy proving. Conclusion In concluding this section o in-between miasms I would like to say that there may be many other miasms waiting to be discovered. The main remedies for this miasm are Calcarea sulphurica and Calcarea silicata. sometimes giving up altogether. On the night I potentized the remedy I had a dream: My car is parked near a railway station. jogging. The provers took the 30 potency every night until the symptoms developed . As infections are secondary to these states. The patient feels incapable of performing and gives poor health as an excuse for nor being able to perform but at other times he somehow tries to live up to the expectations. our map will become more and more precise. It is based on common states of being. Calcarea sulphurica has periods when he "Sits and meditates over imaginary misfortune" (nothing can be done) and at other times when he is "Quarrelsome". walking. With time. followed by periods of acceptance.sometimes with hope. When this fails. confirmed it by histopathological examination. You must have noticed in the above examples that we have mostly spoken of common infections of the human race and seen that the characteristics of that infection fit in with the miasmatic classification. I go to the clinic and see the manager of the building. . In order to confirm this idea. Archibel S. but the initial pilot testing seems to confirm my idea that the ringworm miasm has the main feeling of "Trying". I use someone else's place. then potentized it and proved it on a few volunteers.A. Seven of the provers developed symptoms.Encyclopaedia Homeopathica 33 scratching . Here I must point out for clarity that our miasmatic classification is not built around characteristics of any infection. Prover 1: He had a dream that he was the boss of a hospital. Calcarea silicata has "Anxiety about health" and "Utterly ambitionless" on one side while on the other it also has "Hurried". other provers had dreams which represented a situation in their life where they were trying to do something . I have benefited immensely from it already though there is much still to be learned. dieting. there are both the resigned acceptance as well as the element of struggle. There are periods of struggling.

Going to a shop. It started gradually. She." Prover 6: He had a dream he was in an old school doing a fashion show. Prover 7: He felt tremendous anxiety. I said. he said. He was told to learn patience. That tension disappeared after the remedy. "They always do it. Here too. can't recognize where I am. I get very tense trying to reach the college in time. .Encyclopaedia Homeopathica 34 pass an exam.A. He felt tremendous anxiety in the chest for 5-10 minutes. This was a case of cure from the remedy. He also had sudden attacks of anxiety. Archibel S. Then he has a big party and in front of him the whole ship is destroyed.narrow. I was trying to force the matter. a calcaneal spur and pain in the left eye. I won the match for my team. I enter a shop. What situation does it call to mind? What feeling does it bring up? Prover 4: He had a dream that all the provers had forgotten to take the first dose. I try to go back to return the skirt. A fear that something was going to happen. he had to press his stomach to ameliorate the pain. all in an acute state and all wanting medicine straight away. I don't know if it is the same one. Usually I am sluggish. The stream of urine was hitting the wall." Anxiety usually led to irritability. which lasted the whole day. sees five of the patients and he sees the other five. "Don't smoke". He had another dream of a field of crop and a huge ship. What is the significance of dreams in term of the patient's life? We have to look at the dream and what it means to the dreamer. He was the only prover who had received placebo and at that time I didn't know this. I tried stretching but it didn't help. In the morning I had a pain in my neck on the right side. Prover 3: He dreamt he developed varicose veins. It was a childish game but it was no use to tell them not to do it. My anger has come down a lot. He was hiding from the lecturer who walked by. I was sleeping or lying with hot applications. . Then I feel I have a black skirt already. He had a dream that ten patients came at 6:30. He had a dream of having a pinch of salt in his hand. What was the feeling about the homeopathic mixture of prover 3? In one situation in his life he had been in hospitals for five days in a state between struggle and inertia. He use to tear and break things when they didn't work for him. I bought a black skirt. This dream didn't tally with the rest of the provers. the doctor. He had a yellow/greenish discharge from the left eye. the 30 C was used. . . They told him he would have to wait fifteen days in the hospital. as if the heart had reduced in size.I had a dream that I was trying to tell my friends to give up smoking. a doctor tells him. I thought: "Fine. It doesn't work to tell them. He went to the hospital for treatment and was offered a homeopathic mixture. The prover was asked what he felt the dream meant: "It explains my life situation". It has tables running all along the © Copyright 2000. Prover 5: He had a dream that a nephew and cousin were urinating in the bathroom together. Then.Normally I have to rush for my bus. I also had a dream I was playing cricket and doing well. I used to tremble with anger. can't recognize where I am . Separate proving The following is a separate proving by a lady doctor. while returning. confused. On the second day at 2:00 PM. again. Prover 8: He felt he was losing his balance in the last few days while riding a bike. Three of the provers dreamt of pain in the left eye with inflammation. After taking the remedy his anxiety went down. He had a biting pain in the stomach from 4:00-5:30 PM. He wanted a single remedy. They were about inertia and struggle. They all felt strange and foolish. They were all dancing on the stage and the show was good. In the other dreams you see no panic and no destruction. he said. is to learn patience and not to panic. my parents would admonish me. The dream was about success and failure. He told them to come one at a time. In the evening it came back. Then he walked along a corridor and saw his friends sitting in a room doing an exam. deserted streets. I was very strong in the field. I cam miss my lecture. and no struggle. Sometimes I had a pain in my hand as well as the neck. "Cut off my leg then". I could relax. At college they were all told they would dream the same thing. I can't move in life. Some provers developed an aversion to coffee. His whole life's survival depended on cutting the crop and making a ship to take the crop. The solution. Prover 2 is normally anxious.

I wonder how the car would go up this and I am trying to think how to do this. Feeling anxious. . Other people on the road walk as if they are not aware of us (not looking at us). Now I wonder : "Should I leave the keys behind or put them in my bag?" There I see two friends and want to talk to them but they do not talk to me and I want to go to them but something happens and I can't. I come to the airport at 4:00 PM. trying to find my bag. Then I try to find my handbag but I can't and then I see my mother sitting coolly with my bag. I turn around and his sister is there again. The manhole is standing and not flat on the ground. He is not embarrassed. Provers experienced a lot of dreams of parties. Then I feel it is too much of a bother to go to the salesperson and exchange the skirt so I just pick up the blue skirt. They go to the bathroom and I follow them.There are floods in Bombay. fruits. aggravation from consolation. Then suddenly someone comes and takes the brother by the hand. Coming closer I see a person inside and a pack of biscuits. feasts.I am riding a bicycle which is as high as a double-decker bus. of somebody facing a danger and the dreamer being unable to help. as seen in the following dream: . with my family sitting in. When I reach there everybody leaves the house and only he stays. white Maruti.A. I want to correct this and try to find a bathroom but can't find one.One person becomes naked on a road and shows his varicose veins to me. the newcomer is having a knife in his hand and he covers the brother's face with a mask. she gets up and drives off. While reversing I reverse from one end to the other end of the road at an angle. As I reach just near the manhole the man opens it and dirty black water comes gushing out. Patrick in the "Homoeopathic Links" (Asian Edition 2/93): "The main theme of Ringworm as understood by Dr.I am driving a car.I am at my friend's house and all the family members are present (actually he has one brother but in the dream he has also a sister). . I want to exchange the black skirt for it. . the newcomer takes her somewhere and she cries for help. the car disappears and only keys are left (like all the other cars). of being sad. Here are some of the dreams narrated by the provers: . I am very anxious. trying to park the car. I feel it is anesthesia. He is about to kill him. restlessness and some also experienced pricking sensation of soles. Suddenly I feel scared. These were the symptoms brought out in the proving of the ringworm tissue and I find the results most encouraging in that they seem to confirm my ideas." Then I want to park the car and I find the cars are all parked in a staircase-like thing in a slant. I see a bright blue skirt with a lot of flowers. Where are you going". 93). The mood of the prover was that of irritability. it looks hopeless but finally the dreamer gets out of it. I append a review by my friend Mr. we have to report one hour in advance. But to enter this parking place I have to enter it by means of some staircase.I have to catch a flight at 4:30 PM. She seems to become unconscious and lies down on the motorbike and the bike is moving backwards on its own. Rajan through dreams and physical symptoms of the provers is: trying hard but unable to get it. So. people are looking at me. The theme seems to be: dream of danger. There is one coconut tree and below is a small shop blue in colour.. . I knock down one female who is on a motorbike.I go to an office but people don't allow me to enter in and drive me out. I feel relieved. While leaving I worry: "What if someone catches me?" . Then all the members of the family come back. I am trying to catch a flight. I find when I park the car. it shows embarrassment and inability to get out of a situation. . suddenly. they close the door and I hear him screaming. trying to find a place to change my dress. so I have to go out and walk on a deserted road. I am very scared and feel she will die. I try to brake but it is of no use. My mother screams: "Watch." A proving of bacillinum Bacillinum burnett © Copyright 2000. I knock one cyclist down but he is unhurt and cycles off. Then I realize that the dress I am wearing is inside-out. My mother is with me but she is very relaxed and I keep saying. But then.A water bottle kept for filling under the tap is overflowing. Archibel S. Most of the time it is a very difficult situation. I conducted another proving of the Ringworm nosode at a recent seminar in Bombay (28th . put it in my bag and leave the black skirt there.Encyclopaedia Homeopathica 35 walls with cloths just thrown on them. and I quickly reverse the car and just manage to prevent the dirty water from falling on it. . Then one person moves a lever and the staircase moves to the floor level so that I can drive the car up. the sister is being raped but they are cool about it. "Hurry up. of being pursued.29th Aug. It is clean and surrounded by water but I have the feeling that it is going down. there is scarcity of essential commodities. No one has told me.. I am driving in the side lane and I approach a manhole with many people working around it.

We decided to prove Bacillinum (Koch). Prover c © Copyright 2000. Feeling: "So what if it is deep?" Going down on a rope. I was going to present some very new concepts at the same place.C. This desire for change is found in Tuberculinum and the main theme of the tubercular miasm. (It is interesting to note that under "Hectic". It was at Spiekeroog that Dr.the situation seems to warrant a risk. . Action . is the need for rapid change in order to have a hope of survival.Hectic at night. We see change everywhere: political. Fast. where he taught a rather strict form of classical Homoeopathy. There must be something in the state of human beings that attracts this infection. And now. The increasing number of seminars. Feeling warm. social and environmental change . There also seems to be a need to take a risk. vaccination.A. and the homoeopathic field in particular. and then invited some of them to come and speak out their experience. with flushed cheeks and hot dry skin). peaceful island with dedicated homoeopaths. Archibel S. etc. we felt. I asked all the provers to write down their experiences and dreams. we felt it was the ideal opportunity. and so did the others. was a prime example of such a change. hot. In fact. Comment: This dream gives the second theme of the proving (the first being hectic activity): a risky situation. of whom around a hundred took the proving dose. They noted down and reported the effects of the drug the next morning at the seminar.and in the past few years.Encyclopaedia Homeopathica 36 A proving of Bacillinum was conducted on the 22nd October 1993 in my seminar at Spiekeroog. In the seminar. We note that the incidence of tuberculosis in the world is rising steadily despite drastic measures like B. Dream of a mountain/abyss. gives also: . I met a colleague from Denmark and asked him about his experience with the proving.Hectic night. Then arose the question of the remedy to be chosen for the proving. and hence the descent down the abyss with a rope .Hectic fever (or flush): a fever which accompanies consumption and similar diseases. of high activity in the kidneys. A brief summary of the proving follows. books. at bed time on the 21st October. The same rapid change can be observed in the attitude of the medical profession in general. This change is what all of us desired. Many things to be done. G. and I had to go from place to place. I woke up with this feeling and went down to the breakfast table in the hotel. He told me that he had a dream full of hectic activity.intense and hectic activity. that change is the main feature in the world today. I got a dream that a colleague from Holland was visiting me with her husband. Prover b . this change has been rapid and tremendous. sustained treatment with powerful antibiotics. D.O. an island in the North Sea near the town of Bremen. I asked myself: "What is the main feeling in the seminar and in the world in general today?" I felt. and were not aware of the drug being proved until after they had reported the symptoms the next day. There were two hundred fifty participants in the seminar. Several provers used this word "hectic" to describe their feeling. Couldn't sleep till 4:00 am. as I understand it. Künzli held his traditional yearly seminars. provings and ideas are visible signs of such activity heralding change. there has been a marked activity in the homoeopathic world. the people above looked so small. It seems as though the old and the traditional is not enough to meet the demand of our time. economic. A peculiar feeling of painful activity. There was a lot of quick. taking a risk but feels no fear. A summary of the proving effects I took the dose myself at night. Reason for selecting bacillinum I reached Bremen a day before the seminar and had a meeting with some friends. intense activity in the dream. Prover a . As it was going to be a five day seminar on a quiet. We thought it would be a good idea to prove a remedy at the seminar. All had received Bacillinum 220 C. arranging things in connection with their visit. the C. the forthcoming seminar. In the past few years.

left an intense feeling of close danger. There was no problem. Felt like doing something. Dreamt of a beach.Previously. But this person did not take the proving remedy. My mother. she had dreamt that a woman killed a man with a knife. Prover h This person did not take the proving dose but.Dream of a mountain and a drunken man. Comment: The themes of this dream are similar to the ones before. a sense of duty. A week before the present seminar. also a need to care for others.Hectic at night. Prover e . I felt much calmed down with the proving. I could not take a risk to prove a remedy. interesting and thought provoking. Prover i This colleague told us that she had seen in the seminars at Bad Boll in the provings conducted there (by Dr. she had dream of a narrow restaurant with a feeling that this was too dangerous for her.. Prover g . Comment: This prover's observation is very unusual. How can this house stand with so many holes? Prover d . the movements. I felt it is my big duty to stay with him. This time I could. risk and even something like a concentration camp with the deported nuns. Prover j The next prover said: . In another dream. But the next speaker startled us even more. However. Felt very much under pressure. He saw helicopter-like planes going down with an intense noise. this night slept very well. . There were many little cats. and symptoms like asthma. I had no aggressiveness at all. Prover f . i. I had observed this phenomenon earlier in a proving of Cannabis indica in California. a feeling of quiet joy. up and down. my child who always has restless nights. Can the state of a prover be transmitted to those around him? In other words. Didn't get tired. observations such as these need to be critically © Copyright 2000. however. he awoke with a fright. It was my duty to give milk to them. Surprisingly.Dream of a concentration camp. namely intense activity. Comment: The theme here is of having to do a lot but being unable to cope up. It was a difficult way through the high water. He saw a black ground like lava. He had a dream in which he saw lots of cables and wires. also sad and frustrating.e. She also developed physical symptoms like pain in kidney and stomach. The workers made a hole. the same night (of the proving). the development of symptoms in a person who hadn't taken the proving dose. as you will read in this book. I couldn't do so. there is hectic and intense activity.A. She had chill and then sweat. Archibel S. high water. black and white..Encyclopaedia Homeopathica 37 . He saw a dream of a train full of nuns being deported. a big dog came and bit her neck. Dream of building a house with stones.Hectic night. Also of a 1300 page "Open Testament" of Tolstoy. Dreams were hectic. does a proving also affect those not taking the dose? Here we enter the realm of the unknown and there is much scope for fantasy. Jurgen Becker and others) that she would develop the symptoms of the proving a week earlier to the proving without even knowing what remedy was going to be proved. had an awful night.Felt fully awake and read. Dreamt of an aeroplane.

on a monorail. though sick. My girlfriend and me talked a lot about your thoughts about the development of diseases and the "mechanism". It is dangerous. slight fear and there seemed to be danger. the feeling of doubt about many themes. but I didn't know where it came from. there was a very beautiful sunset and upcoming of the moon . Prover p .Although I did not eat too much that day. She said she was feeling well in mind.but I just wanted to move. We were on the one hand very scared.I did not take the remedy. how delusions crystallize into pathology. I did not feel the cold. Prover o One colleague reported that she had heard on the phone that his daughter who was several hundred kilometers away had developed hollow cough. which were not unknown or completely new to us. about the depth of delusions and where they come from and mainly about our own delusions. had a shaking chill.they may lead us to something as wonderful as our infinitesimal dose. enjoy the sun and the sand. had nausea and oppression. She had not taken the proving. After the last part of yesterday's seminar my feeling changed into inner restlessness. Prover q . .Dream of travelling up a hill. but I felt a kind of nausea. but helped to fill the globuli into the little paper bags (about 2:00 pm). After that there were one and a half hours of break left. but on the other hand full of hope because we believe to know a possibility how to solve delusions Homoeopathy cannot solve. and even afterwards I did not have the desire to put on my clothes again but wanted to run around very fast. There is loneliness and violence. . pressure round the stomach and a warm sensation in the solar plexus. a mountain. was restless and was relieved in clean cold air. . whose main aspect seems to be the same in both of us.We then started to focus on pictures that arose in our minds. an intense feeling of being alive. my girlfriend and myself walked to the beach and went swimming in the sea. on the other hand.A. hope. Prover m Dream that a pregnant woman is being pursued by somebody behind her. risky and fast but had to be done.Encyclopaedia Homeopathica studied and carefully documented . Comment: Here we can see that the seminar represented on the one hand risk and. she was crying. The monorail is a very fast train (with an element of risk) and represents the latest change in transportation. Saw a picture of the painting "The cry" by Edward Munch. Comment: The weather at this time on the island was 0 ºC and we were all freezing in spite of warm clothes. Prover n A colleague who couldn't come to the seminar on that day. She had developed vomiting and diarrhoea.a very moody atmosphere . Prover l Dream in which she feels oppressed by neighbours. Although I used to freeze very fast.Dream of a toy railway which goes up and down on one rail in a mountain. run of joy. I was not hungry. felt hectic. Comment: This is the second prover who dreamt of a monorail. The feeling of danger and restlessness are seen here. Archibel S. had become restless. 38 Prover k . Comment: The intense activity and the joy of life is seen in this. but the special thing was the speed these pictures changed without leaving a deep impression of the theme these pictures were © Copyright 2000.Also the whole afternoon I moved very fast and liked running and jumping very much ( as far as this was possible during the seminar). .

It did not dare to. Another wants to hold me. When I awoke after that. I was in a house in the first stage. But I don't want to fight and he accepts. flying horizontally like © Copyright 2000. One or two minutes later the machine would have worked again. Then I fell asleep again. then became a helicopter (orange-red with black carrier on it. a train comes out. But the pilot didn't want any help.I leave. I woke up after I had a dream: I was in a room with several beds and there was an old man who showed to me two other men making love to each other. a "permission".Encyclopaedia Homeopathica 39 about. was dependent on the (strong) wind. But I can make it. but this time it was OK. Having to get things from my home when away in a country-house and someone says I have to drive there anyway . the helicopter fell down making a slow looping and smashed on the ground. I slept well but not uninterrupted. I didn't see them but they shot big. later on he sees that emotional contact and warmth are there even though the physical aspect is unchanged. as if I had sweated out something severe and fearful and dangerous so that I could feel free again. Feeling this is the ruin of the world. This is probably how he viewed the seminar too and felt that though the form of Homoeopathy has changed. Suddenly I realized there was a child sitting almost in the line of water. And the situation clears up . who was always strange and aggressive. feel a little strange. I told him about the mechanic problem of the carrier on the top of the helicopter. I never had that dream before. I drive the car. plastic pieces flew around. go up and down. I saw trees. I feel powerful. but he was not interested in that (fact). no aggression against the French. confident.key inside. I run to the pilot who crept to his microphone (talked with the tower?). Some excerpts from the provers' notes: . We were not personally involved by feelings. It must have been sometime in the 18th century for I knew the mill was attacked by French soldiers. the carrier went loose. very big cannonballs over the church towards the mill. What I think is remarkable is that I didn't worry about myself or about my family in the mill. and the pictures were not conscious any more. . We arrived. Archibel S. played with the water. . I was immediately even calmer than before. The door is open. But there is another key in one door of the car. the Napoleonic wars. Several dreams in which except one there were some problems but they always worked out well and I was confident. . I did things in a little joyful and a bit magical atmosphere. Then there was an agreement. Never dreamt before. the spirit is the same and with this he could relax. . was completely OK. He told me the reason for the crash would have something to do with the toilets (!). She held her hand into the stream and enjoyed it. not inferior. no people. I realize it's a train bringing people from concentration camp to a crematorium. too. only of metal material and somehow smoking. because it seemed not mere physical contact but much more emotional. This proving for me is the most impressive proving of the seminar since it brings up all the aspects beautifully and vividly. was never much interested in history about. A few hundred meters ahead of me was a brick church. tired but feeling good. I make fall a bookshelf to make a symbol. the feeling of restlessness had disappeared (at about 4:00 am).I was standing on a bridge with my back to a big house (which was as I knew a mill. I awoke very alarmed.so I drive there. will have to stop (usually the road is level). I thought about the possibility of an explosion but didn't hesitate to help. could not be piloted. The brake pedal is very small and close to the other pedal.) Me and my friends wonder how can people do things like that.I had a second dream: Again this theme of homosexuality.I remember very little dream during the past nights.A violent. I sweated very much. a total wood flying blown by the wind over the ground in our direction. I turned very sleepy then. there was gasoline everywhere. all that 50 meters away from me. feel it in my feet that I find the right pedal. It was curiously looking at my running water and I felt it wanted to touch the streaming water.A small airport: a small aeroplane with wings like a kite made dangerous loopings. destroying storm. wants to fight. I see a long house from a distance. Comment: This shows a resolution where the insane thing seems to be okay and even though it seems strange and alarming at first. I lock the car door . me as a third person watching. (Afterwards the cannonballs seemed to me like huge oversized homoeopathic globuli). it was in a very peaceful atmosphere. but this sweat seemed to me something very comfortable and pleasant. trustful. (But now the train drives out. I took him under the arm. driving them in alive.A. I was ashamed about this. . People were blown on the ground. I was outside standing and taking a piss. They G-7 the house or the bridge but the cannonballs were that big that I could see them coming and avoid them stepping from one side of the bridge to the other. for example. water mill I guess). A school mate from fifteen years ago. Comment: The theme of homosexuality comes up and the person views this as a strange and alarming thing.

I want to put some glasses into a cupboard but there are some bottles with poison in it. The effect of the proving on the seminar and its resolution On the second day of the seminar (proving dose taken on the first day). I am invited to go with them to the church for a mass. was holding a stick over another man.it was frozen. The first thing I did was that I told them I was pregnant although I wasn't. They are buried in it and perhaps some of them die. but we couldn't find mine. Then there was nothing left to see. It was a heavy bus and even though I was standing on the brake with my full body weight I could bring down the speed of the bus only little. so big as a church falling in a big hole in the ground.and had to turn the cover many times. I could not sleep until 4:00 am. At the same time I had a dream/vision of a market garden with lots of beautiful flowers in various colours. the temperature went up .I was extremely warm . . else. At the end of the dream I remember I was driving a bus full of people downhill over a very sandy and hilly area. After this dream I was totally quiet and slept and enjoyed it very well. There was much restlessness in the room. Dream: Terrorists said they would make a plane fall down over my city. The ceremony was pleasant. Dreams: Some men jump with the horses over abyss of a sand mountain and the sand is broken. I am afraid of being poisoned and perhaps must die. They fixed bombs at the outside of the building and it was a big shock and we were very scared.turned in bed. they were all so similar. Unusual about these dreams is the topic of being responsible for me. one after another.had to go to toilet to urinate three times during night (normally rest). After taking the remedy I had a few minutes in which I was very awake in spite of the fact that before I was very tired.and done fast. An old man (master). Dream: I was in a room with some people and suddenly people in uniform came in order to kidnap us. It dealt with saving a group of people at a mountain side. . no houses and there was peace. open the windows . Kidneys affected . I myself was going too fast. the bottle is broken and some poison is coming out on my hand where I get an urticaria. a lot of activity. the major portion of it I have unfortunately forgotten. The heart started to beat heavy as if it had hard work to do.First reaction: physical.. On one window we saw high glowing balls. We felt fear and I said to her: "Now we have to hold the glasses of our windows. I said several times: "What about that little baby in there?" I woke up and thought . woke at 4:00 with a dream.After getting and just touching the remedy I got some diarrhoea with liquid stools yesterday in the evening and once more in the night (after taking it). Peculiar feeling in the body as if poisoned. There were two small children I was responsible for (4 and 8 years about). in the morning some chilliness.Encyclopaedia Homeopathica 40 the trees. with one person putting flowers into a pot to sell them. .When I started falling asleep. and quietness. another flying down over the ground held tight a gutter. They were soft and warm. Then a big amount of smaller burning balls fell from the sky. One of these people was clinging to a cross. I go by car to some relatives for a celebration because of birthday. I normally sleep after two minutes. It was very beautiful (never before with these great colours. We did a lot of things and felt there was much more to be done .I had two dreams that I don't remember and one peculiar dream: "There was a kind of initiation. Dream: I had three brown mice I was responsible for and I was looking for a box for them they can feel comfortable in. I never had such dreams before. Those who didn't die say they become violent. But fortunately the speed was always lowered by hilly curves and nothing happen. could become and same one. only in another proving). Very restless . I take one of them.my feeling of danger was actually not strong enough as I would suppose it to be in this situation. flashes. The first time of the night I slept very anxious and restless. but I didn't vomit. we had to run but the small one fell into the water we had to cross . Dreams .feet out of cover. . . In the night and this morning there is also a sickness like vomiting. Behind me there was an old woman in the room. So we took another one. I carried him but he was too heavy for me. I am just a viewer of this without emotion. I have never had this dream before. but it didn't work. no trees. I had a sudden fear of cancer. which was like a miracle to me. I had a pulsating sensation in the head (front and back). they got icy cold. The diarrhoea was very explosive. with white curly hair. He was actually wet and it was terribly cold. the mood was very different from the first day. as if something big pulsating is in there and wants to come out. We had to run but he was too slow." Then there were lightnings. could be a ceremony". but once out. because I thought they would let me go then. Archibel S.I took the dose at 0:30 on 20th October 93. There is a friend of mine and she says that I can help her with the chorus we want to sing..A. A kind of initiation to another "dimension". That is unusual. Later on my friend and me tried to escape in a car. as though I had to tell all I knew in the remaining four days of the © Copyright 2000.

a problem about his love. e. Thus. . This proving is especially significant as it showed: .g. I remarked that many elements of the Periodic Table were still unproved.g. especially those in danger. Gradually. etc. The nosode is the disease product which is made from the tissue that is fully under the influence of the infection. Let us try to understand this a bit further.Need to take a risk.e. .Sense of oppression. and had taken up the Halogens. This problem is nonspecific in the case of Psorinum. This tissue is so completely overcome by the infection that it no longer has in it the individuality of the person. In the case of scabies. This relentless pace kept on till the fourth day. But when this struggle is on all fronts. for example. Now. and at various times it manifested itself in different forms. I was talking about the Periodic Table of Elements. does not feel fear to the extent demanded by the situation. . risk. our Repertories . That is why it is often said that the indication of a nosode is when several remedies seem to be indicated or when several remedies fail though seemingly indicated.Intense and hectic activity. If this is causing physical insecurity. a problem about his acceptability.Encyclopaedia Homeopathica 41 seminar. The nosode as the centre-point OF THE MIASM The nosode of a miasm. the nosode will have the quality of a fixed infection of gonorrhoea. we can then branch out into more specific remedies. a problem about money. I could not help but laugh at the foolishness of this attempt to "know everything" . the enormity of our ignorance dawned upon and oppressed us.intense activity in the time available. . When I tried to continue the discussion on the Halogens.Fearlessness. whereas the defeated tissue of syphilis will have the character of total despair and distress. if the struggle is for ego and honour. It made the picture clearer and brought it to life. This led to further comment that most of the chemical substances in the world were unproved. etc. We can see from the last rubric that it lies before the syphilitic miasm which is totally hopeless. then the remedy that will be needed is Psorinum. Psorinum (psora) and Medorrhinum (sycosis) or Syphilinum (syphilis). a study of Psorinum shows the very character of the psora. on which I had already written in this book. hectic activity. This feeling of peace persisted long after the seminar in many of us who had earlier felt a need for hectic activity. then the situation would be Sulphur.each time leading to a different © Copyright 2000. the insufficiency of auxiliary modes of treatment. it can be a religious problem. The nosode represents what one might call the defeated tissue completely under the spell of infection and. It has an undifferentiated character. All felt the need for intense.A. the tissue will have in its quality the struggle of the scabetic infection. All the others soon joined in the laughter. the feeling is of oppression and danger but with the hope of finding a way out if he reacts rapidly .to have total knowledge. sometimes as security problem . therefore.Hopefulness.The effect of the proving on the seminar itself. At this point. this is one excuse I have to offer for the book being delayed! Conclusion The proving of Bacillinum at Spiekeroog confirmed the picture I had in mind of the tubercular miasm. we could see the delusion that we had to know it all or were sunk. I considered the various sources of our remedies and the literature available. sometimes as poverty problem. in gonorrhoea. when we study the symptoms of the nosode we are able to understand the centre-point of the miasm. I have gained a lot from this proving experience and wish that all my colleagues should undergo at least once the experience of a mass proving followed by discussion. the feeling of lack of capacity and the need to struggle was an undifferentiated feeling. Archibel S. . but has only the signs of the process of the infection. .Need to help others. for example. an intense struggle with a problem from the environment. the struggle is undifferentiated. i.The phenomenon of a person developing the symptoms without taking the proving dose. In the example. The whole atmosphere of the seminar then became relaxed and there set in the peace and joy of life. The main themes of the remedy (and the miasm) are: .Feeling of danger. e. sometimes it manifested as ego problem. from this undifferentiated sense of struggle. represents the centre-point of that miasm. In Bacillinum. manifesting the very basic qualities of that infection or infectious process. . then it would be Calcarea or Nux vomica. . In fact.how incomplete they were.

one might think that the closest nosode to him would be Syphilinum. man is able to accept himself and is accepted by society as well . What is alarming is that trends show that theses conditions. This is the case with antibiotics. However. In India these late effects are not yet seen in any great measure.g. states develop in response to a situation. measles. The harijan (the low caste) in India was treated like a leper . by modifying the environment to extents that are entirely unnatural.. In the West today. etc. since. Human civilization has its own advantages and there is no denying that we have come a long way from the caveman. What other outcome could result when we remove the syphilitic infection without removing the syphilis in the man's mind? The destructive mind invites destruction. we understand the central point of cancer miasm or in Tuberculinum. When the situation changed. population. we understand what it means to be a mortal.. The last statement is based on my experience especially with young children and their complaints. In order to diminish this delusion which is a stress at the very centre. these postures. Once this occurs. etc. The feeling in the mind manifests in the body. but the basic problem was undifferentiated feeling of lack of capacity and the need to struggle. these states of being. . The frequency of any disease can be directly related to situations calling for it. enter the house of a "higher caste" person. To survive in these situations. I have found this approach very useful in some cases.g. I would say that this was to be expected. one can then look around to see which remedy comes closer. we cannot help wondering what happens when the infection "invited" by the body is removed by treatment without the basic feeling being altered in any manner. man has created certain situations for himself: the problems of war.A. when we study Carcinosinum.his behaviour is not so abnormal. Archibel S. The same applies for Medorrhinum and Syphilinum. The purpose of stressing so much on these morbid matters is to create awareness. we find increasingly incurable and intractable conditions replacing the older often purely infectious diseases. It can therefore be easier to see which nosode is the closest to a particular patient and after fixing the nosode. are created by humans. there is a high incidence of autoimmune diseases. e.he was not allowed to use the same water-source. appropriate for that time. we understand the undifferentiated feeling of the tubercular miasm. just as the reason for tuberculosis is the attitude of this condition. e. it is not surprising that these were the people most likely to develop leprosy. Now. It is in the nature of man (as opposed to an ape) to understand and harness the power of nature. Thus. These internal states are classified by us as miasms. But whereas the earlier group of cases would show an acute. The reason for cancer is the attitude of cancer. This being his situation. we find Stuart Close talking of "satisfying the susceptibility". an area of high responsibility in which case one would go to Aurum metallicum. cancers. self-limiting course with a reasonably definite prognosis (good or bad). were no longer needed and were therefore usually dropped.he is no longer aware of reality. many of our patients present with complaints very similar to older. considering his infection. While the pernicious results of a one-sided treatment are sometimes immediately evident. However. It is when these states continue despite the change in situation that things go wrong. then man is under a delusion . and there is a tremendous sense of desperation in him.. the current cases seem to have a uniformly unhappy prognosis with long lasting debility.the latter is to me nothing but syphilis in another guise. etc. well-known infections. and this is the central point of the psoric miasm and would need Psorinum as the remedy. infection is subsequent to an internally created susceptibility." The man who is internally destructive and violent will be the one to acquire syphilis. © Copyright 2000. This is what the masters have said in different ways.Encyclopaedia Homeopathica 42 prescription. of natural elements. if a patient comes with strong destructive and homicidal tendencies. whether in the form of syphilis or AIDS . formerly the domain of old age. etc.something we recognize as suppression.g. while Kent says: "The bacteria are the result and not the cause of disease. and I believe the increasing incidence of new pathologies and infections is just an expression of the body's attempt to substitute the older ("cured") infection with another which fills in the void. Thus.. so much so that we occasionally confuse the two. e. What we learn from miasms In the classification of disease states we have tried to see patterns that may be found in vast populations. adopting postures best suited to that situation. Here one would ask whether it is just undifferentiated hopelessness or it is the hopelessness which is marked for a specific area. The study of disease is in a way a study of mankind. the major effects are seen on a larger time scale. Once this is clear. This would then help us to limit the area of our search and make it more specific. man developed states of being. As mentioned earlier. a violent destructive disease. This idea also fits perfectly well with the miasms in between the main miasms. for to be aware is to be healthy.. are now showing up in younger people with a greater frequency. The substitute may be less appropriate to the state and this results in a worsening of the patient's general condition . political conflicts. industrialization. the body "accepts" infections which best "live out" the delusion.

more calculated to disrupt health. It was my father's patient who had been talking of suicide for days. therefore. gonorrhoea or syphilis is often not available.neither too much nor too less. There are movies which take you into a realm of fantasy. even of chronic expression. simplify and treat chronic disease conditions more effectively. Acute state The delusions of these remedies represent an acute threat and the reaction is strong and instinctive. and is often recognized. "Ailment from scorn. There is anxiety with doubts about his ability. . a classification of the disease states becomes a classification of delusions. It would be healthy to eat. not only because of the physical (bodily) benefit but also due to the changed mental outlook that precedes it. The most potent weapon we possess to promote health is education. © Copyright 2000. enabling us to classify them accordingly. An acute state often has various kinds of pathology. There are others which touch you deeply and you can identify with that character. It is abstract things like these that we must look for and appreciate. Psoric state The delusions show a difficult situation where he has to struggle in order to succeed. we must be able to recognize what is already existing that is healthy around us. "Egotism". "Desire for light and company". for example Sulphur: "Delusion. Archibel S. A simple change in diet and habit would go a long way towards healing. "I am that".Do you have a gun? .I am going to commit suicide. .By shooting myself.How do you propose to do it? . diseases do show a pattern that corresponds to the above mentioned conditions. The conversation was as follows: . This is not so easy to define and I can only attempt to give a general indication. psoric. awareness of these and consequent alteration in our thinking would result in health. "Clinging". eating junk food all along. embarrassment". While a history of suppressed scabies. . but he is hopeful and failure does not mean the end of the world.A. sleep and rest as much as is needed .Encyclopaedia Homeopathica 43 we can consider the possible solutions to these problems. As an extension of the concept of disease as a delusion. Nothing could be more unnatural. Instead of thinking. The miasmatic concept treated here is. sycotic and syphilitic miasms through an analysis of the most prominent remedies belonging to each miasm makes it easier to understand the situation and delusion of that miasm. not a "theory" of causation but a convenient classification of some practical utility. (would like to be).Then what is the use of talking about it? Get one and we will discuss it. "That is me!" The latter type of movies are the ones. There are jokes which excite laughter without really affecting you. and why it is so. He must struggle in order to recover or maintain his position. I recall one such incident which seemed to have just the sort of effect I am talking about. The concept of miasms: a summary Hahnemann postulated a theory of causation to understand. wanting you to be one of the characters of that movie. for example Stramonium: "Delusion. As disease is the result of unnatural postures. What this "joke" has done to him was to create awareness that he really did not intend to die. Studying the acute. "Fear of poverty". It is included here with the other three basic miasms. hoping that someday we can define them more clearly and use them in practice to heal. The patient started laughing at this unexpected "advice" and subsequently improved. best calculated to promote health. Man must obey his natural instincts when they do not go against his community. lying on their back. It is most disheartening to watch youngsters and adults alike watching loud noisy and senseless television programmmes.No. getting thin". alone in wilderness". I feel. What are the things that create awareness of our state of being? It could be even a movie or a joke. In order to educate others. . you feel. Then there are others which make you feel much better after the laughter.

especially under pressure and stress. etc.stuck on a mountain without food. He studies the damage and tries to repair it. Sycotic personalities Sycotic personalities are above all secretive. Hope returns very soon. which they see as a threat or attack from outside. insane. fear of poverty (poverty means loss. for example Thuja: "Delusion. active. The despair is not deep-seated. he kicks the car down the mountain or gives up totally and awaits death.A. body is made of glass". All miasms have compensated / uncompensated states.but always with hope. he tries to change the situation and the result is usually destruction . psoric. they are either excited. so actually a fear to lose. hyperreactive or seem to be completely shut off (of course the personality is mostly compensated. © Copyright 2000. but this again contains the hope to gain). with an attempt to cope with it and hide it from others . "Anarchist".Encyclopaedia Homeopathica 44 Sycotic state A feeling of a fixed. compulsive acts. Psoric personalities Psoric personalities lack self-confidence. secrecy. He is excited and panicky. Only if we lose all ability to deal with or to accept the situation do we fall into the syphilitic state. "Will not be approached or touched". After two days he realizes no one is going to come and that he is in a desperate. Psorinum: despair of recovery (3) . imagine an uncompensated Hyoscyamus. delusion of supposed blames/injuries. irremediable weakness within the self. dreams are more fixed and more specific. Depending on our actual state and intensity of the stress. they are expressive and can present and describe their complaints well. They are very restless. all fears express themselves in a feeling between hope and despair. Aconitum in a train!). You find nervous.change or destroy Acute personalities Acute personalities react totally instinctively to stress. Psoric patients present many and varied dreams. But we find neither the fixed ideas of sycosis nor the aggressive self-destruction of syphilis. . In a desperate effort. wondering if he can do it (psoric). Stramonium. Types of reaction A man is driving on a mountain when suddenly the tyre bursts with a loud blast. After struggling a lot. we move between the acute. senseless. gets out of the car immediately and without thought (acute). "Kill. foolish. hyperreactive personalities. In one word: struggling. excited. sycotic dispositions. This may express as egotism.do or die! For example Mercurius: "Surrounded on all sides by enemies". Hyoscyamus. excitable. anticipatory anxieties.. To cope with the needs of life (stress) we need a certain capacity. They develop fixed habits to cover up their fixed (constantly present) weakness. Archibel S. leading to complete hopelessness and despair. accepts the situation and smokes a cigarette while waiting for someone to pick him up (sycotic). but acute personalities appear to have especially wide mood swings (change between compensated and uncompensated). as an example of an uncompensated acute state: loud. Acute : instinctive response Psoric : struggle Sycotic : cover up of internal weakness Syphilitic : no recovery possible . Syphilitic state The delusion is that he is faced with a situation beyond salvage. In a drastic measure.hence covers up with egotism. and so constantly have fears and anxieties. he realizes that he is not capable of doing it. secrecy. hopeless situation . desire to". they want to hide their weakness. Therefore they suffer from anticipatory anxiety. and struggle with their problems.

She is very afraid of her teacher. a psoric root can come up. her survival depends on her winning. when angry.Sycotic (weakness). Her appetite was poor and she was not gaining weight. The syphilitic state has the worst prognosis: the patient has given up already. Prognosis: The acute state has the best prognosis. was clinging to her parents all the time. This is why he loses control of himself. 4. © Copyright 2000. The game of musical chairs represents the Lachesis theme: two people running around one chair. They will say: "If I do this or that I can cope and nobody will know my weakness. If a sycotic case is treated. 2. we have to ask ourselves what is the type of reaction.. It is the situation of someone who has to compete against a person with better qualities. 5. antisocial. winner the one who sits down first after the music stops playing. for example "Kill. Archibel S. someone tries to hurt and injure him. someone persecutes him. They are typical middle-age remedies. The parents describe her as: very affectionate and caring.A. Syphilinum: despair of recovery but without hope." Syphilitic personalities Syphilitic personalities are given to extremes but often show a strong pessimism. The acute miasm will react in an instinctive way.Acute (threatening). . failing in an exam. . So. sycotic. she would pass urine involuntarily. would cling to her parents. etc. Expect a sequence of remedies coming up in a case. 3. sarcastic (putting others down). etc. Hyoscyamus: (delusion of a) man whose wife tries to poison him. The ENT surgeon had advised tonsillectomy. would scream and pull her mother's hair. but all react in different ways. We can see a cycle of syphilitic. putting her fingers into her mouth and evading looks.breaking). there is no satire in him. and which type of reaction is the person choosing now (reacting struggling . He is never sarcastic.Psoric (struggle). talks a lot about herself. cough and fever with acute attacks of tonsillitis. drunkard. . becomes loquacious. The psoric state will struggle. he is always excited and presents an instinctive. psoric remedies. The sycotic will try to hide. has given up. less flexible and never hope to get rid of their weakness. trifles may cause suicide. liar.Syphilis (destructive). kiss them. like a menopausal woman whose husband has a young girlfriend. Aurum metallicum: despair of salvation. Use and understand the Repertory: Many rubrics contain remedies of all miasms. When scolded in class. We have to answer the question: What is the element in the case? . During the interview she was highly restless and also seemed shy.g. has neglected his duty and therefore deserves reproach. Lachesis (psora). demands a lot of attention.. delusion has lost hope or forgiveness.Encyclopaedia Homeopathica 45 fastidiousness.building . e. becomes violent. impulse to": behind this rubric stands the delusion that something is pursuing him. She tries to compete with someone better. Lachesis: (delusion of a) person feeling a weakness in herself.. slap her and pinch her. . instant reaction. They want total change or destruction. Illustrative cases Case 1 A six year old girl accompanied by her parents and brother came with complaints of recurring cold. How can we understand a patient USING THE CONCEPT OF MIASMS? 1. The syphilitic remedies will collapse or hit back. Understand and differentiate the remedies. delusion. deceitful (putting herself up). is finished. Thus she develops egotism. becomes foolish. for example Hyoscyamus (acute) vs.

She asks: " Am I pretty?". After getting married. She loves to dress up beautifully. The boy has a dream of having a magic wand. These indicate Hyoscyamus. He is intelligent but takes a long time to grasp anything.A. The remedy is Stramonium. cough.her main feeling is "Delusion. Archibel S. to be loved by someone. The reactions are instinctive. During pregnancy. wants to sleep next to her. whereas the mother's state ("Clinging". This is an example of the acute miasm. was not happy. She prefers to eat snacks and fast foods outside rather than usual meals. . sensitive yet obstinate. thinks people on the road look at her because she is beautiful. She is afraid of being kidnapped. With it. dream that her mother is dead and desire for company. hopeless and in danger. she is and wants to be". persecuted". These fears represent "Delusion that she is about to receive an injury" and "Danger. His mother says his nature is like that of his father. She is averse to non-vegetarian food and milk. She had always wanted to get married. She craves sweets. fear of being kidnapped and dreams of being kidnapped. He is sensitive to persecution and this is expressed as anger and fright. The father is possessive and suspicious of his wife: "Jealousy". He is very possessive about her and suspicious that she may leave him. etc. He can be very destructive . He is violent and destructive. he is constantly worried that his father might be beating his mother. The situation is the same as that of the mother during pregnancy. chicken. He craves meat. Theirs was a love marriage. the mother was very tense about everything. The boy fears his father would beat his mother: "Delusion. impression of". loves to watch "The bold and the beautiful" on TV. of falling into a well. apply lipstick. So. She was very scared to talk to him. she reacts by "Clinging to persons or furniture" and a need to attract attention: "Delusion. fish and fruits. The whole situation is very acute and threatening. The feeling is that she is alone. etc. She would model in an imaginary fashion show. Analysis The main feature of the case is the intense excitability of the nervous system. 10 years old. beautiful. she had many problems with her in-laws. the second child was born with an intense Stramonium state. with rage" and "Striking". © Copyright 2000. chocolates. She becomes very upset if her parents argue and likes to see them affectionate with each other. The same feeling of being in a threatening situation is seen in the fear of dogs and cow's horns. dreams of being kidnapped. She had many fights with her husband. with complaints of recurrent cold.quite unusual here and not approved by her parents. cow's horns and dogs. She loves company except when hurt . The father's state must have intensified once they got married since Hyoscyamus has "Delusion wife is faithless". Dreams of being kidnapped.Encyclopaedia Homeopathica 46 She is very sensitive to what others say about her. While at school.when angry would smash his toys. Case 2 Her brother. This is seen in the involuntary urination from fright on being scolded by the teacher. He would beat her up: "Jealousy. We note the clinging to parents. She is very possessive about her mother. Subsequently the violence of the father stimulated an intense Stramonium state in the mother and she saw herself as alone. "Desires company") must have diminished in intensity. She had thought of leaving him but did not. is scared of losing her. She always thought herself very attractive and beautiful. for example the involuntary urination. The girl is like the mother. She has the habit of talking to herself: imitates her teacher. She always felt "alone and helpless" and would cry all the time. "Fear of being betrayed". He is very affectionate. fruits. sudden. He is badly affected by the fights between parents. He is very attached to his parents. Analysis The boy takes after the father. passes stools every time he eats something. Her husband was violent and used to beat her. she is always alone" and as this is in a threatening situation.at such times she would prefer to be alone. a Christian girl getting married to a Hindu boy . cold drinks and sugar. The father's nature (as described by the mother) is violent and hot-headed. She was initially bold but is now afraid of darkness. conducts imaginary classes. that her mother is dead. These indicate a specific situation . He beats her. The mother had left her home and married a man who hit and ill-treated her .she felt alone and forsaken with constant fear. facing danger and about to receive an injury. the child did well both in her colds as well as in her fears.

prefers to be in the background. . He is aggravated by contradiction: "I hate to be corrected.unnerved . he says: "Since childhood I have always had a terrible fear of dying. There is a sensation as if nerves are touching the hands. It is a very acute feeling as of a threat. N. He is afraid of crowds: "I hate to be in a crowd. I remember things done to me years back quite vividly and write angry letters. I am dead. we have to consider his main feelings.just wants to save himself from the public. he does not ever perform in public. we cannot consider it to be a sycotic feature and take the rubric "Timidity . He came with complaints of chronic colds. palpitation aggravated by lying down and aggravated by hot bath. My work has always been appreciated." He gave an example of his temper. allergy to certain substances. as if reacting to an acute threat: the childhood dream of the hen.A. Talking about his fears. in his absence. wrong.appearing in public"." He hates to be stuck in traffic.gives us "Delusion. can't bear to be in a crowded church or rally. Eggs cause vomiting and diarrhoea. median nerve paralysis. He is unnerved if a dog follows him. brought by her son (a homoeopath) with complaints of post herpetic neuralgia. He has difficulty in mixing with people of his own age but gets along very well with children. He was so frightened that he started shouting." However. I hate to be seen in public . not even wearing bright colours. dream of a hen in my bed near my feet and I woke up screaming with fear. When he came to know about it the next day." Everybody in the house gathered around him as he lay on the ground with eyes screwed shut. the acute fear when exposed to public. She becomes very restless with pain at night.the allergies. I am dead. If these two rubrics are combined. When he opened his eyes he saw everybody laughing at him. His father had a similar temper. feel better on leaving the crowd. I would never do anything unconventional. My dad is like me . The other reaction when a dog follows him .M. the panic when he is stuck in traffic and the panic on falling down the stairs. though at first sight the case seems like that of a chronic situation. I want to be the best. some staff member broke his locker in school as they needed something from it urgently. He likes to write (free-lance) for newspapers and magazines. Archibel S. © Copyright 2000. palpitation and nervous excitability rapidly yielded to treatment. This is an important aspect on which I would like to stress very much: The rubrics selected must reflect the intensity and nature of the state.feel very self-conscious. The main feeling is as if he has suffered wrong (e. He is not concerned about hiding some weakness . . He also works in a child ward . This shows us that the case falls in the acute miasm. Also if a person doesn't return a borrowed article. "I am dead. I want the performance to be very good. wants to put her hands into cold water." He gave an example: Once he slipped while descending a staircase and tumbled down. Dreams: "As a child. Slight pain worries him. Hence we have to choose acute rubrics rather than "Timidity". Once he left a taxi caught in the traffic and took a train. His reaction was such an intense terror that he would nearly shriek and have to be dragged on to the stage. fear of dogs. about to receive injury". The patient improved radically with Hyoscyamus .Encyclopaedia Homeopathica 47 Case 3 Mr. He was always interested in music. keeps moving about. She has been to twelve or thirteen doctors in two months. I would get angry and walk away. Case 4 Mr.play therapy. the breaking of his locker): "Delusion. To come to the remedy. She had been on steroids for the neuralgia without much relief. It is interesting to note here that though the patient never appears in public." About his temper he says: "I am very irritable. fancies he has suffered". "I am unable to perform. I would confront him angrily. I want to be known but not seen. learned to play the piano at the age of seven years.A. shouting: "I am dead". colds. He prefers the company of children as he has a strong desire for approval which he gets more easily from children. weeps with the pain. He hates to be misjudged in any way. One day." Analysis Here.g. we get Hyoscyamus. A slight pain in the jaw and he thinks it is lockjaw. The least headache makes him fear a brain tumor. hypertension and diabetes. Hyoscyamus is given under "Delusion sees hens bound with chains". J. If someone was late in meeting me. teacher of music and drama in a school. drowsiness after lunch with heaviness of head. he was so wild with anger that he almost broke the main locker in the school office and was restrained with much difficulty. This is confirmed by the dreams of a hen which frightened him so much. 26 years old. we notice that the reactions are very acute.

She cries a lot when he goes for his job in the hospital and does not allow him to go.Complaining. The rings had different stones in accordance with astrological beliefs. She craves milk. She keeps asking: "Why am I getting thin? Why is this happening to me?" and says: "You people are useless. . She was weeping so much with the pain that everyone at home got tense and decided to take her to the hospital. she felt threatened when left alone. others are treated better than her. came with her husband and uncle with complaints of recurrent fever. . She loves consolation.P. etc. It is as if the pain is a threat from which she has to be rescued as quickly as possible. etc. you can't do anything. . You doctors don't know anything." If shouted at. This looks psoric. weeps when angry. weeps a lot when he can't come home. Her pain increases when her son comes home. Childhood: Mother died when the patient was three years old and father died when she was twelve.gets things done by weeping. she says: "My pain is not hysterical". She has been diagnosed as a case of patent ductus arteriosus. restless and constantly complaining of pain.. make friends. She was brought up by her elder brother and sisters. child is quiet only when carried about. The whole situation is like that of a child whose parents don't give him attention. V. Even her blood sugar levels came down. Her behaviour was childish and hence the above rubrics were chosen though she is not a child. She comes from a rich family but her in-laws are not very rich.A. The remedy is Chamomilla.Beside oneself. She likes to go out. . even when there are no immediate needs.Encyclopaedia Homeopathica 48 Her son described her general mental state. had restlessness of the hands.Weeping. Therefore. She criticizes a lot. feels very lonely when children are not at home but never bothered or scared if they come home late.Restlessness relieved by being carried about. This is a subacute situation.Reproaches others. . was wearing five rings on her fingers and also a black thread around the wrist. All along." She was crying. She seemed quite happy. . Archibel S. This looks acute but on the other hand she feels neglected and makes an attempt to get attention by her efforts and demands.Carried. she screams for attention when she feels her needs have to be attended to immediately. On the other hand. she kept interrupting him with: "Why is the pain not going? I want immediate relief. She gets wild at times and you can smell hatred on these occasions. she makes a constant effort to attract attention. Obstinate . unless a lot of effort is put in to © Copyright 2000. The echocardiogram revealed vegetations and the patient had been informed that she had subacute bacterial endocarditis. 40 years. Analysis We see a strong cry for relief. attention . sweats much on the left half of the body. as the son was narrating the case.her attitude changed gradually and there was complete relief from the pains. The main feelings can be summarized: . She was rather shy. even as president of the Lioness Club. even fatal. . On the other hand. She was always very anxious about her son. travel. Sometimes she says she has not received enough parental love. During the fever. especially warm milk. She is the President of the Lioness Club and is very bold. she had stiffness of the fingers in the morning on waking. He was in America when rioting took place there. She constantly complains that she has suffered this or that. Analysis The main feeling in the case is that of a threat which could prove dangerous.a demand for instantaneous relief from pain. dine out in hotels.Impatience from pain. . She constantly complains and criticizes her in-laws in their absence but is very nice to them. Case 5 Mrs. without which he cannot live. In this case. which is an important drug of the subacute miasm. she weeps. desires to be. She has had fever since seven years. She improved well .Shrieking with pain. . especially by her children and would intensify her efforts. she sought attention which was not absolutely essential. She became calm immediately and started packing things as if going for a picnic.

The focus of this case lies between the acute feeling and the psoric feeling . anger. . We also see his attempts to become knowledgeable. panic and restlessness in her.there is an intense struggle to overcome the problem.were very good but academically. ischaemic heart disease and insomnia. "My college days . Case 6 Mr. and the need to put in a lot of effort to save oneself from that. When she came the next time (three months later)." He is very critical about family members. I was neglected. Lots of financial crises. I like their eyes . Next we consider the numerous rings worn according to astrological beliefs. I was the only one handling the big business. she was wearing just two rings.A. This shows an intense effort to save herself from possible disaster. hair on the head. always mismatched. headaches. The remedy we shall choose must lie mainly in the subacute miasm. © Copyright 2000. I had to close down in 1977 due to losses. the problems with his brother. My mother used to have hysterical attacks and in childhood this tension always remained with me. In this case the feelings. . 34 years old.personality point of view .Anxiety about children. . finding fault with every one except his wife (love marriage). OK.Fear. my brother and I didn't get along well. Very big family: 25 people.Sexual (amorous). nor is there despair and resignation (hopelessness). G." He had frequent attacks of migraine. However. he became a burden to me and the business. comes with hypertension. something will. etc. Childhood: felt he was not being attended to. In business. so severe that he had to take leave from office. It is the only drug given under "Sleepiness before heat" (Künzli's "Kent's Repertorium Generale"). are: . .M. I had to work a lot as we were financially not in a good position. I like activities where I get importance. when converted into repertorial rubrics." Dreams: . The main pathology itself has fever which is not very high or threatening but there is a possibility of it becoming dangerous. At other times.twinkling. .. My mother could not express her anger at anyone else and so all her frustration was poured on me. When we came to Bombay.as if our building was bombarded. This is the subacute or typhoid miasm. "My personality growth was very very ordinary till I left my family to study. at peace with nature.Fear. the financial problems. This is the psoric personality. mother or somebody of her age dying. reading. The patient improved very well not only in the fever but also the state of mind. meditate. happen. we have the facts that he feels criticized. His wife and mother don't get along well and this is his greatest worry. superstitious.Of monkeys on trees. spiritual talking. Except for the blood pressure my life was peaceful." He has inclination to read spiritual books.Calamities like thunderstorm. "We were millionaires in Burma but when we left.. self. Archibel S. Then I achieved my personality.feeling of acute threat causing fear. The weight of all this was on my father. suppressed and not having received due importance. thus also indicating to me that the remedy had the desired effect. jumping. I like to be alone." Analysis We see that this man had many problems since his childhood. I am cautious not to overdo it. Rhus toxicodendron is a well-known typhoid remedy. We get Rhus toxicodendron. .War . etc. I am very sensitive but don't speak out. Even the pathology has been termed subacute bacterial endocarditis.Encyclopaedia Homeopathica 49 save the situation. father had severe problems because of the huge family.Accidents . activities. we had nothing to bring back with us. deep stare. I like company of people of similar nature . Due to his many weaknesses. "As far as personality is concerned.Sleepiness before the heat. At this time I developed high blood pressure. always getting into problems.broad outlook on life. My father expired around the same time. On one side there is hope and efforts while on the other there is danger with fear. After I joined business.train. it is quite normal. . . To differentiate between remedies of this miasm. "I like monkeys very much. The feeling here is that life is a struggle. gain importance and get recognition. being criticized by his mother. funny. etc. there is hope and we don't find the patient having any negative feelings about himself. . I keep a low profile. It must have the feeling that some mishap is likely to occur without knowing exactly what to anticipate. etc. not getting enough attention from his parents. This can be seen in the situation of rioting .

not only did the hypertension and ischaemic heart disease improve. the patient felt more contented than ever in his life . He feels suppressed yet sensitive. and hence suppresses the feeling. The patient was doing textile business and felt his partner had cheated him. the patient felt very weak. very serious. she wrote in the case record that she is proud and leads the life of an obedient. This is a prominent feature of the malarial miasm. The cravings (sour. feels choked up and finds swallowing difficult. "Censorious with dearest friends" and "Restlessness with exhaustion" (Synthetic Repertory). It has also other features: "Periodic asthmatic attacks with great prostration" (Phatak's Materia Medica). She cannot eat at parties on account of this feeling. she is. he would wonder if he would survive the attack. His greatest griefs. Cravings: sour. The patient was given China arsenicosum 10 M with which the frequency of the attacks greatly diminished. i. Very anxious and restless during the attack yet he sits still. Analysis I had given him Staphysagria initially with no effect. relieved by sitting bent forward. Incidentally.A.Encyclopaedia Homeopathica We would select the following rubrics: . He felt very bad as the partner was a close friend. He feels lost.Censorious. the anger. trembling when nervous. fastidious . She feels very weak during the attack. averse to being" belongs to China arsenicosum. spices. spicy food and fruits. He suppresses his anger most times but at times bursts out. He remained free of attacks for six months and then had quite a bad one which responded promptly to China arsenicosum.. I could see that he had features of both. Describing her nature. lacks confidence and is very much concerned as to what others think of her. also improved dramatically under China arsenicosum . The acute feature is the sudden great anxiety and weak collapsed condition which looks very threatening while the sycotic feature is the feeling of dependence which compels him to suppress his feelings constantly without being able to retaliate. The attack would come on very frequently.much affected by disorder . Her prospective in-laws want to start © Copyright 2000. starting between 2:00-3:00 am. sincere. a 24 years old homoeopathic physician. She has always been very tense before exams and important engagements. He now conducts computer classes. 50 Case 7 Mr. Archibel S.Delusion. She has a marked fear of dogs (3) and of darkness. was very intolerant of noise. . asthmatic after midnight and 3:00 am" and "Cough after midnight" led me to China and Arsenicum. with which his asthma disappeared completely. The main feeling of the case is: harassed (China) and betrayed (Arsenicum) by someone but is unable to do anything about it. during exams. The attacks could be induced by anxiety. I recognized the following features: the complaints come in attacks . she has a constant feeling that people are looking at her. Often during attacks. the rubrics: "Respiration. did not like to be disturbed. After his loss he started learning to work with computers. The remedy was Sulphur and it helped him beautifully. . fruits) also fitted in with China and Arsenicum. came with the complaint of asthma since age seven years. . During the attack. which lies between the acute and sycotic miasms.his internal agitation reduced substantially. age 29 years.K. the patient's father who came later for a very severe eczema (after varicose veins). On studying the case again. N."simple" and feels she cannot adjust in a large family after marriage. Case 8 Dr.the breathlessness. Dreams of dead persons. disgraced. hardworking person. She has a marked fear of failure. She is obstinate. are the death of his mother when he was very young and the heavy business losses he had twice. These features belong to the malarial miasm. dwells on. .e. Along with this appreciation.one of the most satisfying results I have seen in my practice. etc. She is very shy. came with a complaints of bronchial asthma since several years. This is a very well-known malarial remedy. does not know what is happening.Ailments from scorn. However.Religious speculations. only letting it out in attacks when things get too much. fats. the specific feature: "Disturbed. he says. The patient's son also needed China arsenicosum. When she goes out. the cheated feeling of Arsenicum and the harassed feeling of China. (Miss) B. . especially before viva voce.

I walk on the beach. . Analysis The main feature of the case is a lack of confidence. The house should be spic and span. I like to walk. comes with the complaint of pricking pain in the right side of the throat. She has anticipatory anxiety. . The chief complaint is a fixed complaint which came on after eating a mango! Fixed ideas. . etc.C. On examination.I don't see the time table properly and therefore prepare for the wrong subject. She has profuse perspiration on the back. The other dream indicates success. S. It is a good house. e. She tries to live up to expectations at times and hence gets highly nervous.R. cooking. Case 10 Mrs. indelible stains left by discharges. is very keen on producing a good impression. I gave her Calcarea silicata 10 M /1 and there was a remarkable change in her mental outlook and complete disappearance of the asthma. E. Archibel S. Occasionally breast tenderness before menses.g. fastidious. Dreams: "Unpleasant as well as pleasant. The unpleasant one is that I am flying high and want to come down but cannot. It began immediately after she ate a mango four months back. very well dressed. "I want to do everything in the best possible manner .Encyclopaedia Homeopathica a nursing home for her. Dreams: Owns a big house with huge rooms by the sea.) and has been to many ENT specialists without relief." She did very well in exams. "They have high expectations of me and I doubt my capability. . She has sycotic features on the one hand. staining yellow and sometimes indelible. etc. As on the one hand we have features of performance especially with respect to exams and on the other there is need for security and protection. S. She did get offers but the timing was not suitable. She craves chocolates and ice-cream. The soles of the feet are cracked. while on the other. Her dreams represent the same feeling. The pleasant one is that I got an offer to teach in a nearby school.A.Why walk? . timidity appearing in public and certain compulsions seen as conscientious about trifles. She is a lawyer (and housewife). . has palpitations before speaking. "I feel guilty that I don't devote enough time to my home. forehead and palms. She is very anxious before exams. diabetes mellitus (taking Daonil 1-1-1). ." She is more tense before her son's exams than he is. . bright lipstick. "Flying high.perfection. Case 9 Mrs. Hobbies: housekeeping.E. accompanied by her husband.Missing the train and therefore late for exams. Marked saddle across the cheeks. Classmates who were much inferior had got jobs. it is by the beach. headaches before menses. but at other times she just feels she cannot do it.D. . 51 Analysis The case has strong psoric and sycotic components thus falling into the ringworm miasm.A. reading magazines.) yet has been unable to get a good teaching job. 37 years." She is irritable before menses. Menses: stains difficult to wash off. G. The feature of struggling for a while and then giving up is characteristic to the ringworm miasm. D. greasy face. nails are ribbed vertically and have white spots on them. the house should be spic and span.Fast or slow? © Copyright 2000. came to the clinic (unaccompanied) with complaints of dark circles around the eyes." She does not want others to think ill of her. Dreams: . the fearful aspect seeking security and protection. wants to come down but cannot" indicates lack of confidence and tension. The remedy is Silicea. is well qualified (B. She has taken a lot of treatments (antibiotics. where she has got a job. She also has hypertension since the birth of her second child five years ago.To keep fit because of diabetes. This is sycosis.