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In a large number of chronic diseases, Hahnemann found that the disease continued to progress in spite of the administration of the carefully selected homoeopathic remedy. Hahnemann was occupied with finding the solution to this problem, and at length, he discovered that chronic diseases nearly always had a pattern that could be related to Psora, Sycosis and Syphilis - the chronic miasms. He postulated that the chronic diseases resulted from badly suppressed scabies (itch), gonorrhoea and syphilis respectively. He then indicated the drugs likely to be most useful in treating such cases - the anti-miasmatics. This new understanding enabled Hahnemann to succeed where he had failed in the past
Having studied the theory of miasms, and understanding it in the light of my own concept of disease as a delusion, my practice of Homoeopathy has become much simpler, and my prescribing more certain. As I understand it, disease is a false perception of reality... a delusion. It seems as if this false perception has its root in either an actual situation from the patient's own life, or in a situation of a parent or ancestor. As long as the situation did exist, the patient's reaction was justified. However the impact of the earlier situation is such that even when faced with another situation, the patient's reaction is as though he even were still in the previous situation. This is his delusion. Relating this idea to the theory of miasms, it became clear that the classification of diseases must be a classification of delusions. And as drugs are nothing but artificial diseases, the classification is both a disease-state and a drug-state classification.
The symptoms of the disease (or drug) represent the survival mechanism called for in the original situation. But the person feels that in order to survive, he must always respond as if in the original situation. The original situation or the patient's (false) perception of reality differs according to the miasm of the patient. Therefore to recognize the miasm, one has to determine how reality is perceived by the patient. The original situation of each remedy would demand an acute, psoric, sycotic or syphilitic reaction predominantly.
This miasmatic classification of disease, based on the concept of disease as a delusion, is not restricted to the mental state alone. We know that the mind and the body work harmoniously as a unit, and the disturbance is uniformly expressed in both spheres. 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. The mental state, the physical state and the characteristic features of the pathology together represent the totality. And before searching for a remedy in a particular case, one must settle upon the miasm. The miasm of the remedy and the miasm of the disease have to be matched.
In order to find out if there was a particular theme to each miasm, I studied some drugs generally accepted as belonging to that miasm, attempting to find a common theme amongst them, if there was one. I used Hahnemann's classification of diseases and drugs.
Acute : Aconitum, Belladonna, Stramonium
Chronic : Psora : Sulphur, Psorinum
Sycosis : Thuja, Medorrhinum
Syphilis : Mercurius, Syphilinum
In studying the miasms with the help of different remedies, I came to understand that the nosode represents the centre-point of the miasm. The nosode is the product of tissue that is fully under the influence of the infectious disease. It represents these defeated tissue qualities of the infection and infectious process. For example a study of Psorinum will show the very character of Psora, likewise with Medorrhinum and Syphilinum. The problem of the nosode is non-specific and of an undifferentiated character, whereas with other remedies belonging to the same miasm it becomes differentiated and specific.
My conclusions about the themes of the various miasms which follow, are a result of a detailed study of the various remedies in relation to the miasms, as well as my own clinical understanding of drugs and patients. Further, I have added other miasms that would lie between the already known miasms listed above. One of these is the tubercular miasm, on which there is abundant literature available. The other additions are my own, having been discovered and verified by me in my practice.