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Psora causes functional and nutritional disorders, syphilis- ulcers and destructive, Sycotic over growth Psora
Manifests in the fall, with the first chill of autumn, it is mainly a disease of deficiency at all levels identified by the prefix "hypo" (hypotension, hypochondriasis, and hypotrophy). Neither too fat nor too thin. It does not cause structural changes but causes
functional changes and nutritional defects. Ailments brought on by strong emotions.

Symptoms: 1. Profuse perspiration on neck and head after sleep, sensation of band. 2. Epistaxis, asthma, nasal catarrh, predisposition to catch cold or an unusual resistance to it. Cough is dry. Sensitive to odours. Stomatitis. 3. Dry mouth, foul smelling, inflammation of throat and glands, hoarseness, loss of taste, sense of smell increased or lost. Hypersensitive, easily frightened. 4. Worms, constipation and itching anal diseases, varicose veins, great hunger. Colic and distension. Sweet or burnt taste in mouth. 5. Cramps and twitching in extremities, burning in soles, tendency to sprain joints. Sciatica. Hot flashes. Neuralgias, fits of anger and nervous symptoms. 6. Dry skin burning, itching, cracked, rough, boils. Lack of perspiration. 7. Weak memory, timid, hypersensitive, weeping, grief. 8. Headaches better heat, vertigo, alopecia, dandruff, premature greying. 9. Inflammations of eyes, ears, burning, itching, nasal and vaginal polyp, cysts. 10. Craves sweets, hot foods, fried seasoned foods, aversion to cold foods. 11. Violent palpitation of heart with anxiety and fear. Barycardia (slow pulse) 12. Constipation, amenorrhea, urinary and sexual problems. Flatulence, Gastralgia. 13. Sleep disorders, suppression causes nervous disorders, better discharge or eruption. Desire to lie down. 14. Cold, Standing aggravates, worse sun rise to sunset, discharges ameliorate. Most psoric remedies are mineral/chemical with low atomic weight. Abscess. Acne. Allergy. Anxiety. Aphthae. Asthma. Boil. Bronchitis. Colds. Connective tissue disease. Depression. Dermatitis. Eczema. Headache. Insomnia. Otitis media. Pharyngitis. Phobic disorders. Psoriasis. Scabies. Sciatica. Skin ulcers. Upper respiratory infection.

Tuberculosis
Comes with the first month of winter sometime in late November-early December and is characterized by tension and irritability in the air, a charge that is never quite brought to the explosive state so keeps creating friction and keeps us on edge. The grass is greenerTension. Restless. Malicious. Constant change. Respiratory problems. Romantic longing. Tuberculosis as a miasm has its roots in the disease of the same name and has an affinity for the lungs. Although not its only sphere of action (skin eczema and bone pain being

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also common), bronchial illness is its main focus. Its natural place is between psora and syphilis and it carries some traits of both miasms. Some of its restless searching for something better a better place, property, person and its propensity for boredom are close to the contractive and deficient psora. The cold maliciousness, bone pains, ulcerations and compulsive behaviours bring it close to syphilis. 1. Craves salt, potatoes and meat. Active, seeks change. Milk disagrees. 2. Symptoms better epistaxis; Chamomilla child, highly sensitive. Erratic. Sentimental. Moody easily angered. All kinds of fears (Sycosis), hysteria 3. Headaches with flushed face, worse riding a carriage, coldness of hands and feet. 4. Sensation of band around the head, long lasting headaches(Syphilitic) 5. Moist eczematous eruption around the scalp and ear, copious pus (Sycotic). 6. Photophobia, styes, blepharitis and other eye and ENT troubles. Hoarse cough. 7. Glandular swelling, receding gums, tooth decay, metallic taste (Syphilitic). 8. Constant hunger, worse least exposure to cold and at night, constant hawking. 9. Difficult respiration, easily tired, suppurative tendency. Cough and respiratory troubles. Hernia. Faint easily.(Moschus) 10. Worse night (Syph), Constipation (Psor), Hernia (typically Tub) 11. Worms, haemorrhoids, rectal haemorrhage, bloody taste in the mouth. 12. Diabetes and prostrate troubles. Masturbation. Sexual thoughts and acts. 13. Menses copious, leucorrhea, Calc Carb type 14. Legs deformed (Syph), nails brittle, corns, boils, paralysis(Syco, Syph), wrist. 15. Skin affections with glandular troubles, varicose veins, Leprosy, ring worm. 16. Chronic diarrhoea. Tall rapidly growing. (Phos) 17. Memory and concentration sometimes good, at others bad. Insomnia 18. Greenish yellow discharge. Always tired. Worse climbing and on hills. 19. Corns, ankle, wrist; wounds heal slowly. Alternating symptoms. 20. Circumscribed red spots on cheeks. Adenopathy. Alcoholism. Allergy. Alopecia. Amenorrhea. Arthritis. Asthma. Astigmatism. Autism. Behaviour disorder. Bronchitis. Bruxism. Colds. Compulsive disorder. Connective Tissue disease. Croup. Enuresis. Flushes. Headache. Hodgkin's disease. Hyperactivity. Lymphoma. Malignancy. Meningitis. Menopause. Mental retardation. Osteomyelitis. Pneumonia. Respiratory infection. Rheumatoid arthritis. Scoliosis. Sexual disorders. Systemic or discoid lupus. Tinea. Upper respiratory infection.

Sycosis
With the coming of spring, sycosis sets in with suspiciousness and jealousy and a sense of being followed. Our appetites are big for food, excitement, action. Drugs, sex and rocknroll. Hyper. Excess. Growths and discharges. Inflammation. Extremes. FAT, show off. Children are dull and lazy with weak memory. Cheats. 1. Suspicious, mischievous, selfish, forgetful, absent minded, cross, irritable. Slow to react, dazed, confused. Dull lazy, sluggish. Poor in studies. Restless with anxiety. Quarrelsome, irritable, Feels heart trapped. 2. Broods, sensations of living animal inside etc. Pent up emotions.

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3. Joints and connective tissues, suppression of gout rheumatism cause heart troubles; haemorrhoids, flatulent colic. 4. Catarrhal discharge, leucorrhea, warts. Nasal growths. 5. Eczema glutinous discharge, ring worm, nails thick, small bald circular patches, coarse hair. 6. Dry bronchial cough, asthma, oedema, enlarged prostrate, anaemia, obesity. 7. Worse damp cold humid weather and in the mornings and afternoons. Better movement. 8. Diarrhoea, free urination and perspiration give no relief (Opp, Psora) abscess, cyst, sexual disorders of pelvic region, appendicitis. 9. All -hypers, hyperthyroid and growths. Also "itis" 10. Headaches on vertex with mania, vertigo on closing the eyes. No hope, thinks will die. 11. Affects metabolism causing dwarfishness, emaciation, anaemia. 12. Suppress emotions. Pent up. Hypochondriacs, fixed ideas about their body. Think are fragile as glass. (Thuja); Hallucinations, deliriums. Obsessed. 13. Anxiety about exam, poor memory and concentration, stage causes diarrhoea. Fear to be alone. Of dark of people. 14. Restless, frightful dreams, weep suddenly, enuresis. Dream falling from heights, missing a train of failures, of death. Predicts time of death. 15. Obstinate and demanding, depressed if demands not met. Self centred, selfish and greedy. 16. Delusion, illusion, hallucinations. Everyone around is against him. 17. Meat aggravates; colicky pains better pressure; Thick, coarse skin. Allergy. Angina. Anxiety. Arthritis. Asthma. Behaviour disorder. Eczema. Herpes. Hypertension. Interstitial cystitis. Leucorrhea. Manic-depression. Migraine. Otitis. Peptic ulcer. Pulmonary fibrosis. Reiters syndrome. Sinusitis. Urethritis. Vaginitis. Warts.

Cancer
One of the most emotional and deeply suppressed states, this lyric time between spring and early summer The life never livedSweet and giving. Rebellious. Sexual energy. Suppressed emotions. 1. Chronic ulceration of mouth or mucous membrane. 2. Persistent and increasing pains in the body or limbs. 3. Any lump or tumour in the chest or breast or in any part of the body. 4. Chronic dysphasia (Difficult swallowing). 5. Chronic hoarseness, nagging cough. 6. Haemorrhages from any part. 7. Chronic dyspepsia, loss of appetite, change in bowel movements. 8. Change in size or colour of warts, moles, birth marks. 9. Progressive anaemia or emaciation. 10. Blackish discolouration of skin. 11. Chronic insomnia. Well selected remedies fail.

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12. History of Diabetes, TB or Cancer in the family; whooping cough in childhood. The essence of cancer is sensitivity to the world and criticism and anxiety for others and events generally. It shares some features of Sycosis when it expresses in tumours and growths, and also in the reckless hyperactivity and sexual excess. It also shares some of the traits of Syphilis when it expresses in ulcerations and wasting cancers and in its ultimate self-destructiveness, but also in the particular detachment and inner indifference to their lot in life. People with this miasm tend to suppress their negative emotions like anger, fear, aggression. They tend to exhibit a passivity and hopelessness when faced with stresses of life. Deep emotional withdrawal is covered up by a put on appearance of cheerfulness and dependability, to mask a strong inner sense of lack of worth or feelings of guilt. Abscess. Acne. Allergy. Asthma. Chronic fatigue syndrome. Colitis. Constipation. Cough. Developmental delay. Diabetes. Dysmenorrhoea. Headache. Immune deficiency. Insomnia. Moles. Nevi. Ovarian cyst. Premenstrual syndrome. Rectal prolapse. Respiratory illness. Sinusitis. Tics. The cancer miasm is usually suspected in those with a family history of cancer and diabetes. The personality that is characteristic of this miasm is generally strong and passionate and very intense. The patient often feels a sense of being unfulfilled which drives him to work excessively, push limits, or live dangerously. There is a restlessness and a desire for travel and excitement. The Carcinosin child is often sensitive and sympathetic and may be rather timid. He is open and easily wounded and can be suppressed. The child is tremendously sensitive to criticism and reprimand. He may dislike or feel intolerant of consolation. As the patient reaches adolescence and puberty, there may be strong sexual instincts and passions which are difficult to contain.

Syphilis
Self-destructive. Ulceration. Physical degeneration and malformation. Erosion. Obsessive-compulsive. Very lean and emaciated. Fearless, bold. 1. Depressed, closed mouth, dull headed, jealous destructive, slow (Psora Quick), restless. Very bad memory. Cruel, lack emotion. Do what they want (Psora). 2. Headache and all symptoms, worse at night. Religious mania, suicidal. 3. Ulceration with thick crust; ailments of eyes, ears, long bones; 4. Baldness, hair fall in spots, thin nails shaped like a spoon. 5. Mouth and dental problems; metallic taste (Psora-burnt, sweet; Sycosis- fishy) 6. Paralytic diseases, oedema, (also Sycotic and tubercular) Mang-lower limbs. 7. Aversion to meat, likes cold food and drinks. 8. Skin diseases with glandular problems (also tubercular), moles. 9. Worse at night (Tubercular) and perspiration, desire indigestible. 10. Mental and physical retardation. Poor resistance to disease.

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11. Sexually active at a young age (Tubercular). Sleep problems. 12. Alcoholism, bloody stools, poor appetite, gangrene. Bone and nerve pains. 13. High blood pressure; large bulging head, greasy hair. 14. Intolerance of artificial light. Loss of smell. Fissures in lips, ulcers in mouth. 15. Worse at night and heat. Syphilis is represented by the characteristic genital ulcer (chancre) and, in general, involves ulcerative conditions. It is marked by tissue destruction and degeneration, involving various conditions marked by the prefix dys (such as dystrophy, dystonia). Here we see the corrosive effects of the syphilitic infection in terms of the mind (suicide, serious mental disorders, addictions) and the body (ulcers, decay, congenital defects). Abscess. Acne. Alcoholism. Alopecia. Aneurysm. Anxiety. Anorexia. AIDS. Bone pains. Compulsive disorder. Headache. Insomnia. Leucorrhea. Malignancy. Mouth ulcer. Multiple Sclerosis. Neuralgia. Psoriasis. Scoliosis. Skin ulcer. Astigmatism. Growing pains. Let us summarize the different stigmata, remembering that we may get all shadings of all the stigmata in their groupings in our patients, but one stigma will predominate above all the others. They all have their characteristic differences. The accentuation of psora is function; the accentuation of the syphilitic taint is ulcerative; the accentuation of sycosis is infiltration and deposits. When suppressed, the syphilitic stigma spends itself on the meninges of the brain, and affects the larynx and throat in general, the eyes, the bones and the periosteum. Psora spends its action very largely upon the nervous system and the nerve centres, producing functional disturbances, which are > by surface manifestations. Sycosis attacks the internal organs, especially the pelvic and sexual organs. In this stigma we find the worst forms of inflammation, infiltration of the tissues causing abscesses, hypertrophies, cystic degeneration; when thrown back into the system by suppression this stigma causes dishonesty, moral degeneracy and mania. In treating patients suffering from these stigmata, this classification is of inestimable value, for it immediately throws the simillimum into a class of remedies corresponding with the accentuation of the stigma that is outstanding in the case, and this should be considered in the totality; it will often throw light upon the choice of a simillimum that is applicable to the individual case and stage of development. When we are considering a case manifesting mixed stigmata, there is always one more prominent, and this will be the one requiring relief; when this is relieved, the next in prominence must be cared for, until the patient is freed from the inheritance of generations.

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CASE TAKING 1. Modalities time, temperature, open air, posture, being alone, motion, sleep, eating, drinking, touch, pressure, and discharge. 2. Mental state- irritable, sad, fear, anxiety. 3. Location and sensation burning, cramping, cutting, bursting, sore, throbbing, thirst, perspiration, salivation. 4. Facial expression demeanour, nervous excitability, sensitivity, restlessness, torpor, secretions, abnormal colouring. Note: Go for generals first then use the pathological symptoms to differentiate. In case of failed reaction, either use medicines for deficient reaction or give lower potency of the indicated remedy.