psora sycotic tubercular syphlitic

HAHNEMANIAN CONCEPT OF MIASMS

BACKGROUND

18’th physicians weak in chronic diseases

century Avoidence of T/t

Hahnemann --- he can cure what he will and

what he is asked to cure.

Knowledge Acute
sub – acute
chronic diseases -- veneral
disease ( syphillis )
 Hahnemann --- leipzic --- coethen (1821 )

attention more on chronic sufferers .

Mode of T/t -- by name ---- gout (sulfuric acid)

-- by symptoms .
-- by cause -- material .
SITUATION -- dynamic.
Non – venereal chronic diseases
T /t - remedies fully proved unto the time.
always returned _ in more or less varied form
_ with new symptoms.
repeated annually with increased complaints
SOLUTION
proving of new remedies
BUT
didn’t advanced healing
by single step.
Thought provoking

experiments and observations

C
Not only to combat disease
L
presented before eyes .
U BUT
E To encounter fragments of deep –
seated original disease.
well defined ,separately
CHRONIC DISEASE
existing disease
CHRONIC DISEASE

if untouched --- as over yrs with mans lifetime.

--- food , robust constitutions
can’t diminish it.
--- never pass away by themselves.
but, --- increases and
So, --- aggravates till death.
Something is there,
for there origin and foundation .
and
enables to continually rise and grow.

CHRONIC MIASM
KENTS CONCEPT
OF MIASM
Psora… the beginning

Evil
Thinking
willing
The Original Sin
No one on earth without psora.
 The Itch
Simple state to very complex
state.
Lasts until last breath ,contagious
 Psora
- Always state & condition precedes action .
- As life of man, will of man, so body of man.
- As internal so is external, image of own comes out.
• Itch is limited thing……….Noah’s flood.
- Violent aura leprosy…….milder form of psora.
- Ancients referred leprosy as an internal itch.
- Today's human race is better than moral leper.
- Thinking, willing & acting that makes of science of
human race.
• Lasts untill last breath ,contagious.
• Not exists in perfectly healthy state.
• To understand have to accept world of god.
• False thinking enters state which was
perfect correspondence.
• No one on earth without psora.
• Simple itch……….. Scaly eruptions.
• No scabies in healthy child.
• Generations to generations susceptibility to
it increases.
 PSORA
• Without psora no disease.
• Primary disorder of human race.
• Beginning - spiritual sickness (original sin )
progressed to true susceptibility –
foundation for other disease.
• Simple state to very complex state.
• Chronic & acute miasm.
• No cure with superficial remedy.
 Transformation of
miasm
• From generations ……… generation.
• Primary psora…………..primary psora.
• 1st stage sycosis……… 1st stage sycosis.
• Advanced stage………. Advanced stage.
• Miasms are carried forward as they are i.e. they
shows advanced manifestations & do not show the
previous stages again.
• e.g. wife shows advanced stages of syphilis which
she has got from husband already having primary
manifestations.
Psora-1

S
6yrs old child, a eldest son of the family
E
N
S
SKIN - A/F WINTER Foreign body in the eyes A
ITCHING T
DRYNESS I
Pricking in the eyes O
N
EYES - ITCHING
Burning sensation A
IRRITATION
S
REDNESS
LACRYMATION
Noises in the ears I
F
 Lean thin person
Fears of being scolded
Fear of animals
Fear of ghosts
Fear of darkness & alone

SENSITIVE CHILD3
Laughs on being scolded

No regrets

Dreams frightful
Cr – eggs2
sweets2
o/e – T- N
cold drinks2
Tg – moist coated
Av - milk2
R.S./ P.A. - NAD
REPERTORIAL SYMPTOMS

• Itching < winter

• Dryness of skin
• Foreign body sensation in the eyes
• Pricking sensation in the eyes
• Sensation of noises in the ears
• Dreams - frightful
• Cr – eggs
sweets2
cold drinks2
SULPH
• Av - milk2
• Perspirations - back
 PHYSICAL
• HYPERSENSITIVE
MIND

• IDIOSYNCRACY PHYSICAL

• SENSATIONS AS IF

• AS THE STRESS FACTORS ARE REMOVED SYMPTOMS

DISAPPEAR

• NO STRUCTURAL CHANGES
Miss rsd
4/f

Blephritis
Dermatitis

Eye Mucus membrane redness

< summer/
< morning
Skin eruption Boils discharging itching
<night
Nose mucus membrane allergy < night
HOT PATIENT

IRRITABLE
OBSTINATE
ACTIVE
 SKIN
MUCOUS MEMBRANE
OBSTINATE

PSORIC
ACTIVE
ITCHING

PLAYFUL SUPPURATION
HOT

IRRITABLE < Summer

< Night
< Morning
Psora-2
M.S.Y – 2Yrs

F/H-NAD
P/H-NAD

MIND
ACTIVE
LEAN THIN
INTILLEGENT
HOT PT
MIXES EASILY
PRS-PROFUSE-FACE
TIMID
CR-EGGS
ATTACHMENT
MILK SWEETS
IRRITABLE
SLEEPS ON ABDOMEN
FEAR OF DARK
FEAR OF ANIMALS
Dermatitis
S Skin- dermis – inflammation
vesicular dilatation, vesicle
formation, thickening of
dermis

T – 1½ yrs
Fo Fn
Itching of whole body, esp.
protection
palms ,soles, back & trunk

• vesicular erruption scaling, PSORA

watery discharge
•< scratching after.
• < winter,
O/E – palm, scalp, feet, trunk – vesicular
•> local appl
erruptions, scaling, thickening.
 Chronic constipation

S Rectum,
sigmoid colon

T - 11/2yrs
Fn
Fo
Motility & capacity for
Hard stools has to remove mechanically absorbtion decreased
Stool ball like, & recedes back
Pain < before stools
h/o of worm infestation
> deworming PSORA
 TOTALITY
Loving
CONSTIPATION IN CHILDREN– Affectionate, mixing
HARD STOOLS Active
playful, restless
timidity

SKIN SUPPRESSION
BY LOCAL P
CR – Egg
APPLICATION S
Cr sweets
O
Sleep on abdomen
RESERVIBLE NO R
Hot pt
STRUCTURAL A
CHANGES

Sulph 200 1P
 Case No. 1 Totality
Presentation
7 yr old /girl A/f Fright
Proteinurea +++ Suppression
Edema Fearful
Hematuria Hot
Cr sweet
Associated complaints Posology
Nocturnal enuresis Susceptibility moderate
helminthiasis Sensitivity high

Fear Fever Suppression Nephritis

Opium 200 single dose

8
WEEKS CONVENTIONAL WEEKS HOMOEOPATHIC
7

2
1

ODEMA HYPERTENSION HEMATURIA PROTEINUREA

Psora-3
M.S. – 3yrs

GIT - Loose stools since 3-4 dys

Stools semisolid, offensive
yellowish
7-8 times per day O/E-R.S – Clear.
Redness around anal
orifice
P.A. - NAD
Nose - N
R.S. –watering from nose
yellowish discharge
mild rattling in the chest
cough wet
vomitting out thick white sticky
since 1mnth on & off
 TOTALITY OF SYMPTOM
• Lean ,Thin [Looks like old man]
• Marasmus shrivelled skin
• Anal excoriation with peeling of skin and redness
• Body warm always
• poor assimilation

PSORA
CASE 2

STAMMERING IN A 6 YEAR BOY SINCE 1 YEAR

INITIAL HESITANCY
STAMMERS THEN AFTER 5 MINS STOPS TALKING
COMMUNICATES THROUGH GESTURES

PATIENT AS A PERSON
LEAN
AMBITHERMAL …….CHILLY
CRAVING ICE CREAM
CHOCOLATE
TOTALITY

SENSITIVE REPRIMANDS
SYMPATHETIC ANXIOUS WHEN SOMEBODY IS ILL
DOES NOT ALLOW SCOLDINGS
TO SISTER
LOVES ANIMALS
ANXIETY ANTICIPATORY
CONSCIENTIOUS DOES NOT ALLOW COPYING
CRAVING CHOCOLATE/ICE CREAM

Susceptibility pace moderate

pathology functional
characteristics moderate
Sensitivity mind high

Dominant Miasm psora

CRITERIA
RESPONSE TO CALL
REFUSAL TO TALK
ANTICIPATORY ANXIETY
SENSITIVITY TO REPRIMANDS
STAMMERING
FOLLOW UP
>50% IN FIRST DOSE BUT NO FURTHER RESPONSE FOR NEXT
ONE MONTH
POTENCY STEPPED UP TO 1M WEEKLY SINGLE DOSE
AT THE END OF 4 MONTHS COMPLETELY AMELIORATED
 Case 1 Born in a poor fisherman
family
Jaundice since 6 days
Felt bad about being
Fever moderate range
poor
Loss appetite
Could not take single
Icterus
word from anyone
Vomiting
Very sensitive ego
Stool pale coloured
Chilly Simple husband
Lean dissatisfied
Looks down on
Delivered a child 1 day ago
husband
Serum bilirubin 9.8 Irritable
Looked into eyes of
physician
Contemptuous
gestures
Egoistic prime
Dominating contemptuous
Irritable weepy
Manipulative
Dissatisfied sad
Indifference beyond self
Chilly

Susceptibility
Pace moderate
Pathology Inflammation infective cholestatic stage

Sensitivity
MENTAL SENSITIVITY: HIGH
DOMINANT MIASM: PSORA
PLATINA 200 SINGLE DOSE

FOLLOW UP

ASYMTOMATIC IN 24 HOURS
S.BILURUBIN 2.2 IN 5 DAYS
NORMAL WITHIN 7 DAYS
 CONCLUSION

• Hypersensitivity of mind
• Hypersensitive to external stimulation
• Sensation & altered functioning
• Affections of mainly skin ,mucous membranes & nerves
• “ITCH” as presentation on skin
• Mainly functional changes are observed
• Structural if present are “REVERSIBLE”
suppressions of primary defence.
• Primary deficiency syndrome
 SUSCEPTIBILITY
It is the capacity of living organism to receive and react
to stimuli both internal and external

Susceptibility is one of the fundamental attributes which

differentiates living from non living.

Alleviation of disease depend upon the same power of

the organism to react to the impression of curative
remedy
 LIFE

SUSCEPTIBILITY

FUNCTIONING VITAL

PHYSIOLOGICAL PATHOLOGICAL
• Ingestion • Diathesis
• Digestion • Prodrome
• Assimilation • Functional Phase
• Nutrition • Structural Phase
• Repair
Reversible Irreversible
• Secretion
• Excretion 5. Complications
• Metabolism 6. Squeal
• Catabolism 7. Covalence
 CLINICAL PHYSIOLOGY CHARACTERISTICS

Appetite / Weight
Sleep / Height
Individualizing characteristic
Stool / skin reflection of susceptibility
Urine / Hair
Menses
Perspiration
Epochs Birth / Puberty / Pregnancy / old age

Sensation as if:
 MENTAL HEALTH
1. Milestones ---- Psychological
2. Emotions
3. Intellectual Mental state

4. Subconscious
5. Vulnerabilities

Causation Modalities

6. Sensation as if
Heightened sensitivity

1. Pregnancy
2. Neonate
3. Hypersensitive disorders
4. Disabled / Individual with special
abilities
5. Idiosyncracies
 IDIOSYNCRASIES

Peculiar corporeal constitutions

which although otherwise healthy,
posses a disposition to be brought into
a more or less morbid state by certain
things which seems to produce no
impression and no change in many
other individual
 Sycosis
• Two types of gonorrhea.
• Require antisycotic remedy.
• Anamnesis of case enables us to look at
constitutional state of sycosis.
• Wife gets from husband in which state it
was.
• Sycotic nasal catarrh, breaking down of
organs , rheumatic affections, etc.
• In children tendency to marasmus, old
appearance of face, waxy, anaemic,
lieanteric stools no digestions.
• Recovery is always slow.
• Who lives proper life escapes from sycosis
& syphilis.
• More the human race becomes susceptible
to acute & epidemic diseases.
Case 40/f

Nuchal headache
Pulsating pain
Nausea
Palpitation
giddiness
BP 180/110
Sensitive to reprimands
Patient as a person Anxious
Hot Timid
Menses stains Fear dark/ghost
Av sweet Suspicious
Sun headaches Confused due to anxiety
 form

time

structure function

Susceptibility
Pace moderate
Pathology Sodium retention increased intracellular fluid
+ Atherosclerosis
Characteristic generals

Sensitivity mind /nerves mod ….high

Dates Am Pm Rx
2/1
3/1 150/100 180/110 no medicine Headache
4/1 150/100 150/100 medo 200hs Headache
7/1 140/100 140/100 Headche
9/1 130/90 140/98
1o/1 130/90 140/100 medo200bd
11/1 120/80 140/96
12/1 150/110 120/90
18/1 130/96 130/90 medo200tds
19/1 130/90 120/90
20/1 130/90 120/84
24/1 120/80 120/80 medo200tds
5/2 120/80
23/2 120/80 medo 1m hs Headache
12/3 120/80
 Restoration of the patients to health represents. The
reaction of the susceptible organism to impression of
curative remedy
 Reaction to medicines depends upon the degree of
susceptibility of the patient.
 Since cure consists simply in satisfying the morbid
susceptibility of the patients
 Implies – susceptibility as attribute exists in every
individual & carries its peculiar stamp in health. In
disease it may become morbid & perverted hence to
satisfy the susceptibility supply need & modify it. By
using suitable modifying agents.
 AS A CONSTITUTIONAL

GENERAL OPD- DR.NAVIN / BELLWIN

DIAGNOSIS:
1. GASTRIC ULCER
2. ESSENTIAL HYPERTENSION
3. PRIMARY IDIOPATHIC
HYPOTHYROIDISM
4. HAEMORRHOIDS
5. OSTEOARTHRITIS

PASTHISTORY
1. BRONCHIAL ASTHMA
2. LEIOMYOMA OF UTERUS –
HYSTERECTOMY
 PRIMARY IDIOPATHIC HYPOTHYROIDISM

STRUCTURE THYROID GLAND

FOLLICLE-
INFLAMMATION-
ATROPHY

SUDDEN
ONSET
INSIDIOUS
1 YEAR
FORM
FUNCTION
A/F HYSTERECTOMY
T3,T4↓ TSH ↑ BMR ↓ .SLOWING OF
CHILLY PHYSIOLOGICA .FUNCTIONS .AFFECTION OF
? WEIGHT GAIN LIPID METABOLISM . ↓ LIPOLYSIS. ACC. OF
HYDROPHYLLIC MUCOPOLYSACCHARIDE IN
MIASM SYCOSIS CONNECTIVE TISSUE.
 ESSENTIAL HYPERTENSION

STRUCTURE BLOOD VESSELS

HYALINE DEPOSITION
WALL THICKENING OF
ARTERIOLES –
NARROWING OF LUMEN
SUDDEN ARTERIOSCLEROSIS
ONSET
INSIDIOUS
1 YEAR

FORM FUNCTION

RENIN ANGIOTENSIN 11 MECH.

↑ PERIPERAL RESISTENCE, ↑ CO, VASO
CONSTRICTION, ↑ ALDOSTERONE SECR, SODIUM
FLUID RETENSION. ↓ NA. EX CERETION.
MIASM : SYCOSIS
 GASTRIC ULCER

STRUCTURE STOMACH : MUCOUS

MEMBRANE _ EROSION
MUCOSAL ATROPHY ?
THICKENED BOGGY
MUCOSA
SUDDEN
ONSET
INSIDIOUS
1 YEAR

FORM FUNCTION

PAIN IN EPIGASTRIUM
↑ HP COLONISATION
COLICKY PAIN
↑HCL SECR.& PEPSIN SECR. IMBALANCE
A/F HYSTERECTOMY B/W MUCOSAL DEFENCE MECH &
DAMAGING FORCES.
BURNING , NAUSEA,
VOMITING. MIASM : SYCOSIS
 BRONCHIAL ASTHMA

STRUCTURE TRACHEO BRONHIAL TREE

AIRWAY INFLAMMATION
BRONCHO SPASM
INSIDIOUS ONSET HYPERTROPHY OF BRONCHIAL
SLOW PROGRESS MUSCLE
( 13 YEARS) INCREASE SIZE OF MUCOUS
GLANDS.

FORM FUNCTION

BREATHLESSNESS ↑ MUCOUS SERETION

STARTS W ITH CORYZA ↑ RELEASE OF MEDIATORS
COUGH HYPER RESPONSIVENESS OF AIR WAY
< CLOUDY WEATHER
SPUTUM: WHITE, STICKY.
MIASM: SYCOSIS
SYCOSIS – MIASM DISEASE – FEATURES
FEATURES. BRONCHIAL ASTHMA.
HYPERTROPHY HYPERTROPHY OF S
BRONCHIAL MUSCLE Y
EXUDATION ↑ MUCOUS SECRETION C
O
SPASM BRONCHO CONSTRICTION S
BRONCHO SPASM I
OEDEMA ↑ SIZE OF MUCOUS GLANDS. S
PHASE CHRONIC - 13 YEARS
SLOW SLOW PHASE
INSIDIOUS

( HYPERRESPONSIVENESS IS THE FEATURE OF PSORIC MIASM. IN

BRONCHIAL ASTHMA HYPERRESPONSIVENESS OF AIRWAYS IS AN
IMPORTANT FEATURE. BUT WHILE CONSIDERING THE DISEASE
PROGRESS ( SLOW INSIDIOUS PHASE) AND THE OTHER FEATURES
STRUCTURAL ALTERATIONS) , THIS CASE FIT IN TO THE SYCOSIS, AS A
DOMINANT MIASM.)
TOTALITY OF THE PATIENT

1. A/F HYSTERECTOMY – SUPPRESSION ( SURGICAL)

2. A/F DELIVERY
3. A/F SCOLDED BEING , ADMONITION – WEEPS
4. < ANTICIPATORY ANXIETY
5. TRAVELLING IN BUS <
6. SUN HEAT <
7. SMELL OF FOOD – NAUSEA & VOMITTING
8. FEARFUL – ON SEEING DEAD PEOPLE.
9. ACCIDENT, BLOOD, ANIMAL
10. ANXIOUS ABOUT OWN HEALTH.
11. FASTIDIOUS, SENTIMENTAL,SYMPATHETIC
12. WEEPS EASILY, BROODING
13. MENSES: BLACK, STAIN – BROWN/
14. AVERSION – SWEETS, MILK
15. CRAVING – HIGHLY SEASONED FOOD
16. CRAVING – SOUR, PICKLE
17. SUPPURATION TENDENCY
18. BLOCKING / LUMP SENSATION IN RECTUM & THROAT
19. THIRST- REDUCED.
REPERTORIAL SYNDROME:
1.A/F SUPPRESSION
2.A/F DELIVERY
3.A/F ANTICIPATORY ANXIETY
4.< RIDING ON CAR
5.< SUN HEAT
6.< SMELL OF FOOD
7.SUPPURATION TENDENCY
8.LUMP/BALL SENSATION IN RECTUM
PDF
1. FASTIDIOUS
2. SENTIMENTAL
3. SYMPATHETIC
4. ANXIOUS ABOUT OWN HEALTH
5. MENSES: BLACK
6. MENSES: STAINING
7. CRAVING – SOUR
8. AVERSION – MILK
9. AVERSION – SWEETS
10. A/F ADMONITION
 REPERTORIZATION

1 2 3 4 5 6 7 8 TOTAL

CALC-C 2 2 3 1 1 3 3 --- 15/7

LACH. 3 --- 1 2 3 1 3 2 15/7
PULS 2 1 3 1 3 3 5 --- 18/7
SIL 3 1 3 2 --- 3 5 2 19/7
SULPH 3 2 1 2 1 1 4 1 15/8
THUJA 3 1 1 1 1 1 2 1 11/8
NAT.M --- 1 1 1 3 1 2 2 11/7
PHOS --- 2 3 1 --- 3 3 1 13/6
SEPIA --- 3 1 3 --- 1 4 3 15/6
NUX-V --- 2 1 1 2 1 3 --- 9/6
 CHOICE OF REMEDIES
CALC-C SIL
SULPH LACH
THUJA PULS

PDF

1 2 3 4 5 6 7 8 9 10 TOATAL

CALC-C --- 1 --- 1 --- --- 2 2 1 1 8/6

LACH. --- 1 1 --- 3 --- 2 1 --- --- 8/5
-
PULS 3 2 1 1 3 1 2 2 1 --- 16/9
SIL 1 --- --- 1 --- 1 --- 2 --- --- 5/4
SULPH 1 2 --- 1 2 --- 2 2 2 --- 12/7
THUJA 1 1 --- --- 1 1 1 --- --- --- 5/5
 HOT CHILLY FINAL PATIENT REMEDY
CHOICE MIASM
CALC-C CALC-C CALC-C S T
LACH. LACH Y H
SIL C U
PULS PULS O J
SIL SIL THUJA S A
SULPH SULPH --- I
S
THUJA THUJA
U
T M
E Y HYSTERECTOMY
R O
M SUPPRESSION METASTASIS
U
S A

SYCOSIS
AFFINITY

E STRU
X CTUR
AL THYROID JOINTS STOMACH BL- VES RECT- VEIN
P
R
E
S HYPO THYROID ARTHRITIS GASTR.ULCER ESSEN.HT PILES
S
I
O
N SLUGGISH STIFFNESS COLIKY PAIN NO FORM LUMPY SENS.
METABOLISM SWELLING
WT GAIN

THUJA
SYCOSIS + C.F + CHILLY
SYCOSIS – MIASM DISEASE – FEATURES
FEATURES. BRONCHIAL ASTHMA.
HYPERTROPHY HYPERTROPHY OF S
BRONCHIAL MUSCLE Y
EXUDATION ↑ MUCOUS SECRETION C
O
SPASM BRONCHO CONSTRICTION S
BRONCHO SPASM I
OEDEMA ↑ SIZE OF MUCOUS GLANDS. S
PHASE CHRONIC - 13 YEARS
SLOW SLOW PHASE
INSIDIOUS

( HYPERRESPONSIVENESS IS THE FEATURE OF PSORIC MIASM. IN

BRONCHIAL ASTHMA HYPERRESPONSIVENESS OF AIRWAYS IS AN
IMPORTANT FEATURE. BUT WHILE CONSIDERING THE DISEASE
PROGRESS ( SLOW INSIDIOUS PHASE) AND THE OTHER FEATURES
STRUCTURAL ALTERATIONS) , THIS CASE FIT IN TO THE SYCOSIS, AS A
DOMINANT MIASM.)
THE COMPARISON OF
CHRONIC MIASMS

BY

PHYLLIS SPEIGHT
• Mr. Noel Puddephatt introduced her to the
writings of the homoeopathic masters like
Hahnemann, Herring, Kent, Clarke, to name a
few.

• Hahnemann’s chronic diseases -- Psora

• Haehl’s “Life of Samuel Hahnemann”

• J.H. Allen’s 2 volumes of “The Chronic Miasms”

• Based entirely according to Allen’s book on miasms.

• She calls the tubercular miasm mentioned by Allen as

“Pseudo Psora”.

• Claims no originality of work and is very modest.

 Sources:
• Allen J H- Chronic miasms.

• Hahnemann- Theory of chronic diseases

• Robert’s philosophy

• Banerjee - Chronic diseases

• HAS MENTIONED IMPORTANT POINTS IN THE
CHAPTER OF TASTE. FINE DISTINCTION OF
TASTES IN ALL THE 4 MIASMS IS EXPLAINED.

• TASTE SHOULD BE NEUTRAL AND ANY

PERVERSION OR FALSIFICATION HAS A
MIASMATIC BASIS.

• FOUL TASTE OF NUX VOMICA WORSE MORNING

• HEPAR, TUB AND PYROGEN HAVE TASTE OF PUS

BEFORE COUGHING.

• ALL METALLIC TASTES MAKE US THINK OF

SYPHILIS OR THAT THE TUBERCULAR ELEMENT
IS PRESENT.
• Desires and aversions stand high in therapeutic
value as they are the basic miasmatic
symptoms next in importance to perverted
mental phenomenon in disease

• Skin and mind are exhaustively covered.

 Sycosis
• Sycotic patient is barometer.

• In any stage, in any form, it takes the

precedence of the 3 miasms.

• Natural discharges never ameliorate sycotic

patients…like persp, etc.

• Sycotic manifestations are characterized by

slowness of recovery.
 Suppressions:
• PSORA spends it force when suppressed upon the nervous
system, or upon nerve centers, often producing nervous
and mental phenomena of a serious character, all
ameliorated when an eruption is thrown up on skin.

• SYCOSIS- Sexual organs are affected producing

inflammatory diseases, hypertrophies and abscesses, cystic
degeneration, mucous cysts and when thrown upon brain
produces headaches, severe acute mania, and central
insanity.
• PSORA – ITCH OR ITCHING PAPULE

• SYCOSIS – CATARRHAL DISCHARGE

• SYPHILIS – VIRULENT OPEN ULCER

• ADDITIONAL NOTE ON SYCOTIC AND

SYPHILLITIC REMEDIES IS ALSO GIVEN.
Inflammation and fever are in reality the
manifestation of that vital reaction or resistance
on the part of the organizations which is the
means by which the real natural, curative
antibodies and antitoxins are produced

Inflammation & fever are not evils per se.

 DR.HAHNEMANN’S VIEW

SCABETIC ERUPTION
(ITCH) S
U
PSORA
H P
I P
S R
URETHRAL DISCHARGE E
T (GONORRHOEA) SYCOSIS
S
O S
R I
Y O
VENERAL ULCER N SYPHILIS
(CHANCRE)

(LOCAL APPLICATION)
 POST HAHNEMANN’S
DEATH

EXTENSIVE DEVELOPMENT
IN FIELD OF PATHOLOGY

INCREASE KNOWLEDGE
OF PATHOGENESIS
INTERPRETATION OF
MIASMS

KNOWLEDGE OF
PATHOGENESIS

PACE TISSUE
 DISEASES

ALTERED RESPONSE

STIMULUS
 INTERNAL EXTERNAL

STIMULUS
STIMULUS

external
MENTAL physical
PHYSICAL
 STIMULUS

PSORIC SYCOTIC TUB SYPHILIS

RESPONSE
?
 STIMULUS
E
+1
R N
E PSORIC V
S E
P L
APPROPRIATE
O PROPORTIONATE O
N FUNCTIONAL P
REVERSIBLE
S E
E S
+1
MIND SKIN
emotion M.M
 STIMULUS
+1 V
I
R SYPHILITIC
T
E A
RESPONSE
S L
GRADUAL OR
P SUDDEN O
DISPROPORTIONATE
O R
DESTRUCTIVE
N LACKING IN G
SYMPTOMATOLOGY
S A
AFFECTING VITAL
E ORGANS N

-4 S
THE CHRONIC DISEASES.

HAHNEMANN’S TASK SEEN AS THE GREATEST WORK ON THE

CLASSIFICATION OF DISEASES IN A LOGICAL MANNER,
ACCORDING TO THEIR ORIGIN (FUNDAMENTAL CAUSE)

THE FOUR MAJOR CLASSES:

1. OCCUPATIONAL OR DRUG DISEASES.
2. PSORA
3. SYPHILIS
4. SYCOSIS
 HAHNEMANN HELD THAT ALL THE CHRONIC DISEASES
ARE DERIVED FROM 3 PRIMARY, INFECTIOUS AND
PARASITIC SOURCES.
THEY CANNOT BE ERRADICATED FROM THE SYSTEM AND
THEY ONLY GROW WITH TIME IN A PARTICULAR
PERSON, AND ONLY LIVING ORGANISMS GROW.
 HENCE MIASM HAVE TO BE LIVING ORGANISMS.
 HAHNEMANN’S TEACHING ABOUT THIS “LIVING,
INFECTIOUS AND PARASITICAL” NATURE OF THE
DISEAE PRODUCING AGENT WAS CONFIRMED BY THE
DISCOVERY OF THE MICROORGANISM.
 CONDITIONALITY OF THE ACTION OF THE MAISM
DOCTRINE OF LATENCY:
 THE COPNCET OF LATENT MIASM COMPARED WITH THE
LATENCY OF THE BACTERIA IN THE BODY FOR LONG
TIMES BEFORE IT PRODUCED ANY VISIBLE
MANIFESTATIONS.
 e.g. INFCTION OF TUBRCULOSIS OCCURS IN YOUNG AND IT
MAY MANIFEST MANY YEARS AFTER.

METASTASIS:
THE TRAVEL OF DISEASE FROM THE SKIN TO THE INTERNAL
ORGANS COMPARED TO THE EMBOLISM AND SPREAD OF THE
CANCEROUS CELLS TO DISTANT PARTS.
THE IDENTITY OF PSORA AND TUBERCULOSIS:

 TUBERCULOSIS WAS RGARDED AS “THE MOST UNIVERSAL

SCOURGE OPF THE HUMAN RACE.”
 LEPROSY BACTERIA RESEMBLES THE TUBERCULOSIS
BACTERIA VERY CLOSELY. HENCE TUBERCULOSIS
AND ALL THE RELATED ILLNESS TO IT WERE
CLASSIFIED AS PSORIC.
 TUBERCULAR MIASM WAS NOT ESTABLISHED TILL THEN.
 TUBERCULOSIS WAS CONSIDERED TO BE THE SAME AS
PSORA
THE CAUSE: TOXICOLOGICAL THEORY OF DISEASE
 THE BACTERIA WAS ONLY THE MOST ANTECEDENT EVENT
OF THE WHOLE PROCESS OF THE DISEASE. OTHER
FORCESES
 THE DISEASE IS CAUSED BY THE TOXINS RELEASED BY
THE BACTERIA.
 ALONG WITH THE LOCAL EFFECT THERE IS A DYNAMIC
DISTURBANCE
 HENCE THE THERAPEUTICS SHOULD BE AIMED NOT ONLY
AT THE REMOVAL OF THE BACTERIA BUT ALSO THE
ASSOCIATED DYNAMIC DISTURBANCE
 ALLEN’S CONCEPT OF MIASM

CHRONIC DISEASE SIMILIMUM

> FOR SOME TIME

R COMPLAINTS
SIMILIMUM
E COMING UP AGAIN
L
WHY ? A
P > SOME TIME
S
I
N
G
AGAIN C/O COMING UP
 VITAL FORCE ( DYNAMICS)
HEALTH

F1

NATURAL BOND

F2

F1>F2-HEALTHY (MIASM) DERANGING FORCE,

LATENT INHERITANT PREEXISTING
F2>F1 - DISEASE CAUSE, DESTRUCTIVE)
 EXTERNAL
FACTORS

F2 AROUSED
F2> F1
NOT TAKING CARE OF
DIET, HYGIENE
LEADING TO DISEASE

INDULGENCE IN DRUG, IT WILL EXPRESS ITSELF

STIMULANCE
HOW ???

UN FAVOURABLE / BAD THROUGH

ENVIR. CONDITIONS

WEAK END ORGANS

OVER STRESS, WORRY,
GRIEF EG: LIVER, EYE, KIDNEY
PSORA TO SYPHILIS
PREDOMINANTLY FUNCTIONAL

PREDOMINANTLY STRUCTURAL

PSORA
SYP
70%
50%
SYCOSIS
20% SYC
PSORA 30%
SYP
20%
10%
 DIEASE PROGRESS

FIRST FUNCTIONAL STRUCTURAL

(PATHOLOGY)

IS THE REFELECTION OF

MIASM

(DESTRUCTIVE FORCE)

MIASM IS A CONCEPT WHERE AS PATHOLOGY IS THE FACT OPERATING ON IT.

IT IS EVIDENCE OF PRESENCE OF MIASM.
 FOR CURE

F3 NEEDED

ARTIFICIAL FORCE/ DYNAMICFORCE

>F2

THROUGH POTENTISATION

PRODUCE ARTIFICIAL DISEASE

CURE
DRUG F1+F3> F2
KENT CONCEPT –
LIFE SIMPLE - NO DISEASE ↓.

THINKING (SINFULL)

WILL ACTION- WRONG

DISEASE
 TUBERCULAR MIASM ( PSEUDO PSORA)

EXPRESSION INTENSIFIED & PATHOLOGY DESTRUCTIVE

LIKE PSORA LIKE SYPHILIS

TUBERCULAR
Case No 3
17 Yrs /Male

CHIEF COMPLAINTS TOTALITY

ANASARCA •SLOW LAZY
MASSIVE EDEMA •DISLIKE FOR MENTAL LABOUR
HYPERTENSION 150/90 •SENSITIVE TO REPRIMANDS
PROTEINURIA +++ •LACK OF COURAGE
HEMATURIA ++ •OBSTINATE
DYSPNOEA •FEAR OF GHOST
SPLIT S2 •DREAMS OF GHOST
•CHILLY
•CR SWEETS
•CR PICA
•WATER LOGGING
PACE RAPID
CHARACTERISTICS FEW
PATHOLOGY ADVANCED -= SECONDARY EFFECTS

MIND LOW
NERVES LOW
1 ANASARCA
2 HYPERTENSION
3 PROTEINURIA
4 HEMATURIA
SINGLE DOSE
1 NO CHANGE
2
3 4
24 HRS AFTER
CALC CARB 200 3 DOSES

PLACEBO
 Case 35 female
Trans abdominal hysterectomy was done to treat leucorrhoea and
Menorrhagia

Post op day 1 vomiting

Post op day 2 abdominal pain with loose motion
Post op day 3 & 4 vomiting with fever
Post op day 7 fever with rigors
bright red profuse bleeding
per vaginum

On examination not responding to Monocef

Pulse 120/min not much chance with blood transfusion
BP 90 systolic Post operative sepsis with gaping of
Pallor vaginal vault
P/h Breast abscess Fever
Hemorrhage bright red
Typhoid
Abdominal pain
Smiling hope

rapid

Structure Function
Mucosa +connective tissue Loss of adherence
Infected inflamed necroses Slow healing
Erosion of blood vessel …..shock
Chilly
Lean with sharp features
Expressive eyes
Craving sweets
Motion sickness

Fearful ghost, dark, quarrels---gets palpitation

Pet lovable, affectionate,
Desire for company
Sensitive to reprimands
Gets irritated quickly and cools down quickly
Case 73 male

NIDDM ON OHA
DEEP NON HEALING ULCER ON 3RD
TOE OF LEFT FOOT
Pulling pain in left lower limb
Per rectal bleeding with pain

On examination
Deep ulcer - muscle to bone deep with scanty
secretions. Non tender
Odema in the surrounding area
No signs of Hansen’s or PVD

Ambithermal
 Ulcer completely healed
Loquacity
In one week
Boasting
No pain and swelling thereafter
Insensitivity
By second week tone mellowed down
Pains
Loquacity decreased
Swelling
US trace
Ulcer
Third week
Urine sugar
RBS 145
Blood sugar
Wanted to know if wife can be helped
Case 25/female

FEVER WITH CHILLINESS

YELLOW URINE
VOMITING
INSOMNIA
DELIRIOUS …….DROWSY
NOT RESPONDING TO ORAL COMMANDS
RESPONDS TO PAIN

Examination findings Investigations

Afebrile
Icterus ** S.Bil 20.66
Rt Hypo tender liver 2 F+ Wbc 13,000
Responding to pain HbSag +ve
Disoriented in time and space
Moving all 4 limbs
Level of consciousness
Slight change in app and
Delirium
Sleep in first 24 hrs
Sleep
Loc much better in 48 hrs
Fever
Sleep and app further
App
improved
Abdominal pain
S. Bil 18.2
Urine color
5th day asymptomatic except
Icterus
icterus
S.Bil
Not much change in Bil
TUBERCULINUM 1M
3 Week S,bil 2.2
KALI PHOS 1m Single
117
Case 64/m

DIABETIC SINCE 12YRS ON INSULIN

ASYMTOMATIC
DELAYED HEALING OF WOUNDS
2 YRS AGO GANGRENE FOUR TOES AMPUTED
NOW SINCE FOUR MONTHS BLACK DISCOLORATION
OF TOES WITH BURNING AND ANESTHESIA

A/C
CORYZA WATERY <WINTER < RAINY

F/H P/H
DM TYPHOID
ANXIETY ANTICIPATORY
ANXIOUS MISTRUSTFUL
ANXIETY BUSINESS
AVARICE
ANXIETY HEALTH
FASTIDIOUS
COLD < DM: TUBERCULAR SYPHLITIC
CHILLY SUSCEPTIBILITY LOW
SENSITIVITY MOD .. LOW
VITALITY LOW
CASE 11MONTH FEMALE CHILD

RECURRENT COUGH…..BREATHLESSNESS….RATTLING
LOW THIRST

FREQUENT CONVULSIONS………COMATOSE

FLACCID LYING QUIETLY

FASCICULATION
FEEDING THROUGH NASOGASTRIC TUBE
NOT PASSED STOOL FOR 10 DAYS BOWEL SOUNDS –VE

ON EXAMINATION
NO RESPONSE TO PAIN
FLACCID HYPOTONIA
PLANTAR EXTENSORS
DAY 1 DAY 15 SQ
SQ OP 2HR

DAY 3 TWITCH> OP 2HR DAY 16

STOOLS
DAY5 DAY 30 CRY SULPH
RESPONSE OP 2HR
B.S
TO PAIN
DAY7 DAY 45 START CALC
DROWSY TUB
SWEAT
DAY9 CHILLY
SLEEPS LYCO
HALF EYE
DAY11 SMILING

DAY13 LOC FLUC LYCO1M

TUATE TUB
 SALIENT FEATURES OF TUB
MIASM
• PREDISPOSITION
• CONTSITUTION
• DIATHESIS
• DISPOSITION
• PHYSICAL FACTORS
• MODALITES
• PATHOLOGY
• CLINICAL CONDITIONS
 PREDISPOSITION
• Past History & Family History
• Tuberculosis of lung ,Glands etc.
• Hemorrhagic diathesis
• Tendencies
• Suppuration & recurrent abscess.
• Diabetes
• Typhoid etc.
 CONSTITUTION & DIATHESIS
• Tall ,Lean ,Thin
• Fair complexion
• Emaciated ,Stooping ,with narrow chest depressed
sternum winged scapula
• Fine silky reddish hair, delicate long eye lashes with
blue sclera
• Tubercular diathesis
• Hemorrhagic diathesis
• Scrofulous diathesis
 DISPOSITION
EMOTIONS
Heightened unstable emotions
Oversensitive Extreme desire of
Anxiety sex,giving rise to
Fear ,Fright, sexual perversions
Grief
Craves for sympathy & gives it Strong attachment to
Desire to be magnetized objects & persons
Hopeful & Cheerful
Friendly nature but Unpredictable
Poor M.W.D.
Poor performance
•
INTELLECT
Acute perception –E.S.P.
• Clairvoyance
• Responses are sharp ,quick but for short time
• Changeability ,alterations ,oscillations
• Strong / heightened imagination
• Artistic
• Perception alterd
 DREAMS
• Amorous
• Frightful
• Violent
• Prophetic
• Distressing
• Gloomy
• Cries out in dreams
 PHYSICAL FACTORS
• Hypersensitive to environmental influences,
touch, light ,noise, odour etc.
• Immune levels low
• Discharges – Profuse, serosaguinous with
musty mouldy odour
• Increased appetite yet looks emaciated
• Pica
• Aversion to meat
 MODALITIES
Aliments from suppression
• AGGRAVATION • AMELIORATION
• Mental excitement • Open air
• Physical exertion • Motion
• From evening to night • Natural discharges
• Change of weather • Day time
• After sleep • Sleep
• Over eating • Rest
• Warm room • Eating
 SYSTEM INVOLVED
• Reticulo Endothelial system
• Psyco Neuro Endocrinal system
• Glands
• Blood
• C.N.S
• R.S. &
• Mucous membrane
 CLINICAL CONDITIONS
• INFECTIOUS • NON INFECTIUS
• TUBERCULOSIS • N.I.D.D.M.
• TYPHOID • I.H.D.
• MALARIA • HYPERTENTION
• HANSEN’S • CEREBRAL
• RECURRENT U.T.I INFARTIONS
• WORM
INFESTATIONS
 SUMMARY
• ONSET: Insidious • SENSITVITY
• PACE: Fast :Increased
• SPEED: Rapid • REACTIVITY:
• INTENSITY Unpredictable
:Heightened • PROCESS : Chronic
• PATERN : Erratic • IMMUNITY : Low
• FREQUENCY : • SUCEPTIBLITY :
Irregular Moderate to High
 Tubercular miasm
HYPERSENSITIVE EXHAUSTION
HYPERDYNAMIC LASSITUDE
HYPERACTIVITY CATABOLIC
HYPERMOBILE DEPLETION
HYPERCHANGE ENERGY LOW

EMOTIONS
INTELLECT
INFLAMMATION SUBCONSCIOUS
SUPPURATION RES SYSTEM
ABBERANT IMMUNE BLOOD
REACTION FIBROUS TISSUE
ORTEGA’S CONCEPT
OF MIASM.
 THE EVIL – IN MAN.

SICKNESS
ALTERATION IN STATE OF
HEALTH
INDIVIDUALS-OWN WAY
STRIKING- STATE OF HEALTH
COMMON CONSTITUTIONAL WAYS

LOST HIS PLACE IN THE ENVIRONMENT

CONSTITUTIONAL BASIS - DIATHESIS

CAUSA CAUSORAM (MIASM.)

 MIASM
THAT IS DESTRUCTIVE, DISTURBING & DISPLEASING
PRESENT IN US
RELATED
3 FORMS OF CELLULAR FUNCTION

DEFICIENCY EXCESS PERVERSION

NUTRITIONAL ALTERATION OF
CELL

DYSFUNCTION
NATURAL PATHOLOGY.
STRUCTURAL ALTERATION STATE
 MIASM

EXCESS PERVERSION
DEFICIENCY

PSORA SYCOSIS SYPHILIS

CONSTITUTIONAL STATE
DEFICIENT EXURBERANCE OSTENTATION DESTRUCTION AGGRESSIVENESS
FLIGHT
CAUSES DEGENERATION
INDIVIDUAL CELL
INHIBITED AGGRESIVE
FIRST REACTION
MODE OF EXPRESSION PSORIC CONDTION AGGRESSIVE AGENT
REDUCED

DEBILITATED
PSORIC SYCOTIC INHIBITION AGGRESSION
POOR NOURISHMENT INHIBITION STIMULENT FLIGHT
TO
EXCESS FIGHT
PERVERSION
DEFICIENCY ALTERATION
INHIBITION
 COLOUR &MIASMS
BASIC 3 MIASMS & 3 PRIMARY COLOURS

EACH COLOUR REPRESENTS – REFLECTION OF THE

CHARACTERISTICS- ONE OF THE MIASMS

PSORA – BLUE SYCOSIS – YELLOW SYPHILIS -RED

COLD TEMPERATE BRILLIANT, HOT &

OSTENTATION PASSIONATE WITH
PASSIVE COLOUR DESTRUCTIVENESS
GAY
OF FIRE
SYPHILITIC MIASM

LEARNING

FROM

CLINICAL EXPERIENCE
 PANORAMA OF SYPHILITIC MIASM
PREDISPOSITION C SENSITIVITY
O
N
S
DISPOSITION T SUSCEPTIBILITY
T
U
TISSUE/ T POSOLOGY
I
PATHOLOGY O
N
 SYPHILITIC
SUSCEPTIBILITY

CORRELATION

CLINICAL PATHOLOGY
• 75 yrs old male, farmer.
SYPH-CASE 1

• Lean & thin with hardness of hearing.

• Complaints
• -Gangrene of Rt little toe with auto-
amputation with maggots.
• A/f-working in cold water.

• Doppler-Bil. atherosclerosis of major arteries of

both limbs.
• X-ray-foot-Bone resorption of the little toe.
• X-ray-Cxl spine-Osteoporosis, ostoephytes,loss of
disc space-C5-C6.
 CHRONIC TOTALITY

• Shy3 • Chilly-C4H
• Timid/soft spoken • Suppurative tendency3
• Responsible3 • Cravings-Milk2
• Fear of Injections3 • Perspiration-Profuse
• Anxious2 about
children’s future

Silica
 Clinico-pathologico-miasmatic correlation
AGE
OLD –SENILE
CONSTITUTION PATHOLOGY

ARTERIES
DEGENERATION BONES & SPINE
EARS-NERVES

-NO PAIN ISCHEMIA

-NO CHARACTERISTICS
-SENSITIVE TO COLD NECROSIS
DRY &
GANGRENE
SHRIVELLED
 Phase totality
• Senile
• A/f,< -Cold 3
• Anaesthesia
• Shrivelled parts
• Dry gangrene
• Necrosis
• Atherosclerosis
• Complementary relation to Sil.

Baryta carb.
 Susceptibility understanding of
syphilitic miasm
Predominant epochs—birth & old age
Pathology—Structural, degenerative ,necrotic ,irreversible
Sensitivity--blunting of sensitivity as pathology progresses.
Immunity—Compromised & poor, hence poor healing.
Nutrition—Tissue nutrition i.e.O2 & proteins is poor.
Pace—Rapid or slow & insidious.
Correspondences—based mainly on basis of pathology &
sector.
Approach—most of the times is Boger’s.
TPD & TPR—focuses mainly on palliation
Posology—Low potency & freq. repetition.
SYPH –CASE 2

• 80 yrs old female / farmer

• Chronic tobacco smoker
• C/O- Intense PAIN in Lt.foot BURNING as if
crackers bursting
Sudden shock-like
Screaming with pain
• <3 Touch,draft of air
• > Warm water
• No > with allopathic treatment
O/E
Undernourished (wt-29kgs).
Dusky,shrivelled,cold to touch.
Bluish hue .
Peripheral pulses absent.

USG-Doppler-atherosclerotic plaques in descending

aorta,& lt.common iliac vessel.Monophasic blood flow in
all arteries of lt. lower limb.

Arteriogram-of Lt. leg-angiographic findings consistent

with PVD of rt. SFA. Lt .CIA occlusions .Poor distal run
off in both legs.
 PATHOLOGY
MAJOR BLOOD VESSELS

ATHEROSCLEROTIC PLAQUES

ISCHEMIA

NERVES AFFECTED LOCAL ANOXIA

ISCHEMIC PAINS IMPENDING DEATH

 SUSCEPTIBILTY UNDERSTANDING
• Pathology-Structural irreversible
• Sensitivity-very high –pain,touch,draft of air
• Characteristics-++
• Nutrition-poor
• Correspondence at the level of pathology &
sector—Naja
• POSOLOGY-Potency-moderate due to high
sensitivity
 Extremes of syphilitic expressions
Case of dry gangrene Case of PVD
Epochs Old age Old age
Pathology Structural, destructive ,necrotic, Structural, degenerative,
Irreversible Irreversible
Sensitivity anesthesia Hypersensitive
Low high
Immunity Compromised Compromised
Nutrition Poor Poor
Characteristics Nil ++
Pace Rapid gradual
Susceptibility Low Low
Correspondence Pathology Pathology & sector
Posology Low potency ,freq repetition Moderate potency, freq.repetition
 SYPH CASE 3
• 63 yrs old male/widower since 1 year
• Wife died of Ca uterus 1yr back
• C/o-Redness in throat since 1 yr with mild
dysphagia & slight pricking sensation since 1m.
• Addictions-alcohol & tobacco.
• Biopsy done at TATA-Ca base of tongue &
oropharynx(T2N0M0) done 3 days back.
• Laryngoscopy-Ulcerative lesion involving base.
of tongue
 Chronic Totality
• Egoistic • Stocky, hefty man
• Independent • Hot
• Hard working • Craving-Milk2,Sweets2
• Ambitious
• Boaster
• Attachment-self, money

• Calc.Fl.
 Phase totality
• Ulceroproliferative growth

• Pricking pain in throat radiating to ear

• L.N—hard, right side

• Tongue-thick white coated

Merc.i.f
 Planning & programming
• Pathology -Ulceroproliferative,
Metastasis-L.N.+
• Pace -fast
• Sensitivity -low
• Characteristics -absent
• Tissue susceptibility-low
• Susceptibility -low
• Posology - low potency-6c
• Repetition -frequent
• Expectation -palliation
 Syph case 4

• 25 yrs old male.

• Diagnosed as ankylosing spondylitis since 3-4 yrs.
Constitutional—Calc.carb.
• C/o- Severe pain in back since 3-4 months
• < night3.
• Used to moan & scream whole night due to pain.
• Pain <3 draft of air.
• X-ray - Bamboo spine
• Rapid progression
 Mentals:
• Would not sleep & would not allow others to sleep.
• Used to sleep early in the morning till mid day
• Throughout the day used to feel lazy, depressed.
• No desire to do any work.
• Irritable-used to get frustrated with the others & the illness.
• No desire to live due to illness.
• Suicidal thoughts on various occasions.
• Relatives were afraid of his threat & feared that he would
take this extreme step.
Intercurrent- Syphillinum 1M
 Syph Case 5

• 45 yrs old male.

• Hard worker-worked in fields all life.
• Fearless.
• Anxious about money matters.
 Presentation
• C/o- Severe OA with genu varum deformity.
• ROM-restricted due to arthrodosis
• No effusion
• X-ray- Severe osteoporosis & joint space reduction3
• Not > with allopathic treatment
• Advised surgery but cannot afford.
• Sever night pains.
• <cold3
• Remedy –Syphillinum 1M,
• Calc.flour 6C multiple doses
 SYPHILITIC MIND
P
• TRAITS E
R
S
O
• DISPOSITION N
A
L
I
T
• MOODS Y
 Syph case 6
• A 11 month old female baby
• C/C-URTI
• TOTALITY-
• HYPERACTIVE.
• RESTLESS
• <CONTRADICTIONS-throws herself in anger,
• rolls down from bed-mother unable to control her,
• bangs head against wall
• Fearless-animals-enjoys riding on cattle
-pulls dog’s/cat’s tail & throws them
• Fears-dark, of strangers
• Likes playing with animals-yet cruel to small animals-crushes
insects to death
• Loves music3-cannot sleep without it.
• Wants to go out always.
 PHYSICALS-
Thermals-C2H2—C2H3
Perspiration-Scalp
Cravings-sour3,spicy2
Aversion-Sweets3
Sleep-on abdomen
Dentition-delayed,
other milestones on time
 Syphilitic traits

• Intense RAGE excessive strength during rage.

• Violent anger Destructive—
hurts self, throws things, breaks toys, head banging.
• Cruelty
• Insensitive to pain—of self
---of others
Remedy selected =Tarentula.h.
Syph case 7

• 61/2 yrs old girl,lean,thin .

• Mischievous look with wide gap in between the teeth.
• C/C-Nocturnal enuresis.
• Pricks teeth with sharp instruments-
pins,needles,blades or even a knife
• During interview-
• Restless, heedless,mischievious,making faces.
• Constantly picking teeth with a pin & continuously
eating biscuits.
• Interrupting mother in-between the interview.
 TOTALITY
• Hyperactive3 • Hot
• Restless3 • < Motion/bus2
• Insensitive to pain3 • <Sun2
• Inflicting pain on self3 • <Hunger2
• Heedless3 • Craving-
• Fearless3 Chocolate3,Salt2,sour2
• Obstinate3
• Mischievous2
• Irritable—Abusive
• Vivacious
Tarentula
• Creative-likes drawing
 SELF

INSENSITIVE

OTHERS

RAGE UNCONTROLLABLE

VIOLENCE
 Syph case 8

• 40 yrs old male

• Look-rough,robust,arrogant
• C/o--
coryza-acrid,corrosive.

• Childhood-Stealing habit, caught by father-

abused him,quarrelled & walked off & never spoke
to him till his Fa died at 70yrs, although stayed
together. Several quarrels in & outside the house.
• Adolescence- Strong sexual desire
-Freq.multiple non emotional phy.relations with
prostitutes.-“I need one fresh woman
everyday.”
• Marriage- Extremely dominating. Violent rage,
beat wife. After marriage raped 3 women in the
nieghbourhood.
His wife once casually spoke to a male neighbour.Pt
couldn't bear it .fractured her hand.
Banged his son against the ceiling for picking up a
wafer from his plate.
Dreams-
-Rape, Snakes-biting him
Nightmares-of being murdered/killed,
somebody is sitting on his
chest & trying to throttle him.
Awakens with intense fear as if he would
die.
 Totality
• Violent - Destructive
• Impulsive
• Hard-hearted
• Suspicious – Mistrustful
• Fear of death from dream
• Dreams – Rape
-- Snake-biting him

Cenchris
• LOVE C HARD HEARTED
O
R
• CONSCIENCE R UNFEELING
O
S
• HUMANE I VIOLENCE
O
N

DESTRUCTIVE

SELF SOCIETY RACE

ANTISOCIAL PERSONALITY CRIMINAL

 Syph case-9

25 yrs/ Male
Organophosphorus poisoning
Antisocial element
Deeply comatose
Respiratory arrest Patient on ventilator.
GTC
Pupils constricted and fixed
Extensor plantar.
Not better Atropine 50 amp. And PAM every ½ hr.
 Totality

A/F: Poisoning
Reaction poor (Not responding to Atropine and PAM )
Respiratory Paralysis
Pin point constricted and fixed
Toxic Encephalopathy
FOLLOW UP.

After 2hrs patient fighting the E.T. Anxious look on the face.
Pleading to save through gesture
No further H/O. available
Consumed poison in temple had never visited temple past.
• INSTINCTIVE V SELF CONTROL
I
O
L
• IMPULSIVE E
LACK
N
C
E DISCRIMINATION

DEATH
SLOW

INSTANT
 SYPHILITIC MIASM

&

THERAPEUTIC IMPLICATIONS
Syph case 11

62/Male

C/O. Rt. Sided Hemiplegia with Aphasia

Pseudobulbar Palsy;
Bilateral Pneumonitis
Sticky offensive discharges

TC : 10,400
XRC : Bilateral Pneumonitis
CT (Brain) : Diffuse Supra Tentorial
White matter Ischemia
which is secondary to
Hypertension
 HISTORY
 Highly IRRITABLE
 VIOLENT BEATING till the person would die
 VINDICTIVE
 BREAKES OF RELATIONSHIP
 NEVER FORGIVES insulting, abusing
 NO FEELINGS towards wife Would hit her on slightest
provocation
 HARD HEARTED
 Orthodox and DOMINATING
 CAN’T TOLERATE CONTRADICTION
 AGGRESSIVE EVEN ON DEATH BED
 TOTALITY
 Anger trifles at
 Anger Violent
 Hatred towards person who has offended
 Dominating
 Contradiction in tolerance of
 Egoistic
 Cr. Fish
 Av. Egg, Milk, < Milk
 Hot Patient
Irreversible structural changes
Susceptibility – Low
Miasm – Tubercular – Syphilis
 Remedy Reaction
23/10/02 6 pm: Lachesis 30 1P Stat

7.30pm GIT Bleeding LOC Maintain

9.30 Pm GIT Bleed stop LOC Maintain

10.30pm Massive
Haemoptysis
gas ping
Drowning in his
own blood. LOC Maintain

24/10/02 9 am Chest clear LOC Maintain

InvesN:
Prothrombin
time
Syph case 12
45YRS/MALE
C\C::K\C\O RENAL CELL CARCINOMA WITH IDDM WITH SEVERE U.T.I.
PT OPERATED FOR CARCINOMA HAS METASTASIS IN LT LOBE OF
LIVER
FEVER HIGH GRADE WITH CHILLINESS WITH SEVERE DYSURIA
BEDRIDDEN
URINE OUTPUT  100 C.C. NO INTAKE

O/E:
CACHECTIC
TEMP: 103 F PULSE: 112/min. CHEST: CLEAR
P/A: LIVER 4 FP, FIRM, TENDER++ SPLEEN NP
INVESTIGATIONS
Hb: 5.5 Tc: 12,500 BSF: 250 URINE P.C: ABOVE 250
USG: 89 X 95 mm WELL CIRCUMSCRIBED MASS IN Lt. LOBE OF LIVER
TOTALITY

1. SYMPATHETIC
2. HARD WORKING
3. DOES SOCIAL SERVICE
4. ANXIOUS ABOUT HEALTH OF OTHERS & SELF
5. C3H2
6. AVERSION SWEETS2
7. CRAVING FISH

RX: CAUSTICUM
PATIENT ADMITTED IVF STARTED RX. PULSATILLA 30 MULTIPLE DOSES
AS SUSPECTED KILLERS AGGARAVATION HENCE SUPERFICIAL
ACTING REMEDY RELATED TO CHRONIC REMEDY SELECTED
FOLLOW UP:

APP: BETTER FEVER: > URINE OUTPUT: 2000 CC

URINE P.C.: 100 – 150

AFTER 4 DAYS  CAUSTICUM 30 1 P GIVEN

NEXT DAY  RIGORS+++, EVERY 3-4 HRLY. FOR 24 HRS.

TEMP: 106 F

AFTER 24 HRS.
FEVER 0
APP: BETTER
DYSUREA: > 75%
CONSTITUTIONAL SYMPTOMS; >2
CHARACTERISTICS OF SYPHILIS MIASM
MIND
DESTRUCTIVE
ANGER –VIOLENT
IMPULSIVE
RAGE—Uncontrollable
CRUELTY
INSENSITIVE V/S HYPERSENSITIVE TO PAIN
INSESITIVITY TO PAIN SELF SUICIDE
OTHERS
RECKLESS / HEEDLESS / CARELESS
FEARLESS V/S INTENSE FEARS

SYPHILITIC PARANOIA
DEPRESSED MOOD SUICIDE
• PHYSICALS

EPOCHS  BIRTH & OLD AGE

PATHOLOGY  IRREVERSIBLE STRUCTURAL
CHANGES
 DEGENERATION
 NECROSIS
 DEATH
MODALITIES  < NIGHT , CHILLY.
PACE – SLOW ---DEGENERATIVE
-- SUDDEN– DESTRUCTIVE
SENSITIVITY  HEIGHTENED V/S BLUNT
CHARACTERISTICS POOR
SUSCEPTIBILITY  LOW
TISSUE SUSCEPTIBILITY  LOW
IMMUNITY  COMPROMISED
NUTRITION  POOR