Hahnemann’s Miasmic Theory: Understanding and Application within Homeopathic Treatment and Prescribing
Some time after his writing of his Organon of the Medical Arts, Samual Hahnemann came to the realization that his homeopathic ideas may be incomplete (Hahnemann, O’Reilly 1996). Through his continued study and practice, he realized that there were often obstacles to cure and treatment (Banerjea 2022, Choudhury 2005, Hahnemann 1998 & 2005, O’Reilly 1996, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009, Yasgur 2021). Often, a well placed and chosen remedy may either have limited action or begin to exhibit diminishing returns with continued use and doses (ibid). This led him to write his treatise The Chronic Diseases, Their Peculiar Nature, and Their Homeopathic Cure (Hahnemann 1998, 2010). In this expansion of his homeopathic theory, he identified three miasmic pictures: Psora, Sycosis, and Syphylis (Banerjea 2022, Choudhury 2005, Hahnemann 1998 & 2005, O’Reilly 1996, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009, Yasgur 2021). Since then J.H. Allen has been attributed to have discovered the Tubercular miasm, and a fifth Carcinosin has been added though the latter is debated in the homeopathic community as to whether it is a completely separate miasm or simply a miasmic stew of the others. The same could be said of the tubercular miasm (ibid). In his volumes Chronic Diseases, Hahnemann explains that often there are underlying issues, tendencies to suffer particular disease symptoms and swaths of secondary disease that tend to go hand in hand due to suppressive factors, whether homeopathic or allopathic, or simply due to the exposure to such pathogens through what he termed “Erbschaft” (Hahnemann 1998, 2010) Erbschaft being a German word meaning inheritance. This “inheritance” of miasms could take place by being inherited through genetic/family lines or acquired (Banerjea 2022, Choudhury 2005, Hahnemann 1998 & 2005, O’Reilly 1996, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009, Yasgur 2021). The acquired miasmic picture could become inherited by subsequent generations and the inherited could be acquired by someone through contact with someone whom had inherited it from previous generations whether through sexual contact or simply close personal contact (Banerjea 2022, Choudhury 2005, Hahnemann 1998 & 2005, O’Reilly 1996, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009). These underlying chronic diseases create the tendency to suffer particular types of medical conditions based on the underlying diathesis (Banerjea 2022, Choudhury 2005, Hahnemann 1998 & 2005, O’Reilly 1996, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009). Each miasm has affinities and corresponding nosodes as follows:
1) Psora (the itch taint) Psorinum: skin (folds and sebaceous glands), ears, bowels, respiration, and is right sided.
2) Sycosis (figwart disease) Medorrhinum: affects the mind, mucus membranes, nerves and spine, cellular tissues (lungs, pelvis, and small joints), the kidneys, and the left ovary.
3) Syphilitic (venereal chancre disease) Syphilinum: affecting the bones espcially of the head and the tibiae, nerves, and mucus membranes.
4)Tubercular (sometimes called pseudo-psora) Bacillinum/Tuberculinum: with skin affinites (Psora), lungs, larynx, mind, head (occiput), and glands.
5) Cancer, Carcinosin: affinities for metabolism, nutrition, mucus membranes (throat, stomach, rectum), liver, solar plexus, skin, alternating sides (Allen 1978, Banerjea 2022, Choudhury 2005, Gray 2021, Hahnemann 1998 & 2005, Little 2009, Murphy 2006, O’Reilly 1996, Rathmathullah 2018, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009).
Each miasm can be present in a case in three manners:
1) EXPOSED: meaning that the remedy picture of the miasmic nosodes (remedy made from disease matter including tumors, pus, bacteria in potency). meets the similimum requirements and best suits the case at hand, eg the nosodes of Psora (Psorinum), Sycosis (Medorrhinum), Syphylinum, Tuberculinum/Bacillinum, or Carcinosin are the remedies that meet the similimum of the symptoms presenting.
2) ACTIVE: this means that the similimum may be a different remedy from the nosode, yet keynotes for Miasms are present and heavily indicated, eg remedies that are considered anti-maismic but that are NOT the nosode DORMANT: this comes about when the miasm can be perceived either in the patient’s past or in their family line.
3) DORMANT: this comes about when the miasm can be perceived either in the patient’s past or in their family line (Banerjea 2022, Choudhury 2005, Gray 2021, Hahnemann 1998 & 2005, Little 2009, Murphy 2006, O’Reilly 1996, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009). Miasmic nosode prescribing can be useful in the aforementioned situations where well
repertorized cases and well chosen remedies either have limited action or seem to simply not work based on the totality of symptoms. The nosodes are useful in several situations within the homeopathic framework.
1) Nosodes are curative alone IF they are administered according to the totality of symptoms and meet that simillimum as with any other remedy. When this is the case, the nosode would be considered the constitutional remedy of the patient. This would also apply to a situation where the patient was never well since being ill with the actual disease (miasm).
2) When the Vital Force is mistuned by the miasm in such a way that it produces sets of disease that are indicated within the arena of a particular miasmic picture at which time a nosode may be given as an intercurrent (administered with a complimentary constitutional remedy to finish off a case) or as a concomitant (in a case in which the vital force lacks reaction to a well placed remedy works only partially or not at all even with simillimum). Again, NWS could apply.
3) When the symptom picture lacks clear symptoms but there is a clear inheritance or acquired miasmic taint. Symptoms may shift or change completely allowing the homeopath to move the case forward.
4) When the picture is incomplete, therefore disordered, so that no one remedy fits the case but the miasmic differentials are indicated.
5) If the constitutional remedy works and then ceases or diminishes, then a nosode may be administered as an intercurrent to clear the way for the well chosen constitutional remedy to be reintroduced. The nosode should be continued as long as it continues to act and move the case forward. After this, the constitutional remedy can be resumed at which time it should resume its action s well as it once did.
6) Homeopathic-prophylaxis is another way that nosodes can be used. As was the case in Cuba with Weils Disease (Banerjea 2022, Choudhury 2005, Gray 2021, Hahnemann 1998 & 2005, Little 2009, Murphy 2006, O’Reilly 1996, Ruchira 2009, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009, Yasgur 2021). Personally, having a child on the autism spectrum who regressed after vaccines
(vaccinosis) has presented challenges with movement to cure and even palliation of symptoms. Throughout homeopathic treatment, there have been several of the nosodes administered, often wrongly as has come to be evident. However, even though there were often as many as 20 daily remedies prescribed, the use of nosodes seem to have allowed for some movement in the case though it was difficult to know WHAT was actually helping.. That said, once the amount of remedies was whittled down to a few well placed used either as needed (when the symptoms called for it) or once or twice a week with nosodes running intercurrent from time to time, the progress has been more pronounced. Often the case calls for Stramonium or Ignatia. These are rotated as indicated, and as of late, has included the addition of Psorinum when those seem to lack action because of pronounced intermittent skin issues which seem to coincide with some sort of detox action of the body. Psorinum meets the simillimum of the totality of symptoms very closely with anxiety, skin issues, autism (debility without any naturally occurring disease), and even hunger before the attacks of rage that often call for stramonium due to the delirium and raving mania. Often Ignatia is also needed as well because of his becoming quarrelsome to the point of rage and complete inability to be consoled at these times. This has allowed for the continuation and restoration of the action of the constitutional AND acute remedies needed at any given time. Often remedies that work so well for a time then seem to simply stop working. At this time the skin issues have cropped up to include blood boils, flares of eczema, and peeling of the soles feet. This seems to indicate the need for a dose of Psorinum though Tuberculinum (pseudo- psora) also seems indicated due to the desire for constant travel and change of venue. In the case of autism, it seems like a safe to be cracked. The use of nosodes as well as vaccines given back in potency have yielded the greatest and most impressive results. All this with timely administered doses of Bach Flower remedies or Rescue Remedy have been invaluable in at least the palliation of symptoms associated with this case of vaccine induced autism (Banerjea 2022, Choudhury 2005, Gray 2021, Hahnemann 1998 & 2005, Little 2009, Murphy 2006, O’Reilly 1996, Tabrett 2017, Vithoulkas 1980 & 2019, Watson 2009).
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