Miasmatic Basis Prescription

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Miasm

Hahnemann idea excessively minute and invisible

living creature one of the causative for naturaldisease .

Soil or susceptibility exciting cause

Environmental factors . Maintaing cause

Miasma means stain pollution or noxiousinfluencing agent .heavy vapourous exhalation

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Miasmatic theory scientific basis

1 ) It must be based on clearly observed facts data

and phenomenon2) It must be repeatedly confirmed by future

observation and experience under similarcondition

3) It must give clear and correct guidance inanticipating the future events .

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In Hahnemann's words,"the true natural chronicdiseases are those that arise from a chronic miasm,

when left to themselves, improper treatment, go onto increase, growing worse and torment the patientto the end of his life." 78 Organon of Medicine

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Chronic miasms are much hidden and thesymptoms are much more difficult to be

ascertained. Lot of questions need to be asked totrace the picture of disease, i.e., questionsabout the medical history of one's

family, mental delusions, dreams andpeculiar symptoms.

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Creation of miasm

Hahnemann stress the role of suppression in

creation of miasm .In of treatment of chronicdisease constantly emphasizes the necessity ofnot just treating external signs disease andinstances the subsequent development of miasm .

$ 205 foot note.

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If abuse of suppression continues for too long thismay ultimately results in establishment of miasmaticimbalance inability to function

Firstly vaccination : new born immune system isimmature receives the challenge will be carryingsome inherited miasmatic influence already sycosis

Second immune system is subjected to repeatedchallenge it is conditioned to react in to all challengesin that particular way creation of tubercular miasm

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Inheritence of miasm

282 of organon hahnemann writes psora is usually

communicated through breast milk to mostnursing infants if they do not posses it byinheritance of mother .

Vaccination

The trait of previous family illness is passed on togeneration .

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JH allen in chronic miasm states in relation to

tubercuar miasm that miasm are perfectlycombined by heriditary transmission

Certain inherited condition show definite

miasmatic connection but causes cannot berelated to clear cut inheritance in conventional ingenetic sense

Conjenital miasmatic pattern will remain and

build on , potentially adding instability to toalready un stable situation

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It is thus miasm give greatest predisposition to diseasewhich is what is meant by diathesis

Presence of any miasm will influence the way that a body

response to whatever challenge comes its way

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Constitutional type

It is mental and physical characteristics and

reaction of an individual in healthy state . Will beaffected by inherited miasmatic background ,heriditery and family background

Miasmatic picture becomes important in disease

state

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Basic forces in nature

Where disease was designed as predominately of

one miasmatic type or another , so appropriateremedies should always be thought as apredominately showing pattern of one particularmiasm while still retaining aspect of other two

miasm .

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Antimiasmatic representation

Of thuja

Warts hyperpigmentation chronic catarrhalhurried behaviour < damp weather

Psora dry erruption dirty looking skin impotencyweakness in limbs

Sypillis bone pain arround face and teeth painfululcer arround the face and teeth

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Calcarea carbonates imperfect nutrition generalweakness in limbs point to this lattermiasm

PERCEPTION OF MIASM

Combining both repertorisation and miasmaticfactors have their own validity but their

willingness to combine two as appropriate yieldthe best result

$ 2 of organon of need for the lifting and anilitionof the disease to its whole extent

In chronic disease he must first find out as far aspossible the whole extend of all the accident andsymptoms belonging to the unknown primitive

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Importance of miasm varies from case to case butinfluence the integral part of both acute and

chronic caseJH ALLEN in his chronic miasm considered

peculiar strange and rare symptom were in factproduce speculative result because they reach

down to the deepest level .

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Why we have to study miasm i) A deep acting anti-miasmatic medicine by virtue of

its centrifugal action will open up such cases (brings tothe surface the suppressed symptoms) where thetotality of symptoms cannot be framed due to ascarcity of symptoms (i.e. one-sided cases), and thosecases with conjoint or contaminated pictures due tovarious physical, emotional or iatrogenic suppressions.

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) Also of importance is the value of selecting an anti-miasmatic medicine, which covers the psychic essence,nature and character of the individual in absence ofany recognisable totality. For example, a patientpresents with insomnia with no distinguishingmodalities or other characters to complete thesymptom. By ascertaining that person's psychic

essence or character (for instance, suspicious, jealousand exploiting in nature, representing sycosis).

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we can prescribe an anti-miasmatic medicine to coverthe insomnia and open up the case. Thus, the anti-miasmatic medicine covering the essence of theperson is capable of surfacing the suppressedsymptoms and the totality can then easily be framed

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iii) To be more confident in prescribing by includingthe surface miasm of the case in the consideration ofthe totality; as miasm, the dyscrasia of the person,

constitutes a major part of that totality. Miasm and thesymptoms are nothing but the two sides of the coin,and one cannot be considered whilst ignoring theother. In fact, the totality of symptoms cannot be said

to be total until and unless the selected remedy coversthe miasm.

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medicine covers the miasm (here in this case, sycosis)as well as the symptom, the wart has fallen off; and thenext suppressed layer, perhaps a profuse yellowish

leucorrhoea (which was previously suppressed bycauterisation) comes to the surface. This symptom toois a sycotic manifestation, and is also covered byCausticum, then that remedy will totally eradicate the

problem. So knowledge of miasm guides us to staywith the remedy and to allow its full and completeaction

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To evaluate the homoeopathic prognosis of the case, asremoval of layers of suppression are manifested asclarity of symptoms and also reflected by a quantum

jump in the sense of well being. Deep acting anti-miasmatic medicines by virtue of their centrifugalaction will remove the layers of suppression which canbe evidenced as follows:

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a) A quantum jump in the sense of well being.b) Improved energy.c) Increased appetite.

d) Better quality of sleep.e) Harmony and tranquillity of temperament.f) Stability (in obese people) or weight gain in underweight subjects.

g) Clarity of the existing or presenting symptoms oreven lighter symptoms.

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h) Suppressed symptoms (even of years ago) reappearon the surface and are permanently eradicated. Thisreappearance can be in a very transient form, which

may not even be visible to the naked eye.

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1) when well chosen remedy do not act or hold orwhen symptom continuously change

When progress under constitutional remedyceases due to miasmatic block

Never the same since measles

nosode for acute treatment prophylactic epidemic prescribing

When nosode is isopathically related to microorganism

When a nosode is indicated remedy it isconstitutional remedy

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To fulfil Hahnemann's three injunctions of cure: rapid,gentle and permanent.

Anti-miasmatic medicines help to clear up thesuppressions (in relation to the past); clear up thepresenting symptoms from their root or origin (inrelation to the present); and clear up the susceptibility

to get infection and thereby strengthening theconstitution (in relation to the prophylactic aspect orfuture).

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Hahnemann view of miasm contagious infection hasbeen medicaly mismanaged as a consequencesystemic illness that disease imprint can now be

genitically trasferred to next generation

Kent considered it is spiritual in origin.

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PAST

In one-sided cases, the centrifugal action of the anti-miasmatic remedy brings suppressed symptoms to thesurface and in so doing allows the proper totality to beframed. A correct anti-miasmatic prescription is alsoeffective in cases where the picture of the disease iseither conjoint or contaminated. In such cases, itorganises the symptoms and frames a clear picture byremoving the blocks.

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PRESENT

Removal of the different layers of suppression one afteranother through changes in the plan of miasmatictreatment according to the presenting surface miasmand corresponding symptomatic totality. Thereby themiasmatic dyscrasias are corrected, which in turnlessen the susceptibility to become sick. Thus weachieve the Hahnemannian ideology of permanentrestoration of health.

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FUTURE

Clearance of the miasmatic stigmas and dyscrasiasserves to improve the immunity and strengthen theconstitution.

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Key word miasm creteria

Irritation psora Lack or absence

Physical or mental Anaemia ataxia atopy

Physical irritation is characterised by itchingMental irritationleads to mental turmoilcharacterised bye.g.anxiety

alertnessapprehension (especiallyof impendingmisfortune), whichmanifests as fear. Psorahas the most fears of all

the miasms

anorexia

Therefore any diseased conditioncharacterised by deficiency,scantiness or absence, and all

hypo conditions reflect psoraexia

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Key word miasm criteria

Incoordination sycosis

Mental incordinationof sensorium lphysical incordinationof development

hypers are sycotic allhypertropy hyperplasia

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Classical Miasmatic Prescribing:

MTEK is a useful memory aid to arriving at a correctprescription.

M=Miasmatic Totality

T=Totality of Symptoms

E=Essence (should include gestures, postures,behaviours etc)

K=Keynotes (which should encompass PQRSsymptoms, refer 153 and 209 of Hahnemanns

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Step I

Make the miasmatic diagnosis of the case i.e. ascertainthe surface miasm.

Step II

Assess the Totality of Symptoms + Essence + Keynotesand PQRS of the case and formulate the indicated

remedy.

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Step III

Ensure that the indicated remedy covers the surfacemiasm, as diagnosed in Step I.

Step IV

Administer the remedy, which encompasses miasm aswell as the Totality

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N

In south america traditi0n of prescrbing based onmiasmatic theory of prescribing

$ 5 in significant factor enable to find fundamentalcause

Hahnemann led to miasm not by complete failure of

his prescription but by limited action of his apparentlywell selected remedies

A correctly selected remedy will inevitably bearmiasmatic relationship .

Miasm is a block in normal working of bodies diseaseresponse

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Miasmatic overview

First prescription with altered symptom pictureconsideration of miasm

Emergence of new symptom that cannot be attributedto remedy

Indicate change in miasmatic balance of the case

Temporary improvement in all main symptomwith subsequent regression

Repeat the remedy with higher potency if action failsthere is possibility of miasmatic block

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Miasmatic nosode like psorinum thuja is given

Some symptoms have abated but other preexisisting symptom have become more prominent.

Remaining prominent symptom point towards aparticular miasm should be given a great weight inselection of a remedy. If symptoms arecorrespondingthen miasmatic nosode can be given . In initialprescription .

In advanced pathology in connection with otherremedies will offer a degree of control .

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Miasmatic progess of cure

Based on $ 209 of organon instruction is given basedon this symptom physician starts the medication ieantipsoric

In chronic disease and organon final stage in curativeis appearance of psoric symptom

In $ 222 patient recovers from an acute mental andemotional disease by means of antipsoric should never

be regarded as cure once acute out break is passedpatient should be given as soon as possible continiousantipsoric medicine

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HA Robert

If we can find a remedy that has the more striking,particular, unusual and in addition covers the chiefcomplaint for which there is clear pathologicalfoundation, we may consider ourselves as having asound basis for the prescription of the simillimum

Richard Hughes who dominated homoeopathy in

England was practicing on pathological approach andaccepted all the principal tents of Hahnemann says

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that the similarity which he will seek to establishbetween the drug action and disease would be in themain pathologically

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E.A.Farrington in his book says physician have attimes when unable to fit the totality, have chosen theremedy that suits those characteristics upon which the

entire disease seems to depend For many such complaints like ulcer, hernia, the

patients will go to take help other system of medicine.At this stage the pathological approach could beused.

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It is not incompatible with the Hahnemannian theoryto consider Pathology in our prescribing.Hahnemann tells us in the Organon that the

complete expression of every symptom is that ofsensation, location, and modality. Location ofsymptom is an element in pathology and many times itis the sole element.

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Pathology is one of the symptoms of the disease, aswell as any other of its manifestations and if we do notconsider it we are not prescribing in accord with the

totality of symptoms. We also do not individualize thecase if we do not properly consider pathology.Remedies prescribed for the disease when there ispresent only one of the important elements of the

prescription, namely a symptomatic similarity or apathological similarity, cannot cure and all that can beexpectedof them is to relieve temporarily or topalliate.

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Miasmatic Basis Prescription

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