MIASMS – II Ringworm, Sycosis, Tubercular TALK 10... · MIASMS Part - II Talk 10 2 In ringworm...

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MIASMS Part - II Talk 10 1 TALK : 10 MIASMS – II Ringworm, Sycosis, Tubercular Welcome once again! and today we will continue our talk about Miasms. In the last talk, we began with the idea of miasms, of how Hahnemann came to the idea of miasms as an etiological factor in disease and he also gave us a hint that it can be a way to classify the different remedies and the different states. Continuing with that idea, we made a group of 10 distinct patterns . Patterns of perceiving and coping up with reality. Patterns that describe not the experience of that person, not the sensation but patterns that describes the intensity, the pace and the degree of desperation of the given experience. And we discussed how this kind of classification could help us in coming to a remedy. How we could classify remedies and people according to this and thus use it as a tool to fine tune our remedy selection. We discussed also some four miasms last time. The Acute, Typhoid, Psora and Malaria. Today, we will talk about some other miasms continuing on from the last time. The first one is the Ringworm. We can also call Ringworm as one of the Doubtful type. The one who has doubt. The perception of the Ringworm miasm RINGWORM: [ DOUBTFUL TYPE] The situation is perceived as a difficult one that is beyond easy reach. At times he tries to overcome it and at other times he just accepts it. Keywords: Trying, effort, struggle, giving up and accepting alternating with trying/effort. Alternating states of effort and failure with acceptance This kind of alternation between two types of state is characteristic of ringworm.

Transcript of MIASMS – II Ringworm, Sycosis, Tubercular TALK 10... · MIASMS Part - II Talk 10 2 In ringworm...

MIASMS Part - II Talk 10 1

TALK : 10

MIASMS – II Ringworm, Sycosis, Tubercular

Welcome once again! and today we will continue our talk about Miasms.

In the last talk, we began with the idea of miasms, of how Hahnemann came tothe idea of miasms as an etiological factor in disease and he also gave us a hintthat it can be a way to classify the different remedies and the different states.Continuing with that idea, we made a group of 10 distinct patterns . Patterns ofperceiving and coping up with reality. Patterns that describe not the experience ofthat person, not the sensation but patterns that describes the intensity, the paceand the degree of desperation of the given experience. And we discussed howthis kind of classification could help us in coming to a remedy. How we couldclassify remedies and people according to this and thus use it as a tool to finetune our remedy selection. We discussed also some four miasms last time. TheAcute, Typhoid, Psora and Malaria.

Today, we will talk about some other miasms continuing on from the last time.

The first one is the Ringworm. We can also call Ringworm as one of the Doubtfultype. The one who has doubt. The perception of the Ringworm miasm

RINGWORM: [ DOUBTFUL TYPE]

The situation is perceived as a difficult one that is beyond easy reach. At times hetries to overcome it and at other times he just accepts it.

Keywords: Trying, effort, struggle, giving up and accepting alternating withtrying/effort.

Alternating states of effort and failure with acceptance

This kind of alternation between two types of state is characteristic of ringworm.

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In ringworm miasm the main pace is an alternation of making efforts to solve thesituation and on the other hand to giving up and to feel that nothing can be done,and you have to live with it.

There is an alternation between the hope that the effort will solve the situation,and on the other side there is a feeling that the situation simply has to beaccepted and lived with and it cannot be solved with effort.

I want to use this talk to try and get into the whole understanding of this miasm.

The complaints are not severe and appear solvable

I find that patients who are in this miasm generally have chronic problems whichare not very severe and they just have the hope that they will be solved. Theywant to solve their problems but also they can live with them. The situation nevergets desperate or panicky such as in malarial miasm or in other miasms. So thecomplaints that they have are irritating and long lasting, but never too serious.

A life situation as an example

They see their life also in similar fashion. For example - there is a leak from theroof. One can try to stop it, paint it, patch it and it sometimes seems as if one hassucceeded in stopping it. But after some time the leaking begins again. Oneaccepts it for some time. But after a time one again tries to stop that leak. This ishow a person with the ringworm miasm sees his life and illness.

He sees it as something chronic, something is irritating. You try to solve it, itdoesn't get solved. OK try to live with it. After sometime somebody asks you to tryanother solution, you try that for sometime, doesn't work. Again you accept it. Sothis kind of pace, this kind of intensity is very typical. You have to just be with itand understand what I am saying.

Let's take a case as an example.

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90] A case as an example of the ringworm miasm and how it manifests.

The clinic

23rd January 2007

A female aged twenty three years

Occupation: Student

Nationality: Hungarian

The following notes are extracted from her case form.

Chief complaints:

Wart like Excrescences on skin- skintags, particularly on the back, shoulders,left arm. They began after she was vaccinated for tuberculosis and theystarted getting worse after exposure to an X-ray.

Lock jaw- very difficult to open the jaw even a little bit. This started in August2002, after an incident of a conflict with her father. It was been diagnosedas Myositis ossificans and she also had scoliosis.

Skin: dryness, corns on the foot, and fungal infection in toe.

Burning in the back, particularly the right side.

Pain in the lower limbs – hip, knees and ankles. there is also pain in the leftwrist. This pain is not constant. It gets worse after working on thecomputer.

So you see from the nature of the problem itself all long lasting problems, notdesperate problems, not fatal, not life threatening, not acute, not hopeless butjust the thing that stays with you and you want to try and get rid of them and youtry to do that. And she came to treat to see if she can get rid of them.

When she was five years old, she could not flex her left arm fully. Her parentswere told that she was suffering from a hereditary problem. Over the subsequentyears she underwent two surgeries on her arm in ‘92 and ’93. Then she was puton physiotherapy but it didn’t help and her left arm since then couldn’t be

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stretched fully.

So you see here also remedy lies between Psoric and Sycotic. Psora is we haveseen earlier, Psora is a feeling of hope. The problem can be solved. If you make aneffort you are positive and Sycosis on the other hand, we will see it cannot besolved. You have to live with it, you have to accept it and Ringworm lying exactlybetween the two alternates between these two feelings of hope and acceptance.So here you see some of her pathology that she has to live with and acceptcertain restrictions or some problems and at same time, there are been efforts,different efforts to try and completely solve it like the surgeries etc.

She feels a general weakness and a sense of darkness before her eyes when shehas not taken her food or there is delay in having it. She also experiencesweakness when she is afraid and nervous.

Excerpts from the interview:

“I am anxious about my loved ones; about anything happening to them. I feelworried that they may meet with an accident. An illness makes me nervous. I alsoget nervous before an important engagement, event, exams, and meeting people.I get neurotic. When I am nervous, all my complaints get worse.

I am very sensitive and i cry on hearing or touching stories, particularly aboutlove, about babies and about pets, and when I see love shown to poor people. Iam affected by the happiness of others, when they are in love or when they aresuccessful.

I am afraid of thunderstorms, of sudden noises, of darkness and being alone. Ioften have the feeling as if somebody is behind me.

When my friends are doing better than me, I would like to show them that I ambetter. I feel very easily hurt due to my problem, but I always show others that Ican do it. I prefer to be the bossy one; I don’t like others telling me what to do. Imostly follow my own choice.

I am not a normal person. I always want to show that I can be normal. I can’t dothe normal things that others can do. It takes me time to do them, to work, and Icannot run. I am not good enough. I cannot move. My body feels a ‘shock’, and I

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can’t think of it. It blocks me. It’s a very bad feeling inside which wants to comeout. But you cannot show this to your friend. I block myself. I am afraid but I showthem that I am strong.

I have two parts of me. One part is that I am strong and I can show others that Ican do it on my own; that I can be alone, and the other part is that I am not strongand need the help of others for small things, as for example, washing my hair andcutting my nails. I feel ashamed of myself, and worry about what others wouldthink about me; that I am not good. I always want to show my good side to them;that I am a good girl. I will never show people my bad part, if I show my bad sidethen others will say no (hg), will refuse me will not accept me. I must put morepower in my job. I always do more and more so that I can be good. I like to dobetter and make the best out of me. But sometimes I want to escape from thisplace and go away. I feel they don’t care for me.

I feel panicky in unfamiliar situations; it is a feeling of uncertainty; of panic that Iam lost. Nobody is there with me, and there is nobody to care for me.

When I was seventeen years old I wanted to go to Israel to be a soldier. Therethey look up to a soldier; it is prestigious to be one because they save lives. Mymother is Jewish, so I always wanted to go to Israel. I felt that if I went there, itwould feel like being at home; they accept you, you need not cover yourself.

I felt hesitant about making decisions.

As a child I was afraid of monsters under my bed with lighting eyes. I often felt asif there was somebody under my bed, a monster who could catch hold of my leg.”

When given the doodle exercise, so we make people draw a doodle and justscribble something and to look at it and to see in the process of looking at itwhatever comes to them and she described it as ‘something peaceful…a humancontact…to be together… with relatives whom I love… my closed ones.’

There is a history of attempted suicide.

Physical Generals

Appetite – can’t bear hunger, I feel weak

Desires – sweets2, cakes, salt, vegetables2, fried vegetables

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Perspiration – profuse on face, armpits; cold, sticky, offensive and staining yellow

Dreams – plenty and mixed; of nakedness, romantic themes, pleasant dreams…ofpeople, of marriage, parties, of eating, insecurity, and of being pursued. Dreamsof vehicles, trains, buses; of terrorists, riots, bombing, shooting and trying toescape from that place…must hurry and escape; of dead cows in a lake – it feelsvery disgusting. She can’t see death; she wants to go away from that place. Shedreams of dead people. Dreams of policemen, white dogs, black dogs, and ofsitting in a cage alone, waiting for somebody.

Some responses to factors that affect her:

Cold weather: feel cold

Thunderstorm: afraid, I want somebody next to me

Sun: happiness

Touch: I need a lot of touch

In company: enjoy myself

Listening to others talk: I must be listened to;

Her wounds take time to heal.

As a child she was very possessive and jealous of her siblings.

Menstrual history:

Before the menstrual period commences her breasts feels heavy. She is irritatedbefore and during the period. She becomes very sensitive and wants somebody tohug. The menstrual blood leaves stains which are difficult to wash.

Analysis of the case

So something that we need to see about this case very very interesting are thatwe see in her that there are two parts.

She describes two parts of her, one part is that ‘I can do things on my own,myself, I can be alone’. The other part is a dependent side, where she needs helpto wash her hair, she fears unfamiliar situations, feels alone and lost and that noone cares for her.

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She feels embarrassed about herself, and is conscious of what others may thinkabout her. She wants to show her good side because if she doesn’t, people mayreject her, not accept her. So there is a need for relationship; for somebody to bewith her, at the same time there is a fear of rejection.

She needs her parents very much for security. On the other hand, she also wantsto go abroad and work in a prestigious job; she wants to escape.

She has homesickness.

She has plenty of dreams – of riots, violence, terrorists, of dead people etc.

So what we see at her sensation level is that there are many themes of the ThirdRow like:

the ability to do things for oneself

the concept of care and love

of being accepted for who she is

of her image, of what other people think of her

of being Self-conscious; of being embarrassed;

of being not appreciated and not good to look at.

And then you see all the skin problem she has excrescences and warts in differentparts of the body add to that the whole pathology.

She has Homesickness, fear of the unfamiliar

And then we see there are two parts of her, two sides. One feels forsaken andwants care and love, feels helpless and dependent. The other wants to prove thatshe is on her own and independent, and she is prestigious and she looks good.

So her feeling is that if she doesn’t appear good and she is not in a prestigiousplace, and if she is not appreciated then she will alone, she will be rejected, she

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will be lost. So the remedy for her is Mag-sulph.

Magnesium has the themes of:

First of all this is a 3rd Row with Magnesium and Sulphur. Magnesium has the ideato be dependent, to need somebody for care and love. The fear what will happenif the person is not there. The needing of the other person all the time andSulphur has the theme of appreciation, ego, prestige etc.

When we look at the rubrics, we have in Magnesium sulph.

Rubrics

Dreams – dead people

Dreams - disgusting

Dreams – frightful

Dreams – many

Dreams – pleasant

Dreams – shooting

Irritability – menses before agg

Food and drinks – vegetables, desire (Mag-mur and Sulph)

Food and drinks – sweets, desire

Menses and perspiration – difficult to wash – Mag-c

So the Repertory here doesn’t give a good expression here and as it’s not wellproved or well listed. But we can get to Magnesium sulph with the SensationApproach using themes of the Periodic Table.

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The Magnesium state is:

‘I know what I want, I have my choice but I must not express it, I must block it. Imust be reserve, I must not tell my feelings otherwise I will be left alone.’

And the Sulphur theme :

‘I am proud to be me and I am better than you and I will prove I am good’

When Magnesium and Sulphur come together, the relationship can happen inseveral ways:

The feeling:

‘I am not appreciated by the one on whom I am dependent on for love andcare.’

‘I am not loved and cared for because I don’t look good enough or I am notgood enough.’

“The one whom I am dependent on for love and care suppresses my choiceand individuality and I somehow break free from this.’ And in this breakingfree, you will also see some themes of Oxygen, “coming out to breathe”.

Another theme could be:

‘I wish to be independent from the one I depend on.’

Or

‘I wish to win the appreciation of the person I am dependent on, by doingsomething individual, by doing something really appreciable’

‘ I feel as if I should have some worth or value in the eyes of the person I amdependent on, but since he is not giving me the worth or value, I feel thatmy own individuality is not given value and this makes me feel very upset.’

So these are the sensations of the case and she beautifully expresses the twosides of her and how they come together. Now what is not obvious or what ishidden in the case is the miasm. She is not using the words ' I am trying' or ' I amstruggling and I am accepting and I am giving up'.

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So normally, these words are not so often used in by patients. Sometimes theyare used but not always.In this case she hardly used the word trying or effort orstruggle or giving up or doubt etc. Not the key words of the miasm but the paceand the intensity of this case and of the remedy is Ringworm miasm.

What is interesting is the remedy Natrum sulph, which is very close to Magnesiumsulph is in the sycotic miasm. Whereas, Magnesium sulph is a Ringworm miasm.The feeling of Natrum is much more intense, then the feeling of dependence ofMagnesium. Magnesium is one step more independent. So the pace of theremedy Magnesium sulphuricum is that you feel at times it is possible what youare doing is possible that you can be independent. Whereas in Natrum it seemsimpossible therefore the only alternative is to accept. The feeling in Magnesiumsulph like in Calcarea sulph is the feeling that by doing something, by doing aneffort you can gain appreciation and also become independent and so the wholepace and the intensity of Magnesium sulph is that of a person who is making aneffort to gain appreciation, to gain prestige, to gain independence, to be oneselfand there is definitely an element of hope that comes from time to time.

I want to narrate a case of a woman with Asthma whom I was treating. Now shestill comes to me for follow ups but her asthma is alright now for a longtime. Soshe saw me many many years ago and I still remember her right as if she is infront of my eyes and what was the issue with this woman? The issue was that shefelt as if Husband doesn't have any value for her. She felt that because she isdependent on him because she can't be on her own and because she doesn't earnmoney and because she is emotionally dependent etc on him and therefore she isnot able to express who she is or what her choices are and therefore this mansuppresses her, as if she is of no worth or no value. She feels as if she is a servantin the house who doesn't have a voice, who doesn't have a say, who doesn't havea choice, who doesn't have an individuality. She is simply there to be under thisperson. So she lived in this situation for a long period of time but her attitude

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towards that situation was that she will do something that she will fight, she willstruggle, she will do something to find her selfworth. And what she did was, shefond her self worth in religion. She joined a spiritual group and she started doingsome meditative practices. She started doing some other things that she couldhave her own self worth. That she could be somebody that she could beindependent, that she didn't have to be nobody there in the house and making allthese efforts but also these feelings would surface intensely from time to time. 'Ihave no worth, I am no one, nobody cares for me. My husband doesn't care forme or nothing.' So these were the two sides of her and she lived in this situation.She had asthma and she did very very well on Magnesium Sulph.

So the idea of telling you this was that behind the sensation of Magnesium sulphwhich is the struggle to find appreciation and worth especially in a situationwhere you feel dependent and you feel that you are lost or alone without theother person in a way but you can't express your choice. This whole pace andintensity of the remedy is in the Ringworm miasm. Nothing is dangerous here,nothing is acute here, nothing is hopeless here, nothing is a struggle or crisis here.It's just a constantly irritating situation that you are struggling to make it alright,to come out of it but you never succeed in it. Again accept it, again struggle withit, again accept it.... this is the situation and this shows through in the pathology,in the dreams. You can get dreams of making a lot of unsuccessful efforts. You aretrying but not getting it and you can see it in the pathology, in the dreams, in thestate of mind and in the whole pace and intensity of even how the patientappears to you.

So now we are talking about the case we spoke of earlier.

The girl with excrescences.

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Follow–up on 7th April 2010

There is significant improvement in the excrescences, there are no new onescoming up which use to come up quite frequently earlier and the old ones arereceding. The pain of the lower limbs is much better. Her back and limbs are morerelaxed and her movements are easier than earlier. Her dreams have becomemore pleasant than before. She remembers dreams of

Taking a boy, a baby and how she feels a lot of love as the child clings to her. Icould talk a lot about ringworm miasm and may be just one little thing that I couldadd that might add to your understanding of miasms is that your remedy LacHumanum which is the human ... the spirit of Human being itself. When I look at itclosely it comes in the Ringworm miasm. So as humans most of us must befamiliar somewhere deep within our consciousness of what the Ringworm miasmis because when we see the commonality of a human being it is. In a level ofsensation ,it is a kind of conflict between two sides of him. One which is selfish,self -centered, egoistic and I want everything for myself. This is one part of anyhuman being and the other part is which is the feeling. I am not myself but I ampart of a group, I am a part of a family, part of society, part of a humanity towhich I have to give and I have to dissolve my ego in a way . So there is a strugglein his being. 'Am I selfish or selfless? Am I God or the devil? Am I good or bad? AmI virtuous or sinful?’ This struggle goes on. I hope you are familiar with thestruggle.

Now what is intresting is that when you look at the struggle of human being, whatis the intensity and the pace of the struggle. If you closely examine you will findthat this struggle of a human being is never a hopeless or a desperate struggle. Itis never serious or critical. It is never acute or threatening. It is a struggle thatcomes up from time to time. ‘Should I do this for that person or should I do thisfor myself. Should I cheat him a little bit or should I be honest’. So this kind ofstruggle which goes on. 'Should I pay the taxes or should I hide the taxes?' Thiskind of a struggle that goes on is often not very intense and it seems to come outfrom time to time, never gets resolved and is accepted again. And even the littlefights that man has with another man.

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For example: People I see very often you go on the road there is a bit of skirmish,a little bit of a fight, somebody overtakes, some body cuts another person. Thenboth of them stop. They scream at each other. Then both of them go and acceptthe situation and it's all finished. So it's this alternation where they say nothingcan be done, these guys don't understand. It's going to be like that. Our society isjust going to be like that. So from time to time, there is a kind of an effort to takea bigger step to improve, to mature whatever and then there is a kind of anacceptance, nothing will change in a human being. We are just terrible and it'sgoing to be like that. What to do? Isn't it so?

**So I find that the sensation of a human being is this struggle between himself asan ego and seeing himself as a part of the group. Between him as a selfish andbetween him as a selfless. This is the Sensation but underlying that when you seethe pace and the intensity of it, it is a pace and intensity that is never toodesperate but never fully accepted and never fully given up. It's that pace that isremedy and this expresses in all the remedies and all the patient's of Ringwormmiasm. one example we gave was Magnesium sulph but there are many manyexamples. You can have Ringworm remedies in Plant.

For example: Actea spicata in the Ranunculaceae family is a Ringworm miasm.Here the struggle will be with the sensitivity; with his sensitivity to insult, with hissensitivity to reprimands, with his sensitivity to rudeness. then he makes a littlestruggle to move, to overcome this or find it out. Then he accepts it and says Ok.People are going to be rude, nothing can be done. This is the Actea spicata kind ofan intensity, not the intensity of Staphysagria; which is the same sensation ofrudeness and insult. But very very feeling things are out of control and he musthold very tight in control otherwise it will be terrible. So Staphysagria has a veryhigh intensity , pace of control. So just to give you an idea of what the Ringwormmiasm and what does a Miasm really mean. It doesn't mean the sensation. It

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means the desperation, the intensity, the pace to which any given sensation isexperienced and that typifies a patient and a remedy and that makes it easier. Soif you find a patient with Ringorm miasm, you are not going to look for Syphiliticremedy because it's a different pace , and a different intensity. That's it.

Now we can go to another miasm and we are going to the Sycotic miasm.We cancall the Sycotic miasm as the fixed type.

SYCOSIS: [FIXED TYPE]

What’s the situation?

The situation is perceived in sycotic miasm as irremediable but not lifethreatening, but here there is no attempt is not to get rid of it, to solve it, theattempt is only to avoid it, hide it or cover it up. To live with it, you don't even tryto change it because you feel you cannot change it. Whatever you do it cannot go.So you have to stay with it. So how best can you live in that situation, that's all.

Keywords: Fixed, (you can have a look at the presentation. You move it and youwill come to the sycotic miasm and the key words) covered up, guilt, hide,secretive, fixed weakness, avoidance, acceptance, resignation.

Acceptance, Avoidance and Anticipation:

Out of all these the 3 main things of Sycotic miasm are the three A's. Sycosis hasacceptance, avoidance and anticipation.

What does it mean?

Let's try to understand.

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Accept and avoid

The acceptance that this is how it is going to be. It is not going to change. That'swhen you accept something. Nothing can be done about it, therefore all yourcoping mechanism are either to avoid it or to live with it. Just to maintain thestatus quo. However there is always a fear of the problem increasing and thisbecomes an anticipation. There is a fear that one’s personal nightmare might oneday become a reality.

So situation is Status quo. But it can any day flare up into our nightmare.

And this is the anticipation.

Anticipate

To think or imagine that a certain thing will happen or it will come to pass or toconsider something before it happens and to actually make you cautious andmake any necessary preparations and changes and anticipating that it will come.

In Sycosis, the ‘something’ that may come in the future will be something onecannot do anything about to rectify. So you simply live in the constant dread of it.And see it’s possibly of actually happening in the future and to be constantlyanxious about it.

You can't do anything. Just worry and worry and worry. What if this happens?What if that happens?

So to give an example I think it's good to talk about this case of a 55 yr old man.

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91] A case as an example of the sycotic miasm.

A male aged 55 years who came with the complaint of warts all over his scalp.

So all over his head he had clusters and clusters of warts may be several of them.Couldn't be seen because his hair was there but below that was many manywarts. So I asked him as we do typically in case taking to describe the problemand he said,

When asked about his problem, he used several descriptions.

“' I feel as if something alien is there…as if it is growing big like a monster…I get aneerie feeling that I might look like something from the ET movie; where the eyespop out, the head pops out.”

He said that I am afraid that my warts would begin to spread further, outside myscalp and appear on my face, and that everybody will notice it. And what willhappen if everybody starts seeing it.’

So I asked him,’OK just imagine everybody will see it and it's all over your face.What will you experience? He said, 'I would be ugly looking, I will not presentableto everyone…I will feel like I am a leper on the roadside …I feel no one will likeme…I will feel what will they think, they don’t even want to look at me. They willsay “Why should we even see this creature?”

He said, I am in a very responsible position at work, and i am very successful andalways I have presentable; I have a style and a quality. I wear branded clothes. Ihave a good position. If the warts spread and become noticeable, I will become anunwanted character.

My own people, my own relatives would not like me. I would become non-presentable. My children would think, “Why should I see my father’s face?” Then Iwould want to disappear, to just get out. If I am not useful then there is no pointin living. I would be an unlikeable character, holed up in a corner... I would be adoormat…nothing useful. I would be neglected and thrown out.

He said, “As it is, at present, one of my eyes is not working, and now I will get allthis! I met with an accident, and I lost my right eye. I call myself a one-eyed-jack.However people don’t even know about this, this is an artificial eye and nobody

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knows about it”

I asked him to describe about himself and he said:

“I want perfection, strict time management. I am a stickler for rules.”

My motto is: “A place for everything and everything in its place.”

My motto is: “A stitch in time saves nine.”

L: So now when I looked at the case in the first case. I saw the words

Disgust

Contempt

Isolation

Outcast

Repulsion

And Despair

And to me the miasm appeared to be Leprous miasm.

Because these are the words. He said, ' I feel like I am a leper on the roadside.'

He also liked the color white.

So from this idea I gave the remedy, Leprominium which is the nosode of Leprosy.

If you read Vermeulen’s Synoptic Materia Medica II under Leprominium you get:

‘Loathing of life yet would not like to commit suicide.

Feels rejected and dejected.

Secludes himself for he does not want others to know about his disease’.

So I was very sure and he liked white colour which is a kind of confirmation ofLeprominum. This remedy incidentally was brought to Homoeopathy by a senior

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Homoeopathic colleague from Bombay who is no more now. His name is DrPrakash Vakil.

So I gave him Leprominum, confident that he would do well. But after 3 months -4 months, sadly nothing changed and then I had to re understand the case, re- dothe case, to re-think the whole thing. And what I saw was something veryinteresting.

The interesting part was that this patient was not actually feeling like a leper. Hedidn't say I feel like a leper. Listen carefully. He said that if the warts were toappear on my face, then I would feel like a leper. Then no one would look at me.Then it will happen. So what he was feeling was not disgusting but theanticipation of a situation where his worse nightmare would be coming true. Sothis symptom was not actually disgust but anticipation. And what was interestingabout his warts at the moment that they were all covered under his hair and thesame thing also with his eyes. That he had lost his eyes. There was a weaknesswhich he couldn't change, which he couldn't remedy. Nothing could bring his eyesback. So he had to live with it and accept the lost of his eye. But he lived with it insuch a way that nobody knew even that he had that problem. So everything wascovered up in him. Even that he had a problem. So everything was covered up athim. The warts, the eye problem etc and his worse fear was this anticipation wasthat all will be exposed. So then I understood that the miasm here was Sycoticand not Leprous because the leprous person would feel in the present moment,with the present complaint already disgusted and isolated and contempt from theothers. Much more, much much more desperate is that miasm than a sycotic whois living constantly with the anticipation that one day it will happen like this. Sothen on studying the case again, he needed a sycotic remedy. And I choose on thebasis of 2- 3 symptoms. One of the basic was the warts on the scalp then his fearto fall in the eyes of the society and a couple of physical symptoms. I don’t exactlyremember.

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I gave him Thuja and what happened with Thuja was that all the warts completelydisappeared within the next one month or two.

So what are the other known remedies for Sycotic miasm?

You have Other remedies of the sycotic miasm:

Just some examples:

Medorrhinum

Gelsemium

Causticum

Silica

Pulsatilla

Kali bromatum

Lac caninum

And Digitalis

Repertorial rubric:

So if you look at the rubrics

Ailments from Anticipation; you have a lot of remedies of Sycotic miasm

Mind; ANTICIPATION (AILMENTS from, agg.)(p, 152, 14-454) (152) : ACON., Aeth.,agar., Aloe, alum., Am-c., ambr., Anac., androc., ant-c., ant-t., ARG-N., arge-p.,

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arist-cl., arn., ARS., aur., aur-m-n., Bar-c., bar-s., bell., blatta, bor., bros-g., BRY.,cadm., calad., CALC., calc-p., camph., canth., Carb-v., CARC., carn-g., CAUST., chin.,chir-f., choc., Cic., cina, Clem., Cocc., coco-n., Coff., colch., Con., crot-c., crot-h.,culx-p., cupr., cyg-c., cyni-c-g., Cypr., cypra-e., cyrt-p., DIG., dros., dulc., dys-co.,Ferr., GELS., geoc-c., GRAPH., hell., hep., hura, hydrog., hyos., IGN., iod., ip., Kali-br., Kali-c., kali-p., Lac-c., Lac-eq., lac-f., lac-lup., LACH., lamp-c., lap-be-e., lap-gr-m., lap-mar-c., lat-h., Laur., leon., levo., loxo-r., lsd, LYC., Lyss., m-aust., mag-c.,Maia-l., mang., MED., Meny., MERC., meteo., mosch., Mur-ac., nabal., nat-c., NAT-M., nat-p., nat-s., nelu., nicc., Nit-ac., nitro., nux-m., nux-v., ox-ac., perla, petr.,Ph-ac., PHOS., Pic-ac., PLB., plut-n., posit., propol., PSOR., PULS., rheum, rhus-t.,ros-g., Ruta, sabin., salx-f., samb., sel., Sep., SIL., spig., spong., Staph., still., stront-c., Stroph., sul-ac., Sulph., syph., tax., telo-s., Thuj., Tub., ulm-c., uran., vanil.,Verat., Zinc.

I will give you another case from practice:

A woman aged forty years, she came for treatment and she said, “Each time I seea knife I fear I will kill my husband or child, or when I am cutting vegetables in thekitchen and my husband and my child enters, I am afraid I may get an impulse toput a knife into them or sometimes I am walking with my child on the street and Ifear I might get an impulse to push my child under a bus.”

Now this is a very interesting situation and she was living in this constant fear.This constant dread. So at that time, I looked at the Rubric:

‘Kill, impulse to, her husband of whom she is fond’

Or

‘ Kill impulse to child of whom she is very fond’

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There are rubrics like this and the remedy that was given was Platina. So I gaveher Platina but no way, nothing happened. Then I realized something is wronghere because Platina is a Syphilitic remedy. The miasm of Platina … Platina is inthe 6th row of the Periodic table, in the heavy metals with Aurum and Mercuryand it’s Miasm is syphilitic. And here we see the kill, the knife, the killing, thepushing under the bus etc. and you might think this is Syphilitic miasm and Platinais a rubric and so it is fine, it didn’t work.

So then I realized that what she was having was not the desire to kill as would bein Syphilitic miasm, not the desire to destroy but actually the anxiety or theanticipation that she might get such an impulse. She would never do it but shehad a fear what if I get the impulse. What if I do it? And so what she was havingwas not the impulse but the fear of impulse, the anticipation of the impulse andso the rubric is not

‘Kill impulse to’

Or

‘Kill, desire to’.

The rubric:

Delusion: murder, husband and child, she is going to

The fixed idea that she is might do it or the delusion that she is about to commit acrime and here the remedy is Kali bromatum which is a Sycotic remedy. A Sycoticmiasm remedy and Kali bromatum helped out of her problems within a few

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months. She was completely rid of her problems and the anxiety disappeared. InPsychiatry, one would call her diseases as Obsessive compulsive disorder. It isneurotic, a kind of phobic, a kind of obsessive, a kind of fixed idea something shewill do. This kind of fixed ideas, and the anticipation that go with it come underneurosis as far as Psychiatry is concerned. So the Sycotic remedies inHomoeopathy are often very close to having neurosis in terms of anxiety, in termsof Obsessive compulsive disorder.

For example:

The fixed ideas of Thuja would be obsessive, “Neurosis” of psychiatry. Whereasthe Syphilitic remedies of Homoeopathy would often fall in Psychiatry under the“Psychosis” of Psychiatry which includes Schizophrenia and manic depressive andall kinds of homicidal and suicidal impulses. So once we understand the idea ofanticipation, acceptance, avoidance in Sycosis as the Miasm, then what youanticipate, what you avoid, what you accept that will tell us the Kingdom or theSensation .That is the Sensation or the Kingdom.

For example:

If you are avoiding, anticipating, accepting a problem in sensitivity then youbelong to the Plant kingdom, Sycotic miasm.

If you are avoiding, anticipating, accepting a problem in Survival/ competition, it’sAnimal kingdom.

If you are avoiding, anticipating, accepting a problem in Structure, in yourrelationship etc, it’s Mineral kingdom.

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So what are the rubrics that one can understand for the sycotic miasm:

You have:

Mind; CAUTIOUS; ANXIOUSLY

It is a good rubric

Mind; HYPOCRISY (DECEITFUL, SLY)

Hypocrisy means it’s a kind of a cover up.

Mind; RELIGIOUS AFFECTIONS; FANATICISM (COMPULSIVE DISORDERS)

Which is like compulsion

Mind; FANATICISM (14)

ANXIETY; CONSCIENCE, of; Condemned, of being (14)

Anxiety, wash things impulse to

Mind; CHECK THINGS, MUST (COMPULSIVE DISORDERS) (15)

They are all rubrics of the Sycotic miasm.

In the Physical sphere, Sycotic miasm shows a kind of an overgrowth, a kind of ahyper –response in terms of warts, in terms of Ailments from vaccination, interms of allergies, in terms of hyper immune system disorders. It’s alwaysexcessive as if to cover up for something he cannot change. Just to give you a fewexamples again of Sycotic miasm, one would say for example. I had given yousome remedies:

Gelsemium:

Gelsemium avoids and anticipates a shock because Gelsemium comes from Plantkingdom and Loganiaceae family. Plant kingdom is sensitive and Loganiaceaefamily is Shock. So Gelsemium is sensitive to shock. So what he does is, he avoidsshock, he avoids hearing a bad news, he avoids going on a stage, he avoidsexaminations, he avoids any situation where he will get a shock.

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Causticum:

Again Sycotic miasm. He avoids and anticipates any problem to his family, to hisrelatives because Causticum is coming from Kali and Kali has to do withdependence on his family. So Causticum is always anticipating some accidents,some misfortune will happen to some near and dear ones, to his family andalways cautioning ‘don’t do this, don’t do that. Don’t touch this, don’t stay outlate’ and if somebody goes out and comes late, the Causticum person is walkingup and down in the house not able to sleep. Anticipating that something musthave happened. So the Causticum is avoiding, accepting, anticipating somethingwill go wrong with his family.

Silicea:

What is a Silicea person avoiding, accepting, anticipating? He is avoiding,accepting, anticipating in loss of image because Silicea now as we saw Causticumis Kali, 4th row of the Periodic table. Silicea is the 3rd row of the Periodic tablewhich has to do with image. People’s impression of him. So Silicea is constantlyanticipating that people will get a poor image of him and so he avoids that bybeing as orderly, as prepared, as rehearsed as he can.

Pulsatilla:

A Pulsatilla, we have seen this earlier. In one of the talks, we spoke about silicaand Pulsatilla. A Pulsatilla avoids, accepts and anticipates rudeness, insult. It’sPulsatilla, Plant remedy : sensitive, insult and rudeness is Ranunculaceae family.So Pulsatilla behaves in such a way, over compensates for this by being so mild, sogentle, so weepy, so yielding, so adaptable that you cannot be rude or insulting tothat person.

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Kali bromatum:

We already said avoiding, accepting, anticipation of doing something wrong,making crime comes from the 4th row of the Periodic table and Kali andBromatum both are in the 4th row. So is always afraid that he may do somethingwrong and he will be caught. Anticipating punishment, doing something wrongetc.

Lac canium:

Now this is an Animal remedy. What is he avoiding, accepting and anticipating?Being the milk of a dog, Lac caninum has the exact idea of the dog which is ‘I willalways be lower. I cannot be equal to the human being. In human society and alsoin dog society, you always have the idea of the top dog and you have the idea ofthe underdog. So the constant feeling of Lac caninum is ‘I have to accept myunder dog, my inferior, my lower status’. That’s the acceptance of Lac caninum.So you see how the Sycotic miasm manifests in the different kingdoms, thedifferent families, the different rows of the Periodic table and in the differentremedies. That is the beauty. And in all you see the underlying pace,intensity, thedepth and the desperation is of avoidance, acceptance and anticipation which issycotic. Though it may not be clearly stated in the remedies, this is what we haveto see in the remedy and in the patient. When we see a Pulsatilla and we see howmuch she accepts and he is mild, he is yielding and adaptable. We have to be ableto see that this is an avoidance of the rudeness to which she is extremelysensitive. So we have to be able to see in the same situation, the miasm and thesensation together.

Now we come to Medorrhinum which is the centre of the Sycotic miasm.

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A nosode is the centre of the miasm. What do we mean by the centre of themiasm? It means that the nosode of the miasm, the remedy which is made fromthe disease actually represents the pace, the intensity and the depth and thedesperation of the miasm expressed in every aspect of the person’s life. In theaspect of sensitivity, in the aspect of structure and in the aspect of competition orsurvival. So it’s a broad spectrum, you will not be able to locate the exactsensitivity of Medorrhinum but in every sensitivity of Medorrhinum, in everyaspect of it’s life, you will be able to see the pace, the desperation and the typicalavoidance, the acceptance and the anticipation of the Sycotic miasm spread overrelationship, job, occupation, performance, sensation, sensitivity, grief and incompetition, jealousy etc etc. So if you read the rubrics of Medorrhinum, it’s avery interesting study. Anticipation is of course the main rubric. Fear thatsomething will happen is the main rubric. Prediction of misfortune is the bigrubric.But you will find this expressed everywhere. For example: sensitive torudeness and reprimand like Pulsatilla is Medorrhinum. Egotism, talks big abouthimself… Medorrhinum too. You will find it is jealousy, in envy. So you will findeverywhere the same.. whether you talk to him about relationships, he will saythe same thing about his performance he will say the same thing aboutcompetition he will say the same thing. It will not be located in any one dimensionas it is found in the other remedies and then you will be able to say that in thiscase we will not be able to locate where his sensitivity is but we can see the pace,the deep desperation, the intensity of the Sycotic miasm in every area of his lifeand thats when you choose nosode, thats when you give medorrhinum. Of coursethere are many many confirmations about Medorrhinum and we can talk about itlater. The cravings and the aversions are very typical, the sleep position, theperspiration very typical of Medorrhinum. The whole appearance, the whole wayof talking very typical of Medorrhinum. He will not admit to anything usuallyespecially his weaknesses, no. I don’t have it, he will straight away avoid or deny.Of course, I am making a typical drug picture which I shouldn’t because not everypatient complies to the Drug picture we make and the remedies are far biggerthan the picture that we make.

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So having spoken about the Sycotic miasm, I would like to speak about one moremiasm today and that is the Tubercular miasm.

TUBERCULAR: [ CLAUSTROPHOBIA TYPE]

We can also call the Tubercular miasm, the claustrophobic type. If we don’t wantto use the word Tubercular miasm, we can call it the claustrophobic type of aperson. This person perceives the situation or this remedy perceives the situationwhich is the same thing, as being one that is rapidly destructive. There is intenseoppression and time seems short. It is as if one is hemmed in, compressed andsuffocated and desperately needs to break free before it is too late.

Now here I am trying to portray the tubercular miasm as a kind of sensation butit’s not. It’s not the patient will say I feel like this. It is not usually our Tubercularpatient expresses himself. This is only symbolic in the way I tell you or the way Ican typify it to you. It’s a feeling .. the pace of it is as if the time is short, as ifthings are going quite fast towards a point of no return or no exit. It’s as ifeverything is kind of narrowing down gradually, chronically on you. And you mustfind a way out quickly enough. Otherwise it’s a certain finish and it doesn’t lookalso very possible. It’s one of those later miasms which is towards syphilis. It’sbetween Sycotic and Syphilitic.

So the

Keywords: hectic, suffocation, oppression, narrowing down, closing in, trapped,change, intense, freedom, activity.

The tubercular miasm lies between the Sycotic and Syphilitic miasms:

The tubercular miasm lies between the miasms of Sycosis and Syphilis. The sycotic

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part of it presupposes that the situation is not solvable and can never bereversed. The syphilitic side of it indicates that the situation could get completelydestructive and hopeless. So between unsolvable and hopeless lies this miasm.

So it has a pace where the person feels that, at best he has to tolerate and livewith the situation and at worst he will be completely destroyed.

Feeling of being stuck in a narrow situation with a desperate need to come out:

The feeling is that of being stuck [Sycosis] and this stuck situation is becomingnarrower and narrower till it gets suffocative. There is a desperate and hecticeffort to get out of the situation before it becomes too late.

Hectic, restless and a rushed pace:

It is a race against time and therefore the pace of the tubercular miasm isextremely fast. It is hectic, restless and rushed and there is a constant desire tomove out. It is almost a feeling of having to rush for the last bus out of the mostthreatening and hopeless situation.

Often what comes to my mind when I say this is an image of a Jewish person inNazi Germany. I imagine that the situation begins with being Sycotic that you area Jewish person, you are accepted, you are to accept that it is your problem. Youhave to live it. There is no way that this can be reversed. It’s irremediable. You areat a disadvantage. You better hide it as much as you can. Cover it up and don’texpose it. That’s how you are. But this situation does not remain there at the levelof acceptance. It now starts getting more and more destructive, more and morethreatening. Time is narrowing down on you and then begins your race againsttime. Your race for your survival. That’s the pace, the whole energy of thetubercular miasm.

What is the Difference between typhoid and tubercular miasms:

The rush or hectic pace reminds one of the typhoid miasm, where again theperception is of a critical situation needing an intense effort to survive. There is avital difference however. In the typhoid miasm once the critical period is over onecan rest and feel stress-free, while in the tubercular miasm there is no rest at all.

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At best you maintain status quo, at worse you die. You move from one hopelesssituation to the other and then to the other. Life is a constant, never ending,restless movement.

Theme of a proving of Bacillinum:

At this point, it would be interesting to tell you about a LIVE experience of mine ofthis miasm that occurred to me during a proving of Bacillinum in a seminar innorthern Germany, in an island called spiekerboog.

We had done a proving. There were more than 200- 300 people there I think. Andmost of us had taken a dose of Bacillinum a week before to prove it. Most of theprovers observed:

A hectic pace, the whole pace was hectic, a fight against time. I experienced thispace myself. I want to share that experience with you.

During the course of the seminar at some point I remarked to the participantshow little we knew in homoeopathy and how much more there was to be known.

Somebody must have asked me a question about ...this fish or something whichwe might not have any information about and this with the already existingenergy and the pace over there triggered off an answer and a reply from mewhich said that we practically know nothing about several areas. I started withthe Periodic table. What do we know about most of the elements? We don’tknow anything. What about the salt? What about the compound? What about thedrugs? What about the plastics? so many Organic and inorganic substances arethere on the Earth. My God! And then what about the Animals. We know? 10-20 -30 insects. There are like millions of species of them, millions of species ofmammals and fishes and birds and Oh God! And what about the Plants? We know200 – 300 – 500. There must be some many varieties, we can’t even imagine. Andthen the Sarcodes and the nosodes and the diseases and the Imponderable. Istarted to narrate and as I started counting these topics, my pace became fasterand faster and my breath started happening more difficult and the entire group

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was as if under the spell of this need, this desperate need, to learn all thesethings, within the short span of one’s lifetime or even within the five days of theseminar.

This desperation, this speed, and this feeling of oppression which is unending andconstant, nearly hopeless, was the live experience of the entire group.

In fact, I think nobody even knew what remedy we were taking. Probably, I knewand they didn’t and everybody was experiencing the same thing. It is the LIVEexperience. These provings that leave a mark on you. That gives you a livingmemory of a miasm, a remedy, a sensation, something that you cannot forget andsomething that is yours originally. It’s not something you have read and thereforeit becomes your own knowledge like the experience which I just narrated to you.So I do believe that provings are of utmost value to the Homoeopath more thananybody else. Of course, it helps the community but it does give the Homoeopathitself a LIVE experience of that particular remedy source.

It’s the pace and desperation, and not the sensation:

Sometimes this experience which I described to you as the tubercular miasm caneven be expressed as a sensation. I remember one patient a young man came tome with a very severe long lasting asthma. He described a dream or a delusion ofentering into a narrow and low ceiling cave in which he had to bend his head andto get inside and he had the feeling that the ceiling would get lower and lowerand he had the desperate need to get out of there. Even though this experience isexpressed as a sensation even with a hand gesture yet the centrality in his entirecase was not that sensation but the pace and the desperation which heexperienced with the sensation.

What is interesting is, even though he is describing a Dream or a Delusion with hisHand gesture but in the rest of the case you didn’t find this sensation ofcompression. But what you found was the pace and the desperation and thehecticness which was the essence of his experience in this particular illustration.

He did significantly well on Bacillinum.

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And now I am treating him for 10 years or so and he’s done just phenomenallywell with his remedy. I mean the attacks he would get everyday, now he getsevery 3 yrs and that is also immediately corrected with Bacillinum.

Intense restlessness as a characteristic trait:

Intense restlessness is a characteristic of the patient in the tubercular miasm. Youfind this restlessness especially in insects and spiders being constantly, intenselyrestless, and usually belong to the tubercular miasm. This is such a strong featureof this miasm that if restlessness is absent in the patient, one can almost rule outtubercular miasm. In the mineral kingdom Calcarea phosphorica and Phosphorusremind you of tubercular restlessness. In the Plant kingdom remedies likeDrosera and Coffea cruda are also good examples of the tubercular miasmdemonstrating the same kind of restlessness.

I want to narrate to you a case example of the Tubercular miasm.

92] A case as an example of the tubercular miasm.

The clinic

11th July 2007

A woman aged thirty eight years

Chief complaint: Asthma for many years, with frequent chest congestion, yellowexpectoration and coryza. She is on steroids and she needs antibiotics every twomonths.

Her modalities are that her asthma is<slightest change of weather<night<cold wind<yoghurt, chocolates<hair bath

She says:

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“My breathlessness is very severe and I become very restless. There are sounds asof a bird in my chest. I cannot sleep on my back. I feel something is blocking me(hg puts hands on the chest)…very heavy on the chest…like a stone kept on thechest and the breath is not coming out…as if my ribs are getting pulled frominside…shrinking…contracting …. there is just no oxygen. I feel a lot of weakness.

I get so tired that I cannot teach my daughter. I cannot work like others, eat ordrink like others, or do what I want. I have to be careful and take precautions; Iam not a free bird. I feel very upset and dejected. Why was I born? I am a uselesschild. I am so unhealthy.

Since childhood I never had a smooth family life. I stayed in a large family; and wehad so many fights. I have always had hardships; a lot of work load and tensions. Ihave never had a relaxed or peaceful life. I am always working and working. I havesuch a work load that I cannot take care. Even now we live in a joint family (Jointfamily in India is like living in an extended family members with many members init). I feel like leaving and only taking care of my kids and myself. I had a job, but Iquit it. They did not appreciate me. They kept poking me. Poking feels like aneedle pricking. I developed tuberculosis before marriage.

I always had a bad temper and I would get angry very fast at the slightest thing.Sometimes I would throw it out and later regret it. I don’t like anyone orderingme or commanding me. That provokes me. If somebody insults me then I feel as ifa current is passing inside me. I keep on thinking about it. I feel very angry andhot, my whole body burns. I feel very revengeful and have to speak it out. If Idon’t speak it out, my heart feels very heavy. I get the wheezing if I am unable toexpress myself. My temples pain when I am tense or somebody makes me angry.At that time my eyes and forehead burn as well. I don’t cry easily, but I feelblocked in the chest. I feel a lot of heaviness and suffocation there.

I feel too much of anger inside which has to be thrown out (hg) at the person whoinsulted me. I want to insult that person or thrash that person (closed fist). I feel

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like bashing them. I imagine that person in front of me and I want to punch withmy fist. Sometimes I throw out, but sometimes I can’t and I keep it in. If I can’tthrow it out, I just close my fist very tight.

I feel that my children should grow up to be financially sound and independent,not like me. I am dependent. I have to compress my feelings (hg). You are so tiedup (hg).

I am locked, packed in a box. I am a puppet; a musical doll that dances with a key.You tell it to sit and it sits; you tell it to stand, it stands. I cannot move around ortalk out freely, it’s like being put in a jail, like a bird in a cage; you cannot comeout or fly freely. There is somebody stopping you. You want to break it open (hg)with full force, and fly away. There is a blockage which is suffocating. When it isthrown out I will feel relieved. Sometimes I feel I will definitely walk out. I feelmuch worse in closed spaces.

L: So when we say Tubercular miasm is Claustrophobic types, this is one of thefeelings ...to be hemmed in, to be narrowed in, to be closed in, shut in and then tobe suffocative and that’s what she is expressing which is in her case which isconstant, something desperate, something that makes her very very restless andit’s so constant for her. That is the miasm, that is the pace, that is the intensity.

I have always too many things to be done. There is lots of work. Then I get wildand i hit the children. I want to break or throw things. When I get angry, I feel asense of burning; the blood gets hot.

During pregnancy I had dreams of snakes. I felt a lot of fear that they would biteme.

Strong cravings:

Yoghurt

ButtermilksweetsSpicy food

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Fried food

Grapes, banana

Aversion: raw vegetables

Analysis of the Case

The main themes in the case are:

Blockage

Heaviness, weight on chestToo much is inside that has to be let outCompressed, packed inTiedSomething is stopping you

CagedLockedSuffocatedBreak it open with full force

To Get out, to be free

So we have to ask:

What was the innermost experience of the person? That is what we have to focuson when we try to understand the case. There is a lot of story here. But , we canunderstand her experience comprising heaviness, contraction, oppression,compression, suffocation, blocked, packed, locked in and tied up, with intenserestlessness, intense desire to strike out, desire to break open and be free from it.

She gives an image of a bird in a cage who wants to break out of it and fly out.

So here we may be tempted to think she needs a bird remedy but no because thisis just an image. Image of anybody who just experiences compression andsuffocation will say ‘I am like a bird in a cage’. It’s just an image. This you don’t getin this case consistently a specific animal themes or bird themes. She doesmention here. She mentions a sense of lacking within herself, which may mislead

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some to think of a Mineral remedy. However a Mineral will express a sense oflacking in a particular area and a need to fill that lack in order to completeoneself.

We may also think of Oxygen that she wants to come out. She feels suffocated,she wants oxygen, she wants to breathe. But you do not have here the theme of2nd row. If she is Oxygen, there must be themes of the 2nd row which is the themeof the womb, the shell, the envelope and then to come out of this security, out inthe open.

One may think of remedy like Drosera or a Carnivorous plant, again you may thinkof suffocation and you want to come out but then you don’t have the main thingwhich is trapped.

You don’t have the trap, the deceit over here. Butthere are too many sensations –tied, shrinking, closed – with none of them global in this case.

But what is sure is that everything is coming inside, getting tighter and tighter,heavier and heavier and there is an intense need to break out, hit out, and strikeout, causing intense restlessness.

So we see that there is a quality of a bird but it is not a bird. A quality of oxygenbut no quality of 2nd row. A quality of carnivorous plant but no trap and deceit.There are many sensations from many families. You have tied like Euphorbiaceae,closed in and shut in like Hammamalideae, shrinking and expanding likeCactaceae. But nothing here is global in the case. What is global is just theexperience of getting narrower and narrower and the need to come out, thedesperation. So what you see here is purely the state of the Tubercular miasm.

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So here we need to consider a nosode because all the significant energy in thecase, the pace, the attitude and the sensations speak only of the miasm. Theydon’t speak of a specific kingdom.

Nosodes do sense a lack within themselves. However, it is related to theexperience that the pathology of the disease has completely taken over theindividual and that becomes their predominant experience and state.

The main experience of the nosode is the desperation, and this desperation isexpressed in every sphere of the life of the person. It is the way the body reacts tothat particular infection. A nosode is beyond the three kingdoms i.e. animal,mineral and plant. In the nosode, the issue is not related to structure, sensitivity,or competition. It covers all the three aspects equally. It is related to basic humanissues like health, society, religion, also.

You have other tubercular themes and indications in this case:

A lot of work to be done, never relaxed or peaceful, work, work, work (hecticactivity) and also an actual history of tuberculosis

Specific Rubrics include:Striking – from angerStriking – with the fist withDesire – for buttermilk, fat, banana, spices, sweets

I consulted also here Reference Works which has if you put the following in thesearch:

Anger/rage, striking and the same remedy as burning within three words ofanger, which means burning from anger or throwing within three words of things.

So it’s like anger with striking, anger with burning and throwing things. You cameto the remedy Tuberculinum.

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Dr. Meghna Shah, who took this case, also suggested to me the remedy,Bacillinum.

Bacillinum is prepared from the tuberculous sputum and is indicated in chroniccatarrhal conditions, where the lungs are affected for years with bronchorrhoeaand dyspnoea. There is a constant disposition to take cold.

And when we study the proving of Bacillinum, here are the important themes:

The themes are:(A) Intense and hectic activity(B) Feeling of danger; risk(C) Need to take a risk(D) Fearlessness; does not feel fear to the extent demanded by the situation(E) Sense of oppression(F) also there is a some Hopefulness

It lies before the syphilitic miasm which is totally hopeless. In Bacillinum, thefeeling is of oppression and danger but with some hope, little hope, a ray of hopeof finding the way out, if you act rapidly - intensely in the short time which isavailable.

Rx: Bacillinum 1M

So she was given Bacillinum, in frequently repeated when required. Over the nextone year she improved significantly and was able to stop taking thebronchodilators. There was a significant reduction in the frequency and intensityof the attacks of asthma. In short she has done excellently well.

Tuberculinum and Bacillinum

Normally a question is asked about the difference between Bacillinum andTuberculinum. So I am anticipating the question and trying to reply to it already. Iuse either or and since I have done a proving of Bacillinum and am more familiarwith it. I often use Bacillinum. In my mind the difference between the two is notclear. I often believe they can be used interchangeably and will have the sameeffect, since they come from the same sources. From the proving of Bacillinumand comparing it with the Repertory and the Materia medica, the Repertory of

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Tuberculinum, I can say both have the very similar symptoms and intensequalities of tubercular miasm which are very very similar.

Any of you have experiences between the two remedies, you are welcome to postit in the forum as long as that experience comes from your practice.eg In the casewhere you gave Tuberculinum and it didn’t work and Bacillinum worked and viceversa. And it’s helped you to understand the difference between these tworemedies. I would welcome such cases from you.

CONCLUSION:

So I want to conclude and say that in the earlier talks we had understood theconcept of miasms and it’s practical utility. We studied the Acute, Psora, Typhoidand Malaria miasm and we saw some cases of each. In this talk we studied theRingworm, the Sycosis and the Tubercular miasms. We saw the concepts and wesaw the manifestations of these miasms through some cases. In the next talkwhich will be the concluding talk on the Miasms, we will study the remainingmiasms, which are Cancer, Leprous and Syphilis with case examples, and withremedy examples. Needless to say that I find the concept of miasms very veryuseful in my practice. I tried to illustrate through these talks that the miasm is notalways very obvious, patient doesn’t come and tell us what miasm it is.

But what we have to see is in the Sensation, in the Experience of the patient whatis underlying pace and the depth what is the degree of desperation, what is thecoping mechanism? Which is common and running through not only hispathology, not only his complaints but also how he lives his life, how he lives hisrelationship, he lives his job and his attitude and pace in life itself. That will beobvious even in the way he presents himself with his complaints. In the way hecomes for his follow ups. All this gives you an idea what the miasm of the personis and the place to find it, the best is in the chief complaint, in the sensationwherever you see the sensation. You see what is the pace, the intensity and thedesperation to which that sensation is experienced. That is the miasm. So westop.

Once again, I invite you to go to the forum. There you can post your questions,

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you can see replies from us. You can see comments and cases from our valuedcolleagues from all over the world and from you. You can see Articles from othergood Homoeopaths. I have posted articles from Dr Manish Bhatia and Dr RogerMorrison on miasms which are very very highly illuminating. You can see the talksummaries and the cases of the upcoming Talk 11. It would be really worth awhile to go through the summary. Read the books that we suggested and to goover the cases and be ready for the next time and do post in your questions, yourcomments, your feedback both negative and positive. Any suggestions that youhave, anything we can do to enhance your learning experience. We are mosthappy to consider it and with that I say Good bye, Sayonara, Aurevoir, Aufwiddershins and for my Italian friends Chao. Bye Bye!