Bharat Sakhijabharatsakhija@live.com
How many legs does a dog have if you call the tail a leg?                          Four.        Calling a tail a leg doesn...
“ But in communicating to the world this great discovery, I am sorry that I must  doubt whether my contemporaries will com...
“To discover this still-lacking keystone and thus the means of entirelyobliterating the ancient chronic diseases, I have s...
It was Hahnemann’s opinion that the external manifestation of itch (or othersigns of infection in the other two miasm) cam...
   laryngeal phthisis,   chronic catarrh,   constant coryza,   difficult dentition,   worms and consequent diseases,...
   day blindness and night blindness,      obscuration of the cornea,      cataracts,      glaucoma,      amaurosis, ...
But let’s return to Hahnemann and his Chronic Diseases. After laying forth thesymptom lists which would lead us to suspect...
But the truth was only that he had unlocked the truth of this all chronicmaladies that was also with painstaking working f...
characteristics of the three constitutions in this way:Psora = inhibitionSycosis = excessSyphilis = destructionThe benefit...
diseases were created from suppression of scabies, suppression of gonorrheaand syphilis. (6)“For me, this theory is not so...
Vithoulkas stated clearly first time Tubercular as miasm separately as it isfulfilling all basic requirement to named as m...
The resembled same work and observation was also done by RECKWEGSYSTEM through HOMOTOXICOLOGY By Dietrich Klinghardt, M.D....
This miasmatic materia medica idea was also given by P.Ortega,“The Miasmatic Classification of medicines in function of th...
Why he needed to classify miasm according to venereal and non-venereal ?If all medicine have three stages of psora, syphil...
REFERENCES:  1. S.HAHNEMANN: The Chronic Diseases Their Peculiar Nature and their Homoeopathic cure      (theoretical part...
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understanding 3

  1. 1. Bharat Sakhijabharatsakhija@live.com
  2. 2. How many legs does a dog have if you call the tail a leg? Four. Calling a tail a leg doesnt make it a leg. Abraham Lincoln Bharat Sakhija bharatsakhija@live.com
  3. 3. “ But in communicating to the world this great discovery, I am sorry that I must doubt whether my contemporaries will comprehend the logical sequence of these teachings of mine, and will follow them carefully and gain thereby the infinite benefits for suffering humanity .....”(1)The Master had foreseen the possibilities of comprehension and thus hestarted explaining his great discovery with quoting such things, it was 1828when world came to know about great discovery but it took 13 painful years toserve this worthful discovery to humanity.He writes, “Why, then, cannot this vital force, efficiently affected throughHomeopathic medicine, produce any true and lasting recovery in these chronicmaladies even with the aid of the Homeopathic remedies which best covertheir present symptoms…?” (1)In other words, Hahnemann was searching for the reason that chronic casesrelapsed after benefiting from homeopathic treatment. He says he began toconsider this problem in depth from 1817 or 1817 and after many years ofthought and effort he came to the discovery of miasm, Bharat Sakhija bharatsakhija@live.com
  4. 4. “To discover this still-lacking keystone and thus the means of entirelyobliterating the ancient chronic diseases, I have striven night and day, for thelast four years, and by thousands of trials and experiences as well as byuninterrupted meditation I have at last attained my object. Of this invaluablediscovery, of which the worth to mankind exceeds all else that has ever beendiscovered by me, and without which all existent Homeopathy remainsdefective or imperfect, none of my pupils as yet know anything.” (2)He felt he had unlocked a great truth.Eventually in 1827 he revealed his theory to Stapf and Gross – his two closeststudents.Hahnemann had a special understanding of the word miasm. Miasm isunderstood to be a derangement of the vital force that predates and is morefundamental than the current illness the patient suffers from. The job of thephysician is to try to understand the whole of the true disease inside thepatient – not just its current manifestation. To do so he must “find out as far aspossible the whole extent of all the accidents and symptoms belonging to theunknown primitive malady.”Hahnemann felt that there were three of these primitive maladies. He callsthese miasms psora, sycosis and syphilis. Of these three, he concluded thatpsora was the most fundamental. “The monstrous chronic miasm of psora isimmeasurably more widespread, and consequently more significant….” (1)Hahnemann believed that the miasms were both contagious and hereditary.Especially psora he believed to be virulently contagious. “The itch disease is,however, also the most contagious of all chronic miasmata, far more infectiousthan the other two chronic miasmata…. The miasma of the itch needs only totouch the general skin, especially with tender children.”(1) “It is communicated so easily that the, Physician , hurrying from one patientto another , in feeling the pulse has unconsciously inoculated other patientwith it”(1) Bharat Sakhija bharatsakhija@live.com
  5. 5. It was Hahnemann’s opinion that the external manifestation of itch (or othersigns of infection in the other two miasm) came about only after the patientwas thoroughly diseased by the miasm. He felt that the miasmatic infectionwas communicated almost instantly to the whole vital force. “The nerve which was first affected by the miasma, has alreadycommunicated it in an invisible dynamic manner to the nerves of the rest ofthe body and the living organism has at once, all unperceived, been sopenetrated by this specific excitation that it has been compelled to appropriatethis miasma to itself until the change of the whole being to a man thoroughlypsoric…” (1)He had often used word such as Miasma of Psora, “ Only this skin symptoms of the psora which has permeated the wholeorganism (and which is more manifestly falling under the cognizance of thesenses has the name of itch ), only this eruption,as well as the sores which laterarise from it and are attended their borders with the itching and which becomehumid when rubbed(the tetter), as also the tenia capitis-these alone canpropagate this disease to other persons,because they alone contain thecommunicable miasma of the psora.”(1)Thus he believed that the miasm is a dynamic, energetic entity, and Psora as astate of organism.Then after mentioning this theoretic principles,Hahnemann then described ,“Then when the itch-malady develops into a manifest secondary disease thereappear the following symptoms, which I myself have treated successfully andwhich confessedly originated from the contagion of itch and were mixedneither with Syphilis nor with Sycosis”  Scrofula,  rickets,  spina ventosa,  atrophy,  marasmus,  consumption,  pulmonary consumption,  asthma,  tabes mucosa, Bharat Sakhija bharatsakhija@live.com
  6. 6.  laryngeal phthisis, chronic catarrh, constant coryza, difficult dentition, worms and consequent diseases, dyspepsia, abdominal cramps, hypochondria, hysteria, dropsy, dropsy of the abdomen, dropsy of the ovaries, of the uterus, hydrocele, hydrocephalus, amenorrhoea, dysmenorrhoea, uterine haemorrhages, hematemesis, hemoptysis and haemorrhages, vaginal haemorrhages, dysuria, ischuria, enuresis, diabetes, catarrh of the bladder, hematuria, nephralgia, gravel of the kidneys, stricture of the urethra, stricture of the intestines, blind and running piles, fistula of the rectum, difficult stools, constipation, chronic diarrhoea, induration of the liver, jaundice, cyanosis, heart diseases, palpitation, spasms of the chest, dropsy of the chest, abortion, sterility, metromania, impotence, induration of the testicles, dwindling of the testicles, prolapsus uteri, inversion of the womb, inguinal, femoral and umbilical hernias, dislocations of the joints from an internal cause, curvature of the spine, chronic inflammations of the eyes, fistula lachrymalis, short-sightedness and long-sightedness, Bharat Sakhija bharatsakhija@live.com
  7. 7.  day blindness and night blindness,  obscuration of the cornea,  cataracts,  glaucoma,  amaurosis,  deafness,  deficient smell or taste,  chronic one-sided headache,  megrim,  tic douloureux,  tinea capitis,  scab,  crusta lactea,  tetters (herpes),  pimples,  nettle-rash,  encysted tumors,  goitre,  varices,  aneurism,  erysipelas,  sarcomas,  osteo-sarcoma,  scirrhus,  cancer of the lips,  cheeks,  breast,  uterus,  fungus hematodes,  rheumatism,  gout in the hips,  knotty,  podagra,  apoplectic fits,  swoons,  vertigo,  paralysis,  contractions,  tetanus,  convulsions,  epilepsy,  St. Vitus dance,  melancholy,  insanity,  imbecility,  nervous debility, etc.Also Hahnemann mentioned Leprosy as a substitute for psora, he writes “The different names which were given by different nations to the more orless malignant varieties of leprosy(the external symptom of psora),which inmany ways deformed the external parts of body,do not concern us and do notaffect the matter, since the nature of this miasmatic itching eruption alwaysremained essentially the same.” (1) Bharat Sakhija bharatsakhija@live.com
  8. 8. But let’s return to Hahnemann and his Chronic Diseases. After laying forth thesymptom lists which would lead us to suspect that a patient is either psoric,sycotic or syphilitic, Hahnemann tries to give us clues as to how to cure themiasm in the patient.The therapeutics were quite simplified for sycosis and syphilis. Hahnemannstates that Thuja is specific for sycosis (that is any patient who is sycotic shouldbe cured by this remedy). Likewise he felt that Mercurius was specific forsyphilis. However for psora he gives a much more extensive list of remedieswhich he called, “antipsorics”. This list of remedies is essentially all of theremedies found in Chronic Diseases except for Thuja and Mercurius. Theremedies he detailed as antipsorics were:Agar. Alum. Am-c. Am-m. Anac. Ant-c. Ars. Aur. Aur-m. Bar-c. Bor. Calc. Carb-an. Carb-v. Caust. Clem. Coloc. Con. Cupr. Dig. Dulc. Euph. Graph. Guai. Hep.Iod. Kali-c. Kali-n. Lyc. Mag-c. Mag-m. Mang. Mez. Mur-ac. Nat-c. Nat-m. Nit-ac.Petr. Ph-ac. Phos. Plat. Sars. Sep. Sil. Stann. Sulph. Sul-ac. ZincHahnemann instructed us to use one of these antipsorics when the case hadthe features he had described for psora.Unfortunately, Hahnemann never stated explicitly whether a remedy couldbelong to more than one miasm or he never mentioned even the all medicineshould be seen in three miasmatic satge like Psoric Sulphur,SycoticSulphur,Syphilitic Sulphur.Nor did he ever state that the Psora means only functional disorder, Sycoticmeans dealing with only accumulation or growths and syphilis means relatedwith destruction.He had given long list af antipsoric medicines but never mentioned that wallcomplete list, Nor did he ever suggest that any other medicine could apply tosycotic miasm and syphilitic miasm i.e Thuja and mercurius.Nor he ever Stated that miasm should be consider as phenomena in organismlike PsoraSycosissyphilis.Nor he ever mentioned the possibilities of any other miasm. Bharat Sakhija bharatsakhija@live.com
  9. 9. But the truth was only that he had unlocked the truth of this all chronicmaladies that was also with painstaking working for 12 years.Then though HERRING mentioned,“What important influence can it exert whether a homeopath adopts thetheoretic opinions of Hahnemann so long as he holds the principle of themaster and the materia medica of our school. What influence can it havewhether a physician adopts or rejects the psoric theory so long as he searchesfor the most similar medicine possible?” (5)This simply suggested that work for only simmilimum forget the rest. So was itsuch thing that before this discovery Hahnemann could hardly reached uptosimillimum?But he clearly mentioned,“Why, then, cannot this vital force, efficiently affected through Homeopathicmedicine, produce any true and lasting recovery in these chronic maladieseven with the aid of the Homeopathic remedies which best cover their presentsymptoms…?” (1)Then what was the practical implement of this discovery ? or it was only thetheory of etiology of chronic disease?It was The argentinian Master, Thomas O.Paschero tells us,: ”Homeopathy views the constitution as a pathogenesis dynamism which theindividual inherits and modifies during his life,in three distinct direction:inflammation, destruction of tissue or its proliferation. These dynamic morbidtendencies were called by Hahnemann ‘MIASMS’- a term comparable to‘diathesis ‘, dyscrasia, terrain, or constitution and he gave the names PSORA,SYCOSIS,SYPHILIS.. (3)Further these new explaination of miasms was given in the LIGA meeting of1944. The renowned Mexican homeopath F. Ortega put forward his concept ofmiasm. He maintained the concept of Hahnemann’s original three miasms (4).However he attempted to make a clear and simple delineation of the mentaland physical characteristics of each miasm, He described the main Bharat Sakhija bharatsakhija@live.com
  10. 10. characteristics of the three constitutions in this way:Psora = inhibitionSycosis = excessSyphilis = destructionThe benefit of this simplified view of the miasm was that the main thrust of thepatient and his constitution could readily be identified much of the time. Thusthe practitioner could readily categorize his patient into one of the groups. Theconcept became widely accepted.So acceptance of this theory and explanation gave self gratification toHomeopaths by means which they could believe that they could have beenunderstand the core of the painstaking 12 years work of our master.If miasms are only pathological phenomena and syphilis only meansdestruction then why Hahnemann mentioned Leprosy as a Substitute forPsora, and why Hahnemann had put destructive diseases under the name ofPsora!! ?These explanation gave practical usefulness of miasma theory but is it thesame what Hahnemann meant by miasm?Sankaran clearly rejected Hahnemannian understanding of Miasm because ithas no any practical implement in practice so he believed Miasm as a state anddivided These state in various 10 types,“The traditional homeopathic Hahnemannian understanding of miasm is that itis an etiology of disease. I looked at it and I rejected it from the beginning. Isaid: “It’s a theory. I don’t want to hear this. Hahnemann has given us the toolof totality, let’s stick to that.” But when I saw the possibility that it may not beonly an etiological classification, or a theory of disease origin, but rather can beused as a classification of states and remedies, then I perked up because thiswould be useful in practice.” (6)For me, miasm is basically something that should be practical, and it can bepractical only if it helps us to find a remedy. I don‘t seemiasm as a theory. Thatis the fundamental difference between Hahnemann‘s writings and what I amproposing about miasm. In his theory of chronic disease, he proposed that Bharat Sakhija bharatsakhija@live.com
  11. 11. diseases were created from suppression of scabies, suppression of gonorrheaand syphilis. (6)“For me, this theory is not so useful in finding remedies, which is our main job.Miasm can only be of value if we use it as a help in finding remedies. So Ithought: “How can it help?” Only if we can classify patients‘ states intomiasms, and remedy states into miasms too. And thus it can make our choiceeasier. If we find a patient is in a particular miasm, we only need to look atremedies of that miasm. Then I had to understand how this can happen. If wehave symptoms and sensations, etc., then what is the role of a miasm?Somehow I understood that the miasm must represent the different pace anddesperation perceived in a given situation. And in this way we can identify tendifferent types of pace and desperation that are possible.” (6)During my teaching times I often asked Professors IS TUBERCULAR MIASM?Some of them said yes while most of others denied saying IT IS DIATHESISHOW IT CAN BE MIASM!!!! Nobody given explanation why not miasm? Ornobody knew or dared to tell about basic requirement to anything named asMIASM. That was only inner feeling behind that answers that Hahnemann toldonly three so there cant be any other possibilities .Some further intellectual progress was made by Vithoulkas and he took miasmas predisposition. “Based upon what has been said thus far, we can now present a definition ofmiasms: A miasm is a predisposition toward chronic disease underlying theacute manifestations of illness 1) which is transmissible from generation togeneration and 2) which may respond beneficially to the corresponding nosodeprepared from either pathological tissue or from the appropriate drug orvaccine.” (7)Thus, by the time of Vithoulkas’ writings we had three characteristics formiasm:Infectious – a miasm must be contagious.Hereditary – a miasm or the susceptibility to a miasm must be transmissiblefrom parent to child.Nosode – a nosode must be obtainable from the miasmatic disease. Bharat Sakhija bharatsakhija@live.com
  12. 12. Vithoulkas stated clearly first time Tubercular as miasm separately as it isfulfilling all basic requirement to named as miasm.But still question arise that Hahnemann investigated whole world before thisdiscovery and tuberculosis is not something new disease for this mankind.Skeletal remains from a Neolithic Settlement in the Eastern Mediterraneanshow prehistoric humans (7000 BC) had TB,[8] and tubercular decay has beenfound in the spines of mummies from 3000–2400 BC.[8] Phthisis is a Greek termfor tuberculosis; around 460 BC, Hippocrates identified phthisis as the mostwidespread disease of the times involving coughing up blood and fever, whichwas almost always fatal.[9] In South America, the earliest evidence oftuberculosis is associated with the Paracas-Caverna culture (circa 750 BC tocirca 100 AD).[10] Skeletal remains from prehistoric North America indicate thatthe disease was so common that "virtually every member of these lateprehistoric communities had primary exposure to tuberculosis."Dhawale also considered miasm as Diathesis,“The three Miasms represent three broad constitutional types which indicatedifferent susceptibilities to the development of illness.In other words,when weconsider Miasms, we consider them on the same plane as Diathesis.” (11)But the explanation given by Paschero and Ortega still are widely accepted andfurther modification and classification of various state and disease doneaccordingly,Dr.Vijaykar suggested miasm as a defence mechanism of our body,“Psora is equivalent to Physiological defence response. Sycosis is equivalent to constructive defence response. syphilis is equivalent to destructive defense response.” (12)Then he further classified further this defence as Miasm as following alongwith “the theory of 7 layer suppression”. Bharat Sakhija bharatsakhija@live.com
  13. 13. The resembled same work and observation was also done by RECKWEGSYSTEM through HOMOTOXICOLOGY By Dietrich Klinghardt, M.D., Ph.D. longyears before(1983) this defence explanation of miasm.Homotoxicology named them SIX-PHASE table and that was made for makingprediction for better assessment of the possibilities for a vicariation effect.“The six phase table is a field matrix reflecting medical experience based oncareful observation and eperical learning.It is a phase-by-phase arrangementof disorders with no direct relationship between them. No causal pathogeneticlink between disorders can be interfered,The structures of the table makes itsuitable for developing a prediction system giving a better assessment of thepossibilities for a vicariation effect” (14)Dr.vijaykar`s explanation resembled same as of Ortega`s and Paschero`sexplanation but defence was highlighted in the former that the cell has only 3defensive responses and there can be only 3 miasms.Further according to this understanding symptoms were grouped and classifiedand considered as miasmatic symptoms accordingly,This was made further to the symptoms of medicine and thus tri-miasmaticmaterial medica derived!“If not all, most of the remedies can be seen in 3 shades-the psoric,sycotic andsyphilitic. The symptoms both physical and mental will be according tounderlying miasm” (13) Bharat Sakhija bharatsakhija@live.com
  14. 14. This miasmatic materia medica idea was also given by P.Ortega,“The Miasmatic Classification of medicines in function of their symptomsLycopodium – the trimiasmaticCalcarea carb as preponderant homoeo-PsoricPulsatilla and Thuja as pre-eminent Homoeo-sycotics.Mercurius.the characteristic homoeo-syphilitic.The various triangles symbolizing medicines,with reprensentation of themiasmatic series of symptoms which they produce.” (15)Such all explanation are easy to understand and follow but still questionremain same Is this explanation are justifying Masters explanation?If psora only means to inflammation or primary defence response of functionaldisturbance then why Hahnemann went through the ancient history?Why he said Leprosy as a substitute of psora?Why he mentioned various destructive disease under the name of Psora?Why he said the Psora as most contagious and most destructive then other allmiasm? Bharat Sakhija bharatsakhija@live.com
  15. 15. Why he needed to classify miasm according to venereal and non-venereal ?If all medicine have three stages of psora, syphilis and sycosis then whyHahnemann didn’t mention any other syphilitic medicine other then merc?Why nitric acid and Thuja were only antisycotic remedies?Why only Psora having such list of remedies?Why He never mentioned other miasmatic aspect of medicine nor hesuggested possibilities of that?Following the Miasm Theory and further in following only THREE does notmake that we got Hahnemann.“Are these refinements and further differentiations useful?” Or is it just furthertheorizing?By going thorough Master`s explanation and other modern explanation aboutthis theory one can easily feel that He is lost in his Theory, which was from 12painstaking years , for day and night ,by uninterrupted meditation withoutwhich all existent of Homeopathy remains defective or imperfect. Bharat Sakhija bharatsakhija@live.com
  16. 16. REFERENCES: 1. S.HAHNEMANN: The Chronic Diseases Their Peculiar Nature and their Homoeopathic cure (theoretical part), B-jain Publisher,new delhi,india-1996 2. Samuel Hahnemann letter to Baumgartener. 3. Paschero T- Homeopatia Talleres grafcs.Gral San Martin Buenos Aires .1973 4. ORTEGA: something new about 3 5. CONSTANTINE HERING: Hahnemannian monthly-1865-66 6. SANKARAN RAJAN: Narayana Verlag,Spectrum of Homeopathy 2010-3 Miasms 1828 – 2010 7. VITHOULKAS GEORGE: The Science Of Homeopathy,b-jain publishers, New Delhi-1998 8. Hershkovitz I et al. (2008). Ahmed, Niyaz. ed. "Detection and Molecular Characterization of 9000-Year-Old Mycobacterium tuberculosis from a Neolithic Settlement in the Eastern Mediterranean". 9. Zink A, Sola C, Reischl U, Grabner W, Rastogi N, Wolf H, Nerlich A (2003). "Characterization of Mycobacterium tuberculosis complex DNAs from Egyptian mummies by spoligotyping". J Clin Microbiol 10. Hippocrates. Aphorisms.. Retrieved 7 October 2006. 11. DHAWALE,DR.M.L: principle & practice of homoeopathy part-1,MLD TRUST-MUMBAI-1967 12. "South America: Prehistoric Findings". Memorias do Instituto Oswaldo Cruz, Vol. 98 (Suppl.I) January 2003. Retrieved on 8 February 2007. 13. VIJAYAKAR,DR.PRAFULL: the end of myasmtion of miasm-mrs preeti vijayakar-mumbai-2003 14. http://www.naturalworldhealing.com/philosophyofhealth/homotoxicologytable.htm 15. ORTEGA P.:Notes on miasm Bharat Sakhija bharatsakhija@live.com

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