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CHRONIC (Intransigent) Miasms
An Overview
and
Brief Description
of the
Main Characteristics
What Is It?
“Acquired, inherited characteristic.
“Not genetic (only 1-3% of conditions genetic)
“Epigenetic, but inherited - ‘noxious influence, vapor’
“Various conditions in family are passed on as
structural weaknesses.
“Contains, in spiritual sense, karmic baggage.
“There are transient and intransigent miasms.
8 Chronic Miasms
Psora!
Malaria!
Tuberculosis!
Ringworm





Sycosis!
Cancer!
Syphilis!
Lyme
Chronic Miasms Map
There are 4 “dominant” chronic miasms:!
Psora-Tuberculosis-Sycosis-Syphilis!
and four “recessive” chronic miasms:!
Malaria-Ringworm-Cancer-Lyme
Dominant Miasms
Psora (lack/poverty)#
Tuberculosis (restlessness-desire to change)#
Sycosis (desperate need to break loose)#
Syphilis (feeling trapped, locked in)
Malaria (victimization)#
Ringworm (persecution)#
Cancer (resignation)#
Lyme (withdrawal)
Recessive Miasms
Seasonal
Cycle
Psora - early
Fall!
Malaria - late
Fall!
Tuberculosis - 

early winter!
Ringworm -
late winter!
!
!
Sycosis - early
Spring!
Cancer - late
Spring!
Syphilis -
early summer!
Lyme - late
summer
Levels
“C-scale potency - 4 levels - physical/etheric/astral/
ontic
“F-scale potency - 3-4 rounds possible
“We are a duality or two-fold being: Upper and Nether
“C-scale addresses the Upper, incarnating being
“F-scale addresses the Nether, dynamic being
“Depth of treatment varies in each case.
A Brief Look at the Miasms
Their Meaning, Impact and Expressions
so - how do we recognize the
Chronic miasms?
Psora- Poverty/Lack
Psora
Keynotes: lack, dryness
*Pathology - skin (psoriasis). 

*Lack vitality and are weak.!
*Catch every cold, slow to recover.!
*Expect the worst, pessimistic.!
*Fears - health and poverty.
Must wear a warm or fur hat all year, even in summer. (One of the very coldest remedies.)
Street people who carry all their possessions with them, and who wear coats and hats even in
the summer weather.
Headaches, worse from fasting, worse from suppressed eruptions, worse drafts and open air.
Chronic infection of eyes, sinuses, ears. (Children with a perpetually running nose.)
Chronic discharges from ears, offensive discharges.
Acne. Rosacea. Oily skin.
Eruptions behind ears, on neck, face, scalp and head, very itchy.
Crusty or scaly eruptions on head and face.
Styes. Inflammed margins of the eyelids.
Mouth ulcers.
Face has a dirty look even when well-washed.
Malaria - Victimized
Malaria
Keynote: victimization *General sense of weariness.
*Liver and spleen. !
Cold hands; cold hands/feet at night.
*Soles of feet almost numb.
*Copious perspiration on least
exertion.
*Aversion to food. !
*Nausea, colic, cramps, diarrhea,
and headaches.
Tuberculosis - Restless
Tuberculinum
*‘Change is as good as a rest’!
*They may change jobs/houses
more often than most. !
*Desire for travel.
*Never better than when
planning trip/renovation/change.!
*Frustrated if no change, can
become malicious!
*’Angel child/Devil child’!
*Romantic/romanticise!
*Flashy, stylish clothing!
*OCD-like behavior!
*Feel suffocated, need to break
free
Keynote: restlessness
Ringworm - Persecution
Ringworm
In the family history, we would
see:
!
Athlete’s Foot (fungal infections
on the feet). Fungal infections
under fingernails or toenails.
Scales on the skin. Hair loss in
patches. History of Ringworm.
SAD – Seasonal Affective
Disorder. Deep Depressions 

in Late Winter.
Keynote:Victimization
Ringworm is not a worm – it is a systemic fungus.!
!
The feelings of victimization in Malaria is passive, like being
attacked by mosquitoes, but in Ringworm it is much stronger, more
penetrating, depressed, angry and trapped. !
!
Ringworm is a more concentrated and active form of victimization,
and more powerful. !
!
The person wants to and can’t, they have the desire but lack the
confidence.!
In Rajan Sankaran’s proving of Ringworm, he understands the main
feeling of this miasm to be that the task at hand is just beyond where
the person can be sure of success. !
!
So they try to do something, and lack the confidence.!
!
Then they become hopeful that maybe they can accomplish the task,
and they struggle at it.!
!
But at some point they will decide again that it is not going to work for
them, that it is beyond their reach. So they will give up, and think they
have to live with it.!
!
But then another possibility seems like it might work. So they get
hopeful once again.!
!
And they start trying once more, and struggling, and then have to give it
up again, because it is still beyond them.!
So there is an alternation between struggling and trying, and then
giving up, between hopefulness and resignation.!
!
Interestingly, the time of this miasm is 4-6 weeks after the winter
holiday season, so often people will write resolutions of what they
want to accomplish for the New Year. They make big plans, and try
at first, and then give up their hope to make their resolution work – !
!
So you can see this in people who want to lose weight, or someone
who wants to give up smoking, or change their lives in another way.!
!
Sycosis - Hyperness
Sycosis
Allergies. Angina. Anxiety.
Arthritis. Asthma. Behavior
disorders. Eczema. Herpes.
Hypertension. Interstitial
cystitis. Vaginal discharges.
Manic-depression. Migraine.
Ear infections. Peptic ulcer.
Pulmonary fibrosis. Reiter's
syndrome – arthritis effecting
the eyes, urethra, skin and
joints. Sinusitis. Urethritis.
Vaginitis. Warts.
Keynote: Excess, Extremes
Sex, drugs and rock and roll! Or now, “techno or screamo music.”
And raves. !
!
These are people who are extremely passionate, and energetic, and
who can get into problems from their strong need for expression
and for venting their energy.!
!
They want to experience everything, extreme sports, extreme sex,
extreme emotions.!
!
They work in extremes – they either have passionate relationships
filled with love or hate, they get great grades in school, or they fail
miserably. They can perform brilliantly at work, and then be totally
inept.!
!
They can be very aggressive, which can lead to cruelty and violence.!
They love the night, and when most people are going to bed, they
are just getting started.!
!
They have discharges, and feel better for them. !
!
Medorrhinum is the father of all of the “itis” conditions –
sinusitis, urethritis, vaginitis, tonsilitis, etc. and other
inflammatory complaints.
Cancer - Resignation
Carcinosin
Abscesses. Acne. Allergies.
Asthma. Chronic fatigue
syndrome. Colitis.
Constipation. Coughs.
Developmental delays.
Diabetes. Painful
menstruation. Headaches.
Immune deficiencies. Insomnia.
Moles. Birthmarks. Ovarian
cysts. Premenstrual syndrome.
Rectal prolapse. Respiratory
illnesses. Sinusitis. Tics.
Passionate and longing patients
who over-extend themselves 

on many levels.
Keynote: resignation
They are the women (or men) who volunteer at their child’s school,
or the church, or the hospital.!
!
They take care of everyone, run the house, prepare the meals, do
all of the laundry, make sure everything is wonderful for their
family –!
!
But they neglect to take care of themselves, to do things that feed
their own soul, and make use of their generative and creative
energy – so that energy goes toward making tumours instead.!
Dancing and music are one of their passions, and are an outlet for
them.!
!
They also love the excitement and powerful energy of
thunderstorms.!
!
They are very sympathetic people. They can be timid.!
!
They have fears about their health and cancer. They also have
worries about school examinations, and don’t like crowds. !
!
They have a lot of worries and anticipatory fears.!
Syphilis - Destruction
Syphilis
Abscesses. Acne. Alcoholism.
Hair loss (sometimes entire
body). Aneurysm. Anxiety.
Bone pains. Compulsive
disorder. Headaches.
Insomnia. Vaginal discharge
(often staining or burning).
 Malignancy. Mouth ulcers.
Neuralgia. Psoriasis. Scoliosis.
Skin ulcer. Astigmatism.
"Growing" pains.
Keynote: Destruction and 

Self-destruction
In this miasm there is destruction that either manifests internally
or externally.!
!
Emotionally the person can let everything in their life crash down
around them, and mentally they can go further, into insanity.!
!
There is not a strong connection with family or others, and a family
history of alcoholism is one sign that this miasm is present.!
!
Physically there is erosion of the bones, dissolving of muscles, and
bone pains, especially at night, which some people think are
“growing pains.”!
!
The discharges tend to dissolve tissue, the wounds tend to ulcerate,
and the skin dissolves so it is harder to heal.!
They are worse at night, they can dread the night, because their
symptoms are so much worse once the sun sets, until morning.!
!
You may see asymmetrical features, the face can be distorted, ears at
different heights or of a strange shape, pointed teeth that get caries
at the gum line.!
!
Birth defects.
!
They use drugs to more of an extreme than Sycosis, and use the
more serious drugs.!
!
Where Sycosis might sink into a depression and threaten suicide,
Syphilis will go through with it.!
!
!
The Syphlinum patient may wash his hands literally a hundred
times a day. Every time he touches a public doorknob, every time
he handles money, every time he shakes somebody's hand, he is
taken by an irresistible desire to wash. !
!
The patient may be aware that their behaviours are strange, but are
not able to stop them, and then they fear a downward slide into
insanity.!
!
Their self-destructiveness may appear in eating disorders (anorexia
or bulimia), or cutting themselves. They may have multiple
piercings, many tattoos, and enjoy the mutilation of their bodies.!
Lyme - Self-Denial
Lyme,
or
Borrelia
burgdorferi
Keynote: !
withdrawl 

from society
All we can go on are the current chronic and acute states –
and they make one think of the following conditions that
we might expect if you went back in the family history:
!
!
Arthritis. Fibromylagia. Chronic Fatigue. Degerative skin
conditions. Neurological symptoms. Eye problems.
Kidney and liver problems. Meniere’s syndrome. Paralysis.
Austism Spectrum Diseases. Modern neuropathies –
Multiple Sclerosis, Parkinson’s Disease, etc.
“Like other spirochetes, such as those that cause syphilis, the Lyme
spirochete can remain in the human body for years in a non-
metabolic state. It is essentially in suspended animation, and since
it does not metabolise in this state, antibiotics are not absorbed
or effective. When the conditions are right, those bacteria that
survive can seed back into the blood stream and initiate a
relapse.” (like acute Malaria)!
 !
NOTE: While it was first thought that B. burgdorferi was the only
species causing Lyme disease, it has since been determined that any
number of the different species in the genus Borrelia might be
capable of this feat.!
THE IMITATOR’S NEW CLOTHES!
 !
Syphilis was known as the “great imitator” because its multiple
manifestations mimicked other known diseases. !
!
Lyme borreliosis, likewise, has now entered the stage as “the
new great imitator.” !
!
Homoeopathy knows the major syphilitic remedy, Mercurius,
as the “great masquerader.” Judging by the close family
connection between both spirochetes, it does not come as a
surprise that one of very first cases of borreliosis, in 1922 in
France, had a weakly positive syphilis test and thus was treated
with arsenicals, the then current treatment for syphilis.!
There are a wide range of symptoms associated with Lyme
borreliosis. Symptoms vary greatly, one or more systems may be
involved, and new manifestations continue to be described. Like
syphilis, Lyme borreliosis may remain latent and asymptomatic for
a long period of time; progress for many years through successive
stages; or fluctuate dramatically and unpredictably.!
  !
Many Lyme patients were first diagnosed with other illnesses such
as arthritis, juvenile arthritis, rheumatoid arthritis, fibromyalgia,
chronic fatigue syndrome, multiple sclerosis, lupus, early ALS
[amyotrophic lateral sclerosis], early Alzheimer’s disease, Crohn’s
disease, irritable bowel syndrome and various other more
nondescript illnesses.!

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Chronic miasm

  • 1. CHRONIC (Intransigent) Miasms An Overview and Brief Description of the Main Characteristics
  • 2. What Is It? “Acquired, inherited characteristic. “Not genetic (only 1-3% of conditions genetic) “Epigenetic, but inherited - ‘noxious influence, vapor’ “Various conditions in family are passed on as structural weaknesses. “Contains, in spiritual sense, karmic baggage. “There are transient and intransigent miasms.
  • 4. Chronic Miasms Map There are 4 “dominant” chronic miasms:! Psora-Tuberculosis-Sycosis-Syphilis! and four “recessive” chronic miasms:! Malaria-Ringworm-Cancer-Lyme
  • 5. Dominant Miasms Psora (lack/poverty)# Tuberculosis (restlessness-desire to change)# Sycosis (desperate need to break loose)# Syphilis (feeling trapped, locked in)
  • 6. Malaria (victimization)# Ringworm (persecution)# Cancer (resignation)# Lyme (withdrawal) Recessive Miasms
  • 7. Seasonal Cycle Psora - early Fall! Malaria - late Fall! Tuberculosis - 
 early winter! Ringworm - late winter! ! ! Sycosis - early Spring! Cancer - late Spring! Syphilis - early summer! Lyme - late summer
  • 8. Levels “C-scale potency - 4 levels - physical/etheric/astral/ ontic “F-scale potency - 3-4 rounds possible “We are a duality or two-fold being: Upper and Nether “C-scale addresses the Upper, incarnating being “F-scale addresses the Nether, dynamic being “Depth of treatment varies in each case.
  • 9. A Brief Look at the Miasms Their Meaning, Impact and Expressions
  • 10. so - how do we recognize the Chronic miasms? Psora- Poverty/Lack
  • 11. Psora Keynotes: lack, dryness *Pathology - skin (psoriasis). 
 *Lack vitality and are weak.! *Catch every cold, slow to recover.! *Expect the worst, pessimistic.! *Fears - health and poverty.
  • 12. Must wear a warm or fur hat all year, even in summer. (One of the very coldest remedies.) Street people who carry all their possessions with them, and who wear coats and hats even in the summer weather. Headaches, worse from fasting, worse from suppressed eruptions, worse drafts and open air. Chronic infection of eyes, sinuses, ears. (Children with a perpetually running nose.) Chronic discharges from ears, offensive discharges. Acne. Rosacea. Oily skin. Eruptions behind ears, on neck, face, scalp and head, very itchy. Crusty or scaly eruptions on head and face. Styes. Inflammed margins of the eyelids. Mouth ulcers. Face has a dirty look even when well-washed.
  • 14. Malaria Keynote: victimization *General sense of weariness. *Liver and spleen. ! Cold hands; cold hands/feet at night. *Soles of feet almost numb. *Copious perspiration on least exertion. *Aversion to food. ! *Nausea, colic, cramps, diarrhea, and headaches.
  • 16. Tuberculinum *‘Change is as good as a rest’! *They may change jobs/houses more often than most. ! *Desire for travel. *Never better than when planning trip/renovation/change.! *Frustrated if no change, can become malicious! *’Angel child/Devil child’! *Romantic/romanticise! *Flashy, stylish clothing! *OCD-like behavior! *Feel suffocated, need to break free Keynote: restlessness
  • 18. Ringworm In the family history, we would see: ! Athlete’s Foot (fungal infections on the feet). Fungal infections under fingernails or toenails. Scales on the skin. Hair loss in patches. History of Ringworm. SAD – Seasonal Affective Disorder. Deep Depressions 
 in Late Winter. Keynote:Victimization
  • 19. Ringworm is not a worm – it is a systemic fungus.! ! The feelings of victimization in Malaria is passive, like being attacked by mosquitoes, but in Ringworm it is much stronger, more penetrating, depressed, angry and trapped. ! ! Ringworm is a more concentrated and active form of victimization, and more powerful. ! ! The person wants to and can’t, they have the desire but lack the confidence.!
  • 20. In Rajan Sankaran’s proving of Ringworm, he understands the main feeling of this miasm to be that the task at hand is just beyond where the person can be sure of success. ! ! So they try to do something, and lack the confidence.! ! Then they become hopeful that maybe they can accomplish the task, and they struggle at it.! ! But at some point they will decide again that it is not going to work for them, that it is beyond their reach. So they will give up, and think they have to live with it.! ! But then another possibility seems like it might work. So they get hopeful once again.! ! And they start trying once more, and struggling, and then have to give it up again, because it is still beyond them.!
  • 21. So there is an alternation between struggling and trying, and then giving up, between hopefulness and resignation.! ! Interestingly, the time of this miasm is 4-6 weeks after the winter holiday season, so often people will write resolutions of what they want to accomplish for the New Year. They make big plans, and try at first, and then give up their hope to make their resolution work – ! ! So you can see this in people who want to lose weight, or someone who wants to give up smoking, or change their lives in another way.! !
  • 23. Sycosis Allergies. Angina. Anxiety. Arthritis. Asthma. Behavior disorders. Eczema. Herpes. Hypertension. Interstitial cystitis. Vaginal discharges. Manic-depression. Migraine. Ear infections. Peptic ulcer. Pulmonary fibrosis. Reiter's syndrome – arthritis effecting the eyes, urethra, skin and joints. Sinusitis. Urethritis. Vaginitis. Warts. Keynote: Excess, Extremes
  • 24. Sex, drugs and rock and roll! Or now, “techno or screamo music.” And raves. ! ! These are people who are extremely passionate, and energetic, and who can get into problems from their strong need for expression and for venting their energy.! ! They want to experience everything, extreme sports, extreme sex, extreme emotions.! ! They work in extremes – they either have passionate relationships filled with love or hate, they get great grades in school, or they fail miserably. They can perform brilliantly at work, and then be totally inept.! ! They can be very aggressive, which can lead to cruelty and violence.!
  • 25. They love the night, and when most people are going to bed, they are just getting started.! ! They have discharges, and feel better for them. ! ! Medorrhinum is the father of all of the “itis” conditions – sinusitis, urethritis, vaginitis, tonsilitis, etc. and other inflammatory complaints.
  • 27. Carcinosin Abscesses. Acne. Allergies. Asthma. Chronic fatigue syndrome. Colitis. Constipation. Coughs. Developmental delays. Diabetes. Painful menstruation. Headaches. Immune deficiencies. Insomnia. Moles. Birthmarks. Ovarian cysts. Premenstrual syndrome. Rectal prolapse. Respiratory illnesses. Sinusitis. Tics. Passionate and longing patients who over-extend themselves 
 on many levels. Keynote: resignation
  • 28. They are the women (or men) who volunteer at their child’s school, or the church, or the hospital.! ! They take care of everyone, run the house, prepare the meals, do all of the laundry, make sure everything is wonderful for their family –! ! But they neglect to take care of themselves, to do things that feed their own soul, and make use of their generative and creative energy – so that energy goes toward making tumours instead.!
  • 29. Dancing and music are one of their passions, and are an outlet for them.! ! They also love the excitement and powerful energy of thunderstorms.! ! They are very sympathetic people. They can be timid.! ! They have fears about their health and cancer. They also have worries about school examinations, and don’t like crowds. ! ! They have a lot of worries and anticipatory fears.!
  • 31. Syphilis Abscesses. Acne. Alcoholism. Hair loss (sometimes entire body). Aneurysm. Anxiety. Bone pains. Compulsive disorder. Headaches. Insomnia. Vaginal discharge (often staining or burning).  Malignancy. Mouth ulcers. Neuralgia. Psoriasis. Scoliosis. Skin ulcer. Astigmatism. "Growing" pains. Keynote: Destruction and 
 Self-destruction
  • 32. In this miasm there is destruction that either manifests internally or externally.! ! Emotionally the person can let everything in their life crash down around them, and mentally they can go further, into insanity.! ! There is not a strong connection with family or others, and a family history of alcoholism is one sign that this miasm is present.! ! Physically there is erosion of the bones, dissolving of muscles, and bone pains, especially at night, which some people think are “growing pains.”! ! The discharges tend to dissolve tissue, the wounds tend to ulcerate, and the skin dissolves so it is harder to heal.!
  • 33. They are worse at night, they can dread the night, because their symptoms are so much worse once the sun sets, until morning.! ! You may see asymmetrical features, the face can be distorted, ears at different heights or of a strange shape, pointed teeth that get caries at the gum line.! ! Birth defects. ! They use drugs to more of an extreme than Sycosis, and use the more serious drugs.! ! Where Sycosis might sink into a depression and threaten suicide, Syphilis will go through with it.! !
  • 34. ! The Syphlinum patient may wash his hands literally a hundred times a day. Every time he touches a public doorknob, every time he handles money, every time he shakes somebody's hand, he is taken by an irresistible desire to wash. ! ! The patient may be aware that their behaviours are strange, but are not able to stop them, and then they fear a downward slide into insanity.! ! Their self-destructiveness may appear in eating disorders (anorexia or bulimia), or cutting themselves. They may have multiple piercings, many tattoos, and enjoy the mutilation of their bodies.!
  • 37. All we can go on are the current chronic and acute states – and they make one think of the following conditions that we might expect if you went back in the family history: ! ! Arthritis. Fibromylagia. Chronic Fatigue. Degerative skin conditions. Neurological symptoms. Eye problems. Kidney and liver problems. Meniere’s syndrome. Paralysis. Austism Spectrum Diseases. Modern neuropathies – Multiple Sclerosis, Parkinson’s Disease, etc.
  • 38. “Like other spirochetes, such as those that cause syphilis, the Lyme spirochete can remain in the human body for years in a non- metabolic state. It is essentially in suspended animation, and since it does not metabolise in this state, antibiotics are not absorbed or effective. When the conditions are right, those bacteria that survive can seed back into the blood stream and initiate a relapse.” (like acute Malaria)!  ! NOTE: While it was first thought that B. burgdorferi was the only species causing Lyme disease, it has since been determined that any number of the different species in the genus Borrelia might be capable of this feat.!
  • 39. THE IMITATOR’S NEW CLOTHES!  ! Syphilis was known as the “great imitator” because its multiple manifestations mimicked other known diseases. ! ! Lyme borreliosis, likewise, has now entered the stage as “the new great imitator.” ! ! Homoeopathy knows the major syphilitic remedy, Mercurius, as the “great masquerader.” Judging by the close family connection between both spirochetes, it does not come as a surprise that one of very first cases of borreliosis, in 1922 in France, had a weakly positive syphilis test and thus was treated with arsenicals, the then current treatment for syphilis.!
  • 40. There are a wide range of symptoms associated with Lyme borreliosis. Symptoms vary greatly, one or more systems may be involved, and new manifestations continue to be described. Like syphilis, Lyme borreliosis may remain latent and asymptomatic for a long period of time; progress for many years through successive stages; or fluctuate dramatically and unpredictably.!   ! Many Lyme patients were first diagnosed with other illnesses such as arthritis, juvenile arthritis, rheumatoid arthritis, fibromyalgia, chronic fatigue syndrome, multiple sclerosis, lupus, early ALS [amyotrophic lateral sclerosis], early Alzheimer’s disease, Crohn’s disease, irritable bowel syndrome and various other more nondescript illnesses.!