Part 5: Symptoms and the Miasms

The etiology of a disease, the constitutional temperament of the patient, and the totality of the signs and symptoms are three factors that form a complete picture of a disease.

In Homoeopathy we often speak of the totality of the symptoms as the basis of selecting a remedy, but sometimes we forget to include the causative factors, miasms, and the physical constitution of the individual.

The physical signs of a person are fundamental to the treatment of chronic disorders because the constitution and temperament shows the effects of the inherited miasms.

We must get beyond relying solely on the personal or family history to uncover miasms. The miasms are present in the very symptomatology of the client. The syndromes produced by the miasms point to the fundamental cause even if it cannot be traced in the case taking to a specific etiological factor.


Each of the chronic miasms have their own characteristic signs that are an integral part of the totality of the symptoms.

For example, Psora tends to produce irritation, inflammation, and hypersensitivity and Sycosis tends to produce infiltrations, indurations, and over growth.

Pseudo-psora tends toward tubercles, fibrosis and suppuration and Syphilis tends toward granulation, degeneration and ulceration.


As far as the physical constitution, Psora tends to make the organism toxic, the skin unhealthy, and perverts the functions of the digestive and eliminative organs. Pseudo-psora tends to produce pipe stem bones, narrow chests, sunken cheeks and sparkling eyes.

Sycosis tends to cause heavy bones, water retention, over growth of tissue and slow metabolism. Syphilis tends to cause congenital defects, asymmetrical bony structure, deformed teeth and the classic bull dog face.


The psoric temperament is full of pseudo-scientific, philosophical, political, religious ideas. They are self expressive, talkative, self deceptive and may think they are full of genius yet seem foolish and impractical to others.

Pseudo-psora (TB miasm) is romantic, erotic, social, extroverted, cosmopolitan. erratic, optimistic, yet dissatisfied and always wants to change places, jobs, mates, etc..

Sycosis is pessimistic, a hard realist, skeptical, secretive, suspicious, jealous and has fixed ideas and hidden self disgust. Syphilis has a mixture of madness and genius with a deep sense of irony that leads to obsession with death and destruction. They become guilty, self destructive, and end in idiocy, insanity or suicide.


The pains of Psora are itchy, crawling, tickling, and burning; the pains of Pseudo-psora are neuralgic, sharp, piercing, twisting, stitching; the pains of Sycosis are sudden, intense, spasmodic, crampy and colicky; the pains of Syphilis seem lacking for the condition present or are deep, aching, agonizing, and esp. < at night.

Psora has fairly scanty, irritating, itchy discharges; Pseudo-psora has pussy, purulent, yellow, bloody, musty discharges; Sycosis has pungent, brine-like, fishy odors with watery greenish or dirty brown discharges; Syphilitic miasm has very offensive, foul, putrid, smelly discharges.


The skin of Psora is dry, rough, unhealthy, every little injury becomes infected and the lesions are itchy and have scanty pus. The skin of Pseudo-psora is translucent, fine, smooth, bruises easily, and its lesions bleed easily and exude excessive pus.

The skin of Sycosis is full of warts, flecks, moles, growths, dark discolorations with over growth of hair. Syphilitic skin has brownish red, or coppery color spots, eruptions that do not itch, and a tendency toward easy ulceration.

Next: Classifying Miasmic Rubrics