Part 6: Classifying Miasmic Rubrics
This list of rubrics goes on and on but I hope these few examples give an idea of how the symptomatology of the miasms is present in the symptoms of the case. It is these symptom pictures that clue the homoeopath into which miasms are present within the constitution of the individual.
Thus the etiology points to the symptoms and the symptoms point to the etiology. This is how the homoeopath understands which miasmic layers are dormant, latent and active.
All of these factors point to the proper anti-miasmic remedies, which more often than not, are not the nosodes. For example, while taking a case history a client reports that he used to be friendly, outgoing, loved to travel, and had many girl friends (Tubercular miasm), but for the last few years he has changed his lifestyle and become more conservative.
Most of his friends have not noticed how much he has changed except that he seems to have settled down. Some people think that he has changed for the better. This is because he is trying to hide the fact that he feels as if he is losing his clarity of mind (Sycosis) as well as his feelings for others (Sycosis).
On further investigating the changes in this person's temperament the homoeopath finds that he caught gonorrhea due to his cosmopolitan lifestyle (acquired Sycosis) which led to a change in his perceptions (new layer).
He was treated with antibiotics which immediately "cured" his symptoms (suppression) but he has felt contaminated from that time (Sycosis and Syphilis).
On inquiry we find that since then (never well since) he has suffered with feelings of guilt (Sycosis), loss of short term memory (Sycosis), has become more angry, suspicious and introverted (Sycosis).
He used to love to have people around (TB miasm), but now he doesn't like visitors, especially strangers (Sycosis). He is especially bothered because he is having difficulty expressing himself and finding the correct words (Sycosis), whereas he used to be quite articulate (Psora and TB miasms). He used to be mentally carefree (TB miasm), but now his mind has become more fixed and obsessive (Sycosis).
His joints and muscles are becoming more painful and rigid (Sycosis) and he has developed a fishy order from his arm pits and genitals (Sycosis). His general constitution is tall, thin, with pipe stem bones (inherited TB miasm), but since he became ill, he has gained an unhealthy weight around his hip, abdomen and thighs (Sycosis) and became chilly (Sycosis).
His skin is fairly pale and translucent (TB miasm), but as of late, he has been developing a few dark spots and warty flecks (Sycosis).
We can see that this gentleman's innate constitution is affected by the inherited TB miasm but this has been suppressed by an acquired sycotic syndrome. The TB miasm has affected his basic temperament and helped stimulate the excesses in his lifestyle that brought him to an infection with VD.
The TB miasm is now dormant because it has been repressed by the active miasmic symptoms related to the gonorrhea and its suppression. The transformation of his innate temperament from outgoing, social, cosmopolitan (TB miasm) into a suspicious, fixed, private man with feelings of guilt and loss of confidence (Sycosis) are the most important symptoms in his case.
We can see that the totality of his active symptoms are definitely Sycotic so we must search for a remedy for his condition from the antisycotics. A person who prescribes by miasms might think that Medorrhinum should be used but all the symptoms point clearly to Thuja. Thuja will remove this sycotic layer and the individual will become his old tubercular self again.
Now his case should be retaken and his innate constitutional remedy should be sought among the remedies that reflect the Pseudo-psoric miasm. This will remove the excesses of the TB miasm from his personality and prevent him from doing the kinds of things that caused him to acquire the gonorrhea in the first place!
Understanding how the constitutional remedies relate to the miasms is a fundamental part of the materia medica of chronic disease. This is what Hahnemann was pointing at when he published The Chronic Diseases in 1828 and introduced the idea of categorizing deep acting remedies by the chronic miasms.
This is an integral part of our homoeopathic heritage and should not be forgotten if we are to cure the most complex forms of chronic disease.
I hope this article on the classical miasms will prove helpful to those students of Homoeopathy who wish to follow in the footsteps of Samuel Hahnemann. Homoeopathy is a gift from the Most High as well as the summation of several generations of hard work by many individuals.
This article is dedicated to those who have gone before, those who are practicing now, as well as those who are coming in the future. After all, as Hahnemann pointed out, Homoeopathy is De Medicina Futura!