What is the role of MIASMS in your Practice?

  “Miasms play a very important role in my practice. If a case is acute, I select a superficially acting, anti miasmatic drug but if the case is chronic, then, I select a deep acting anti miasmatic drug. The selection of the anti miasmatic drug would depend upon the miasm that is dominating at that moment.”

- Dr. Neeraj O. Goel, Professor and Head of Materia Medica Dept., CMP Homoeopathic Medical College, Bombay, India

  “In stubborn cases, cases that improve unto a level and then fail to improve (arrested progress).”

- Dr. S. K. Goel, Principal of CMP Homoeopathic Medical College, Bombay; formerly A.M.O. Govt. Homoeopathic Hospital, Bombay and Deputy Director- Homoeopathy, Govt. of Maharashtra

 “As important as Hahnemann’s all other principles.”

- Dr. Farokh J. Master, M.D. (Hom.) Hon. Homoeopath- Mumbadevi Homoeopathic Hospital, Bombay Hospital; Member Central Council of Homoeopathy, Govt. of India; Internationally renowned teacher

 “Miasm is an old word used even before Hahnemann’s time. Hahnemann retained this word in homeopathic literature. It means ‘Disordered state of the internal economy’. It is essential that the homeopathic physician grasp the basic understanding of this internal deranged state. Hahnemann classified this into Psora, Sycosis and Syphilis. Pseudo Psora or Tubercular state is a post Hahnemannian thinking, although Hahnemann had included many of its features under Syphilis. The conditions that are considered under each of these classes range from Functional or Allergic (Psora), Proliferative or new growths (Sycosis), Degenerative and slow healing processes and healing by fibrosis/ intense allergic or idiosyncratic state (Tubercular), and Necrosis or destructive leading to irreversible changes and finally death (Syphilis). Even with changing times and addition of new information to our knowledge, these basic concepts have remained the same. This shows the sagacity of Hahnemann. Today, we understand the concepts by the name ‘Hahnemannian Pathology’. This has a great prognostic value. Reversibility or irreversibility of conditions can be determined from this and the treatment can be instituted as curative or palliative. (Chronic Miasms- Allen; Notes on Miasms- Ortega)”

- Dr. K. P. Muzumdar, Chairman of the Homoeopathic Pharmacopoeia Committee, Govt. of India; Member of the Scientific Advisory Committee, Central Council for Research in Homoeopathy; the Central Council of Homoeopathy and the Governing Body of the National Institute of Homoeopathy, Govt. of India

Professor Emeritus at Dr. Babasaheb Ambedkar Marathwada University; Visiting Professor at the Manitoba Institute of Homoeopathy, Canada

Former Director of the National Institute of Homoeopathy, and the Central Research Institute, Govt. of India; former Head of Dept. of Pharmacy at CMP Homoeopathic Medical College, Bombay

 “Miasms play a very important role in prescribing. a) Cases that do not respond to constitutional medicines; b) It helps in prognosis of the patient; c) It helps in deciding the curability of the case; d) Reversibility of the pathology; e) Evolution of the disease. ”

- Dr. Jawahar J. Shah, Developer of the homoeopathic software ‘Hompath’; Member- Central Council of Homoeopathy, Govt. of India; Internationally renowned teacher

 “There is no obvious role as long as the patient is responding. It is only after the well selected remedy fails to act that I try to look up the miasmatic basis to aid in the selection of the remedy.”

- Dr. Ramgopal D. Tapadia, Principal of T.S. Homoeopathic Medical College, Amravati for the past 25 years; Member- Central Council of Homoeopathy, Govt. of India. He has presented a paper on Hepatitis B at the LMHI Conference at Seattle, USA in 1997.  

“The idea of miasms, which I had discarded earlier as unimportant for practice, suddenly struck me as a most useful tool to classify disease states. I interpreted the miasms using my understanding of disease as delusion, and the result, I find, is a classification of the most practical utility.  Miasms now represent to me the different possible types of reaction, which naturally mean the different types of perception of reality. One type perceives reality as an acute threat and reacts instinctively and suddenly in an impulsive manner. This is the acute miasm, as I have formed it. E.g. in Aconite there is a feeling that something sudden will happen leading to his death.  Mentally this is seen as a "fear of death", anxiety and restlessness etc. In the physical sphere, we find the racing pulse, palpitation and flushing of face alternating with paleness etc.

In Psora, reality is seen as a problem that can be resolved by a struggle.

In Sycosis, the problem seems insoluble and the reaction is an attempt to cover up this inability to cope.

The syphilitic perceives the situation as a hopeless, desperate one and becomes destructive as a result.  In the syphilitic state the perception of the body is that things have gone too far and that he must sacrifice (suicide) or destroy (kill) what cannot be changed.  In Mercurius, this feeling is reflected in the physical sphere too in the form of ulcers, with their foul smelling and decay representing this destructive process.

I found that disease states could be beautifully worked out on this framework and the patient understood better; it became easier to arrive at the remedy.

To make the process more accurate, more patients were required on this map. I worked on other miasms in between the main miasms, and discovered the sub-acute, Ringworm, Malarial, Leprous and Cancer Miasms. These together with the Tubercular miasm, provide a valuable Map to study disease.

To verify the truth of my hypothesis, I undertook to prepare and prove the Ringworm nosode and also did a proving of Bacillinum.  The provings further substantiated what I had found in practice - that the idea of miasms was valid and most useful.  The concept of miasms not only helped deepen my understanding of disease processes but also gave me an insight into other phenomena in the world around, as for e.g. the reason for increase in 'new diseases'.

Acute

Aconite

Typhoid

Bryonia

Psora

(Sulphur)

Psorinum

Struggle

Ringworm

(Calc-sul)

Ringworm

Trying

Sycosis

(Thuja)

Medo

Fixity

Tubercular

(Calc-phos)

Bacillinum

Change

Leprosy

(Sec-cor)

Syphilis

(Merc)

Syph

Destruction

Cancer

(Nit-ac)

Carcinosin

Perfection

 Dr. Rajan Sankaran is an Internationally renowned teacher and author of many books on homeopathy.