| The previous section dealt with the various distinctions
within the category of self-limiting and acute disease in Hahneman’s
system. Since the number of constant (tonic) diseases in nature
was limited, Hahneman’s attention came to fall on the more numerous
disease states that were variable in nature and could only be identified
by means of the symptom picture (totality of characteristic symptoms).
This led to his discovery of homeopathy and became the main focus
of the first and next three editions of the Organon.
However, by 1816 Hahnemann began to sense that something more was
going on, despite the brilliant successes of homeopathic treatment.
His followers argued that what was needed was more provings, more
remedies, but for Hahnemann the problem was a qualitative, not a
quantitative one, a lack of understanding, not of provings. This
led him to a lengthy search the spanned some 12 years, and to the
seminal discovery of the chronic miasms, but also, to the distinction
within the category of chronic disease, between the chronic miasms
(tonic) and the chronic diseases (pathic).
The problem, as Hahneman explained in all candor in his Chronic
Diseases, was that homeopathic prescribing had worked very well,
and had even given the appearance of good health in patients, but
a shock, stress or other incident then brought about a relapse of
the previous condition (all quotes from the Decker translation):
…the re-appearance of one or more of the sufferings which seemed
already conquered, often aggravated by some quite new occurrents,
which, if not more serious than those formerly dispatched homeopathically,
were often just as onerous and now more obstinate.
Still such a favorable pause would never be of long duration, and
the return and repeated returns of the maladies in the end
left even the best selected homeopathic remedies then known, and
given in the most appropriate doses, the less effective the oftener
they were repeated. They served at last hardly even as weak palliatives.
But usually, after repeated attempts to conquer the disease which
appeared in a form always somewhat modified, residual maladies appeared,
which the homeopathic medicines hitherto proved, though not few,
had to leave uneradicated, yea, often undiminished. Thus there followed
more and more complaints ever more troublesome, and as time proceeded,
more serious, and this even with blameless regimen and punctual
observance of directions on the part of the patient. The chronic
sickness could be but little delayed in its progress by the homeopathic
physician while worsening from year to year despite all efforts.
40. This was, and remained, a quicker
or slower process in such treatments of all non-venereal, severe
chronic diseases, even when these were treated in exact accordance
with the teachings of the homeopathic art as hitherto known. Their
beginning was promising, the continuation less favorable, the outcome
hopeless.
This was not due to a lack of remedies, even then!
43. Whence then this less favorable, this unfavorable, result of
the continued treatment of the non-venereal chronic diseases even
by Homeopathy? What was missing in the thousands of failed endeavors
to cure the remaining diseases of protracted nature so that lasting
recovery might proceed therefrom?
44 Perhaps by the still too small
number of homeopathic remedial implements so far proven as to
their pure actions!
45 Students of Homeopathy have hitherto
thus consoled themselves [and still do today!]; but this excuse,
or so-called consolation, never satisfied the founder of
Homeopathy.
Hahnemann quickly realised that the problem lay in a hidden constant
disease ("arch malady") that could not be detected by
the presenting symptoms of the patient. Where he and his students
had been treating the chronic diseases as if they were stand alone,
idiopathic diseases, he discovered that they were but fragments
of a deeper disease, a chronic miasm.
49. ...and that consequently he would
first have to come to know as far as possible the whole extent of
all the occurrents and symptoms belonging to the unknown arch
malady before he might hope to discover one or more medicines
homeopathically capable of covering the whole of the fundamental
malady by means of its peculiar symptoms, by which means he
would then be in a position to curatively conquer and extinguish
the sickness in its whole extent, consequently also its single
members — that is, all its disease fragments appearing
as so many various disease cases.
50. But that the arch malady
sought for must also be of a miasmatic, chronic nature clearly
showed itself to me from this circumstance, that after flourishing
and evolving to a certain height, it is never lifted by dint of
a robust constitution, or overcome by the most wholesome diet and
regimen, nor does it quench itself. Rather it is evermore aggravated,
from year to year, by transition into other more serious symptoms,
right up to the end of life, like every chronic, miasmatic disease,
e.g., the venereal bubo which has not been cured from within by
mercury, its specific remedy, but has passed over into venereal
disease that likewise never quenches itself, but increases from
year to year (despite the best regimen and most robust bodily constitution),
evolving new and worse symptoms, again right up to the end of life.
What now emerged was that under the various chronic diseases, which
seemed to be idiopathic diseases (that is, self-contained), there
existed more fundamental, primary chronic maladies of a constant
nature (Wesen), called chronic miasms (tonic diseases). These could
be cured in their early stage easily by a specific, and if not so
cured or if suppressed by allopathic treatment, they would give
rise to all manner of other (pathic) diseases.
13.2 ... The Chronic Diseases, which spring from miasms
...
14.1... the chronic diseases arising
from miasms directly ...
57.1 All chronic diseases
of mankind ... must therefore all have for their origin and foundation
static chronic miasms...
49.1 The continually repeated fact
that the nonvenereal chronic diseases, after being time and
again removed homeopathically in the best way by the remedies
fully proved up to the present time, always returned in a more or
less varied form and with new symptoms, or reappeared annually with
an increase of complaints, first disclosed to me:
that the homeopathic physician in
such a chronic (non-venereal) case, yea, in all cases of (non-venereal)
chronic disease, is not only dealing with the disease appearance
before his eyes, and should not view and treat it as if it were
an idiopathic disease, to be speedily and permanently expunged
and cured homeopathically (which empirical results refuted) but
that he was always dealing with some separate part of a more
deep-seated original malady, whose great extent is shown in
the new occurrents emerging from time to time;
that the homeopathic physician may
not hope to permanently cure single disease cases
of this kind under the presupposition, hitherto entertained,
that they were idiopathic, self-contained diseases which
would never again sprout forth with other, new, troublesome symptoms;
and that consequently he would first
have to come to know as far as possible the whole extent of all
the occurrents and symptoms belonging to the unknown arch malady
before he might hope to discover one or more medicines homeopathically
capable of covering the whole of the fundamental malady by means
of its peculiar symptoms, by which means he would then be in a position
to curatively conquer and extinguish the sickness in its whole extent,
consequently also its single members — that is, all
its disease fragments appearing as so many various disease cases.
53.1 Gradually I learned of more
helpful means against this arch malady engendering so many sufferings,
that is against that which may be called by the general name of
Psora (the inner itch disease with or without its skin eruption).
It then dawned on me, due to the subsequent aid afforded by using
these medicines in similar chronic diseases for which the
patient was unable to identify such an infection, that also these
cases, in which the patient recalled no infection of this kind,
nevertheless had to have stemmed from a Psora contracted perhaps
already in the cradle, or communicated in some other unrecallable
fashion; and this often found corroboration upon more careful inquiry
with the parents or aged relatives.
54.1 Exacting observation of the
aid afforded by the antipsoric means added in the first of these
eleven years taught me evermore how frequently the moderate, as
well as the more severe and the most severe, chronic diseases
were of this origin.
58.1 In Europe and also on other
continents so far as is known, according to all investigations,
only three chronic miasms are found, whose diseases emerge
as local symptoms, and from which most, if not all, the chronic
diseases originate; namely, first, SYPHILIS, which I have also
called the venereal chancre disease; then SYCOSIS, or the fig-wart
disease; and finally the chronic disease which lies at the foundation
of the eruption of itch, the PSORA, which shall be spoken of first
as the most important of them all.
183.1 ...then the slumbering psora
awakes and shows itself, by the heightened and augmented symptoms
following below, in its transition to the formation of severe maladies;
one or another of the nameless (psoric) chronic diseases breaks
out ...
243.1 Now if, as experience teaches,
not even the fresh itch-disease — the easiest of all to cure,
i.e., the internal, freshly arisen psora together with the external,
fresh eruption — can be thoroughly cured by external expulsives
accompanied with the internal use of large quantities of sulphur
powder, it may easily be realized, that psora, after it has been
deprived of its eruption and has become internal and inveterate,
having gradually developed secondary maladies and thus having
changed into chronic diseases of various kinds, for the same
reason can be just as little cured by a quantity of sulphur powders,
or by a number of baths in sulphurous mineral waters, or on the
other hand by simultaneously drinking the same or a similar water;
in a word, it can never be cured by a superabundance and frequent
repetition of this medicine, although it is of itself antipsoric.
All chronic miasms can be inherited:
§284.1.a]3 Since Psora is usually
communicated through the milk of the wet nurse to most nursing infants
if they do not already possess Psora by inheritance from the
mother, they are then at the same time protected anti-psorically
in the indicated manner by means of the medicinal milk of the wet
nurse.
Glossary Contribution 7
Chronic miasm: a constant (tonic) disease that is protracted
in nature, infectious in form and can also be inherited rather than
acquired through infection. It may be in latent form and activated
by one or more of numerous shocks or triggers occasioned by life.
Chronic miasms give rise over time in a given person to the variable
(pathic) chronic diseases. Each chronic miasm has a specific medicine,
made from the specific infectious disease Wesen, such as Psorinum
for psora, Tuberculinum for tuberculsosi, etc. which is a form of
homotonic prescribing.
Chronic diseases: secondary, variable nature (pathic) diseases
that are protracted and arise over time from the interaction of
a given chronic miasm with the Dynamis of an individual. These must
be treated based on the symptom image for each such disease, that
is, homeopathically. Removal of the chronic diseases does not destroy
or cure the underlying chronic miasm that gave rise to such diseases;
this requires the specific medicine for the chronic miasm.
# # #
Rudi Verspoor is Dean and Chair Department of Philosophy
Hahnemann College for Heilkunst, Ottawa. He served as the Director
of the British Institute of Homeopathy Canada from 1993 to early
2001 and helped to found and is still active in the National United
Professional Association of Trained Homeopaths (NUPATH) and the
Canadian/International Heilkunst Association (C/IHA).
Part of his time is spent advising the Canadian government on health-care
policy and in working for greater acceptance of and access to homeopathy.
His publications include:
Homeopathy Renewed, A Sequential Approach to the Treatment of
Chronic Illness (with Patty Smith);
A Time for Healing; Homeopathy Re-examined: Beyond the Classical
Paradigm (with Steven Decker);
The Dynamic Legacy: Hahnemann from Homeopathy to Heilkunst
(with Steven Decker).
Visit his website at http://www.heilkunst.com/ |