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| Hpathy Ezine - April, 2005 | ||||
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| Psora: The clinical manifestation of Psora is in 3 main forms: 1. The Psora that presents with its unrepressed cutaneous eruption. This is a homeopaths dream case, where a single (antipsoric) remedy cures the person totally of this ailment from within. Today only a child, or else someone living in a remote rural area would present with this simplicity of Psoric expression. Most people have been given much suppressive treatment during their lifetime, right from childhood. For these simple cases that did not have any secondary manifestation of Psora he found Sulphur, Hepar Sulph, Carbo Veg or Sepia most useful to start the case or complete their miasmatic cure. 2. Latent Psora or the Psoric Diathesis: has a potential of developing into serious chronic symptomatic disease following external persistent stress - emotional or physical, drug/medicinal or from microorganisms (miasm). This deceptively asymptomatic state is also almost always associated with the development of the venereal miasmatic diseases. 3. Psora with secondary disease manifestations: These can seldom be cured with a single antipsoric remedy. They require similimum remedies prescribed in succession based on the predominant homeopathic picture, one after another. Hahnemann stresses that this is only to be expected, especially when a miasmatic disease state has developed 'over several thousand years, passed through several millions of organisms, and developed into innumerable, chronic, non-venereal ailments'. Diet and mode of living are essential adjuncts to treatment in these people, if they seek to reach a level of cure with the homeopathic similimum. Hahnemann detailed what he meant by this in the CD. Some of these included removing obstacles to cure as best possible, living with 'moderation in all things re: diet, exercise, rest, occupation, and personal habits including avoiding alcohol, coffee, etc that were injurious to health and interfered with remedy action. He also cautioned about behavior that was 'morally and psychically injurious'. Hahnemann expected the homeopath taking on cases for homeopathic treatment dutifully advised each one on all the above, based on their individual requirement. These cases, more often than not, had undergone any amount of (suppressive or imperfect) treatment with massive doses of allopathic drugs, including massive doses of Sulphur and tar, quick silver, calomel, etc., which often created medicinal disease. Hence Sulphur as a homeopathic remedy would be unable to cure these chronic ailments on its own. Hahnemann recommended that it would prove instead, to be a good intercurrent remedy given the above history, or else a remedy to start the case with. Other remedies for similar reasons were Hepar Sulph, Nux Vomica, Merc and Sepia. Further one had to proceed treatment with the indicated homeopathic similimum based on the presenting picture of symptoms (and principles as detailed in the Organon of the Healing Art), ever vigilant for a change in picture indicating the next prescription, while giving sufficient time for the previous well chosen remedy to act. Some of the Antipsorics he listed were: Sulphur, Hepar Sulph, Carbo Veg, Carbo Animalis, Sepia, Lycopodium, Guaiacum, Sarsaparilla, Mezerium, Puls, Nux, Opium, Aconite, Cham, Bryonia, Staph, Colocynth, Ignatia, Hyos, Dulc, Coffea, Ipecac, Rhus Tox, Caps, Ars Alb, Phos, Silica, Baryta Carb, Calc Carb, Nat Carb, Ammon Carb, Mag Carb, Graphites, Antim Crude, Metals such as Antimony, Gold, Platina, Iron, Zinc, Copper, Silver, Tin. Sycosis: These cases presented to Hahnemann in 4 ways: 1. The figwart or cauliflower excrescences on the genitals, sometimes associated with a sort of pus like discharge like gonorrhea from the urethra: These simple cases with no other complications, responded to remedies such as Thuja or Nitric Acid or both. In some bad cases, the larger warts could be moistened every day with Thuja Mother Tincture, while internal Thuja was being given. Other specific remedies for associated gonorrhea were Cannabis, Cantharides and Copaiva balm. 2. A Cauterized figwart, after bring removed, secondary ailments would develop in its place in the form of similar excrescences appearing in other parts of the body, etc: This state required the indicated Homeopathic similimum. Sometimes this similimum was Thuja itself; otherwise Thuja was indicated as intercurrent. Sometimes Nitric Acid was alternated as intercurrent remedy especially if there was gonorrhea as well. 3. Sycosis (figwart) complicated with developed Psora (awakened from latency) due to unnecessary assault with Mercurial treatment: In these cases, curing the figwart could not be done before proper treatment of the Psoric picture, which was "awakened from latency". The presenting picture usually required the proper Antipsoric similimum before the Sycosis could be treated with doses of Thuja or Nitric Acid. 4. Sycosis that complicated a developed Psora, which had preceded and was induced by badly treated and suppressed Venereal chancre (Syphilis), i.e., a complex, multi miasmatic disease. These cases presented various pictures at different points of time during treatment. As in the previous case, the Psora had developed due to allopathic mercurial treatment, and its symptoms were predominant. So the first prescription would need to take into account purely the Psoric symptom picture. Once this is helped, then the Sycotic symptom picture comes into prominence requiring the correct anti-sycotic remedy. Once the Sycosis faded away with the anti-sycotic remedy, and then the anti-syphilitic remedy was needed, based on the prominent Syphilitic symptoms. The remedy of choice for Hahnemann here was Mercury. Often after this improved, Hahnemann noticed that some part of the Psora reared its head again and had to be treated with the antipsoric once more. Hahnemann advised this process of a cycle of remedies prescribed one after another based on the prominent miasmatic picture i.e. 'alternating treatment (was) to be continued till a complete cure was effected.'
Hahnemann actually felt that the Syphilitic Miasm was more wide spread than the Sycotic. He considered it very simple to cure, if it was not entangled with (developed) Psora. He observed 3 distinguishing states of the Syphilitic Miasm: 1. The Syphilis stands alone (the Psora is probably latent): This is only associated with the local symptoms, the Chancre, which may or may not be removed by external applications, and the 'bubo' (regional lymphadenopathy) as well still remains. Unfortunately in some cases the ulcer was removed by local treatment and it resulted in expression of disease in the 'bubo's' causing their painful suppuration. The cure of this initial stage however required just one dose of the "best mercurial remedy" (the pure semi-oxide of mercury) taken internally. 2. When Syphilis stands alone (without any developed Psora), but deprived of the 'vicarious local symptom' the chancre and the 'bubo': These cases too required the internal Mercury as the remedy. Keen observation of the scarred tissue where the chancre once stood or where the bubo had broken down, would help assess the progress under treatment. If cure had taken place, the skin of this area would no longer be scarred and would begin to look normal - a sure sign that the syphilitic miasm had been healed. 3. When it is already complicated with another chronic disease i.e. with the Psora (already developed), and the local symptoms partially removed by local applications: The Psora may have developed as natural progression before the venereal disease or Latent Psora may have been forced into expression by numerous assaults on the vital force (by friction with Mercury, large doses of Calomel, Corrosive sublimate, purgatives) in an (imperfect) attempt to remove the local expression of venereal disease. These treatments created Medicinal disease as well. To tackle this, Hahnemann had a 5 point programme! 1) Remove all hurtful external influences that affect the patient (drugs, various useless treatments, applications, immoral lifestyle, etc). 2) Advise a light, nourishing and strengthening diet. 3) Give the Antipsoric homeopathic similimum first (without taking into account the venereal disease) and allow it its duration of action. 4) Prescribe the next indicated antipsoric similimum for the residual prominent Psoric symptoms. 5) Prescribe for the Venereal disease the best Mercurial preparation and allow it to work as long as there was improvement in those symptoms.
Hence the sign of cure of the Syphilitic miasm was the disappearance of scar tissue and the skin surface returning completely to normal. Similarly as the sign of removal of Sycosis was the disappearance of the discoloration or scar, caused by cauterization of the fig wart.
Many people feel, after clinical use of these methods, that Hahnemann did not accurately or completely observe the various miasmatic states and chronic disease expressions. This is more obviously true with those disease expressions resulting from Sycosis and the list of complaints that need to be included in the Sycotic Miasm. Just as many diseases he classified into Psora were later (in his lifetime) put into a different Miasmatic group (heralded by Hering) called Pseudo-Psora or Tubercular Miasm. Another point of importance is, that if Psora had over the centuries developed into a hydra-headed monster, why would Sycosis and Syphilis not develop into hydra headed monsters as well? That and other newer observations are included in a series of related articles in a modern ever-developing understanding of Miasms and Chronic Miasmatic Clinical Management. It would be exciting exploring all these new and path breaking evolutions of homeopathic thinking from the work of brilliant contemporary minds. Dr. Leela D'Souza Bibliography: 1. The Chronic Diseases, Samuel Hahnemann (Theoretical Part) |
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