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| Hpathy Ezine - June, 2005 | ||||
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| Dr. Praful Vijaykar is a very successful Homeopathic Practitioner in Mumbai with a Clinical Focus. He managed the Government Out-patient clinics attached to our (private) medical college for many years, which gave many of us a chance to attend and pick up very valuable clinical tips. His In-Patients in the hospital wards were diagnosed as 'incurable' cases, often with serious pathology and were miraculously cured with the homeopathic similimum he prescribed! The practice of Homeopathy as well as Modern Medicine was a family profession, which is largely responsible for him having great insights into perceiving the Development of Miasms from the Genetic perspective, and also explaining Hering’s Law of Cure with Developmental Embryology. These are brilliant applications of modern science to the art and science of homeopathy. If well understood, it could revolutionize our case management and understanding of disease development in individuals. I would encourage homeopaths, who would like to do true and indepth classical homeopathy, to make an added effort to assimilate these series of articles on miasmatic case managment. Vijaykar's observations broadly fit in with the ICR understanding of Disease Evolution that I sought to explain in the previous article on Miasms (May Issue of the Ezine). The comparison between them as well as the close link with Hahnemann’s concept of Miasms could easily be another article of interest we could present in a future issue. This effort is to enable the "Miasm Theory” and these concepts to move out of the realm of philosophical discussion and filter down to our everyday case management. It would require an in-depth study along with a few years of experience with chronic patients to perceive how it all fits in so well. One would then have an added advantage in Chronic case management, with confidence in remedy selection for serious and pathological cases. I will first attempt to introduce Vijaykar’s embryological perspective of Hering's Law of Cure. This may sound a bit technical, but it forms the basis of understanding the different miasmatic expressions in different organs of the body. It would help the homeopath to make a study of basic process embryological development. Also study basic processes of acute and chronic inflammation from a good pathology text book. Imagine, there is actually a method to all this madness! The explanations below would be very simple after that. The use of "medical" words, is simply to use the right word to convey the universally accepted meaning - so the help of a simple medical dictionary (while reading) will put it all in perspective. Vijaykar, in his books, overcomes this obstacle by using a lot of story type metaphors to convey his concepts. Hering’s observation of “Nature’s Law of Cure” and Embryological DevelopmentThe human egg after being fertilized begins the process of development
into a human fetus. This takes place by cell division and follows
a definite pathway of development, which Vijaykar calls the “Nutritive
Gradient”. The cell division produces various cells for
the development of different organs but all these cells arise initially
from only 3 morphologically different germinal layers. These are
called: The Ectoderm gives rise to cells that form tissue
of organs that are exposed to the external environment. These include
the skin; epithelium of cornea, conjunctiva and iris, lens of the
eyes; hair (not roots), nails, teeth enamel, external auditory canal,
tympanic Membrane (ear drum); lower part of anal canal, terminal
part of male urethra, outer part of vagina; lips, cheeks, gums,
outer covering of tonsils. The Endoderm forms cells that are the inner linings
(mucosal linings) of the respiratory system, gastrointestinal system,
and urinary tracts; Epithelium of the gall bladder and extra-hepatic
duct; Endoderm cells of Liver parenchyma. The Mesoderm develops into into two types of tissue:
The Neuroectoderm forms the Nervous system, both
central and peripheral. The Cycle of Development This is a short explanation of embryological development that all medical students learn with the study of Anatomy. A homeopath should get familiar with this early process of development in-utero, as it explains Hering's law of cure beautifully. Also, Vijaykar's concepts then become very appealing. The development of the embryo is a fixed and well timed process of development which does not change. If it does, it results in anatomical and physiological abnormality in the final expression of the developed child. The first area to form is the Prechordal plate which ultimately represents the head or brain and subsequently the other organs begin to develop. This denotes a cephalo-caudal (head-tail)axis i.e., the organs that are of a higher level of importance to organs of lower importance of Hering's law of cure. In contrast, the development of the Mesoderm is paraxially, from inside outwards and from the dorsal to the ventral region. This differentiates the internal organs from those more peripheral, and the deeper organs as more important than the superficial ones (Hering's Law). The Ectoderm is the least important when it forms the skin and most important when it forms the brain or neural tissue. Between the two are the Endoderm and Mesoderm. When we understand which organs originate from which tissue, the difference between organs of more importance and ones of lesser importance become clearer. Based on the embryological Hering's understanding explained above
the layers of disease progression due to suppression would be: Hering’s “Law of Cure” hence
follows the opposite direction to the cycle of development explained
above. The 5 directions of cure are: How does one correlate embryological development with disease progression and miasmatic expression?It would be important at this point to realize that there can exist different types of miasmatic expression at every layer of disease suppression. It is the type of expression that differentiates between the miasms. For example, the skin can manifest either Psoric miasm (simple dermatitis), or Sycotic miasm (Warts) or Syphilitic miasm (Ulcerations). What determines this expression, is the hereditary miasmatic traits as well as acquired miasmatic load. Another subtle point to note, is the pace of disease progression.
The movement is towards a more destructive disease expression over
time, ie: A shift from more superficial layers to deeper layers.
This is the second determining factor of inherited miasm in an individual.
When diseases tend to remain within Ectoderm or Endoderm, it means
there is a strong Psoric trait. When diseases tend to move quickly
into deeper layers of major vital organs or the derivatives of the
neural place, it is indicative of a strong Syphilitic trait. An example of this given by Vijaykar is the case of a child who
developed blindness at 5 months of age. The child was diagnosed
as blind since birth. But the mother insisted that the child used
to smile and respond very well to her untill he was 3 months of
age. she was sure that he could see at 3-4 months. She would not
accept the diagnosis of blindness from birth.
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