| Editorial - Miasms, Genetics
& Homoeopathic Prescribing.
||The world around us has
advanced since the time of Hahnemann. The great scientist always
updated his ideas and so should do his ardent followers, keeping
fundamentals intact. Aphorism 3 emphasizes on the comprehension
of nature of diseases. The understanding of disease and its
management is related to man's understanding of himself and
his environment. Life is an evolutionary phenomenon and so is
man and his disease. It is imperative for a Homoeopathic physician
to integrate his knowledge, thereby improving his range and
depth of perception so that his appreciation of the phenomenon
This is the time when genetics has achieved a recognized role
as a core discipline that deals with human variability and human
heredity and has given fresh insight about the inner nature
of diseases, their causes, concomitants, course and consequences.
A homoeopathic physician wedded to holistic perspective cannot
afford to ignore this discipline.
Masters have taught us that miasmatic concept gives unique perspective
to understand man in his totality. Each human being right from
the moment of conception is characterised by a miasmatic modulation
through which his individuality is constantly trying to emerge.
Greater the miasmatic obstacle, deeper and extensive are its
manifestations in health and disease. Unfolding occurs as per
master plan. This is the most superlative abstraction of medical
genetics from the Hahnemannian angle. What is required is:
Thorough analysis of Mendillian laws like Unit Inheritance,
Segregation, Independent Assortment to explore constitutional
types, miasmatic inheritance and behaviour of susceptibility
in the family tree.
Meticulous, long follow-up of the cases with single gene disorders,
chromosome disorders or multifactorial disorders put on Homoeopathic
constitutional - miasmatic treatment and exploring its effects
at the clinical, biochemical and genetic levels. This will involve
molecular cytogenics (study of chromosomes their structure and
Making efforts to touch the "genotype" by establishing deeper
similarity. Genotype of a person is his or her genetic constitution,
either collectively at all loci or more typically at a single
locus. The "phenotype" is the observable expression of a genotype
as a morphological, biochemical or molecular trait.
Clear understanding of molecular and biochemical basis of genetic
diseases. Homoeopathic intervention will demand correcting the
deep-seated dyscrasia..... which will be a gradual process and
quite often through layers.
case from practice will illustrate this:
Mrs. S. D, 41 years old female presented with acute excruciating
pain in limbs and back. She was a case of B Thalassemia and
sickle cell trait.
She would come down with severe exacerbation of sickle cell
crises leading to intense pains mild fever and almost become
bedridden. I was called to see her during such acute exacerbation,
following evolution of the disease.
She was diagnosed with this illness 12 years back. She would
come down frequently with these acute episodes - once every
2 months. Hb will fall to 6 or 7 and the episode would last
for 15 days. Twice she was given blood transfusion. She remained
weak and frail.
Each episode comes up suddenly. This time it began with intense
pain in right shoulder followed by severe pain in left hip.
After few hours it was left shoulder followed by right hip.
Pains were excruciating making her bedridden within a day. Allopathic
medication gives her comfort only after 6 days. Pains are worse
by slightest touch. Intense pain in shin of right tibia. She
is thirstless, chilly and has bitter taste. She belongs to a
]ain family. She has 2 sons. Her husband is clerk in a company.
Her pains were quite intense and she was hardly in any mood
What stood out was Diagonal affection (Direction of pains and
Intense pain in shin of tibia, touch and thirstless and chilly
characteristics. When we correlate this with pains caused by
ischnemia due to haemolysis affecting metaphysis, Manganum comes
up which covered tubercular - syphilitic affection of bones.
Manganum 200 every 4 hrs promptly relieved her pains and she
started walking within 2 days. Later on constitutional type,
Natrum Mur became apparent and was administered. She needed
few doses of Tuberculinum in remission. Her Hb became stable
at around 10 and gradually Serum Ferrittine level also came
down. After 2 years phase changed, she came down with chills
and fever with episode of U. T. I. Sepia picture came and cured
U. T. I. Biochemical parameters showed tremendous improvement
despite Hoemoglobinopathy. She required Nat. Mur periodically
and Manganum phase came hardly twice in last 6 years.
Such cases demonstrate effective clinico-pathalogic-miasmatic
correlations, made and applied in practice. Manganum totality,
use of Tuberculinum and posology used; all were dependent on
the understanding of nature of illness and miasmatic state in
Haemolytic Anemea. Integration of miasmatic totality is crucial
for the Anamnesis of cases of genetic disorder. Revisiting this
area with Homoeopathic perspective will be immensely helpful
to the entire medical fraternity and help them to handle many
serious genetic disorders where very little is done by others.
Nosodes, being the most potent and deeper forces of our armamentorium
can play a decisive role. This will demand wholehearted acceptance
of miasmatic doctrine, keeping our analytical faculty open,
agile and active. Our ambivalence to our own philosophy will
be disastrous and self-destructive.