| Editorial - Chronic Miasms
and Gestalt Prescribing
||The Hahnemannian classification of
diseases based on theory of chronic miasms is a major breakthrough
towards rational therapeutics.
Introductions of classification have always been an important
landmark in the evolutionary history of any science. It has
given a great boost to the development of scientific discipline
and provided depth and direction.
The studies in the field of vegetable kingdom would have remained
chaotic if the Swedish botanist Linnaeus (1707-1878) had not
introduced a definite rational classification of vegetable entities.
It was French naturalist Cuvier (1769-1832) whose valuable contribution
of classification in animal kingdom gave definite direction,
depth and order to this scientific discipline. In fact no science
can survive without a definite and rational classification of
its materials for study.
Introduction of Miasmatic classification diseases becomes the
most important milestone not only for Homoeopathic world but
the entire medical fraternity. Unfortunately this unique contribution
has become most controversial in the Homoeopathic history. It
has polarised the Homoeopathic profession. We have Allen, Kent
and Robert on one side while Huges, Hering and likes on the
other side who have either ignored, misunderstood or misinterpreted
this doctrine. The past amply demonstrates that successful practice
of Homoeopathic science has been possible only through conscious
or unconscious application of miasmatic concepts.
Allen is quite right in putting across that "the character of
the miasm yields the character of the disease or the form of
the illness." Thus miasm, "the residual poison" inf act permeates
into cell tissues and the spirit of the individual and you see
distinct patterns in the evolution of disease, diathesis as
well as disposition. A similar study of the remedies would allow
us to establish similarity more accurately and at greater depth.
This permits us to build a dynamic living portrait of our remedy
and ensures its fineness and depth. It enhances our ability
to perceive wholly and accurately prescribe on the gestalt.
This demands a sound knowledge base with the capacity to correlate
facts with concepts, ability for precise interpretation of the
artificial and natural drug disease expressions in the light
of miasmatic theory...... effective clinico - pathologic - miasmatic
correlations, rigorous practice of analysis is crucial to the
development of synthetic faculty. Nosodes that have profound
impact on reactivity, immunity and sensitivity provide us a
good platform to study these dimensions.
The following illustrations from practice will demonstrate these
points well: 45 year old Smt. P. K. M. reported with severe
menorrhagea. She is quite sensitive, impatient and anxious.
She has an extremely dictatorial conservative father-in-law
and a submissive family. She came down with renal stones after
marriage. When tension piles up she develops essential hypertension.
Her desire for having an independent house remains unfulfilled.
Her husband comes down with severe depression and anxiety about
children's future remain unsorted. She becomes more touchy,
develops fibroadenosis. As daughters enter college her real
life situation became complex and her anxiety gets escalated.
This resulted in sycotic uterine pathology. Medorrhinum restores
the disturbed psyche and damaged tissues.
In a previous issue, we have studied the case of a businessman
who demonstrated excessive indulgence, excessive desire, and
exuberance with poor execution, commitment and impatience. He
wanted fast results and lacked adequate sensitivity towards
interpersonal relationship and about his responsibility towards
family. This excess is demonstrated at body level in terms of
excess of lipids leading to essential Hypertension, oedema and
spasms of bronchial muscle giving rise to asthma and chronic
balanitis. Life before gonorrhoea gives ample evidence of sycosis
and after gonorrhoea, we have exaggerated form of Sycosis. Medorrhinum
not only removes the illness but also gives some stability of
The miasmatic concept gives a unique perspective to understand
man in his totality. We appreciate his conflict, its consequences
and insight for the resolution. Each human being is characterised
by a miasmatic modulation through which his individuality is
constantly trying to emerge. When the miasmatic obstacle is
so great as to deform some area of human self-realization, symptoms
are produced which reveal to us the conflict between that which
is trying to become realized and the negative influence or obstacle
constituted by the miasm. This is why Hahnemann stated that
when the illness is vanquished by the vital force, the reasoning
power residing in each of us can make full use of its living
and healthy instruments to attain the highest aims of its existence