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Understanding the miasms in Homeopathy

BY James Tyler KENT, A.M., M.D.
Presented by Dr Robert Séror
LECTURE 26 : The examination of the patient (continued)


The whole lecture is important, but here is just a small quote.

Kent says
'It is important to avoid getting confused by two disease images that may exist in the body at the same time.'

'You must realize that the effort to prescribe for two distinct miasms will result in error.
  Homeopathy International 1 on 2010-12-10
This is just a forum. Assume posts are not from medical professionals.
This is an excellent article by Dr. Kent.

My understanding is its main purpose is to help practitioners understand the difference between the Chronic state and a True Acute. A True acute is not an acute flare-up of the Chronic state, but a new state that, according to the principle of cure by Similarity, must be dealt with separately and not mixed up with the quietened chronic symptoms.

There is a difference between the 'epidemic' miasm and the chronic miasm. Mostly when I discuss miasms I am referring to the latter rather than the former. I find that it is confusing to mix them up, and prefer to call the epidemic miasm a true acute instead, since it does not rely on the chronic weakness of the patient.
brisbanehomoeopath last decade
The point Kent makes is that one must be able to see a case and understand what miasms (plural) are operating in it.

'It is of the greatest importance in such cases to be able to separate and distinguish one thing from another, so that you may know what you are prescribing for.'

'Never prescribe for any two conditions, unless they be complicated.

Only chronic diseases can be complicated with each other.'
Homeopathy International 1 last decade
The article is about distinguishing the acute from the chronic - both of which he refers to as miasms.

'A chronic patient, for instance, may be suffering from an acute disease and the physician on being called may think that it is necessary to take the totality of the symptoms; but if he should do that in an acute disease, mixing both chronic and acute symptoms together, he will become confused and will not find the right remedy.

The two things must be separated'

In this particular article, he is not referring to two chronic miasms, but an epidemic disease, and the patient's chronic disease.

'This illustrates the doctrine of not prescribing for an acute and chronic trouble together.'

And it is excellent advice that I have found very valuable in clinic.
brisbanehomoeopath last decade
As I said earlier, the use of the word 'miasm' may either mean any morbific influence that causes disease, acute or chronic - or it may mean the chronic state/disease of the patient.

Typically when I talk about miasm I am referring to the chronic disease not the acute illnesses that come and go. I find it is confusing to people to be calling them both miasm, since acute diseases do not depend upon the chronic susceptibility of the patient.
brisbanehomoeopath last decade
David - Why are you using miasm and diathesis interchangeable? CD clearly defines them as separate though dependent.
Niel Madhavan last decade
Actually you are right I have not been very precise. I meant to say the cause of the chronic state/disease of the patient, not the state itself.

I can see that if one uses the term miasm in its broader sense my comments seem somewhat irrelevent.
brisbanehomoeopath last decade
I'm not sure why this is a subject of debate, as this seems to me to be one of the most basic and fundamental elements of all homeoapthy.


Kent describes it here...
LECTURE 21 : Chronic diseases-sycosis

'It is important to know whether that patient is syphilitic or sycotic.

You know that everybody is psoric, but those that have lived a proper life have escaped the two contagious diseases which man acquires in the first place by his own seeking.

When a patient has gone to the end of typhoid or some lingering disease, you know that he is psoric ; but if you also know that he is syphilitic, or that he is sycotic, you can conduct his convalescence into a speedy recovery, and if he denies these things you may be puzzled.

The sycotic patient may go into a state of do nothing and decline at the end of a typhoid fever ; convalescence will not be established, he will lie with an aversion to food ; he does not react, he does not repair, there is no tissuemaking, no assimilation ; there is no vitality, he lies in a sort of semi-quiescent state ; there is no convalescing in the matter.

If you know he is a sycotic patient, he must have an anti-sycotic remedy, and then he will begin to rally.

If a syphilitic patient, he must have an anti-syphilitic remedy.

If neither of these miasms are present, a remedy looking towards his psoric state will cause him to rally.

The nature of these cases must be kept in view, you must remember that these chronic miasms are present in the economy and after an acute illness very often have to be fought.'
Homeopathy International 1 last decade

These days ...can also see Tubercular miasm also present in many patients.

Punkaj Varma
PANKAJ VARMA last decade
Yes yes I agree - I apologize again for misunderstanding the purpose of this particular post.
brisbanehomoeopath last decade
My reason for discussing this is to point out that Hahnemann, Bonninghausen, Herring, Kent, Allen, and many others believe that a patient can have more than one chronic miasm at a time. (in addition to acute miasms).

What if a patient walks into your office with excema and tells you that they had ghonnorhea a month before? What if they also tell you that they had been vaccinated for TB a year ago?
Homeopathy International 1 last decade
In such a case, if the symptoms call for a multi-miasmatic remedy such as Sulph, Calc, Lyc, Sil, etc., then one will often observe several of the miasms dissolving with use. Sometimes they will all be cured with one remedy, in other cases, one may need more.
Homeopathy International 1 last decade
That is how Dr. Eizayaga of Argentina came out with the model of 'layers of disease'. He also said that a miasm may not show up in a patient for considerable time ...being a dormant miasm. At a particular stage in his /her life it might begin to manifest.

Also, don't forget to take into account the cancer miasm.

Punkaj Varma
PANKAJ VARMA last decade
I am posting all this for readers who are learning homeopathy.
PANKAJ VARMA last decade
Is this theory similar to Hahnemann's layers of miasms?
Homeopathy International 1 last decade
Dr. Eizayaga of Argentina has explained things in more detail.

Sequence of prescribing for each layer is detailed.

James Compton Burnett...probably ...in his simplistic way followed the layered analysis and prescribing. However, based on his experience ...he did not list out a model of analysis and prescribing for future generations to use.. ( He was very successful in his endeavors with respect to treating many complex cases).

Dr. Eizayaga of Argentina has defined a model for analysis and treatment of layers of disease...that includes miasms.

Punkaj Varma
PANKAJ VARMA last decade
For learners of homeopathy:

Miasm .....is the kind of 'soil' in which one is born.

Punkaj Varma
PANKAJ VARMA last decade
Family history can reveal clues to the miasmatic analysis of the patient's case.
PANKAJ VARMA last decade
Yes, we've all inherited miasms (psora, sycosis, tb, syph). There are also acquired miasms such as skin conditions such as acne, scabies, etc., venereal diseases, etc.
Homeopathy International 1 last decade
James Compton Burnett introduced the idea that some vaccinations can infect one with acute miasms, and called this vaccinosis.
Homeopathy International 1 last decade
Some modern authors consider homeopathy to be it's own miasm, while many traditional homeopaths see some connection between cancer and the sycosis miasm.
Homeopathy International 1 last decade
That was supposed to read...

Some modern authors consider cancer to be it's own miasm, while many traditional homeopaths see some connection between cancer and the sycosis miasm.
Homeopathy International 1 last decade
Every homeopathic practitioner should review this regularly.


The Chronic Diseases, their Peculiar Nature and their Hom┬ťopathic Cure.
by Dr Samuel Hahnemann

Homeopathy International 1 last decade
A great resource for people who want to use homeopathy at home is Margaret Tyler's Homeopathic Drug Pictures.

Homeopathy International 1 last decade
Bump again for review.
Homeopathy International 1 last decade
Here are internet texts for Samuel Hahnemann's Organon of Medicine, and Chronic Diseases.


Homeopathy International 1 last decade

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