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Why should We Know Miasm ?
A thorough dissection and incorporation of miasm in
each case will help a homoeopathic prescriber in the following ways:
(i) A deep acting anti-miasmatic medicine by virtue of its
centrifugal action will open up such cases (brings to the surface the
suppressed symptoms) where the totality of symptoms cannot be framed due
to a scarcity of symptoms (i.e. one-sided cases), and those cases with
conjoint or contaminated pictures due to various physical, emotional or
iatrogenic suppressions.
(ii) Also of importance is the value of selecting an anti-miasmatic
medicine, which covers the psychic essence, nature and character of the
individual in absence of any recognisable totality. For example, a patient
presents with insomnia with no distinguishing modalities or other
characters to complete the symptom. By ascertaining that person's psychic
essence or character (for instance, suspicious, jealous and exploiting in
nature, representing sycosis) we can prescribe an anti-miasmatic medicine
to cover the insomnia and open up the case. Thus, the anti-miasmatic
medicine covering the essence of the person is capable of surfacing the
suppressed symptoms and the totality can then easily be framed.
(iii) To be more confident in prescribing by including the surface
miasm of the case in the consideration of the totality; as miasm, the
dyscrasia of the person, constitutes a major part of that totality. Miasm
and the symptoms are nothing but the two sides of the coin, and one cannot
be considered whilst ignoring the other. In fact, the totality of symptoms
cannot be said to be total until and unless the selected remedy covers the
miasm.
(iv) To evaluate the necessity of a change in the plan of treatment
or a change of remedy; when few symptoms have disappeared after the first
remedy has been administered, yet the miasmatic totality shows the
preponderance of the same miasm on the surface as that which was
originally covered by the initial remedy. It indicates that the prescriber
can stay with that initial remedy, as can be seen from the following
example: a patient came with the presenting symptom of facial wart, for
which Causticum was prescribed. As this medicine covers the miasm (here in
this case, sycosis) as well as the symptom, the wart has fallen off; and
the next suppressed layer, perhaps a profuse yellowish leucorrhoea (which
was previously suppressed by cauterisation) comes to the surface. This
symptom too is a sycotic manifestation, and is also covered by Causticum,
then that remedy will totally eradicate the problem. So knowledge of miasm
guides us to stay with the remedy and to allow its full and complete
action.
(v) To evaluate the homoeopathic prognosis of the case, as removal
of layers of suppression are manifested as clarity of symptoms and also
reflected by a quantum jump in the sense of well being. Deep acting
anti-miasmatic medicines by virtue of their centrifugal action will remove
the layers of suppression which can be evidenced as follows:
a) A quantum jump in the sense of well being.
b) Improved energy.
c) Increased appetite.
d) Better quality of sleep.
e) Harmony and tranquillity of temperament.
f) Stability (in obese people) or weight gain in under weight subjects.
g) Clarity of the existing or presenting symptoms or even lighter
symptoms.
h) Suppressed symptoms (even of years ago) reappear on the surface and are
permanently eradicated. This reappearance can be in a very transient form,
which may not even be visible to the naked eye.
(vi) To fulfil Hahnemann's three injunctions of cure: rapid, gentle
and permanent.
Anti-miasmatic medicines help to clear up the suppressions (in relation to
the past); clear up the presenting symptoms from their root or origin (in
relation to the present); and clear up the susceptibility to get infection
and thereby strengthening the constitution (in relation to the
prophylactic aspect or future).
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