psora sycotic tubercular syphlitic HAHNEMANIAN CONCEPT OF MIASMS

psora sycotic tubercular syphlitic HAHNEMANIAN CONCEPT OF MIASMS

psora sycotic tubercular syphlitic HAHNEMANIAN CONCEPT OF MIASMS BACKGROUND 18th century physicians weak in chronic diseases Avoidence of T/t Hahnemann --- he can cure what he will and what he is asked to cure. Knowledge

Acute sub acute chronic diseases -- veneral disease ( syphillis ) Hahnemann --- leipzic --- coethen (1821 ) attention more on chronic sufferers . Mode of T/t -- by name ---- gout (sulfuric acid) -- by symptoms . -- by cause -- material . SITUATION -- dynamic. Non venereal chronic diseases T /t - remedies fully proved unto the time. always returned _ in more or less varied form _ with new symptoms. repeated annually with increased complaints

SOLUTION proving of new remedies didnt advanced healing BUT by single step. Thought provoking experiments and observations C Not only to combat disease presented before eyes . L U E BUT To encounter fragments of deep

seated original disease. well defined ,separately existing disease CHRONIC DISEASE CHRONIC DISEASE if untouched --- as over yrs with mans lifetime. --- food , robust constitutions cant diminish it. --- never pass away by themselves. but, --- increases and --- aggravates till death. So, Something is there, for there origin and foundation . and enables to continually rise and grow.

CHRONIC MIASM KENTS CONCEPT OF MIASM Psora the beginning Evil Thinking willing The Original Sin No one on earth without psora. The Itch Simple state to very complex state.

Lasts until last breath ,contagious Psora - Always state & condition precedes action . - As life of man, will of man, so body of man. - As internal so is external, image of own comes out. Itch is limited thing.Noahs flood. - Violent aura leprosy.milder form of psora. - Ancients referred leprosy as an internal itch. - Today's human race is better than moral leper. - Thinking, willing & acting that makes of science of human race.

Lasts untill last breath ,contagious. Not exists in perfectly healthy state. To understand have to accept world of god. False thinking enters state which was perfect correspondence. No one on earth without psora. Simple itch.. Scaly eruptions. No scabies in healthy child. Generations to generations susceptibility to it increases. PSORA Without psora no disease. Primary disorder of human race. Beginning - spiritual sickness (original sin ) progressed to true susceptibility foundation for other disease. Simple state to very complex state.

Chronic & acute miasm. No cure with superficial remedy. Transformation of miasm From generations generation. Primary psora..primary psora. 1st stage sycosis 1st stage sycosis. Advanced stage. Advanced stage. Miasms are carried forward as they are i.e. they shows advanced manifestations & do not show the previous stages again. e.g. wife shows advanced stages of syphilis which

she has got from husband already having primary manifestations. Psora-1 6yrs old child, a eldest son of the family SKIN - A/F WINTER ITCHING DRYNESS Foreign body in the eyes Pricking in the eyes EYES - ITCHING IRRITATION REDNESS LACRYMATION S

E N S A T I O N Burning sensation A S Noises in the ears I F Lean thin person

Fears of being scolded Fear of animals Fear of ghosts Fear of darkness & alone SENSITIVE CHILD3 Laughs on being scolded No regrets Dreams frightful Cr eggs2 sweets2 cold drinks2 Av - milk2 o/e T- N Tg moist coated R.S./ P.A. - NAD REPERTORIAL SYMPTOMS Itching < winter

Dryness of skin Foreign body sensation in the eyes Pricking sensation in the eyes Sensation of noises in the ears Dreams - frightful Cr eggs sweets2 cold drinks2 Av - milk2 Perspirations - back SULPH PHYSICAL MIND HYPERSENSITIVE

IDIOSYNCRACY PHYSICAL SENSATIONS AS IF AS THE STRESS FACTORS ARE REMOVED SYMPTOMS DISAPPEAR NO STRUCTURAL CHANGES Miss rsd 4/f Blephritis Dermatitis Eye Mucus membrane redness < summer/ < morning Skin eruption Boils discharging itching

IRRITABLE OBSTINATE ACTIVE SKIN MUCOUS MEMBRANE OBSTINATE ACTIVE PSORIC ITCHING PLAYFUL IRRITABLE HOT

SUPPURATION < Summer < Night < Morning Psora-2 M.S.Y 2Yrs F/H-NAD P/H-NAD LEAN THIN HOT PT PRS-PROFUSE-FACE CR-EGGS MILK SWEETS SLEEPS ON ABDOMEN MIND ACTIVE

INTILLEGENT MIXES EASILY TIMID ATTACHMENT IRRITABLE FEAR OF DARK FEAR OF ANIMALS Dermatitis S Skin- dermis inflammation vesicular dilatation, vesicle formation, thickening of dermis T 1 yrs Fo Itching of whole body, esp. palms ,soles, back & trunk

Fn protection vesicular erruption scaling, PSORA watery discharge < scratching after. < winter, > local appl O/E palm, scalp, feet, trunk vesicular erruptions, scaling, thickening. Chronic constipation S Rectum, sigmoid colon T - 11/2yrs Fo

Hard stools has to remove mechanically Stool ball like, & recedes back Pain < before stools h/o of worm infestation > deworming Fn Motility & capacity for absorbtion decreased PSORA TOTALITY CONSTIPATION IN CHILDREN HARD STOOLS SKIN SUPPRESSION BY LOCAL APPLICATION RESERVIBLE NO

STRUCTURAL CHANGES P S O R A Loving Affectionate, mixing Active playful, restless timidity CR Egg Cr sweets Sleep on abdomen Hot pt Sulph 200 1P

Case No. 1 Presentation 7 yr old /girl Proteinurea +++ Edema Hematuria Totality A/f Fright Suppression Fearful Hot Cr sweet Associated complaints Nocturnal enuresis helminthiasis Fear Fever

Suppression Posology Susceptibility moderate Sensitivity high Nephritis Opium 200 single dose 8 WEEKS CONVENTIONAL 7 WEEKS HOMOEOPATHIC 6

5 4 3 2 1 ODEMA HYPERTENSION HEMATURIA PROTEINUREA Psora-3 M.S. 3yrs GIT - Loose stools since 3-4 dys

Stools semisolid, offensive yellowish 7-8 times per day O/E-R.S Clear. Redness around anal orifice P.A. - NAD Nose - N R.S. watering from nose yellowish discharge mild rattling in the chest cough wet vomitting out thick white sticky since 1mnth on & off TOTALITY OF SYMPTOM

Lean ,Thin [Looks like old man] Marasmus shrivelled skin Anal excoriation with peeling of skin and redness Body warm always poor assimilation PSORA CASE 2 STAMMERING IN A 6 YEAR BOY SINCE 1 YEAR INITIAL HESITANCY STAMMERS THEN AFTER 5 MINS STOPS TALKING COMMUNICATES THROUGH GESTURES PATIENT AS A PERSON LEAN

AMBITHERMAL .CHILLY CRAVING ICE CREAM CHOCOLATE TOTALITY SENSITIVE SYMPATHETIC REPRIMANDS ANXIOUS WHEN SOMEBODY IS ILL DOES NOT ALLOW SCOLDINGS TO SISTER LOVES ANIMALS ANXIETY ANTICIPATORY CONSCIENTIOUS DOES NOT ALLOW COPYING CRAVING CHOCOLATE/ICE CREAM

Susceptibility Sensitivity pace moderate pathology functional characteristics moderate mind high Dominant Miasm psora CRITERIA RESPONSE TO CALL REFUSAL TO TALK ANTICIPATORY ANXIETY SENSITIVITY TO REPRIMANDS STAMMERING FOLLOW UP >50% IN FIRST DOSE BUT NO FURTHER RESPONSE FOR NEXT

ONE MONTH POTENCY STEPPED UP TO 1M WEEKLY SINGLE DOSE AT THE END OF 4 MONTHS COMPLETELY AMELIORATED Case 1 Jaundice since 6 days Fever moderate range Loss appetite Icterus Vomiting Stool pale coloured Chilly Lean Delivered a child 1 day ago Serum bilirubin 9.8 Born in a poor fisherman family Felt bad about being poor

Could not take single word from anyone Very sensitive ego Simple husband dissatisfied Looks down on husband Irritable Looked into eyes of physician Contemptuous gestures Egoistic Dominating Irritable Manipulative Dissatisfied Indifference Chilly

prime contemptuous weepy sad beyond self Susceptibility Pace moderate Pathology Inflammation infective cholestatic stage Sensitivity MENTAL SENSITIVITY: DOMINANT MIASM: HIGH PSORA PLATINA 200 SINGLE DOSE

FOLLOW UP ASYMTOMATIC IN 24 HOURS S.BILURUBIN 2.2 IN 5 DAYS NORMAL WITHIN 7 DAYS CONCLUSION Hypersensitivity of mind Hypersensitive to external stimulation Sensation & altered functioning Affections of mainly skin ,mucous membranes & nerves ITCH as presentation on skin Mainly functional changes are observed Structural if present are REVERSIBLE suppressions of primary defence. Primary deficiency syndrome SUSCEPTIBILITY It is the capacity of living organism to receive and react to stimuli both internal and external

Susceptibility is one of the fundamental attributes which differentiates living from non living. Alleviation of disease depend upon the same power of the organism to react to the impression of curative remedy LIFE SUSCEPTIBILITY FUNCTIONING VITAL PHYSIOLOGICAL

Ingestion Digestion Assimilation Nutrition Repair Secretion Excretion Metabolism Catabolism PATHOLOGICAL Diathesis Prodrome Functional Phase

Structural Phase Reversible 5. Complications 6. Squeal 7. Covalence Irreversible CLINICAL PHYSIOLOGY CHARACTERISTICS Appetite / Weight Sleep / Height Stool / skin Individualizing characteristic reflection of susceptibility

Urine / Hair Menses Perspiration Epochs Sensation as if: Birth / Puberty / Pregnancy / old age MENTAL HEALTH 1. Milestones ---- Psychological 2. Emotions 3. Intellectual Mental state 4. Subconscious 5. Vulnerabilities Causation 6. Sensation as if

Modalities Heightened sensitivity 1. Pregnancy 2. Neonate 3. Hypersensitive disorders 4. Disabled / Individual with special abilities

5. Idiosyncracies IDIOSYNCRASIES Peculiar corporeal constitutions which although otherwise healthy, posses a disposition to be brought into a more or less morbid state by certain things which seems to produce no impression and no change in many other individual Sycosis Two types of gonorrhea. Require antisycotic remedy. Anamnesis of case enables us to look at constitutional state of sycosis. Wife gets from husband in which state it

was. Sycotic nasal catarrh, breaking down of organs , rheumatic affections, etc. In children tendency to marasmus, old appearance of face, waxy, anaemic, lieanteric stools no digestions. Recovery is always slow. Who lives proper life escapes from sycosis & syphilis. More the human race becomes susceptible to acute & epidemic diseases. Case 40/f Nuchal headache Pulsating pain Nausea Palpitation giddiness

Patient as a person Hot Menses stains Av sweet Sun headaches BP 180/110 Sensitive to reprimands Anxious Timid Fear dark/ghost Suspicious Confused due to anxiety form time

structure function Susceptibility Pace moderate Pathology Sodium retention increased intracellular fluid + Atherosclerosis Characteristic generals Sensitivity mind /nerves mod .high Dates 2/1 3/1 4/1 7/1

9/1 1o/1 11/1 12/1 18/1 19/1 20/1 24/1 5/2 23/2 12/3 Am Pm Rx 150/100 150/100

140/100 130/90 130/90 120/80 150/110 130/96 130/90 130/90 120/80 120/80 120/80 120/80 180/110 150/100 140/100 140/98 140/100 140/96 120/90

130/90 120/90 120/84 120/80 no medicine medo 200hs Headache Headache Headche medo200bd medo200tds medo200tds medo 1m hs Headache Restoration of the patients to health represents. The

reaction of the susceptible organism to impression of curative remedy Reaction to medicines depends upon the degree of susceptibility of the patient. Since cure consists simply in satisfying the morbid susceptibility of the patients Implies susceptibility as attribute exists in every individual & carries its peculiar stamp in health. In disease it may become morbid & perverted hence to satisfy the susceptibility supply need & modify it. By using suitable modifying agents. AS A CONSTITUTIONAL GENERAL OPD- DR.NAVIN / BELLWIN DIAGNOSIS: 1. GASTRIC ULCER 2. ESSENTIAL HYPERTENSION 3. PRIMARY IDIOPATHIC

HYPOTHYROIDISM 4. HAEMORRHOIDS 5. OSTEOARTHRITIS PASTHISTORY 1. BRONCHIAL ASTHMA 2. LEIOMYOMA OF UTERUS HYSTERECTOMY PRIMARY IDIOPATHIC HYPOTHYROIDISM STRUCTURE THYROID GLAND FOLLICLEINFLAMMATIONATROPHY SUDDEN ONSET INSIDIOUS 1 YEAR

FORM A/F HYSTERECTOMY CHILLY ? WEIGHT GAIN MIASM SYCOSIS FUNCTION T3,T4 TSH BMR .SLOWING OF PHYSIOLOGICA .FUNCTIONS .AFFECTION OF LIPID METABOLISM . LIPOLYSIS. ACC. OF HYDROPHYLLIC MUCOPOLYSACCHARIDE IN CONNECTIVE TISSUE. ESSENTIAL HYPERTENSION STRUCTURE BLOOD VESSELS HYALINE DEPOSITION WALL THICKENING OF

ARTERIOLES NARROWING OF LUMEN SUDDEN ONSET INSIDIOUS 1 YEAR FORM ARTERIOSCLEROSIS FUNCTION RENIN ANGIOTENSIN 11 MECH. PERIPERAL RESISTENCE, CO, VASO CONSTRICTION, ALDOSTERONE SECR, SODIUM FLUID RETENSION. NA. EX CERETION. MIASM : SYCOSIS

GASTRIC ULCER STRUCTURE STOMACH : MUCOUS MEMBRANE _ EROSION MUCOSAL ATROPHY ? THICKENED BOGGY MUCOSA SUDDEN ONSET INSIDIOUS 1 YEAR FORM PAIN IN EPIGASTRIUM COLICKY PAIN A/F HYSTERECTOMY BURNING , NAUSEA, VOMITING.

FUNCTION HP COLONISATION HCL SECR.& PEPSIN SECR. IMBALANCE B/W MUCOSAL DEFENCE MECH & DAMAGING FORCES. MIASM : SYCOSIS BRONCHIAL ASTHMA STRUCTURE INSIDIOUS ONSET SLOW PROGRESS ( 13 YEARS) FORM TRACHEO BRONHIAL TREE AIRWAY INFLAMMATION BRONCHO SPASM

HYPERTROPHY OF BRONCHIAL MUSCLE INCREASE SIZE OF MUCOUS GLANDS. FUNCTION BREATHLESSNESS MUCOUS SERETION STARTS W ITH CORYZA RELEASE OF MEDIATORS COUGH HYPER RESPONSIVENESS OF AIR WAY < CLOUDY WEATHER

SPUTUM: WHITE, STICKY. MIASM: SYCOSIS SYCOSIS MIASM FEATURES. DISEASE FEATURES BRONCHIAL ASTHMA. HYPERTROPHY HYPERTROPHY OF BRONCHIAL MUSCLE EXUDATION MUCOUS SECRETION SPASM

BRONCHO CONSTRICTION BRONCHO SPASM OEDEMA SIZE OF MUCOUS GLANDS. PHASE CHRONIC - 13 YEARS SLOW PHASE SLOW INSIDIOUS S Y C O

S I S ( HYPERRESPONSIVENESS IS THE FEATURE OF PSORIC MIASM. IN BRONCHIAL ASTHMA HYPERRESPONSIVENESS OF AIRWAYS IS AN IMPORTANT FEATURE. BUT WHILE CONSIDERING THE DISEASE PROGRESS ( SLOW INSIDIOUS PHASE) AND THE OTHER FEATURES STRUCTURAL ALTERATIONS) , THIS CASE FIT IN TO THE SYCOSIS, AS A DOMINANT MIASM.) TOTALITY OF THE PATIENT 1. A/F HYSTERECTOMY SUPPRESSION ( SURGICAL) 2. A/F DELIVERY 3. A/F SCOLDED BEING , ADMONITION WEEPS 4. < ANTICIPATORY ANXIETY 5. TRAVELLING IN BUS < 6. SUN HEAT < 7. SMELL OF FOOD NAUSEA & VOMITTING 8. FEARFUL ON SEEING DEAD PEOPLE.

9. ACCIDENT, BLOOD, ANIMAL 10. ANXIOUS ABOUT OWN HEALTH. 11. FASTIDIOUS, SENTIMENTAL,SYMPATHETIC 12. WEEPS EASILY, BROODING 13. MENSES: BLACK, STAIN BROWN/ 14. AVERSION SWEETS, MILK 15. CRAVING HIGHLY SEASONED FOOD 16. CRAVING SOUR, PICKLE 17. SUPPURATION TENDENCY 18. BLOCKING / LUMP SENSATION IN RECTUM & THROAT 19. THIRST- REDUCED. REPERTORIAL SYNDROME: 1.A/F SUPPRESSION 2.A/F DELIVERY 3.A/F ANTICIPATORY ANXIETY 4.< RIDING ON CAR 5.< SUN HEAT 6.< SMELL OF FOOD 7.SUPPURATION TENDENCY

8.LUMP/BALL SENSATION IN RECTUM PDF 1. FASTIDIOUS 2. SENTIMENTAL 3. SYMPATHETIC 4. ANXIOUS ABOUT OWN HEALTH 5. MENSES: BLACK 6. MENSES: STAINING 7. CRAVING SOUR 8. AVERSION MILK 9. AVERSION SWEETS 10. A/F ADMONITION REPERTORIZATION 1 2 3

4 5 6 7 8 TOTAL CALC-C 2 2 3

1 1 3 3 --- 15/7 LACH. 3 --- 1

2 3 1 3 2 15/7 PULS 2 1 3

1 3 3 5 --- 18/7 SIL 3 1 3

2 --- 3 5 2 19/7 SULPH 3 2 1

2 1 1 4 1 15/8 THUJA 3 1 1

1 1 1 2 1 11/8 NAT.M --- 1 1

1 3 1 2 2 11/7 PHOS --- 2 3

1 --- 3 3 1 13/6 SEPIA --- 3 1

3 --- 1 4 3 15/6 NUX-V --- 2 1

1 2 1 3 --- 9/6 CHOICE OF REMEDIES CALC-C SIL LACH PULS

SULPH THUJA PDF 1 2 3 4 5 6 7 8

9 10 TOATAL CALC-C --- 1 --- 1 --- --- 2 2

1 1 LACH. --- 1 1 --- 3 --- 2 - 1

--- --- 8/5 PULS 3 2 1 1 3 1 2 2

1 SIL 1 --- --- 1 --- 1 --- 2 SULPH

1 2 --- 1 2 --- 2 2 THUJA 1 1

--- --- 1 1 --- --- --- 5/5 1 8/6 --- 16/9 --- --- 5/4 2

--- 12/7 HOT CALC-C CALC-C CALC-C LACH. LACH PULS PULS SIL SULPH THUJA CHILLY FINAL

CHOICE SIL SIL SULPH --THUJA THUJA PATIENT MIASM S Y C O S I S

REMEDY T H U J A U T E R U S M Y O M A

HYSTERECTOMY SYCOSIS E X P R E S S I O N STRU CTUR AL METASTASIS

SUPPRESSION AFFINITY JOINTS THYROID HYPO THYROID SLUGGISH METABOLISM WT GAIN SYCOSIS ARTHRITIS STIFFNESS

SWELLING + C.F STOMACH GASTR.ULCER BL- VES RECT- VEIN ESSEN.HT PILES COLIKY PAIN NO FORM LUMPY SENS.

+ CHILLY THUJA SYCOSIS MIASM FEATURES. DISEASE FEATURES BRONCHIAL ASTHMA. HYPERTROPHY HYPERTROPHY OF BRONCHIAL MUSCLE EXUDATION MUCOUS SECRETION

SPASM BRONCHO CONSTRICTION BRONCHO SPASM OEDEMA SIZE OF MUCOUS GLANDS. PHASE CHRONIC - 13 YEARS SLOW PHASE SLOW INSIDIOUS S Y

C O S I S ( HYPERRESPONSIVENESS IS THE FEATURE OF PSORIC MIASM. IN BRONCHIAL ASTHMA HYPERRESPONSIVENESS OF AIRWAYS IS AN IMPORTANT FEATURE. BUT WHILE CONSIDERING THE DISEASE PROGRESS ( SLOW INSIDIOUS PHASE) AND THE OTHER FEATURES STRUCTURAL ALTERATIONS) , THIS CASE FIT IN TO THE SYCOSIS, AS A DOMINANT MIASM.) THE COMPARISON OF CHRONIC MIASMS BY PHYLLIS SPEIGHT Mr. Noel Puddephatt introduced her to the writings of the homoeopathic masters like

Hahnemann, Herring, Kent, Clarke, to name a few. Hahnemanns chronic diseases -- Psora Haehls Life of Samuel Hahnemann J.H. Allens 2 volumes of The Chronic Miasms Based entirely according to Allens book on miasms. She calls the tubercular miasm mentioned by Allen as Pseudo Psora. Claims no originality of work and is very modest. Sources: Allen J H- Chronic miasms. Hahnemann- Theory of chronic diseases Roberts philosophy Banerjee - Chronic diseases HAS MENTIONED IMPORTANT POINTS IN THE CHAPTER OF TASTE. FINE DISTINCTION OF TASTES IN ALL THE 4 MIASMS IS EXPLAINED.

TASTE SHOULD BE NEUTRAL AND ANY PERVERSION OR FALSIFICATION HAS A MIASMATIC BASIS. FOUL TASTE OF NUX VOMICA WORSE MORNING HEPAR, TUB AND PYROGEN HAVE TASTE OF PUS BEFORE COUGHING. ALL METALLIC TASTES MAKE US THINK OF SYPHILIS OR THAT THE TUBERCULAR ELEMENT IS PRESENT. Desires and aversions stand high in therapeutic value as they are the basic miasmatic symptoms next in importance to perverted mental phenomenon in disease Skin and mind are exhaustively covered. Sycosis Sycotic patient is barometer. In any stage, in any form, it takes the precedence of the 3 miasms. Natural discharges never ameliorate sycotic

patientslike persp, etc. Sycotic manifestations are characterized by slowness of recovery. Suppressions: PSORA spends it force when suppressed upon the nervous system, or upon nerve centers, often producing nervous and mental phenomena of a serious character, all ameliorated when an eruption is thrown up on skin. SYCOSIS- Sexual organs are affected producing inflammatory diseases, hypertrophies and abscesses, cystic degeneration, mucous cysts and when thrown upon brain produces headaches, severe acute mania, and central insanity. PSORA ITCH OR ITCHING PAPULE SYCOSIS CATARRHAL DISCHARGE SYPHILIS VIRULENT OPEN ULCER ADDITIONAL NOTE ON SYCOTIC AND SYPHILLITIC REMEDIES IS ALSO GIVEN.

Inflammation and fever are in reality the manifestation of that vital reaction or resistance on the part of the organizations which is the means by which the real natural, curative antibodies and antitoxins are produced Inflammation & fever are not evils per se. DR.HAHNEMANNS VIEW SCABETIC ERUPTION (ITCH) H I S T O R Y

URETHRAL DISCHARGE (GONORRHOEA) VENERAL ULCER (CHANCRE) S U P P R E S S I O N PSORA

SYCOSIS SYPHILIS (LOCAL APPLICATION) POST HAHNEMANNS DEATH EXTENSIVE DEVELOPMENT IN FIELD OF PATHOLOGY INCREASE KNOWLEDGE OF PATHOGENESIS INTERPRETATION OF MIASMS KNOWLEDGE OF

PATHOGENESIS PACE TISSUE DISEASES ALTERED RESPONSE STIMULUS INTERNAL EXTERNAL STIMULUS STIMULUS MENTAL

external physical PHYSICAL STIMULUS PSORIC SYCOTIC TUB RESPONSE ? SYPHILIS R E

STIMULUS +1 E N PSORIC V S P O N S E APPROPRIATE

PROPORTIONATE FUNCTIONAL REVERSIBLE E L O P E S +1 MIND emotion M.M SKIN

STIMULUS +1 R SYPHILITIC E S P O N S E RESPONSE GRADUAL OR SUDDEN DISPROPORTIONATE DESTRUCTIVE LACKING IN

SYMPTOMATOLOGY AFFECTING VITAL ORGANS -4 V I T A L O R G A N S THE CHRONIC DISEASES. HAHNEMANNS TASK SEEN AS THE GREATEST WORK ON THE

CLASSIFICATION OF DISEASES IN A LOGICAL MANNER, ACCORDING TO THEIR ORIGIN (FUNDAMENTAL CAUSE) THE FOUR MAJOR CLASSES: 1. OCCUPATIONAL OR DRUG DISEASES. 2. PSORA 3. SYPHILIS 4. SYCOSIS HAHNEMANN HELD THAT ALL THE CHRONIC DISEASES ARE DERIVED FROM 3 PRIMARY, INFECTIOUS AND PARASITIC SOURCES. THEY CANNOT BE ERRADICATED FROM THE SYSTEM AND THEY ONLY GROW WITH TIME IN A PARTICULAR PERSON, AND ONLY LIVING ORGANISMS GROW. HENCE MIASM HAVE TO BE LIVING ORGANISMS. HAHNEMANNS TEACHING ABOUT THIS LIVING, INFECTIOUS AND PARASITICAL NATURE OF THE DISEAE PRODUCING AGENT WAS CONFIRMED BY THE DISCOVERY OF THE MICROORGANISM.

CONDITIONALITY OF THE ACTION OF THE MAISM DOCTRINE OF LATENCY: THE COPNCET OF LATENT MIASM COMPARED WITH THE LATENCY OF THE BACTERIA IN THE BODY FOR LONG TIMES BEFORE IT PRODUCED ANY VISIBLE MANIFESTATIONS. e.g. INFCTION OF TUBRCULOSIS OCCURS IN YOUNG AND IT MAY MANIFEST MANY YEARS AFTER. METASTASIS: THE TRAVEL OF DISEASE FROM THE SKIN TO THE INTERNAL ORGANS COMPARED TO THE EMBOLISM AND SPREAD OF THE CANCEROUS CELLS TO DISTANT PARTS. THE IDENTITY OF PSORA AND TUBERCULOSIS: TUBERCULOSIS WAS RGARDED AS THE MOST UNIVERSAL SCOURGE OPF THE HUMAN RACE. LEPROSY BACTERIA RESEMBLES THE TUBERCULOSIS

BACTERIA VERY CLOSELY. HENCE TUBERCULOSIS AND ALL THE RELATED ILLNESS TO IT WERE CLASSIFIED AS PSORIC. TUBERCULAR MIASM WAS NOT ESTABLISHED TILL THEN. TUBERCULOSIS WAS CONSIDERED TO BE THE SAME AS PSORA THE CAUSE: TOXICOLOGICAL THEORY OF DISEASE THE BACTERIA WAS ONLY THE MOST ANTECEDENT EVENT OF THE WHOLE PROCESS OF THE DISEASE. OTHER FORCESES THE DISEASE IS CAUSED BY THE TOXINS RELEASED BY THE BACTERIA. ALONG WITH THE LOCAL EFFECT THERE IS A DYNAMIC DISTURBANCE HENCE THE THERAPEUTICS SHOULD BE AIMED NOT ONLY AT THE REMOVAL OF THE BACTERIA BUT ALSO THE ASSOCIATED DYNAMIC DISTURBANCE

ALLENS CONCEPT OF MIASM SIMILIMUM CHRONIC DISEASE > FOR SOME TIME WHY ? R E L A P S I N G

SIMILIMUM COMPLAINTS COMING UP AGAIN > SOME TIME AGAIN C/O COMING UP VITAL FORCE ( DYNAMICS) HEALTH F1 NATURAL BOND F2 F1>F2-HEALTHY (MIASM) DERANGING FORCE,

F2>F1 - DISEASE LATENT INHERITANT PREEXISTING CAUSE, DESTRUCTIVE) EXTERNAL FACTORS F2 AROUSED NOT TAKING CARE OF DIET, HYGIENE F2> F1 LEADING TO DISEASE INDULGENCE IN DRUG, STIMULANCE IT WILL EXPRESS ITSELF HOW ???

UN FAVOURABLE / BAD ENVIR. CONDITIONS THROUGH WEAK END ORGANS OVER STRESS, WORRY, GRIEF EG: LIVER, EYE, KIDNEY PSORA TO SYPHILIS PREDOMINANTLY FUNCTIONAL PREDOMINANTLY STRUCTURAL PSORA 70% SYP

50% SYCOSIS 20% SYP 10% PSORA 20% SYC 30% DIEASE PROGRESS STRUCTURAL (PATHOLOGY) FIRST FUNCTIONAL

IS THE REFELECTION OF MIASM (DESTRUCTIVE FORCE) MIASM IS A CONCEPT WHERE AS PATHOLOGY IS THE FACT OPERATING ON IT. IT IS EVIDENCE OF PRESENCE OF MIASM. FOR CURE F3 NEEDED ARTIFICIAL FORCE/ DYNAMICFORCE >F2 THROUGH POTENTISATION DRUG PRODUCE ARTIFICIAL DISEASE F1+F3> F2

CURE KENT CONCEPT LIFE SIMPLE - NO DISEASE . THINKING (SINFULL) WILL ACTION- WRONG DISEASE TUBERCULAR MIASM ( PSEUDO PSORA) EXPRESSION INTENSIFIED LIKE PSORA &

PATHOLOGY DESTRUCTIVE LIKE SYPHILIS TUBERCULAR Case No 3 17 Yrs /Male CHIEF COMPLAINTS ANASARCA MASSIVE EDEMA HYPERTENSION 150/90 PROTEINURIA +++ HEMATURIA ++ DYSPNOEA SPLIT S2 TOTALITY SLOW LAZY DISLIKE FOR MENTAL LABOUR

SENSITIVE TO REPRIMANDS LACK OF COURAGE OBSTINATE FEAR OF GHOST DREAMS OF GHOST CHILLY CR SWEETS CR PICA WATER LOGGING PACE RAPID CHARACTERISTICS FEW PATHOLOGY ADVANCED -= SECONDARY EFFECTS MIND LOW NERVES LOW 1 ANASARCA 2 HYPERTENSION 3 PROTEINURIA

4 HEMATURIA SINGLE DOSE NO CHANGE 1 2 3 4 24 HRS AFTER CALC CARB 200 3 DOSES PLACEBO Case 35 female Trans abdominal hysterectomy was done to treat leucorrhoea and Menorrhagia Post op day 1 Post op day 2

Post op day 3 & 4 vomiting abdominal pain with loose motion vomiting with fever Post op day 7 fever with rigors bright red profuse bleeding per vaginum On examination Pulse 120/min BP 90 systolic Pallor not responding to Monocef not much chance with blood transfusion

Post operative sepsis with gaping of vaginal vault P/h Breast abscess Typhoid Fever Hemorrhage bright red Abdominal pain Smiling hope rapid Function Structure Loss of adherence Mucosa +connective tissue Slow healing Infected inflamed necroses Erosion of blood vessel ..shock

Chilly Lean with sharp features Expressive eyes Craving sweets Motion sickness Fearful ghost, dark, quarrels---gets palpitation Pet lovable, affectionate, Desire for company Sensitive to reprimands Gets irritated quickly and cools down quickly Case 73 male NIDDM ON OHA DEEP NON HEALING ULCER ON 3RD TOE OF LEFT FOOT Pulling pain in left lower limb Per rectal bleeding with pain

On examination Deep ulcer - muscle to bone deep with scanty secretions. Non tender Odema in the surrounding area No signs of Hansens or PVD Ambithermal Loquacity Boasting Insensitivity Pains Swelling Ulcer Urine sugar Blood sugar Ulcer completely healed In one week No pain and swelling thereafter

By second week tone mellowed down Loquacity decreased US trace Third week RBS 145 Wanted to know if wife can be helped Case 25/female FEVER WITH CHILLINESS YELLOW URINE VOMITING INSOMNIA DELIRIOUS .DROWSY NOT RESPONDING TO ORAL COMMANDS RESPONDS TO PAIN Examination findings Afebrile Icterus ** Rt Hypo tender liver 2 F+ Responding to pain

Disoriented in time and space Moving all 4 limbs Investigations S.Bil 20.66 Wbc 13,000 HbSag +ve Level of consciousness Delirium Sleep Fever App Abdominal pain Urine color Icterus S.Bil Slight change in app and Sleep in first 24 hrs

Loc much better in 48 hrs Sleep and app further improved S. Bil 18.2 5th day asymptomatic except icterus Not much change in Bil TUBERCULINUM 1M 3 Week S,bil 2.2 KALI PHOS 1m Single 117 Case 64/m DIABETIC SINCE 12YRS ON INSULIN ASYMTOMATIC DELAYED HEALING OF WOUNDS 2 YRS AGO GANGRENE FOUR TOES AMPUTED NOW SINCE FOUR MONTHS BLACK DISCOLORATION OF TOES WITH BURNING AND ANESTHESIA

A/C CORYZA WATERY

MOD .. LOW LOW CASE 11MONTH FEMALE CHILD RECURRENT COUGH..BREATHLESSNESS.RATTLING LOW THIRST FREQUENT CONVULSIONSCOMATOSE FLACCID LYING QUIETLY FASCICULATION FEEDING THROUGH NASOGASTRIC TUBE NOT PASSED STOOL FOR 10 DAYS BOWEL SOUNDS VE ON EXAMINATION NO RESPONSE TO PAIN FLACCID HYPOTONIA PLANTAR EXTENSORS DAY 1 SQ

OP 2HR DAY 15 DAY 3 TWITCH> STOOLS RESPONSE TO PAIN DROWSY OP 2HR DAY 16 OP 2HR DAY 30

TUB DAY 45 SLEEPS HALF EYE SMILING LYCO LOC FLUC TUATE LYCO1M TUB DAY5 DAY7 DAY9

DAY11 DAY13 SQ SULPH CRY B.S START CALC SWEAT CHILLY SALIENT FEATURES OF TUB MIASM

PREDISPOSITION CONTSITUTION DIATHESIS DISPOSITION PHYSICAL FACTORS MODALITES PATHOLOGY CLINICAL CONDITIONS PREDISPOSITION

Past History & Family History Tuberculosis of lung ,Glands etc. Hemorrhagic diathesis Tendencies Suppuration & recurrent abscess. Diabetes Typhoid etc. CONSTITUTION & DIATHESIS Tall ,Lean ,Thin Fair complexion Emaciated ,Stooping ,with narrow chest depressed sternum winged scapula Fine silky reddish hair, delicate long eye lashes with blue sclera Tubercular diathesis Hemorrhagic diathesis Scrofulous diathesis

DISPOSITION EMOTIONS Heightened unstable emotions Oversensitive Anxiety Fear ,Fright, Grief Craves for sympathy & gives it Desire to be magnetized Hopeful & Cheerful Friendly nature but Unpredictable Extreme desire of sex,giving rise to sexual perversions Strong attachment to objects & persons Poor M.W.D. Poor performance

INTELLECT Acute perception E.S.P. Clairvoyance Responses are sharp ,quick but for short time Changeability ,alterations ,oscillations Strong / heightened imagination Artistic Perception alterd DREAMS

Amorous Frightful Violent Prophetic Distressing Gloomy Cries out in dreams PHYSICAL FACTORS Hypersensitive to environmental influences, touch, light ,noise, odour etc. Immune levels low Discharges Profuse, serosaguinous with musty mouldy odour

Increased appetite yet looks emaciated Pica Aversion to meat MODALITIES Aliments from suppression AGGRAVATION Mental excitement Physical exertion From evening to night Change of weather

After sleep Over eating Warm room AMELIORATION Open air Motion Natural discharges Day time Sleep Rest

Eating SYSTEM INVOLVED Reticulo Endothelial system Psyco Neuro Endocrinal system Glands Blood C.N.S R.S. & Mucous membrane CLINICAL CONDITIONS

INFECTIOUS TUBERCULOSIS TYPHOID MALARIA HANSENS RECURRENT U.T.I WORM INFESTATIONS

NON INFECTIUS N.I.D.D.M. I.H.D. HYPERTENTION CEREBRAL INFARTIONS SUMMARY ONSET: Insidious PACE: Fast SPEED: Rapid INTENSITY :Heighte

ned PATERN : Erratic FREQUENCY : Irregular SENSITVITY :Increa sed REACTIVITY: Unpredictable PROCESS : Chronic IMMUNITY : Low SUCEPTIBLITY : Moderate to High Tubercular miasm HYPERSENSITIVE HYPERDYNAMIC HYPERACTIVITY HYPERMOBILE HYPERCHANGE

INFLAMMATION SUPPURATION ABBERANT IMMUNE REACTION EXHAUSTION LASSITUDE CATABOLIC DEPLETION ENERGY LOW EMOTIONS INTELLECT SUBCONSCIOUS RES SYSTEM BLOOD FIBROUS TISSUE ORTEGAS CONCEPT OF MIASM.

THE EVIL IN MAN. SICKNESS INDIVIDUALS-OWN WAY ALTERATION IN STATE OF HEALTH STRIKING- STATE OF HEALTH COMMON CONSTITUTIONAL WAYS LOST HIS PLACE IN THE ENVIRONMENT CONSTITUTIONAL BASIS - DIATHESIS CAUSA CAUSORAM(MIASM.) MIASM THAT IS DESTRUCTIVE, DISTURBING & DISPLEASING

PRESENT IN US RELATED 3 FORMS OF CELLULAR FUNCTION EXCESS DEFICIENCY PERVERSION NUTRITIONAL ALTERATION OF CELL DYSFUNCTION STRUCTURAL ALTERATION NATURAL PATHOLOGY. STATE MIASM

DEFICIENCY PSORA EXCESS SYCOSIS PERVERSION SYPHILIS CONSTITUTIONAL STATE DEFICIENT EXURBERANCE OSTENTATION DESTRUCTION AGGRESSIVENESS FLIGHT DEGENERATION CAUSES INDIVIDUAL CELL INHIBITED

AGGRESIVE FIRST REACTION MODE OF EXPRESSION PSORIC CONDTION AGGRESSIVE AGENT REDUCED DEBILITATED PSORIC SYCOTIC INHIBITION STIMULEN T POOR NOURISHMENT TO FIGHT EXCESS PERVERSION DEFICIENCY ALTERATION INHIBITION

INHIBITION FLIGHT AGGRESSION COLOUR &MIASMS BASIC 3 MIASMS & 3 PRIMARY COLOURS EACH COLOUR REPRESENTS REFLECTION OF THE CHARACTERISTICS- ONE OF THE MIASMS SORA BLUE SYCOSIS YELLOW COLD TEMPERATE BRILLIANT, OSTENTATION PASSIVE COLOUR GAY

SYPHILIS -RED HOT & PASSIONATE WITH DESTRUCTIVENES S OF FIRE SYPHILITIC MIASM LEARNING FROM CLINICAL EXPERIENCE PANORAMA OF SYPHILITIC MIASM PREDISPOSITION DISPOSITION TISSUE/ PATHOLOGY C SENSITIVITY

O N ST TU SUSCEPTIBILITY TI O N POSOLOGY SYPHILITIC SUSCEPTIBILITY CORRELATION CLINICAL PATHOLOGY SYPH-CASE 1

75 yrs old male, farmer. Lean & thin with hardness of hearing. Complaints -Gangrene of Rt little toe with autoamputation with maggots. A/f-working in cold water. Doppler-Bil. atherosclerosis of major arteries of both limbs. X-ray-foot-Bone resorption of the little toe. X-ray-Cxl spine-Osteoporosis, ostoephytes,loss of disc space-C5-C6. CHRONIC TOTALITY

Shy3 Timid/soft spoken Responsible3 Fear of Injections3 Anxious2 about childrens future Chilly-C4H Suppurative tendency3 Cravings-Milk2 Perspiration-Profuse Silica Clinico-pathologico-miasmatic correlation

OLD SENILE CONSTITUTION AGE DEGENERATION PATHOLOGY ARTERIES BONES & SPINE EARS-NERVES ISCHEMIA -NO PAIN -NO CHARACTERISTICS -SENSITIVE TO COLD NECROSIS DRY &

SHRIVELLED GANGRENE Phase totality Senile A/f,< -Cold 3 Anaesthesia Shrivelled parts Dry gangrene

Necrosis Atherosclerosis Complementary relation to Sil. Baryta carb. Susceptibility understanding of syphilitic miasm Predominant epochsbirth & old age PathologyStructural, degenerative ,necrotic ,irreversible Sensitivity--blunting of sensitivity as pathology progresses. ImmunityCompromised & poor, hence poor healing. NutritionTissue nutrition i.e.O2 & proteins is poor. PaceRapid or slow & insidious. Correspondencesbased mainly on basis of pathology & sector. Approachmost of the times is Bogers. TPD & TPRfocuses mainly on palliation PosologyLow potency & freq. repetition. SYPH CASE 2

80 yrs old female / farmer Chronic tobacco smoker C/O- Intense PAIN in Lt.foot BURNING as if crackers bursting Sudden shock-like Screaming with pain <3 Touch,draft of air > Warm water No > with allopathic treatment O/E Undernourished (wt-29kgs). Dusky,shrivelled,cold to touch. Bluish hue . Peripheral pulses absent. USG-Doppler-atherosclerotic plaques in descending aorta,& lt.common iliac vessel.Monophasic blood flow in

all arteries of lt. lower limb. Arteriogram-of Lt. leg-angiographic findings consistent with PVD of rt. SFA. Lt .CIA occlusions .Poor distal run off in both legs. PATHOLOGY MAJOR BLOOD VESSELS ATHEROSCLEROTIC PLAQUES ISCHEMIA NERVES AFFECTED LOCAL ANOXIA ISCHEMIC PAINS IMPENDING DEATH SUSCEPTIBILTY UNDERSTANDING

Pathology-Structural irreversible Sensitivity-very high pain,touch,draft of air Characteristics-++ Nutrition-poor Correspondence at the level of pathology & sectorNaja POSOLOGY-Potency-moderate due to high sensitivity Extremes of syphilitic expressions Case of dry gangrene Case of PVD Epochs

Old age Old age Pathology Structural, destructive ,necrotic, Structural, degenerative, Irreversible Irreversible Sensitivity anesthesia Low Hypersensitive high Immunity

Compromised Compromised Nutrition Poor Poor Characteristics Nil ++ Pace Rapid

gradual Susceptibility Low Low Correspondence Pathology Pathology & sector Posology Moderate potency, freq.repetition Low potency ,freq repetition SYPH CASE 3

63 yrs old male/widower since 1 year Wife died of Ca uterus 1yr back C/o-Redness in throat since 1 yr with mild dysphagia & slight pricking sensation since 1m. Addictions-alcohol & tobacco. Biopsy done at TATA-Ca base of tongue & oropharynx(T2N0M0) done 3 days back. Laryngoscopy-Ulcerative lesion involving base. of tongue Chronic Totality Egoistic Independent

Hard working Ambitious Boaster Attachment-self, money Stocky, hefty man Hot Craving-Milk2,Sweets2 Calc.Fl. Phase totality Ulceroproliferative growth Pricking pain in throat radiating to ear L.Nhard, right side Tongue-thick white coated Merc.i.f

Planning & programming Pathology -Ulceroproliferative, Metastasis-L.N.+ Pace -fast Sensitivity -low Characteristics -absent

Tissue susceptibility-low Susceptibility -low Posology low potency-6c Repetition -frequent Expectation -palliation Syph case 4 25 yrs old male. Diagnosed as ankylosing spondylitis since 3-4 yrs. ConstitutionalCalc.carb. C/o- Severe pain in back since 3-4 months < night3. Used to moan & scream whole night due to pain. Pain <3 draft of air. X-ray - Bamboo spine Rapid progression

Mentals: Would not sleep & would not allow others to sleep. Used to sleep early in the morning till mid day Throughout the day used to feel lazy, depressed. No desire to do any work. Irritable-used to get frustrated with the others & the illness. No desire to live due to illness. Suicidal thoughts on various occasions. Relatives were afraid of his threat & feared that he would

take this extreme step. Intercurrent- Syphillinum 1M Syph Case 5 45 yrs old male. Hard worker-worked in fields all life. Fearless. Anxious about money matters. Presentation

C/o- Severe OA with genu varum deformity. ROM-restricted due to arthrodosis No effusion X-ray- Severe osteoporosis & joint space reduction3 Not > with allopathic treatment Advised surgery but cannot afford. Sever night pains.

P E R S O N A L I T Y

Syph case 6 A 11 month old female baby C/C-URTI TOTALITYHYPERACTIVE. RESTLESS

Loves music3-cannot sleep without it. Wants to go out always. PHYSICALSThermals-C2H2C2H3 Perspiration-Scalp Cravings-sour3,spicy2 Aversion-Sweets3 Sleep-on abdomen Dentition-delayed, other milestones on time Syphilitic traits Intense RAGE excessive strength during rage. Violent anger Destructive hurts self, throws things, breaks toys, head banging. Cruelty Insensitive to painof self ---of others Remedy selected =Tarentula.h.

Syph case 7 61/2 yrs old girl,lean,thin . Mischievous look with wide gap in between the teeth. C/C-Nocturnal enuresis. Pricks teeth with sharp instrumentspins,needles,blades or even a knife During interview Restless, heedless,mischievious,making faces. Constantly picking teeth with a pin & continuously eating biscuits. Interrupting mother in-between the interview.

TOTALITY Hyperactive3 Restless3 Insensitive to pain3 Inflicting pain on self3 Heedless3 Fearless3 Obstinate3 Mischievous2 IrritableAbusive Vivacious Creative-likes drawing

Hot < Motion/bus2

Syph case 8 40 yrs old male Look-rough,robust,arrogant C/o-coryza-acrid,corrosive. Childhood-Stealing habit, caught by fatherabused him,quarrelled & walked off & never spoke to him till his Fa died at 70yrs, although stayed together. Several quarrels in & outside the house. Adolescence- Strong sexual desire -Freq.multiple non emotional phy.relations with prostitutes.-I need one fresh woman everyday. Marriage- Extremely dominating. Violent rage, beat wife. After marriage raped 3 women in the nieghbourhood. His wife once casually spoke to a male neighbour.Pt couldn't bear it .fractured her hand. Banged his son against the ceiling for picking up a wafer from his plate.

Dreams-Rape, Snakes-biting him Nightmares-of being murdered/killed, somebody is sitting on his chest & trying to throttle him. Awakens with intense fear as if he would die. Totality Violent - Destructive Impulsive Hard-hearted Suspicious Mistrustful

Fear of death from dream Dreams Rape -- Snake-biting him Cenchris LOVE CONSCIENCE HUMANE C O R R O S I O N

HARD HEARTED UNFEELING VIOLENCE DESTRUCTIVE SELF ANTISOCIAL SOCIETY PERSONALITY RACE CRIMINAL Syph case-9 25 yrs/ Male Organophosphorus poisoning Antisocial element

Deeply comatose Respiratory arrest Patient on ventilator. GTC Pupils constricted and fixed Extensor plantar. Not better Atropine 50 amp. And PAM every hr. Totality A/F: Poisoning Reaction poor (Not responding to Atropine and PAM ) Respiratory Paralysis Pin point constricted and fixed Toxic Encephalopathy FOLLOW UP. After 2hrs patient fighting the E.T. Anxious look on the face. Pleading to save through gesture No further H/O. available

Consumed poison in temple had never visited temple past. INSTINCTIVE IMPULSIVE V I O L E N C E SELF CONTROL LACK DISCRIMINATION DEATH SLOW

INSTANT SYPHILITIC MIASM & THERAPEUTIC IMPLICATIONS Syph case 11 62/Male C/O. Rt. Sided Hemiplegia with Aphasia Pseudobulbar Palsy; Bilateral Pneumonitis Sticky offensive discharges TC : 10,400 XRC

: Bilateral Pneumonitis CT (Brain) : Diffuse Supra Tentorial White matter Ischemia HISTORY Highly IRRITABLE VIOLENT BEATING till the person would die

VINDICTIVE BREAKES OF RELATIONSHIP NEVER FORGIVES insulting, abusing NO FEELINGS towards wife Would hit her on slightest provocation

HARD HEARTED Orthodox and DOMINATING CANT TOLERATE CONTRADICTION AGGRESSIVE EVEN ON DEATH BED TOTALITY Anger trifles at

Anger Violent Hatred towards person who has offended Dominating Contradiction in tolerance of Egoistic

Cr. Fish Av. Egg, Milk, < Milk Hot Patient Irreversible structural changes Susceptibility Low Miasm 23/10/02 Remedy Reaction 6 pm:

Lachesis 30 1P 7.30pm GIT Bleeding LOC Maintain 9.30 Pm GIT Bleed stop LOC Maintain 10.30pm Massive Haemoptysis gas ping Drowning in his

own blood. LOC Maintain 24/10/02 Maintain Stat 9 am Chest clear InvesN: Prothrombin time LOC Syph case 12 45YRS/MALE C\C::K\C\O RENAL CELL CARCINOMA WITH IDDM WITH SEVERE U.T.I.

PT OPERATED FOR CARCINOMA HAS METASTASIS IN LT LOBE OF LIVER FEVER HIGH GRADE WITH CHILLINESS WITH SEVERE DYSURIA BEDRIDDEN URINE OUTPUT 100 C.C. NO INTAKE O/E: CACHECTIC TEMP: 103 F PULSE: 112/min. CHEST: CLEAR P/A: LIVER 4 FP, FIRM, TENDER++ INVESTIGATIONS SPLEEN NP

Hb: 5.5 URINE P.C: ABOVE 250 Tc: 12,500 BSF: 250 USG: 89 X 95 mm WELL CIRCUMSCRIBED MASS IN Lt. LOBE OF LIVER TOTALITY 1. SYMPATHETIC 2. HARD WORKING 3. DOES SOCIAL SERVICE 4. ANXIOUS ABOUT HEALTH OF OTHERS & SELF 5. C3H2 6. AVERSION SWEETS2 7. CRAVING FISH RX: CAUSTICUM

PATIENT ADMITTED IVF STARTED RX. PULSATILLA 30 MULTIPLE DOSES AS SUSPECTED KILLERS AGGARAVATION HENCE SUPERFICIAL ACTING REMEDY RELATED TO CHRONIC REMEDY SELECTED FOLLOW UP: APP: BETTER FEVER: > URINE OUTPUT: 2000 CC URINE P.C.: 100 150 AFTER 4 DAYS CAUSTICUM 30 1 P GIVEN NEXT DAY RIGORS+++, EVERY 3-4 HRLY. FOR 24 HRS. TEMP: 106 F AFTER 24 HRS. FEVER 0

APP: BETTER DYSUREA: > 75% CONSTITUTIONAL SYMPTOMS; >2 CHARACTERISTICS OF SYPHILIS MIASM MIND DESTRUCTIVE ANGER VIOLENT IMPULSIVE RAGEUncontrollable CRUELTY INSENSITIVE V/S HYPERSENSITIVE TO PAIN INSESITIVITY TO PAIN SELF SUICIDE OTHERS RECKLESS / HEEDLESS / CARELESS FEARLESS V/S INTENSE FEARS SYPHILITIC PARANOIA DEPRESSED MOOD SUICIDE

PHYSICALS EPOCHS PATHOLOGY BIRTH & OLD AGE IRREVERSIBLE STRUCTURAL CHANGES DEGENERATION NECROSIS DEATH MODALITIES < NIGHT , CHILLY. PACE SLOW ---DEGENERATIVE

-SUDDEN DESTRUCTIVE SENSITIVITY HEIGHTENED V/S BLUNT CHARACTERISTICS POOR SUSCEPTIBILITY LOW TISSUE SUSCEPTIBILITY LOW IMMUNITY COMPROMISED NUTRITION POOR

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