MIASMATIC PRESCRIBING BY DR. SUBRATA KUMAR BANERJEA

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MIASMATIC
PRESCRIBING
BY DR.
SUBRATA KUMAR BANERJEA
www.homoeopathy-course.com

GOLD MEDALIST
B.H.M.S. (HONOURS IN NINE SUBJECTS OF CALCUTTA UNIVERSITY)
FELLOW : AKADEMIE HOMOOPATHISCHER
DEUTSCHER ZENTRALVEREIN (GERMANY)
DIRECTOR : BENGAL ALLEN MEDICAL
INSTITUTE
PRINCIPAL : ALLEN COLLEGE OF
HOMOEOPATHY, ESSEX, ENGLAND

MIASMATIC
PRESCRIBING:
PHILOSOPHY
& UTILITY

THE UTILITY AND INCORPORATION OF MIASM IN PRESCRIBING:

The consideration of miasms is of paramount importance
in effective homoeopathic prescribing particularly in this world of
multi-suppressions where perceiving a clear picture of disease is becoming
increasingly difficult.

Disease pictures can be complicated for several
reasons, and the chart below shows the three pictures which may arise.
These pictures are expanded upon within this chapter as an important
starting point in understanding the value of miasms and miasmatic
prescribing in modern homoeopathic practice.

a) Contaminated Picture:

the disease is contaminated or masked
(through a lack of expression of symptoms or manifestations
due to emotional, physical or iatrogenic suppressions).

b) Conjoint Picture:

the original malady exists
upon which symptoms of various drugs are superimposed.

c) Scarcity of Symptoms:

conditions in which it is difficult to
ascertain
a totality of symptoms,
i.e. one-sided diseases such as insomnia, migraine, fatigue
syndromes etc.

a) Contaminated Picture:

The disease picture is contaminated by various forms of
suppression, which can be recognised in either of two ways:

1. A lack of expression of symptoms which have been driven
   inside by heroic suppressive measures.

2. A contaminated picture formed by the original disease
   together with a lack of expression caused by physical or
   emotional suppressions. E.g. an extrovert receives
   disappointing news and their natural inclination is to sob
   loudly to recover. Circumstances however forbid this and they
   are forced to bottle up their feelings — their emotions
   therefore become suppressed.

b) Conjoint Picture:

In these cases, the symptoms of the original disease
are superimposed with symptoms of the artificial drug disease. Conjoint
pictures may arise as follows:-

1. The original disease is joined by an artificial chronic
   disease (due to allopathic medical malpractice §78).

2. The original disease is joined by an artificial chronic
   disease (due to homoeopathic medical malpractice, e.g. as in
   cases of polypharmacy, too frequent repetition of doses or the
   usage of combinations where the action of such applications
   has not been proved on healthy human beings.

3. The original disease is joined by an artificial chronic
   disease produced by vaccinations and serums.

c) Scarcity of Symptoms:

A scarcity of symptoms will be apparent in cases of
‘one-sided disease’, of which Hahnemann makes us aware in §173 of The
Organon. These are diseases with too few symptoms, such as insomnia,
anorexia and cases of hyperactive, restless children. They also include
the so called modern illnesses such as Chronic Fatigue Syndrome, where
there are only one or two symptoms showing on the surface of the case. In
a case of insomnia, for example, where loss of sleep is due to anxiety and
nothing more, we are unable to make a totality. We cannot prescribe
successfully on the basis of one or two symptoms and it is due to
suppression that only one or two symptoms are visible. It follows
therefore, that the manifestations and expressions of the patient must
have been suppressed.

We know that in the modern world, the causes of
suppression are many. They do however fall into the three main categories
as follows. Examples are given under each category although it should be
noted that these examples are by no means exhaustive.

Physical Suppressions

e.g. suppression of perspiration by
antiperspirants.

Emotional Suppressions

e.g. broken relationships; disappointments in
love; pecuniary embarrassments.

Iatrogenic Suppressions

Suppressions by non-homoeopathic remedies e.g. antibiotics,
steroids etc.

Suppressions by homoeopathic medicines e.g. daily repetition
of doses over a prolonged period, polypharmacy, quick
alternation of remedies, the use of combinations.

Widespread vaccination.

Suppressions caused by the use of serums (anti-sera
preparations)
such as the contraceptive pill and H.R.T.

So we can clearly see that manifestations of one-sided
diseases are either contaminated, conjoined with artificial disease
symptoms, or hindered and suppressed. Clinical experience of the classical
prescribers and my own ancestral wisdom has shown that the best way to
open up these cases is from the miasmatic viewpoint. That is to say, we
perceive the surface miasm and treat it accordingly. The surface miasm
itself being diagnosed by considering the symptoms showing on the surface
of the case as presenting complaints.

Uncovering the Layers:

It is apparent therefore, that it is necessary to
understand the soil, the very dyscrasia of the person, and the miasm,
which represents the stigma, groove or pollution in the system. This
stigma/groove/pollution, call it what you will, can only be corrected
through constitutional, anti-miasmatic treatment, and through such
treatment, the complete annihilation of symptoms and perfect restoration
of health will ensue.

In order to make a miasmatic assessment, we need to
uncover the layers of predisposing weaknesses, which can be attributed to
the different layers of suppressions. These reflect the miasmatic weakness
of the individual.

I like to compare these different layers of miasmatic
dyscrasia with the lotus flower. The outermost layer or petal reflects the
surface miasm, that is, the presenting manifestation of the person. On the
basis of the totality of symptoms, together with the miasmatic totality,
the constitutional anti-miasmatic remedy is then selected for that
presenting totality. This not only removes the surface symptoms but also
the corresponding miasmatic dyscrasia, which was being manifested on the
surface at that time.

Once the outer layer of the flower is removed the
second layer is revealed. This second layer in turn becomes the surface
miasm, reflecting a different group of symptoms. Dr. Kent guides us here,
stating that there now has to be a change in the plan of treatment. This
means that if the previous outermost layer was sycosis (and accordingly an
anti-sycotic remedy was given which annihilated all the symptoms of that
layer), the next miasmatic layer, which rises to the surface, has also to
be addressed by its own presenting symptoms. The totality of the case
needs to be reassessed and the next prescription selected on the basis of
the totality of symptoms including the miasmatic symptomatology.

The skill of a homoeopathic physician is to recognise
the differing layers present as they reveal themselves through the
surfacing of symptoms. The remedy they select should not only cover the
symptomatic totality as manifested through the surfacing of symptoms in
the outermost layer but also the miasmatic totality. In such a way ‘layer
upon layer of predisposing weakness’ can be peeled off, taking with them
the layers of suppressions and corresponding miasma, and the miasmatic
dyscrasia can be nipped in the bud.

Classical Miasmatic Prescribing:

MTEK is a useful memory aid to arriving at a correct
prescription.

M

=

Miasmatic Totality

T

=

Totality of Symptoms

E

=

Essence (should include gestures, postures,
behaviours etc)

K

=

Keynotes (which should encompass PQRS symptoms,
refer §153 and §209 of Hahnemann’s Organon)

When the above criteria are considered and the steps
below followed, a correct prescription can be made.

Step I

Make the miasmatic diagnosis of the case i.e.
ascertain the surface miasm.

Step II

Assess the Totality of Symptoms + Essence +
Keynotes and PQRS of the case and formulate the indicated remedy.

Step III

Ensure that the indicated remedy covers the
surface miasm, as diagnosed in Step I (refer Miasmatic Weightage
of Medicines, the last section of this book).

Step IV

Administer the remedy, which encompasses miasm
as well as the Totality of Symptoms.

By such a prescription, which covers the miasmatic
dyscrasia of the person, the chances of recurrence are eradicated and the
axiom of ‘rapid, gentle and permanent recovery’ (Hahnemann’s Organon
§3) is encompassed. In cases of one-sided disease with a scarcity of
symptoms, the action of the anti-miasmatic remedy is centrifugal, and by
bringing the suppressed symptoms to the surface allows a proper totality
to be framed.

The miasmatic consideration is therefore of great
importance as demonstrated in the following example:-

A person is suffering from features of gastric ulcer,
which has been confirmed by radiography. As ulceration is syphilitic, the
surface miasm is therefore syphilitic also. Let us say that the totality
of symptoms (physical, emotional and essence) of the person reflects
towards Kali Bichromicum, an anti-syphilitic remedy. The choice of remedy
is therefore simple, as Kali Bich covers both the totality of symptoms and
the surface miasm of this gastric ulcer case. Kali Bich will peel away the
outer layer and reveal a second layer underneath. This second layer may
manifest perhaps through the appearance of warts or moles on the face, an
indication of suppressed sycosis and the next assessment of the case
should include this new surface totality. Following Kentian ideology we
now know that there needs to be a change in the plan of treatment, that
is, the previous syphilitic plan needs to change to a current sycotic
plan, and a new anti-sycotic medicine needs to be selected based on the
presenting totality.

Why Should We Know Miasm?

A thorough dissection and incorporation of miasm in
each case will help a homoeopathic prescriber in the following ways:

1. 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.

2. 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 covers the essence of the person is
   capable of surfacing the suppressed symptoms and then we can easily
   frame the totality.

3. 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.

4. 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 if 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.

5. 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.

1. Stability (in obese people) or weight gain in under weight
   subjects.
2. Clarity of the existing or presenting symptoms or even lighter
   symptoms.
3. 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.

1. To fulfil Hahnemann’s three injunctions of cure: rapid, gentle and
   permanent.

2. 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).

And so we return to the key points of this introduction
— the utility and incorporation of miasm in prescribing. Miasm
represents the past, the present and the future — the past in terms of
the layers of suppression and their removal, the present by the removal of
these layers, which leads to a clear assessment of the totality of
symptoms, and the future where the patient becomes stronger as a whole and
is more able to resist morbific influences. Even in this modern world of
heroic suppressions, a proper constitutional, anti-miasmatic treatment is
capable of achieving the following results:-

PAST

In one-sided cases, the centrifugal action of
the anti-miasmatic remedy brings suppressed symptoms to the
surface and in so doing allows the proper totality to be framed. A
correct anti-miasmatic prescription is also effective in cases
where the picture of the disease is either conjoint or
contaminated. In such cases, it organises the symptoms and frames
a clear picture by removing the blocks.

PRESENT

Removal of the different layers of suppression
one after another through changes in the plan of miasmatic
treatment according to the presenting surface miasm and
corresponding symptomatic totality. Thereby the miasmatic
dyscrasias are corrected, which in turn lessen the susceptibility
to become sick. Thus we achieve the Hahnemannian ideology of
permanent restoration of health.

FUTURE

Clearance of the miasmatic stigmas and
dyscrasias serves to improve the immunity and strengthen the
constitution.

The proper miasmatic diagnosis of each case can uproot
the underlying cause and nip the bud of increased susceptibility to
diseases! Miasmatic prescribing is therefore both curative and preventive.

KEY WORDS AND CRITERIAS:

BASIC CRITERIA OF THE FOUR GREAT MIASMS:

KEY WORD

MIASM

CRITERIAS

IRRITATION

PSORA

LACK, SCANTY & ABSENCE

Either physical or mental

e.g. atrophy, anaemia, ataxia, anorexia etc.

Physical

Mental

Physical irritation is characterised by itching

Mental irritation
leads to mental turmoil characterised by

Therefore any diseased condition characterised
by deficiency, scantiness or absence, and all ‘hypo’
conditions reflect psora

e.g. itching all over the body

e.g. anxiety
alertness
apprehension (especially of impending misfortune), which manifests
as fear. Psora has the most fears of all the miasms.

So deficient immunity resulting in increased
susceptibility to catch infections i.e. ‘hyper sensitivity’ is
a psoric criterion.

KEY WORD

MIASM

CRITERIAS

INCOORDINATION

SYCOSIS

HYPER

Either physical or mental

Physical

Mental

All hypers and excesses are sycotic.

Incoordination in development

Incoordination in the sensorium or comprehension

e.g. hypertrophy, hyperplasia, hypersexuality,
excess working (workaholics).

Proliferation or excess

e.g. absentmindedness

e.g. tumours, fibroids, warts and any growths.

Whilst concentrating on studies the mind is
abstracted and wanders off elsewhere.

KEY WORD

MIASM

CRITERIAS

DESCTRUCTION & DEGENERATION

SYPHILIS

‘DYSES’ AND IRREGULAR MANIFESTATIONS

Either physical or mental

Physical

Mental

All hypers and excesses are sycotic.

Characterised by structural destruction and
degeneration

Characterised by destruction and perversion

e.g. dystrophy, dysplasia, dysphagia

1. Ulceration
   (where there is cellular destruction and degeneration)
2. Pus formation
   (characterised by degenerated cellular debris)
3. Necrosis
   (characterised by structural degeneration)

1. Love for one’s own life is destroyed (suicidal
   tendencies).
2. Perverted sex and sexual cravings.

Irregular manifestations such as irregular
peristaltic movement resulting in dysenteric spasm and stool, or
high systolic and low diastolic blood pressure in one individual.
Such manifestations reflect irregularity in the circulatory
mechanism.




KEY WORD




MIASM




CRITERIAS

DISSATISFACTION




TUBERCULAR

ALTERNATING, PERIODIC, ONE-SIDED AND VAGUE
MANIFESTATIONS

Either physical or mental

Physical

Mental

1. Person craves sugar but this makes them sick and they become
   dissatisfied.
2. Perverted sexual cravings or profuse masturbation make the
   person exhausted (this is from the syphilitic component of the
   miasm), or the person enjoys sex but exhaustion does not
   permit so they remain unsatisfied.

1. Changeable mentality (e.g. wants new clothes, changes
   occupation, studies, jobs partners etc. very frequently and is
   never satisfied).
2. Vagabond mentality (e.g. likes to travel often, cannot stay
   in one place).

1. Alternation — e.g. constipation alternates with diarrhoea.
2. Periodicity — e.g. headache comes on every seventh day.
3. One sided diseases — e.g. insomnia, anorexia, migraine,
   fatigue etc.
4. Other conditions which present with ill-defined symptoms or
   too few symptoms.
5. All allergic manifestations such as food and dust allergies.
6. All haemorrhages.
7. All recurrent problems.

=============================================

There are six main sections to this book (MIASMATIC
PRESCRIBING) as detailed below:

Part I — Philosophy and Utility of Miasm: Here
I have taken the opportunity to discuss the philosophical background of
Miasm, and to share my views regarding suppression and the need for
miasmatic prescriptions in the modern world. Key words are presented to
reflect the miasmatic tendencies.

Part II — Miasmatic Diagnostic
Classifications: Starting with the mental symptoms, this is a head to foot
schematic classification of the four miasms, including my tips for rapid
miasmatic diagnosis.

Part III — Miasmatic Diagnosis of Clinical
Classifications: In this section I have shared all the possible clinical
nosological names under their respective miasmatic headings with a view to
enabling fast diagnosis of the corresponding miasm.

Part IV — Miasmatic Ancestral Tips: All the
tips of my four generations of Miasmatic Prescribers.

Part V — This is a totally new concept, and
once again aimed for your quick miasmatic diagnosis.

Part VI — Miasmatic Weightage of Medicines: A
comprehensive guide to the weight, value or gradation of the medicines and
listings of the leading anti-miasmatics.

Dr
Subrata Kumar Banerjea
www.homoeopathy-course.com

Price of the Book :- GBP 25 / US $ 35
(inclusive postage).

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DR. BANERJEA’S NEW BOOK ON MIASM : CONSISTING OF : ITS
PHILOSOPHY,

DIAGNOSTIC CLASSIFICATIONS, CLINICAL TIPS, MIASMATIC
REPERTORY

AND MIASMATIC WEIGHTAGE OF MEDICINES IS AVAILABLE FROM
ABOVE ADDRESS

DR. BANERJEA OFFERING SEMINAR ON MIASM : SUMMER SCHOOL,
2002 IN ENGLAND

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duplication/reproduction without prior written consent of the Author is
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Copyright
© Dr Subrata Kumar Banerjea 2002