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Homoeopathic Queries & Solutions
Prof Dr Kasim Chimthanawala

1. Sir, what is the difference between Active and Basic miasm and what is their clinical significance?

Dr Ritu Parakh, Nagpur

DR J H. ALLEN first introduced these terms in his book on Chronic Miasms. By the term Active Miasm, we mean the manifesting miasm which has been activated as a result of an exciting factor and is responsible for the presenting totality.The Basic Miasm is the term applied to the primary characteristics which are the inherent and intrinsic qualities of an individual since birth. In response to a particular environmental offence, some of these attributes change to manifest as the presenting totality. Any drug selected on these symptoms is the Similimum. It will correct only the outermost envelope of the sickness i.e. the drift produced due to the exciting factor or the presenting totality. But, the one selected on the Basic attributes i.e. Past History, Family History, Inherited tendencies, attributes, suppressions, etc. is called the True Similimum. It will tackle the cause of the causes and lead to the process of cure on Hering's Laws.

In this context, some relevant statements of Dr J H Allen from his book on Miasms are "The true similia is always based upon the existing basic miasms.." [P 12/1 J H Allen].

He also states that "the first selection of the remedy should culminate about the Active miasm and the second selection should cover the Basic latent miasm, now disturbed or brought into action, by Active miasm on which we based our first prescription.." [P93/2 ibid]. Sometimes, the manifestations of both the miasmatic states express together at the same time and are so intermingled with each other that the Similimum, if selected, also acts as his Constitutional remedy.

2. What is the difference between Complication and Sequelae? Please explain.

Dr Adil Chimthanawala Nagpur

Complication is a term applied to the natural progression of a disease involving more and more organs. It is also called Disease Aggravation and is a dangerous signal and must be dealt with accordingly. Its occurrence means that the disease is running its own course and the treatment schedule adopted is ineffective or incorrect, hence require change; for example, onset of a Carbuncle formation in a case or Diabetes, Bleeding stools in a patient suffering from Typhoid etc. As against this, when latent chronic miasms particularly PSORA gets aroused from its slumbering due to the violent action of some acute miasmatic infection for eg. Measles, Mumps, Malaria etc. then, at the close of course we get new symptoms or disease which is termed as Sequel.

Dr. Allen has defined Sequel, as an appearance of a Chronic disease or rather an expression of one, dependent upon the miasmatic government within [P 113/2]. It is produced as miasmatic ultimate as a result of arousing of latent (miasmatic) disease due to acute miasms [P 112/2]. It informs us about the stage of harbouring miasmatic complex at that particular point of time eg. Asthma after measles in Carbo-veg., Paralysis after Typhoid in Causticum, Dropsy after Scarlatina in Helleborus etc. In order to prevent Sequel, always give one dose of Sulphur 200 immediately after an acute disease subsides.

3. What should we do when a known Diabetic patient taking Allopathy, wants treatment only for her hair fall ? Please opine.

Dr. Sanjay Tambe,Nagpur

There are two possible ways. Either select some small remedy (so called specific) for that particular symptom of hair fall only, which will act for a short period only or explain to the patient that falling of hair is only one expression of the sick constitution as a whole. Unless and until the internal cause for the sickness is eliminated in toto, none of its expressions will go for good. If she agrees, then, record her case in detail and select Chronic remedy and administer in appropriate potency and dose. It will look after both the Diabetes and her hair fall.

4. Sir, What do you understand by the statement "Vital Force not only creates but controls the Organisms [P 78/1]? Please explain.

Dr. Narayan Kukreja,Dabra

During intra-uterine life of a foetus, the Vital Force plays a duel role. It is responsible for both the creation i.e. growth (cellular multiplication) of the tissues and then their differentiation, placement etc.

When it is 'in order' the entire economy develops normally but when it is miasmatically corrupt and the miasm is active, we get various types of congenital defects like imperfect growth, malplacement/malfusion of the tissues/organs like P.A.D. Fallot's Tetrology, Dextrocardia etc; Genetic abnormalities like sickle cell disease, Muscular Dystrophies etc.

But, after birth, when the organism is fully developed, then, its major function is to govern the integrated functioning of individual organs vis a vis others. Of course, the cellular metabolism (anabolism and catabolism) is also controlled by this Vital Principle.

5. What do you understand by the rubric on KR 530 'Thirstless, desire to drink, with'? Please explain.

Dr S R Kewat,Jabalpur

A debatable rubric indeed. There are scores of such (apparently looking) controversial rubrics in our repertories. But nature is such. It has its own laws. Every act of its may not be explainable or understandable by an ordinary human mind, but they are facts and must be accepted as such.

Similarly, every symptom reported by the patient are genuine but their interpretations must be done in the light of other features like his habits, nature, alterations etc.

As far as I understand Thirst, Hunger, Urination etc are Psycho-physiological acts or mechanisms, which depend upon the demands and requirements of a living constitution. They are quantitative attributes and can be assessed in terms of amount, frequencies, etc. But Desire to drink Appetite (desire to eat) or even Desire to urinate is mental attributes, hence qualitative.

In a normal condition, both of these attributes run concurrently. But, when they don't, they are considered pathological. Take for example :

1. On Page 403 (KR) Mouth: Dryness; thirst with and thirstless. In both of these sub-rubrics, Bryonia has 3 marks. In the first one, it is a common feature, hence insignificant but in the second one, it becomes an individualistic expression hence a Peculiar General.

2. Also, take the example of Hunger, increased, easy satiety. In this case, the physiological demand is more but mentally he gets easily satisfied with small meals.

3. Again take STOMACH: Appetite, wanting, hunger with. In this case, the body does not want food but the patient eats because he gets hunger pains.

4. Now in our case, Thirstlessness is the basic attribute and the person normally does not (require) drink the expected quantity of water but during an acute episode like Fever or any other disease, he may get desire to drink. So, in the first instance, Thirstlessness becomes his basic characteristic if abnormal (cannot be explained in terms of physiological parameters) and the desire to drink the presenting manifestation.
Drug selected on this presenting totality will act as the Similimum. It will correct the manifesting totality, will act but may not initiate the process of cure on the basis of Hering's Laws. Hence, to achieve cure, we may require a deep-acting anti-miasmatic constitutional (to which Dr. J H Allen has referred as true similimum) drug as an inter-current selected on the basis of the basic attributes and others.




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