Miasmatic Block in Acute Condition
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Jul / Aug VOL 4 NO 4.
Dr Prasad H Saundankar

With above presentation, Hepar-sul, Merc-sol, Lachesis emerged high, but thermal modality pointed towards Hepar-sul. Action= Hepar-sul 200 tds x 2 days

It was clear Hepar had not acted at all. And in spite of careful case taking, we had not been clearly able to define the thermal state. Action= Merc-sol 30 qds x 2 days

Now it was around 7 days patient was suffering & it was not a good clinical situation and hence case was reviewed and following totality was emerged-
1. Tonsils involvement - Left to right < Lt side
2. Thirst increased+++
3. Tongue-coating creamish+++
4. < Empty swallowing+++
5. < Liquids++
6. lt sided cervical lymph node involvement {glands}
Though Merc-sol did not act, the totality still pointed to Merc and hence Merc i-r was selected in 200^th potency x tds 1 day

It was the situation where main question in mind was what is wrong with the treatment i.e. clinical picture was exactly similar to Merc-i-r potency and repetition was according to susceptibility and sensitivity, then why remedy is not helping patient as well as physician in his efforts. There was no clear indication {i.e. remedy had not registered according to expectation} to repeat same medicine in high potency.
Again disease picture was reviewed and following points were noted
1. Tonsils has pus pockets {suppuration}
2. Involvement of multiple glands {lymph nodes/ tonsils}
3. Characteristic expression are numerous
4. Weakness++
All these indicates expressions of Tubercular miasm and so following action was taken
Action- Tuberculinum 1M stat  Merc-i-r 200 at bedtime and tds next day

Conclusion: we can came across with miasmatic blocks even in acute conditions. In this case too there was block of tubercular miasm & only when that was tackled, did the selected remedy act with full vigor.