ORTEGA P. S.

, Notes on the Miasms

ORTEGA Proceso Sánchez
To the reader
Since this series of notes on Hahnemann's miasms, so painstakingly amassed, has acquired literary
pretensions, I take the liberty of offering it to those studying homoeopathy, especially to those destined
to delve deeply into this doctrine, and also to my student who have pressed me so strongly to set down
on paper what I have deduced, investigated and verified over the years.
There is a considerable gap between having a conviction and being able to express it clearly and
appropriately, especially if one has little talent for writing. I hope to be forgiven for my poor ability to
express what is without doubt vitally important for any study of man and indispensible for anyone who
wants to be become a true homoeopathic physician - meaning, simply, a physician.
My confidence is rooted in the belief that the reader of this book will be able to apply, more skilfully
and amply, the incomparable Hahnemannian doctrine of the miasms, for the benefit of mankind.

Prologue
From time to time, in any area of human knowledge, and especially in homoeopathy, there arises a
thinker- a true master- who marks a milestone in the discipline.
This is the case with Proceso Sanchez Ortega.
He could and should have published this book some time ago. But, despite his own humility, aware of
the transcendental importance of this contribution, he did not want to issue it before verifying each and
every assertion a thousand and one times in his clinic, before each and every one of them had become a
part of him, so that what he transmits represents his own conviction and is a part of his daily life.
Nothing in this work is improvised or the product of mere inspiration; it is the result of more than thirty
years of zealous and patient observation in the daily practice of orthodox homoeopathy.
Those of us who have had the privilege of observing him close at hand, have see, the path he had to
follow. For twenty years he was misunderstood and gathered meagre fruit- as if he were climbing a tall
tree looking for a proper place to spin his cocoon. He founded Homeopatia de Mexico, A.C. , and now,
after seventeen years in the chrysalis stage, can display his splendid colors to future centuries.
This book is destined to be one of the few medical classics really deserving the name; it will be
understood by all of us who have felt that our magnificient homoeopathy contains a gap- or, better still,
contained a gap - left by Hahnemann's ORGANON and CHRONIC DISEASES as well as by Kent's LECTURES
ON HOMOEOPATHIC PHILOSOPHY. This gap relates to the miasms.
In the works of Hahnemann, the miasms can be clearly seen to occupy a predominant place. They were
the last preoccupation of the great sage whose life was not long enough to complete this area of
knowledge. Kent, his most faithful interpreter and assuredly the precursor of Proceso, goes lamentably
astray in dealing with the miasms - confusing, for example, Hahnemann's syphilis with the syphilis
described in the clinics of non-homoeopathic physicians.
no one will benefit from this book who has not read and meditated over Hahnemann and Kent, and
even less if he has not tried - or has barely tried - to practice medicine following the true score, i.e.
basing his medical actions on the thought of Hahnemann.
As far as medical doctrine is concerned, up until now, there have been only three names; Hahnemann,
who structured the doctrine; Kent, who placed it within the reach of the practitioner; and Proceso, who
explains with exemplary clarity the doctrine of the miasms and, above all, makes it clinically useful.
Time, the stern judge, will have the last word.
Dr. David Flores Toledo.

Introduction
We often wonder why one child in a family differs so greatly from the others; why, for example, among
seven brothers one is so different as to appear the antithesis of the others, or at least, to diverge from
them totally in his way of thinking, his tastes, even sometimes in his physical features and attitudes -
possessing traits that are not even found in the father and mother. We also wonder why an artist or
actor may be so admired by, and please, one class of people, while others may find him repugnant. Why
do we regard as strange, and disapprove of , everything which perturbs us or seems "bad", destructive
or reprehensible but, even so, overlook, justify, and praise this same "bad" thing when we tacitly or
unconsciously acknowledge that we either have it within us or long for it.
We have wondered why evil exists, what evil is, and what it is that we call "bad" or evil.
Undoubtedly we have formulated, or heard formulated, very many diverse answers which are in all
cases partially accepted or rejected and which are like all the answers to the most important questions
of existence: imprecise, uncertain, and always open to objection.
In the happenings of life in which the work and thought of the physician are involuntarily or deliberately
involved, we observe a series of phenomena whose succession has as its object the continuing existence
of living beings, the permanence of such beings, and, in our case (being physicians), the permanence of
man; then there is another series of phenomena which seem to be opposed to this aim. Our task is to
discover, define, and, as far as possible, counteract this second series of phenomena opposed to the
existence of human life and this is precisely what-from the medical point of view - we call "evil".
Man's first inclination was to seek this outside himself. Only insistent thought and reflection has
revealed it inside him. Evil, in the medical context is sickness, the starting-point of our destruction, the
cause of suffering.
Hahnemann, being a genius and visionary in medicine, not only established a method and a precise
procedure for investigating and applying remedies for this evil of man; he also penetrated deeply into
the most intimate and essential part of our being, seeking by intuition to find the cause of causes;
verifying the condition of that perfectly definible and recognisable causal source of the subjacent evil
which is inside us and which constitutes the point of departure or beginning of our destruction. Included
in this initiative is the concept of the CAUSA-CAUSORUM. This source or germ of suffering and death is
positive, demonstrable, and perfectly recognizable. He called it the MIASM.
When we come to understand in all their amplitude the meaning of the terms Psora, Sycosis and
Syphilis - in the far-reaching definition given them by Hahnemann - we will have answers to all the
questions which can be formulated in medicine and biology. This will enable us to deduce everything
relating to man's conduct and the expression of his being.
Here and now we must warn against even beginning to read these pages with a concept of illness,
especially chronic illness or miasm, as something material which is encrusted onto, or added to, the
complex functioning of the human entity. Instead, it should be seen as a manner of being of this entity,
one state of existence out of the many which can be adopted or produced by this indivisible entity which
constitutes man, this entity with dynamic forces to all those existing in material substance and which
yield forms, a "something" which our limited understanding has made us define - always unsatisfactorily
- as soul, spirit, entelechy, simple substance, life, matter, energy...
 Hahneamnn's incomparable doctrine of chronic diseases provides the TRUE HOMOEOPATH with the
elements enabling him to solve logically (within the limits inherent to any logos) all the unknowns which
confront the physician and thereby (within the limitations inherent in any human being) to intervene in
a constructive way to promote existence, i.e. to do GOOD.
Knowledge of the condition or activity of our own miasm will provide answers to our questions about
what in us is destructive, disturbing and displeasing, i.e. , what causes us to assault and harm our fellow
humans.
An understanding of the miasmatic is, in our judgement, the ultimate concern of the physician, because
it involves nothing less than a maximum understanding of the human, both with respect to the qualities
which lead him to persist to realize his full potential, and with respect to those defects which hinder him
both with respect to those defects and failures which hinder him.
Homoeopathy has stopped being an object of controversy for the studious. without desiring to offend
anyone, we make loud to point out that it is argued over only by those who are ignorant of it, yet
pretend to know something; those who really do know it, respect and admire it in direct proportion to
the extent of their knowledge. The ultimate in the perception of the truth which can be reached by the
physician is unequivocally - I take the liberty to maintain - an understanding of Hahnemann's maisms.

Hahnemannian thought
- Brief quotations from dedicated masters of medicine who have aimed to classify humanity into major
groups with similar characteristics derived from recognition of a constitutional pathology.
- Trousseau, Pende, Viola, Kretschmer.......................
- The fundamental concept of General Pathology.
Any tendency to disease or destruction which can be recognized in man derives from a structural
anomaly which imprints its characteristics on him.
This has been discovered and rediscovered, time and time again; by medical thinkers.
The suffering that frightens and terrifies man, detracting from him in various ways, and which we call
"sickness", is manifested in each individual by his own personal characteristics, but if observed closely
and carefully in humanity as a whole, is seen to yield determinate patterns. These special ways of "being
sick" compel us to formulate groupings with a common constitutional basis which is manifested in these
groups of individuals through similar pathological expressions.
Sickness necessarily sharpens the multiple expressions of being of the human individual as a highly
complex living entity. Even though an altered form of being, sickness is more apparent or striking than
the state of health or equilibrium. In sickness the individual, having partially or wholly lost his 'place' in
the group and having largely lost his 'place' in the world as a whole, reacts integrally with all means at
his disposal while searching for others capable of helping him recover or restore himself to his own
place in the general order or environment in which he lives.
The quest for the constitutional basis which modifies human suffering has been the task of all great
masters of medicine.
We must, at the outset, mention Hahnemann, whose brilliant pathological doctrine will be the basis of
all our speculation.
After him we give special consideration to Trousseau, Jacinto Viola, and Nicola Pende; to Kretschmer,
Maranon, Carrel, Mayoral Pardo, and Th. Brusch. Of the homoeopathic authors we refer especially to H.
Allen, H.G. Perez and Leon Vannier.
The ultimate aim of these and other authors may be reduced to: the recognition, the presention of
evidence, and finally, the classification of the human species into modes of suffering, forming groups,
which somewhat reduce the heterogeneity of ailments and constitute entities with enough in common
to make them more easily understood in their different ways of manifesting their anomalies. This is
what constitutes the biotypology of the human race; to use the expression consecrated by Pende ; it
meets the essential requirements of scientific method - analysis before synthesis - in order to achieve a
definition of the individual in a more fundamental form, as part of a comparative process which can be
continuously repeated. This biotypological classification, obviously formulated for clinical and
therapeutic use, has, to use the expression of Raul Romero, gone beyond these purely medical limits
and into the domain of biology, as can be noted especially in the work of Pende.
We can already see how Hahnemann's original classification surpasses all later ones and how applicable
it is to all the expressions of man's being. One hundred years ago, Trousseau's concept of the 'diathesis'
emerged and became of transcendental importance; I will refer to it frequently because this definition
appears to me admirable and fully in agreement with Hahnemann's miasm. I do not know how far
Trousseau went in reasoning about the diathesis. Modern dictionaries define it as an individual's
hereditary disposition to contract a particular group of sickness. Its author obviously intended it to be
more profound and significant; a congenital or be acquired, but still essential, predisposition which is
invariably chronic, causing alterations which are numerous in form but single in essence.'
Possibly Trousseau was acquainted with the ideas of Hahnemann, and now and then an author will call
attention to a clear relationship between the two sages. What is certain is that Trousseau's brilliant
concept offered to the medical world was neither utilized, nor properly developed; or perhaps, its
author did not propose adequate grounds for its definitive and comprehensive utilization. We believe
that his speculation was not supported by sufficient evidence. Those who claimed to follow him in
conventional or established pathological studies recognized a great number of diatheses - still listed in
the dictionaries-such as the aneurysmic, angioneurotic, arthritic, asthenic, and autoinfection diatheses,
the diatheses of contraction, the scabious, dystrophic, spasmodic, stremous (also called scropholous)
diatheses, the exudative diatheses of Czerny (who probed deeply and in many writings strove to
broaden these concepts of predisposition to exudative illnesses and ganglionic infarcts), the gouty,
catarrhal, hemorrhagic, inopexic, lymphatic, neuropathic, oxalic, rheumatic, tuberculous, and uric
diatheses. This multiplicity of concepts, in precipitate eagerness to apply Trousseau's profound concept,
caused it to be virtually rejected, so that its enormous potential usefulness was reduced to a minimum,
and nineteenth-century medicine more or less disdained and forgot it.
By reducing these type to only four, Kretschmar and Pende achieved, up to a certain point, the
synthesis following upon analysis justified by clinical observation and verification; this enabled them to
make extensive use of the concept in studying the sick, and from it; they deduced applications in all
sociological aspects of human existence as noted by Dr. Romero. But let us examine the basis of these
classification: from deduction, Trousseau passes to induction, from the clinical aspects of the different
patients. As a great practitioner in the hospitals of Paris, he had to formulate general conclusions for the
benefit of his students in the departments of therapeutics which he headed with such dignity. The
psychological aspect has been the starting-point for others (Kretschmer). Pende and Maranon took as
their basis the endocrinological system, in their time representing the most profound and extensive
knowledge of human pathology, so that the types which emerge there and are interrelated, thus
constituting the basic defined types, are established according to the predominance or alteration of one
or other of these glands. This is, of course, a positive and very valid procedure for a predominantly
materialistic medicine whose physiological processes have been more or less demonstrable since the
time of Claude Bernard.
 These procedures outlined by these masters have all, without any doubt, remained as splendid resource
for knowledge of the patient and of the human being.
But what is significant is the coincidence of view of all these medical thinkers on the manifest
importance of the predisposing 'terrain' which virtually generates, or at least moderates, the sickness.
Maranon states: 'The science of the human constitution has been reborn...It will be fundamental for
new generations of physicians oriented towards a scientific and imbued with biological knowledge. The
others the "professionals" who make of our science a trade devoid of biological sap, need neither this
nor anything else. But their kingdom is ultimately not that of medicine'. He synthesized the insights of
Bield, Schaffer, Bauer, Jimenez Diaz, Richard, etc., and he himself is fundamentally a constitutionalist
even in his professorial chair of endocrinology.
So, in agreement with the general pathological considerations of such modern authors as Dr. Perez
Tamayo, pathology has passed through different epochs - from the macroscopic to the microscopic, and
now to the biochemical, from the humoral to the organic, the tissues, the cells, and ultimately the
molecules. The humoral corresponds to the hypothetical phase of medicine with its aim of explaining
the ultimate cause of sickness. The organic phase corresponds to the beginning of the analytical study of
the organs by autopsy and observation of the changes effected in the different parts of the organism by
sickness. The tissue phase corresponds to a more advanced state of analysis which does not pause at the
limits of the organs but discovers the relations among their various parts through the resemblance of
their tissue components. The phase which calls itself cellular pathology corresponds to this further stage
of analysis which aims exhaustiveness and arms itself with magnifying lenses. These heighten the power
of observation and enable the investigator to recognize that, even though man is made of organs which
have been discovered and measured, and even though these organs have certain constitutive tissues in
common, these very tissues are formed of cells which the magic of microscopic analysis enables us to
see as individuals communicating and relating with many others resembling them with the whole
forming a conglomerate which yields a human organism as it's ulimate outcome. In the first stage
pathology was merely assumed; in the second stage it was sought in the organs which were discovered
and described; in the third stage, researchers poked around in the tissues constituting these organs, and
now they do the same in the cells which constitute the innumerable individuals making up the human
race.
Now, in an even greater excess of analytical zeal, the cell is broken down into its various components,
and the cause of the sickness is sought in them- with the same zeal and with the aid of biochemistry - to
elevate our knowledge of the morbific process from a minimum to a maximum and thus to be able
better to influence it.
Perhaps physiology can be conceived and explained in terms of biochemical changes or processes in the
nucleic acids and other cellular components, but it should be noted that the cell is an individual in itself,
and at this level occur all the changes and functions which follow upon one another in the organic
whole, i.e. , in the human being. But at the same time, it seems to me pertinent to note a sentence from
the book of Perez Tamayo: 'Physicians who abandon pathological anatomy cease to understand the
illness, and their efforts to oppose it will be as shallow as they are themselves."
Mayoral Pardo who, as we must not forget, was the founder of the department of therapeutics both in
our University and in our School of Military Medicine, where he remained for many years, tell us: "When
physicians realize that infectious diseases cannot be dominated even when the correct medicines are
used, there is an upsurge of interest in the concept of 'terrain', the infection is recognized not to be
everything, and physicians return to elements of therapeutics which endeavor to modify the patient's
constitution. As concerns therapeutics, this notion of 'terrain' is the living organism considered as a
complete system in which anatomy, physiology, psychological aspects, hereditary and acquired
characteristics, as well as environmental influences, are present as analytical aspects of an indivisible
whole'. This authority, who was so profound an observer of all aspects of medicine, points out that one
of the dominant constitutional illness, the 'terrain', and the biotypology of patients.
Even a summary consideration, or, better still, the mere enumeration of some authors who have
examined constitutional aspects of medicine compels us to reconsider Hahnemann's legacy upon which
he worked for twelve consecutive years for the achievement of a correct curative method, and which he
urged on his disciples to the point of exhaustion; the chronic diseases or miasms.

Consulted works
ALLENDY H. "Morbid Substitutions", Acte du Congre L.N. B.L. 1931.
BAUER J. Physiology, Pathology and Clinic or Internal Secretions Korata Edit. 1929
BRUGHSH TH. Treatise of Medical Pathology. Edit. Labor, Argentina 1948.
DUBOS R. Magistral Conference. 3rd Pharmacology and Therapeutics Symposium. Reidel Edit. Holland
1966.
FRANCOIS F. "Miasms" H. de M. Edit. 1964
HAHNEMANN Doctrine and Treatment of Chronic Diseases. Prop. of Homoeopathy. Edit. 1930.
HIPOCRATES "Aphorisms" Pubu Edit. Valencia 1921.
MAYORAL PARDO Inaugural Class of Medical therapeutics. "Homoeopathy in the World" year 4-11 N°2
MACCO DI GENARO Atti delle 3er Congresso National de Med. Hom. Roma 1966
MARANON Complete Works Espasa Calpe Edit. Madrid 1961
PEREZ H.G. Philosophy of Medicine J.I. Muhez Printing-shop Mexico, 1920
PEREZ H.G. General Pathology Idem 1941
PEREZ TAMAYO R. Pathology Principles, Medical Press Mexico 1965
ROMERO R. RAUL Unpublished Article, 1960
VANNIER L. Doctrine of French Homoeopathy
ZISSU R. Less Diathesis et l' Homeopathie, Bulletin C.H. de France, 1954
PAGE 17

The hahnemannian theory of the miasms

- Its discovery in Hahnemann's clinic.
- Suppressions as cause which exacerbate pathology.
- Considerations of the basis of the theory of psora.
- The Hahnemannian miasm as diathesis, dyscrasia, or predisposition - as presented in his fundamental
works, the ORGANON and the CHRONIC DISEASES.
PAGE 19
It is a well-known fact that the Master, after erecting the doctrinal monument of homoeopathy
together with its corresponding curative technique, observed in his own practice (which surely followed
the principles of his method) that the results, while relatively satisfactory and clearly preferable and
superior to those of old-school medicine, still left a large question mark with respect to relapses or the
emergence of new diseased states in the apparently cured patient. That is, the matter persisted in a
condition of relatively good health but had a tendency to manifest periodic or successive syndromes or
pathological states with a certain similarity or relationship with one another. In other words, the really
sick patients were seen to pass through periodic or states of illness which appeared distinct to the
superficial observer but in which careful examination disclosed a nexus of identity, a characteristic
connecting link; thus, the apparently different illnesses presented by the same sick person, as judged by
his bio-pathology, were in fact linked by a background which constituted a predisposition to a
characteristic form in respect both to dysfunctions and to the lesions themselves. This predisposition,
whether constitutional or merely a constant aspect of organic man which persists in the form of its
expression, was called by Hahnemann; MIASM OR CHRONIC DISEASE. In it he recognized the latent germ
of any pathological process, i.e. , the inevitable cause of the obvious imbalance which recognize as
diseases but which we cannot deduce completely from occasional factors because they always involve
the receptivity of the individual, i.e. , his predisposition to them. THUS ACUTE ILLNESS IS AN EXTENSION
OF THE CONSTITUTIONAL ONE WHICH DETERMINES IT AND IS ITS ULTIMATE CAUSE.
HAHNEMANN writes : The faithfully practised precepts of the homoeopathic method of cure, as it is
taught in my own writings and those of my disciples, have hitherto manifested to all men, and in a very
striking and decisive manner, their natural advantage both in regard to acute diseases as well as in
epidemics and sporadic fevers... But there remained the chronic diseases which afflict humanity, and the
number of which continued to be immensely large. 'it is even greater today'!! The manner in which
those diseases had been treated by old school physicians has only served to increase the sufferings of
such patients. By employing a quantity of disgusting mixtures, compounded by the apothecary out of
large doses of violent medicinal substances... or by using all sorts of baths... pretended anodynes and
sedatives... and especially those everlasting purgatives, leeches, blood lettings and methods of
starvation... and other nameless diseases, 'being much worse and much more incurable than the original
natural disease, was substituted in place of the pervious substance'....
PAGE 20
'And in this way nothing was done except additional sufferings consequent upon the use of improper
and noxious medicines'.... 'In these cases of chronic diseases to which I have just alluded, and provided
the patients had not been too much ruined by the allopathic practice... the homoeopathic practitioners,
by practising the precepts contained in the writings which I had then published and by following the
advice which I had given on former occasions, both in lectures and conversations, did infinitely more
good by their treatment than all the previously known so-called methods of cure had been able to
accomplish'.... 'The patient who had been thus treated might have considered himself almost cured and
very often did consider himself so when he made just allowances for the difficulties of his condition
previous to the homoeopathic treatment and compared it with the improved state of health which he
now enjoyed. But then a few excesses at table, a cold, the approach of unusually rough, damp or stormy
weather, sometimes even the fall season, though mild, but especially winter and a wintry spring, a
violent bodily or mental effort, a concussion of the system consequent upon great external injuries, or
some melancholy, heartbreaking event, frequent fright, deep sorrow or grief, or continued chagrin,
were often sufficient in an enfeebled system, to cause one or more of the former ailments to appear
after they had been conquered for a time; and then they were often accompanied with a series of new
symptoms which may not have denoted any more danger than the former symptoms did that had
yielded to the homoeopathic treatment, but were just as difficult to cure, and therefore so much more
inveterate.' The homoeopath acted as if this were a new illness (AS WAS DONE BEFORE THERE WAS
KNOWLEDGE OF THE MIASMS, BEFORE HAHNEMANN MADE THIS DOCTRINE KNOWN, AND AS IS STILL
BEING DONE, WHEN THIS DOCTRINE IS EITHER UNKNOWN OR FORGOTTEN). 'Against these new
symptoms the homoeopathic physician employed again, with tolerable success, the remedy which acted
most homoeopathically among the then known drugs, and the condition of the patient was again
improved for a time. In case the primitive symptoms which had been cured once already
homoeopathically, reappeared in consequence of one of the above-mentioned causes, the remedy
which had been first employed, helped again, though less perfectly; and still less so, on being given a
third time.
PAGE 21
'Under these circumstances, the remedy which had appeared most homoeopathic often produced new
symptoms, and despite a correct mode of life on the part of the patients, they yielded but scantily and
imperfectly to the best adapted remedies, and often even remained when the cure was checked by the
above-mentioned external (or mental) influences'.... 'Sometimes, the chronic malady was arrested in a
remarkable manner, for a longer or shorter period, by the occurrence of agreeable circumstances, by
some fortunate improvement in the affairs of the patient - a pleasant journey, a favourable season, and
dry uniform weather; in this case, the homoeopathic physician had a right to consider the patient almost
cured, and the patient did consider himself so, provided he was willing to overlook moderate ailments.
However, this favourable cessation of the disease never lasted long, and the return, especially the
frequent return of the disease, which induced a repeated exhibition of the same remedial agents,
weakened their power in a proportionate degree.... They finally acted as mere palliatives.' 'Generally,
however, after the physician had repeatedly tried to conquer the disease, which reappeared again and
again in a modified form, and inspite of a correct mode of life and perfect obedience on the part of the
patient, there remained morbid symptoms which the then known numerous homoeopathic remedies
were unable to extirpate, and often even to diminish. These symptoms increasing in intensity and
becoming more ad more dangerous by their progressive development, the homoeopathic physician lost
all power of checking the onward course of the disease....' 'first, the treatment was satisfactory, then it
became less favourable, and finally hopeless....' 'Despite these failures, the doctrine itself has been, and
will ever be founded upon the unshakeable pillars of truth.' 'Why then, were less favourable, or even
unfavourable, results obtained by homeopathy in the treatment of chronic disease?'
PAGE 22
'Acute diseases, provided they were not fatal from their beginning, were not only considerably
alleviated by correctly chosen homoeopathic remedies, but even promptly and thoroughly cured by
means of the VIS MEDICATRIX OF THE ORGANISM. Why should this VIS MEDICATRIX of the organism,
whose object is to restore the integrity of the organism, and to be indefatigably active in completing the
recovery from virulent acute diseases, have been insufficient to effect a durable cure of those chronic
maladies, even when it was aided by those homoeopathic remedies, the symptoms of which
corresponded most accurately to those of the disease?...' What obstacle stood in the way? In trying to
answer this question I was led to the discovery of the nature of chronic diseases. Even since the years
1816 and 1817 I had been employed day and night, to discover the reason why the homeopathic
remedies which were then known, did not effect a true cure of the above named chronic diseases. I
tried to obtain a more correct, and, if possible, a completely correct idea of the true nature of those
thousands of chronic ailments which remained uncured inspite of the incontrovertible truth of the
homoeopathic doctrine; when, behold, the Giver of all Good permitted me, about that time, to solve the
sublime problem for the benefit of mankind, after unceasing meditation, indefatigable research, careful
observations, and the most accurate experiments.
'I kept my great efforts secret both from the public and from my own disciples, not on account of the
ingratitude which I have frequently experienced.... I never spoke of my exertions because it is improper,
and even dangerous, to speak of things that are but half accomplished. Not until the year 1827 did I
communicate the most important part of my discoveries relative to the treatment of chronic diseases to
two of my most deserving disciples.... I did so in order to avoid that danger of seeing my discoveries lost
to mankind....' 'I observed that the non-venereal chronic diseases, even after having been repeatedly
and successfully removed by the then known homoeopathic remedies, continually reappeared in a more
or less modified form, and with a yearly increase of disagreeable symptoms. This proved to me the fact
that the phenomenon which appeared to constitute the ostensible disease was a MERE FRAGMENT OF A
MUCH MORE DEEP-SEATED, PRIMITIVE EVIL, THE GREAT EXTENT OF WHICH MIGHT BE INFERRED FROM
THE NEW SYMPTOMS WHICH CONTINUED TO APPEAR FROM TIME TO TIME. THIS SHOWED ME THAT
THE HOMOEOPATHIC PRACTITIONER OUGHT NOT TO TREAT DISEASES OF THIS KIND AS SEPARATE AND
COMPLETELY DEVELOPED MALADIES.
PAGE 23
'I BECAME CONVINCED THAT THE FIRST CONDITION OF FINDING OUT ONE OR MORE HOMOEOPATHIC
MEDICINES WHICH SHOULD COVER ALL THE SYMPTOMS CHARACTERIZING THE WHOLE DISTURBANCE
WAS TO DISCOVER ALL THE AILMENTS AND SYMPTOMS INHERENT IN THE UNKNOWN PRIMITIVE
MALADY. The medicine being found out, the physician would then be able to conquer and to completely
extinguish the whole disease, together with it successively appearing groups of symptoms.
'This primitive disease evidently owed its existence to SOME CHRONIC MIASM. For as soon as it had
reached a certain height, it never yielded to the simple action of a robust constitution, or to the best
regulated diet or mode of life; on the contrary, it grew worse from year to year, to the end of life,
gradually assuming different and more dangerous symptoms. This is the case with every chronic
miasmatic disease.
'For instance, the venereal bubo, when It has become a syphilitic disease on account of its not having
been cured from within by mercury, its specific. Syphilis never becomes extinct of itself... it increases
from year and assumes new and more dangerous symptoms to the end of life.'
'These circumstances, coupled with the fact that psoric eruptions which had been removed by evil
practices or by some other cause were evidently followed in otherwise healthy persons by chronic
ailments having the like or similar symptoms - as had been observed both by other physicians and
myself in an infinite number of cases - left me no doubt about the internal enemy I had to combat in my
medical treatment. This internal enemy I shall designate by the general term psora (Chronic Diseases,
Pages 45).
PAGE 24
In most of the patients observed, Hahnemann verified a past history of psora. Psora, he says, is the
common well spring of many chronic diseases which seem to differ in essence but ultimately are one
and the same. 'In Europe, as well as in the other continents, we have been able to discover BUT THREE
CHRONIC MIASMS which cause diseases manifesting themselves by local symptoms, and in which most
chronic ailments originate. These miasms are Syphilis (which I have also termed the venereal chancre),
sycosis, and then Psora, which forms the basis of the itch.'
'Though this psora is the oldest, most universal, and most pernicious chronic miasmatic disease, yet it
has been misapprehended mire than any other. For thousands of years it has disfigured and tortured
mankind; and during the last centuries it has become the cause of those thousands of incredibly
different, acute as well as chronic, non-venereal diseases with which the civilized portion of mankind
becomes more and more infected upon the whole inhabited globe....PSORA is just as tedious as SYPHILIS
and SYCOSIS... unless it is thoroughly cured, it lasts until the last breath of the longest life; not even the
robustest constitution, by its own unaided efforts is able to annihilate and to extinguish PSO.
 'In the many thousands of years since it has visited mankind, the multitude of its morbid symptoms has
increased to such an extent that its secondary symptoms have become innumerable.'
'When the chief symptom which is the external eruption, has been suppressed, it produces an
innumerable quantity of secondary chronic ailments. Physicians lose sight of the origin of that host of
secondary morbid symptoms; they are unable to discover it, and the secondary disease is just as
incurable as had been the original malady with its eruption existing upon the skin. This had, in fact,
never been thoroughly cured, as experience showed, but had constantly been made worse by a quantity
of false remedies. At the time when the psoric poison was yet reduced to its formidable external
substitute, leprosy, there were much less nervous affections, painful ailments, spasms, cancerous ulcers,
adventitious formations, weakness, paralyses, consumptions, and degenerations of either body or soul
than there are now.'
PAGE 25
'Modern physicians, even the most distinguished... have established the rule and have given it almost as
an infallible proposition, that every psoric eruption is a mere local affection of the skin, with which the
organism has nothing do... that health is restored as soon as the external eruption has been removed....
Such horrible untruths were not only taught formerly, but they are taught and even practised in our
days... all those who are affected with the itch are ordered, by common as well as distinguished
physicians, to use external applications for the purpose of removing the eruption - the sooner the
better.... This being done, they impudently assert that the disease is cured, and the patients are
dismissed without the least regard for the secondary ailments which will certainly sooner or later
manifest themselves as results of the psoric reaction. The deceived and unfortunate patients sooner or
later return to the hospital, affected with the unavoidable consequences of the former treatment, such
as swellings, obstinate pain in various parts of the body, hypochondria, hysteria, gout, consumption,
tubercular phthisis, spasmodic asthma, blindness, deafness, paralysis, carcinoma of the bones,
cancerous ulcers, spasms, haemorrhage, diseases of the mind and soul, etc., etc.
HAHNEMANN GIVES COUNTLESS QUOTES FROM THE PHYSICIANS OF HIS TIME PROVING THE EXISTENCE
OF THESE SECONDARY AILMENTS OF MEDICAL THINKERS WHO, THEN AS NOW, REASON PROFOUNDLY
AND OBSERVE THE ULTIMATE RESULTS. THEREUPON HE MENTIONS ARTICLES AND VARIOUS ACCOUNTS
AND COMMUNICATIONS FROM PHYSICIANS OF GREAT PRESTIGE WHO COINCIDE WITH HIS
OBSERVATIONS. THEN HE CONTINUES HIS OWN EXPOSITION :
PAGE 26
'These few cases... are sufficient to convince the intelligent observer that the itch, together with its
varieties, tinea capitis, crusta lactea, herpes, etc. are the external vicarious symptoms of an internal
disease affecting the whole organism, and that at PSORA is the most pernicious of all chronic miasms.
After reading the above cases, no reasonable and inquiring physician will dare to assert that the itch,
tinea, herpes, etc. Are mere cutaneous diseases, which may unhesitatingly be removed from the skin by
external applications, because the organism is not affected by them....'
'This kind of treatment is the most pernicious, the most infamous, and the most unpardonable
malpractice of which modern physicians, of the old school have made themselves guilty.'
After these notions, which are fundamental to the theory of psora, Hahnemann refers to its etiological
aspect, comparing its onset to that of what he calls the acute miasmatic diseases, that is, the ones
whose virus (as he states textually) penetrates and invades the whole organism through a portal of entry
and which are characterized by three stages :
1. The moment of infection.
 2. The period required for the organism to be penetrated by the sickness.
3. The manifestation of its development in the whole organism.
A scabious exanthema reduces psora to silence just as an external chancre does for internal syphilis :
when these manifestations are suppressed by unnatural techniques, changes are generated which
become the internal affection.
PAGE 27
It is easy to understand that Hahnemann was pointing to the innumerable suppressions undergone by
these sickness which, in the case of psora and syphilis, were initially pruritic or ulcerous and, in the case
of sycosis, were especially blenhorragic, throughout the centuries during which they were treated by
suppressive enantiopathic medicine.
Thus the miasm leaves its latent form, and its manifestations surge to the fore with intensity, when
stimulated by environmental or emotional propitious for its development. The miasm will become
manifest when there is homogeneity or similarity between the external morbific noxa and the patient's
diseased condition or predisposition (whether due to pathological inheritance or to an improper manner
of living, this involves a deficiency, excess, or perversion in his essential vital functions, nutritive,
reproductive and relational).
The concept of the miasm as a contagious VIRUS seems very appropriate to minds which accept the
materialist criterion of traditional medicine. Such a concept is easy to understand and accept, being in
agreement with the microbial theory and with the urge to find the MATERIA PECCANS which, once
destroyed or eliminated, causes the patient's health to be restored. This simple mode of reasoning is
initially adopted in medicine by every beginner : confronted with suffering, man seeks a cause, yet
almost never recognizes it inside himself and blames it on various other circumstances or things - a chill,
such and such food, the feeling of disgust caused by such and such person, etc. And when microbes
appear ... ah ah!! These are the enemies of mankind and cause of all our ills.
According to this premise medicine's fundamental objective is merely to recognize the microbes
corresponding to each sickness and then to destroy them.... But what appeared to be an unimpeachable
solution turned into a new chimera.
What is certain is that the microbial theory, with its firm foundations and indubitable demonstrations,
left a gigantic stamp on medicine, so that the great majority of homoeopaths could not escape this
hallucination. Thus, many professors of homoeopathy easily concluded, (seizing on Hahnemann's words
about contagion) that microbes constitute what he called the acute diseases and the viruses the chronic
miasms (M. TYLER).
PAGE 28
But pathological reality must be understood differently.
Latent psora is absolutely propitious to contagion with scabies, just as sycosis is for gonorrhoea, and
anyone with the marks of the third miasm will be liable to the chancrous disease. The miasm as
diathesis, constitutional pathology, or morbific condition is defined by Hahnemann in the following
passages from the same text.... 'One can lead a quite bearable life for many years, freely devoting
oneself to various occupations when one is young and in the prime of life, without experiencing any
mishap, successfully overcoming life's vicissitudes and, almost without realizing it, suffer one or several
of the symptoms of latent psora, such as unappeasable anger, hands which are often cold and clammy,
or persistently dry and falling hair, or delayed menses, or lassitude upon awakening, or, in sum, any
failing to which the individual pays no attention, believing himself healthy...' 'And only the attentive
connoisseur can discover in these light symptoms the psora which can remain asleep inside the
organism for years without constituting a definite chronic illness'. 'However, even in favorable external
circumstances, as the individual grows older, a trivial cause, or ordinary vexation, a cold, an irregularity
in the diet will cause a violent though short attack of disease : a violent colic, inflammation of the chest
or throat, a fever, etc., the vehemence of which is often out of proportion with the cause which has
apparently brought it on.' 'thus, an apparently healthy child or adult, but with latent psora, whose
organism is upset by some external cause such as a severe blow or a fracture, or a contagious disease, or
above all by the allopathic remedies which have been improperly given to him, or whose vital powers
have been weakened by leading a sedentary life in a close camp room, or whose soul has been
depressed by the death of beloved relatives, bitterness, disappointments, etc., until the depression
arouses the psora from its lethargic state, generating serious and inveterate symptoms which become
continually more aggravated, without any remission, to the most terrible degree. This varies in different
individuals according to constitution, hereditary disposition, education, habit, mode of life, diet,
occupation, tendencies of the mind, morals, etc.
PAGE 29
With respect to sycosis, Hahnemann states, in the same CHRONIC DISEASES, that "THIS IS THE MIASM
WHICH ENGENDERS THE SMALLEST NUMBER OF CHRONIC SICKNESSES, ITS MANIFESTATIONS BEING
SEEN ONLY FROM TOME TO TIME".
He adds that this sickness of the vegetal system which generally appears some days or weeks after
impure coitus, and is usually followed by gonorrhoeal dripping, is often treated by external applications
which merely suppress it temporarily. In this form, as Hahnemann adds : "When sycosis is deprived of
the local symptom, which IS THE SIGN OF THE INTERNAL DISEASE, it must take another and more serious
form, as a secondary disease."
With respect to syphilis he states in the beginning of the Chronic Diseases : "This is the case with every
miasmatic disease - for instance, the venereal bubo, when it HAS BECOME THE SYPHILITIC DISEASE ON
ACCOUNT OF ITS NOT HAVING BEEN CURED FROM WITHIN BY MERCURY? ITS SPECIFIC. Syphilis never
becomes extinct of itself; in spite of the best mode of life and the robustest constitution, it increases
from year to year and assumes new and more dangerous symptoms to the end of life."
In the last edition of ORGANON there are many references to the miasms, considered by Hahnemann as
diatheses or constitutional diseases. We need only refer to paragraphs 78, 82, and 203 to 208 especially,
although in paragraph 5, noting everything which may aid the curative process, he states : "useful to the
physician in assisting him to cure are the particulars of :
1. The most probable exciting cause of the acute disease.
PAGE 30
2. The most significant points in the whole story of the chronic disease, to enable him to discover its
fundamental cause, which is generally due to a chronic miasm...."
The most illustrative and precise paragraph in the ORGANON relating to the miasms is 204 which states
: "If we deduct all chronic affection and disease that depend on a persistently unhealthy mode of living,
as also those innumerable medicinal maladies caused by the irrational, persistent, harassing and
pernicious treatment of diseases often only of trivial character by physicians of the old school, most of
the remainder of chronic diseases result from the development of these three chronic miasms, internal
syphilis, internal sycosis, but chiefly and in infinitely greater proportion, internal psora. Each of these
infections WAS ALREADY IN POSSESSION OF THE WHOLE ORGANISM, AND HAD PENETRATED IT IN ALL
DIRECTIONS BEFORE THE APPEARANCE OF THE PRIMARY, VICARIOUS LOCAL SYMPTOM OF EACH OF
THEM (in the case of the psora the scabious eruption, in syphilis the chancre or the bubo, and in sycosis
the condylomata) that prevented their outburst; and these chronic miasmatic diseases, if deprived of
their local symptom, are inevitably designed by mighty Nature sooner or later to become developed and
to burst forth, and thereby propagate all the nameless misery, the incredible number of chronic diseases
which have plagued mankind for hundreds and thousands of years, none of which would so frequently
have come into existence had physicians striven in a rational manner to cure radically and to extinguish
in the organism these three miasms without employing local remedies for their corresponding external
symptoms, relying solely on the proper external homoeopathic remedies for each.
These concepts are found abundantly in the following paragraphs, and in paragraph 206 the miasms are
called "dyscrasias"; in the following lines Hahnemann calls them diathesis : "The psoric diathesis, the
fundamental and most common cause of chronic diseases."
Thus, the concept of diathesis, dyscrasia, or constitutional pathology persists in Hahnemann's brilliant
conception of the chronic diseases : an anomalous condition of existence due to an extension of the
alterations which constitute the first manifestations of organic disequilibrium of the vital force, which
has repercussions on the whole being, and ends by modifying it permanently in such a way as necessary
to predispose it to various illnesses according to the characteristics of the suppressed manifestations.
PAGE 31
We have already stated that the first Hahnemannian concept needed to understand and derive all
possible benefit from the miasmatic doctrine is that health, sickness and cure are dynamic processes.
For many years (and, indeed, until just recently) the incomparable doctrine of miasms was forgotten,
underestimated, and contested be cause no technique had been devised to reveal its clinical usefulness
and adapt it to the progress attained and ATTAINABLE in biology-especially as it relates to medicine.
No doubt may attempts have been made to interpret and apply the doctrine of miasms, all contributing
in one way or another to eliminating the unknowns or to dissipating the imprecision around
Hahnemann's exposition of the miasms.
The Mexican Homeopathic Association, founded in 1960, has been working uninterruptedly,
expounding, diffusing, and occasionally debating the investigations and studies of Hahnemann's miasms
which I started in 1940 and whose first appearance was in my doctoral thesis, THE NATURAL HEALING
FORCE AND HOMOEOPATHY; (subsequently I presented various articles at national and international
congresses and, especially, submitted a MEMORANDUM together with relevant writings to the First
Assembly of this Association, published in 1964.
Before presenting the fruits of these efforts we must indicate what is needed to fully understand the
doctrine of chronic diseases in all its valuable and far-reaching aspects.
PAGE 32

Consulted works
HAHNEMANN. - Doctrine and Treatment of Chronic Illnesses trans. ED. Flores Edit. Propulsora de
Homeopatia Mexico, 1935.
HAHNEMANN. - Chronic Illnesses. Trans. Torres Villanueva
Edit. Vda. De Sanchez. Madrid, 1849.
HAHNEMANN. - Les Maladies Chroniques. Trans. Schmidt et
Kunzli. Edit. Maisonneuve, France, 1969.
HAHNEMANN. - Organon of Medicine. Trans. H.Q. Perez.
Print. Munoz Y Serra. Mexico, 1910.
HAHNEMANN. - Organon in the Art of Healing. Trans. H.
Sanllehy. Edit. Bailly Bailliere. Madrid,
1844.
HAHNEMANN. - L'Organon de L'Art de Guérir. Trans. P.
Schmidt. Edit. Vigot. France, 1952.
HAHNEMANN. - Organon of Medicine. Trans. R. Romeo.
Print. Porvenir. Yucatan, Mexico.
HAHNEMANN. - L'Organon de L'Art de Guérir. Trans.
Brunnov. Edit. Arnold. Dresde, 1824. Reimp
Lab. Boiron, 1975.
PAGE 33

Conditions for accepting the doctrine of miasms

- To understand the theory of miasms in all its depth and scope, one must first assimilate Hahnemann's
medical philosophy, especially its concepts of health, sickness and cure.
- One muderstand the significance of the NATURA MEDICATRIX MORBORUM and know precisely in
what the true simillimum consists.
- A Mercurius patient who turns out to be Calcarea.
PAGE 35
The indispensable condition for comprehending the miasmatic doctrine is : THE ACTUAL AND
COMPLETE KNOWLEDGE OF HAHNEMANNIAN HOMOEOPATHIC MEDICAL PHILOSOPHY.
A. The concepts of health, sickness and cure are set forth in this philosophy as processes occurring on
the dynamic plane. Health is equanimity of the human being; illness is disequilibrium of the vital force;
cure is a return to harmony with oneself and the whole world.
"Health is not only the absence of sickness or disease, but also physical, mental, and social well-
being".... This definition given by the World Health Organization encompasses the thinking of the great
medical thinkers of our epoch and corroborates the definition given in all periods most especially by
Hahnemann and his great disciples, Kent and Higinio G. Perez : health as an existential state, a
eurythmy, a harmony with the whole, an equilibrium both organic and psychological. This concept
should be profoundly assimilated by any student of homoeopathy and should always be at the forefront
of this attention.
By inference, sickness is another existential state. The true sickness which integrally transforms the
human being, making him different, hostile to the community, and repelled by it, is as physiological and
existential a state and as complete a one as normality; this state which is called sickness brings out an
increased effort of the natural healing power to restore normality, the symptoms being produced in this
process as phenomena by which the healing power endeavors to restore health.
B. In all medical reasoning, one must bear in mind the NATURA MEDICATRIX MORBORUM or the VIS
MEDICATRIX NATURAE in other words, that the healing power which sustains the created being is
continually and unalterably engaged in correcting and rectifying.
Everything is accomplished by the healing power of nature, as has been recognized by all the masters of
medical thought since Hippocrates.... Hahnemann refers especially to this healing power in the
ORGANON, paragraphs 10 and 13, where the states : "The material organism without vital force, is
incapable of feeling, of acting, of conserving itself; every sensation is born and all the vital functions are
performed by means of the vital principle that animates him in health as well as in disease." "therefore,
the disease that does not submit to evidently material causes that correspond to Surgery, is, in no way,
something apart from the living being, however subtle it might be imagined; and absurd, liable only to
the imagination of a materialistic brain. It is only a disorder of that vital force, of that dynamic principle
that gives life."
PAGE 36
Perez gives a magistral summary of these concepts in the following forms : "Illness is but a manner of
being, an adjective of the substantive man."
If life, like health and sickness, can best be understood on the dynamic level, one must also be
conceived on this same level as the successful effort of the VIS MEDICATRIX NATURAE to return to the
equilibrium and equanimity which constitute health.
C. One mist have a complete understanding to the maximum, i.e. , in its most far-reaching verification
of the true meaning of the simillimum, and never be content with the claim that homoeopathy operates
through a childish and apparent concordance between fairly large number of symptoms of the sick
person and the most characteristic ones produced by the medicine.
The greatest weakness of homoeopathy is that most of its practitioners, even though convinced and
even passionate adherents of its doctrines, apply it to the patient as a mere therapeutic system founded
on the use of the similar medicine. Thus, the principal or most apparent group of symptoms reveals the
apparent remedy, and in this way the physician who believes he is practising correct homoeopathy is
deceived.
The TRUE SIMILARITY to be found in the simillimum must ENCOMPASS A MAXIMUM ANALOGY
BETWEEN THE MEDICINE AND THE SICKNESS : The whole potential of the therapeutic element must be
matched with the expression or STATE OF EXISTENCE of our patient, which is all that the sickness is.
PAGE 37
Sickness, as we have already indicated above, is in reality a series of phenomena produced by the
innate healing power in order to restore itself to a normal state of existence, carrying out its mission
within the inescapable limits of the human condition. Thus, the true homoeopathic prescription cannot
be based on one or several similarities but on the maximum similarity. Thus, the analogy should be as
complete as possible. To take an example, if we had to arrange books or chairs according to their
appearance, the superficial or ignorant observer would arrange chairs according to color or size, while
the connoisseur would do it according to style. The same with books : the superficial observer would be
guided by their size or the color of the cover, while the true librarian will organize them according to
subject-matter.
Let us give a small clinical example. A patient came to us complaining of pain in the right
hypochondrium, gastric acidity, thin r lumpy stools, abundant salivation, and copious perspiration;
sometimes the pain appeared in the left hypochondrium or the iliocaecal region and was described as a
pain or ache which became worse at night; he had eructations, especially at night, frequent stools with
ineffectual urging; he was easily irritated, impatient and nervous. All of this reminds us of the
MERCURIUS SOLUBILIS pattern. We can be sure that this is his simillimum and that, if we administer it,
we will almost certainly alleviate the patient partially or totally. To the ordinary practitioner these data
are sufficient; he neither wants nor needs to know more. The medicine is already selected, and the
results (which will perhaps be immediate) will testify to his success and to his high homoeopathic
qualifications, especially if he uses the 200C and a single dose. He will be regarded as a master
prescriber. And if he has taken the trouble to order other laboratory tests and X-rays, etc. of the
affected region, noting hepatic deficiency with inflammation of the stomach and caecum, his success
will merit a report to a congress where he will demonstrate his learning and will confirm that
MERCURIUS is appropriate to such disturbances with a predilection or tropism towards this region.
Indeed, the case will be worthy of inclusion in a text of "Homeopathic Therapeutics". The practitioner
deserves the gratitude of the patient and the recognition of his colleagues up and down the hierarchy.
But... Hahnemannian clinics demand more then this. If we investigate our patient more exhaustively, we
will find some further small details : we note that he is timid and fearful in some circumstances; travel
by bus makes him nervous, and by airplane even more; as we find out by further questioning, he is easily
anxious; this anxiety is mixed with fear. In addition to his evident timidity we discover that he is
reserved, takes offence easily, and feels resentment, that he feels worse in wet weather, with pricking
pains in his extremities; that he has felt all these symptoms on various occasions and especially after
experiencing emotional shocks at his place of employment. He appears (to be indulgent in family life, at
work, and in his other activities, but deep down he is somewhat unyielding and of a contrary nature. He
was raised in a relatively austere environment by a rigid father and strict grandparents. So, without
further biopathographical investigation we discover, by strict adherence to Hahnemann orthodoxy, that
the patient has a dominant psoric condition with a touch of syphilis, but that the true totality of the
symptoms demands CALCAREA CARBONICA as the true simillimum and not Mercurius as would at first
have appeared. Repertorizing the symptoms in the Materia Medica confirms this conclusion.
PAGE 38
CALCAREA as the constitutional medicine covers the totality of the patient's symptoms and will not only
immediately alleviate the symptoms which afflict him but will also be the most appropriate stimulus for
this human beings reactions, somatic and mental, guiding him towards a true homeostasis and
equanimity which will permit him not only to be relieved of the troubles which still afflict him but, even
more, will adjust him better to life with others and enable him to serve them better, offering them every
possible benefit; he will enjoy life himself and can help others to do the same. Let us note that in
prescribing CALCAREA we did not use only the true totality of the symptoms, but we established a
suitable hierarchy for each of the pathological manifestations, and it should not be thought that the
beneficial result took a long time : it occurred immediately, and in the correct order and direction, from
the most inward to the most outward, from the most severe to the least, acting upon and rectifying not
only our patient's sensations but even his physical structure.
PAGE 39
(Case 32-34 DCO/Pp from our archives).
PAGE 40

Consulted works
HAHNEMANN. - Organon of Medicine. Trans. R.
Romero. Print. Porvenir, Yucatan,
Mexico, 1929.
HIPPOCRATES. - Aphorisms. Publ. Edit. Valencia,
1921. LES ORIGINES DE LA MEDECINE
EN GRECE. P. Stakonas Atenas, 1968.
SANCHEZ VILCHIS A. - "Hippocrates" "Homoeopathy in the
World" 16-XII-1-1967.
H.C. PEREZ. - General Pathology. Print J.L.
Munoz, 1914, Mex.
KENT J.T. - Materia Medica Lectures Printed by
B. Jain, 1971.
KENT J.T. - Homoeopathic Philosophy. Trans. A,
Vinyals Edit. Bailly Balliere
Madrid, 1926.
KENT J.T. - Repertory of Materia Medica. Erhart
and Karl Chicago, 1935.
PAGE 41

What some of the great homeopaths have thought about the miasms
- It coincides with our evaluation of the miasms in the present investigation.
- THE MIASM AS CONSTITUTIONAL SICKNESS.
PAGE 43
Many authors of today and yesterday have discussed the doctrine of miasms. Dr. J. Grosso of Argentina,
referring to the miasmatic remedy, states : "This is an important matter which we have not always
succeeded in resolving satisfactory... When we say 'miasms' we mean 'causes', the etiology of acute and
chronic diseases. Thus, we talk about a psoric-sycotic asthmatic syndrome or a sycotic or syphilitic
mental change. By qualifying it as etiological we complete our statement of the case." Grosso attributed
miasms to alterations in the vibratory rhythm, in this way proceeding from a dynamic conception of the
illness.
"The patient suffers an alteration of his vital rhythm... which terminates in the formation of one or
another lesion as an epiphenomenon."
Vinovsky, also an argentinean, discussing the 'constitution' in his HOMEOPATIA (1955), states : "We
should emphasize the notion of miasm, which, while somewhat related to the concept of constitution or
involved in this concept, really means the grouping and classification of a large number of signs and
symptoms thus giving a precise idea of a morbid tendency or susceptibility. We can say (as we almost
always do) that a patient presents two or three known miasms or that one of them clearly
predominates; but this sort of diagnosis is not the same thing as individualizing the patient (or the
medicine) as it only gives a general orientation in the sense of bringing out his underlying morbid
idiosyncrasy.
Also coinciding with our way of interpreting and applying the doctrine of miasms is the thinking of
another argentinean, Horacio L. Roux, who stated in 1955 : "Chronic disease is the normal state of
existence to which the organism has become adapted in order to survive by finding a new tolerable
metabolism ensuring elimination of toxins and safeguarding, as well as it can, the more or less efficient
role of the noble organs. Any alteration in these readapted functions will give rise to a new imbalance
which be much more difficult and complex to repair than the preceding one, as there will be fewer
elements available and less vital energy to direct them."
PAGE 44
It is not strange that we quote various argentinean authors, since their associations contain many
respectable and hard - working physicians who are profound Hahnemannian thinkers, adhering strictly
to the single remedy. In discussing the significance of symptoms, Dr. C.A. Gutierrez, tells us : "Chronic
disease is a modification of the vital dynamism, leading to the creation of a special state called
susceptibility; when we neutralize this state, we cause it to lose its essential modality, i.e. , its driving
force... In the patient we should recognize two perfectly defined facets : on one hand the illness, which
is only the vital dynamism neutralized or denatured by something which produces a pure modification,
giving rise to susceptibility, and which Hahnemann called the miasm. And, on the other hand, the
human being in his environment which, colored by a series of modalities, permits us to catalogue the
vital case of sickness."
Nicolas M. Cicenia defines the miasm for us as the fundamental constitutional pathological state of the
individual : "The entire psychophysical constitution of the patient is altered. The organism is predisposed
to certain specific illnesses, to various perturbations with their own character and modalities, and this
individuality - distinct in every case - is the basis of homoeopathic treatment."
The argentinean master, Thomas O. Paschero, tells us : "Homoeopathy views the constitution as a
pathogenic dynamism which the individual inherits and modifies during his life, in three distinct
directions : inflammation, destruction of tissue, or its proliferation. These dynamic morbid tendencies
were called by Hahnemann 'miasms' - a term comparable to 'diathesis', 'dyscrasia', 'terrain', or
'constitution' and he gave them the names, Psora, Syphilis and Sycosis. The Hahnemannian concept of a
dynamic diathesis reduced to Psora, Syphilis and Sycosis is the only approach which enables us to
understand the grouping, into a common entity, of distinct phenomena which can even sometimes
alternate with one another."
"The actual sickness presented by the patient should not be viewed as a chapter separate from its vital
antecedents, but rather as a metastatic aspect of a morbid situation; it stands out like a wave of greater
or lesser magnitude against the constitutional background... dyscrasic or diathesic states which
condition the emergence of sickness or syndromes, each of the latter being erroneously regarded as a
separate and independent clinical entity... morbid alterations of the entire organism which can attack
the very structure of the individual and thus affect his genotype... which can be considered
constitutional illnesses, the totality of the morphological, physiological, and psychic qualities that
distinguish one human from others.
PAGE 45
References to the miasms are encountered in the writings of various authors. Granier, in his
homoeopathic lexicon, follows the initial exposition of Hahnemann and simply characterizes them as
"emanations" or "effluvia", i.e. , tiny volatile particles which cannot be recognized by any instruments,
but to which the human organism is susceptible; he associates them with the nature of our medicines in
calling the latter "miasmic". Following this somewhat inconclusive thought of Granier, Conrad Medina,
author of a book on homoeopathy, thinks that Hahnemann merely produced a philosophic hypothesis
about the miasms. Henry Allen, professor at the Hering Medical College of Chicago and a supreme
master among the classic homoeopaths, tells us at the beginning of the first chapter of his
HOMEOPATHIC MEDICINE : "Hahnemann's discovery of the chronic miasms was a mortal blow to his
epoch's erroneous etiological concepts, and this is not less true today (1906), even though a century has
elapsed, and an army of thinkers and investigators have come on the scene (and many of them already
departed this life) during the period since Hahnemann first announced that Psora is the cause or the
basic element in everything known as sickness... Many etiological structures have-arisen, only to fall
under by their own weight or to be demolished by others... One of the greatest, probably, is the cellular
pathology of Virchow... his doctrine of the independent activity of the cell is actually concealed vitalism,
an untenable doctrine for any materialist school of medicine... Will anyone ask why a true homoeopath
must know these chronic miasms? What influence can it have if the physician always selects the most
similar possible remedy?" Here Allen adds : "This last line is very appropriate : 'if he always selects the
most similar possible remedy'. The truth is that we cannot select the most similar possible remedy
unless we understand the phenomenon of the basic miasms in their existence and activity; the true
simile is based on this fact, whether or not we are aware of it."
PAGE 46
The example we gave of the apparent MERCURIUS patient who turned out to be CALCAREA shows how
the physician, the true homoeopath, perceives the underlying psoric condition, sees that the ultimate
collection of symptoms which appear to correspond more with the third miasm, syphilis, actually has
antecedents clearly reflected in the patient's general condition, his constitution and mental state; his
investigation, diagnosis, and therapeutic indication terminate precisely with this idea of the miasmatic
basis of the disease, and he changes the prescription to CALCAREA.
I return to Allen who adds : "It is not enough to proceed merely as a practitioner of Materia Medica
(that is why the physician is reduced to one who merely searches for the A PRIORI similar without
reasoning further than the totality of the patient'' admitted and salient symptoms permits, including
also the mentals and generals). "The Hahnemannian homoeopath should always perceive and seize on
the transcendent in the patient'' biopathography (as Paschero cells the antecedent pathology) as well as
everything that can be deduced from the therapeutic action and is consequences... thus to accept as the
ultimate of our art - this sentence of Higinio G. Perez : "IT IS NOT ENOUGH TO SAFEGUARD THE
INDIVIDUAL, WHO IS A PASSING PHENOMENON. IT IS MORE IMPORTANT TO SAFEGUARD THE SPECIES."
Allen adds : "Furthermore, suppose we prescribe the similar remedy and have no Knowledge of the
laws of action and reaction : how can we watch over the progress of a case without a definite
knowledge of these morbific forces or miasms with their mysterious but persistent advances, pauses,
rests, repeated progress and attacks along strange and unfamiliar lines, of whose multiple modes of
action we are ignorant?"
PAGE 47
We end our quotations from Allen (who unfortunately later got lost in speculation about a scrofulous
pseudo-psora, etc.) with these lines : "The character of the miasm yields the character of the disease or
the form of the illness."
Another Mexican master who also left writings, that psora is a state of conflict between the "it" and the
"I" generating a neurovegetative dystony : that it is the origin of the primary and basic disturbances of
the human pathology, and he refers to Herbert A. Roberts, whose PRINCIPLES AND ART OF CURE BY
HOMOEOPATHY (1936) advanced the hypothesis that psora is the equivalent of the so-called deficiency
diseases.
Higinio G. Perez identifies the miasm with morbific predispositions, regressive organic tendencies, and
states : "Christ the Redeemer, carrying the cross on his back, symbolizes the human being destined to
die on the cross of his own organism."
He then reminds us of Trousseau's masterful definition of diathesis, already, noted by us, and adds : "A
true diathesis is characterized by a multiplicity of manifestations with the same origin... This multiple
aspect of affections with the same origin requires classification of all predisposition with an acyclic
course into three types. The nutritive process serves as the basis of this classification. Nutrition is
disturbed by excess, deficiency, and perversion... "then Perez takes up scrofulous, arthritic and herpetic
conditions where we will not follow him, since we differ somewhat, but we are very pleased to find that
these nutritional alterations are truly related to a miasmatic state.
Perez continues as follows : "Syphilis is the manifestation which affects the preservative power of the
species. Just as poorly - constructed machines scarcely yield any product before they break down, so the
organism which is badly designed for perpetuation of the species has a blunted power of generation...
Before Hahnemann undertook the complete reform of medicine contained in his great treatise on the
CHRONIC DISEASES, he referred to venereal and syphilitic patients, regarding these as constitutional."
"The localized venereal malady is the alteration which can be repaired, while in syphilis the infection has
invaded the whole organism, defines it, and has become constitutional." "The constitutional venereal
disease, or syphilis, is another form of the morbid state with numerous embodiments - all deriving from
a single cause : a dyscrasia in which the germ of syphilis is flourishing." "The concept of chronic disease,
i.e. , one that is incurable and therefore permanent, is like one's own personality which also does not
change over time; it depends on all the factors which shape it, give it essence, and constitute its
idiosyncrasy."
PAGE 48
Let us end this chapter with the words of Professor Miguel de Vazquezy Gonzalez : "Ignorance of the
Hahnemannian legacy has always led to lamentable error."
PAGE 49

Consulted works
ALLEN H. - Medicina Homeopatica Edit. La
Aurora. Buenos Aires. 1940
GRANIER M. - Homeoplexique Edit. Delahaye,
Paris. 1874.
HARTMANN - Tratado practico de Terap. Homeop.
Trad. P. Hdz. y E. Bailly-
Bailliere. Madrid. 1863.
"Homeopatia" - Rev. ed la Ass. Med. H. Argentina.
1960-65.
Laradelarosa A. - "La Homeopatia en el Mundo". Ano I,
No. I 1950.
Medicina C. - Doctrina Homeopatica. Imp.
Periodistica y Comercial Mexico.
1945.
PEREZ H.G. - Filosofia de la Medicina. Imp.
Munoz J. I. Mexico. 1920.
PASCHERO T. - Homeopatia Talleres Grafcs. Gral.
San Martin Buenos Aires. 1973.
VAZQUEZ DE, YG. M. - "La Homeopatia en el Mundo". Ano 3-
1 No. 5.
PAGE 51

A general discussion of the miasms, the basis of their recognition : deficiency, excess, and perversion
- Sought out, recognized and understood as nutritional and physio - pathological alterations
characterizing, respectively, Hahnemannian Psora, Syphilis and Sycosis.
- Agreement with what is demonstrated by general pathology, Materia Medica and clinics.
- Assignment of a color to each miasm.
- Application of the doctrine of miasms to the observation of human beings.
PAGE 53
Judging by everything that can be discovered about Hahnemann's miasmatic doctrine, all that was
lacking to perfect it or, better still, to complement it - was some way to facilitate recognition of the
characteristics of each miasm and at the same time, to group the symptoms in a clinically useful way; so
that this remarkable doctrine should not remain a mere subject of speculation, devoid of the formidable
practical utility which it has to offer.
And... Who am I, you may ask, to attempt this task? Actually, most of the authors I have quoted above
became known to me only after I had elaborated my etiological thesis; I wanted to ascertain if their
ideas coincide with clinical and pathological reality, with the symptoms of the pathogeneses. Logically
enough, all this took many years of observation and investigation as well as research into the ideas on
this doctrine held by various authors of texts on biology, pathology, histology, logic, philosophy,
sociology, etc. These toils revealed the durability of these ideas as set forth in the practical examples
and applications of such masters of homoeopathy as Kent, Allen, H.G. Perez, Allendy, Nebel, Vannier
and others.
Only three forms of alteration of cellular function can be imagined : DEFICIENCY, EXCESS AND
PERVERSION. This can be formulated in various ways, but it encompasses all nutritional alteration, and
what is true for the cell is also true for the whole organism. The nutritional alteration of the cell leads to
its dysfunction, and this in turn leads to structural lesion or alteration. We accept this simplicity as
unquestionable because in it we find the expression of all the organism's natural pathological states as
well as those obtained from the pathogeneses of the medicines.
Thus, Materia Medica should lend support to this assertion (as I stated a long time ago and as has been
assimilated by many authors and colleagues who have brought it out in their communications to
Congresses and in journal articles).
PAGE 54
We stated this for the first time in print in our memorandum to the First Assembly of our Homeopatia
de Mexico and in my professional thesis in 1944.
Psora corresponds to DEFICIENCY, sycosis to EXCESS and syphilis to PERVERSION. And let us repeat, if
this were an error or a simple hypothesis, it would not have been confirmed by the form of the
symptoms, the coincidence of the pathogenesis, nor, least of all, by clinical application. But, fortunately,
the result is not only complete confirmation of this congruence with what Hahnemann and the great
homoeopathic classics and thinkers have thought, but, what is more, certain applications so vast and
general as to justify the Master's tenacious determination to establish the miasmatic doctrine.
Psora is undoubtedly the constitutional state of deficiency or lack, in the sense of less, of inhibition, and
with consequences - as deduced by Roberts and confirmed by physio-pathology. When the individual
human, like the individual cell, is inhibited, its modes of expression are reduced, it is poorly nourished
and becomes debilitated; we could also transpose these words and state that what is debilitated and
inhibited is poorly nourished. Deficiency or inhibition will bring on a disposition to various immediate
disturbances such excess (in an attempt to compensate for deficiency) and perversion (intermingled
with these alterations). This is why Hahnemann had every reason to assume that psora is the basic
condition of all human pathology.
Sycosis is the miasm or constitutional state of excess, of exuberance, of ostentation, of flight. Morbific
causes are aggressive; confronted with aggression the psoric condition produces inhibition, while the
sycotic one is stimulated to flight.
The third miasm, which we call syphilis, (and which, as suggested by Flores Toledo, must be
distinguished somewhat from its meaning in traditional medicine), is the constitutional state
engendering perversion, i.e. , destruction, degeneration, aggressiveness.
PAGE 55
The first reaction to an aggressive agent is inhibition, the second is flight, the third is aggression.
This is how the miasms are characterized, and using these notions we can attempt to describe them.
We will recognize the same characteristics in microscopic examination of cells as in the clinic itself.
If intestinal peristalsis, for example, is slow, less than normal, this is a psoric condition; if it is
accelerated, exaggerated, that is sycotic; and if it is perverted into a spasm, this will be a syphilitic
condition. Constipation is primarily psoric; diarrhoea is primarily sycotic, and a dysenteric spasm is a
syphilitic symptom. A bradycardia is psoric, a tachycardia is sycotic, and an arrhythmia, syphilitic. But we
must state here and now that this IN NO WAY MEANS THAT AN ISOLATED SYMPTOM PERFORCE
CORRESPONDS TO SOME GIVEN MIASM : IT SHOULD ALWAYS BE REFERRED TO THE WHOLE. THE
TOTALITY, WHICH IS THE REAL SIGN OF THE INDIVIDUAL. But, to continue, timidity is necessarily psoric,
just as ostentation or fatuousness Is sycotic, and the desire to kill, syphilitic.
Dryness of a mucous membrane denotes psora, just as augmented secretion denotes sycosis, and
ulceration or destruction, syphilis. Obviously, we can, and almost always do, encounter a combination of
two or three miasmatic conditions in a functional complex whose lesions are difficult both to classify and
to treat.
The pathogenesis and clinical use of medicines will give testimony in favour of the above or refute it.
A very characteristically homoeo-psoric medicine such as CALCAREA or CHINA will have to include and
present among its list of pathogenetic alterations, as in its clinical verifications, symptoms which are
prevailingly psoric. Of course, as we have already noted and now repeat, all the medicines contain
symptoms of all three miasms-and this is especially the case for constitutional medicines. But we can
observe that many present predominant symptoms and alterations which correspond more to one or
other of the constitutional states described by Hahnemann. And those like LYCOPODIUM, which contain
as many symptoms of one as of the other miasm, are true trimiasmatic remedies, as I will demonstrate
further along. CALCAREA, as a predominantly homoeo-psoric remedy, should contain symptoms
predominantly of inhibition, fault, inferiority complex, psoric deprivation, coldness and slowness; but, as
a great constitutional remedy, its pathogenesis will not lack symptoms of the characteristic syphilitic
destructiveness, and these are in fact present in the second place after the psoric symptoms; it also has
other symptoms of sycotic exuberance and excess.
PAGE 56
COLOR AND MIASMS
One admirable coincidence, among the many encountered by a studious person with respect to the
miasms and general knowledge about them, relates to colors. There are three miasms : psora, sycosis
and syphilis, and the primary colors are also three in number : blue, yellow and red. And amazingly, each
of the primary colors is an incontrovertible reflection of the characteristics of one of the miasms. Blue,
as we know, is a cold, temperate, passive color, while yellow is brilliant, ostentatious color, gay, and red
is hot and passionate, with the destructiveness of fire... All this is useful because, with a closeness of it
which seems fated, a color can be assigned to each miasmatic condition. Each patient or clinical case will
have his own color, presenting a blend of psoric blue, sycotic yellow, and syphilitic red. Logically, each
human will have a specific tint in function of his own miasmatic blend. This can lead us to various
practical applications which will emerge little by little as we delve more deeply into the subject.
APPLICATION OF THE MIASMATIC DOCTRINE TO THE STATIC AND DYNAMIC IN THE OBSERVATION OF
HUMAN BEINGS.
The homoeopath can extend his observations beyond his patients to encompass the whole human race.
Each of our fellow humans will pass in front of us with the personal characteristics which current
pathology designates as idiosyncrasy or simply as personality (when not dealing with the medical side,
but simply with the biotypological or ethical side).
PAGE 57
To the homoeopath each individual, healthy or sick, should be recognized and defined by his miasmatic
characteristics.
Let us stand in the doorway of our home or office and observe those who pass by. If we are not used to
the practice of observation, we will realize that each passer-by is so distinct from the rest that it is
difficult to find an association between them. For the present, we note that the majority are very far
from any ideal prototype in our minds and even from what is considered normal. Some will be wearing
eyeglasses, indicating astigmatism, short-sightedness, or luminophobia; some seem too thin, others too
short, others very tall; some are obese, others emaciated, others of clearly disproportionate physical
make-up, still others with certain parts better developed than others which are obviously small and
undeveloped. In sum, the people passing before us manifest such obvious morphological abnormalities
that we immediately hypothesize some profound pathology, some abnormality which is hereditary
rather than acquired and which, as we easily infer, reflects the many generations of which these
individuals, just like ourselves, are the outcome, and through which mankind has been carrying the
stigma of its defects and faults-of nutrition or conduct or sickness as an unending, deforming, and
inescapable burden. This is precisely the miasm present in all human beings. It is negative in being
opposed to the free realization of the human as such, as a thinking entity with will-power which
establishes its sensitivity through matter to accommodate itself to its surroundings - an ever-new form
in the renewed succession of forms which constitutes the perennial metamorphosis of cosmic and
divine energy.
This stigma - whether lack and inhibition, excess and ostentation, or perversity and destructiveness -
will be reflected in each human due to the multiple pathological heritage we all carry within ourselves;
logically, we will not constitute merely one class of these anomalies or degenerations but rather a
combination of these three fundamental and unique forms of biological dysrhythmia. Each individual,
even when apparently of the utmost normality, will show the stigma of these defects by virtue of which
he forms part of the human whole, carries out his functions, and excels to a greater or lesser degree
within the group. In other words, our life will go on within the determinate pattern derived from the
constitutional and the biological in conformity with the miasm. Precisely in conformity with the miasm!!
So the man whole we see walking slowly by, whose actions reveal a passive nature and who gives us a
relatively timid and inquiring glance, will be the one who carries as his visiting card the dominant
qualities of psora. And the pert girl who sways as she walks, revealing through her yellow dress her best
lines or prominent areas, will be this way because the sycotic quality predominates in her. And that
other person who goes by mistrustfully and ill-faced as if despising us with his offensive look, who is
ready for a defiant act or aggressive movement, carries on him the stigma of the syphilitic qualities.
PAGE 58
Of course, at every step we must keep in mind that the miasms are always mixed together in the
individual, so that even when his attitude and appearance correspond MORE to one of these
fundamental modulations, he will still inevitably contain certain traits and some or more manifestations
of the other two, although at each stage of his life one of the three - psora, sycosis or syphilis - will
dominate.
Thus, if one of the primary colors corresponds to each of the miasms - blue to psora, yellow to sycosis
and red to syphilis - and if a given individual is predominantly psoric, for example, the color representing
him will of course be predominantly blue, although with an admixture of yellow and red, i.e. , of the
sycosis and syphilis which we all carry within us. But since the contribution of the dominant miasm
differs in each individual, and the proportions of the other two miasms differ in quantity and degree, the
tonalities will be as varied as are the colors themselves.
 Thus, there will be innumerable psoric types according to the dominant degree of this miasm and the
variable distribution of the other two. So that if we were to represent by the figure 100, the totality of
psoric predominance, as well as the contributions of the other two, the proportion of mixtures in parts
of these hundreds would be simply numberless in their variation.
PAGE 59
Let us, for example, take a rather psoric type (68% psora 22% sycosis, and 10% syphilis) : translated into
colors, this gives a characteristic grayish green. If we took another predominantly psoric individual - say,
only 40% psoric, 35% syphilitic and 35% sycotic - in terms of colors this would give us another gray
completely different from the preceding - a doleful reddish grayish violet. If the dominant psoric were
now 85% psora, 10% syphilis, and 5% sycosis, the iliac color which represents it would be of course,
absolutely different from the tones of the other examples. According to these concepts, each human
being is a blend of colors which the observant homoeopath will translate into miasmatic symptoms or
manifestations which enable him to recognize and define it, and thus to infer its manifestations and
hence its probable evolution.
This representation of different people by chromatic shading may have very ample application when all
of this is better understood, since our ties with the universal whole cannot exclude color : after all, we
ourselves are only variations of colors in our different parts, and therefore, the analogy governing the
formation of all beings requires color to be involved both in its visual appreciation and in its dynamic
structure. I am almost certain that each of our medical dynamizations would also yield a characteristic
tonality if it could be exposed to some supersensitive film.
Coming back to our point, we must accept the fact that, at present, each human being is characterised
by a miasmatic modulation through which his individuality is constantly trying to emerge. When the
miasmatic obstacle is so great as to deform some area of human self-realization, symptoms are
produced which reveal to us the conflict between that which is trying to become realized and the
negative influence or obstacle constituted by the miasm. This is why Hahnemann stated that when the
illness is vanquished by the vital force, the reasoning power residing in each of us can make full use of its
living and healthy instruments to attain the highest aims of its existence (par. 9 of the Organon).
PAGE 60
To any one who wants to be a true homoeopath the enormous utility, and even indispensability, of a
knowledge of the miasmatic in every human, especially the sick, is self-evident. Through it he can
perceive and understand the patient's antecedents and from these pathological antecedents deduce the
miasmatic ones, classifying all the signs and symptoms in accordance with the characteristics of each
miasm, evaluating the way in which they are hampering or deforming the correct expression of his
individuality; finally, it provides the best method for deducing its probable evolution, that is, its
prognosis - not from an organicist pathology which derives generalizations from particulars but from a
consideration of the very special reality of the person before him, the multiple aspects of whose human
individuality he can investigate on the basis of his antecedents, his appearance, his background up to
this moment in his life, and its projection into the future to the extent that this is permitted, by the
negative influence of his miasmatic heritage.
PAGE 61

Psora
- The fundamental notion of Psora.
- Best depicted in the pathogenesis of Calcarea.
PAGE 63
 Psora is the representative miasm PAR EXCELLENCE, since Hahnemann has established that its presence
is indispensable for the acquisition of any other illness. Hence the following equation is necessary.
If illness is an imbalance of the vital force, an imbalance which issues from thought and transcends the
whole being, this anomalous thought must necessarily and inevitably issue from a mind and will which
are already defective. We are of course, talking about an illness of miasmatic origin, while we leave
aside for later discussion the origin of this initial miasmatic illness, merely pointing out that man's liberty
permits him to commit this transgression and that this transgression leads him to the imbalance which is
the initial illness.
But when this imbalance becomes far - reaching, when its consequences invade the whole individual,
and, even more, when it becomes PERMANENT, we recognize it as MIASMATIC, because we define the
miasm as a constitutional or diathesic state DIATHESIS MAGRA ??? - which will determine the mode of
existence of this individual who is certainly sick. Psora is an imbalance due to DEFICIENCY, to
insufficiency, inhibition, to an alteration in rhythm in the sense of LESS, all the organs and their cells
producing an insufficiency. In the mental realm, inhibition cannot make the individual smaller or reduce
him in any way, it cannot lessen his will or diminish his understanding, but it can cause them to remain
stationary, blind or anchor them, benumb them, make him less aware of them, limiting his mental life to
the contemplative, imaginative, conceptual - condemned to repeat or else lose and forget everything.
This is the mental process of psoric. His mind is not deformed but tied down, like every other function of
the psoric which, on the somatic realm, is reflected as physiological weakness and thereby as limited
"possibilities".
The psoric will appear timid or reserved, lax or different; any possible irritation or transient excitement
will sooner or later leave him drained (of which his intuition always makes him aware); cold and
sensitive, delicate because of his scanty natural resistance; by nature slow to resolve or decide as well as
to act or achieve; reflective instead of prompt to act; full of anxieties which give him a mild exterior and
this bring him protection, consideration and affection, he will complain of poor or insufficient digestion,
warmth, skin oiliness, erections, memory, peace; from birth he will suffer from nutritional troubles, we
can recognize him by his poor development or a disproportionate accumulation of fat, by his feeble cry,
this tendency to be cold, his feeding troubles, his defective bone structure, his late ossification, dentition
and walking. He has caries at an early age, a delicate skin, eruptions, itching, poor appetite and
assimilation, difficult digestion, diarrhoeas, and is intolerant to various foods; he has loss of minerals,
atony, inadequate cellular and organic functions. As a child he will be more afraid than the others of
leaving home, or that his mother will leave him; he will always seek the protection and tutelage of
someone superior. In the intellectual realm he will seek the support of others for his thesis, not only for
obvious reasons (like the sycotic) but out of a deep necessity and intimate recognition. He will resist
ostentation and have to be forced to overcome his timidity or embarrassment. Any outbursts of
arrogance will be drowned in remorse, and the flame of his life, which tends to be small, will waste away
in itself, denying its own importance. If a business man, he will search for an associate to be at the head;
his own abilities may be greater than another's but not their expression - even thought through and
meticulously decided. Death for him is disintegration, with his anxiety suppressing his projections of
spirit or fusing them into a single one, before or at the same time as his cell's feeble functions become
paralyzed.
PAGE 64
Calcarea contains the greatest number of these most characteristic mental and somatic symptoms as
well as the predominant psoric blue color.
 ANXIETY in many diverse forms, upon awakening as also in the evening or night, with palpitations or
tremor, as if wanting to accomplish much yet unable to do anything, as if being afraid of going insane or
- in the very highly psoric types - fearful that others will observe his apprehension, fearful of suffering
some misfortune or on hearing some bad news, anxiety after nausea, anxiety during sleep, anxiety over
trifles, anxiety with fear of death, anxiety with oppression, anxiety with rectal spasms or with bruising or
heavy pain in the back. Lack of self-confidence, expressed as a feeling of worthlessness, is another
characteristic which makes of CALCAREA logically a preferred homoeo-psoric; there is inhibition of
desire for company, with aggravation when alone and a tendency to melancholy; he becomes sad very
easily, and especially when alone, with a feeling that something dreadful is about to happen, mental
confusion with difficulty in understanding and expressing himself, a tendency to quietude and passivity,
fear of hearing about cruelty.
PAGE 65
Being afraid of something is another symptom which neatly encapsulates the ^psoric back ground of
this remedy - such as fear of death, of becoming exhausted, of going insane, of disgrace or misfortune -
all these being symptoms presented by the patient as part of his elaboration of psoric anxiety; as the
pathogenesis indicates, he is inclined to be reflective and obstinate, but always inhibited to the point of
cowardice - all being signs of his condition of deficiency or insufficiency. His characteristic irritability
stops here; only if his syphilitic condition is unduly aroused, will it go as far as fury or rancour.
As we already know, the patient is extremely reserved and tends to feel disappointed, which makes him
taciturn, obstinately engaged in depressing thoughts, believing himself a victim of circumstances, yet
always dominated by his own sluggishness and peaceableness; of course, as we have already said, his
pathogenesis contains symptoms characteristic of syphilis and sycosis, but excitement and emotions
change and depress him greatly. He is easily exhausted and drained; any effort will either drain him or
stimulate him to a renewal of his symptoms; he can never get enough rest, and that is why he does not
easily return to his activities in the morning; that is also why, logically, he is very sensitive to cold, easily
gets chilled and fatigued and feels that any effort will cause his organs to drop out. That is also why he is
cowardly about all disagreeable sensations, becomes excessively frightened even by a pinprick in his
finger, always feels the need to lie down and rest, etc. etc. When one considers the extensive
symptomatology of this great remedy and its purplish or rather bluish color, one cannot deny its
suitability to psora.
PAGE 66
Thus psora is the basic miasm. If illness is the result of a violation of nature and its laws (which give us
great liberty but still establishes limits), then the miasm is the result of repeated transgressions whose
effects logically extend into the very depth of the organism, both somatic and mental, and are thus
manifested in both the somatic and the mental realms. Man's position of freedom in the universe
permits him to transgress; transgression brings on imbalance, and repeated imbalance constitutes the
initial illness. When the consequences of this imbalance invade the whole being and these become
permanent, the miasm arises. The imbalance alters something which is indispensable to existence --
rhythm, both inside us and in respect of the individual's multiple relations with his surroundings. Psora is
an alteration of rhythm in the sense of deficiency; the individual tends not to be, not to do not to
produce - stagnation, immobility.
All the miasms, as causes of dysrhythm, tend to non-existence, i.e. , to death. In Psora this occurs
through immobility, stasis, and therefore the psoric individual, together will all his organs and cells,
reveals insufficiency. The mind of the psoric is not exactly deformed but is tied down or, as we have said,
inhibited; that is why timidity, reticence, and weakness predominate, that is why the psoric readily seeks
protection, consideration, affection, i.e. , the feeling of pity which Aristotle notes as one of the two
bases of human relationships (the other being terror). The psoric demands pity and obtains it, as if it
were something made expressly for him. His predominant passion will be introspection, platonic love.
That possessive anxiety which is rooted in his own being will compel him to be a profound
contemplative observer. When his ego, his essential or indestructible individuality overcomes his
miasmatic condition with all its burdens, he can rise to unsuspected heights, finding happiness in that of
others - as is quite logical considering his idiosyncrasy and his personal capacities. The death of the
psoric will be part of his disposition to disintegration or dissolution, but even in his anxiety he has a
logical hope and vision of eternal life as well as an unending desire for absolute protection - either a
belief in God or confidence in something immense as a substitute for it.
PAGE 67

Sycosis
- Sycosis, considered as the second Hahnemannian miasm.
- Some amplification of its characteristics.
- General signs and symptoms of Sycosis.
PAGE 69
Sycosis, the miasm which we put in second place, was well recognized by Hahnemann for its
characteristic production of neo-formations, with dentated or pedunculated growths resembling figs.
This is undoubtedly the pathological condition of excess, escape, hyperplasia, ostentation, tumor
formation, acceleration, and also, as Hahnemann indicated, the constitutional state resulting from the
arbitrary and unnatural suppression of fluxes, catarrhal eliminative affections, and abnormal secretions
produced by excess and whose suppression takes away from the natural healing power its possibility of
eliminating and of becoming reintegrated into the rhythm of moderation and homeostasis. These
include the sinful fluxes of gonorrhoea contracted out of the desire for pleasure, as is inherent in natural
functions; they are the consequence of gluttony, of drinking too much, of abusive indulgence in sex, and
of continual suppression of the efforts of the natural healing power to reintegrate itself into the order
which in indispensable for the continuation of life. Elimination of the products of excess is prevented;
detritus remains imprisoned in the joints and the skin or gives rise to hyperplasias and neo-formations.
This miasm is the product of selfishness and covetousness - the desire for pleasure without thinking of
the consequences combined with the selfishness which forgets about others and concentrates only on
itself. This intimate feeling of selfishness - of taking advantage of others through lack of consideration, of
exploiting everything around us without becoming a part of it - necessarily imprints on the mind of the
sycotic that dread and open fear which in no way resembles the timidity or anxiety of the psoric. The
sycotic wants to flee; his covetousness makes him want to hide; distrustful and suspicious, when
angered he screams and shouts and is always in a hurry. In his thoughts and movements ideas stir and
succeed themselves in abundance, even to the point of hallucination; he is given to fantasies, petulant,
inconsistent, voluble, capricious, sensitive to atmospheric changes, aggravated by nightfall, and inclined
to be effusive. His pains are like his mental symptoms, changing and erratic, stabbing, unbearable. He
must always be on the move, changing position, finding another place. He is unstable in every way.
PAGE 70
Dr. Gonzalez Corena stated the following about the genetic aspect of this miasm : "When the biological
reaction is oriented toward enzymatic or proteinic cellular neo-formations, the sycotic diathesis
becomes established... The genes which are altered by such physico-chemical factors as radiation or
medicines whose action is very far --reaching (like Thalidomide) act in accordance with the Mendelian
laws, of dominance and recessiveness. The parents may supply gametes with altered chromosomes and
genes, damaged and thereby abnormal. If this is present in the two parents, it will be homozygous, of in
only one of them heterozygous. The abnormal sycotic gene is dominant if the morbid reaction appears
in the genotype in all generations of the genealogical tree under study; and it is recessive if no clinical
manifestations appeared during one generation. One example of this is Recklinghausen's Disease, with
its tumors, many brown spots and cysts, and which has a recessive hereditary character (even though
dominant in some sporadic instances). Like any disturbance, sycosis is of genetic and environmental
origin, since it results both from the altered genes and from environmental factors. It is a confirmed fact
that the GENOTYPE (the genome or stock of genes), when affected by some non-typical environmental
factor, offers to clinical observation the PHENOTYPE. Sycosis of genetic origin is thus subject to
intrauterine environmental influence during gestations (called epigenetic influence) : an example is the
embryo subjected to the sycotic radiation of rubeola, toxoplasma... a congenital infection can arise from
intrauterine or epigenetic factors and in this case will not be considered hereditary even if congenital.
Eugenics strives to improve the species by helping wise nature in her natural selection, promoting the
best racial traits, or trying to prevent coupling by persons with serious stigmas or defects, avoiding
therapeutic or iatrogenic damage... it will influence the organism directly by treating sycosis,
endeavouring to attenuate it in the course of generations. Clinical experience shows that in cases where
a vegetative dermatosis appears, with concomitant improvement of the general and mental symptoms,
the case is following Hering's Law, and its evolution should be respected and promoted... the same
clinical experience shows that local treatment or surgical excision aggravate the general condition of the
patient."
PAGE 71
From all of this we can conclude that sycosis is an anomalous constitutional state resulting from the
arbitrary and unnatural suppression of acute illness characterized by fluxes and abundant secretions. To
block these and work against the exonerative and redeeming natural healing power means that the
imbalance will be driven further into the organism where it becomes a permanent sycosis; its
constitutional pathology is characterized logically by a tendency to the production of hyperplasias and
hypertrophies. It constitutes a predisposition to excess, to neo-formations, to any anopulous
production. From the dialectical point of view its origin can be seen in the ambition for pleasure without
reflection about others and without considering how they are affected by this pleasure being pursued or
this good being acquired; or it can arise from the use of others as the subjects or objects of the same
pleasure, the mind is perverted and is - logically enough - projected into the body in conformity with this
exaggerated ambition.
The sycotic will typically wrap himself in a thick layer of fat; his perversion not only endows him with
these exaggerated reserves but even prevents him from eliminating that which harms him, producing a
lithic or a uric diathesis as well as other forms of retention and accumulation within the great diathesis
which we call sycosis.
Mentally, the sycotic is audacious; the 'classic winner', whose sagacity gives him the advantage in
everything; he is precipitate; always wanting something and pursing it - including himself. When he fails,
it is due to being ever-hasty, and then he tends to flee or escape in fright; he shapes all his functions
impulsively and is full of ambition. Presumptuous, imperious, fatuous, impertinent but super-active, he
must be continually on the move, always doing something. His sickness will always be subordinate to his
self-love; he can love others, but always much less than himself; and the objects and persons upon
whom his feelings and love are projected will always be suitable for arousing his own self-love.
He is constantly in an uproar, applying himself to numerous projects, and will roam around various
roads until dying in his physical and mental restlessness, in his excess, and his rapid wasting away -
despite his great attachment to life. His end will be that of the covetous person who consumes up to the
last moment what he thinks is due to him in life.
PAGE 72
His pathology, as we have already noted, will manifest the same tendency to accumulation in his bone
structure and his skin. This gives rise to hyper-globulinemia, papillomatosis, arthritic nodes, callouses,
swollen tonsils, ovarian and hydatid cysts. As soon as the natural healing power can get an opportunity
to free itself from a little of his miasmatic burden, it will give rise to an acute process which will save him
either through a copious sweat, a stubborn coryza (as often seen in children), or through a fistula when
the internal situation is really precarious. The salutary eruptive diseases of infancy are responsible for
much miasmatic elimination, and the unnatural vaccinations which are so extremely contrary to the
proper stability of the human race, make the sycotic condition deeper by suppressing or preventing the
miasm from taking an acute form.
When the miasm takes a lethal form, its haste to extinguish clearly promotes the activity of the other
miasmatic conditions present in the individual.
Psora syphilis combine with sycosis to produce dropsy, anasarca, the formation of large tumors, and
various degenerative organic hypertrophies, always with a tendency to expansion; in this way they
deform nature's effort to ensure the continuation of life.
PAGE 73

Syphilis as the third hahnemannian miasm

- Most salient characteristics of the syphilitic miasm.
- The chancrous illness whose suppression engenders miasmatic syphilis which is manifested from the
interior to the exterior.
PAGE 75
Due to the far-reaching nature of its pathological reactions, syphilis the third of the miasms - is, so to
speak, the worst of the exterminators of the human vital force. The original transgression causing psora
becomes more all encompassing with the sycotic exaggeration, and with syphilis degenerated to
extermination. The syphilis miasm (ordinary syphilis, the chancrous disease, is only the initiation or an
acute development of the diathesis) is symbolized or contained in the worlds, "destruction", or
"degeneration", a violently destructive degeneration which in the somatic realm is symbolized or
represented by the ulcer.
It consists of a disequilibrium carried to the depths of the being, causing in it a deformed rhythm;
another work which will help us to understand it is "perversion". As a diathesis magna or miasm it is the
constitutional state resulting from the arbitrary and unnatural suppression of chancrous and ulcerous
illnesses. We recognize it by its aggressiveness, either evident or concealed, against others and against
itself.
For a more positive understanding of syphilis we quote Dr. Helios Ordohoz : "the concurring organic
terrain, the constitutional factor as the product of individual hereditary predispositions in the presence
of the various environmental influences, determine the appearance of definite organic illnesses with
specific structural and physiological qualities which Hahnemann designated as miasms and which give
rise to characteristic mental reactions - temperaments - defining by certain modalities each of the
three... and which in the case of syphilis presents an essentially destructive tint... If the syphilitic miasm
were caused by a spirella, it would not be natural to continue its study, specifying its pathogenetic
action and site. The pathogenetic agent (microbe, bacterium, spirochete, rickettsia, filterable virus,
fungins, yeast, actinomyces, protozoon, helminth, etc.) is not a variable and persisting entity but, like its
more evolved brother, man, represents a biological cycle, a life which -like him - changes and is
transformed, going through slow and progressive stages of evolution, undergoing abrupt and rapid
mutations; in other words, the micro-organism - like man himself - is a complex, so complex, indeed,
that neither the biologist nor the physician know him in his totality; they see him at one moment of his
existence, catch him in another, understand many of his transformations, but there are many more
which escape them - just as is the case with biological aspect of illness dealt with by the anatomist or
pathologist. The pathogenetic agent and its host represent a range of potential functional possibilities
characterized by the instability of their formulation and, consequently, of their action."
PAGE 76
"EVERYTHING IS MOVEMENT AND CONSTANT CHANGE (Heraclitus). Nothing is fixed. The doctrine of
specific microbes is a thing of the past. The same microbe produces four different clinical patterns. THE
CLINICAL MANIFESTATION OF MICROBIAL ACTION whose specificity is here being discussed is
conditioned by the state of the organic terrain in which it develops."
Let us cite some other sentences of the same author which coincide very closely with our own
considerations about this miasm : "It is a state in which the natural function of producing sufficient
antibodies to protect the underlying organic structures is obstructed by precipitate and improper
treatment... It is the pathological constitutional state resulting from precipitate and unnatural
suppression of the chancrous illness. It is characterized by mental as well as miasmatic degeneration,
because the solution of continuity typifying this state is the maximum alteration which can be inflicted
upon the vital rhythm, both individual and universal; and interruption is required in the individual to
acquire this disease, and in the universal for it to become extensive. In the universal sense, it will be only
an attempt at regression or involution, as if forming a pool, i.e. , a solution of continuity. What our skin
manifests in the form of an ulcer or lesion which tends to become permanent, f a chancre or lesion of
continuity, comes from the inside to the outside; this is not accidental but shows that prior to becoming
evident it was prepared on the inside, and this by induction leads to the obvious conclusion that the
disequilibrium was in the spiritual realm before it became somatic; all of the above is involved in any
miasmatic disease, and its manifestations must thus be regarded as signs and symptoms."
PAGE 77
In sycosis, if one follows current pathological research, it is easy to understand the internal repercussion
of the suppression of gonorrhoeal flux giving rise to gonococcal arthritis; in syphilis we have an even
greater abundance of clinical testimony consecrated to the notion of "tertiary syphilis" or "neural
syphilis", together with much speculation about the very diverse diseases of the nervous system caused
by poorly treated syphilis. But this speculation is "insufficiently established", to use an expression which
used to be common in medicine.
The pattern of our reasoning about the Hahnemannian principles appears quite clear at this point; in
the syphilis miasm we group all that is destructive, in man's organs as well as in his mind. Destructive
and degenerative alterations will take place from his skin in, to his bones. A corrosive acne,
osteomyelitis, alopecia, scald head, an ulcerated callous, duodenal or metritic ulcer, malignant glioma -
all will have the reddish tint of this third miasm. We have already said, and never tire repeating, that in
the clinic we never find it isolate, just as little as we find the other two isolated; most of the time one of
them predominates.
 Mentally, the patient with the syphilitic miasm will, openly or in a veiled manner, be prepared for
violence in his reactions to his family and to society; he upbraids those close to him on the slightest
pretext or harangues the multitudes to take up arms and commit acts of terrorism - in street fights as in
international disputes. He will not hesitate to carry through monstrous resolutions or to harm humanity;
he will regard as appropriate both the death of an individual and the explosion of a nuclear bomb over a
town. In our patient we recognize rancour, hatred, the desire to kill or to commit suicide, to destroy,
wickedness, fury and rage - whether concealed or ready to explode.
The mental defects which remind us of solutions of continuity are cruelty, contempt for others, blind
unbridled jealously due to extreme distrust, and an individual who is tartous, degenerate and blindly
insistent - to the point of destruction or exhaustion.
PAGE 78
Depression does not bring him to suicide or even to suicidal thoughts; he becomes extremely sad, with
absolute mental prostration; when happy, he is almost unhinged; and when afraid, almost at the point
of panic and terror.
He will flee on fire; night intensifies the manifestation of all his imbalances - both his deliriums and
bewilderment and his piercing, tearing, compulsive, and spasmodic pains. In his body the tendency to
ulceration starts the degenerative process which lead to haemorrhages, alteration in the form and
number of components of the blood, and finally to other various tissue changes which reverse cellular
regeneration and causes it to atrophy; spasm, haemorrhages, sphacelus, gangrene all lead to what this
miasm ultimately represents - a hastening of the individual's stay on this early, an involuntary jumps in
the evolutionary process of the species.
PAGE 79

Illustrative material on the evident clinical manifestations of the miasms, taken from various colleagues
who have assimilated our interpretation and application of hahnemann's doctrine of miasms
- A predominant psoric.
- A predominant sycotic.
- A predominant syphilitic.
PAGE 81
So that the following series of clinical cases illustrating the application of Hahnemann's doctrine will not
seem prearranged, I will use the clinical histories of eminent colleagues presented at various Congresses
in accordance with the scheme presented by me above. In them we encounter a case of predominantly
psoric miasm, one where sycosis predominates, and a third which is predominantly syphilitic.
(Clinical history No 1 is from the Psora Clinic, pp. 47-48 of the proceedings of the First Assembly of
Homoepatia de Mexico; clinical case No 2 is from the Sycosis Clinic, Opus Cit. pp. 61-64; and clinical case
No 3 is from the Syphilis Clinic, Opus Cit. pp. 71-75.)
Mr. M.N. , light brown skin, apparently suave and deliberate, with considerable superficial aplomb but
gradually revealing a well-concealed nervousness; weight 95 kg., height 1.70 meters; tells us that as a
child he was thinner but gained weight in adolescence and adulthood. A college professor, married, with
two sons. His father died in an accident and was an alcoholic; his mother was long-lived and relatively
healthy, but with some flare-ups of rheumatoid arthritis. Has frequent bronchitis; and as a child had
measles and chicken pox. Chronic tonsillitis, intense and exhausting colds, frequent dyspepsia. He leads
an intense intellectual and social life.
For the last ten years, he has presented these principal symptoms : haughtiness but with a tendency to
tell subtle jokes, suggesting a timidity behind his pride; this is confirmed when he states that he was
sexually impotent up to the age of 23: since that time he has been sexually active, but also intensely
apprehensive, with an anxiety constantly worse at night, with perspiration, great insecurity, fear of
losing his mind and of imminent illness; this goes to extreme anguish with insomnia and a cold sweat. He
is sensitive to cold, is easily chilled, and prefers warm weather. His appetite is exaggerated, and he has
frequent indigestion; his evacuations are rather difficult and variable, frequently insufficient and some
what light in color, with some diarrhoea. This is aggravated by beer and condiments, giving him a
tendency to flatulence. He has a burring sexual excitement to which he is prone. He has few contacts
with his wife, but because of his sexuality, looks for relations with other women; he soon tires of them
sexually, but remains friends with them and treats them with affection. Coition makes him feel drained,
as do his persistent and frequent catarrhal states; he sometimes loses seminal fluid during sleep,
frequently has aches in his dorsal lumbar region, and has delicate, dry skin.
PAGE 82
As can be from the whole preceding exposition, the patient is predominantly psoric, with a slight sycotic
contribution and even a smaller syphilitic one. Because of the dominating symptoms the medicine
selected was Calc. Carb. 10M. There was an initial aggravation, especially of certain symptoms he had
presented some years back when treated allopathically; feeling poorly, as if about to faint, vertigo, or
fear of losing his mind. Then he started to get better. After about five months he manifested more
precise fears of being alone, of the dark, increased excitability accompanied by heart palpitations, and
persistent nocturnal aggravation. These dominant symptoms indicated Phos. Mc. About three months
after that I prescribed a dose of Conium 200c for his tendency to be easily exhausted, especially after
coition; after that he had stable good health with substantial general improvement. In the two years
which have elapsed, his weight has gradually dropped from 95 to 70 kilograms; he is calmer, his
insomnia and nocturnal anguish (anxiety and fear) have disappeared, and his whole state of health is
much better. Now, fifteen years after having prescribed for him constitutionally, observing him through
periodic consultations and even more out of friendship, we note that his real self has been substantially
altered, and he has clearly fulfilled himself in a more satisfactory ways.
If we analyze somewhat the symptoms of this case, we may consider that the pride or haughtiness did
not really indicate arrogance but were a way of concealing a feeling of inferiority or impotence. The
dominant symptom was anxiety mingled with fear which, at certain times, because of the touch of
syphilis, went as far as anguish. The nocturnal aggravation, the psoric feeling of inferiority when in
solitude, and the basic constitutional timidity were then revealed behind the arrogance; he mentioned
this timidity as being very striking in his childhood. Calc. Carb. reflected this state marked by timidity but
with the innermost acknowledgement of a considerable speculative capacity or intellectual aptitude as
was proven to be the case by the patient himself. It is not the lack of confidence or feeling of incapacity,
or even less the condescending haughtiness, of Platina : it is just a kind of protective covering to deflect
the aggressiveness of others. This precisely what gives rise to the fear or uneasiness which we detect
behind the apparent impassiveness and aplomb, the smoothness of presentation, of our patient. The
anxiety and fear, characteristic of psora, which dominate this patient most of the time together (when
concentrated into a defined fear by the slight but recognizable sycotic concentration) give rise to the
fear of going insane, the greatest possible fear about one self. His other fear, of impending illness, which
is also the cry of the psoric for protection, in this instance (due to the tiny syphilitic concentration) going
as far as anguish, is the outcome of continued sensitivity to cold the various forms of debility,
exhaustion after coition and due to coryza, confirm the prevailing psoric condition.
PAGE 83
 Finally, let us analyze one antecedent which makes this case even more demonstrative : his sexual life
started late because of various fears. Once he started, he carried it to excess, relatively speaking, in
accord with the more mental than physical excitability of the psoric condition and because of the small
but INELUCTABLES SYCOTIC SYPHILITIC BLEND. The volubility about objects of libido which could be
qualified as sycotic is, when analyzed, a psoric form of excitement which goes far beyond the physical
possibilities and obliges him to sublimate it by turning it into a continuing, somewhat paternal,
friendship.
The next case, a predominantly sycotic subject, is from Drs. I. Gonzalez C. and R. Romero M.
A male 48 years old, married and a physician. Came in because of cervical trouble throughout the
dorsum, especially in the vertebrae, paroxysmal but daily, improved by articular movement, especially if
the movements are hasty. Sometimes had Ptyalism with viscous stringy secretions.
PAGE 84
His father died of prostate cancer with osteopulmonary metastases and had had blenorrhagia, orchitis,
as well as a spinous-cell cancer of the face. His mother has compensated valvular insufficiency, a
somewhat persistent leucorrhoea, varicose veins, was obese and a moderate arthritic.
The patient was the second in the family and, like his two brothers, was born prematurely. Of these,
one was born at six months and lived only one day. The other, who survived, was born at seven months.
There are two other children, one a woman who suffered from BLENORRHAGIC LEUCORRHOEA,
papillomas and uterine fibroma - all of which were operated.
During lactation, the patient's development was dystrophic; then he had measles, chicken pox with
accentuated skin involvement, and whooping cough. In puberty he had epistaxis when washing his face,
a hyper-genital AUTO-EROTIC TENDENCY, onanism, and epileptic crises approximately every three
months.
His BLENORRHAGIA during adolescence was treated with a balm, urethral washings, and vaccines.
About five years later he had balanopostitis, herpes and other skin growths, chronic tonsillitis,
HAEMORRHAGIC gingivitis, UVULITIS, and stones.
At age 21 he had scabies complicated by impetigo for four months; it was suppressed by a topical
sulphur ointment.
He presents projecting bleeding haemorrhoids, postnasal catarrh, and HALITOSIS, and his tongue
frequently has a white coating.
In his marriage he has procreated three apparently healthy sons. He is light-skinned, beardless, has grey
green eyes, is of medium height, of normal constitution, with a wide forehead, greying hair receding at
the temples, a straight nose, thin lips, large ears, a piercing look, and his expression and speech reveal
intelligence and education. He wears eyeglasses for far-sightedness, uses tobacco in moderation, leads a
sedentary life, reads too much.
PAGE 85
He suffers from flatulent dyspepsia with fetid, spongy evacuations and a tendency to diarrhoea.
He presents with a coated tongue, caries and dental plaque, complains of heartburn when he smokes
more than customarily and haemorrhoids when he eats highly spiced food (which he likes). He prefers
bitter drinks and has an aversion to sweets and fats. His condition is aggravated by canned sea food, and
he has symptoms for up to two days after ingesting them. He has a cough in the winter, earache, and a
sensation of obstruction and crackling in the ear when swallowing, and mastoid pain upon application of
pressure. His urine comes out in a fan-like shape and has a fetid smell; he has diminished erectile power
and premature ejaculation. He has had pain in the knees and the Achilles tendon; he also suffers from
sporadic pain in the shoulders, elbows, and wrists. He has had herpes in the INGUINAL CRURAL and left
deltoid regions.
He presents a lipoma approximately 7 cm, in diameter, round, in the right supra-spinal region; about six
anterior lateral thoracic papillomas, some already extirpated once by electro-coagulation and which
have returned.
He shows signs of loss of will-power and memory, HYPER-EMOTIVENESS, with gradual changing from
pessimism to optimism.
He enjoys everything artistic, writes poetry, is inclined to philosophical lucubrations and to be
dissatisfied with his stage of health; he is ironic, ahs a biting wit, and is very inclined to introduce sexual
topics in the conversation.
He is constantly preoccupied by the sounds he hears in every movement of his joints, by the possibly
malignant evolution of his cervical arthritis, which he imagines will produce atlantoaxoidal dislocation
and death or a cerebral aneurysm with irreversible damage.
PAGE 86
He has insomnia and is somnolent during the day, easily drops off to sleep when reading, and has
frequent nightmares at night. When writing he involuntarily omits letters, and the characters become
illegible when he writes anything long. He does not easily remember names and dates. He is very
talkative, in contrast to his inhibition in public. When very nervous he often bites the insides of his
cheeks.
He has explosive crises of irascibility, but most of the time he sees the agreeable side of things and has
idealistic inclinations. In some parts of his body the skin is cold. He has a feeling of oedema in his head
when lying on his back, and when lying on his pillow feels as if his head were enlarged.
He is generally worsened by rest, by prolonged activity, and by keeping the same posture for a long
time.
We can say the following about his symptoms :
His relatives have a clear sycotic inheritance, as seen by the neo-formations (father and sister) and also
by the prematurity (the sign of complete miasmatic degeneration, including sycosis). We also note the
blenorrhagic manifestations and the presence of herpes with its ulcerations as a residue of syphilis.
His metabolic (psoric in nature) and functional alterations in the spinal vertebrae tend to SPONDYLITIS
DEFORMANS of the sycotic type, also his warty dermatosis and his lipoma.
He is hyper-mobile and hyper-emotive, with an euphoric-depressive cycle and LOGORRHOEA, but
ordinary optimistic; has a tendency to illusions but is improved by activity. His nervousness and the
rapidity with which he memorizes prevent him from precisely fixing names and dates, and his explosions
of irascibility end by giving a yellowish tint to his predominantly sycotic condition.
PAGE 87
A clinical case with predominance of the syphilis miasm, presented by Dr. Ordofiez R., is as follows :
Family antecedents : Her mother is very nervous, with an extreme desire to die. Her father has a hare
lip and after a few drinks also wants to kill himself. There have been 14 brothers and sisters, of whom
eleven are still alive and three dead; her sisters are very nervous; an uncle is homosexual.
She has a very intense tobacco habit; she had a moderate consumption of alcohol for four years when
her husband was not at home and during which, as she says : "I led a libertine life, and complete
disorder reigned in my home." For the last ten years has been drinking up to fourteen cups of black
coffee a day.
In childhood she went through measles, whooping cough, chicken pox, German measles, mumps,
chilblains, and repeated desquamative eruptions on both ciliary arches. She had typhoid at age eight
and since then "cannot bear the thought of anyone falling ill with that disease." In one year, at age 24,
she twice tried to commit suicide with tranquillizers.
She had menarche at age 10 1/2 years with an 8/28 rhythm and almost simultaneous development of
the breasts which became very prominent and provoked satirical comments from the mother and
grandmother. She states that at age 12 she would have married her cousin, but her father prevented it.
At age 13 she told her mother that the day she marries she will choose a man who will give her many
clothes, a lot of money, a good time, even if he were to run around with a lot of women. At age 14,
already very well developed, she had several boy friends. At 16 she met the man whom she was to
marry and accepted him before realizing that she did not love him. During courtship she felt great
satisfaction at seeing her former boy friends get excited.
At 18, she married a man of 29, pursuing the ideal of becoming a woman of wealth and social position.
On her wedding night she was very nervous and afraid of sexual contact, having expected it to be very
painful. Her husband waited three days to consummate the marriage out of consideration for her
feelings, and she accepted, as she says, "just so he would not doubt my virginity". On the next day her
husband asked for separate beds and did not approach her again; he had written in his dairy : "Love
does not exist, it is only desire"; and this made him despicable in the patient's eyes. Two months later
her husband became affectionate, even though before he had been disparaging.
PAGE 88
Her first pregnancy was three months after marriage, and she suffered nausea and copious vomiting;
she had a Caesarean delivery. While waiting for her husband she wept disconsolately, she says. A month
later she began to feel hatred for him and went back to her parents house, where she underwent
humiliations and slights. Her husband could not get a job because of his poor employment record. In
one year he was fired six times from six different jobs; two years later she had her second pregnancy,
also with Caesarean delivery, after several incisions in the neck of the uterus and with application of
forceps; this left her for two months with incontinence of urine and metrorrhagia.
Her third pregnancy came five years later, also painful and with Caesarean delivery. She was certain she
was going to die and was obsessed by the idea that her husband would enjoy the house with her own
sister. Her economic status now is good, with all the comforts; she regards her husband as completely
separate from her; furthermore, he is impotent, and she achieves orgasm by rubbing her clitoris.
She tells us that for the past ten years she has felt a hollow sensation inside her head, with profound
depression; she is very sad, fearing for her own life and that of her sons, that she is going insane, that
she is living and dead at the same time. She is hypersensitive to light, only looks at one half of objects,
and does not attribute important to any problem in her home. At times she believes herself to be made
of "very delicate matter". Any bruise causes her intense and prolonged pain. She has a feeling of
something hot going from her feet up to her head; she is afraid of dying, of becoming pregnant, and
feels that she lacks air; she is afraid people will discover that she has become insane and is panicky at
the thought of the insane asylum. She is afraid of going blind and unsure about taking a step. When
looking at objects she has the feeling that they are very far away. She is desperate and restless "never
feels well anywhere". "I talked about my case with everyone", she says she is extremely jealous and
would prefer to separate from her husband or kill herself than suffer another disappointment. She is
sometimes silent out of annoyance. She feels aversion to her house and her family, and cannot find any
place which pleases her. She feels great anger and resentment toward her husband. About a year ago
she thought she would drown while taking a bath, and since that time she only washes by pouring water
over herself. Since she is afraid of drowning in liquids, or even in her own saliva.
PAGE 89
She wakes up at about 6 o'clock feeling very depressed; she gets up at about 10 o'clock, doing
everything with great unwillingness and disgust and without interest. She has breakfast at 10;30 and
leaves everything to the servants while she watches television. At 1 P.M. , if she feels like it, she goes
with her husband to bring the children back from school. At 2:30 P.M. She has lunch and then watches
television until 10 P.M. , then she goes to bed but cannot sleep well; she wakes up two or three times
during the night or else has insomnia with continuous yawning. She dreams about fights, about dogs,
about funerals in her native town, and about children being born; when falling asleep she sees faces
which are elongated and deformed, or smiling and mocking, or very serious and sad; all morning long
she is waiting for night so as to be able to sleep; she has a sensation of constriction in the oesophagus
with numbness of the lips. She has a great desire to burn down the farmhouse where they live, together
with her husband and the animals. On the other hands she is afraid to be away from home. She feels
anger against everything. She always suspects her husband of having relations with other women and
envies the qualities of the latter. She is afraid of crowds.
She has very acute hearing, and the mere noise of folding a piece of paper disturbs her very much.
When reading she sees the letters move around, and this makes her very afraid. She cannot stand the
shine of mirrors, of water, or of while things. She has the feeling that things are very far away. She feels
anguish, fear and nausea, as well as many palpitations when leaving the house, and these get worse
when she starts walking. She says she cannot find words to describe her state, but that she feels
abnormal, with a great ideal of generalized sweating of late, and marked paleness. This can be deduced
from her increasing use of tobacco.
PAGE 90
Before coming in for consultation about her lengthy story, she was taking analgesics, hypnotics,
sedatives, ataraxics and tranquillizers, - up to twelve a day. She also had organotherapic, ovarian and
thyroid medication. Apart, from her Caesareans, she had a cyst removed from her right breast, resection
of the neck of the uterus, extirpation of fibromas from the uterus, six narcoanalyses, and 5
psychoanalyses in a period of ten years.
The following comments seem applicable : there is a conspicuous paternal and maternal influence, with
the taint of the third miasm strengthened by her upbringing in her family environment, her limited
education and personal culture. Her intense tobacco habit, her moderate alcoholism, and her heavy
dependence on coffee are also reddish in hue. The same is true for her skin lesions and chilblains. Her
early development of secondary sexual characteristics and her accentuated sexual appeal in youth we
qualify as 3-2; her ostentation and desire for marriage without love are 2-3. The quantity and variety of
her medications, her multiple surgical interventions, and her analyses are also 2-3. Her expression is one
of marked anxiety. At her first consultation she immediately asked not to be left without medicine in the
necessary quantity, as she could not be without them for more than two days or would "go crazy".
The conclusion is obviously predominance of the third (syphilitic) miasm, followed by sycosis and, of
course, psora, but the rubric is established by her hatred, resentment, and contempt for herself and
possessions. These dominate the scene. Sycosis with its ostentation, ambition, instability, and neo-
formations. Psora for it fears and lack of confidence tint of the syphilitic miasm seems most prominent.
PAGE 91

Degenerative diseases and the miasms

- Man progresses in his "domination of the natural healing power" while destroying himself at the same
rate.
- Degenerative diseases are always the outcome of active miasmatic mixtures.
- Clinical notes exemplifying the results of activated miasmatic mixtures.
- The miasmatic diversification of the human mind, together with its 'civilization', bring on a condition
favoring degenerative diseases.
PAGE 93
Following the above considerations we can deduce that the so-called degenerative diseases cannot be
imagined in the absence of a constitutional or miasmatic disease. The natural healing power will be able
to oppose them with all its resources (whose aim is the survival of the individual); these are, of course,
very powerful in being the synthesis of the functional whole. The natural healing force inside the human
body, in its integral completeness, represents the nature of the universe acting on one point and with
the inherent purpose of preserving what has been created, i.e. , of enabling it to continue - the specific
objective which the human intellect can deduce from all that exists, all things.
Man's natural healing power is undoubtedly undetermined, caused to deteriorate, and lessened as a
restorative or reconstructive force by the presence of a miasmatic condition - a profound and indelible
stamp permanently imprinted on the being by repeated perversions, excesses or deficiencies in its
functioning.
Psora is a perturbation of nutrition; sycosis compels it to accumulate debris which should be eliminated,
and syphilis causes it to degenerate. Since all of these conditions can act as the true causes of all
imbalances - both dynamic and somatic - each one of them, and A PRIORI their mixtures, is a sufficient
etiology for every degenerative disease.
Let us recall that Hahnemann's chronic miasm or sickness is above all an anomalous condition
predisposing to the suffering which we call sickness. Let us not forget that this miasm or predisposing
condition may not even be noticed by most people, even by the superficial clinician. An individual in this
condition, that is with a latent miasm, can go to a clinic of the old school and there be declared to have
normal health because his organs are in position and of normal size, not displaced and without any
abnormal noises, functioning within the limits of the accepted pattern; furthermore, this is confirmed by
laboratory analysis. But the man can still feel strange - in a state of anxiety, with a feeling of being
oppressed by his surroundings or out of harmony with them; and this can separate him from those
around him. This lack of harmonious continuity with all those close to him, with some or all the things
which are connected with him, constitutes the latent miasm; it is also possible that the total amounts of
glucose, calcium or nitrogen are at their minimum or maximum "within the normal rang". But to the
homoeopathic physician this miasmatic condition will be the reason why the patient is too obstinate r
too fickle, very pessimistic, or has some other peculiarities which may appear of no importance, in no
way affecting the health, and, even less, serve as the basis for a poor prognosis.
PAGE 94
According to C.G. Jung, humans unconsciously pursue an archetype, a sort of pattern of self, through
accumulation of qualities establishing in the transcendent realm a pattern which in the future will be of
use to animist, spiritual, or organic groupings. In other words, individuals today are tracing - by virtue of
rather indefinable functions - the somewhat esoteric shapes of other existences. We do not resort to
these ideas to establish anything directly related to homoeopathy but rather to clarify what we have
already stated. If we give some thought to the conditions of life if primitive man, we will conclude that,
either as the "final" product of the evolution of the species or as king of the universe which from that
moment he must come to know, he begins his existence with a formidable endowment of simple and
well defined physical and intellectual capacities as well as with the evident power to construct
everything that he has constructed. If we then compare this primitive man of our imagination with some
of the humans closest to us today, surely the result will be pitiful in that this human of today will be only
a poor imitation of its original pattern - hardly even a residue or ruin and trying to conceal behind the
mirage of his accomplishments, and also by his enormous numbers, his misery, his panic, and his every-
growing weakness. His civilization has given him the satisfaction of multiple victories over what
appeared hostile in his environment, yet at the same time has handed him an equivalent defeat of his
own organism and of the simplicity which was the basis of his happiness; it has given him an enormous
increase in his instinctual curiosity which had led to the multiplication of innumerable terrors because
the slight destruction which he accomplished, and became aware of, led him to more and more until his
history contains, side by side with his "triumphs", a series of blameworthy acts which drag him down
into anguish and disease forcing him to live in compulsion.
PAGE 95
Life as a succession of perfectly linked phenomena constitutes an order whose result is persistence, i.e. ,
affirmation. Disorder is negentropy or negative entropy. The miasm is disorder, a profound from of
entrophic disorder which can scabely be held in check by the preservative vital force; and if it is greatly
augmented and complicated by another sycosis-syphilis, it can easily burst through the dike opposed to
it by the natural healing power, the destruction becomes evident, and the individual is healed for death-
with what is, from the medical point of view, a degenerative disease.
In every established diabetic the homoeopath can always detect a psora-sycosis or a psora-syphilis, just
as he can in any epilepsy, tuberculosis, arthritic disease, or psychosis, in the same way he can confirm
the presence of psora, syphilis and sycosis in every evolving cancer - this evolution being in accordance
with the prevailing miasm. A scirrhous cancer will be the product of a psora-sycosis-syphilis; even
though their activity is lethal in this order of dominance (1-2-3), the form of destruction of human life
which they produce is less cruel than some others. A sycosis-psora-syphilis will yield an adenoma of
apparently more malignant evolution or also a fibromatosis which is equally malignant by virtue of its
haemorrhagic manifestations which always cause the spread of this disease. A syphilitic-sycotic-psoric
(3-2-1) cancer will be represented by sarcomatous forms which are more profound and destructive,
more violent and terrible. It can be inferred that there are as many varieties of cancer from the
miasmatic point of view as there are varieties of constitution relationship to the miasmatic endowment
of each individual - in other words, depending upon how much psora, sycosis or syphilis he has.
He can be more psoric, but right after that more sycotic unless syphilitic, while if the other tires he can
be more psoric but then more syphilitic and less sycotic. Or he can be more sycotic and then psoric and,
in the least degree, syphilitic, just as he can be predominantly sycotic, then syphilitic, and, in the last
place, psoric. Finally, he can be first syphilitic, then psoric and, in the third place sycotic; or just as well,
primarily syphilitic, in the second place sycotic, and in the last place psoric. (We have applied these
considerations in the many aspects of the study of the human race which we have presented at various
congresses).
PAGE 96

Clinical history no 1
A girl is presented to our group clinic who, as her mother relates, has convulsions of irregular periodicity
and about who we ascertain the following : she is not the little girl she appears to be, but a young lady
of 18, pliable, apparently taciturn, stout; with relative indifference, as if almost an imbecile, she allows
her mother to make an ample exposition of her symptoms without displaying by the least gesture any
amazement or protest. Her mother tells that the patient behaves like a child, likes to play with much
younger children, is very stupid, likes to do mischief even though she is lazy, that her stupidity is greater
in the morning, that even though timid sometimes, she becomes irascible and even furious with herself -
going so far as trying to stab herself with a knife. That her convulsions consist of a general shuddering
followed by a feeling state of semi-consciousness, all of this is preceded by a feeling of malaise which
enables her to foresee the approach and to cry out. The mother tells us that the patient is intellectually
very dull, which caused her to be taken out of school and thus deprived her of an education;
nevertheless, she is good at sewing and embroidery and performs various household chores carefully
and well. That she greatly enjoys watching television, but only children's programs and that she fights to
get out of the house and over to a neighbour's. We could have been satisfied with the mother's
narrative account of her imbecile daughter, which was confirmed by her remaining entirely mute and
impassive for more than 20 minutes with a more, and to confirm her symptoms, led us to question the
girl herself. She began her account like someone taking the opportunity, however calmly, to escape jail
or from a condition of greatly impaired communication, without, however, abandoning her attitude of
resignation at the prospect of returning consistently to give us an extensive account of her existence,
restricted to the reduced environment of a home in which she was the eighth of ten children. She told
us she was very afraid of her father, who is quick to reprimand and punish her (and whom the mother
later confirmed as rigid and dictatorial with all his relatives). At times our patient even became
vehement in describing her life; although timid by nature, she tends to be excitable, but it is easy to
detect the forcible restraint to which she has been subjected both by the absolutism of her father and
by her mother's submissiveness to him; also by her sisters who take advantage of her pathology to keep
her home as a servant. While recounting her complaints she, intelligently, does not fix the blame on any
of her family; she becomes excited when her detailed account comes to some episode in which she feels
herself to have been treated more unjustly than usual, or beaten, when she threatened them or
attempted to stab herself with a knife... Whenever another leaves an object or some valuable with her,
she takes good care of it... she has managed to establish a life to her liking in the childish world to which
she has been reduced. Behind her symptoms of timidity, cowardice and irritability sometimes going as
far as violent irascibility, I now tool more relative attitude toward her maladjustment which seemed
founded in imbecility; eating well, becoming talkative whenever she has the chance, playing with
younger children, being lazy at every opportunity, and aggressive with her sisters whenever she can
defend herself from the abuses they perpetrate in her, by making her do all kinds of chores; and refusing
any intellectual activity which might possibly augment her already numerous responsibilities.
PAGE 97
She continues to embroider or sew pleasantly from time to time when resting from her other heavier
occupations. She explains that she does not look at more advanced television programs because "they
don't let me".
We omit the result of encephalographic and other tests, since they are not of interest for our purpose.
We repeat that we are writing and dedicating these studies to persons who have gone beyond the
tiresome stage of doubts as to whether or not homoeopathy can cure, whether it is effective in every
case, and whether the high potencies are of use only if they are Hahnemannian, Korsakovian or not
Korsakovian etc.
PAGE 98
Our case is one of a dominant psora, that is, in a very high degree, say 80% with 10% syphilis, and an
equal amount of sycosis.
 The constitutional inheritance, predominantly psoric, is without doubt from the the mother who,
through her own unawareness, has put up with covered up, and encouraged the arbitrariness of the
father who is irascible and evil (i.e. , by inference, predominantly sycotic, followed by syphilis and, to a
lesser degree, psora); thus the wife, who is always behind him, submissive and oppressed, passes on
that same submissiveness to her children, and our patient, who is at the bottom of the hierarchy of the
household receives the whole discharge of the explosions which constitute the mode of expression and
communication of the members of his household, and, in the first place, of the father, the kingpin of the
whole group, who undoubtedly also has his own fears, vexations, terrors and maladjustments outside
the house and then comes and unloads them on his family. Our patient's illness is undoubtedly
degenerative, as is demonstrated by her I. Q. and by the tests which were done according to current
medical techniques; but our miasmatic diagnosis of her and her family lead us to search along other
lines and to establish a better prognosis with the aid of the appropriate medicine. This is a case which,
for our purposes, demonstrates both the inherited miasm and the miasmatic stimuli which activate and
intensify the predominant and subordinate inherited miasms.

Clinical history no. 2

This is another case of a degenerative state with predominance of miasm 2 (sycosis), a man in whole
the the diabetic picture has appeared with its classic collection of symptoms : a sensitive disposition, a
tendency to cry, voluble, sensitive to changes of temperature, easily offended, somewhat reserved and
irritable. About five years before appearance of the diabetic picture he had presented epileptiform
convulsive seizures (which were treated homoeopathically with Nux Vomica and subsequently
Lycopodium in high dynamizations). The diabetic symptoms, which were duly verified by laboratory
tests, brought on a progressive emaciation with some episodes of diarrhoeic intestinal disturbances
during which he resorted to suppressive allopathic treatments, as he had on other occasions for pruritic
eruptions. Reserved and suspicious, as well as somewhat selfish, he remained unmarried to the age of
50. Treatment with predominantly homoeo-sycotic medicines for such characteristic symptoms as
perspiration only on the left side of the body, insomnia due to the flooding of ideas into the mind,
volubility, susceptibility combined with a persistent reserve making him appear somewhat
contradictory, brought this patient to a considerable amelioration of his diabetic degenerative state, he
was able to recover physically, to contract an adequate marriage, and in it to overcome a state of partial
impotence (which is logical in view of his other symptoms). His first homoeopathic treatment was to
alleviate the psoric-syphilitic manifestations culminating in convulsions. When he had been relieved of
this, his psora-sycosis state came to the surface, causing the diabetes - which fortunately was relieved
by the indicated remedies. Although the underlying psoric basis remains and will remain with the
patient, his trimiasmatic state has been somewhat blunted and has now responded well to the
constitutional remedies which have freed the patient of certain miasmatic burdens whose effects were
frankly degenerative.
PAGE 99
In our judgement, the the degenerative state is most dreadful when it takes a mental form, both
because it alienates the individual from his family and, above all, for its ultimate effects on the species.
The following case will serve as an example.

Clinical history no 3
A slender woman with light-brown skin, married and a social-worker. She appears affable but nervous
and at the same time timid, and starts to narrate her symptoms with their antecedents minutely and at
length, easily lapsing into a verbosity which we find it difficult to restrict and revealing throughout the
whole account an extraordinary mental clarity. We wan attribute this to her evident excitability; she
gives a vivid account, with many details, of the stages of her derangement, which on various occasions
appeared to be the consequence of over-excitation; it consisted in hallucinations and deliria with
aggressiveness, carrying her into an unreal world where she arrives fearful, terrified, aggressive and
distressed, obliging her family to have her committed; because of the bureaucratic nature of her work
they put her into official mental hospitals where she is treated with various allopathic sedatives. Once
the initial period of excitement has passed, the patient lives joyfully and tranquilly in her asylum until
her affection for her family brings her back to reality and, for a while, to her home and her work. She is
diagnosed by the specialists, and with good reason, as a schizophrenic. She tells us about her aversion to
the drugs, which she must continually take, and we note the salient information about her antecedents :
her father, now deceased, was an alcoholic with symptoms of the third miasm, having died apparently
of a degenerative disease of the heart and vascular system. The mother is still alive and, in the patient's
own words, is very sycotic, demanding toward her children, greedy also in the material realm and
extremely selfish. As for the patient's own pathological history, it is worth noting that five years earlier
she was treated for toxic goitre with radioactive iodine and cobalt. The patient(s physical constitution
and her characteristics of temperament, as well as the changes in the symptoms which she has suffered
during this time, verify the correctness (from the allopathic point of view) of the diagnosis and
treatment.
PAGE 100
The case was resolved five years before and left our patient "in circulation", only to fall into the
pathology which she presents now and with which she has suffered for the past four years. Only a few
months after she had been discharged as cured of her toxic goitre, and because of various intense
preoccupations, her psycho-neurotic syndrome appeared. Disillusionment with the results of treatment
by the old school brought her to us with the picture of LACHESIS which we, logically enough,
administered in LM potencies after taking her off all allopathic medication. The change in her was
"dramatic", to use her own word. She felt as if "recovering some of my former self", as she told us, able
to reintegrate herself adequately in her family. The allopathic drugs had "put her back into circulation",
as we have already noted and as is customary in their lexicon, but here far from having restored her to
true normalcy. This is, as we hasten to say, of course very difficult and, especially, to do quickly, if we
use the term with its exact meaning - i.e. , in the sense of happening promptly and without interruption.
The true recovery of the patient, if feasible, will be a long-term-affair, depending on the surrounding
environment and the correctness of the treatment.
PAGE 101
Her family environment Is quite unfavorable; even though her husband loves her and is very
understanding, he has the negativism of the chronic alcoholic; his predominant miasm is sycosis,
although on a psoric base, and this condition makes him irritable and somewhat violet when confronted
with the problems posed by the patient (and which are very numerous, since they have six sons).
In the children the miasmatic heritage is very noticeable. Although they are quite similar, the one with
the most striking development in the mental realms is very restless, malicious, vivacious, somewhat
sentimental, and with evident tendencies to degeneration precisely in the mental realm. This seven year
old boy tells us with a frankness which is malicious, cynical, and at the same time ingenious, that he like
to drink alcoholic beverages. As a prank he drinks them with the delight when there is a celebration in
the house and he can sneak around and drink the half-empty glasses; his pranks also extend to sexual
escapades with the boys and girls of his school. His glance is roguish, he tells us that he masturbates
frequently; his mother brought him in precisely out of amazement at the facility with which he could
have erections and his tendency to onanism; although nervous and inattentive in class, he is quick-
witted and physically active.
The family pattern of miasmatic pathology can be easily inferred from the salient points already
indicated by us. The syphilitic-sycotic heritage is present and will have to develop through the successive
LACHESIS. Hyoscyamus, Stramonium and Phosphorus patterns; these episodes, of course, involve three
generations. The miasms have penetrated deeply due to the suppression of syphilis in the father and
sycosis in the mother; also due to the suppression of sycosis-syphilis in the patient and, in passing, to
suppression of gonorrhoea in the husband at the page 16. Proof of this is seen in the children of whom
the most notable example is the one described above.
PAGE 102
We are witnessing necessary evolutions, a sycotic-syphilitic or syphilitic-sycotic manifestation with a
cyclic periodicity in accordance with environmental stimuli. When the patient's work inside her home
and outside it is stimulating, she turns into a dominant sycotic - very active, aspiring to do much,
involving herself in minute application to various constructive tasks, giving and receiving affection from
her family, all as part of a behaviour pattern which we would call disorderly. When the third miasm is
stimulated by the daily aggressions of her sons and, above all, when her husband gets drunk and annoys
her exceedingly, or when her relatives besiege her with demands or unpleasantness, or when she
suffers some deep disappointment at work, she becomes unhinged and driven into her own world; she
escapes in search of peace for her sycotic hyperactivity, but is still driven readily to the degenerative
pole of syphilis.
Treatment would be more successful if our patient's environment could be substantially modified to
avoid its interfering with the curative effect of LACHESIS - which so clearly matches her case and from
time to time gives evidence of its analogy.
After profound cogitation over cases such as these, we can conclude that the multiplicity of mental
projections of the human being are triggered, sometimes prematurely or unreasonably, by the
numerous phenomena or happenings which make up civilization and which, in a rough and highly
stressful manner, impel the individual into the torrential and demolishing flow of the social order. These
can activate his miasmatic burdens, roughly and simultaneously. This causes diversion away from his
mind and into his body; the disorder produced issues somatically in degenerative diseases. Furthermore,
as a consequence of the same etiological elements, one can assume the possibility of mutations into
dynamic elements derived from the mental realm.
PAGE 103
The immediate objection to this hypothesis will diminish when it is recalled that for the homoeopath,
the constitutional - or that which is constant in his being, as Leon Vannier calls it in his DOCTRINE DE
L'HOMEOPATHIE FRANCAISE - is not only that part of the material and organic being which is permanent
in the individual throughout his own existence and that of other generations, but also, and perhaps
preferably, the dynamic essence of this same individual - either as a biochemical element yet undefined
or, better still, as might be conceived within an adequate vitalism : the Bergsonian vital energy or "élan
vital" which forms and diversifies.
PAGE 105

Application of the doctrine of miasms to the treatment of the patient

- Illustration by a Clinical Case.
 -Technique of Application and Summary of the Considerations Involved.
-Possible cyclical Movement of the Prevailing Miasmatic Conditions and its Ultimate Effect.
PAGE 107
As it may be easily deduced, and as it was indicated by Hahnemann, it is possible - and not only
convenient, but indispensable - to diagnose the dominant miasm or miasms in each and every one of
our patients. As I have already stated, if the practitioner prescribes only on the basis of the symptomatic
picture which he hastily takes sown, in this way copying in homoeopathy what the old school does with
his nosography and nosotaxia, i.e. , looking for the pathological diagnosis, he will understand and act
upon only a part of the disease. In other words, he will make the error of confusing the part with the
while, feeling that such-and-such symptoms recounted by the patient - which constitute his concern and
the reason why he came in for consultation - are really the objective which the physician should pursue.
Let us bear in mind the example we gave in Chapter III of the patient who seemed to be Mercurius and,
upon closer investigation, was confirmed as Calcarea.
It could be objected that in this, as in all cases, the practitioner need only amplify his investigation of
the symptoms and utilize their totality in order to hit upon the adequate remedy. But we readily admit
that, faced with a larger quantity of symptoms, we must select among them in order to define that
"useful totality" which, as we have already said, represents the moment through which the patient is
living. But this moment constitutes a whole episode adopted by those antecedents in order to remain
expressed in the patient; the latter may crop up in his consciousness as an abnormality of sensation,
conduct or intellect or may merely deform his evaluation of things and events. It will be the physician's
task to narrow these down and define them as symptoms, noting them in all the forms he is capable of
observing and has the opportunity to observe.
In this way, the subject will be perfectly defined, not only as he is presented to those who are seeking a
medicine for him, but also in the sense of what else is also present, mixed in and concealed behind that
which is more painful and manifest and which actually caused the consultation.
The following case will illustrate this theory.
PAGE 108
Miss S.S. P., 24 years old, with a good figure, blonde, with large and expressive eyes, a triangular face,
somewhat prominent cheekbones, presents with complaints of pains in the left shoulder which come on
from time to time since an accident four years earlier, in which her clavicle and humerus were fractured.
The pains become more acute periodically and impede her somewhat in her work; she is a secretary and
must do typing; the pains are aggravated especially on arising in the morning, by cold and dampness,
and by too much exercise, although when she is doing the exercise she feels improved. We could not
ascertain much about her parents because she cut off the conversation with the remark that she had
been away from her parents for many years and always remembered herself as being healthy.
A general questioning only tells us that her periods are generally abundant and that she has occasional
pains in the joints of her legs with the same modalities. She has a dry eruption in a rounded spot on the
nape of her neck near the scalp, with some itching which becomes exacerbated at irregular intervals.
When we ask her about that which is most important in every person - his or her character - she tells us
with an easy laugh that things go well with her, that she has no problems, and that she tries to get along
well with everyone; when I insist (due to the apparent absence of symptoms), she replies, still laughing
but somewhat uneasily, that her friendships are only superficial and that she rejects deep attachments; I
conclude that she is somewhat reserved, that the dominant symptoms are mostly derived from the
accident she suffered and, moreover, that they suggest RHUS TOX (as you must have immediately
concluded yourself). This was administered in the 30c dilution.
Our patient returned some month later with the same symptoms; they had disappeared promptly upon
taking the remedy but were now coming back. Again RHUS TOX 200c was prescribed, and the episode
was repeated - alleviation with return of the symptoms after a while.
PAGE 109
Upon the next visit of our blonde with the expressive eyes, we thought it necessary to "crack the nut",
seek the content of his pathology, and obtain a fuller and more accurate knowledge of this problem
woman. Why had perceived something special in that unnecessary laughter of hers when referring to
serious matters, and especially in connection with questions about her mental symptoms and feelings.
Why had she left her parents at an early age? We established a dialogue, won her confidence
somewhat, and managed to break down part of her reserve. She became upset; we assured her that she
was a tormented woman and persuaded her to speak out. We finally succeeded. At the age of ten, she
had run away from home, wanting to live differently from the way they had established; she enjoyed
doing what they prohibited, chased after somewhat older boys who treated her as a girlfriend; she like
to tease them excite them, and have fun with them. Her father had been rather severe with her, as with
all her brothers, either when living with them or now when remembering them, but rather feels dislike
for them all. Away from home she had led a life not too different from the one she could have had in her
own family; she soon found a couple who gave her quits a good job in their home, and she stayed with
them a couple of years; she had everything, schooling, affection, even love, but she still wanted to
remain free and never loved them in return; after that, she went to another city and was taken in by a
single woman who also offered her a home, care, and everything else necessary. There she lived like a
daughter but without any love for the old lady, even though acknowledging all her kindness; she then
looked for another home with some girl friends, roamed from one place to another keeping her
independence, and kept her heart independent as well. By this time she was an attractive woman,
naturally sought after, and doing various kinds of work. She had an affair with someone, but when she
felt she might get involved, she turned away from him and ended the relationship. The man to whom
she had given herself was young, responsible, well-off, and wanted to marry her, but she eluded him,
lying to him that she had gotten pregnant and had had an abortion. Then she moved to another city
without telling him where she was going.
PAGE 110
The novel of her life continued; but these chapters should suffice for our purposes : but they are as
there sometimes written more slowly than others. Certainly, our patient had mental symptoms : malice,
hatred, resentment, reserve, abnormal laughter (the symptoms that had revealed the deceptive mask of
our blonde with the expressive eyes), a feeling of being forlorn, a suicide attempt; there were others
besides, but these were sufficient to transform our Miss RHUS TOX into a Mrs. Lachesis. The symptom-
pattern, without doubt, was RHUS, but the person herself the patient - was a syphilitic-sycotic-psoric
and needed the corresponding medicine, which was Lachesis. Only the profound and integral similarity
between the individual as a constitutional pathological entity (that is, miasmatic) and the remedy of the
same order yields true homoeopathy.
As it may be seen, there are certain advantages to defining the patient by his miasms :
1. It spares us the failure of supposing that we are going to cure when we are scarcely going to succeed
in a relative and fleeting alleviation of the symptoms.
2. It enables us to understand the profound pathology which we must inevitably confront sooner or
later and which it is our duty to bring to the surface - so that it will be accessible to the correct
treatment seeking a true cure.
3. It gives us an unshakeable basis for a relative prognosis of the case, considered in all its profundity
and going into the constitutional miasmatic factors which have determined the series of dysfunctions
and lesions : the patient's behaviour, traits as presented in his biopathography, that is, not only in his
pathological history but also in the different aspects of his life-physical development, sickness, attitudes
and conduct at various stages of his life (childhood, puberty, adolescence, etc.). Also his achievements,
frustrations, tendencies, pleasures, vices, loves and preferences in social life.
PAGE 111
The miasm establishes the modality through which the human being is expressed. It forms - or, better
still, deforms - the thrust of his individuality, that is, of his essential nature, as we have already said,
inhibiting it, hastening it or deforming it.
The absolute freedom which the individual could in principle attain - as a precise and perfectly
harmonized part of all that has preceded and will follow him in space and time - is constrained,
hampered, and lost when subjected to the pattern or limitation impressed upon the depths of his being
by the miasm, which modulates it in accordance with its fundamental fault : deficiency, excess or
perversion.
The miasm is like a negative archetype lost in the past but which, as an indelebile heritage, determines
the manifestations of the individual always impairing and detracting from that total freedom, which he
could attain in total freedom.
We must verify the extent of the psoric imprint of deficiency on the different acts and thoughts of our
patient - on his skin, his physical type, his glance, and all his modes of expression. We must perceive
everything which sycotic excess has impressed on succeeding generations and penetrated into its depth.
We must know by intuition to what degree the syphilitic miasm has perverted the spiritual and the
organic life of the individual. These are the ultimate possibilities open to the physician; at the same time
they raise his profession to its true dignity, freeing him from the role of a mere palliator of the
reasonable or unreasonable complaints of his fellow humans, a short-sighted "symptoms-remover"
whose superficial mode of reasoning will merely substitute for the patient's present suffering and
disorder others much greater - appearing later in the patient himself or, greatly exacerbated, in his
descendents.
Every physician knows how frequently the patient demands the prompt and simple suppression of his
most bother some complaint a colic, a burning gastric acidity, a fever, a haemorrhage, liver spots, or pits
of acne on the face. Some of these symptoms should go at the end of the real pattern of the totality of
symptoms, while the ones to be considered immediately and eliminated must always be acknowledged
as merely a sample of what wells up from the innermost depths of this individual, revealing the
profound disharmony behind them, and making us give thought - forthwith and painstakingly - to the
multiple deformations of both tissues and functions - organic, instinctual, emotional, intellectual, and
volitional - which constitute the true sickness.
PAGE 112
PAGE 113

Application of the doctrine of miasms to human affinities and social relations

- Observations within the clonic and outside it.
- Practical examples.
- Combinations and relationships of affinity, overlap or continuity among cases of preponderant psora
(1), sycosis (2) and syphilis (3).
 PAGE 115
What is formulated by theory in this matchless doctrine of miasms, is confirmed by clinical observation
and practice. For genuine harmony to reign between two persons, their relationship should be
established on miasmatic coincidences, continuities or discontinuities.
For the sake of simplicity, let us designate the miasms by numbers - 1 for psora, 2 for sycosis and 3 for
syphilis.
We must continually remind our disciples that the homoeopathic method demands that each and every
one of its principles be implemented if its multiple applications are to be crowned with success. Thus,
the mere search for the similar medicine does not in itself constitute homoeopathy unless there is
consideration of the principles which precede and succeed this in their total interaction - requiring
application of true LOGOS and constituting the science. In the same way, we cannot regard
homoeopathy merely as administration of the small dose - as is sometimes suggested by the silly
statement that "the dose is homoeopathic", meaning very small. For a procedure to be truly
homoeopathic medically, it must involve each and every one of the principles which underlie the
method. Likewise, if homoeopathy does indeed represent an aspect of truth, it must be of universal
application - as we have also noted.
Homoeopathy will have its application in the details of human relations. Any relationship between
people is realized tropism, we always pursue that which is analogous, something which prolongs our
existence or whose existence we prolong. It is logical that, in the miasmatic realm, we are linked to
those who correspond to us, and this correspondence will also be a function of miasmatic characteristics
- as we will try to demonstrate by the following examples.
A psoric-sycotic-syphilitic subject (or 1-2-3, according to the relative contribution of each miasms, as we
have already explained) will, in theory, be perfectly complemented by another person represented
miasmatically by the numbers 3-2-1, so that the characteristic modes of expression of the one can be
fused with those of the other by virtue of continuity, of interlacing, within the overall need of analogy.
Thus, our 1-2-3 subject merges perfectly with a 3-2-1 by fusion of the last 3 of the first with the first 3 of
the second. By the same token taking patient 3-2-1 first, his final 1 fuses perfectly with the initial 1 of
the other. Thus, the expression of their characteristic qualities forms a sort of circle of complementarity
and succession whose outcome is a persistent harmonic movement.
PAGE 116
Something quite different happens, in theory, if we put two 2-1-3 subjects in relationship with one
another (even if the proportions of the miasms in each combination are different, as we explained in the
previous chapter). Of course, the variations of these combinations are numerous, although the following
eight fundamental types may be distinguished : 1-2-3 with 1-3-2; 1-2-3 with 2-3-1; 1-2-3 with 3-1-2; 2-1-
3 with 1-2-3; 22-1-3 with 3-2-1; 3-1-2 with 2-3-1; 3-1-2 with 2-1-3.
Let us take an example from practice : a married couple of which the wife had been treated by me for
typhoid when a young girl. She was 15 years old and had received copious allopathic medication which
completely distorted the symptomatic picture, causing the intestinal typhoid illness to take on a malarial
form. The case was sufficiently serious to induce the specialist incharge to evade responsibility,
suggesting another specialist on tropical diseases and, in effect, refusing to continue treating her
himself. The outstanding symptoms were : great coldness of the body (35.5 Celsius) in the morning with
exhaustion, so that vital activity could hardly be detected; the symptom picture gradually changed at the
same time as the temperature rose. By nightfall the temperature was as high as 41.5 Celsius and was
preceded by an intense shaking chill with delirium and great pain in the nape and joints. From the total
indifference of the morning she passed in the evening to physical and mental restlessness and
irascibility. NUX VOMICA and LACHESIS brought her out of this critical state, thank God.
What is interesting is that she was a 3-1-2 patient. Her parents, who were both 1-2-3, had been barely
able to put up with each other (common in such cases, as we will explain later on). Our patient was an
only child, very well educated, of very pleasing appearance and lovely manners, a brunette. Logically
enough, her miasmatic condition had led her to produce a sickness with destructive characteristics, as
was her typhoid; and the anti-natural medicine she received pushed the disease to an extreme. In any
case, the homoeopathic treatment mentioned ended with a rather weak dose of LYCOPODIUM (200c)
that restored the very precarious haematic picture (3 million erythrocytes cu. mm.) to normalcy within a
few days and eliminated a heart murmur which had been detected quite clearly during auscultation
some years back.
PAGE 117
We want to draw attention to the following. This young lady recovered and returned to her upper
middle-class life, was educated in the best schools, had a good house, and almost all her desires fulfilled;
she became enthusiastic over, and married, a somewhat foolish but attractive boy, white, not very
cultivated, and with a 2-1-3 miasmatic pattern; the relationship between her 3-1-2 and his 2-1-3 was the
key to their marriage, their relationship, and their future. Inside the home they were continually clashing
due to the heterogeneity of their social backgrounds. Incompatible in their education, habits and aims in
life - which drove them to brief but repeated separations (either in the sense of their attitudes toward
one another inside the home or brief absences of the husband) - they came back together promptly as if
stimulated each time in a more intimate way. Thus, they procreated nine children so rapidly as scarcely
to leave sufficient time between them for a new gestation; some of these children were less than a year
apart.
From the miasmatic point of view this is explained by the inevitability of a relationship between persons
who have a facile and appropriate biological interconnection. Following our classification of humans in
function of the predominant miasmatic load, we should imagine each individual as a series of three links
of which the first and last -being live elements - are ready to bind and adhere to others which are
analogous. Thus, they pass through time and space seeking a ready and well-suited lodging within the
perpetual movement of life.
If 3-1-2 individual, as in this case, makes contact with a 2-1-3, his final 2 will easily make contact with
the initial 2 of his companion, and the two 3's likewise, so that between them is established a
relationship of complementarity through obligatory succession - from him to her and from her to him.
This formulates a complete reciprocity and thereby a basis for complementarity and persistence within
the miasmatic concept, that is, from the biological viewpoint. Practice demonstrates it to be true since,
despite the profound social differences as well as the youth and inexperience of the two, they produced
so many children and survived so many difficulties; they quarrelled almost every day but dissolved their
vexation and great divergences in the fusion imposed by their inherent predispositions, finding in one
another the highest degree of complementarity. When he dominated the situation, made decisions, or
gave free rein to his desires, her miasmatic pattern made her propitious; just as when she attained
dominance, his requirements and modes of adaptation suited her. He was amenable to all the shadowy
possibilities of miasm 3 which she carried out in front, just as she propitiated and was accepting of his
innate inconstancy, even though it went against her rigid education. For a more definitive separation to
occur, it was necessary to go to extreme : the woman had to be taken to a far distant city by her
relatives in order to detach her from that "love". He is turn, would have had to encounter other women
miasmatically equivalent to the first : and even so, another encounter under favourable circumstances
will cause a return to a biologically fatality, in as much as there is obligatory succession between 3-1-2
and 2-1-3.
PAGE 118
This happens in a regular and almost inevitable way when miasmatic loads are well compensated and
far from the limit which permits transformation into the predominance of another miasm. In other
words, while the best homoeopathic treatment can attenuate the miasmatic burden, the mixture
remains in the same from. If we maintain an individual in an active or latent miasmatic condition, yet in
a more or less stable proportion (i.e. , 40% of one, 35% of the other, and 25% of the third), this
miasmatic entity will resist the best treatment; thus, even though the miasms could be rotated around,
or even attenuated, they always remain in a more or less equivalent proportion.
PAGE 119
The same does not occur when the proportions are closer to one another; for instance, if it is 42%, 38%
and 20%, then treatment (and even the mere stimuli of life) can transform the second miasm into the
dominant one and thus change the whole aspect of the patient. In such a case, the patient himself, and
those around him, will say that since receiving the remedy "he has become a different person"; "I am
another person", he will exclaim.
Of course, when social and educational differences are less marked, the same miasmatic condition
leads to improvement of relationships - but always in function of the degree of biological miasmatic
correspondence and educational compatibility which make living together relatively easy or relatively
troubled.
Another case totally different from the first is a married couple where the woman's characteristics, as
reinforced by the environment, are predominantly sycotic, next psoric, and, in the least degree,
syphilitic.
The husband presents the same degree, so that, while both could be described as greenish in color,
her's is more bluish, while his has almost a dominant yellow.
The first time these young people met they felt mutual antipathy - due to sycotic competitiveness in a
highly accentuated form. Furthermore, both were from families which, for various reasons, had
stimulated them to superficial and frivolous behaviour. Coincidentally, finding themselves in the same
school, the repeated contacts over time transformed the antipathy into apparent admiration. The same
sycosis stimulated this outcome, almost necessarily leading to marriage but, at the same time,
containing a prognosis of incompatibility, since neither spouse can continue with the other as the
biological ideal. Between these young people only "overlap" is possible, not continuity.
In cases like this, harmony and relative complementarity or continuity between the two lives can be
achieved, and (referring to our symbols, the initial and final numbers made to interlock with one
another through "inversion" of one of the actors. This means a persistent willingness to defer to the
other in his most intimate and ultimate behaviour; the more obliging of the pair must sacrifice his
primordial satisfactions for the sake of their life together. What is more commonly encountered is a
constant willingness to dispute.
PAGE 120
In our patients the years passed in a constant selfish struggle for domination. Logically, the yellower of
the two - being the more sycotic and having the greater self-esteem - was the one who prevailed; the
other spouse was forced into an inhibited mode of life which was by no means natural or spontaneous
for her and which provoked her t disguise her discontent by various whimsicalities and offset it by a
continuing desire to escape. Both felt the need to project themselves in a similar conduct which was far
from being complementary. The practical result was an estrangement which grew with time and
ultimately compelled them to separate; the man became increasingly vain and thus more and more and
more unbearable to the woman who compensated for her situation - also sycotically, but at a different
level. He became lost in egoism, and she in emotional frivolity. The 2-1-3 in each of them only varied
during some moments of overlap but never established the relationship of analogy which is
indispensable for a good conjugal life.
Given such a heterogeneous blending it is possible to live together more or less harmoniously on the
condition that each construct his or her world as a true extension of self, and that they live together
more as comrades than a man and wife. Naturally, such unions can also be interpreted as functions of
the dominant miasmatic contributions.
What we have set forth in relation to heterosexual marriage or union is applicable also to relations
between friends or family members, in fact, to all human relations in the family and in society.
PAGE 121

Definition of the symptoms

- Scope of the symptoms.
- Analysis of the symptoms from the miasmatic viewpoint.
- Analysis of the most frequent or most meaningful mental symptoms.
- The subtle differences produced by the different modulations of the miasms.
- The form in which the investigation of symptoms is realized.
- Confusion in the definition of a symptom easily leads to error in the therapeutic indication.
PAGE 123
One of the greatest difficulties encountered by the new-comer to homoeopathic clinics is that
amplitude of the symptomatology, in the patient as well as in the pathogeneses making up the Materia
Medica. As laymen, and also as physicians trained in old-school medicine, we tend to reduce greatly the
difference expressions of human suffering, which are extremely varied and each of which possesses its
own peculiar and symbolic significance - expressing in every case something of the individuality of that
subject. The pruning down of the innumerable symptomatic expressions which has been done by old
school medicine obliges it to cloak the remaining ones in a terminology which is rather obscure but still
has "impact" and serves to conceal the arbitrariness of the synthesis to which the patient's whole
description has been reduced.
Let us look at what is most necessary for practice, what is indispensable for the correct definition and
classification of symptoms. We have already pointed out, and we now repeat, that the physician must
seek all possible minutiae of detail in this investigation of such common symptoms as, for example,
vomiting. We must determine precisely if it is sudden, upon awakening in the morning, upon standing
up, during the meal or after it, if immediately afterwards or not, and, if not, after approximately the
same lapse of time always; and, if it is simply after eating, if it leaves a special after-taste of food, acid,
or bitterness; if it is yellow, mucous, greenish, foamy, abundant, or scarce, with threads of mucus,
threads of blood, with a little blood or much, clear or dark blood coming out before the principal matter
vomited, with it, or after it, and all the concomitant circumstances; was there a feeling of nausea
beforehand, was it persistent, did vomiting bring relief or, on the contrary, general aggravation,
seasickness, weakness, exhaustion, a feeling of being about to faint, a feeling of cold, sleepiness,
headache, and, ultimately, all the various repercussions which can arise in some part of the body or in
the body as a whole; in the same way we must investigate all the symptoms, both common and
particular but, first and foremost, everything relating to the general symptoms.
Take chills, for example : for homoeopathy chills are not just an alteration in thermal sensitivity
producing in the individual a sensation of hot and cold; chills are regarded as a general state of low
temperature which the individual can perceive in his own organism and to which various other
characteristics must be added; if there is goose flesh or not; if there is shuddering and, if so, moderate
and light or so intense as to be upsetting to the patient; when the patient states that he is shaking from
chills, this must be distinguished from chills which are predominant among the physical symptoms but
do not give rise to much shaking. The first type, with shaking, is found in Chelidonium but, even so
shaking is not such a predominant symptom in this medicine's symptomatology; in other words, a
violently shaking chill which is very upsetting to the patient, may be present but still not be a very
dominant physical symptom. For example, Veratrum album has a dominant coldness, predominating
among the general symptoms, but rarely has violent shaking; Camphor on the other hand, can present
both modalities and, moreover, be very pernicious - as is also true for Veratrum; but let us continue our
investigation of chills. It is important to know where it starts; in the arms, hands, fingers, or fingertips -
as in BRYONIA for which it is very characteristic; or in the tips of the toes, or bladder, or on one side of
the body only, or in head, or in the lips (which is precisely a Key Note of BRYONIA) : the way this feeling
of coldness starts in our patient can be of very great help in our selection of the remedy. Or he may have
perspiration together with chills as, for example, with Euphrasia. Tuberculinum, Lycopodium or NUX
VOMICA : or the chill may be present only during the bowel movements, or during the night, or during
the menstrual period (as in LACHESIS), or it may move from the upper part of the body to the lower, or
only coldness may be felt; yet it will be completely different if the patient feels not only coldness but ice-
coldness, and it will not be the same it he feels not only coldness as though inside his bones only, or
inside his arteries or veins... But the most important is that we be able to define and differentiate
coldness perceived by the patient from a true chill with its characteristic gooseflesh.
PAGE 124
If this coldness is accompanied, for example, by tremors or (which is different) by rigors, or by violent
chills (which is also different from the predominant form of chills - a violent chill comes on abruptly and
intensely but does not extend so far as to dominate the patient's general sensations, etc.), each of these
forms calls for different groups of medicines which must be investigated until no doubt remains. We
should do the same for fever, sweat, pulse, etc.
PAGE 125
Our principal task now is to record, and assist in the search for and definition of, the mental symptoms -
especially those that lead to confusion because they represent true modulations, at times very subtle, of
a psychological state. Let us illustrate. It is a very serious thing when a patient feels hostility to life. Now,
unless the very subtle variants of this feeling are recognized and defined, we will mistakenly call for a
medicine which does not precisely correspond to our patient's psychological state. He can simply be
Weary of life (to use Kent's own words) : he has no complaints about life, at least no reasons for
complaint come to his mind, but is just weary of it, like someone who has taken a long walk and is tired.
His life may have been satisfactory, difficult or happy, or even very joyful, he is still weary of it, and that
is his symptom : weariness. "Loathing for life" (as given in Kent's Repertory) is something else again;
here the patient has a different state of mind. He may not have lived long, he may be a beardless youth
or even a baby - as in ANTIMONIUM CRUDUM, where we see totally manifested this loathing for life,
lack of enthusiasm for it, aversion, or at least indifference to life; that is, no liking for it, but dislike. A
distinctly different symptom is "Thinking about death"; a patient may not feel weary of life or conscious
loathing for it, but when examining him, we find that he often thinks about death; there is simply
thinking about death, that is, frequent and inevitable thoughts about death without any apparent cause.
We next have the symptom "Desire for death" where our patient manifests, quite certainly, the desire
to die. He may be enjoying life, he might not have lived very long, he may be happy but, nonetheless,
desires death. By the way, we should point out that these symptoms should never be deduced
"psychoanalytically" from some other attitude of the patient - for example, that he goes to extremes in
love or in work, following some other ideal; nor may we deduce in some other way that he wants to
immolate himself; no, for the symptom to be correctly taken into account, it must be acknowledged by
the patient, i.e. , we must become aware of it in him - unless he is in a state of consciousness or mental
confusion, in which case the alterations producing this state are probably the most prominent ones in
the symptomatology.
PAGE 126
Continuing now with the symptoms reflecting hostility to life, we should consider suicidal disposition
meaning, of course, the intent to deprive onself of life in one way or another, by jumping out of a
window, by poison, by hanging, cutting one's veins, etc.
Let us analyze the predominant miasmatic tint of these symptoms with the object of better assimilating
this doctrine in relation to the symptoms we are considering. Naturally, we perceive the reddish tint of
syphilis, since that is the maximum expression of destructiveness - contempt for life; but the color of the
first symptom analyzed, weariness of life, although purplish has a considerable amount of blue -
meaning that much psora, a veiled glance into death from the relative serenity of psora, or better still,
from psoric sluggishness. Blue diminishes, while red increases, in the following symptoms : loathing for
life is more red, as the self-destructive urge becomes more apparent; reddishness increases even more
in the desire for death, and it becomes quite intense in the suicidal condition, an oscillation between
psoric fear and the destructiveness of the third miasm.
We now take up a symptom which is more associated with sycosis : fear. According to the old-fashioned
classic way of grouping the emotions, fear is one of the three fundamental ones - together with love and
hatred. It is the fear of precisely that which can harm us, or which we think can harm us, or cause
intense unpleasantness. The retinue of concomitants of this emotion give it the characteristic yellow of
sycosis. Open fear impels us to movements which separate us from the object or thing we fear;
sometimes it paralyzes us, another way of separating us from the cause in that it represents an abrupt
inhibition, a sort of concentration through which we try to remove the greater part of our being or of
our body from the awareness of, or exposure to, this thing causing fear; we shrink; we minimize
ourselves. In any case it is flight - so escape is the characteristic of fear.
PAGE 127
Another variety of fear is "to take fright", "to be startled". This means a predisposition to fear which
motivates this reflex of wincing or "being startled", and which makes this sensation more striking even
though it actually may not be very profound. This condition would also be sycotic but with some psoric
restraint. If psora dominates, fear does not attain its full extent, but remains as anxiety which, as the
psychologists tell us, is the antechamber of fear and which, as we know, has a lemon-green coloration
because of its huge psoric counterweight. On the other hand, when yellow changes into an intense
orange, a reddish orange, due to the large admixture of the destructive miasm, fear takes on the
characteristics of the panicky terror. The individual is overcome by fear and rushes out blindly, without
considering anyone or anything - even himself - in his effort to flee. For example, this is the individual
who, during an earthquake, jumps out of the window or runs from his house without the slightest
thought and perishes under the wheels of a passing vehicle, or suffers some other mishap that would
never have occurred if he had stayed put. He is the one who rushes to the exit when some incident
occurs in a stadium full of people, trampling underfoot whatever is in his way or being trampled to
death himself out of total bewilderment.
There are also many predominantly psoric symptoms such as : timidity, want of self - confidence
helplessness. The psychologists tells us that timidity stems from inhibition : partial inhibition of social
reactions; the feeling of awkwardness in front of others undoubtedly stems from an inferiority complex
which is not reasoned but simply experienced and, no doubt, can be influenced by education or traumas
which generate inhibition of the personality. It is a predominantly blue, i.e. , characteristically psoric,
symptom. Without ceasing to be psoric, lack of self-confidence no longer represents the spontaneous
and abrupt inhibition of the previous symptom but is rather a reasoned and recognized inhibition : the
individual recognizes his own capacity but also realized that he is vulnerable to his environment. In other
words, he says : "I know I can, but they won't let me." Either the environment or the moment is
unpropitious, as if he required specific circumstances to attain the goal of which he feels himself
capable. This is psora with a sycotic coloring but still predominantly psora. And, still along the lines of his
psoric dominance, we have another symptom - THE FEELING OF INCAPACITY. This is in no way a feeling
of humility but assumes a situation in which the individual appears to have the capacity but deep inside
himself feels incapable; thus, up to a certain point, this is a psychological fraud.
PAGE 128
To better understand these symptoms which may be difficult for the student, we will try to illustrate
them by a concrete (perhaps too concrete) a case, sexual intercourse. The timid person may be perfectly
capable, genitally speaking, but how difficult it is for him to insinuate, ask for, or take possession of what
is offered; once he has seized it, he will no longer have the least difficulty, since his timidity will have
been overcome. The person lacking self-confidence may seize this sexual offering relatively easily, but
his psychological condition can cause him to fail in various modulations, etc. The person whole knows
himself to be incapable, or at least feels himself to be so (that is his symptom : feeling of incapacity), will
fail in advance, even if feigning strength and dominance; and even his success will be defective - either
in anticipation or (more logically) in attainment.
Returning to the symptoms constituting the most fundamental aspects of the human psyche, first, we
take up IRE. According to the dictionaries of psychology, this is one of the fundamental emotions. Some
authors group it, along with fear and love, as one of the three primary emotions. It is the natural
reaction to injustice or insult, a reaction demonstrating intense discontent. Being one of the
fundamental passions of the soul, it has three variants depending on the dominant miasm. We tried to
explain this in some detail in a communication presented to the Fourth Assembly of the Italian Academy
of Homeopathy, and in summary, we would state the following here. "Ire", when simply and plainly
expressed by man, is Kent's Irritability. Of course, we have in mind pathological irritability, not the kind
which is fully justified by effective causes in a normal man. The irritable person is the one who easily
becomes wrathful for various reasons. This is a very common symptom indeed, but that is precisely why
we should give some thought to what our patient means when - in response to our efforts to find out
about his psychological life, and, in particular, to inquire about his character - he answers indefinitely :
"Well, I have a strong character" or "It is bad, doctor", or in some similar way. We must investigate
minutely if his annoyance is superficial or not. Of course, we do not ask him directly but in various ways,
depending on the social, cultural and intellectual condition of the patient. If it is a superficial and
transient annoyance, it has the bluish coloring of psora : the individual becomes annoyed, shows it, and
it passes. By saving that it passes we do not mean that it is of short duration; it may have pauses and
then continue, but it never attains a considerable degree. On the other hand, if the annoyance or ire
grows, the individual becomes exasperate, starts, shouting, is obviously excited, and manifests his
displeasure intensely; or, in a word, if the explodes, making his annoyance very obvious, this is true
irascibility (ANGER in the Repertory) during which he may pound on the table with his fist, shout, get red
in the face out of excitement, and maintain that climax of wrath in himself as well as making it clearly
manifest to others; this anger has the frankly yellowish tint of sycosis.
PAGE 129
When such a sudden and loud flare-up has an admixture of the third miasm, it has the appearance of
violent and dangerous wrath. And whenever wrath is entirely or predominantly modified by the third
miasm, it produces the symptom known as RAGE or FURY in both, the MATERIA MEDICA and the
REPERTORY, of course, being accompanied by a group of medicines different from the other two. When
verifying these classifications which arose spontaneously in the description of pathogenetic symptoms
and were then encountered in the clinic, there is no surer way than through the miasms. RAGE or FURY
is the wrath which overwhelms the individual and converts him into a predominantly destructive
element while he is under its effect. This may not even be very manifest, but kept deeply within, yet
driving the individual to wound or kill, or commit some other act of destruction.
SADNESS, or simple depression, when part of the peacableness of psora is precisely the symptom
"sadness" in the MATERIA MEDICA and the REPERTORY - persistence in an emotional attitude which
diminishes us before others, driving us into ourselves. Simple sadness drives us into ourselves with
displeasure, making us reflect over some obstacles to out self-realization, and maintains us in a stagnant
condition. Therefore, it shows the cold-blue color of psora. When sadness is manifested in a
predominantly sycotic individual, it takes another form : he externalizes, with greater or lesser intensity,
this displeasure which constitutes sadness, and it becomes GRIEF. We do not have to ask him "What's
the matter?" since his mental state will be obvious from the expression on his face, from his complaints,
or because he bursts out in tears. His attitude of affliction will speak quite loudly of PROSTRATION OD
MIND (as in the MATERIA MEDICA and REPERTORY). The individual will be "dead in life", as is commonly
said, appearing far away from anything which might interest him. He is somewhat more then indifferent,
yet as if nothing could touch him or move him, always inclined to be gloomy, to that darkness which is
negation and destruction.
PAGE 130
As an example of the above, let us take a quite common phenomenon - disappointment. The
predominant psoric will start thinking about himself, his meagre possibilities, his impotence, his psoric
defects; this will make him even more isolated, more immobile, manifesting his inhibition even more.
On the other hand, the sycotic will be driven to make everyone around him share in his distress; he will
manifest this, consciously or unconsciously, in his speech, complaining or crying, wailing or whimpering,
in much the same way as is imputed to coddled or hysterical girls. If the destructive miasm is the
dominant one, the disappointed person simply collapses, is transformed into a rug on the floor, with
extreme downheartedness. As people rightly say : "The disappointment killed him."
But let us also discuss joy - an emotion involving pleasure and transcendent satisfaction. A man should
live joyfully within the relative pleasure afforded by a state of well-being and harmony with the world.
Moderate exaltation, that is, one without any great motivation, produces on the psoric terrain that
sensation which the REPERTORY and the MATERIA MEDICA call "cheerful", and which, as we insist, must
be somewhat unprovoked to be considered a symptom. It must be corroborated by sub-rubrics : for
example, while thinking of death (AURUM), or after convulsions (SULPHUR), or, however absurd it, may
sound, while suffering pain (SPIGELIA). When against psoric background, it is a simple feeling of pleasure
which prevades the being, simple cheerfulness. (Of course, when it is cheerfulness while thinking of
death, the predominantly psoric condition of simple cheerfulness can be seen to have a background of
syphilis with its longing for death, corresponding to syphilitic predominance, but which is, in the second
place psoric. This requires AURUM, corroborating at every step the splendid miasmatic doctrine of
Hahnemann.
PAGE 131
In the case of SPIGELIA, with its cheerfulness or taste for pain, the sycotic predominance is
corroborated by the desire to experience feeling which makes the person fearing pain and even
suffering for it still feel a sort of morbid pleasure. In the case of SULPHUR, the completely trimiasmatic
medicine, the sensation of pleasure after a convulsion may be explained in different ways : psorically,
because the distress of the convulsive symptoms has passed. As concerns the other two miasms, the
considerations would be similar to those of Spigelia.
Coming back to cheerfulness in its sycotic form, we have "mirth" (as given in the REPERTORY) which is
obviously yellowish; this is the joy of being boisterous, exploding in laughter, with the ostentatious
noisiness of the sycotic, which is not the same as other forms of laughter; that is to say, the individual
who tends to laugh even when unhappy, even involuntarily, but the one who shows boisterous
cheerfulness, who "splits his sides laughing" even though he may not be specially joyful; on the other
hand, the symptom "exhilaration" represents maximum joy, which is almost overwhelming, or in other
words, the joy which takes possession of us completely. We will give an example here also, so that this
question which has occupied us for so long, in the effort to understand and differentiate each symptom,
may be more easily grasped and correctly applied. The birth of a child is a natural reason for rejoicing in
any normal person, even though some persons with far-reaching pathology (which in most instances
they do not acknowledge) regard it as a tragedy. When this joy is produced in the psoric individual, he
maintains his enthusiasm longer than usual, becoming a little "corny", somewhat childish or ridiculous in
his emotionalism. The sycotic wants everyone to participate in his satisfaction, will extol the qualities he
sees in his child, whistling or laughing and, in a word, will celebrate the pleasure and pride he feels at
the birth of this small offshoot by dancing and singing, smiling and laughing. On the syphilitic terrain,
cheerfulness goes as far as becoming an illness, unhinging the person who forgets everything to rejoice
at the event; that is, the symptom takes on the rather destructive character of the third miasm. Many
cases have demonstrated this. In the midst of a celebration the person gets drunk, commits perversions,
and even indulges in tortures and crimes.
PAGE 132
Now we will take up the individual who complains. In the MATERIA MEDICA and the REPERTORY we
have a term, "complaining". This refers to the plaintive individual who is always disagreeing, grumbling,
protesting against, or giving excuses for, his failure or unfortunate situation, blaming it on this person or
that he complains about the weather, the poor state of business, the human condition etc.; if there is
dominant psora, he will hardly break out into an open lament. Next we have the sycotic form which is
MOANING, the one who voices exclamations of distress or sadness, or more properly, grumbles; a
modality in the REPERTORY which defines him better is the sub-rubric, "constant gasping for air"; this is
when it is in its most ostentatious form. And lastly, with the coloring of the third miasm, we have
"lamenting", meaning a lament from the depths of his being and into the depths of another's amidst the
anguish of an existence which seems to be or is being destroyed.
 Let us now talk about man's sensual nature, "Lasciviousness" represents the sensual tendency with a
strongly sycotic basis but which, of course, also contains the psoric or syphilitic modality as auxiliaries or
background. Psoric sensuality is very common; it is a somewhat exaggerated taste for the erotic, a
glance which slyly seeks out the prominent features of the opposite sex, the erotic manifestations of our
sexual complements, the fleshy lips, the suggestive look, the gaze directed at furtively discovered areas,
etc., but lingering luxuriously in sensualism, and I repeat "lingering" in it. The above represents this
symptom with a psoric tint, i.e. , a yellow with a blue filter, yielding a greenish coloration. When the
yellow breaks through more brightly, it produces "shamelessness", sycotic exhibitionism. When
eroticism becomes degrading, it issues in "lewdness", i.e. , true lust where the mind seems to be shaped
predominantly by the erotic in all its expressions. Everything is produced or is longed for in terms of the
sexual, with a tendency to perversion.
PAGE 133
Now we will examine three symptoms which are gradings of very similar psychological attitudes :
"frivolity", "libertinism", and "want of moral feeling".
FRIVOLITY is a sycotic condition with some psoric restraint or counterweight. One of our dictionaries
illustrates this concept as follows : "takes great trouble over the minutest details of his appearance, has
studied every step, every angle and knows how to present himself on every occasion with admirable
wisdom. He or she a matchless actor or actress on the stage of life, so deceptive as to end (without
realising it) by deceiving himself or herself."
LIBERTINISM is superficiality in judging or acting in sexual maters, both in estimating the ultimate
effects of the behavior and with respect to the social standards involved. It reflects an exalted sycosis,
already with a slightly unhinging tendency.
LACK OF MORAL FEELING is, so to speak, frivolity carried to the point of libertism, which ends by
destroying self-respect and the respect due to others; even when some other aspect is involved, it is a
frankly destructive red - reflecting addition of the third miasm to the basic sycosis of these three
symptom.
Let us end our consideration of these symptoms with three others : deceitful, exaltation of fancy
hypocritical.
We would give a brief explanation of our manner of investigation in defining and expounding these
symptoms. We consult the existing translations, such as the REPERTORY of Dr. Lara de la Rosa (which
mostly follows Kent's rubrics) and those of Drs. Scarcioffo, Feo Codecido, and others. Then we consult
dictionaries which are contemporaneous with Kent's MATERIA MEDICA and REPERTORY as well as of
course, an English language dictionary, where we find the different meanings and uses of terms, as well
as of their roots, according to the classic writers of that language. For the meanings and roots of words
in Spanish, we have consulted such dictionaries of psychology, philosophy and philology of Salvat,
Calleja, Torres Lamus, Howard C. Warren, etc.
PAGE 134
This, DECEITFUL is translated into Spanish as mentirosa, meaning mendacious, untrue, deceiving (from
the Latin decipere, to deceive, to lead into error). The corresponding work in French décevoir, meaning
the habit of telling falsehoods, of committing fraud (from the Latin frausdis, meaning bad faith). Thus
with a more ample idea of the various meanings, we can understand the corresponding miasmatic tint;
we see that this is predominantly sycotic because it involved a quickening of the reasoning power but
places the ego to the fore and strives to ensure that everything shall work out for the benefit of the
subject.
 The deluded or fanciful person is the one who lives more in his illusions, or insists on expressing them,
without forsaking reality altogether; he enjoys coming back to his dreams, returning to his fantasies.
Building castles in the air, or THEORIZING, is another symptom entirely representing a type of mania or
antechamber of insanity - i.e. , alienation from reality, and therefore to be compared with other
symptoms of alienation. But the fanciful person is not this. He represents a psoric modulation of the
sycotic condition connected with instability of thought; it is simply the taste for or tendency to
falsehood in one'' thought, generally in order to escape somewhat from bare reality. This is, we repeat,
a rather agreeable greenish color, such as pastel green, rather suitable for the clouds of fancy.
HYPOCRISY is the habit of practising, or the art of sustaining, a character, quality, or condition different
from the real one, a simulation of behavior, a false way of life; it is sycosis with a syphilitic modulation,
because it involves falsity in action and, consciously or unconsciously, contains a deceptive or
destructive streak. Most of the time it contains a psoric component - although in a lesser degree,
because there is slow elaboration of the symptom. It is not the spontaneous production of the sycotic
liar, nor even less the innocent posturing of the worst shades of brownish red over yellow, with a little
blue.
PAGE 135
Let us examine some other symptoms f a different nature - the nonsense which we can perceive by
intuition or investigation in our patients : such symptoms as foolish, childish and mania to be ridiculous.
FOOLISH conduct means devoid or deficient in understanding, weak in intellect, dull or a simpleton. It
represents a mixture of sycosis and psora, giving rise to poor capacity but with a tendency to
exhibitionism in its foolishness.
CHILDISH behavior indicates childishness, shallowness in deed and word, trifling or insignificant
behavior, and represents a more purely sycotic condition against a much smaller psoric background.
Being RIDICULOUS is extravagance giving rise to laughter, a situation exposing the person to contempt,
"trivial daintiness of temperament"; it is a sycotic condition which offends and disgusts others, so it is
rather aggressive toward observers; it has a distinct reddish hue.
Of the same order would be dullness, imbecility and idiocy - three gradations of the psoric- syphilitic
condition which is profoundly destructive of intellectual capacity.
Returning to the subject of irritability or anger, we have three other symptoms which might lend
themselves to confusion : sulky, morose, and the propensity to frown. Let us note that they can easily be
confused with one another. The first seems to be angry or, in a way, serious, but this is more apparent
than real; people who are accustomed to frown, and appear to be angry without being so, are in a
psychological state between depression, irritability, and non-conformity but which, we repeat, lies only
in appearance, in the faces. We might ask why it is among the mental symptoms? The reason is that,
when this mood is dispelled, practically nothing remains.
PAGE 136
On the other hand, MOROSE means truly ill-humoured, one of those moody states into which we can all
fall at times, with or without cause, because of something disagreeable, sometimes with an easy
propensity for annoyance or irritability, without being totally submerged in it, but only halfway, in a
more or less permanent manner.
And the last symptom, PROPENSITY TO FROWN, denotes a state of mind in which the individual has a
propensity to get angry. It is something more than irritability, less manifest but more profound and far-
reaching. To illustrate, we would liken it to a person who has suffered much adversity over the years
which, without making him displeased (this is another distinct symptom), makes him prone to anger;
although this anger may pass, it may also return easily.
Let us analyze three other symptoms which must also be carefully distinguished and which, like the
others, are somewhat ambiguous with respect to the miasmatic predominance attributable to them
(since they have as much of one as of the other), although the ones we have just mentioned correspond
more to psora-syphilis.
The three following ones which seem to us very similar are : mischievous, malicious and hatred. In all
three of them syphilis precedes psora.
The first one, MISCHIEVOUS, is represented by the typical child who ties a firecracker to a dog's tail or
puts a tack on the teacher's chair. It is a kind of haughtiness or perversity, somewhat destructive, but
not intending great harm; according to the dictionaries it is a blameworthy although ingenious act which
merits reprimand and punishment; in it we can discover a sizeable sycotic streak because it is not a
silent act, although planned surreptitiously. Growth of this trait becomes a propensity to wickedness,
and would be numbered 2-3-1.
PAGE 137
The MALICIOUS person feels RESENTMENT; the rancour which constitutes a feeling of aversion, of
enmity established at a certain moment due to an act or circumstance considered offensive and which
becomes indelebile, setting the individual against that which has caused it or the person responsible for
these words or acts. Psora-syphilis inhibits our abhorrence somewhat (1-3-2).
HATRED is open abhorrence, the open aversion which causes strong antipathy and the desire to do evil
or destruction against the one who as provoked it. This destructive quality tints it with the intense
syphilitic red and thus gives it the numbering, 3-2-1.
Three other symptoms which lend to confusion are : courageous, rashness and audacity.
The first describes the person who, on the spur of the moment, decides to face danger for the sake of a
purpose, in order to save someone or something necessary, even though it may end in his own death. It
is psora, syphilis, and sycosis in that order, but psora pre-establishes (sometimes long beforehand) the
conditions which lead the person to decide instantly; although apparently unpremediated and
spontaneous, it is actually the result of subconscious preparation.
RASHNESS is predominantly sycotic because the act, which may also be fatal, is not the result of
preparation but rather of ostentation.
In AUDACITY, we discern a chain of reasoning which, while rapid, still strives for the individual's
advantage; while appearing spontaneous, it really pursues a rather selfish end, even at the risk of
hurting others. It is sycosis with a considerable degree of syphilitic trait.
The courageous soldier is the one who marches straight ahead when the possibility of victory is remote
and that of death is great. The rash person dashes to rescue a child about to be run over by a car,
without foreseeing that the same may happen to him. The bold person acts promptly and skilfully to
achieve a purpose; he may easily be a scoundrel (is bold with women), a seducer, or a profiteer; he is a
sycotic-syphilitic. In most cases this may be easily inverted, with syphilis remaining at the forefront; then
the definitions situate him somewhere between the presumptuous, the impudent and the reckless; such
a person is the " man of action" of our times, who has been.
PAGE 138
HAUGHTINESS is arrogance, conceit. This describes the vain, proud, arrogant, presumptuous, rather
insolent individual who wants to give orders and be the boss but who is quite difficult to classify
miasmatically because he may have a psoric, sycotic or syphilitic base. In the first case, his arrogance
would aim to conceal his inferiority complex in the second case it would reflect his superiority complex
which could easily give rise to the symptoms described bellow; in the third case, it may be due to a
syphilitic desire to vex or hurt.
PRESUMPTUOUSNESS, also called conceit, combines boastfulness, ostentation, vanity and silliness;
logically, sycosis makes the greatest contribution to this symptom.
IMPERTINENCE reflects the desire to hurt by word or deed, to make demands which are out of order
and originate in a peevish temper; it is logically, a blend of sycosis with predominant syphilis.
Similar to these symptoms is INSOLENCE. This person offends the sensitivity and sense of decorum of
the educated person; at times he is haughty and arrogant, but more in his expression than in his
attitude, and not necessarily all the time. The conceited person, on the contrary, is arrogant by nature
and in no way need be insolent, although he can be. The insolent person is, therefore, predominantly
sycotic.
The RUDE person is uncivil, brutish, cutting, or, as is commonly said, barbarous; this generally
represents a syphilitic-psoric base which, when fully expressed, makes him rather aggressive.
The symptom ABRUPT would be a more psoric-sycotic blend with a little of the syphilitic condition and
consequently less offensive, less harmful (without ceasing to be altogether), more spontaneous, simply
cutting.
PAGE 139
Let us analyze other symptoms relating to work : "improved by occupation occupation amel busy, and
industrious. All three symptoms appear with a yellowish sycotic tint, but a closer examination of their
meanings enables us to give them their true preponderant miasmatic colors. BUSY obviously has more
yellow since it contains some spontaneity in verifying the symptom; this is the individual who practically
never stops doing something as if he had a work neurosis. In our environment we better imagine this
person as a woman who is too busy around the house, whose friends and neighbors say "she never
stops the whole day", and who makes us feel tired just from looking at her because she really is a
pathological case. The constant activity of the exceedingly busy can easily be seen to be unnecessary,
practically devoid of any long-term goal; this symptom may even become more acute, and the individual
be out of breath and exhausted by the exertion. A normal worker might unload a truck full of sand
within a set period of time, but if this were to occur without any necessity, it would constitute a
pathological condition, and we would color this symptom an intense yellow, with an orange shade.
The INDUSTRIOUS worker is the one who seeks other tasks, apart from his customary ones, like doing
carpentry, plumbing, or gardening at home on his days off. While always inventing this or that, he never
goes beyond what would be considered normal, differing from the "busy" person in that his work is well-
planned, with a well-defined end in mind and taking the proper amount of time for its completion. This
is sycosis which is somewhat greenish due to psora.
IMPROVED BY OCCUPATION gives the same impression as "industrious". It's miasmatic composition is,
without doubt, somewhat ambiguous, but we must recognize that there will always be input from the
third miasm because if work helps more than doing nothing, the subject must feel a destructive urge in
himself, escaping by concentrating on whatever facilitates or ensures his getting away from it.
PAGE 140
Notwithstanding, this symptom also has a psoric mixture. Like many others we will encounter, it may
vary in its original miasmatic coloration. The individual who is ameliorated by occupation may be
predominantly psoric, sycotic or syphilitic, but in this symptom the three miasms will always be present,
and most frequently in accordance with the description we made of it.
To better illustrate the class of symptoms which can correspond to the predominance of one or the
other miasm, let us take jealousy.
The JEALOUS person can be predominantly psoric : his feelings of insignificance, due to his inferiority
complex, make him think that just about anyone may seem to be if not actually be of greater value than
himself in the eyes of the person of whim he is jealous; this would be jealously with a complex. Thus, we
see that Dr. Paschero, from Argentina, as well as we ourselves, have associated CALCAREA with various
forms of jealousy accompanied by feelings of impotence leading to brutality and wife-beating; jealously
accompanied by feelings of sexual excitement (and let us note that it goes along with sexual excitement,
although it may not go beyond this). Sycosis can logically be the cause of jealousy, since the sycotic's
ambition makes him want everything for himself and prevents him from sharing anything pertaining to
the loved object. The syphilitic, within his intimate destructive core, is jealous just for its own sake,
unreasonably and furiously like the jealousies of LACHESIS or MERCURIUS, or like that of CALCAREA itself
(MERCURIUS is, quite properly, added here also by Paschero). Jealousy is more a feeling of removal from
one's affection of a person who is assumed to be capable of, and obliged to, return that affection. A
dictionary of psychology defines it as an attitude of sorrow or grief arising in a person who feels that
someone else has achieved that which he himself desired. This definition does not include the condition,
inherent to jealousy, of feeling that the loved object is capable of, and obliged to, return the affection.
Envy may be felt many reasons, and not only due to feelings of affection.
PAGE 141
SELFISHNESS (as it appears in the REPERTORY) is mire than an attitude but, just as it is established by
psychology, should be considered as a complete line of behavior which fundamentally seeks personal
gain or satisfaction - placing it above the welfare of another.
The three last-mentioned symptoms are, like the first, capable of being produced by any one of the
three miasms.
Let us now give some attention to MEMORY. I believe that three types of memory defects exist;
weakness of memory, forgetfulness and absent mindedness.
WEAKNESS OF MEMORY is, logically, a predominantly psoric defect of memory, although not exclusively
psoric; it does not need further explanation.
ABSENT-MINDEDNESS also represents a defect of memory of the person who, as psychology points out,
has his attention occupied by or directed at a perceived or imaginary point and thus ignores or neglects
his surroundings; it has a sycotic aspect because the individual escapes into the object of his attention
and ignores everything else.
Even though these three symptoms have a psoric coloring, an obvious component is the reddish hue of
syphilis : in the forgetful person because here the memory suffers a kind of lagoon, a discontinuity, an
indentation or break, destruction of a portion, and thus forgets what he was about to say - the correct
word, the street where he lives, his name, etc.
There are three more symptom : aborted, buried in thought, stupefaction and ecstasy.
The first is described merely by enunciating the term in the REPERTORY. It represents the individual
who is obsessively following a line of thought, to the point of being cut off from his surroundings and of
ignoring everything other than the thoughts which absorb him. It should not be confused with
"meditation". The person who mediates uses thought and reason, reflecting over one idea or another,
and striving to arrive at a conclusion, while the person who is absorbed in his thoughts is either almost
in a state of depression or simply in contemplation. This symptom, ABSORBED IN THOUGHT, of course,
has a dominant psoric basis, especially when it is more contemplative; when changing to nostalgia or
depression it has an added tint of violet.
 PAGE 142
The next symptom, STUPEFACTION, also has a psoric basis, but its sycotic admixture gives this symptom
its characteristic greenish coloring. According to psychology, stupefaction is a state of reaction, of partial
unconsciousness, a brusque reaction in the face of a fact or situation which astonishes and paralyzes the
individual, but which is generally tending to pass rather quickly; it is a sudden climax of feeling.
ECSTASY, which is the suspension of voluntary activity and sensory functions in order to channel them
to a single objective, clearly represents a reddish admixture on a psoric background - pointing to the
prevalence of the third miasm in this symptom.
Very similar to the first symptom is MEDITATION which we should compare with BROODING and with
ABSTRACTION OF MIND. We have already explained that the psoric individual, when confronted by a
problem, tends to adopt an attitude of meditation or sustained reflection which would be called
mystical. The BROODING person is besieged by ideas which give him no peace, i.e. , is in a state of
sycotic instability and fright with respect to a problem or to something else. Finely, ABSTRACTION OF
MIND refers to the impairment, the vein, the momentary destruction which appears to lead the
understanding nowhere and therefore has the reddish tint of the third miasm. Of course, all of these
symptoms are found against a psoric background.
The ABUSIVE individual adopts an insulting and offensive attitude suggesting an aggressiveness which
may, however, be only apparent; it has a reddish hue at its base, with a psoric-sycotic admixture. When
this symptom moves away from psora and becomes more sycotic, it produces the symptom, SCORNFUL.
And when the reddish hue of syphilis is intensified, it produces CONTEMPTUOUSNESS, meaning a frankly
aggressive attitude toward others.
PAGE 143
This series of symptoms, starting with "abusive", requires us to describe once again the way in which
we conduct our linguistic research. Not being learned in this matter, we consult whatever we can, with
the aim of making this essay trustworthy. The word, "abusive", translated into Spanish literally is
ABUSIVO, has various meanings. In English it has basically two : the first is the same as the meaning in
Spanish, i.e. , to make full or overfull use of something or to use it in a way for which it was not
intended. The one who is greedy for something in a twisted and equivocal way, as though to squeeze
out its essence. But this word also has the meaning of hurting, wounding, insulting, ravishing, soiling,
imposing on; this is the insulting and offensive attitude given it by Drs. Feo and Scarchioffo when
translating the mental symptoms. So the abusive person must be considered to be the one who assumes
an offensive or insulting attitude and whose concomitants have very strong miasmatic tints - the
scornful one being sycotic and the contemptuous one being syphilitic.
Amplifying with examples taken from the classics as set forth in the dictionaries, we must choose the
meaning that has the most satisfactory relation with other symptoms and which of course, is not
included in the definitions of other symptoms. APPLETON'S ENGLISH DICTIONARY gives after "abuse" :
to deceive, to profane, to revile, to insult, to injure, to outrage, to seduce, to mistreat. And after
"abusive" : offensive, insulting, injurious. The other symptoms applicable to the mental side are already
included in other symptoms, such as "deceitful". Thus, it remains above all as "insulting" or "offensive"
and its considered especially as an attitude adopted by the subject.
Perhaps, the symptom most frequently encountered in the provings of medicines, even if sometimes in
a different form, is anxiety.
ANXIETY is eminently psoric, as we noted when referring to the sycotic equivalent : fear (and panicky
terror when it has the syphilitic coloring). Anxiety is conceived as the outcome of man's first sensations
after birth, when the foetus abandons the maternal enclosure in which it lives with practically no effort
and which is thus almost a "nirvana". When he passes to the outside and there must work steadily to
exist - from oxygenating his blood to taking in food, digesting it, secreting it, submitting himself to
various movements; all of this, combined with the aggressiveness of the external environment, stamps
on him a feeling of worthlessness, of relative incapacity, which is translated into anxiety precisely -
which some writers have called "existential anguish".
PAGE 144
It will be constantly present in our minds, ready to come forth in various forms under the appropriate
stimulus, especially if the stimulus is one of the elements which most profoundly influence the
maintenance of that existential anxiety which is so incorrectly called "anguish". To be more precise, if
the object symbolizes, that which most arouses our existential insecurity (an insecurity which we all feel,
because of the expectation of death and the possibility of harm from many elements around us,
including our fellow humans), it gives rise to fears : fear of darkness, of being alone, of ghosts, of people,
of evil, etc.
If the existential anxiety grows within us, it becomes anguish - which is more destructive and has a
markedly red hue. But all those three symptoms - ANXIETY, FEAR and ANGUISH have a psoric base -
turning into "fear" when it has a sycotic admixture, and into "anguish" with a syphilitic one. If our fear is
externalized and increases, it her becomes the panicky terror which we have already mentioned;
"wincing", or "starting" are characteristically sycotic, and restlessness has an admixture of psoric
inhibition.
Let us now pause and consider three other symptoms which differ precisely in the miasmatic hue which
makes them slightly different :impatience, hurry and despair.
All three doubtless present the yellow of sycosis, but let us bear in mind that IMPATIENCE is up to a
certain point a restrained emotion. We can be impatient without it becoming noticeable; we can wait
impatiently but still wait until the end without our patience being unduly tired; moreover, impatience
may refer as well to minutes, to months, or even to years because, even with a sycotic basis or nature,
impatience has a psoric halo. And do not think that psora acts as a brake, even though we may at times
employ this term to make the miasmatic condition better understood. Here, psora itself can engender
impatience, because the psoric insecurity can easily lead to it.
PAGE 145
HURRIEDNESS or haste in movements is easily seen to be a predominantly sycotic symptom : it involves
acceleration, it is manifest, and it involves excess.
DESPAIR has the tragic hue of the third miasm. According to the definition given in the psychology
dictionaries, despair is an "emotive attitude directed at the future and characterized by prostration and
acceptance of the idea of something unfavourable, with an affective tone of intense displeasure". Such a
person has lost hope or is destroying his expectation for the future.
Let us go back again to the symptoms relating to intellect. The form of thought will logically be
modulated by the miasm. For example, thoughts will tend to be MEDITATIVE and THOUGHTFUL, or
persistent and profound when modulated by the cold blue of psora. On the contrary, under the sycotic
modality they become FRIVOLOUS and FLEETING or CHANGEABLE. Under the syphilitic modality they are
VANISHING, WANDERING or DISAGREEABLE, TORMENTING.
The intellect can yield symptoms with a predominant psoric deficiency as a recognizable background.
Such would be CONCENTRATION, DIFFICULT - meaning that we can still do it, even though it is difficult;
the dominant psoric condition is evident here. With a sycotic or syphilitic admixture we have difficulty in
understanding and expressing ourselves - DULLNESS. We call this a sycotic admixture because this
miasm acts as if hindering profundity of thought; from the mind in extension, but not in depth. Although
this symptom can also have a syphilitic background, representing a sort of antechamber of imbecility or
CONFUSION OF MIND, it would be more acceptable with the sycotic coloring because confusion is more
a child of haste, especially when it appears stealthily under certain circumstances, according to various
sub-rubrics in the REPERTORY - such as, for example, when awakening, or while walking, or when eating,
or after mental exertion. These give colorations which are more psoric but also syphilitic.
PAGE 146
Let us consider three more aspects of the intellect which bring to mind miasmatic modulations. In
THEORIZING, PLANS MAKING MONEY, and ATTITUDES, ASSUMES STRANGE we have obvious
disturbances of the intellect which become manifest to others. The fact that the individual endlessly
theorizes, almost to the point of mania, reveals a disorder of the intellect which, even so, does not pass
beyond empty talk, and we therefore qualify this symptom as predominantly sycotic. When he not only
theorizes but makes various sorts of plans involving a certain a mount of thinking, and even formulates
certain conclusions (if they are not too hypothetical or absurd), there is a psoric admixture. And when
the disturbance of intellect modifies the whole expression of the individual in a destructive direction,
leading him to adopt strange attitudes which alienate him from the social and environmental reality
within which he should exist, the admixture is syphilitic.
Let us now examine another range of alterations of the intellect and consider three other related
symptoms. The person who TALKS TO HIMSELF is sometimes talking to the dead, and this indicates a
remarkable imbalance which estranges him from reality in one sense; fortunately, aside from this, he is
what would be considered normal. But if the gap with reality is even greater, and his fantasy populates
his mind with images, the still more sycotic symptoms, DELUSIONS, are produced - with their own ample
gamut of modalities and types. If we add the reddish hue of syphilis, we get the varieties of DELIRIUM,
all signifying an intense living experience inside an absolutely erroneous state of consciousness.
Whereas "DELUSION" signifies a semi-awareness of what is happening (the individual perceiving with a
part of his being, feelings and awareness, that the image is false or the circumstance deceitful), an
abnormal interpretation of perception, an illusion that leads us into error, DELIRIUM is a true obscuring
of the consciousness by the delirious content.
PAGE 147
Finally, we would mention madness, chaos and insanity.
All three, of course, involve destructibility of the mind or intellect and we think the word
"destructibility" is well chosen, since these conditions are all symptoms to be considered - that is, they
offer a possibility of change. All three have a reddish tint but precisely differentiating admixtures.
MADNESS is mental imbalance but in relation to a theme over which there is excessive persistence and
excitement : in other words, the miasmatic condition would be numbered 3-1-2. CHAOS, or the chaotic
state, indicating complete disorder in the intellectual or mental realms, would have the same number 2
followed by 3 - denoting instability of the reason, the impossibility of reasoning. And INSANITY would
already be a sort of destructive confluence of all three miasms that alienate the individual's mind from
the collectivity. It is persistence in a state of complete imbalance and is always expressed under the
modulations of the dominant miasm.
PAGE 149

The miasmatic classification of medicines in function of their symptoms

- LYCOPODIUM the trimiasmatic.
 - CALCAREA CARB. as preponderant homoeo-psoric.
- PULSATILLA and THUJA as pre-eminent homoeo-sycotics.
- MERCURIUS, the characteristic homoeo-syphilitic.
- The various triangles symbolizing medicines, with representation of the miasmatic series of symptoms
which they produce.
PAGE 151
Let us take LYCOPODIUM as an example of a representative trimiasmatic, analyzing the symptoms given
in Kent's REPERTORY and placing them in three columns corresponding, logically, to psora (the first),
sycosis (the second), and syphilis (the third) (although we must warn, as we have already stated, that
some symptoms will have to be put between the columns because of the ambiguity of their origin).

PSORIC

SYMPTOMS SYCOTIC

SYMPTOMS

(we repeat, "preferentially") SYPHILITIC

SYMPTOMS

irritability

bad-tempered

complaining

sad

afraid of being alone, of the dark, of death

weeps easily

deficiency of ideas

weak memory

anxious

afraid for his salvation; desires company upon awakening

difficult

mental confusion after mental effort

timidity anger
alternating or changeable temper

grumbling during sleep

sorrowful

fear and starting

screams

abundance of ideas

absentminded

fearful

presumptuous

abundant ideas

aversion to mental work

insolence rage or fury

vile temper

laments

prostration of mind

terror

laments
imbecility

forgetful

terror, panic

aversion to company

prostration of mind

mental dullness

contempt

PAGE 152
It can be seen that the principal attitudes or passions of the soul, or primordial psychic functions, are
present in LYCOPODIUM in the gradation corresponding to the miasmatic modulation or to the
compensating symptom of the miasm.
The same goes for the principal generalities and modalities, since LYCOPODIUM has aggravation in the
morning, at nightfall, in the evening, and at night. It also has remarkable aggravation from heat or cold,
as from changes in the weather or the temperature (for example, from cold to hot); it has aggravation
from starting to move and amelioration from continued movement, aversion to movement as well as
amelioration from movement; it has tetanic rigidity as well as tonic, clonic or epileptic convulsions; it has
obesity, emaciation and marasmus; it has aggravation before sleep, during sleep, and after sleep; it has
heaviness and lassitude as well as fainting and exhaustion.
In its major peculiar symptoms, as well as in its most common ones, LYCOPODIUM is found in all its
modalities - psoric, sycotic and syphilitic. It has aversion to coitus as well as lasciviousness and
impotence; it has atrophy of the sexual organs as well as various gonorrhoeal discharges and cancerous
ulcers; it has sterility in women (verified by us on several occasions) as well as ovarian cysts and
tendency to abortion; it has menses which are scantly and delayed, or frequent and copious, or clotted
and intermittent; it has prolapsed uterus, condylomata and cancer; it has constipation, diarrhoea, and
bloody evacuations; it has lientery, evacuations in spurts, or ones which are totally spasmodic; it has
pale and scanty urine, as well as dark, abundant, bloody and fetid urine; it has watery urine, urine with
sediment, urine with albumin, and urine with sugar.
PAGE 153
It is well-known that a LYCOPODIUM patient can have diminished appetite, augmented appetite, and
aversion to food. Finally, he can have pains which are of the bruised or pressive type, i.e. , psoric, of the
pricking or stabbing type, i.e. , sycotic or burning and tearing, i.e. , syphilitic; he can have coldness and
paleness of the skin, red and hot skin or excoriated and ulcerous skin; he can have erythemas and
discolorations of various sorts, warts of different kinds, condylomata and wet patches, erysipelas,
destructive ulcerations and lupus.
Thus, if we observe painstakingly the pathogenesis of this great remedy, we will verify that its
symptomatology is a rather precise remedy for a dominant psoric condition as well as for sycosis and
syphilis. Thus, in the clinic we can encounter a subject perfectly conditioned to the symptoms of
LYCOPODIUM who is clearly a dominant psoric, or another who is dominantly sycotic but equally
compatible with LYCOPODIUM or, finally, a predominant syphilitic who is exactly reflected in the
symptomatology of LYCOPODIUM. If we weigh carefully, as though on a scale, the pathogenetic
manifestations of this medicine in accordance with the miasmatic characteristics of deficiency, excess
and perversion, we find an equivalent number of manifestations for each of the three great diatheses;
that is why, after studying it painstakingly, we can define it as one of the greatest trimiasmatic remedies;
we can even call it the most trimiasmatic of the polychrests, and thus one of the most frequently
indicated remedies.
Next to LYCOPODIUM as a great trimiasmatic remedy, we have SULPHUR - also represented by a almost
equilateral triangle; SILICEA, NATRUM MURIATICUM : and in another group, others like SEPIA,
PHOSPHORUS, or ARSENICUM but which are less equilateral (these are more predominantly syphilitic
even though presenting comparable action along psoric and sycotic lines).
PAGE 154
As an example of a homoeo-psoric remedy we would put CALCAREA CARBONICA in the very first place.
The characteristic anxiety dominating all the manifestations of the CALCAREA subject make it absolutely
obligatory to classify if as a predominant homoeo-psoric. In all of its symptoms, we can see the blue
traces of inhibition, deficiency, lack. PSORA is always predominant. Even in the suicidal disposition there
is profound meditation within the persistent anxiety. Thus hatred, which is obviously destructive and
syphilitic, is in the CALCAREA patient greatly restrained by the predominant inhibition of psora, and it
takes an abrupt stimulus - or, better still, an extremely gradual and persistent stimulus - to make this
hatred manifest, so that it does not merely remain as resentment. The CALCAREA is apprehensive in the
highest degree, from the time he wakes up until the time he goes to sleep, with respect to his health
(full of fears about his illness, his future, or even his very salvation), his food and his evacuations. He is
terribly timid, lacks self-confidence, seems on the point of suffering a disgrace or hearing bad news. His
tremendous inferiority complex makes him look for company; he feels worse, and his condition is
aggravated, when he is alone; he tends to be quiet, sluggish and depressed. Being irritable and sensitive,
he is very upset by accounts of cruelties. His well defined fears do not reveal him as a sycotic so much as
a psoric, pointing to his implicit cowardice. It is fear of death, of exhaustion, or losing his mind or his
fortune; he tends to dwell on his thoughts. This last characteristic of CALCAREA should be l noted, since
it defines this medicine miasmatically; as concerns ire, Calcarea, as a psoric remedy, is predominantly
irritable; anger in present in a secondary degree, and rage or fury in the least degree. The reason for this
is that the dominant psora drowns out the syphilis (the strongest reddish coloration in this medicine) as
well as the sycotic (the weakest).
Let us strive to understand the mechanics of these symptoms. If we transform this pattern into figures -
such as for CALCAREA 80% psora, 13% syphilis, and barely 7% sycosis - it will be seen that ire keeps the
CALCAREA patient in a state of chronic irritability, and that even when the stimulating factor of ire is
very strong, - going so far as to stimulate the syphilitic in the patient - he will remain in a state of
persistent irritability, while only in the climax of some stimulus motivating him to fury will actually get
angry. Thus, the persistent and predominant psora attenuates to anger the rage of the third miasm. This
same happens with hatred and resentment. The CALCAREA subject will always be oscillating between
these two symptoms - which also differ only in degree. He is hypersensitive but taciturn, and his
characteristic meditativeness and obstinacy easily drive him to syphilitic anguish. Only fever (which,
logically, is an excitant) makes him sometimes present additional sycotic manifestations such as
DELUSIONS - derived from the second miasm. Nevertheless, he will also present modalities
corresponding to psora-syphilis, such as hallucinations about persons being murdered or assassinated,
and may even go further into syphilitic delirium with its horrible visions, madness, and desire to kill by
stabbing. Later comes reconsideration with despair and much fear for the salvation of his soul - which is,
of course, the ultimate hope for protection of the dominant psoric.
PAGE 155
The psoric condition of deficiency or lack is felt, quite logically, in the somatic area also; the bruising
pains which make the subject sluggish, indolent, easily exhausted, always desiring to rest more, to lie
down, to sleep longer, so that in the morning upon awakening, his mind and organism are usually not
yet prepared for the day. He is always lacking in strength, with numbness of limbs, cold skin, great
sensitivity to cold and damp, the propensity to become chilled and tired after the least effort; he is
terrified by work and frightened by any accident, turning pale from a crushed or pricked finger, with cold
extremities and propensity to fainting. CALCAREA is the greatest remedy for the patient's deficiencies,
nutritional lacks, inability to assimilate properly : for when his bones are bent and deformed, when his
glandular organs are hypertrophied due to faulty functioning and become indurated due to the syphilitic
and sycotic streaks which this remedy contains; hence the symptomatology of this predominant psoric
will cover many constitutional illnesses such as rickets, anaemia, arthritis, tuberculosis, diabetes,
epilepsy and various forms of cancer.
PAGE 156
As a genuine homoeo-sycotic remedy among the many polychrests we have PULSATILLA, and we prefer
it as the prototype of these homoeo-sycotics because of its abundance of symptoms, the logic of its
miasmatic series, the evolution of its lesions, and its characteristic modalities. Let us just mention its
great volubility, its characteristic erratic pains, its abundant discharges or suppressions giving rise to
condylomata, and its great aggravations during changes in the weather or changes in the periods of the
day. We also mention THUJA OCCIDENTALIS both because Hahnemann regarded it as possessing the
characteristic qualities of a homoeo-sycotic and also because Kent, the greatest of masters, makes
specific references to other medicines, he strengthens the conceptions which I have advanced with
respect to the miasma throughout this exposition and of which I learned, with great joy and satisfaction,
only years after I had elaborated them - always following the thought of Hahnemann - and presented
them in articles submitted to various international congresses.
Kent states about THUJA, very near the beginning of his article on this medicine : "The perspiration is
peculiar; it is sweetish in odor and smell like honey, sometimes like garlic, strong and pungent. A
pungent odor emanates from the genitals, sweetish honey-like odor to the sweat from the genitals, he
smells his genitals. The odor is also like burnt horn, burnt feathers or burnt sponge. These peculiar
strong odors are particularly present when there are fig-warts upon the genitals such as THUJA cures.
The general appearance of the THUJA subject "... is that of a waxy shiny face; it looks as if it had been
smeared over with grease, and is often transparent... if you had only the waxiness and the palidity, it
would remind you of ARSENIC." But Kent immediately clarifies that these sycotic patients often have a
peculiar asthmatic condition which seems to indicate ARSENIC, a profound medicine for chronic states,
but that in these sycotic patients ARSENIC serves only as an acute remedy, while Thuja is the chronic
remedy. He states : "ARSENIC appears to be indicated for the symptoms, but it only relieves, it does not
control the predisposition, it acts like ACONITE in acute diseases and only greatest of masters, makes
specific references to other medicines, he strengthens the conceptions which I have advanced with
respect to the miasma throughout this exposition and of which I learned, with great joy and satisfaction,
only years after I had elaborated them - always following the thought of Hahnemann - and presented
them in articles submitted to various international congresses.
PAGE 157
Kent states about THUJA, very near the beginning of his article on this medicine : "The perspiration is
peculiar; it is sweetish in odor and smell like honey, sometimes like garlic, strong and pungent. A
pungent odor emanates from the genitals, sweetish honey-like odor to the sweat from the genitals, he
smells his genitals. The odor is also like burnt horn, burnt feathers or burnt sponge. These peculiar
strong odors are particularly present when there are fig-warts upon the genitals such as THUJA cures.
The general appearance of the THUJA subject "... is that of a waxy shiny face; it looks as if it had been
smeared over with grease, and is often transparent... if you had only the waxiness and the palidity, it
would remind you of ARSENIC." But Kent immediately clarifies that these sycotic patients often have a
peculiar asthmatic condition which seems to indicate ARSENIC, a profound medicine for chronic states,
but that in these sycotic patients ARSENIC serves only as an acute remedy, while Thuja is the chronic
remedy. He states : "ARSENIC appears to be indicated for the symptoms, but it only relieves, it does not
control the predisposition, it acts like ACONITE in acute diseases and only ameliorates for a moment
Asthmatic and many other sycotic conditions seem to call for ARSENIC, but it will do nothing but
palliate... the constitutionality is not reached by ARSENIC, its fundamental symptoms are not similar. In
syphilis and psora ARSENIC acts a long time and eradicates the complaints, when similar to them, but it
is not similar to sycosis; ARSENIC does not go to the bottom of the trouble, but THUJA and NATRUM
SULPH. will take up the work and cure. NATRUM SULPH. and THUJA bring the primitive manifestation
that has been suppressed for years."
PAGE 158
Further along there is another quotation which seems to me enormously valuable and logically in line
with Hahnemann's ideas.
"There are probably several varieties of urethral discharges, but there is one that is sycotic, and WHEN
THAT HAS BEEN SUPPRESSED, IT HAS PRODUCED A MIASM." Just before and after this passage he states
: "THUJA is pre-eminently a strong medicine when you have a trace of animal poisoning in the history, as
snake-bite, small-pox, and, vaccination. Now if we go on with the proving by repeating the doses after
the symptoms come on, we force the drug into economy when it is already poisoned, and by this means
we get... the drug diseases engrafted upon that individual for life". This means that the constitution is
modified along sycotic lines by THUJA, the homoeo-sycotic remedy.
Just as CALCAREA, as a pre-eminent homoeo-psoric, has (as already indicated) many forms of anxiety,
so THUJA as a homoeo-sycotic will be characterized by excitement and (according to Clark's
DICTIONARY) : "As if a strange person were at her side - as if soul and body were separated - as if under
the influence of a superior power - as if whole body were very thin and delicate - as if frail and easily
broken - as if made of glass - as if, a nail were pressing into the vertex - as if the vertex were pressed
with a needle, - as if a nail were driven from outward in the vertex - as if the forehead would fall out - as
if a cold stream of air were blowing through the eyes - as if flesh were being torn from the bones - as if a
living animal were in the abdomen - as if moisture running in the urethra - as if falling drops in the chest
- legs as if made of wood when walking - states of insanity during which the patient does not permit
himself to be touched or approached - mental dejection - anxious apprehensions regarding the future -
disquiet which renders everything troublesome and repugnant - the merest trifle occasions pensiveness
- scrupulous about small things - hypersensitivity that is ridiculous and exaggerated so that music causes
him to weep, with trembling of the feet - or a gay and loquacious vivacity - cannot put a thought out his
mind - hurried, will ill-humor, talks hastily - talks hastily and is always in a hurry - easily angered about
trifles - feels she cannot exist any longer - overexcited, quarrelsome, in reading and writing he uses
wrong expressions - talks hastily and swallows words - thoughtlessness - inability to think." Of course
there are also some symptoms of a psoric or syphilitic order (although fewer in number) such as : sad
and irritable, ill-humored and perverse, and even aversion to life; but the remarkable sycotic excitement
is preponderant. In the generalities also we can corroborate, violent; that is why it presents with pulling
of the limbs and joints, creaking of the limbs when they are extended, shaking of the limbs and muscles,
a feeling of lightness of the body; logically enough, this is also seen in the skin, producing at first
hardness and hypertrophy and later softness, and pricking in various parts which becomes transformed
into heat, tearing and pulsating pains, pains especially after having "suffered" excessive heat,
inflammatory and reddish swellings, chorea and choreic movements, with symptoms being aggravated
especially in the afternoon or impending sleep and ameliorated by motion. If mental activity is exerted
or maintained, physical debility appears. At night there are pulsations in the arteries, the dreams are full
of anxiety-laden visions of accidents or dead persons. Stabbing pains in any part of his body can cause
vertigo accompanied by a theatrically dolorous expression; sometimes they affect only half the body; he
describes them as electric shocks, and they are as erratic and voluble as sycosis is generally. As Allen
states in his ENCYCLOPAEDIA, the symptoms appear in the morning upon awakening or while resting,
are fleeting, and become more frequent and aggravated about three in the morning or afternoon, being
aggravated when the patient remains still and ameliorated by movement and by the outdoors; in the
sycotic modality of instability and variation, the symptoms can be aggravated and ameliorated on
alternate days, sometimes with vivacity and loquacity and sometimes with bad humor, aversion to life,
unwillingness to undertake anything, and its characteristic discontent.
PAGE 159
The alternations and contra-positions of the symptoms are doubtless more striking in the homoeo-
sycotic than in other remedies; thus, with respect to sleep, THUJA sometimes presents an urgent
inclination to sleep toward nightfall but also had delayed sleep. Here, of course, as a consequence of
agitation, it passes from sleep to wakefulness, frequently with moaning, dreams and screaming with
frights and starts, or sometimes vivid and voluptuous (see Clarke) when half asleep he suddenly sees a
chair in the middle of the bed; he tries to move it but he feels that he cannot, nor can he make a sound;
or he may have insomnia with hallucinations as soon as he closes his eyes; they disappear as soon as he
opens them. Fevers or feverish states; chills with shivering, internal coldness and thirst, and formed
immediately by sweat or chills occurring several times a day but especially at nightfall or only on the left
side; the sweat is sometimes oily, staining the clothes yellow, fetid, appearing sometimes only while
asleep or very profusely, while walking. The chills agitate him greatly, but he yawns at the same time
(Allen's HANDBOOK). Hot air seems cold to him, and the sun's warmth does not heat him. There is
shivering from uncovering himself slightly, even when the air is warm. In all these symptoms one sees
the incongruence, variability and instability of sycosis; cold hands with intense heat of the face;
twitching chills with cold hands at nightfall, great mental activity, thirst and vertigo. Pounding of the
blood and palpitations when walking upstairs, making frequent stops necessary, or else pounding every
night with throbbing of the hands at every movement. Sweating at night on all the covered parts as soon
as he falls asleep, or only in the feet and over small patches of the body; sometimes the sweat is sour-
smelling and sometimes intensely fetid.
PAGE 160
Of course, sycosis is most obvious in the skin; this very ostentatious miasm makes its presence felt in
the warty excrescences which appear in various parts, especially the hands. There are pruruginous red
spots, tubercles on the limbs, nodosities or the feeling as if a wart was there; condylomata and tubercles
in the inguinal region or around the anus which are painful to the touch, bleeding, and give a sharp pain
when walking; changeable burning stabbing pains in different parts, and especially on the left side; spots
like flea-bites on the abdomen, the back and various other parts. Even the psoric pruritis takes on the
sycotic modalities predominating in this remedy since, as Allen states, there is a prickly itching in various
parts of the body.
PAGE 161
The warts can be peduncular, sessile, tubular, hard, blackish, flat with a bluish-white base, or like
callouses, furuncles, stains which are brown or dirty or dark, or red and even pustules. Most of the
cutaneous symptoms are made better by touch.
Thus, we confirm, in all the symptoms, the ostentatious, explosive, variable and changeable character
of this great homoeo-sycotic; this character is present even in the particular symptoms : for example,
the most characteristic evacuations are yellowish, watery, expelled with much noise, sometimes as
explosive as if a bottle was being uncorked, and as theatrical as one can imagine - exhausting, causing
shortness of breath and difficulty in breathing, anxiety and intermittent pulse, with acute pain in the
back which seems to penetrate through the stomach and with a feeling that the blood cannot circulate
there, leading to swift loss of weight. In some cases, the patient describes his feelings on defecation "as
though molten lead were passing through me, and the burning feeling stayed there the whole day". We
can better understand this sensation when we realize that traces of the third miasm are evident here
and that the sycosis which modulates all the sensations gives a protracted character to the patient(s
sensation of dysfunction; no lesion or excoriation which would explain this symptom can be observed,
but the feeling of pain is so acute as to last all day; this is quite apart from any haemorrhoids which can
also be inflamed and lead to fissures or fistulae in the anus, giving rise to burning pain in the rectum.
It would be difficult not to find genital symptoms in a THUJA patient, particularly on the left side;
profuse perspiration of the genital organs with a sweetish smell and leaving a yellowish stain; exuding
condylomata of the glans and prepuce, pseudo-chancrous ulcers, inflammations of the prepuce,
condylomata around the glans which are red or pedunculated, or dentated like a cauliflower, with a
smell of old cheese, secretions as in long-standing gonorrhoea, continuous and painful erections with
lancinating pains in the urethra and, logically, an irresistible tendency to onanism even during sleep,
with throbbing and tightness of the urethra and offensive-smelling semen. Prostate afflictions with
trickling, blenorhoeas, gonorrhoeas, interrupted micturition, a discharge which is yellowish-green or
watery and profuse and which starts up again after each coitus, and drawing pains in the spermatic cord
and testicles.
PAGE 162
Women have a mucous and almost green leucorrhoea as well as a whole series of growths on the
genitals, pains as if from biting, extreme sensitivity of the vagina, early periods preceded by excitation
and arterial throbbing with abdominal pains, fainting and much sweating; menstruation is accompanied
by fatigue, spasmodic weeping, and marked restlessness of the legs. After menstruation, there is
tiredness, insomnia, nightmares, hot flashes and toothache. The homoeo-sycotic foetus of the THUJA
patient "moves so violently as to awaken her, causing pains in the bladder and urgent need to urinate,
with pains also in the sacro-iliac articulation propagating to the groin". (Clarke).
Thus, once again we corroborate in the MATERIA MEDICA the characteristics of the sycotic miasm:
excess, ostentation, instability, the tendency to escape, volubility, and the abnormal productivity of this
great second diathesis of Hahnemann.
MERCURIUS the great homoeo-syphilitic, which obviously includes syphilis in the first place, then psora,
and finally something of sycosis, quite logically has the characteristics of the third miasm : destruction,
involution, perversion, spasms, ulceration, mortification. In the mental sphere it includes the sickness
which the psychologists call "existential anguish" but which should more correctly be "existential
anxiety" because, in its most acute stage, it gives rise to true anguish, that is, fear in its highest degree
which weighs us down and seizes us, isolating us more and more from any point of support until we
erupt in an unvoiced cry, and appeal for help which is not even made or, if it is made, is useless since we
remain with a feeling of restless unbearable solitude in hour heart or spirit, in our innermost being. As
our MATERIA MEDICA states; much anguish with excessive internal torment, fear of going insane, as
though he had committed a crime, which causes ceaseless agitation and inability to rest in any position;
as though he were crazy, dejected, or with a vague anxiety without knowing why, "an inexplicable
feeling of insupportable internal malaise which leaves him outwardly undaunted". (Hahnemann). "He
believes himself undergoing martyrdom without being able to explain what he feels, is constantly in a
state of anguish and restlessness, which is aggravated at night as though he had not been in his right
and at the same time suffers hallucinations of true dementia, such as for example, to him water seems
colored, he says stupid things, does stupid things such as making a fire in the fireplace on a warm
evening and does not even want to eat; is irascible, rough, defiant, picking fights with everyone, unable
to bear contradiction, continuously grumbling, or totally unable to think, or with loss of memory and
will-power, loss of consciousness, loss of speech, terrified of liquids. He thinks he is dying, does not obey
anyone, sometime does not know where he is, is weighed down by great sorrow, believes himself
wretched, has no courage to live, is mistrustful, regards everyone as his enemy, and is dissatisfied with
himself; is averse to everything, even to what has been most dear to him, and desires to die. He has
remarkable mental weakness, cannot recount the history of his illness, sometimes cannot even
remember how old he is, drags out words and does not complete them, or else talks tirelessly and is
prevented from reading by his confusion. The prurity of his thinking is affected, he says the wrong
words, and is distracted. Syphilis makes the mind aggressive and limits it by destroying it; therefore, the
symptoms largely justify our calling this third miasm "destructive", and the version of the symptoms
given in the MATERIA MEDICA is absolutely correct. We should note well what Allen has written :
"Sharpness of thought is affected", and then he states : "loss of will in a characteristic form", "loss of
memory, forgets the names of persons or places". These are like mental gaps in which we note the
destructibility of the mind, the inclination to suicide, the desire to kill; in the mother, the desire to throw
her child into the fire. All of this perfectly brings out the desperation to which the MERCURIUS patient is
brought by the delirious form of his life.
PAGE 163
Logically, his physical and general symptoms are aggravated by heat and at night; his pains are tensile,
tearing, piercing, ulcerating; he has profound anaemia with degeneration of the red corpuscles of the
blood and of the platelets, difficult healing of wounds, tendency to suppuration, fetid smell from the
whole body, tendency to emaciation and cachexia, skeletal deformations, tendency to cellulitis and
swelling of various parts, to softening of the bones, periostitis, and necrosis; Allen states that caries
"affects the bones and joints, with exostosis, paroxysmal tremors, jerking of the tendons, various types
of convulsions including epileptic ones; various paralyses, PARALYSIS AGITANS, profuse secretions which
do not alleviate". I think that one description of the MERCURIUS convulsive state is more demonstrative
than a more extensive enumeration of symptoms (Allen) : "At nightfall a convulsive state with loud cries;
consciousness in not altogether lost, and the whole body is tossed from one side to the other; all the
muscles are activated; the head rolls as if it were bouncing back and forth and from side to side; the
eyelids open and close; the eyeballs move from side to side; the nostrils and corners of the mouth
contract, distortion the face; the jaw bone moves back and forth; the limbs jerk all together as well as
each muscle by itself; the patient is tossed about in every direction until he falls off the bed".
PAGE 164
As can be seen, this is a true state of spasmodic syphilis. It is not the simple and cold spastic contraction
of the psora patient whose streak of red is reflected in the cramps or convulsions of a CALCAREA, nor is
the convulsive and swift agitation we have seen in a THUJA chorea. Allen notes precisely that, in those
choreas where MERCURIUS has been useful, he prescribe it mainly because of the patient's general
condition and cachexia, and not because of the type of movements. The MERCURIUS spasm is complete,
in each muscle in particular and in the totality of the region as well as the totality of the individual.
We repeat one more time that psora inhibits, retards, and weakens the function; peristalsis is defective
and slow - like an inhibited mind. In sycosis the movement is accelerated; functions are excessive and
ostentatious, like the mind. In syphilis, the destructibility and perversion of the mind are reflected in the
destruction of the tissues, the degeneration of the cells, and the spasmodic movements.
How difficult it is for the MERCURIUS homoeo-syphilitic to rest, interrupted by jerks and disturbed by
dreams; he falls asleep late and wakes up early with cries and tears before recovering his senses. Less
restless and fidgety in the morning, he is overcome by great lassitude which almost prevents him from
getting up. His dreams are frightening; as soon as he falls asleep he imagines that someone is talking to
him and feels anguish and palpitations. He has vivid dreams or nightmares, sometimes of people, which
seem to him so vivid that on awakening he cannot convince himself that the protagonists were not
there; and when the dreams are amorous they cause erections which only torment him and leave him in
suspense.
PAGE 165
We know, as Kent says, that MERCURIUS is preponderantly a glandular remedy, its great characteristic
being induration of these organs with a tendency to ulceration. The ulcers it produces are often pricking
and burning, with a brownish or lardaceous base, looking like white ashes, as if a coat of lard has been
spread over them; or they may resemble a diphtheritic exudate, or the chancres might have an
exudation like cheese at their base. Here, let us note what Kent has already stated clearly : that the third
miasm "is sufficiently similar to be related to cases of psora-syphilis-sycosis". He days that "it
participates of the nature of the three miasms".
It hardly seems necessary to enumerate the prominent specific symptoms - such as falling out of hair;
wettish eruptions causing the skin to come off; pain when touched; inflammation with swelling and with
a destructive tendency in the eyes, bones, nose and ears; purulent, green and putrid discharges;
catarrhal conditions of the respiratory tract, rectum, vagina, and urethra involve fetid secretions,
repulsive smells, an earthy, bloated or pale face, or else the face is livid, black and blue, and with a
stupid expression; fissures and ulcerations in various parts of the body. It has atrophied muscles,
glandular infarcts, great irritation of the mucous membranes, perversions of the appetite, as Allen notes
: a voracious appetite but with a feeling that it is not true hunger. It has burning pains, tenesmus of the
sphincters, true inflammation of the intestines and abdominal organs, a tendency to discharges, to
chronic inflammations of the liver, appendix, intestines, and other organs, with accompanying painful
and disagreeable evacuations, destruction of the parenchyma, large ulcers of the male and female
genitalia, loss of sexual power in spite of lasciviousness; increased and perverted sexual power; profuse
menstruation with clots, offensive and prolonged, clotted metrorrhagia; trembling of the hands
announcing the degenerative state of a PARALYSIS AGITANS and which generally starts with the right
hand, especially when the patient wants to write. Everything reflects destruction, perversion, and
domination of the individual by this third miasm - described with such genius by Hahnemann and fully
confirmed by the pathogenesis of our remedy.
PAGE 166
The presentation of the medicines in this way leaves no room for doubt about the characteristics
indicated by Hahnemann for each of the three great diathesis which we always feel obliged to call by
their true name : Hahnemann's chronic miasms - the inescapable foundation of all true knowledge of
mankind.
It can already be noted and deduced that each medicine can be represented - and the more readily as
the medicine is more constitutional - by a triangle each of whose sides correspond to the symptoms of
one of the miasms. Some, like LYCOPODIUM, are almost equilateral. Other are more like isosceles
triangles when two miasms are there in almost equal strength; the majority are scalene in different
proportions and with different homoeopathic, homoeo-sycotic and homoeo-syphilitic actions. Although,
as we repeat once again, the medicaments are not miasmagenic as such, logically, the symptomatology
or pathogenesis is extremely consistent with one or more of Hahnemann's miasms.
PAGE 167

The miasms and eugenics

- The aphorism of Higinio G. Perez : "It is not to safeguard the individual, who is a passing phenomenon;
it is more important to safeguard the species".
- Brief considerations relating to the characteristics of the human being.
- What should be striven for in man, from the point of view of eugenics.
- Art as the greatest expression of the human being.
- Eugenics based fundamentally on the greatest possible elimination of the miasmatic.
- The relative guilt of the "delinquent" and what is reprehensible in anti-natural medicine.
PAGE 169
Application of the Miasmatic Doctrine to Prenatal Prophylaxis and Genetics.
Prophylaxis is the great pre-occupation of all physicians and biologists. To prevent suffering, to try and
avoid it so as not to encounter it and suffer its consequences, is an absolutely appropriate desire of the
human, and even more so when it is projected to include future persons who will be endangered. Any
eugenic tendency should be encouraged and facilitated.
Our doctrine of miasms, with its great content of truth, could not be alien to eugenics inasmuch as we
claim for it universal, i.e. , general application. We find eugenics intimately linked to Hahnemann's
miasmatic doctrine. To cure a person does not mean only to free him from his present suffering, or
alleviate this suffering; but also to preserve him and spare him future sufferings.
We state once again the aphorism of Higinio G. Perez : "It is not enough to safeguard the individual,
who is a passing phenomenon; it is more important to safeguard the species; "Generic man comes
ahead of the individual person, since the matter, however, intense his characteristics, represents only a
particular phenomenon in relation to the species, a particular phenomenon which will always be as
ephemeral as the existence of that individual. On the other hand, the characteristics of the species will
endure, being constituted by the persistent repetition of qualities common to all the individuals making
up this species and defining it. The recognition, definition, and consideration of the group, i.e. , the
species, is based upon these qualities of the whole.
Thus, from the biological and medical viewpoint, the individual man becomes generic man. When our
analysis is complete, or at least has been carried as far as possible, to the limits of certainty with respect
to the observed facts and phenomena, we then pass to synthesis, and in medicine this means to general
pathology; or, in other words, to considering the general phenomena of sickness, what sick people have
in common that is characteristic. "In common" means that which is present in all sick people, and
"characteristic" means the phenomena and qualities present in these states of existence of humans
which leads us to designate these conditions as "sickness".
PAGE 170
In this way, we come to general clinics and general therapeutics. Eugenics is the branch of biology
which furnishes us the knowledge which generic man needs to continue or persist, to remains a species
on this earth and develop in the best possible way - meaning the truest realization of his whole potential
and his tendencies as a species.
Let us give thought to which characteristics are peculiar to man. It cannot be the fact of being alive, of
having vital activity, since characteristics are also seen in other beings and even in plants. It cannot be
the capacity to move from one place to another, since animals possess this same ability in many
instances even surpassing humans. Innumerable tests have shown the instincts of animals to be at a
level perhaps never reached by man or if so many centuries ago, so that instinct with its marvellous
complexities and multiple manifestations can as little satisfy our search for characteristics, peculiarly
human.
For this reason, less distinctive qualities are left for this species. In the intellectual realm it is difficult to
delimit the truly intellectual process from the instinctual. But some qualities which seem to pertain
exclusively to the human GENUS. At least the human has a greater capacity to perform certain
operations : of discernment, of affection and fondness, of ordering in an objective series, of reasoning,
of memory, of passion, of kindness and wickedness, of various forms of collective life, of modifying his
appearance, of manifesting his desire for persistence, and in art.
To choose and discern between one thing and another, to act in accordance with a principle which two
or more people know - these qualities are possessed by the normal man, provided he has no great
defects, and in this he is superior to individuals of any other species. Discernment at once enables him
to perceive that which he could scarcely suppose, to be certain of what he can verify, and to have the
intuition through which the former can be inferred. The range of his possibilities of discernment is very
broad. By analysis he can perceive the most irreducible, and, at the other extreme, his intuition tells him
about the immensities of galaxies, universes, light-years, etc. and man gives testimony of this innate
capacity.
PAGE 171
It is certain that many animals, and possibly plants and other beings, show unequivocally a spiritual
mood or disposition similar to what man recognizes in himself as affection, fondness, love. When this
spiritual reaction is so complete as to occupy and shape most manifestations of the individual''
existence, making him completely alter his habits, the conditions of the environment in which he lives,
and all his plans and goals, this fondness or love assumes in man a dimension which, to say the least, has
no equivalent manifestation in the other living beings of which we have knowledge.
 Beings of very different species have learned how to obtain food, communicate and make their lives
comfortable, but man has surpassed all these manifestations. Precisely in our times, we are living
through a period in which the splendour of human technology has reached a culmination, transforming
it into reality and giving shape to prodigious enterprises; many of the products of reason have been
converted into such portentous achievements as space ships, television, grandiose monuments, and an
endless number of other material works which man uses to communicate, to comfort himself, and for
enjoyment. No other being, no other species seems to equal him. His power is so great that it even turns
against him and destroys him because, at times, he believes himself all-powerful.
What some authors have suggested - that other species, by an act of will, leave evidence of their stay
on earth - seems not very convincing. If this happens, it appears to be totally involuntary. Bot so with
man, however, who even on the threshold of consciousness, perceives how fleeting is the day and how
durable is his being, deducing its eternal nature from the individuals who have preceded him and will
succeed him. This is human memory, which fills up the pages of its history, constituting patterns which
repeat themselves - but with the purpose of becoming better and accumulating that some thing which is
experience. Experience is what engraves features and attitudes on the species, restricting and even
eliminating some but, in return, generating or at least enhancing others.
PAGE 172
Thus it is love. Man is unique in being transformed into love, and not only just for a moment; he may go
through a good part of his life with intense love for all sorts of things. All his other actions will thus be of
secondary importance. This is a characteristic of the human. In the same way, man can be entirely
overwhelmed by some other passion, for months, years, or the greater part of this life. His actions, his
desires, and all his striving will be colored by that passion; he will pursue and ideal which may be
chimeric or achievable in principle but difficult to attain.
Precisely these obstacles will stimulate the human to almost absolute dedication in the pursuit of this
goal. A desire is generated in him which increases with time until it becomes an obsession and the
principal object of his existence. This is passion whether constructive or destructive, and most of the
time it is the latter.
Kindness, which is the unselfish giving of our own selves, making us gentle, soft, tender, dactile, and
adapted to others, is a characteristic of man when it takes a continuing form. Not only do we adapt to
one of our fellow beings, but even to all of them; we try to transform ourselves and adjust to others; this
kindness is characteristic of the human. Friendship is a particular form of this quality, also charity.
Selfishness and wickedness are the opposites.
Plants cover themselves with flowers, animals change their fur, and everything in nature seems to dress
in accordance with meteorological phenomena, especially the position of the sun. Man also seems to be
yoked to this, even though boasting about his power of judgement. He observes and submits himself to
the rhythm of nature, either resisting or exaggerating this disposition, and utilizing all his skill, giving free
rein to his inventiveness, to adorn himself in the most capricious forms - to impress himself and his
fellow beings. He either accentuates his features, or disguises them or emulates those of others,
competing with them in his forms and attributes. He has turned that capacity into a competitive trait to
which a great part of his existence and activity is devoted after he has satisfied his primary needs for
survival.
PAGE 173
Existential anxiety in the human is the essential terror which Aristotle noted as one of the basic
postures of the spirit, one of the feelings that move us. This fear or essential terror drives us to seek
company, to look for support, to form a clan, a family, a society, a nation. After forming a community in
consequence of this essential terror, in the search for support, we then engage into a continuing
struggle for the dominance of our ideas. An idea held in common is what really forms a group and gives
it strength. The true "substratum" of a society is communication, and this is achievable only through a
community of ideas. This is the other characteristic of man, and our times have given us the most
striking proof of it. Millions upon millions of words are uttered every minute by man for man, either
spoken or written, in an attempt to make his ideas predominate, to achieve recognition, or because he
is unconsciously ruled by terror - that existential anxiety which at times becomes true anguish.
This existential anxiety arises in man because he is aware of his end, his termination, that which he calls
death even though not knowing what it is - with every part of his being, material and spiritual. He thinks
of it as a cessation, an interruption or a change, but strives to interpret it only as a different mode of
that same existence, an unknown aspect of his own being, a transmutation of the powers which make
his ego prevail, the highest synthesis of that self which is invulnerable to the accidents of time and
space. In a word, he longs for eternity, and this is another demonstrable characteristic of man as a
species.
Some will perhaps remark that all of the above can be encountered in other beings, even if to a lesser
degree; that many animals, insects and mono-cellular organisms manifest the traits discussed in the
preceding paragraphs, and that we, humans have just not developed our senses enough to perceive
these expressions of the life of other beings.
PAGE 174
We would point out two things in this respects : both discourse and the logos toward which man's
ineluctable intellectual activity tends are by man to man within the capacities of his intellect. That is, we
can judge only to the extent that our intelligence permits and in the light of the demonstrations within
our reach. On the other hand, even if we admit that other beings have similar or identical qualities, their
persistence is in no way as manifest or as complete as in man, and thus we come back to our statement
that man's characteristics must be discussed in relation to his knowledge of himself.
If one thing above all characterises the human being it is art. In our days, art has undergone so many
variations in its definition, and perversions in its expression, that it can be better defined by its
achievements than by words. Yet, we believe it is that which man has captured from the universal
harmony from the ^play and interplay of life : the spirit of form, be it in geometrical concepts, in a
succession of notes, lines or tones; words or stimuli which channel our feelings or thought toward
delight or which convey the essence of a message, the transcription of a wide-reaching understanding,
liberation from the slavery of outward appearance, a good attempt at simplification.
Art gives man dignity, a conceptual level higher than anything else.
The common origin and end of all that exists has produced in man's mind the idea of God; or else God
became present in us by way of deduction from that whole which is One. But metaphysical discourse,
always objectionable because it never ends, is surpassed not by dialectics but by the inspiring
achievements of art, always seeking to excel and desirous to express itself better. That is why
Vasconcelos, so rightly, states that "Art is the expression of the word". Whatever man, in his vanity, feels
about the imperishable or the divine is expressed in art. Art is unquenchable ambition and unachievable
perfection.
PAGE 175
True eugenics must ineluctably consider all those characteristics of Generic Man. Eugenics cannot
aspire to produce a man who wants to live above everything else, in comfort, neglecting all other
characteristics. Even less can it aspire to produce a man of super-instinctual capacity while neglecting his
other qualities, or a super-communicator while ignoring his other attributes, etc., etc. The truly eugenic
man, even though a utopian concept, should include the possibility of maximum equilibrium and
harmony of all his determinative characteristics in relation to the species. He should be an artist, since
deprived of his art he is estranged from much that is human; he should have as much a capacity for
discourse, as a kindly, communicative, loving, or passionate disposition; also strength, the capacity to
achieve, etc.
Thus, we reach the point of DEMANDING a eugenics based fundamentally on the greatest possible
eliminating of the miasmatic or, in other words, of whatever hinders the total expression of the human
being.
Only through prenatal treatment can we succeed in treating the product at the same time as the
mother. In this way, the eugenic benefits of a truly homoeopathic treatment throughout successive
generations would come to be appreciated. Only by using constitutional medicines such as those
prescribed in true Hahnemannian homoeopathy can the genuine physician effectively promote
eugenics. Enantiopathic medicine, whose only endeavor is to suppress the dysfunction or anomaly as
quickly as possible, together with its concomitant pain, is absolutely opposed to eugenics because its
hallucinatory short-sightedness places the particularity of the individual higher than the generality of the
species.
Thus, we see that the practice of old school medicine has multiplied its heroic, fantastic, amazing and
theatrical possibilities on to exaggeration, "giving or prolonging life" through enormous effort and
incredible expenditure for innumerable sickly and highly defective persons in whom any hope is vain,
whose survival is, in any case, nearly always ephemeral; but, above all, this medicine augments their
miasmatic burden with its always suppressive therapeutics. Who has not seen the poliomyelitic child
"rescued from heaven" by allopathy? Or the patient with true tuberculous meningitis "brought back
from the grave"? Or the cancer patient who is continued in life although profoundly mutilated and
burned by cobalt or X-radiation? Or the "successful" heart and kidney transplants, or the implantation of
pacemakers and auxiliary circulatory or renal eliminatory valves for the removal of hyper-tensive
liquids?
PAGE 176
After seeing this kind of success one should ascertain if there is not some better procedure, leading to a
better result, greater relief, better integration into normal life. One must ask if there is not a
homoeopathic remedy capable of producing better results, and, in the case of relative "success" one
must investigate further the feelings of the patient himself and of those around him - is his
improvement really satisfactory, should this existence really be called life, is the enjoying himself or can
he scarcely bear it (this in cases where the patient himself is not striving for self-immolation).
The true physician, by whatever name he may be called, depending on his therapeutic procedure, is
ineluctably obliged to acquire some notion of the miasms, to consider constitutional pathology as that
which inescapably generates man's sickness; and he must try to counteract it without resorting to
methods which are harmful to the species. He should strive for the physical, mental and social well-
being of every patient, as is required by the World Health Organization. He should always seek for
transcendent health, behaving like a true eugenicist, and never contenting himself merely with
suppressing or replacing some symptoms by others.
Eugenics from the Miasmatic Point of View.
The eugenic formula should not be restricted to chromosomal factors or the mutational possibilities of
such scientifically defined anatomical elements as genes, even though these are convenient labels; the
genetic formula should be referred to and deduced from dynamic elements - psychical, spiritual,
sensorial, volitional, and also from environmental ones - telluric and radiational.
PAGE 177
Our vitalist position, which necessarily concurs with the principle of vital dynamism established by
homoeopathy, permits us and obliges us to provide satisfactory solutions to such serious problems as
the purpose or teleological aim of human existence.
- EXAMPLES -.
When facing an immediate danger, as we have already said, the psoric patient is paralyzed by inhibition.
If it is a fire in a public building, he will at first be overwhelmed and will then start to reason about what
to do, but always as if it was difficult to force his body to action; he will seek a promising place of refuge,
will give thought to the possibility of finding an exit, will trust that someone will come to his aid, will call
for help (perhaps more often in silent prayer than out loud), and as a last resort will decide to obey his
impulses.
The sycotic, on the other hand, will start seeking an exit at the first cry of fire; his sudden fear will cast
him headlong through the flames or out of a window if there is any possibility of rescue; he will forget
everything, even his wife at his side, but if he has a moment for reflection, he will seize his child and
belongings and endeavor to rescue them also. He may perish in the attempt out of hastiness, but he will
certainly act with promptness.
The syphilitic will quickly fall into a state of panicky terror. His red-tinted mind will stimulate his
aggressiveness and make him desperate in the face of the impending danger. If he has a loved one with
him, he may immolate this person and then kill himself, or seize him and jump from a window to certain
death.
Now, let us observe other circumstances, other events, in the life of such persons. When confronted
with aggression, either by word or act, with continuous or repeated insult or with opposition - whether
insistent and reasonable or offensive and insupportable, the psoric becomes irritated, is intensely
moved and collapses in his impotence, musing over his misfortune or tragedy. This may transform him
and change him into an even more insignificant, gray, and unnoticed member of the group. The sycotic
will return, the insult two-fold, answering violence with violence but will always certainly try to preserve
his person and his belongings to the utmost; he will feel the excitement intensely and will live it and
make others feel it with great ostentation. He may even reach the point of harming, destroying or
wounding, but always in a way which is disproportionate to the motivation. When attacked, the
syphilitic is immediately overwhelmed by hatred; that profound disharmony always keeps him on the
threshold of involution, regression and non -being; those insulating words, repeated vexing arguments,
lesions of his reasoning or emotional powers unavoidably compel him to destroy, to exterminate
violently and promptly, this aggressor; he will strike, wound, or murder in his uncontrollable desire to
eliminate this person, because he senses its resemblance to what he carries within himself.
PAGE 178
Each of these imaginary subjects has acted in conformity with his miasmatic burden; he has been
forced, so to speak, by hereditary and constitutional factors. Has anyone the right to condemn them?
The first will probably carry through his life the mark of his humiliation and impotence. The second will
probably be the subject of the scandal of his day or epoch; he, and those close to him, will suffer the
consequences. The third will suffer the same fate, ending in prison or with the stigma of the criminal,
and distrusted by those around him.
 Thus, just as the guilt of parents who produce offspring is legally accepted in our days, and the victims
are permitted to bring suit against their parents for having, even if unintentionally, conferred upon them
this defect which makes them repellent to society, how much more appropriate would be a suit for
conferring a miasmatic burden leading to all kinds of sufferings.
And yet, rather than bringing suit against the parents, who are ultimately and also ineluctably the
product - both in their biology and their conduct - of what they have inherited from previous
generations, rather than judging them, the suit should be brought against medicine - against that
medicine which can be described as empirical, short - sighted and arbitrary, devoted to a showy and
erroneous task which, through the centuries, deforms humanity and causes it to degenerate,
maintaining and multiplying its suffering and disequilibria through its use of procedures which grow ever
more tortuous, suppressive and anti-natural.
PAGE 181

The doctrine of miasms as it relates to general human problems

- War as a necessary consequence of miasmatic dominance.
- Miasms generate erroneous views and ideas.
- Miasms in the structure of commercial medical science.
PAGE 183
War has always been a pre-occupation of mankind, demanding much time and effort. It has even been
considered a necessary happening. Why, then, do people steadily and tirelessly protest against it and
make a great display of trying to avoid it? Why is it the general theory of people to work for a just and
lasting peace? All that man constructs with such toil and difficulty, the proofs of his progress and
culture, his cities, monuments, places of reaction, the products of his far-ranging research, and his most
exquisite artistic productions - all these things of which he feels so proud and in which he takes such
delight are destroyed ferociously and reduced to nothingness during the destructive episodes which
constitute war.
It would seem that man is led to war by his fear of it. People, like cells, are composed of groups of
elements somewhat different from one another but put together in such a way that their basic
functioning is determined by the whole entity although the rulers are responsible for the general
direction and scope of the policies and actions.
In much the same way the cell's nucleus and preponderant elements determine the scope of its action
and whether it will be normal or abnormal. Just as a disordered or degenerate cell will give rise to an
evident lesion or alteration in the tissue or organ if it is not subdued or eliminated by the harmony of
the whole, so the disorder of a single individual or of one powerful intellect can cause a far-reaching
upheaval leading to revolution. This, in turn, will be the effective germ of war - which is the conflict of
different ideologies, the clash of opposed forces arising out of intellect and eventually subduing human
beings and everything else to this violent and passionate impulse of man.
Many things are considered to be the cause of war - social injustice, the inequality of men, territorial
ambitions or necessities, the desire for access to the sea, for natural resources, etc. It has even been
invoked as a need of the species, a way to offset man's excess fertility and thus to balance the
population of the globe. But serious and well-founded objections can be made to each of these
hypotheses, and, whether or not they are valid, through them man has never yet succeeded in finding a
solution; thus centuries pass in the unending quest for peace which, once achieved, serves as time to
prepare another var.
PAGE 184
 This is seen both in universal history and in the particular history of each nation. Humanity as a whole,
and in each of its nations or groups, makes the same errors, the same attempts, suffers the dame
failures and advances the same apologies and justifications. Social life is not organised along natural
lines but has many more defects and failures. That why the results achieved by society greatly surpass
those achieved by nature in cruelty and horror, but above all in absurdity. The destructive and terrible
phenomena of nature - earthquakes, disturbances in the weather and climate, etc. causing dislocation
and destruction - are, as we know well, needed to preserve that which exists, to perpetuate the cosmic
equilibrium whose existence we infer and which can be observed. But man cannot justify his own works
of destruction, and the best proof of this is the apparently inexorable growth of existential anxiety.
An obligatory theme of our days is universal anguish over the survival of the species in relation to the
elements which Earth has provided for its support. This means recognition by the human race and its
greatest failure - regarding the problem of survival with terror and beginning to show signs of
desperation at this gloomy prospect. This leads to birth-control incentives and the propagation of
opposed ideologies, especially among the most ignorant human groups, causing them to destroy one
another; it provokes differences and brings them to confrontation while providing them with weapons
and hypocritically talking about peace; at the same time, through hunger and nakedness, it instigates
them to hate their fellow beings, even of their own blood and to seek betterment through violence even
though realizing that this does not bring well-being. It leads them to death while promising them life.
Whence arises this perversity in the relations among men? Words will always be inadequate to express
that complex of human feelings inside each of us, in each who reasons universally, but we must then
take up a discipline which also has a universal character.
PAGE 185
The miasms are the cause of human unhappiness, of wars, and of all the far-reaching errors of the
human species. The more deeply a man's mind is unbalanced, the more far-reaching an effect it will
have on his fellow-beings and thus on the species. It is just the same as with the cell; when only slightly
damaged, it is reorganised by the others and eliminated, being replaced by a new one which is normal;
but when its alteration is intense and dominant, it transmits this anomaly to all those around it and ends
by disordering the whole body - the tissue, the organ and the organism. Just as the sickness or
pathological condition can easily be deduced (following the materialist concept) from a material
alteration or lesion, we can find the origin and destructive propagation of the miasms in the
transcendental, the spiritual, the realm of forces and of will-power.
As we have always maintained, and will continue to maintain down to our last words, the miasms are
deeply hidden in the human being. Man generates them in his understanding through erroneous ideas,
and his mistaken understanding motivates him to sinful conduct, makes him selfish and destructive, and
deflects him from the universal view which he should adopt. Man condemns war because it is death,
and yet he is always moving toward it. He reasons in favor of love, friendship and sympathy but, while
trying to achieve them, does the opposite. Numerous are the criticisms and reproaches which could be
made of man's present behaviour, and we need give only a few examples. Apart from war, many other
characteristics of modern life, testify to the absurdity and destructiveness of the human species. In war,
as we were saying, the best people, those with the best biological endowment, are sent to the front.
They are selected and prepared without being given any choice; they are subjected to one specific and
limited ideology while being deprived of the possibility and the supreme right to see and consider the
general and transcendent; hatred and negative feelings are inculcated in them, and then they are sent
to destroy (and be destroyed by) these same biologically well-endowed persons on the other side, while
the defective malformed, and weak skull in the background and let themselves be protected. So the
cowardly and deficient protect themselves by sending the healthy and brave out to fight on the
battlefield. From the material and spiritual point of view the struggle is between the best for the benefit
the healthy and brave out to fight on the battlefield. From the material and spiritual point of view the
struggle is between the best for the benefit of the worst. Those selected are made enthusiastic for false
or illusory ideals, involving in these illusions their most noble feelings, those relating to their children,
families, possessions, culture, their very existence - and all in the name of Fatherland or party, with the
somewhat inconsistent terms, liberty and justice, thrown in as accessories.
PAGE 186
Behind this are the interests and ambition for power of those who enticed and subdued them by these
false ideals - so that they will be inflamed by ardor and immolated. The germ of war has always been the
same : human nuclei dominated by ambition and apparently justified by the needs of those around
them - which are more extensive, genuine and profound the further the individual is from this governing
or dominant nucleus. To prevent those who suffer deprivation on the periphery from attacking the
dominant nucleus, the latter work and toil so that all the other individuals reached, however weakly, by
the nutritive sap that confers power and domination, concentrate their attention on hate, and reproach
the other equally opulent and ostentations nuclei of other countries or human groups, thus deflecting
the natural resentment caused by their afflictions and deficiencies. Thus, instead of projecting the anger
arising from their inferior and unjust condition on those who are actually to blame for it, they project it
against a foreign entity, some other country or human group within which the same differences occur
and the same degradation takes place; the governing group conceals its own failures and defects by
emphasizing those of its neighbours.
Thus, these confrontations are caused by the psora, the sycosis and, finally, the syphilis of people as
well as of societies. Psora generates contrariness in thinking, not the constructive feeling of brotherhood
which the healthy mind should feel, but lack of confidence, selfishness and envy. Sycosis increases
covetousness without respect for the rights of others. Syphilis excites and unleashes man's destructive
capacity to pursue ignoble aims. Psora fills the individual with fear and, when accentuated in the
dominant or governing group, turns it into lack of confidence in others and criminal prejudice against
them - rather than the comprehension, understanding and sincere fraternity which should be the
fundamental human condition in the absence of psora. Sycosis moves these directing nuclei to
acquisition in an exaggerated degree, not the simple satisfaction of necessities but greatly exceeding
that, even at the price of scarcity and detriment to others. Syphilis causes an outpouring of passion - the
culmination of the unwholesome spiritual preparation of the psoric and the sycotic, love turned into
hate and preservation into destruction.
PAGE 187
This has been the norm of all nations and of humanity, to act at all times in accord with the miasms, and
it is steadily being stamped deeper and deeper into every manifestation of the human being.
In atavistic school medicine, psora has caused loss or perversion of the curative ideal, confusing the
meaning of the word "health". Even though medicine can define health correctly in the abstract, in
practice this definition and its content are totally destroyed : instead of striving for the social and
individual equilibrium of the individual, it offers as healing only a grotesque patching-up of the body,
while the psychological and spiritual sides of the human being are relegated to (well-disguised) Olympia
abandon. Every day millions upon millions are expended, in all the currencies of the world, on a
chimerical search for health; more and more institutions are founded, with enormous resources in
finances and personnel; like comedians they justify themselves with grandiloquent talk about ephemeral
transplantations, cosmetic surgery, incubators which "revive", and numerous varieties of prostheses
which scarcely attenuate the disabilities of a few among the innumerable casualties of the miasms -
whose existence is hardly suspected by official medicine, and which it is absolutely incapable of
counteracting. The only thing it can do instead is, by an exaggerated and exploitative publicity, to take
advantage of the human fear of suffering and death. In the name of sickness this medicine claims,
exacts, and squanders a great part, maybe the greatest part, of human endeavour on renewed and
equally fruitless attempts to destroy what cannot be destroyed by these methods - sickness itself.
PAGE 188
Sycosis is also well represented in medicine by the ostentation of laboratories and their propaganda,
the multiplication of procedures to achieve so little, or nothing at all. To how many analyses and
investigations must a patient submit in order to diagnose an ulcer - which ultimately cannot be cured
anyway since it almost always requires surgery and not medicine? A fatuous performance which
conceals the failures of medicine! How many manipulations are needed to detect a cancer which is
equally incurable in the strict sense of the world; let us not forget that prolonging life is not the same
thing as allowing a person to live a complete life. In this way we could list all the true affections or
illnesses of man in which medicine has been, and will continue to be, impotent if it follows its old ways.
Indeed, if it does not rectify its course, it will be increasingly impotent in the future. And we hasten to
add that within this medicine which we so greatly criticize there have been, are, and will be, magnificent
and profound thinkers who have noted the same both now and in the past. We also note with shame
and sorrow that homoeopathy itself has many professionals who call themselves homoeopaths but act
in accord with this vicious, corrupt and short-sighted institutional medicine.
Syphilis has always found a powerful role for itself in this medicine which we censure. One has only to
examine the pages of its histories, and the records of any of its clinical hospitals, to recognize the so-
called curative or therapeutic procedures which in fact epitomize cruelty, destructiveness, and contempt
for human dignity, for the integrity of his person, and for his ultimate value as an individual (and we
refrain from indulging here in scatological remarks). Biopsies, those prophylactic resections which clearly
contradict the theory of this medicine, which holds that virus (not only a bacterium or a contaminating
cell) can give rise to a whole infection, sickness and death but, nevertheless, assures us that the
irritation of a tiny investigative incision or ganglionic resection will not release into the circulation or
cause metastasis of malignant cellular components, so that they become implanted at a distance and
generalized into sickness. Old-school medicine is plagued with these antithetical procedures, and
despite the arguments and objections which have been repeated time and time again by the great
masters, this medicine continues to mutilate, cut off, suppress the natural healing power, trample on
the Vis Medicatrix Naturae which it learned as the fundamental hippocratic norm of any medical
procedure. What fate awaits the parents who, possessing spiritual and other defects, have given birth to
a child whose existence - not whose life - is extended for hours, days, months or years by artificial
valves, permanent catheters, artificial hearts, lungs, or kidneys but who, above all, has a mind full of
open or hidden resentment and inevitably inclined to envy, revenge and destruction?
PAGE 189
These arguments will give rise to thousands of objections, born from rancor and uttered in haste than
prove how many respectable physicians believe the same, I would like to ask them, before allowing
themselves to be carried away by a blind passion unbecoming to scientists, to examine thoroughly and
conscientiously if there are firm grounds in support of this reckless practice - or if, on the other hand,
they have not just let themselves be led like automatons, following the impulses or suggestions they
have received from their teachers and giving free rein to their lust for economic gain, position, renown
and influence?
Syphilis is, as already stated, the destructive tendency which we all carry in out unconscious to some
degree or other, and we should strive to ascertain its bearing on therapeutic practice. How does syphilis
influence our decision whether or not to cut open the abdomen of an older person when there is
evidence of an occlusive neoplasm of the biliary ducts? Or whether or not to perform a lobotomy to
"cure" a schizophrenia or other irreversible psychosis? Or even our decision to become a heart or neuro-
surgeon despite all the evitable vicissitudes?
Here, we can anticipate a thousand more objections, but the human species could avoid all this merely
by eliminating the miasms.
Man's manifestations and activities are more and more saturated with ever blacker and grayer hues of
the miasms. How about sports in our times? Entirely corrupted!! When one sees what they should be - a
needed compensation for the confinement and restriction increasingly imposed upon man by the
conditions of urban living, a laudable necessity of physical and mental hygiene. But sports have been
utterly and totally corrupted by the miasms and to such a point, that today we can all see corrupted by
the miasms and to such a point, that today we can all see that a soccer player "is worth" millions of
dollars and is "acquired" like a piece of merchandise - a man whose knowledge and abilities are
somewhat limited, consisting merely in knowing to kick a ball correctly, who lends himself to financial
speculation, to manipulation for undisclosed political purposes, or at time to being exalted into a
national hero or even a redeemer. Behind the boxer who has demonstrated superiority in the use of his
fists lied the mafia, the base interests of commerce and racism. In the same way, our educational
institutions are being degraded on a large scale, with culture and the investigation of truth perverted by
the domination of one another "ideology" or by the discord among these "ideologies" which only serve
supra-national interests far removed from any humanism.
PAGE 190
One could criticize modern society ad infinitum as is done in many works of sociology and in studies of
ethnic problems or of the various aspects of environmental problems.
Let us conclude with some reflections on birth control, which is so much in vogue today. Man in his
present sycotic or syphilitic condition, which colors the end of the twentieth century a gloomy and dirty
violet, is intent on moderating, restraining and, if possible, even suppressing the proliferation of his
descendents. The human species seems to want to castrate itself to avoid having to share its bread with
those who come later. Man wants to drain away for his own use everything can extract from the earth,
to continue abusing everything the material world offers him for his pleasure and delight. Concentrating
on his own selfishness, he tries to avoid having descendents, limiting them in the extreme - and, of
course, even more those of his neighbours and "friends" or, A FORTIORI, his servants - since, after all,
each, of us believes that "the others are inferior to me and my family, and thus less worthy of life". Since
everyone thinks this way, in the struggle of each to assert this personal thesis, the drive for mutual
destruction will be subconsciously augmented.
PAGE 191
Man should again turn his gaze to nature (separation from it was, from the biological point of view, his
original sin). Just as spermatozoa are selected by biological laws and processes of which even now we
are in ignorance and doubt, and which provide that only one of the thousands and thousands of
spermatozoa produced actually fecundates the ovum, nature selects and imprints on each being a
different potential which enables him to survive or not, and in this general procedure, we can detect few
faults.
Here, we must, of necessity, but briefly, raise the question of vaccinations - whose ultimate benefit we
minimize and virtually reject.
Man should submit intelligently to the rule of the universe by adequately stimulating the potential
residing in the nature of each person, helping to rid it of defects and to reincorporate it into complete
normality. And when this potential is not adequate for survival, man should die with dignity, but with all
of his capacities and qualities intact. True medicine will thus strive for the prototype of each individual
rather than the pitiful remnant which will only make the human type ever more degenerate and absurd.
PAGE 193

Summary of conclusions
PAGE 195
I. All the therapeutic action must be found in the curative power of nature, that is, in the Vis Medicatrix
Naturae of Hippocrates. This is the power that generates, gives form to, and cures illness. The wisest
physician is the one who makes himself the loyal and responsive servant of the Vis Medicatrix Naturae.
II. The MIASM must be understood in its broadest sense as a true chronic disease, predisposing
condition, or morbid constitutional state which will unfailingly give rise to the different illnesses of
mankind - whether of deficiency, excess or perversion - recognizable in the organic alterations as in the
mental and emotional spheres.
III. Acute illnesses must be recognised and treated as efforts, or organic nature responding to
stimulation of the patient's miasms, by the various ambient and determining causes. Such an approach
will permit the homoeopathic physician to assist efficiently in eliminating a large part of the individual's
miasmatic burden by applying the true " simillimum" corresponding precisely to the "totality of the
symptoms" which are the manifestations of the dominant miasm.
PAGE 197

Technique of applying the hahnemannian miasmatic doctrine

PAGE 199
Homoeopathy is not just a new therapeutic system or distinct curative method; it is a whole of life, a
special pattern of behaviour and manner of visualising life. To be a true homoeopath one must undergo
a transformation.
This starts with adoption of a new approach to life, accepting as its ultimate purpose an orientation
towards our fellow humans, from those who are closest to those who are farthest away, that is,
encompassing the whole of humanity of which we are a reflection. At the same time we must see
ourselves as individuals or units of the whole, depending upon nature as its principle, even though the
latter is known ambiguously and only through intuition, since its definition still retains the nebulosity of
a hypothesis. Therefore, application of the homeopathic doctrine of miasms should cover not just the
individual but, principally, society and the human species as a whole.

Procedures
I. When face to face with a patient our main objective will be to identify with him. This means
considering the state of existence which causes him suffering as a form of our own existence, in other
words, as a state in which we could also find ourselves under similar conditions. This is why the patient
consulting us is worthy of our attention, becomes our true fellow-human, whom we must approach with
concern, realizing that he is an extension of ourselves, - or we of him.
 Only thus, will we attain that true empathy, interpretation of each by the other, a true emotional union
or fusion of two beings.
II. When inquiring about the anomalies presented by the patient, we should observe and perceive :
A) The disturbances he has noted and recounts as constituting his particular illness.
PAGE 200
B) Those which lie beneath the surface without reaching the level of consciousness but which, with the
physician's assistance, he can define or accept.
C) Those which the physician can deduce with certainty from the patient's expression or behavior.
This would seem to constitute the "totality of the symptoms", but it does not.
From the signs and symptoms which have been evaluated and noted down the physician should isolate
those constituting the present moment of existence through which the subject is passing, the ultimate
expression of his being. To understand this better, let us liken it to a multidimensional photograph which
aims to capture all facets of the individual's expression (like a cubist painting). Even though very
descriptive of the individual, such a photograph would not encompass him in hit totality; above all, it
would not be the equivalent of a similar photograph taken by a different camera on another day or
under different circumstances in the patient's life - just as two portraits by two artists would not be the
same, even if they used the same technique and had the same landscape as background.
To attain the true totality of the symptoms we should extend the procedure to encompass :
A) To antecedents showing evidence of a relationship with the present syndrome or pathology.
B) All predisposing factors in the patient's surroundings as well as those deriving from his temperament
or Constitution, these being the necessary causes of the particular anomalous configuration of this
person's existence, i.e. , his illness. Such knowledge is deduced from our familiarity with human beings
in general as well as with the given patient's particular mode of expression.
PAGE 201
Something similar is done by a good surgeon. First, he requires extensive knowledge of general
anatomy; then he must revive his knowledge of the special conditions obtaining in the region affected in
the present case, as well as any relation between anomalies present there and other close or
corresponding organs and regions : finally, he must give thought to the general repercussions which may
be deduced or foreseen.
If he does not hollow this procedure, he may be a good man in the operating room, yet not a good
surgeon. By the same token, if we limit ourselves to finding a medicine which covers all the similar
symptoms without attempting to establish for them an order of importance, without taking into account
their antecedents and, above all, their ultimate aims, we may become "symptom-removers" (a very
appropriate term used in such cases by our colleagues in Venezue) but never true homoeopathic
physicians.
III. Then we must focus on the predisposing factors in the given individual and the way he has reacted
to them. This is accomplished by analyzing his biopathography and recognizing his constitutional
pathological response to the numerous stimuli in his surroundings. This is precisely the domain of the
MIASMS - whether deficiency, excess or perversion, or their blends.
We recognize psora, characterized by deficiency, in the various forms of inhibition - in lac, in the
weakness in inferiority complex, in coldness, in all that limits the individual's expression and gives his
signs and symptoms a bluish hue (following the color symbolism which we have describe before).
Sycosis will make its presence felt by ostentation; its hastiness, its tendency to externalize and
exaggerate, its abnormal increase in the frequency, the dimensions, and in the intensity of the sickness,
as in the concomitant instability. Everything which tends to exaggerate the expression of the self-hyper-
function, hypertrophy, etc. is part of this yellowest of the miasms.
PAGE 202
Syphilis, characterized by degeneration, represents an involution which is equivalent to repulsion and
destruction of the mind as well as of the organs; furthermore, perversion of the functions, spasms,
ulcers, degeneration of the tissues, burning passions, homicide and wickedness generally are due to
syphilis. This miasm corresponds to the red color of blood and of consuming fire.
Nevertheless, we may scarcely ever encounter symptoms which clearly present these fundamental
colors. Let us imprint deeply in our minds that most of them are presented in a variety of grayish hues,
in the innumerable combinations of miasmatic burdens just as with the landscapes around us which
become increasingly gray with distance from nature and the noonday sun.
We will also recognize the symptoms resulting from therapeutic interference, which often constitute
true pseudo-miasms. Such symptoms must be treated as an artificial nosological picture to be antidoted
or neutralized by the medicine or series of medicines representing those symptoms or else need not be
considered if they are not dominant.
By proceeding in this way we achieve the following result :
1. By perceiving the most persistent characteristics of the individual we recognize what kind of entity he
would be in health, and
2. also the sickness or deformations he has undergone, including :
A) Those due to a latent miasmatic state which he has been able, in part, to compensate.
B) Those which led him to perceive his anomaly and which give rise to the conscious suffering; these are
due to activation of the miasm.
PAGE 203
C) Syndromes or sickness which have occurred in succession in the patient and represent merely
suppressed episodes of the underlying illness.
IV. In this way we arrive at a truly integral understanding of the human who is our fellow sufferer and of
his individuality or profound essentially which is compelled to express itself defectively due to the
miasms. These prevent him from having a perfect grasp of the whole and, in consequence, produce an
imperfect manifestation and a defective understanding of himself and all other things, a mis-shaped
trajectory and a reality which is deformed in precise function of the magnitude of the miasmatic burden.
Gaps, defects and miasmatic colorations can be seen even in the supreme and "culminating" works of
the human spirit. Man's productions come closer to perfection to the extent thet he can counteract his
miasmatic burden; and the more dominant the miasmatic modulation the more harmful it will be for the
species.
The ultimate aims of man's dominant activities will be the more intense, the more his miasmatic burden
resembles that of his fellow humans. The dominant psoric is better understood by other dominant
psorics when his psora in its appropriate degree is capable of being stimulated by the psora of this
leader or that outstanding individual.
The same is true for the sycotic : his manifestation will be accepted or understood by other sycotics, or
by the sycotic element in humanity as a whole, at the appropriate moment. The syphilitic also will find
adequate response in those similar to him and in that portion of the destructive miasm which is carried
by all giving rise to a resonance corresponding to the modulation of its expression.
V. Using all this easily demonstrable knowledge about the human being we must necessarily proceed to
an analysis of society in the present as well as in the various stages through which it has passed. In this
way we see clearly and with certainty what constitutes the Collective Miasm dominating any given
human group or nation as well as its rules, philosophies, politics and collective happenings. History is the
product of the biopathography of the most prominent humans in that historical period, spread by
contagion through miasmatic predisposition in that historical period, spread by contagion through
miasmatic predisposition (in the same way that the action of microbes is effected).
PAGE 204
VI. The homoeopath must be a true physician, and the true physician must understand the true
ultimate end of therapeutic action. This should never end with alleviation of an individual's suffering but
must represent the attainment of his genuine expression and integral rectification, freeing him as much
as possible from his miasmatic burden or load. To act otherwise is a crime against humanity.
VII. We can visualize miasmatic pathology as a skein or ball of yarn made up a series of threads or
filaments accumulated over time, from those representing miasms inherited from progenitors to those
acquired by the subject himself at different stages of life. In generic man, i.e. , the human species, as in
the individual or in our patient especially, we always find as an underlying stratum the threads or
filaments corresponding to psora, with its shades of blue. That is why Hahnemann rightly pointed out
that in every truly chronic illness therapeutic action must ultimately be directed at the psora if a true
cure is to be achieved.
The correct prescription will eliminate the threads of the skein one by one, I absolute accordance with
Hering's Law of Cure. And the similar medicine will always stimulate a change in the patient in a
direction most analogous to his state of existence; thus it takes him through separation to diversity and
thereby restores him to his normal course. The miasms have brought the VIS MEDICATRIX NATURAE to a
standstill, generating a relatively well-balanced pathological condition. The patient is freed to some
extent when brought under the dynamic power of the constitutional remedy : this gives rise to a form of
existence which, while abnormal, furtive and temporary - lasting only for the duration of action of the
medicine - is nonetheless analogous or similar to that of the patient in his normal life. Its action sets him
at some distance from the miasms and thus enables the vital force to perform its work and bring about
its rectifying effect by virtue of the medicinal potency.
PAGE 205
This is easily understood by analogy with the psychoanalytical procedure known as the treatment of
neurosis by transference. The anomalous state of the subconscious is heightened along the lines of the
patient's own projections and fictions, causing it to fall back due to the artificial analogy ultimately on
the analyst, who must then extricate himself once his work is completed. The same is true for the
homoeopathic medicine : when its action comes to an end, it yields to the rectifying effort of the VIS
MEDICATRIX NATURAE.
In respect of the human species we see the effect of miasms in, for example, many aspects of sociology
such as when an ideology is applied with deplorable or erroneous results, giving rise to a revolution.
Revolutions are nothing other than opposition to a procedure which seems contrary. But, as we know,
contraries do not exist in nature, being nothing but opposites within a common nature. That is why wise
men who become leaders never seek revolution in the strict meaning of the world; they know that
revolutions on any plane are destructive and lead only to the establishment of similar procedures which
equally lead to excess. Thus they strive only for variation within the analogous, and that is why Plato
longed for a government by philosophers. Gandhi struggled intensely for change in order to obtain the
gradual alleviation and salvation of his people. Madero, the apostle of the Mexican Revolution, did not
initially want a revolution, fearing that it would only beget new errors, and strove only for change, so to
speak, a homoeopathic cure which would gradually lead to the path of well-being.
VIII. When we have completed our integrated homoeopathic clinical work-up of the patient, we will
have symptoms which are definite, verified and put into a proper order, constituting the whole of the
patient's anomaly : "that which is to be cured in him" (paragraph 3 of the ORGANON.)
PAGE 206
A In acute cases the symptoms which bother the patient the most or cause him the most grief are not
always the most important, or at least are not the only important ones. The principal symptoms will be
the most peculiar and characteristic symptoms of the patient - not of the Syndrome. If we work only
with the most obvious symptoms, we will suppress instead of cure. (Organon, par. 152).
B. If no curative reaction occurs even though the remedy has been given in accordance with the
patient's most peculiar and characteristic symptoms, the physician should seek the remedy causing a
reaction - basing it on long standing and persistent anomalies with a constitutional or miasmatic basis.
This will lead us to a "basic" remedy with more profound action.
In chronic cases, the totality of the symptoms will yield the expression of the dominant miasm. The
simillimum will have to cover and eliminate the symptoms or that part of the symptoms corresponding
to the dominant miasm. The group of symptoms, or parts of symptoms, or variations of symptoms which
correspond to the next dominant miasm will remain as a residue; and when the effect of the medicine
has worn off, these will provide the symptomatic picture guiding selection of the next remedy.
On the subject of the correct prescription, we must be sure to allow sufficient time for the medicine to
complete its action.
IX. The first prescription should cover the "now" of the patient. The dose represents the potency which
is suited to :
A. The chronicity and profoundly of the ailment.
B. The ascertained possibility of rectifying the patient's dysfunctions and eliminating his lesions.
PAGE 207
C. The ascertained capacity of the patient's vital force.
D. The nature of the medicine.
High potencies should not be used to treat the miasms when :
A. The patient's health is precarious.
B. The physician is not entirely certain of having selected a completely similar remedy.
C. He is striving for a palliative effect which will cover the patient in part (when the disease is incurable).
D. The symptoms of the dominant miasm (if it has been recognized) do not match those of the selected
remedy.
X. The general symptomatology of the patient (if well observed and evaluated) will corroborate this
series of superimposed pathological "layers" which are to be eliminated by the necessarily protracted
treatment. Returning now to our "ball-of-yarn" simile, the first layer will be made up of a thread or
concatenation of symptoms of recognized coloration which always reveals, underneath it, other layers
or ends of threads which are seen more clearly when we have eliminated the first layer (Kent).
The "totality of the symptoms" will not be the numerical totality but rather the totality congruent with
the dominant miasm. This constitutes the true and useful totality : true, because it is the existential
moment which we must strive to reach in our patient and useful because it is the group of symptoms
which points to the true simillimum.
The biopathographic antecedents represented by the tonalities distinguished in the underlying
symptomatic layers permit us :
 1. To understand fully how the patient's pathology has been generated and formed.
PAGE 208
2. To prescribe an adequate course of psychotherapy (if we are in a position to do so) for the different
stages of cure, and even to plan out the remedies which will be used later, since most of the time
pathology originates in a psychoanalytical conflict in the patient.
Here, the physician must take care to avoid being misled by preconceived ideas, even if there are good
grounds for them, defining symptoms which have not been unquestionably noted in the patient. For
example, the patient might present "aversion to husband" which is a precise mental symptom and
therefore of primary importance. Her biopathography indicates that she loved her mother very much
and that her mother was maltreated by her father. It can be deduced that she feels resentment toward
her father... but the only valid symptom is the first, unless the resentment can actually be
demonstrated. The same happens, but in the opposite direction, when a symptom appears to be the
logical result of a condition and should not be modified by a medicine, and yet it is eliminated - as in the
case of a countrywoman who was afraid to cross the streets of a large city and yet lost this fear with
Aconite (case of Flores Toledo).
Let us bear in mind the following :
A. Deformations of the natural symptom pictures are caused by suppressive therapies; symptom
patterns are sometimes due to enantiopathic, allopathic or pseudo-homoeopathic therapies which
simulate miasmatic episodes but are not really such (Organon, paragraphs 201-203).
B. To disclose the true expression of the miasm demands time and the appropriate remedies.
PAGE 209
XI. If we follow the profound thinking of Hahnemann, as well as that of Kent, Allen, Higinio G. Perez,
Paschero, and other homeopathic thinkers, as well as Carrel, Jung, Stekel, and many others with respect
to medicine and entology, we will acknowledge that --as already suggested in the first pages of this book
- the human being responds to a certain determinism or final cause; but we emphasize, as we have
above, that our understanding of these terms is not exactly identical with their meaning in philosophy.
We simply recognize that man himself, it observed in depth, and the ultimate aim of his passage
through the world, disclose an implicit tendency to self-realization in a determined direction. This
direction is perceived and conveyed from his unconscious to his subconscious, and finally to his
conscious mind, at the same time that he develops physically and, above all, intellectually. If he
succeeds in acting in perfect harmony with this tendency which relates to his most essential nature he
will achieve the completest self-realization; in other words, he will "accomplish the high end for which
he was created" (ORGANON, paragraph 9).
The miasms represent everything that has been superimposed on his essential being, whether deriving
from the environment or acquired by him in error. They also represent a false personality, that is, a
personality which does not correspond faithfully to his intimate essential nature.
Thus, a profound analysis of the miasm reveals it to be something that permanently surrounds the ego
while being adverse to it. When man, the essential ego, succeeds in throwing off that adverse miasmatic
sheath, he achieves his true expression.
XII. The homoeopathic remedy, that is, the true simillimum prescribed one after another through time
will effect liberation of this essential nature of man and reintegrate it into he homoeo-stasis or harmony
with the whole as well as with itself. Thus, it stimulates and impels him toward planitude.
PAGE 210
Therefore, homoeopathy is the only medicine of man - in harmony with nature which preserves
everything created. The supreme and ultimate end of the true physician is to restore the human being
to health - which is, in the individual, equanimity, and in the species, the realization of man throughout
all eternity.