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Annex A: The Chronic Miasms

A fundamental aspect of Heilkunst is the discovery by its founder, Dr. Samuel Hahnemann, of primary, constant infectious diseases of a chronic nature that can be passed on from one generation to another. These represent archetypal disease forms, out of which emerge the numerous variable, individual diseases.

To the constant infectious forms Dr. Hahnemann gave the name of chronic miasms, as their nature was as constant as those of the acute miasms, like measles or whooping cough. This is part of the tonic side of disease.

The variable forms he termed the chronic diseases, which form part of the pathic side.

"Miasm" is an old medical term for "noxious influence" or "bad air." There are acute miasms, of which the most common are the childhood diseases like measles, mumps, scarlet fever, etc., as well as the well-known infectious diseases such as yellow fever, malaria, cholera, typhoid, and smallpox.

Dr. Hahnemann discovered three chronic miasms: Psora, Sycosis and Syphilis. Later, with the emergence of tuberculosis in the 19th Century, this was also found to be an infectious disease of constant Wesen (essence, or underlying nature). It had been considered part of Psora early on and in some of the books had been initially referred to as pseudo-Psora. Tuberculosis has many features of Psora, but also has aspects of Syphilis. The isolation by Robert Koch, a German scientist, of the tubercular microbe in the late 19th Century confirmed the infectious nature of this miasm.

Later, with the rise of cancer came the discovery by Royal Raymond Rife that cancer too, in its primary form, had an infectious origin. This led to the view that this scourge of mankind was a fifth chronic miasm, sharing elements of Sycosis and Syphilis.

Acute miasms, as with other true acute diseases, have a relatively sudden onset, climax and resolution, and thus are self-limiting. In contrast, the chronic miasms have a slower onset, seldom grow to any climax (although there are periodic flare-ups) and continue until one's death. Their course cannot be prevented, only slowed, by a careful diet and lifestyle, or the absence of stresses. If untreated the prognosis is usually poor and the outcome generally fatal, as we all will tend to die along the same lines, with the same general conditions, from which those in our family tended to die.

The chronic miasms are infectious natural diseases, and each has a characteristic skin lesion. This lesion is the first response of the Living Power in its efforts to evict the disease. If it is unable to do so, the Living Power, in its counter-action, pushes the disturbance, as far as it is able, to the periphery of the organism where it can do the least harm and is visible to the physician so that he can affect a cure.

However, if the natural law of cure is not followed, the treatment only provides temporary relief (palliative) or it suppresses the expression of the disease on the skin and forces the Living Power to set up a line of defense deeper in the organism, affecting the more important (what Hahnemann called "more noble") organs.

Psora
Dr. Hahnemann called the first chronic miasm Psora, from the Hebrew word "tsorat," which has a multitude of meanings, but in this context the sense of "fault, groove, pollution, stigma." It was often applied to leprous manifestations and the great biblical plagues.

Hahnemann was able to trace this disease far back into history, seeing its origins in the reported cases of antiquity of an itch disease, manifesting itself in a skin lesion that was relatively minor, but itchy, particularly if scratched.

Psora is mainly a disease of deficiency at all levels - deficiency of knowledge, thought, assimilation of ideas and nutrition. There are a host of conditions identified by the prefix "hypo" (hypotension, hypochondriasis, hypotrophy) associated with psora. It causes little or no structural change, but much disturbance of functions, feelings and sensations. It seems to involve largely the nervous and reticulo-endocrine systems of the organism.

The psoric state of mind feels it does not have enough (of anything, be it money, food, energy, love, warmth, etc.). You may be familiar with it if you know anyone who had to live through the Great Depression or a war. They may hoard food, toilet paper, rubber bands or twist ties, for no apparent reason other than, "You never know when you may need them." The stereotypical street person illustrates this miasm well, when they are carrying with them every one of their possessions, while wearing virtually all of their clothing, including coats and hats, even in sweltering heat.

If there is psora in your family history, it will manifest, according to Dr. Roger Morrison in his Desktop Guide, as: Abscess. Acne. Allergy. Anxiety. Aphthae. Asthma. Boil. Bronchitis. Colds. Connective tissue disease. Depression. Dermatitis. Eczema. Headache. Insomnia. Otitis media. Pharyngitis. Phobic disorders. Psoriasis. Scabies. Sciatica. Skin ulcers. Upper respiratory infection. (among other conditions)

Sycosis
This chronic miasm is identified by the characteristic small genital warts, which reminded Hahnemann of figs in their shape and texture. The Greek word for fig is sycosis. It originally comes from a gonorrheal infection and leads to various excesses in mind and body function. Here a host of conditions involving the prefix "hyper" are involved (hypertension, hyperactive), as well as inflammatory conditions, various conditions with the suffix "itis" (like sinusitis, vaginitis, urethritis, etc.).

We see in sycosis an excess in mind and tissue, providing the foundation for later tissue degeneration. People who have sycosis are more susceptible to vaccine shock, to the ill-effects of any suppression of morbid discharges (nasal secretions, vaginal discharges, etc.) and to the shock of the surgical removal of various skin manifestations (warts, cysts, fibroids, moles), which can lead to the activation of any latent sycosis.

It seems to involve mainly the blood and circulatory systems, with sycotics being highly susceptible to heart attacks, blood disorders, the ill-effects of blood transfusions, arteriosclerosis, etc. The state of mind is of excess - the sex, drugs and rock-and-roll energy, like Las Vegas at 3:00 a.m., and those who are just getting started at night when others are going to bed.

From Morrison's Desktop Guide: Allergy. Angina. Anxiety. Arthritis. Asthma. Behavior disorder. Eczema. Herpes. Hypertension. Interstitial cystitis. Leukorrhea. Manic-depression. Migraine. Otitis. Peptic ulcer. Pulmonary fibrosis. Reiter's syndrome. Sinusitis. Urethritis. Vaginitis. Warts. (among other conditions)

The Sycotic Child

• Extreme extroversion, vitality and energy
• Loud, chattering incessantly, irritating
• Rude and aggressive socially
• Early experience with drugs, sex
• Sexually precocious behavior (including masturbation, touching of genitals, inappropriate touching of others)
• Hurried behavior, stammering, hyperactivity
• Poor concentration
• Messy by nature
• Meanness and cruelty, frequent fighting, screaming, throwing things, hitting, threats of violence
• Instant gratification, wants things his own way
• Hold deep grudges and resentments; desire for revenge
• Mendacious, jealousy of siblings, selfishness, possessiveness
• Cognitive problems
• Anomalies in gross and fine motor skills
• Short attention span, lack of concentration
• Fears of being alone, of the dark, of large bodies of water, of closed-in spaces
• Night people, restless sleep, nightmares
• Memory weakness

Syphilis
Syphilis is represented by the characteristic genital ulcer and, in general, involves ulcerative conditions. It is marked by tissue destruction and degeneration, involving various conditions marked by the prefix "dys" (such as dystrophy, dystonia). Here we see the corrosive effects of the syphilitic infection in terms of the mind (suicide, serious mental disorders) and the body (ulcers, decay, congenital defects). Most very serious disorders have their roots in this miasm.

The syphilitic patient will lean toward either self-destruction, as in bulimia, anorexia, drug or alcohol addictions, obsessive-compulsive disorders (Did I lock the door? Did I lock the door? Did I lock the door? Did I turn off the stove?), and even flesh-eating disease lies in this realm; or destruction, including violence toward property or others.

From Morrison's Desktop Guide: Abscess. Acne. Alcoholism. Alopecia. Aneurysm. Anxiety. Bone pains. Compulsive disorder. Headache. Insomnia. Leukorrhea. Malignancy. Mouth ulcer. Neuralgia. Psoriasis. Scoliosis. Skin ulcer. Astigmatism. "Growing" pains. (among other conditions)

Tuberculosis
Dr. Hahnemann may have realized later in his life that there was another miasm hidden in Psora. His followers called it "pseudo-Psora" because it had elements of psora, but also of syphilis. This was the term used by homeopaths until later in the 19th Century when tuberculosis emerged as a full-fledged illness in Europe.

The creation of a nosode by J. Compton Burnett in England from the morbid secretion of a tubercular patient (which he named Baccillinum), plus the later allopathic discovery of the same infectious agent by Koch, led to Tuberculosis being more closely associated with this newer miasmic discovery. Nebel and Vannier in Europe did more work in identifying the characteristics of Tuberculosis as a chronic miasm.

Tuberculosis is familiar to most of us in its manifestations and appears to have elements of both Psora and Syphilis. One of the keynotes of Tuberculosis is an internal restlessness and degree of consciously-directed destruction.

The person with tuberculosis in the family history has a great desire for change, and it can manifest at any level. They will travel, if possible, to new locales. They may change jobs, change houses, and if those more expensive outlets are not open to them they will change the furniture placement in the house, or paint the walls, or hang new curtains. They cannot even drive to work in the same way every day, because they need the change of route and scenery.

From Morrison's Desktop Guide: Adenopathy. Alcoholism. Allergy. Alopecia. Amenorrhea. Arthritis. Asthma. Astigmatism. Autism. Behavior disorder. Bronchitis. Bruxism. Colds. Compulsive disorder. Connective Tissue disease. Croup. Enuresis. Flushes. Headache. Hodgkin's disease. Hyperactivity. Lymphoma. Malignancy. Meningitis. Menopause. Mental retardation. Osteomyelitis. Pneumonia. Respiratory infection. Rheumatoid arthritis. Scoliosis. Sexual disorders. Systemic or discoid lupus. Tinea. Upper respiratory infection. (among other conditions)

The Tubercular Child

• Difficulty in comprehension, poor concentration, averse to mental activity, memory weakness
• Fears of strangers, new situations, dogs, cats, being alone
• Restlessness, intense energy all day, restless sleep
• Grind teeth, toss about in bed
• Love to run, spin and jump
• Strike others
• Worse on waking
• Violent with anger, hitting, biting, throwing fits, striking the head on the ground
• Contrary
• Break things that others value
• Selfish and uncaring about others, property
• Teasing, impish (devil/angel child)

Cancer
The essence of cancer is sensitivity to the world and criticism, and anxiety for others and events generally. It shares some noteworthy features of Tuberculosis, such as hair on the spine, blue sclerae, genupectoral sleep position and the desire for travel. There are also links to Sycosis - hyperactivity in children, increased sexual desire, amelioration by the ocean, desire for salt, sweets and fats, and insomnia.

Carcinosin is fastidious and worse from consolation. It desires chocolate and has a love of dancing. It is exhilarated in thunderstorms. It has a strong connection with the constitutional remedy Silicea and also to Natrum mur. The essence of cancer is resignation, a loss of the self, living for others and not realizing their own destiny.

It is also a great remedy for opposites. There can be great love or desire, then intense hate or aversion.
The child can have high fevers or no childhood fevers. They have a magnetic energy and attraction. The sexual desire of the cancer type is high.

From Morrison's Desktop Guide: Abscess. Acne. Allergy. Asthma. Chronic fatigue syndrome. Colitis. Constipation. Cough. Developmental delay. Diabetes. Dysmenorrhea. Headache. Immune deficiency. Insomnia. Moles. Nevi. Ovarian cyst. Premenstrual syndrome. Rectal prolapse. Respiratory illness. Sinusitis. Tics. (among other conditions)

We have discovered, based on close observation of our cases, that most people have most of the chronic miasms through inheritance. We also have the discovery of a particular order of appearance of these miasms during treatment. This particular order, called the law of succession of forces by its discoverer, Dr. Elmiger of Switzerland, adds to the sequence of treatment that Hahnemann laid down in his writings.

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