Week 9 - Classification of Disease - Acute vs Chronic PDF

NMT100-HOMEOPATHY C L A S S I F I C AT I O N O F D I S E A S E I N H O M E O PAT H Y A N D M I A S M S I N H O M E O PAT H Y LEARNING OUTCOMES Compare and contrast acute and chronic diseases during case taking and case analysis. Differentiate between Hahnemann's three chronic miasms: psora, syphilis...

NMT100-HOMEOPATHY C L A S S I F I C AT I O N O F D I S E A S E I N H O M E O PAT H Y A N D M I A S M S I N H O M E O PAT H Y LEARNING OUTCOMES Compare and contrast acute and chronic diseases during case taking and case analysis. Differentiate between Hahnemann's three chronic miasms: psora, syphilis and sycosis as well as the tubercular and cancer miasms. WHAT IS DISEASE? What is disease? Dis-ease "absence of ease" WHAT IS HEALTH? (EASE) Definition by WHO: Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. WHAT IS HEALTH? CONT. §9 In the healthy condition of man, the spiritual vital force (autocracy), the dynamis that animates the material body (organism), rules with unbounded sway, and retains all the parts of the organism in admirable, harmonious, vital operation, as regards both sensations and functions, so that our indwelling, reason-gifted mind can freely employ this living, healthy instrument for the higher purpose of our existence. CLASSIFICATION OF DISEASE As Homeopathy matured, it began to construct its own causal theories that included the classifications of the individual and collective diseases C L A S S I F I C AT I O N O F D I S E A S E B A S E D O N O R G A N O N DISEASE Physical/external truama Dynamic DYNAMIC DISEASE Dynamic disease Acute epidemic Sporadic Chronic Individual Mismatic Nonmasmatic Chronic disease syphilis Miasmatic NonMiasmatic sycosis Drug induced(7476) psora occupational Lifestyle Miasms Based on Hanemann's chronic disease D EVE LOPME NT O F M I A SM From the early days of his career Samuel Hahnemann experienced great success in the treatment of acute diseases but as early as 1816 he was becoming concerned because the constitutional health of his patients seemed to be slowly declining. As he pondered the nature of this continual deterioration in his patients, he began to search for a deeper understanding of the processes that lie behind chronic disease. Hahnemann began to wonder about the cause of these complicated chronic diseases that were resisting his treatment. As he continued to administer his remedies, he noticed that certain chronic patients, who responded well at first, either relapsed or slowly became more ill. THE CHRONIC DISEASE For 12 years Hahnemann quietly searched for the fundamental cause of the chronic diseases that was slowly destroying the health of his patients. The outcome of this research was published in 1828 in the first edition of his great work, The Chronic Diseases Their Peculiar Nature and their Homoeopathic Cure, commonly known as The Chronic Diseases. MIASMS In these works, Hahnemann made public for the first time his theory of the chronic miasms. This led to the most controversial period of Homoeopathic history as it marks the first major schism in the history of the homoeopathic school. With the introduction of the theory of Psora and the chronic miasms, as well as the 30c potency, Hahnemann went too far for some of his more conservative followers. MIASM "The introduction of inherited predispositions in The Chronic Diseases and the acquired and inherited miasms in the 6th Organon expanded the role of the case history from the individual to the family tree and the history of humanity. It is necessary for a homoeopath to understand the nature of the exciting causes of acute diseases as well as the underlying fundamental cause of long-lasting diseases, which is usually due to the chronic miasms." -David Little MIASMCONT. "Miasms are a form of classification, a method of categorization to help bring order to a seemingly chaotic number of symptoms as well as a way to understand the origins of a disease process. Medicine has always sought to find forms of categorization in helping to define and measure disease, and miasms are an important and unique method of classification in homeopathy." -Richard Pitt MIASMCONT In Hahnemannian Homoeopathy the word "miasm" means the effects of microorganisms on the vital force including the symptoms that are transmitted to the following generations. These chronic miasms are capable of producing degenerative illnesses, auto-immune diseases and lead the organism toward immuno-deficiency disorders. MIASMCONT Hahnemann noticed that each of the chronic diseases has three phases, a primary stage, latent stage, and a secondary or tertiary state. The effects of these miasms were then passed from one generation to the next generation by inheritance and caused predispositions to certain disease syndromes. H AHNEMANN' S M IASMS Two non-veneral miasms Psora (the itch disease) Pseudo-psora (the tubercular disease) Two veneral miasms (STD) Sycosis ( genital warts) Syphilis (the chancre miasm). SIGNS AND SYMPTOMS Each of the chronic miasms have their own characteristic signs that are an integral part of the totality of the symptoms. Psora tends to produce irritation, inflammation, and hypersensitivity Sycosis tends to produce infiltrations, indurations, and overgrowth. Pseudo-psora (tubercular) tends toward tubercles, fibrosis and suppuration Syphilis tends toward granulation, degeneration and ulceration. ANTIMIASMATIC REMEDIES Hahnemann classified some remedies into antimiasmic categories because he discovered that certain deep acting medicines have a similar nature to the syndromes produced by the miasms. PSORA Definition: any of various skin diseases characterized by the presence of scabs or scales, usually with itching. “Psora” = a general term, referring to scabies, leprosy, psoriasis, etc. Has existed 1000’s of years BCE. ANCIENT PSORA, In ancient times the eruption of psora appeared as leprosy –a persistent external eruption on the skin which served as a substitute for INTERNAL Psora. Once the cutaneous symptoms are suppressed, Psora remains internally, causing secondary symptoms. “So great a flood of innumerable nervous troubles, painful ailments, ulcers, paralyses, consumptions & crippling of souls, mind and body were never seen in ancient times when the psora mostly confined itself to its dreadful cutaneous symptoms.” p.12 CHRONIC DISEASE “It was a continually repeated fact that the nonvenereal chronic diseases, after being time and again removed homeopathically, always returned in a more or less varied form and with new symptoms or re-appeared annually with an increase of complaints. The great extent of this disease [=PSORA] is shown in [these] new symptoms....” p. 5 PSORA "Psora is that most ancient, most universal, most destructive and yet most misapprehended chronic miasmatic disease for which many thousands of years has disfigured and tortured mankind, and which during the last centuries has become the mother of all the thousands of incredibly various...diseases... Psora is the oldest, and most hydra-headed of all the chronic miasmatic diseases.” TH E WH OLE ORGANI SM I S I LL BEFORE SYMPTOMS APPEAR “Is there in any probability any miasma in the world, which, when it has infected from without, does not first make the whole organism sick, before the signs of it externally manifest themselves? We can only answer this question with, no!” pg. 33 footnote If a syphilis chancre is destroyed or removed –by cutting off the part infected –the wound may heal, but the venereal disease will break out none-theless with all its sufferings. Hahnemann named this miasma, sycosis, after the Greek word “sykon”, which means “fig”. SYCOSIS Sycosis is the oldest of the chronic venereal miasms and increases the susceptibility to other sexually transmitted diseases. Sycosis is characterized by infiltration, induration and unhealthy overgrowths. The origin of sycosis is lost in prehistory although the presence of venereal disease was observed by the ancient Mesopotamians, Babylonians and Greeks. By 150 AD Galen was using the term “gonorrhoea”, which in Latin means the “flow of seed" "Hahnemann taught that sycosis was a constitutional disorder not a local disease of the genitalia. The use of local treatment on the condylomata (fig wart) does not remove the cause nor correct the inner state associated with the sycotic terrain. " SYCOSIS -David little Remedy examples: Thuja, Nitric.ac SYPHILIS Syphilis: Chancre miasm Produces more profound destruction than with gonorrheal infection/miasm. Affinities: Mucus membrane Bones Nervous system SYPHILIS Indications: Destructed tissues Caries of bones Pains increasing and decreasing gradually and wandering Suicidal thoughts Remedy: Syphitic remedies: Merc, Aurum, Arsenicum.album MODERN MIASMATIC IDEAS Kent (1900) equated Psora with “Original Sin”. “The state of the human mind & the human body is a state of susceptibility to disease from willing evils... Psora... is the outward manifestation of man’s very nature.” MODERN MIASMATIC IDEAS P. S. O r t e g a ( 1 9 4 0 s ) i n t r o d u c e d a metaphysical approach to miasms, based on archetypes & unrelated to specific infections. He incorporated intensity of symptoms into his differentiation. Psora = deficiency, inhibition, lack Sycosis = excess, escape, exudation Syphilis = destruction, degeneration, perversion MODERN MIASMATIC IDEAS: GEORGE VITHOULKAS Defined miasm as “a predisposition towards chronic disease underlying the acute manifestation of illness, which is: transmissible from generation to generation and, may respond beneficially to the corresponding nosode.” Pointed out that there may be more than 3 miasms Identified Tuberculosis as a separate miasm MODERN MIASMATIC IDEAS: RAJAN SANKARAN Remedies of the same family share a common sensation The expression of this sensation differs between remedies in the same family. The expression differs according to the pace & intensity with which that sensation is perceived & responded to. The pace & intensity defines the Miasm. Defined a total of 10 miasms CANCER MIASM (BASED ON SANKARAN) Pace & Intensity: Out of control, trying to gain control of a situation beyond her capacity; fastidious, perfectionist, stretching beyond capacity, desperate, with little hope of succeeding, rapid, destructive Attitude: small person with huge tasks to keep everything in control Possible disease Cancer Remedy examples: carcinosinum, ignatia, staphysagria, argentumnitricum TUBERCULAR MIASMSANKARAN Pace & Intensity: Feeling of oppression & suffocation; as if trapped and time is short to escape, desire to change, freedom Possible triggers: Chronic allergies, TB, asthma, abuse Remedy examples: tuberculinum, calc-phos, drosera, phosphorus, tarentula, the bird remedies RESOURCES: Little D. Miasms in classical homeopathy; 19962007http://simillimum.com/education/little-library/constitutiontemperaments-and-miasms/mch/article.php Sankaran R. Sankaran’s schema, 2005 ed. Homeopathic Medical Publishers; 2005. Kent:From Lectures on Homeopathic Philosophy, (1900), Lecture XIX https://en.oxforddictionaries.com/definition/psora https://ww w.ncbi.nlm.nih.gov/pmc/articles/PMC3956094/ S. Hahnemann, Chronic Diseases(1838 F E E L F R E E TO P O S T YO UR Q UE S T I O N S O N M O O D L E