Cattle dogThe concept of deeply embedded, chronic disease was called Chronic Miasm by Dr. Hahnemann. Miasms can appear as the result of daily stresses such as climate, emotional challenges, exposure to harmful substances, diet, excesses and abuses. More likely than not, Miasms are passed down to a dog from his parents. This means that, even though you may raise your dog naturally with the best foods and avoidance of toxic chemicals, he will still carry the baggage of his parents, grandparents and other ancestors. Miasms affect both the body and the mind.

Hahnemann spent 12 years investigating miasms and collecting proof of his findings, the results of which can be found in his work, THE CHRONIC DISEASES. He named three miasms – Psora, Sycosis and Syphilis. Later a fourth miasm was added (by J. H. Allen), called Pseudo Psora or Tubercular Miasm.

In Homeopathy, only the totality of the symptoms of the individual state of each particular patient is used to cure the disease. No real cure of miasms can take place without strict , individualized treatment.. Chronic miasms are often hidden and the symptoms can be difficult to find. A detailed history and case taking needs to be done to determine what approach to take.

The four miasms and their common symptoms are:

Psoric Miasm

Psora is the most common of the miasms, accounting for over three quarters of patients. Psora is responsible for most chronic disease, skin issues, allergies, epilepsy, diabetes and most dysfunctional diseases of the organs and systems. In addition to skin problems, common symptoms will be irritation, inflammation, itching, burning, dry, unhealthy skin and lesions.

The chief Psoric remedies include Sulphur, Natrum mur, Calc carb, Arsen alb, Lycopodium, Phosphorus, Mezereum, Graphite, Causticum, Hepar sulph, Petroleum, Silica, Zinc and Psorinum amongst many others.

Hahnemann claimed that Psora was the most ancient and insidious miasm, and that it was derived from skin eruptions of various types in the past. He claimed the suppression of these conditions as the primary cause of Psora.

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Sycotic Miasm

This miasm is held to be responsible for many sexual and urinary disorders, and affections of the joints and the mucous membranes. It is also responsible for those conditions worsened by damp weather and by contact with the sea. Arthritis and rheumatism, asthma, catarrhs, bronchitis, cystitis and warts are all regarded as partly or mainly sycotic in character. The wart came to be seen as the underlying archetype of this miasm as it is also held to be responsible for all warty excrescences and growths.

Chief remedies are Thuja, Lycopodium, Natrum sulph, Causticum, Kali sulph, Staphysagria, Calc and Sepia amongst many others.

Syphilitic Miasm

This miasm is held to be responsible for many diseases of the nervous system, the blood and skeleton as well as a range of psychological disorders, including depression, blindness and deafness. It is also associated with many heart conditions, some vesicular skin eruptions without the itch of Psora, and diseases that are definitely worse at night. Discharges will be putrid and smelly.

Chief remedies are Arsenicum, Mercurius, Phosphorus, Lycopodium, and Nitric acid, amongst many others.

Tubercular Miasm

This miasm is also known as Pseudo-Psora. The Tubercular miasm combines layers of the other three miasms into a complex aggregate. It is usually characterized by shifting, changeable symptoms. These can include symptoms in the lungs and bones, thin, waxy skin with excessive pus, fatigue, lack of tolerance, cancer, influenza, worms and epilepsy.

The chief remedy is Tuberculinum.

When treating chronic disease, it is important to understand the chronic miasms. The law of similars dictates that the homeopath must choose the most similar remedy possible and this is best accomplished when the acting miasm is understood. In his theory of Chronic Disease, Hahnemann wrote: The physician skilled in anti-miasmatic prescribing dips deeper into the case and applies an agent that has a deeper and closer relationship with the perverted life force. The results are always better.

Hahnemann discovered the miasms because the ailments he was trying to treat kept coming back, year after year. Even when the correct remedy was given, there was no permanent cure. Hahnemann’s proof of the existence of miasms was the persistence of these chronic diseases, even after taking care of other disease-causing factors like diet, hygiene, etc. Miasms seem to come from within the body, from something that was deranged within the life-force itself. Understanding miasms and their characteristics is crucial for treating deep-seated, chronic diseases.