symptoms towards at least one of the miasms. So we have psoric,
psoric/sycotic, psoric/syphilitic or tri-miasmic remedies etc.
For listing please see in Generalities under Psora, Sycosis and Syphilis.
You will need to cross reference them to see which remedies are listed under
two or all three headings (e.g. Lyc) for the tri-miasmatic remedies.
I would prescribe a 'miasmatic' remedy only if my best indicated remedy has
failed to do as expected [That is to say when the miasm in its true
definition has become an obstacle to cure.] and that I can see strong
indications of for example a syphilitic trait. For example when there is
ulceration and or haemorrhage. The remedy should still cover some of the
significant symptoms of the patient.
I would like to use the analogy of the Onion. We have different types of
onions and they taste and smell differently and their colour is different
also (a bit like our constitutional types - if Andrew would permit the use
of the word - effectively they are genetically different).
If an onion is kept under poor conditions it will start to issue shoots.
If the onion was to be cut perpendicular to the line joining the roots and
the shoot (I am trying to be precise here
) ) then one would observe theleaves of the onion in cross-section.
From the outside we have the peel, then we get to the rings. Further in we
would see a leaf that has gone brown and its texture has changed. This
appears rotten. Then there may be some more good rings and then another
brown leaf and so on depending on the size of the onion.
This, to me, gives a good representation of how we have some symptoms on the
surface of the case, then once these are removed we will eventually get to
the case of disturbance - unless we remove this brown rotten layer we cannot
get to the rest of the good leaves. Often it is the shoot at the top
(presenting symptom) that indicates that there is something going on inside.
Sometimes the onion is in such a state that even the outside skin and the
layers immediately below it have gone soft and brown. This is like a pt who
has presented with the symptoms of the miasm right on top - e.g. someone
requiring psorinum, or syphilinum or other strong miasmatic remedies such as
mercury or Sulphur etc. Remove these layers and underneath there may still
be some onion leaves that are reasonably healthy and usable.
Rgds
Soroush