Obviously I agree with this

Deciding too soon or too assertively which
miasm/s is active can be misleading and I also see this as a short circuit
to choosing a remedy, a method which can be full of problems. As I said
before if your choice/decision is wrong regarding the miasm so then will
your remedy choice be wrong and the case can be messed up.
However, I believe that our study and learning should involve understanding
which miasm/s each remedy pertains to - this not only helps us understand
the essence of the remedy but also helps us know whether a specific remedy
is applicable to any given case. This is a sort of reverse of deciding which
miasm is active which is why I say that deciding on a miasm can both help
and hinder.
I am worried that being over concerned about the active miasm encourages
some practitioners to opt only for nosodes (I am thinking here about some
recent posts about dismissing polychrests and then opting for nosodes when
there is a multitude of rx in between these choices). Of course if a nosode
is the simillimum it will cure and they might also be needed as
intercurrents to complete a cure, but it will always be the simillimum which
cures, the rx which fits the case. Whether a remedy is considered deep or
superficial, cure is always profound.
Re: the second part of your post - I always take the totality of a case,
although that totality might be a selective one but always guided by what
needs to be cured. Even in a complex disease the client will display signs
and sx of what might turn out to be a layered case - there might be a
massive amount of sx but you will be able to see some light in amongst the
fog and there will probably be an uppermost layer to deal with.
Some complex diseased cases can actually be much clearer, for example a case
of Conium that presents with both cancer and multiple sclerosis. There is
absolutely no reason NOT to take the totality of the case, all the signs
and sx and look for one simillimum. Each and every individual case will be
different.
Keep the eyes open and keep it simple is what I try to do.
Best wishes, Joy
http://www.homeopathicmateriamedica.com
on 13/11/04 15:36, Robert&Shannon Nelson at
shannonnelson@tds.net wrote:
Hi Nader,
Re Joy's comment:
"I don't think it is an essential part of case taking to decide on what
miasm is active but it can both help and hinder. At the end of the day the
remedy has to fit the case first and foremost,"
this is a point I am interested in! Since, in my understanding, "miasm" is
simply a shorthand way of categorizing the type of basic processes involed
(e.g. destructive, proliferative, underfunction, etc. [what would be similar
key phrases for other miasms?]), you can follow the same processes without
using the word. But I think the idea would be the same--if you have a case
showing deep tissue changes, you will not be wanting a remedy whose action
is found to be only superficial, etc. I think another way to do/say this is
in Joy's phrase, "has to fit *the case*", not merely fit the prescribing
symptoms.
Re your question, I am interested to hear others' thoughts, but for a start,
I don't think you will *ever* "consider all the signs & symptoms"--you have
to choose the signs and symptoms that indicate (so far as possible) the
center of the case, the "disease" that is under/behind "all" of the signs
and symptoms. You have to recognize which signs and symptoms may need a
"remedy" such as lifestyle change, removal of toxins, surgery, passage of
time

--in other words, those which are not part of the most relevant
remedy picture.
You seem to have a thought behind your questions--would you like to share
it?
Shannon
on 11/13/04 1:58 AM, Nader Moradi at
mn0021@issa2000.net wrote:
Clinical Guidance for Homeopaths and Students of Homeopathy!
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