Minutus

Dear friends,
I have decided to present the basic principles in treatment of chronic diseases in Minutus discussion group. You may have heard about my research in the field of Genus Epidemicus and its role in finding the simillimum in patients suffering from chronic diseases. But before begining the discussion of Genus Epidemicus (GE), I need to clarify some points in cases which are not miasmatic in nature. After this clarification you will see that understanding the related GE, is actually understanding the underlying dynamic alteration in most 'chronic' (and not all) the patients.
One of the problematic type of patients for most homeopaths are those suffering from OCD (Obssesive Compulsive Disorder). Understanding OCD patients greatly helps us to find out what Hahnemann meant by 'what is to be cured in diseases'.
Hahnemann in 3rd aphorism of Organon writes:
'If the physician clearly perceives what is to be cured in diseases, that is to say, in every individual case of diseases (knowledge of disease, indication), if he...........................'
This first sentence is puzzling for many readers. Even if it was 'what is to be cured in the patient' still it was puzzling for most homeopaths!
Here in my serial presentations the point will be clarified.
Let me give an example. It is about one of my OCD cases. She was a 19 y/o girl, anxious type of person with severe hypochondriacal anxiety focused on Fear of AIDS since 5 years before seeking treatment. She thought that she has AIDS. This was her daily obsession which compelled her to do the AIDS test frequently. During the interview she constantly talked about her fear of AIDS and why she might have AIDS. The interesting point was that she had had no sexual contact, no blood transfusion,... She didn't know why she had such fear and belief about having AIDS. She was an irritable and anxious girl, always wanting reassurance that she does not have AIDS but the amelioration following reassurance was transient. AIDS tests, again and again. She was unsuccesfully treated by two homeopaths on the basis of hypochondriacal anxiety and fear of AIDS (you have thius rubric in the new editions of Synthesis). If you look at the rubric of fear of AIDS in RADAR 9 you have this remedies:
Ars, Bor-pur, Calc, Carc, Con, Iod, Kali-ar, Nit-ac, Phos, Sulph and Syph.
The remedies that was prescribed for the patient by previous homeopaths were Ars, Phos, Arg-n, Nit-ac and Syph.
In psychoanalysis of OCD patients the traumatic story before the development of obsessions and compulsions is very important. Usually the elements of this 'pre-OCD' story are completely different than the content of current OCD state. There are shared 'themes' but the elements are different. Usually you find elements of feelings of guilt, self-reproach, severe fear,... in the pre-OCD story.
I asked the patient about her pre-OCD story and this was the story:
About 1 year before the development of fear of AIDS, a friend of her uncle asked her to be his boyfriend. They wanted to keep this relationship in secret. No sexual relationship happened. They just had telephone conversations for a limited time!! But because of some cultural limitations in her family she wanted this to be done in secret. She loved her uncle and didn't want him (the uncle) to know that there is such relationship with his friend. One day, one of the relatives found out what is happening and told her Grandma about the secret story! She was informed by the Grandma that the secret was revealed. She was shocked and asked her grandma not to tell the uncle what has happened. Grandma never told the secret to her uncle but since then she was always in severe fear and anxiety. She felt that she would be abondoned by his uncle. Every phone call was a treat for her. Going to Uncle's house or any conversation provoked a deep feeling of treat and fear of being punished. She began hiding from the relatives. She had a constant fear of offending and losing her uncle forever. Gradually, a severe floating anxiety and then the OCD pattern developed.
Now look at the elements of this pre-OCD story and forget about the current presentation of OCD. You have the following elements:
Secretive
Hiding
Paranoidal behavior
Delusion of being watched
Fear of being punished
Fear of offending and losing the uncle
Based on this underlying state, I precribed a single dose of Hyoscyamus (200c). The improvement began soon after this first dose.
As mentioned, Hyos is not present in the rubric, Fear of AIDS, and is not considered as a key remedy in hypochondriacal anxiety. She is actually not experiencing this pre-OCD type of anxiety at the time of coming for treatment. What does this mean? Am I treating the past state of the patient? Or the state still persists somewhere deep in the patient?
In OCD patients, this pre-OCD state actually persists in the subconscious level of the patient. The patient is escaping from this primary altered state by using the secondary defense mechanisms. It is much better for the patient to think of having AIDS rather than being in a constant acute paranoidal state. In this case, focusing the altered energy on fear of AIDS was actually a palliating defense mechanism. If we force the patient to re-experience the primary altered state (homeopathic prescription) in a controlled way, she can now adapt to what she was once unable to adapt to.
In this case, 'what is to be cured in OCD' was the underlying paranoidal state. Homeopathic prescription does not mean the mechanical collection of the current symptoms of the patient and choosing the simillimum. We should first understand the underlying primary altered state. This primary altered state is existing NOW deep in the patient but masked partially by secondary defense mechanisms. Ethiological state persists in the cases, it is not an item belonging to past.
I will continue with some examples, first with pure psychological type of primary altered states and then you can extend this theme to any altered energy patterns induced by any type of stressor, mechanical, biological, .....
Please read the article 'Basic Principles in Treatment of Chronic Diseases' Part 1 in my website:
http://www.minutus.org/library/article_read.asp?id=152
With all the best wishes,
Ardavan

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Dear Dr.Shahrdar-
That is a good case- and shows why sometimes one needs to go deeper...

Questions:

1) Is she cured?

2) What would be the underlying state behind the pre-OCD state? For
example why is there such an excessive clinging to the uncle? And the
hiding? That itself looks so abnormal to me that I would go deeper to
look at it..

3)Fear of AIDS rubric is not a good one to refer to anyhow - AIDS as a
disease did not exist before 1980 and so the older works will not have
it... Fear / Anxiety/ Apprehension of Disease, misfortune etc. might
be better...

4) Do you think Hyos itself will be enough or any follow-up to this
will be needed- and if so what state are these other things addressing?

5) Were there no other physical / general symptoms and did none of
them point to Hyos?

6) Most of the time, in such diagnosed mental diseases - I have found
the simillimum from physical symptoms because the mental symptoms are
not rare and peculiar to mental diseases - a lot of times are not
individualizing- what do you think of that?

Thanks and I shall read the article as well ( or this may be something
that I have already read from your site)...

--- In minutus@yahoogroups.com, Ardavan Shahrdar wrote:
chronic diseases in Minutus discussion group. You may have heard about
my research in the field of Genus Epidemicus and its role in finding
the simillimum in patients suffering from chronic diseases. But before
begining the discussion of Genus Epidemicus (GE), I need to clarify
some points in cases which are not miasmatic in nature. After this
clarification you will see that understanding the related GE, is
actually understanding the underlying dynamic alteration in most
'chronic' (and not all) the patients.
those suffering from OCD (Obssesive Compulsive Disorder).
Understanding OCD patients greatly helps us to find out what Hahnemann
meant by 'what is to be cured in diseases'.
diseases, that is to say, in every individual case of diseases
(knowledge of disease, indication), if he...........................'
'what is to be cured in the patient' still it was puzzling for most
homeopaths!
19 y/o girl, anxious type of person with severe hypochondriacal
anxiety focused on Fear of AIDS since 5 years before seeking
treatment. She thought that she has AIDS. This was her daily obsession
which compelled her to do the AIDS test frequently. During the
interview she constantly talked about her fear of AIDS and why she
might have AIDS. The interesting point was that she had had no sexual
contact, no blood transfusion,... She didn't know why she had such
fear and belief about having AIDS. She was an irritable and anxious
girl, always wanting reassurance that she does not have AIDS but the
amelioration following reassurance was transient. AIDS tests, again
and again. She was unsuccesfully treated by two homeopaths on the
basis of hypochondriacal anxiety and fear of AIDS (you have thius
rubric in the new editions of Synthesis). If you look at the rubric of
fear of AIDS in RADAR 9 you have this remedies:
and Syph.
homeopaths were Ars, Phos, Arg-n, Nit-ac and Syph.
development of obsessions and compulsions is very important. Usually
the elements of this 'pre-OCD' story are completely different than the
content of current OCD state. There are shared 'themes' but the
elements are different. Usually you find elements of feelings of
guilt, self-reproach, severe fear,... in the pre-OCD story.
her uncle asked her to be his boyfriend. They wanted to keep this
relationship in secret. No sexual relationship happened. They just had
telephone conversations for a limited time!! But because of some
cultural limitations in her family she wanted this to be done in
secret. She loved her uncle and didn't want him (the uncle) to know
that there is such relationship with his friend. One day, one of the
relatives found out what is happening and told her Grandma about the
secret story! She was informed by the Grandma that the secret was
revealed. She was shocked and asked her grandma not to tell the uncle
what has happened. Grandma never told the secret to her uncle but
since then she was always in severe fear and anxiety. She felt that
she would be abondoned by his uncle. Every phone call was a treat for
her. Going to Uncle's house or any conversation provoked a deep
feeling of treat and fear of being punished.
offending and losing her uncle forever. Gradually, a severe floating
anxiety and then the OCD pattern developed.
the current presentation of OCD. You have the following elements:
Hyoscyamus (200c). The improvement began soon after this first dose.
is not considered as a key remedy in hypochondriacal anxiety. She is
actually not experiencing this pre-OCD type of anxiety at the time of
coming for treatment. What does this mean? Am I treating the past
state of the patient? Or the state still persists somewhere deep in
the patient?
subconscious level of the patient. The patient is escaping from this
primary altered state by using the secondary defense mechanisms. It is
much better for the patient to think of having AIDS rather than being
in a constant acute paranoidal state. In this case, focusing the
altered energy on fear of AIDS was actually a palliating defense
mechanism. If we force the patient to re-experience the primary
altered state (homeopathic prescription) in a controlled way, she can
now adapt to what she was once unable to adapt to.
paranoidal state. Homeopathic prescription does not mean the
mechanical collection of the current symptoms of the patient and
choosing the simillimum. We should first understand the underlying
primary altered state. This primary altered state is existing NOW deep
in the patient but masked partially by secondary defense mechanisms.
Ethiological state persists in the cases, it is not an item belonging
to past.
type of primary altered states and then you can extend this theme to
any altered energy patterns induced by any type of stressor,
mechanical, biological, .....
Diseases' Part 1 in my website:
Panel
today!http://us.rd.yahoo.com/evt=48517/*http: ... te.asp?a=7
hot CTA = Join our Network Research Panel

Dear Hahnemannian2002!

The answers,

1. This OCD pattern is cured in the patient.

2. Yes, this is a good question. The treatment of the case was
followed by other remedies treating the underlying layers. Actually
the treatment was followed by miasmatic prescriptions to cure the
basic susceptibility. I do not want to complicate the presentations
and just want to show the importance of understanding the basic
underlying altered state.

3. I agree with you regarding the rubric of 'Fear of AIDS'. I myself
did not take it.

4. Hyos was prescribed about 3 years ago and was just the first
prescription.

5. There were no prominent physical or general symptoms accompanying
the mental state.

6. I agree with you. This is specially true in OCD cases with a
direct link to a basic miasm. I will discuss this later.

Kind regards,

Ardavan

--- In minutus@yahoogroups.com, "hahnemannian2002"
wrote:
deeper...
the
deeper to
as a
have
might
addressing?
found
are
something
wrote:
about
finding
before
Hahnemann
he...........................'
was
was a
obsession
sexual
the
rubric of
Sulph
the
Usually
the
story:
of
had
the
the
uncle
for
floating
dose.
and
is
of
this
It is
being
can
deep
mechanisms.
belonging
psychological
to
Chronic
http://us.rd.yahoo.com/evt=48517/*http: ... om/gmrs/ya
hoo_panel_invite.asp?a=7

Hi Ardavan,

I am so glad you have decided to post your method on Minutus.

I should like to cross-post at least this first post on the German list
(untranslated, since most readers know enough English to understand. I will at
the same time ask whether they would like me to continue posting and act
according to the answer.

If you give your permission for me to do so. May I?

Regards

Luise
--
One thought to all who, free of doubt,
So definitely know what's true:
2 and 2 is 22 -
and 2 times 2 is 2:-)
==========> ICQ yinyang 96391801 <==========

Dear Ardavan-

Thanks for the answers , I visited your site and read the contents
of the article too. I guess this is the same I read last year.

Interesting and thanks for sharing your insights...

Questions:

1) The article reads "Usually in chronic progressive conditions,
this original state is an infectious state".

Can the original acute state be anything other than an infection?
When a healthy person is exposed to asbestos for example or gets
work as stone cutter and ultimately develops asbestosis or silicosis-
what would be the acute state- early inflammatory reactions? And
then does it not become chronic and after a stage even after
removing from the hazardous area still continue producing symptoms?
This is a cause of chronic disease - but not a miasm? Or is it a
miasm? If it is not a miasm why should it not be?

2)
You say "Always behind a chronic pattern is an acute state". But are
there not chronic patterns without acute states? Or are you calling
acute states as something that might have passed asymptomatically?
For example Hansen's disease has such a stealthy start and so where
is the acute phase. Itis defined as a chronic infection...

Also in your view any acute disease can become chronic based on
body's reserves and reactions - either overcoming or going under.
This is different from Hahnemann's for starters...

Also are there not certain diseases that are chronic to begin with
and do not go thru the type 3 ( death) itself whatever you do.
hansen's for example...

3) Not all acute flare-ups are unmasking of the underlying original
state - right? There can be newer infections and acute flare-ups
might be an interaction between and combination of the old
underlying and a new infection..

I guess some of these could be answered in further chapters...
--- In minutus@yahoogroups.com, "dr.shahrdar"
wrote:
Actually
presentations
myself
accompanying
For
And
AIDS
not
this
of
symptoms
of
clarify
this
are
most
she
such
anxious
again
than
friend
just
know
that
treat
of
about
AIDS,
She
time
in
she
underlying
NOW
theme
Research
http://us.rd.yahoo.com/evt=48517/*http: ... om/gmrs/ya

Dear Luise,
Sure! Feel free to forward the emails.
Regards,
Ardavan
Luise Kunkle wrote:
________________________________

Food fight? Enjoy some healthy debate
in the Yahoo! Answers Food & Drink Q&A.

Dear Ardavan,
Your ideas and method are very interesting, Thank you for presenting them.
I just wanted to mention something interesting, I've found that though there is no "Fear, AIDS, of" in Kent's Repertory (for the obvious reason), under "Fear, syphilis, of" he placed only one remedy, which is actually -> Hyos.
Ben.

Dear Hahnemannian2002,
Regarding your questions,
1. In conditions like asbestosis and silicosis, the process begins in a reactive pattern but the reactive pattern can stimulate an underlying dynamic pattern which can be an inherited miasm. I have defined the 3 chronic 'patterns' in my article, 'Chronic Diseases - The Effective Causal Complex':
'Reactive' chronic patterns are formed and sustained because of the presence of a physical, chemical or psychological stimulating agent. If the agent is removed, the related chronic pattern fades away. These stimulating agents are the same things that Hahnemann called 'maintaining causes'.
'Static' chronic patterns are the outcomes of irreversible pathological changes. Sometimes they manifest as dynamic states but they cannot be cured directly by dynamic tools. Dependence of the mentioned irreversibility on the power of adaptation of vital force makes the 'static' category a relative rather than an absolute concept.
'Dynamic' chronic patterns are formed because of the activation of secondary defense mechanisms following an imperfect adaptation to an altered state. Adaptation using the primary defense mechanisms of vital force results in full recovery not followed by latency or chronic derangements. When the organism encounters an unknown or partially known stimulus, or the intensity of the stimulation is more than what is expected from the power of adaptability of the patient, or the patient is in a low state of energy, the patient cannot use its primary adaptive mechanism to maintain the homeostasis and, instead, uses the secondary defense mechanism to minimize the injury and to hide the original unresolved state. The original unresolved state may seem as a pure psychological state or manifest as an infectious inflammatory state. In both conditions, the secondary functions of vital force become activated to hide and minimize the injury. This persistent reaction of the organism to the underlying unresolved original state leads to formation and persistence of the chronic picture. This dynamic chronic pattern can be solved if the organism re-experiences the original state and uses its primary adaptive mechanism. Re-experiencing the original state leads to adaptation if the process does not cause a new shock and the patient has enough energy for adaptation adaptation to what he or she was once unable to adapt.
Different types of stimuli may result in 'Reactive Chronic Patterns'.
Examples for internal physical causes are presence of foreign bodies, obstructive masses and compressive lesions and examples for external physical causes are meteorological, thermal, environmental, electromagnetic and positional influences on the organism. Chemical reactive patterns follow different types of pollutions and also the medicinal effects of food and drinks. Emotional stresses and contradictory and unhealthy programming of mental procedures are also important maintaining causes forming reactive psychological patterns. Reactive chronic patterns both express sign and symptoms and also form gradients for absorbing other chronic patterns.
As mentioned above, 'Static' chronic patterns are the outcomes of irreversible pathological changes. They may be traumatic in nature or be the sequel of a severe or prolonged dynamic pressure. Dynamic patterns may result in death of tissue and deformations which form a static pattern which again may form a new gradient and susceptibility for absorbing another dynamic pattern or push the pre-existing dynamic pattern in a new direction. You see here that there is not a linear relationship between the patterns and there is actually an underlying network of interactions interactions between reactive, static and dynamic patterns.
'Dynamic chronic patterns' may be non-infectious in origin. Unresolved psychological crises and shocks can result in chronic patterns. Prescribing simillimum on the basis of the underlying unresolved primary state leads to activation of primary defense mechanisms or adaptation. Simillimum should be chosen according to the underlying masked symptoms and not the symptoms related to secondary defense mechanisms. Although we can have pure dynamic psychological non-infectious (or using Hahnemanian terminology.... non-miasmatic) chronic patterns, usually the susceptibility for formation of psychological chronic patterns is generated by the underlying non-contagious latent infection.

You can read the rest of the article at :
http://www.minutus.org/library/article_read.asp?id=290
2. Regarding your questions about leprosy, it is itself an infectious process. It is it self a miasm, a chronic miasms, a chronic dynamic pattern. In the article I am talking about the acute conditions beyond what are falsely known as distinct diseases such as Multiple Sclerosis, Lymphoma,... I will clarify this and whay I mean by 'acute' in my next posts. I want to move slowly.
3. Yes, I have mentioned this point and how you can differentiate between a new infectious state and a flare-up of old underlying infetion in the article '40 Points in Analysis of Chronic Patients'
http://www.minutus.org/library/article_read.asp?id=166
Kind regards,
Ardavan

hahnemannian2002 wrote:
________________________________

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great, thanks-
look forward to the series

--- In minutus@yahoogroups.com, Ardavan Shahrdar wrote:
in a reactive pattern but the reactive pattern can stimulate an
underlying dynamic pattern which can be an inherited miasm. I have
defined the 3 chronic 'patterns' in my article, 'Chronic Diseases -
The Effective Causal Complex':
the presence of a physical, chemical or psychological stimulating
agent. If the agent is removed, the related chronic pattern fades
away. These stimulating agents are the same things that Hahnemann
called 'maintaining causes'.
pathological changes. Sometimes they manifest as dynamic states but
they cannot be cured directly by dynamic tools. Dependence of the
mentioned irreversibility on the power of adaptation of vital force
makes the 'static' category a relative rather than an absolute concept.
secondary defense mechanisms following an imperfect adaptation to an
altered state. Adaptation using the primary defense mechanisms of
vital force results in full recovery not followed by latency or
chronic derangements. When the organism encounters an unknown or
partially known stimulus, or the intensity of the stimulation is more
than what is expected from the power of adaptability of the patient,
or the patient is in a low state of energy, the patient cannot use its
primary adaptive mechanism to maintain the homeostasis and, instead,
uses the secondary defense mechanism to minimize the injury and to
hide the original unresolved state. The original unresolved state may
seem as a pure psychological state or manifest as an infectious
inflammatory state. In both conditions, the secondary functions of
vital force become activated to hide and minimize the injury. This
persistent reaction of the organism to the
persistence of the chronic picture. This dynamic chronic pattern can
be solved if the organism re-experiences the original state and uses
its primary adaptive mechanism. Re-experiencing the original state
leads to adaptation if the process does not cause a new shock and the
patient has enough energy for adaptation adaptation to what he or she
was once unable to adapt.
bodies, obstructive masses and compressive lesions and examples for
external physical causes are meteorological, thermal, environmental,
electromagnetic and positional influences on the organism. Chemical
reactive patterns follow different types of pollutions and also the
medicinal effects of food and drinks. Emotional stresses and
contradictory and unhealthy programming of mental procedures are also
important maintaining causes forming reactive psychological patterns.
Reactive chronic patterns both express sign and symptoms and also form
gradients for absorbing other chronic patterns.
irreversible pathological changes. They may be traumatic in nature or
be the sequel of a severe or prolonged dynamic pressure. Dynamic
patterns may result in death of tissue and deformations which form a
static pattern which again may form a new gradient and susceptibility
for absorbing another dynamic pattern or push the pre-existing dynamic
pattern in a new direction. You see here that there is not a linear
relationship between the patterns and there is actually an underlying
network of interactions interactions between reactive, static and
dynamic patterns.
Unresolved psychological crises and shocks can result in chronic
patterns. Prescribing simillimum on the basis of the underlying
unresolved primary state leads to activation of primary defense
mechanisms or adaptation. Simillimum should be chosen according to the
underlying masked symptoms and not the symptoms related to secondary
defense mechanisms. Although we can have pure dynamic psychological
non-infectious (or using Hahnemanian terminology.... non-miasmatic)
chronic patterns, usually the susceptibility for formation of
psychological chronic patterns is generated by the underlying
non-contagious latent infection.
infectious process. It is it self a miasm, a chronic miasms, a chronic
dynamic pattern. In the article I am talking about the acute
conditions beyond what are falsely known as distinct diseases such as
Multiple Sclerosis, Lymphoma,... I will clarify this and whay I mean
by 'acute' in my next posts. I want to move slowly.
between a new infectious state and a flare-up of old underlying
infetion in the article '40 Points in Analysis of Chronic Patients'
what's on, when.

Dear Ben,
Yes, interesting. But even if the rubric of 'fear of AIDS' was a reliable rubric, I would not take it. In the case mentioned, this fear is actually just the manifestation of secondary defense mechanisms to mask the underlying paranoidal state.
Kind regards,
Ardavan

Gal Ben wrote:
________________________________