REPERTORY OF MIASMS

BY: Dr. SANA PARVEEN

DEPARTMENT OF CASE TAKING AND REPERTORY
NATIONAL INSTITUTE OF HOMOEOPATHY
KOLKATA
 CHRONIC MIASMS
IN

HOMOEOPATHY
AND
THEIR CURE
WITH
CLASSIFICATION OF THEIR RUBRICS/SYMPTOMS
IN
Dr. KENT’S REPERTORY
(REPERTORY OF MIASMS)
By- Dr. Ramanlal P. Patel
TRIBUTE TO DR. RAMANLAL P. PATEL

Born: 1st August, 1926

Died: 25th December, 2019
due to cardiac arrest.
ABOUT THE AUTHOR
• Passed D. M. S. of General Council and State Faculty of Homoeopathic Medicine,
Calcutta in 1951 with Hon’s in Pathology.
• Attended Post- Graduate course at Royal London Homoeopathic Hospital,
London, England.
• He worked in Glasgow Homoeopathic Hospital; Fr. Muller’s Homoeopathic
Hospital, Mangalore; Athurasramam Homoeopathic Medical College, Kerala.
• Some of his famous works are:
o The Art of case taking and practical Repertorisation in Homoeopathy,
o My Experiments with 50 Millesimal Scale Potencies,
o Auto visual / audiovisual Homoeopathic repertory,
o Additions in Kent's Repertory,
o Kentian –software.
INTRODUCTION
• It is a work on miasmatic
classification of rubrics of
Dr. Kent’s repertory.
• Published in 1996.
• Introductory part (Exhaustive
exposition on miasms)
↓
Miasmatic classification of
rubrics/symptoms
CONTENTS
1. Preface
2. Introduction to chronic miasms
3. Chapter- I (Psora)
4. Chapter- II (Sycosis)
5. Chapter- III (Syphilis)
6. Chapter- IV (Human relationship and chronic miasms)
7. Chapter- V (Cases and comments on miasmatic repertorisation)
8. Miasmatic classification of rubrics/symptoms in Dr. Kent’s repertory
MIASM- The Disease Propensity
“Abnormal inherent ethereal force which manifests
itself by abnormal function and sensation-disease.
And so Hahnemann reached his great conclusion-that
the miasm is the basis of all true natural chronic
disease
Miasm is not a disease- it is the factor which makes
the disease- the symptom complex possible”.
DISCOVERY OF CHRONIC MIASMS
• Hahnemann devoted twelve years proving remedies,
amassing facts from his observations on patients for before
he discovered the nature and cause of all human sickness in
the world.
• Then he presented:
oPsora- The non-venereal
oSyphilis
oSycosis Venereal
PSORA OR MIASM OF PSORA
• …the only real fundamental cause and producer of all the other numerous,
I may say innumerable, forms of disease,…(§80, Organon of Medicine, 6th
edition)
• Beginning of manifestation : 6,7 or 10, perhaps even 14 days from moment
of infection.
• Source- Skin contact.
• Primary manifestation is followed by secondary manifestation in any organ
or part of body.
• Functional disturbance without structural or gross pathological changes.
• It is full of “sensation as if” with very clear modalities.
• Treatment- Anti-psoric remedies.
LATENT SYMPTOMS OF PSORA
• Symptoms which comes after the suppression of primary symptoms
or may be hereditary in a patient(s).

HOW DOES THE LATENT PSORA AWAKE?

• Exciting,
• Maintaining, and
• Accidental causes
 RECOGNIZE
PSORA
ON THE SPOT!
PSEUDO-PSORA
• Psora and syphilis are perfectly
combined by hereditary
transmission.
SYCOSIS OR MIASM OF SYCOSIS
• Sycosis is a chronic miasmatic disease of a peculiar character which
manifests its specific internal dyscrasia by cauliflower-like growths.
(§79 & 80, Organon of Medicine, 6th edition)
• Beginning of manifestation : 5-10 days.
• Source- Sexual contact.
• First manifestation is on genitals.
• Inflammatory nature of disease that may be acute, sub-acute or
chronic.
• It produces the hydrogenoid constitution.
• Treatment :
In choosing a specific remedy, two considerations :
oThe most accurate examination of the entire
symptoms of the disease.
oMinutest examination of the history of disease in
reference to origin, previous treatment, and at
present existing dyscrasia with complications.
 Depends on individual symptoms
Anti-sycotic drugs
At times- Psoric and syphilitic drugs
 RECOGNIZE
SYCOSIS
ON THE SPOT!
SYPHILIS OR MIASM OF SYPHILIS
• Constitutional malady which starts as a superficial ulcer (chancre) at
the seat of inoculation, and runs a prolonged and indefinite course,
and is liable to breakout anew during the lifetime of the patient
without fresh infection, even after many years of quiescence.
• Beginning of manifestation : 7-14 days.
• Source- Kissing or contact or coition.
• First manifestation is on genitals or extra genital surfaces like anus,
groin, mouth, cheek, tongue, etc.
• Treatment
Three states are to be distinguished:
oWhen syphilis is still alone and attended with its associated local
symptoms the chancre- One little dose of the best mercurial remedy.
oWhen it is alone indeed but has already been deprived vicarious local
symptoms, the chancre (& the bubo)- One little dose of the best
mercurial remedy.
oComplicated with psora (most difficult & impossible to cure the
venereal disease alone)- Anti-psoric medicine then best mercurial
remedy.
 RECOGNIZE
SYPHILIS
ON THE SPOT!
HUMAN RELATIONSHIP AND CHRONIC
MIASMS
P. P. SYC P. P. SYC

GOOD UNEASY LIFE PEACE IN BED BUT

RELATIONSHIP FOR SHORT TIME

SYP. P. SYC. SYC.

/SYP. /SYP. P./SYP./SYC.
BOY DOMINATES TALK OF
LIVE LIKE HIPPIES
NO PEACE IN DESTRUCTION &
HOUSE WAR
 CONSTRUCTION
• Each rubric of Dr. Kent’s repertory is classified
into miasm using seven columns :
o Psora – P.
o Sycosis- SY.
o Syphilis- SYP.
o Latent psora- LT P.
o Latent sycosis- LT SY.
o Latent syphilis- LT SYP.
o Blank column for the those who wants to classify
rubrics/symptoms in their own way according to
their experience.
CONTD…
• The authors and their books
quoted in the column are
denoted as:
o First 1 (one) to 9 (nine) numbers
and;
o Alphabet ‘A’ to alphabet ‘X’
• Not more than three authors are
quoted.
• Two authors may differ in
classification.
UTILITY
• To know and find out which miasm is predominant, prominent,
supermost, serious and deep-rooted in the patient.
• Helps also to place symptoms in hierarchy (order).
• To know how miasmatic symptoms of each miam have unfolded in a
patient.
METHOD OF WORKING OUT A CASE
Form a totality of case
↓
Arrange the symptoms as per repertorial totality of Dr. Kent
↓
Refer each symptom/rubric and write against the rubric under the appropriate
column
↓
Total marks should be made under each column
↓
Maximum number will tell the predominant miasm in the case
↓
Knowledge of miasm will help to select the correct miasmatic remedy from
repertorial result
CASE AND COMMENTS ON MIASMATIC
REPERTORISATION
Miss. I, 35 yrs
1. Sleeplessness since 20yrs of age, brought on by excessive musical study, never taken
any sleeping drugs. She lies quite awake at night; brain active all the time, especially
after lights are out; often kept awake by persistent tunes, hardly ever falls asleep for
three hours after going to bed; readily wakened by the least gleam of light; even if
drowsy becomes sleepless immediately on getting into bed. Dreams always,
nightmares.
General health has been good. Throat; painless hoarseness; all cold fly here.
Stomach: appetite good. Averse fats, milk; craves ices, cold food. Emptiness without
hunger soon after getting into bed which might prevent sleep, <eating. Emptiness at
11 a.m.
Mental: very excitable to music; irritable; impatient; discontented. Fears; in a crowd,
being hemmed in; fire, suffocation. Indifferent to people, especially relatives.
Depressed easily, chilly; hates the cold; <thunderstorms. (Dr. M. Tyler, Dr. J. Weir)
General and miasmatic analysis of symptoms:
S. No. GENERAL ANALYSIS MIASMATIC ANALYSIS

Mental generals P. SY. SYP.

1. Indifferent to people 1 1

2. Fears crowd 1
3. Fears suffocation 1
4. Fears, fire 1
5. Very excitable to music 1
6. Irritable 1 1
7. Impatient 1
8. Discontented 1
Physical generals
9. <cold 1
10. <thunderstorm 1
11. Averse, fats 1
12. Averse, milk 1 1
13. Desires cold food 1 1
14. Desires ices 1 1
15. Sleepless after going to bed 1
Particulars
16. Emptiness, 11 a.m. stomach 1
17. Emptiness without hunger 1
18. Hoarseness, painless 1
Total marks 16 3 4
Result of repertorization :
Phos 31/15, Sepia 19/8, Nat-C 18/9
Choice of remedy : Phosphorus 31/15

Rubrics taken as RUPS for artistic method of repertorization:

1. Indifferent, relation to
2. Fear, suffocation of
3. Sensitive, music to
4. Cold <
5. Storm, during <
6. Aversion, fats
7. Aversion, milk
8. Desires, cold food
9. Desires, ice cream
10. Emptiness, 11 a.m., stomach
Result of repertorization :
Phos 22/10, Sepia 16/7, Nat-C.14/7
Choice of remedy : Phosphorus 31/15
Comments:
• Worked out from mental generals to particulars.
• More symptoms of psora than other misams.
• Subsequent prescription may require anti-syphilitic or anti-sycotic
medicine depending on reaction of first prescription.
MERITS
• In the introduction part author has explained elaborately about
diseases from Organon point of view.
• Probably it is the only repertory in which miasms are represented
comprehensively.
• Each symptoms has been given with authentic source from which it
has been taken.
• Based on Dr. Kent’s repertory which is used most widely.
DEMERITS
• On the basis of this repertory, prescription can’t be made.
• Miasmatic diagnosis can’t be confirmed. We can get only an idea
regarding the dominant miasm on the presenting complaints.
• Final diagnosis of miasm of a particular disease can’t be confirmed.
• Time consuming process, initially classical repertorization followed by
miasmatic.
CONCLUSION
• This repertory can be used only for reference purpose.
• To know about miasms.
• To find out which miasm is predominant, prominent, supermost,
serious and deep-rooted in the patient.
• Maismatic diagnosis helps in shortlisting some remedies which
reduces the burden of physician in selecting similimum.
• For final selection, miasm is one of the criteria of similarity so this
repertory will be helpful.
“I have gathered a bouquet of other
people’s flowers and only the
thread that holds them together is
my own.”- MONTBIGE
THANK YOU