1. CHRONIC DISEASES • Hahnemann’s Observations • Relapse into illness despite treatment • Illness progresses deeper despite removal of trigger • Organism unable to overcome illness on own [§ 72] • Permanent cure: Possible – Treat the “The Totality of Illness” • Cause of Chronic Disease • Primary disturbance is in the dynamic “Immaterial Vital Principle” • Secondary to a “Penetration” [Infection] by a “Virus” [Bacteria/Virus] • Invading and Manifesting “its development” in the whole organism • Chronic Miasms • “Inherited” Pathogenic Dynamic Morbid Tendencies – “Constitution” • Fundamental Chronic diseases – Inadequately treated infection • “Suppression” – Result in “Chronic internal suffering” www.facultyofhomeopathy.org

2. 3 FUNDAMENTAL MIASMS • ACUTE • Transient “Explosion” of Latent Psora – Epidemic / Childhood • Rapid / Brief / Self Limiting • Uniform / Within → Outward • CHRONIC • PSORA / SYCOSIS / SYPHILIS • Secondary to Progressive development of Miasms • Any one of the 3 / or any combination thereof • Imperceptible / Life-long / Progressive • Different Phases & Presentations • Without → Inwards www.facultyofhomeopathy.org

3. SANKARAN • CHRONIC DISEASES • Inability to Cope with changed Environment (Stress) • → “Delusion” [False perception] of reality • Maladaptive, Inappropriate coping strategy to survive • Called STATES or MIASMS • States have their roots in the past (even Parental past) • To cure: Address this “Basic feeling or false perception” • BASIC STATES • Acute • PSORIC – Dysfunction / Deficiency • SYCOTIC – Hyper function / Excess • SYPHILITIC – Destruction / Perversion • IN BETWEEN STATES • TUBERCULINIC - Sycosis & Leprosy • CARCINOGENIC - Sycosis & Syphilis • Typhoid - Acute & Psora • Malaria - Acute & Sycosis • Ringworm - Psora & Sycosis • Leprosy - Tubercular & Syphilis www.facultyofhomeopathy.org

4. ACUTE Child • PANIC - REACTING • Acute Sudden threatening Crisis Defence – leading to: • Immediate / Instinctive / Reflex Escape Reaction • Shock / Rapid Progression & Swift Termination • Panic / Alarm / Excitable / Hyperactive • Intense – No Structural Pathology Acon / Bell / Hyos / Stram / Lyss www.facultyofhomeopathy.org

5. PSORIC Youth • STRUGGLING • Anxiety from Doubts about Coping ability Defence – leading to: • Struggle to survive / Periodical discomfort • Shy / Lack Confidence – Hopeful / Problem Solving • Vivid / Observant / Sensitive / Anxious • Reversible – Functional Pathology Psor / Calc / Graph /Sulph www.facultyofhomeopathy.org

6. SYCOTIC Middle Age • HIDING - BUILDING • Something Wrong – Weakness / Inadequate to cope Defence – leading to: • Cover Up / Conceal / Fixed / Rigid / Rituals • Guilt / Remorse / Overcompensates for Inferiority • Secretive / Obsessional / Compulsive / Egotism • Chronic – Tumours / Kelloid / Allergy Med / Thuja / Staph / Arg-n www.facultyofhomeopathy.org

7. SYPHIPITIC Aged • BREAKING - DEATRUCTING • Beyond Salvage -Unable to manage / cover-up Defence – leading to: • Desperate / Violent / Dramatic attempt to change • Futility / Decompensate / Collapse • Despair / Hopeless / Suicide / Asocial / Dictator • Degeneration – Structural Pathology Syph / Merc / Aur / Fluor-ac www.facultyofhomeopathy.org

8. PSORIC Fear Death • Personality • Never satisfied / Sensitive / Restless • Fears & Anxieties / Weak Will power • Timid & Irresolute / Make an effort - Learning • Generalities • Exhaustion / Lack energy / Burning Pain • Aggr: Morning / Cold & Dry / Movement • Food: Des: Warm food / Aver: Fish • Skin: Dry / Itching / Thin discharge www.facultyofhomeopathy.org

9. SYCOTIC Delusion Immortal • Personality • Suspicious / Opportunist / Deceitful / Selfish • Mischievous / Secretive / Demanding / Fixed • Guilt / Self Reproach / Extremes of emotion • Generalities • Lots energy / Neuralgic & Colic Pain • Aggr: Day / Damp / Cold Applications • Food: Des: Rich food / Aver: Onion • Skin: Kelloid / Warts / Jelly discharge www.facultyofhomeopathy.org

10. SYPHILITIC Desire Death • Personality • Hopeless / Despair / Depression / Suicidal • Dictatorial / Asocial / Psychopath / Dictator • Dull / Slow / Lack Comprehension • Generalities • Weakness / End stage / Bone Pain • Aggr: Night / Change weather / Sweat • Food: Des: Cold food / Aver: Meat • Skin: No Itching / Excoriating discharge www.facultyofhomeopathy.org

11. TUBERCULINIC Indifferent Death • Personality • Never Satisfied / Romantic / Opportunistic / Selfish • Desire to Escape / Industrious / Irresolute • Changeable / Easily Offended / Malicious / Irritable • Generalities • Exhausted / Emaciated / Restless / Periodicity • Aggr: Night / Cold & Damp / Sea • Food: Des: Cold milk / Aver: Meat • Skin: Itching / Offensive discharge www.facultyofhomeopathy.org

12. CARCINOGENIC Desire Death • Personality • Responsible / Sympathetic / Martyr / Duty • Fastidious / Perfection / Sensitive • Resentment / Abandon self / Lot of Fears • Generalities • Neutral Energy / Periodicity & Alternating • Aggr: Extremes Temperature / Sea • Food: Des: Chocolate / Aver: Fat • Skin: Acne & Warts / Thick discharge www.facultyofhomeopathy.org