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⏩PRACTICAL MIASMATIC DIAGNOSIS
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βœ”MTEK is a memory aid useful for arriving at a correct prescription.

M = Miasmatic Totality

T = Totality of Symptoms

E = Essence (should include gestures, postures, behaviours etc)

K = Keynotes (which should encompass PQRS symptoms, refer Β§153 and Β§209 of Hahnemann’s Organon)


βœ”When the above criteria are considered and the steps below followed, a correct prescription can be made.

πŸ‘£Step-I: Make the miasmatic diagnosis of the case- i.e. ascertain the surface miasm.

πŸ‘£Step-II: Assess the Totality of Symptoms + Essence + Keynotes and PQRS (if any) of the case and formulate the indicated remedy.


πŸ‘£Step-III: Ensure that the indicated remedy covers the surface miasm, as diagnosed in Step I.

πŸ‘£Step-IV: Administer the remedy, which encompasses the miasm as well as the Totality of Symptoms.

*ANALYSIS OF THE CASE*

(a) Head to foot assessment of symptoms (please refer Miasmatic Prescribing, 2nd extended edition by Subrata K. Banerjea);

(b) Through clinical manifestation of disease, e.g. hypo/scanty/less are psora (e.g. hypotension, atrophy, anaemia etc); hypers are sycotic (e.g. hypertension, hypertrophy, hyperplasia etc.); dyses are syphilitic (e.g. dystrophy, dysplasia etc.) and allergies and haemorrhages are tubercular (e.g. hay fever, menorrhagia etc).

(c) Through psychic essence, nature and character of the individual case (e.g. suspicious, jealous and exploiting in nature represents sycosis; destructive and cruelty to animals represents syphilis; stubborn, changeable and impatient natures are tubercular etc.)

(d) We can diagnose the miasm from other, different aspects, e.g. reference to hair falling: alopecia with dry lustreless hair and bran-like dandruff is psora; circular or spotty baldness is sycotic; diffused hair falling is syphilitic, and thick yellow crusts in the hair are tubercular; in reference to taste: burnt is psoric; fishy is sycotic; metallic is syphilitic and taste of pus is tubercular; in reference to pulse: bradycardia is psoric; tachycardia is sycotic and irregular pulse is syphilitic; in reference to bowels: constipation is psoric; diarrhoea is sycotic; dysentery is syphilitic and malaena is tubercular; in reference to pains: neuralgic pains are psoric; joint pains are sycotic; bone pains are syphilitic and pains with exhaustion are tubercular.

(e) Diathesis (tendencies/pre-disposition) can also hint the miasm: eruptive diathesis is psoric; rheumatic-gouty, lithic-uric acid or proliferative diathesis is sycotic; suppurative-ulcerative is syphilitic and haemorrhagic diathesis is tubercular.

(f) Psoric secretions are watery, mucussy, serous; sycotic secretions are purulent, yellowish; sticky, acrid, putrid and offensive are syphilitic and haemorrhagic secretions/discharges are tubercular.

(g) If you ask your patient what his hobbies are: ’hunting’ reflects syphilitic taint; β€˜travelling’ is tubercular, whereas β€˜gambling’ is sycotic!

(h) Ask your patient: β€˜If you could take a week off and money would be no object, what would you do?’ Mr. Psora is lazy and will do nothing; Mr. Tubercular will go on a round the world trip! Thereby you understand the innate dyscrasia and miasmatic nature of your patient.

(i) Miasmatic diagnosis can be made from nail appearance; e.g. dry harsh nails are psoric; thick, wavy, ribbed, corrugated, convex nails are sycotic; thin, spoon shaped concave nails are syphilitic and glossy and spotted nails are tubercular.

(j) Miasmatic observation of children: nervous, anxious, constipated children are psoric; restless, hyperactive (ADHD), colicky, diarrhoeic children are sycotic; withdrawn, dull, extremely forgetful, convulsive, dysenteric children are syphilitic and allergic, haemorrhagic, stubborn, impatient children are tubercular.
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