Miasm… Diagnostic classifications

Dr. Subrata K. Banerjea

     Dr. Subrata K. Banerjea, the internationally respected teacher says, “Practical implementation of Miasm in every day’s practice is key for my success”. He has authored a book “ Miasmatic Prescribing” which details the philosophy, Diagnostic classifications and miasmatic Repertory. The consideration of miasms is of paramount importance in effective homoeopathic prescribing particularly in this world of multi-suppressions where perceiving a clear picture of disease is becoming increasingly difficult.

     Disease pictures can be complicated for several reasons, and the chart below shows the pictures, which are expanded upon in understanding the value of miasms and miasmatic prescribing in modern homoeopathic practice.

General Manifestations
Sensitising Miasm
Miasm of Incoordination
Degenerating Miasm
Responsive, Reactive Miasm
Develops from Itch. Secretions are serous
Develops catarrhal discharges. Secretations are purulent
The syphilitic miasm has virulent open ulcers. Sticky acrid, Putrid discharges
The tubercular miasm has haemorrhages.

Unhealthy skin with burning and itching

Oily skin with thickly oozing and copious perspiration

Ulcerated skin with pus and blood.

Oily skin with coldness

All 'hypos' are mainly psoric.
'Hypers' are sycotic.
'Dyses' are syphilitic.
Allergies are tubercular.
Hypoplasia ispsoric.
Hyperplasia is sycotic.
Dysplasia issyphilitic
Alternation of 'hypo' and dysplasia is tubercular.
Atrophy, ataxia, anaemia and anoxaemia
Hypertrophy is sycotic.
Dystrophy is syphilitic.
Dystrophy with haemorrhage.
Irregular, arrhythmic pulse
Intermittent pulse
Weakness is psoric.
Physical restlessness
An inhibitory tendency is psoric.
An expressive tendency is sycotic.
Melancholic, depressive and suicidal tendencies are syphilitic.
An inhibitory tendency is psoric.
Dryness of membrane denotes psora.
Augmented secretion denotes sycosis.
Ulceration denotes syphilis.
Haemorrhages and allergies denote the tubercular miasm.
Eruptive diathesis.
Rheumatic and gouty.Lithic and uric acid.Proliferative diathesis.
Suppurative or ulcerative diathesis.
Scrofulous diathesis.Haemorrhagic diathesis. Allergic diathesis.
Organs and Tissues Affected
Ectodermal tissues. Nervous system, endocrine system, blood vessels, liver and skin.
Endodermal and soft tissues.Attacks internal organs, pelvis and sexual organs, and the blood (producing anaemia).
Mesodermal tissues. Soft tissues and bones; glandular tissues particularly the lymphatics.
Glandular tissue.Patient is poor in bone, flesh and blood.
 Nature of Diseases
Deficiency disorders.
Deposition and/or proliferation of cells/tissues.
Destructive, degenerative disorders, deformities, fragility.
i) Depletion
ii) Drainage and wastage
iii) Alternating disorders
Type of pathology
Reversible or irreversible
Inflammation with Indurations
Carbonitrogenoid (excess of carbon and nitrogen).
Hydrogenoid (excess of water).
Oxygenoid (excess of oxygen).
Changeable constitution with alternation and periodicity.
 Key Words of Mental Manifestations
Anxious and fearful.
Suspicious and jealous.
Destructive and melancholic.
Changeable and fearless.
Hallucinations and deliriums.
Vacillation of thoughts
The psoric memory is poor but the patient is studious and once they have learnt their subject they will remember it.
Sycotics have an active memory and are able to record everything - the journalist type.
Syphilitic patients cannot remember recent happenings but can recall past events in chronological order.
Tubercular patients are intelligent and bright but make careless mistakes.