Psora is the beginning of all physical sickness. All the diseases of man are built upon psora; hence it is the foundation of sickness and is the primitive or primary disorder of the human race. This state is being expressed in the form variety of chronic illnesses. Psora progresses from simple state to the very highest degree of complexity, not always alone and by itself, but often by the villainous aid of drugging during generation after generation, for physician has endeavored with all his power to drive it to deeper, to the roots to become more dense and invisible until the human race almost threatened with extinction.

     In a case study arriving at a Disease Diagnosis, complete symptoms with grand totality and the highest similimum may fail in few cases. In that situation miasmatic block and understanding the miasm status in the body may guide a physician to cure most rapidly. Such situations I had seen in our OPD, especially in psoriasis with its shifting stages from psora to sycotic and Syphilis.