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					27-4-08

SAHYA

MIASMATIC
REPERTORIZATION

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Effective Repertorization is a combination of Science, philosophy and above all art.
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It is a tool that helps us to reach at the right similimum

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Try to confirm the Miasm of the patient before you attempt to repertorize

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Now a days we get mostly sycotic, syco-syphilitic, Psoro-syphilitic or syphilitic cases.

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If the case is predominantly, syphilitic case,

Select rubrics that are syphilitic.
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If the case is sycosyphilitic one,
Select syphilitic rubrics

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If the case is predominantly sycotic, Select rubrics that are sycotic
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If the case is psoro sycotic,
Select sycotic rubrics.

If the case is predominantl y Psoric,
select the psoric rubrics.
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If the case is psoro- syphilitic, (Tubercular)
Select rubrics that are syphilitic.
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Examples of syphilitic Rubrics (Non – expressive)
Reserved Talk indisposed to Grief undemonstrative Anger suppressed. Quiet disposition
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Examples of Sycotic Rubrics (Expressive)

•Vivacious •Loquacity •Shrieking •Lamenting
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The incorrect approach or selection of rubrics results either in failures or in temporary short lasting results

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For long lasting results and esp. in chronic, socalled incurable cases, pathological cases the entire onus is on the kind of rubrics that we select, the symptoms on which we prescribe
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“Extra-ordinary people don't do different or extraordinary things they just do things differently”.

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big & solid, which everyone has to agree on i.e. it should be an objective rubric and not subjective

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Objective Rubrics
Hardness Frown Restlessness, Swelling Discolouration
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physical

Subjective Rubrics
Pain Grief Indignation Dim vision Delusions Sensitivity Dreams Cravings and aversions Modalities.
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the remedies that come up after repertorisation, when a rubric or a remedy cannot be ruled out or eliminated then, it assumes significance and solidarity.

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Proceed by taking such qualities of that person which run through and through his personality in various situations or circumstances, in childhood, youth and adulthood…… again bearing in mind that they have to be solid and beyond doubt.
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Take those qualities of a person which are unshakeable or which describe him as a person.

These are his innate characters or traits

Some examples of innate characters and Traits:
 Conscientious

about trifles (Diligent).

 Mildness.

ness.  Exuberance. (Enthusiasm)  Courageous.  Cowardice.  Unfeeling , hard-hearted.
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 Positive

These are the characters which are determined by the genetic makeup of that individual. So these innate characters are given so much value.

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Out of all the genes available to man some are expressed while some are not (repressed). The expressed genes determine not only his physical makeup but also what diseases he is prone to develop.

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…they determine the constitution of the person
SAHYA

So what we are taking as prescriptive totality to arrive at the simillimum is nothing but the totality of the expressed and dominant genes in that individual This is the “ Genetic constitutional simillimum” of Dr. Prafull Vijayakar.
SAHYA

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These are subject to change only when there is a major causative factor. The genetics in man will always resist change. The causative factor will be such as is analogous to his or her constitution. E.g. only those people who are sensitive to grief will be found under A/f grief. So the way we look or read the rubrics should change drastically
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The change in the phenotype will be most definitely found in the related remedies of his earlier constitution i.e. either complementary or followed well by..….. Once we understand this it becomes very simple to perceive the logic behind the relationship of remedies. This answers the long debated question of whether the constitution of man can change or not.
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In Homoeopathy a symptom assumes importance if it represents him as a whole rather the situation.

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Select a rubric which runs through and through that person, which has not changed over the years or that which resists change i.e. one that is a genetic or an innate character of his person. This is usually from the non diseased group of rubrics.
SAHYA

For the selection of any rubric we need to be very well conversant with the cross references of the rubric under consideration. The exercise of compiling and putting together rubrics which are similar in meaning but may mean or imply something slightly or grossly different can always come in handy.
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E.g. rubrics of Inferiority complex :
lack of confidence, contemptuous of self , reproaches himself, Timid bashful, appearing in public. Del: diminished. Del: dirty. Del: failure / fail he will. Undertakes nothing lest he fail.
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E.g. For the people who are rude and harsh towards others:
Contemptuous Rudeness Insolence Abrupt, harsh Cursing swearing , Abusive, insulting. Impertinence.
SAHYA

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E.g.: Rubrics representing lively or social people.
Vivacious Sociability Exuberance Exhilaration Company desire for Loquacity Mirth, hilarity Cheerful.
SAHYA

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Our repertories are not perfect and we need to be aware of the different flaws in them by knowing all the cross references of any particular rubric lest we miss out the remedy despite taking big and solid rubrics.
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E.g. a big rubric like vivacious containing more than a 100 remedies does not cover Stannum met which is the only 3 mark remedy in the rubric Exuberance!

Sociability contains Nat-carb as one of the medicines which is one of our most misanthropist remedies!
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LEARNING MATERIA MEDICA FROM REPERTORY:

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We should try not to settle down with anything less than the simillimum. It may not be possible every time but at least our efforts should be directed towards that end!
SAHYA

Timid & coward : Gels, bar-carb, lyco, puls , silica, stram,

Timid but not coward : Nat-carb , Ars-alb, Carbnsulph, alumn, coca

Timid and shy: Puls , Bar-carb , coca, petro, sulph, calc

Timid but not shy :Gels, kali- carb , lyco, plb-met, sep, borax , ars-alb

Timid but not yielding: Timid and yielding: lyco bar-carb, gels, calcarb, calc, puls , sulph m-arct, nux vom , phos, sep, sil. 27-4-08 SAHYA

Another way studying the same rubric is to study the groups of families
e.g.Timidity covers carbons in maximum percentage followed by sulphurs, kalis, arsenicums, metals……. This helps us to understand that carbons are most universally timid followed by sulphurs.

If we study the repertory in the above mentioned manner then we can realise the full potential of not only the repertory but also our own potential to a significant level. We will be able to do justice to our unused talent, reading, to our practice and to our patients
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It is a very vast subject and requires a lot of application, perseverance and determination conjoined with a passionate desire to prescribe better.
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A desire to come out routinism or drug pictures fixed in our minds over a of period time. It also requires a lot of self-evaluation & criticism, otherwise we land up using the same group of rubrics or the same group of remedies.
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of Mental Symptoms for Miasmatic repertorization

Inmterpretation

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I was Planning to consult U For the past few Months (Syc)
Sir Is it Curable ? Syc

Postponing Everything to Next Day (SYC) MEDO

Doubtful Recovery About (SYC) ARS

How many months I have to Take Medicines (Tub)
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Impatience (Intolerance) – Tub SUL AC, Tarent

Hom. Medicines are not fit For me, I do Smoke & Drink Syphil
I will Bring More Patients To U if my complaints Relieved (Syc) It will take little time for a favorable action from Hom. Medicines
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Homoeopathy Aversion to HEP

Repulsive (SYC) (Blaming) PULS

If it acted Homoeopathy is Good But it should get acted.

MIND - CENSORIOUS – silent; disposition to be faultfinding or AUR SUL SYCORIC

People are advising me to Take Allopathy, But I won’t Take TUB

MIND - DISCONTENTED – others; with (Tubercular) Hep, Ruta

After taking this medicine …….. Syc
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MIND - CENSORIOUS – blames others - wants to; and make them responsible (SYC) LAC LUP

Relieved But Not Complete

Quantity of Medicines
Relief Due to Diet and Regimen (Syc?)
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Is any need of consultation of a Surgeon or likewise?

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Shall I take Tonic, Vitamin likewise

Did You Prescribed the same remedy?
SAHYA

Is it Curable in HOMOEOPATHY

MIND DOUBTFUL -recovery, of ARS
MIND DESPAIR -recovery, of SYPH

It is not Curable Isn’t it?

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Avoid Coffee Black Coffee?

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Patient Symptom

Forget to Take Fastidious/ Medicines Extremeness Before Food!

Fastidious
Conscientious about trifles

Proper Too
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Can I Take Allopathic Medicines In Acute Emergencies

Patient Symptom
Incordination Distrustful (Suspicious /
Doubtful)

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There is chance of worsening So I Reach at you In the Beginning Itself!

PATIENT SYMPTOM

SENSITIVITY SUSPICIOUS INTOLERANCE ANGUISH

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MIND - AFFABILITY - enemy; to an (1) aloc (alcoholus)

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

MIND – AUDACITY (21)Arn,Puls,Tub,IGN

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MIND – MALICIOUS (98) ANAC  MIND – BRUTALITY,  MIND – CRUELTY,  MIND - HARDHEARTED, inexorable


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GENERALS - LABORATORY findings - albumin-globulin ratio inverted

Beryllium metallicum
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GENERALS - LABORATORY findings - electrocardiograph - P-R interval prolonged

stroph
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GENERALS - LABORATORY findings - sedimentation rate increased
(Unreasonable) Cobaltum Nit

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GENERALS - LABORATORY findings - potassium level reduced
cortisonum

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GENERALS - LABORATORY findings - sperm count - low

Pituitary

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GENERALS - LABORATORY findings - spinal fluid pressure elevated

x-ray
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Perspiration STAINING

BLUE Indigo

Yellow LACH

RED Nux Mos

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RELATED MODALITIES & ACCOMPANIMENTS Coughing from – Samb Qualified with Mental Symptoms Anger With – SEP (Sycotic)
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SLEEP Age Sleeplessness Old People – (Syphil) New Born – Coffea

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Stretched out Lower Limbs

Position

(Sycotic) PUL
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Pattern
Naked
Merc Sol
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Turning three hundred and sixty degrees all night

Lac Delphinum
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Diagonal Position

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Some Pathological Rubrics Which can Individualize the patient

PATIENT OUT OF DISEASE

i.e

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Generals of Miasms

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Food & Drinks are Pointers Towards Miasms.

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Psoric – Desires
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Sweets Fruits Vegetables
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Farinaceous Yoghurt Etc
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Psoric Sleep

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On back Smiling Refreshing > after catnap sleep
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Season
Winter < Clear fine weather >

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Menses  Winter < DUB  Clear fine weather > Regular Scanty menses Spasmodic dysmennorrhoea Itching without leucorrhoea > menses
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Perspiration Aml - Perspiration Scalp
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Generals of Sycotic Miasm

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Alcoholic Drinks Garlic Rich Food Pepper
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Pungent Things Refreshing Spices Vinegar Etc
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Sleep Sycosis
Putting hand or leg over the bedmate. Putting hand over head Take the major part of the bed Early to bed and late to wake Wake up from sleep from slight noise Burning soles
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Sycotic Seasons

Rainy season
Cloudy Weather
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Sycotic Perspiration

Yellow staining – LACH Smells onion - LYC Sweat in axilla - DULC Single parts in excess - MEZ On nose – NAT M Anger during - SEP
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Sycotic Menses Sycotic Menses Large clots Large clouts Leucorrhoea yellow Leucorrhoea yellow purulent purulent > Leucorrhoea > Leucorrhoea Endometriosis Endometriosis
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Generals of Sypilitic Maism

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SYPHILITIC DESIRES

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Intoxicating things Red Pepper Stimulants Etc

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Syphilitic Sleep

Diagonal position Spits during sleep Kicks during sleep
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Bloody nocturnal emissions Ptylism Night aggravations and thus sleeplessness from evening to early morning.

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SYPHILITIC PERSPIRATION
SAHYA

Bloody Cadaverous odor Night perspiration

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MENSES
Dark Decomposed Metorraghia Night < Bloody leucorrhoea
G:\A C D C\Red\616045.JPG
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Some General Rubrics of Tubercular Miasm

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MIND - CAPRICIOUSNESS STOMACH - THIRST - capricious GENERALS - FOOD and DRINKS – drinks - desire – capricious, but refuses when offered STOMACH - APPETITE - capricious appetite
RHEUM, CYPRIPEDIUM

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Refer S.K.Banarji or Use Your LOGIC
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Self Explanatory Miasmatic Presentations

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falling after Acute Disease – Psoric  HEAD - HAIR - falling - disease - acute exhausting disease; following – Mancinella  Follow with a dose of SUL

 Hair

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Sun head ache

Psoric

Sulpur will prevent

recurrence
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of hairs from eye brows, eyelashes, beared, Entropion

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Falling

SYPHILITIC
SAHYA

Try

to find out “MIASMATIC SPECIFICS” by considering miasmatic group of Symptoms.
SAHYA

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 FACE

- HAIR - falling of hair Eyebrows  FACE - HAIR - falling of hair Mustache  FACE - HAIR - falling of hair - Whiskers  EYE - INVERSION of lids  All are syphilitic presentations  Anacardium covered all rubrics Except falling mustache – KaliC , Sel)
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Spots Before eyes, Psoric VISION – SCOTOMA – Agar

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to eyes – Syphilitic ?  EYE - INJURIES, from – Staph, Sil  Refractory changes are syphilitic

 Injuries

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Sensitive to odors - Psoric

NOSE - SMELL – acute Colch  MIND - SENSITIVE odors, to - Colch

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All snuffles are not sycotic


Mouth breath due to blockage and dryness of nose – Tubercular
NOSE - DRYNESS - Inside breathe through mouth; must – Melilotus
SAHYA



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All asthmas are not Sycotic








Wet asthma (With Rattling) – Sycotic – Nat Sul (F/H) Dry Asthma – Psoric - Thymus Dyspnoea > Stool – Sycotic – Ictodus F (Pothos F) Asthmatic Bronchitis – (smokers) Syphilitic – Stann Iod Asthma < ascending stairs – Tubercular – Stann Met
SAHYA

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Worms – Tubercular
Except tape worm which is PSORIC

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Tape Worm
unreasonable but in practice CALC & Filix Mas found effective remedies are found effective

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– Phospahturea, Glycosurea – TUBERCULAR

Albuminurea

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  

URINE - ALBUMINOUS URINE - SUGAR URINE - SEDIMENT – phosphates

 PHOS ACID covered the above

3 rubrics
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Milk intolerance
TUBERCULAR – TUB

Easy Ejaculation PSORIC
GRAPH, TITANIUM
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Abortion Tendencies Syphilitic Kali C
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Azoospermia Syphilitic extreme Try Nosode
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Bed wetting ? Not only Tubercular but sycotic too.

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Difference is, in Tubercular patient nocturnal enuresis will take place soon after going to bed, but in Sycosis the indication is patient wakes up during micturition (Sep)
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Warts on Hands and face PSORIC
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

  


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Though Asthma < ascending stairs listed under Tubercular miasm It can be Sycotic in CCF and Cor pulm. And syphilitic in Valvular Heart Disease
SAHYA

RESPIRATION DIFFICULT - high altitudes; in (palitation) – Tubercular – coca
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Keeping his mind on heart – Psoric

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

MIND - ANXIETY - heart; about his SAMB (Sycoric)



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MIND - ANXIETY heart failure; in congestive – CARB V ( Only one drug and this is also covering all miasms Multimiasmatic)

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

MIND - FEAR - heart disease of the heart – Psoric – Calc , Spong

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RHD - Sycotic
 CHEST

- HEART; complaints of the - rheumatism, after Kalm

 Goiter

& Heart Diseases are SYCOTIC
SAHYA

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CHEST - HEART; complaints of the - thyroid glands; after over activity of –Sycotic Dys {Bacillus Dysenteriae} (Bach) (Bowel nosode) – Antisycotic remedy ?
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