PAVAN KUMAR MAURYA

B.H.M.S. STUDENT

HOMOEOPATHIC MEDICAL
COLLEGE AND HOSPITAL, ABOHAR, PUNJAB,

Email- pavanmaurya2807@gmail.com

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Abstract

Hahnemann‘s ‗Theory
of Chronic Disease‘
is a pioneer to the key of ideal cure of myriad
chronic diseases. Hahnemann
discovered that   the 
 non-venereal   chronic sicknesses   originate   from
a morbid condition or disposition to disease transferring from generation to generation for thousands of years. Therefore, any external treatment to get rid of the skin manifestation is harmful to the patient and may be avoided. Some eminent dermatologist‘s perspicacious observation reveals
that suppression of some
sorts of skin diseases end in
virulent internal disorder. He named the morbid condition as
Psora behaving because the fostering soil for pretty much all doable sickness. In keeping with Hahnemann Psora developed from suppression of itch
sickness by external application in earlier period. Hahnemann thought of the
peculiar body covering eruption was
the outward manifestation of internal itch sickness, the Psora. it’s once more even by another   instance   that underneath correct
homoeopathic   treatment   of 
 a chronic
sickness having    history     of    
suppressed     skin     manifestation within     the past,
the recent eruption undoubtedly appear satisfying Dr. Hering‘s law of
cure. So to bring cure to any
sickness particularly chronic sickness, one ought to focus one‘s attention
towards the patient [host] to search
out the basic cause while   not ignoring   the sickness   agents and  
therefore the environmental
factors acting as exciting or maintaining cause. Health is that the results of
the dynamic equilibrium among the sickness agent, human host and therefore
the atmosphere. Human   host 
 possessing   hereditary  
factors   have Associate   in   
nursing large role within the
production of huge variety of diseases. Till and unless, Miasm [the basic
explanation for all natural diseases]
is completed away with by agency of antimiasmatic treatment, the permanent cure of chronic
sickness isn’t doable.

Keywords:
Hahnemann‘s theory; Non-venereal chronic diseases;
Psora; Miasm.

INTRODUCTION

In the homoeopathic world ―Miasm‖ has raised tons
of contestation. Some stalwarts repute it as a mere fantasy of 
 Hahnemann   and realize no sensible worth of   it 
 in 
 homoeopathic treatment. However others 
 regard the   speculation of   chronic 
 miasm because    the key  
to the action of
medical    care in natural     process chronic illness.     With   
 passage of     your
time the illness grew worse
additionally to alternative additional serious
symptoms till the organism is absolutely destroyed. Treating
natural diseases throughout
thirty years by the homoeopathic methodology of     treatment,     Hahnemann     perceived,     the    
 chronic diseases couldn’t be utterly cured       by the                                                           easy similar  medicines
chosen on the current symptoms
related      to fare and sanitary
measures      and      not     
 even       by vigorous, sturdy
constitution. Once thorough
analysis to seek out the cause behind the failure of

comparable
remedies   to   cure 
 the 
 chronic 
 diseases,    Hahnemann noticed,    though the
drugs prescribed, might
subside                the                                                                 chronic illness
for                                                             the              time- being, nonetheless the illness came back in
a very rather varied kind with new symptoms. This crystal   rectifier him   to 
 the 
 conclusion   that 
 the 
 presenting   symptoms   of   
a chronic illness represent
just the tip of a floating
ice-berg. Hence, the first illness being deep seated, the full history of chronic illness
related to accent circumstances ought to be taken into thought. In spite of confirmation on
his observation by a number of the physicians of his time,   most   of  
them did    not settle   for any  
relation continuous between   
skin    diseases and alternative diseases. Hahnemann additionally discovered
apparently, the origin of most of the       
non-venereal        chronic         diseases        lying in         a         very        peculiar form of exanthema, overtimes suppressed by a faulty observe. However, Hahnemann thought-about, the peculiar
cuneal eruption typically solely of
many vesicles in the course of
intolerable voluptuous tickling
cutaneous sensation was the outward manifestation of internal itch illness, the psora^[1].

The word
Psora originates from Hebrew word ‗tsorat‘ that means a groove or fault ^[2].
Because the human skin doesn’t evolve
itself, while not the co-operation of the remainder of the living whole, it’s irrational and thoughtless to
contemplate any skin illness disease of as just the disease of   the   skin 
 alone during   which the   inner portion   of   
the    organism    takes   
no half. With the progress of
contemporary science, the disease of the skin totally studied in association with different diseases, establishing the
actual fact that the skin diseases are to be closely relating to the
opposite internal disorders. Hahnemann
explained Psora as a
pathologic condition or disposition to illness transferring from
generation to generation for thousands of years behaving as     a     fostering     soil for     pretty      much each attainable pathologic
condition.      Psora, like different general       diseases       manifest externally only, the       total economy        has been
utterly affected. Therefore, any external treatment to get rid of the skin manifestation is prejudices to the patient and may
be avoided ^[1].

MATERIAL AND METHODS

Controversy on Hahnemann’s theory
of chronic disease

Guide of
Hahnemann‘s eBook on persistent sickness in 1828 brings forth a violent stir in
the entire medical global. Very few
book in the records of drugs produced loads controversy some of the physicians. Even Barron Eruct George
Brunnow to whom Hahnemann had dedicated his artwork, changed
into against the view of Hahnemann regarding
continual sicknesses ^[3]. Hufeland [contemporary to Hahnemann]
quoted,  ―At ultimate the health  practitioner discovers
that there may be underlying, a hidden scabies or syphilis‖ ^[4]. In
1838, the treasured Congress of homoeopath in Frankfurt exceeded
a decision condemning the doctrine ^[5]. But many homoeopaths recognized the concept of
persistent diseases because the maximum vital discovery of Hahnemann.

Staph as an
alternative favored the e-book on persistent diseases as for its sudden reasons
on the nature and remedy of continual
infection and emphasized to study the doctrine
strictly ^[6]. Boenninghausen and Hering, the staunch
supporter of ‗Psora concept‘ took it granted heartily ^[6]. Von Grauvogl and others averred ‗the
doctrine of Psora is irrevocable‘ ^[12]. But a vast range of homoeopathic physicians like Hering and Hughes are in opposition to Hahnemann‘s view concerning
undue generalization in tracing all sicknesses to at least one number one
sickness- process ^[5].

Opinion of contemporary researchers: To keep tempo with the development of present
day technological know-how
numerous scientists carried
on researches to unmask the mystery of

‗Psora‘.
Stuart near diagnosed psoric miasm and Koch‘s tubercle bacilli were to be
synonymous ^[8]. Mackenzie ^[13]
has made a thrilling try and replacement ‗focal infection‘ for Psora, implying thereby the identification of the psoric
miasms with strepto-staphylo and different pyogenic micro-organism. At some stage in researches in the Immunity
college at university college clinic, Dr. Edward Bach located
that ‗chronic intestinal organism decrease wellknown
resistance, consequently
local bacterial infections are almost sure to arise‘ [14]. This in the end
makes someone liable to various
illnesses. He concluded that poisoning from sure organisms in the intestinal tract become the purpose of
chronic sicknesses and that on the removal of theses pollution the
so-referred to as persistent lawsuits disappear.

In 1926 Bach published
his e book ‗chronic disease—A
working speculation‘, written
in collaboration with Dr.
C.E.Wheeler of London, who had assisted him in his researches at London Homoeopathic clinic. Dr. Paterson
^[15] of Glasgow,
the well-known bacteriologist and homoeopath
performed a research painting on bowel vegetation within the equal line of Dr.
Bach and confirmed that the
non-lactose fermenting organisms of the bowel are related to disease on the one hand, to the homoeopathic
treatments on the other. Hence in his opinion, Psora and intestinal toxaemia had been same. Dr. Wheeler and Dr.
Dishington additionally supported to Dr. Bach
 ^[14].
 He  declared,
 ―In  the  remedy
 of
 persistent  disease,  its  miles  near
 impossible
 to
 get
successful effects without
a full knowledge of Hahnemannian doctrine of miasms.‖
K. C. Chandran tried to analyze the concept of Miasms and persistent
sickness within the light of clinical
information of molecular biology ^[16]. His careful studies revealed
the equal reality as Dr. Bach
located i.e. the patient‘s clinical situation and susceptibility depend upon
the exchange of his bowel vegetation.

Reflection of emotion upon the skin

Urticarial can be an outlet for suppressed anger approximately unjust
life situations. Rosacea
may be a signal of the man or woman‘s feeling of inferiority and guilt
on the subject of handling problems
bobbing up at work. The skin is the visible reflector of emotion and mental
ailment being just like a sensitive
photographic plate on which emotional states inclusive of anger by means of flushing, embarrassment through
blushing and fears through paleness and so on are reflected. In atopic dermatitis, feeling of anger or guilt can
be launched through scratching. Obermayer
on the basis of few medical clues concludes that emotional troubles are playing
an essential role inside the genesis
of any dermatitis. Relief of
emotional pressure arrests further hair
loss and within several months re-growth can also arise. For example, pruritus
is regularly applied as a tension
outlet. In hand dermatitis [dyshidrosis], vesiculation often follows anxiety scenario inside 24-28 hours. Psychiatric
investigation of the more commonplace dermatologic condition through Wittkower and Russel also coincides
with Obermayer‘s view.

Powerful
treatment can be received simplest by way of psychotherapy. Emotional problems
early in existence result in
‗alopecia areata‘ of severe shape in which the scalp, beard and frame hairs are involved. A 2-week time c programming
language is outwardly required for the development of alopecia areata following documentable trauma; this statement
has been made in over 300 consecutive cases of alopecia
areata, 20 of that have been stated
in element. In case emotional

trouble persisting the disease progresses to alopecia totalis
[entire head] or to alopecia
universalism [entire body]. ―In a 26
 year antique man alopecia areata advanced four instances
throughout international conflict-II. The hair loss came about every time
within weeks after he had participated in an island invasion inside the south
pacific.

Dermatosis due to internal
diseases

Hahnemann concluded that Psora being manifested by and large as sickness,
any skin manifestation have to no longer be
considered with the pores and skin simplest. Numerous kinds of pores and skin illnesses are discussed,
although the aetiology of maximum of them remains difficult to understand. Genetic predisposition or morbid
susceptibility for skin diseases performs an
important function in its development like acne vulgaris, atopic dermatitis,
psoriasis alopecia, vitiligo and lots
of other conditions. This truth is centered within the light of contemporary technological know-how. In fact, skin as a
replicate of fitness of someone, reflecting numerous internal disorders
upon it.

The skin is tormented by malnutrition, whether or not because of
insufficiency, excessive needs, dietetic
imbalance or mal absorption. It is also stricken by endocrine and metabolic
disturbances, including disordered
sports of the pituitary, thyroid and Para-thyroids, pancreas, suprarenal and gonads. The manifestation of equal sort of
pores and skin sickness may additionally fluctuate according to age and diathetic
dispositions. A number of genetic
and developmental abnormalities have each neurological and cutaneous manifestation most possibly due to the common beginning of the apprehensive gadget and
the epidermis from the ectoderm.
Pruritus can also occur in liver
sicknesses, without or with jaundice, particularly in biliary cirrhosis. Chronic renal disease with uremia can also
motive trendy pruritus and a light brown diffuse pigmentation of the pores and skin.

Diabetes mellitus can be associated with contamination encompass boils,
carbuncles, ulcers, gangrene, tinea
of the toes and the groin and infectious eczematous dermatitis. Bronchial
asthma may also trade with assaults
of Urticarial or may also co-exist with it. Therefore contemporary medical science unveils Hahnemann‘s idea
that no outside utility however internal medication basically requires to
cure pores and skin manifestation because of inner diseases.

Adverse effects
of suppression of skin disease
by external application

He
discovered additionally that it’s far specifically in middle existence that
alternations between eczematous
lesions on the skin and visceral
manifestations of greater or much
less gravity [pulmonary, renal,
intestinal, cardiac, cerebral etc.] are maximum
possibly to show themselves.

The fast
disappearance of an eczematous eruption in a young baby can be observed by way
of pulmonary congestions of the maximum dangerous kind (Atopic march).

He stated
that the irritation of the pores and skin may additionally, as talked about via
Kaposi, set up reflex infection inside the intestine, preventing the proper digestion of meals. The irregularities
of the bowels react in turn on the pores and skin, and for this reason a
vicious cycle is set up. The most not unusual intestinal
difficulty of skin sicknesses is dyspepsia. Gout is also a

frequent worry. A too rapid cure of
eczema in kids or its spontaneous disappearance may additionally produce grave metastasis like bronchitis, dysenteric enteritis or pulmonary
congestion, every so often
observed by using dying.

It is
located by way of the physicians that there’s a courting among eczema and allergies. According to BBC information, scientists trust that they have
got discovered what triggers many kids with eczema to move directly to expand bronchial asthma.

The same
substance, thymic stromal lymphopoietin [TSLP] is also produced within the
lungs of bronchial asthma sufferers.
Early treatment of the pores
and skin rash and blocking
TSLP manufacturing might
forestall asthma developing in younger sufferers with eczema, they hope. Medical experts have lengthy been
mystified by way such a lot of eczema sufferers additionally expand allergies and allergies – what they
name the atopic march. The crew on the Washington College of drugs showed that a
substance made via the damaged pores and skin triggered
allergies signs in mice. Its miles expected that greater than six
million Australians have suffered from
eczema at some stage of their lives and more than 90% developed this
circumstance before their fifth
birthday. Studies show that 50-60% of youngsters with intense eczema pass
directly to broaden childhood asthma.
It has proven that a substance secreted with the aid of damaged and damaged pores and skin (as a result of the
itchy eczema) movements via the body and might
cause asthmatic signs.

Hahnemann‘s concept
is again justified
via any other example that underneath right homoeopathic
remedy of a continual sickness having history of suppressed skin manifestation within the beyond, the vintage eruption
definitely reappear pleasurable Herring‘s law of therapy. The distinguished homoeopathic physicians
mentioned their very own instances in their books. If we go through the case statistics from the respective books,
we will see that in a huge quantity of instances,
the Hering‘s law of therapy can be tested. Eczema and allergies are intently
associated via the motive that both
may additionally have comparable pathogenic mechanism underlying their manifestations. This prevalence
comes to be every day phenomenon discovered in any homoeopathic sanatorium,
sanatorium or health center.

The analysis
changed into ‗cancrum oris‘. Sulphonamide ointment becomes implemented on the affected parts. For short references some
interesting instances are shown right here in a nut shell. Dr. P. Sankaran mentioned a case in his
e-book ‗The Pathology in Homoeopathy‘. A 3 year-old boy had an ulcer on his lips. After four years the boy changed
into taken to Dr. Sankaran. Doctor prescribed
a selected homoeopathic medicinal drug and the boy recovered. Intellectual hassle was long past however the vintage ulcer of the lips reappeared.
Ulcer disappeared in no time, but left
a black patch at the lips. After multiple months the black spot also vanished.
Some days after this incident, intellectual abnormality became
perceived in the behavior of the boy.

Beyond
history revealed that at the age of three he suffered from eczema of thick,
whitish scabs, difficult, almost sexy, protecting the complete scalp.
Carrol Dunham, inside
the eBook,

‗technology
of Therapeutics‘, recorded a case of deafness resulting from suppressed Psora. Dunham dealt with a seventeen year antique
younger man for his hearing problem which started out while he was
four years of age.

Nash stated a
thrilling case in his book ‗Leaders in Homoeopathic Therapeutics‘. Dr. Nash handled a girl laid low with Gastritis.
She became skeleton-like. Nash discovered after plenty questioning that approximately fifteen years ago‘ she had eczema
at the nape and occiput. Dr. Nash noted some other case. He treated a case of very intense
gastralgia resulting from suppression of eczema
on the arms.

RESULT AND DISCUSSION

The
affected person‘s condition changed into remarkably advanced. However 3 months
later there has been severe
aggravation of the antique pores and skin condition. Dr. S. P. Dey of Calcutta
referred to a case in his book, ‗scientific Case reports on Constitutional
Prescribing‘. He treated a student
elderly 19 years, stricken by Rheumatoid Arthritis. He had pores and skin ailment in early life. The eruption
becomes suppressed by nearby application of ointments. Thinking about the totality
of the signs of the case, Dr.
Dey prescribed Medorrhinum 1 M.

Total
range of instances recorded in 12 months became 280. Out of them, records of
suppression of skin sickness of 116 patients
turned into found. amongst 280 total cases 76 patients
had been of asthma of which 65 patients had a history of suppressed
pores and skin disorder (specifically eczema);
60 sufferers have been of Gastritis of which 24 patients gave history of
suppression of skin disease (mainly
scabies); 28 instances were of Kidney disorder of which 11 folks had suppressed skin ailments (both psoriasis
or eczema); 89 instances exhibited Rheumatoid Arthritis of which 17 patients found out as past suppression of
psoriasis;31 instances were of cardio Vascular
sickness of which handiest 5 were found of suppression of skin sickness (Tables
1 and Table 2). To my own hobby,
after I were residence doctor of D. N. De Homoeopathic scientific college Kolkata I had long gone thru the
antique case document books of indoor departments thereof. It became interestingly found that a truthful quantity
of patients suffering from chronic sicknesses
gave the history of
suppression of skin ailment within the past.

Table 1: Percentage of cases, in one year revealed history of suppressed skin disease in respect to total
number of cases treated in the past

Table 2: Influenced by suppression of skin disease
in the past Percentage of different type of diseases

CONCLUSION

The modern day conception about the causation of disorder well-known
shows absolutely that ailment is
because of the impact of ‗more than one elements‘ those are at once or
circuitously associated with the agent,
host and surroundings, viz., biological, nutrient, chemical, physical, mechanical, psycho-social, cultural, hereditary factors and so forth. Hahnemann
considered Psora as an ailment or disposition to disorder transmitted from generation to generation for lots of years. Fitness is the result of the
dynamic equilibrium many of the sickness agent, human host and the
environment.

Clearly in case of epidemic or endemic illnesses, we discover a variable
susceptibility inside the human
population final the identical chance factors to viral, bacterial or parasitic
infections. Refuting the former
perception of hereditary factors in playing a role within the causation of best of some chronic sicknesses, it is
established that they have got a massive function inside the production of huge variety of diseases.
Researches on twins [both identical and non-identical] suggest that heredity
is partially liable for numerous
kinds of insanity,
for cancer and for different human disorders.

Diabetes mellitus, obesity,
gout, essential hypertension, peptic ulcer, cancer,
neuroses, psychoses, mental
retardation, many infectious diseases which include acute rheumatic fever and tuberculosis are few examples where
hereditary predisposition plays an important component. consequently to deliver
treatment to any ailment especially continual disease, one need to cognizance
one‘s attention toward the patient [host] to discover the fundamental motive
without ignoring the disease
retailers and the environmental factors acting as interesting or retaining reasons.
Maximum tumor biologists accept as true with that there are a couple
of mechanisms that have an effect on the boom and
unfold of cells converted to the neoplastic country and that maximum
of them are, in a vast sense, genetically inspired.

In treatment of continual illnesses, to obtain achievement by way of
homoeopathic technique, there’s need
of proper ‗Anti Miasmatic‘ treatment. Hahnemann opines that the fundamental reason of all natural diseases
is the Miasm. Till and until, Miasm is performed
away with with the
aid of dint of Anti Miasmatic treatment, the everlasting treatment of chronic
sickness is a much cry. According to
Hahnemann‘s ‗Psora concept‘, Psora is the mom of almost all chronic illnesses. What Hahnemann emphasized in
his Psora concept that the severe complication would possibly develop from suppression of pores and skin sickness is
no longer denied via cutting- edge science.
Hahnemann‘s theory of Psora turned
into very simple
because it changed
into based on realistic observations. Hahnemann standing at the basement
of his electricity of his ideal
statement and foresight, perceived the close
connection lying between skin and relaxation of the body. It‘s now not the simplest efficacy of Psora theory,
but it serves as a pioneer to the important
thing of best treatment of innumerable non venereal persistent diseases.
Consequently in a number of the
stages of remedy of any type of chronic ailment, it’s miles essential to bring Psora underneath control.

Over hasty repetition of anti-psoric remedies is to be prevented as a
great deal because the employment of
too big doses. Dr. J. H. Allen, the author of ‗The persistent Miasms Psora and Pseudo–Psora‘,  concluded,
 ―we  can‘t
 choose  the  most  similar
 treatment  feasible  until  we recognize
the phenomenon of the appearing and primary Miasms; for the real comparable is always primarily
based upon the simple miasm, whether we be aware or unconscious of the fact.‖ Anti Psoric treatments are decided on in line with the overall standards of homoeopathy. It‘s far administered one dose at a time,
the impact of which mainly allowed passing away completely before being repeated.

Therefore Hahnemann‘s ‗principle of persistent disease‘ need to be
perceived and it ought to be applied in practical area in order that a doctor may gain his project i.e. ―to repair the ill to health
to treatment.‖

AKNOWLEDGEMENT

I am thankful to
Homoeopathic Medical College and Hospital, Abohar (Punjab) for supporting necessary materials during analysis.

REFERENCES

1.    
Samuel H (1981).
The Chronic Diseases:
Their Peculiar Nature and Their Homoeopathic Cure New
Delhi: Jain publishing Co. Vol: 1.

2.    
Roberts HA (1976). The
Principles and Art of Cure by Homoeopathy. New Delhi: B. Jain publishers, p. 184.

3.    
Richard H (1993).
Samuel Hahnemann His Life & Work. New Delhi: B. Jain publishers, p. 149

4.    
Richard H (1992).
Samuel Hahnemann His Life & Work. New Delhi: B. Jain publishers, Vol. II., Reprinted
in India, p. 167.

5.    
Sankaran P (1961). Pathology in homoeopathy: A New Look at Chronic
Diseases. Santa Cruz
Bombey-54: The Homoeopathic Medical
Publishers, p. 39.