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Title:	40 Points in Analysis of Chronic Patients
Please read my previous articles 'Basic Principles in Treatment of Chronic Diseases' Part 1, 2 and 3 before reading this article. 1. The meaning of 'totality of symptoms' is not considering all the signs and symptoms that a patient presents. You should find out 'what is to be cured' in the patient. 2. In chronic diseases not related to errors in diet and life style, 'what is to be cured' is the underlying fundamental cause which is usually an infectious disease (miasm) in its non-contagious secondary form. 3. It is not always easy to discover this underlying miasm. 4. Some patients just show the results of mental and physical defense mechanisms which have masked the underlying pure picture of the miasm. 5. In some patients in which the miasm(s) is in its latent stage, there is the problem of paucity of symptoms. 6. But there are still ways to discover the quality of the underlying miasm. 7. In the cases in which the chronic disease is formed after an apparent infectious state, the simillimum should be chosen according to the primary infectious state. 8. When the picture of this primary infectious state is ambiguous or partially forgotten by the patient, you can add the current dynamic symptoms of the patient to the symptoms of the primary state to form the complete picture. 9. The present dynamic symptoms of the patient that can be added to the primary state are those which seem to be consistent in quality (sensations, modalities,?) with the primary state. 10. Never confound the dynamic symptoms of the patient with those related to defense mechanisms. 11. Patient's sporadic diseases and acute flare-ups are also indicative of primary infectious state. You can add the related symptoms to the known primary symptoms to complete the picture. 12. Valuable flare-ups are those that are consistent in quality to the primary infectious state. When the flare-ups intensify in strength and manifest as a one-sided acute flare-up, they lose their value. 13. But a good observer can still find valuable components in one-sided flare-ups to be added to the picture. 14. If you know the quality of the primary infection in an epidemic way and it runs a classical course, you can use your knowledge of natural diseases to choose the simillimum. 15. In some cases, the primary infection had appeared in the previous generation and the patient suffers from the symptoms related to latent or secondary stage of the infection. 16. In these cases, a group anamnesis from siblings and parents and finding out the primary infectious state in parents help you to complete the picture. 17. In such cases, the above instructions again should be done in the group and considered as one case. 18. Knowledge of latent and secondary manifestations of the infections helps us to guess the possible infection to use the epidemic data as mentioned in no 15. 19. If the primary infectious state can not even be traced in parents, you should add the valuable data of the patient (present dynamic features, valuable flare-ups,?) to the symptoms related to the primary picture of the possible underlying miasm or using the most similar remedy in the related antimiasmatic list. 20. To find the underlying miasm for adding its symptoms to the items mentioned in no 19, you should be familiar with the latent and secondary manifestations of known miasms. 21. Traditionally, you can get this knowledge by knowing the manifestations of latent and secondary Psora, Sycosis and Syphilis (Using antipsoric, antisycotic or antisyphilitic remedies). 22. Recent miasmatic studies are adding new data about latent and secondary manifestations of infectious diseases (like infectious diseases related to EBV, CMV, HPV, HSV-1, HSV-2, VZV,?.) to our knowledge so you can use updated antimiasmatic lists. 23. In chronic patients usually only one miasm is active (several miasms may be latent) at a time. 24. You should begin the treatment with the active miasm which shows itself in the active dynamic symptoms of the patients. Next miasm, if present, will show itself later. 25. You should be careful in integrating the scattered manifestations of the underlying miasm to form a meaningful picture. 26. Some pieces of the puzzle, may belong to another miasm. If you carefully consider the quality of the pieces you will not make a mistake. 27. The scattered manifestations of the underlying miasm are like melody lines and variations of the underlying theme. Integrate those which are harmonious. 28. The picture of chronic disease is nothing but a partial and distorted picture of an infectious disease. 29. If you can see this pure picture beyond all the symptoms related to defense mechanism, side effects of drugs,?. choose the simillimum based on this picture. 30. If you cannot observe the pure picture you should find out the primary infectious state with an epidemic approach knowledge of natural diseases. 31. If your remedy is not prescribed on the basis of the underlying infectious state, the real cure does not happen and the picture may become hidden and distorted for awhile. 32. Sometimes chronic diseases are formed after a mental, emotional or physical trauma. 33. In most of these conditions (no 32) the chronic disease is not actually a psychosomatic condition but the manifestation of an activated chronic latent infectious disease (miasm). 34. The acute state following mental, emotional or physical trauma, activate the latent miasm which has the similar quality in components. 35. Because of this similar miasmatic activation, it is erroneously thought that the fundamental cause is psychological or traumatic in nature. These are just triggers. 36. Because of the similarity of acute emotional or mental traumatic state to the quality of the activated miasm, prescriptions based on pure mental states may be successful but not always. 37. As certain constitutions are much more susceptible to certain miasms, sometimes the constitutional features can indirectly help you for choosing the simillimum but their value is low. 38. Sporadic infectious diseases even those which can not form chronic states, can also be valuable in finding out the quality of the underlying miasm. This is because of the fact that the organism is susceptible to those super-infections which have some similar aspects to the underlying miasm. But in these conditions, the analysis should be done with great care. 39. Just find the equivalent infectious disease to the chronic manifestations of the patient and choose the simillimum according to the infectious state and then you will be amazed with the results. 40. The current miasmatic research is expanding our data about manifestations of chronic natural infectious diseases. The new data are increasing our success rate in treatment of chronic diseases. New articles will be added to the library to clarify each point.
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Added on:	April 30 2006
Author/Source:	Dr Ardavan Shahrdar
Author's email/website:	http://www.minutus.org
Posted by:	Dr Ardavan Shahrdar
Comments:	1 Comment(s) | Rate this Article
By May 02 2006 Excellent. A very detailed article indeed and one I shall be referring back to time and again.