Concepts of Miasms in Homeopathy

In Hahnemannian Homoeopathy the word "miasm" means the effects of microorganisms on the vital force including the symptoms that are transmitted to the following generations. These chronic miasms are capable of producing degenerative illnesses, auto-immune diseases and lead the organism toward immuno-deficiency disorders. Hahnemann noticed that each of the chronic diseases has three phases, a primary stage, latent stage, and a secondary or tertiary state. The effects of these miasms were then passed from one generation to the next generation by inheritance and caused predispositions to certain disease syndromes. miasms are an important topic for professionals in homeopathy to understand but that treating miasmatically is beyond the scope of home prescribing. Prescribing at the miasmatic level requires a great deal of training and experience in order to identify the miasmatic picture and to assess the effects of the remedy. Nevertheless, an understanding of the concept of miasms is invaluable to anyone studying homeopathy, because it helps to explain the homeopathic concept of health and disease and to organize our knowledge of the remedies themselves.

The three chronic miasms that Hahnemann introduced in 1828 were called Psora (the itch miasm), Sycosis (the gonorrheal miasm) and Syphilis (the chancre miasm). Hahnemann published his miasmic theory long before the presence of germs was widely accepted so most practitioners found it hard to understand such a sophisticated theory of contagion.


Dr. Hahnemann describes psora as one of the oldest diseases in existence. From 600 BC to the Middle Ages, various types of leprosy spread throughout the world. It was one of the most infectious and scaring diseases. According to Hahnemann, psora originated from ancestral suppression of leprosy. He referred to psora as the mother of all disease. All diseases stem from psora. In Greek, the word psora means “scabies,” a contagious infestation of the skin caused by the itch mite. Hahnemann believed that the moment the organism touched the skin, the infection occurred, even though the itch-vesicle appeared six to ten days after the contact. By the time the skin eruption appears, the infective agent has infected the whole organism. The external manifestation proves the completion of the internal disease. Psora is describes as “the intolerable itch.” Whenever there is psora, we will find the itch. Without the psora miasm, there can be no itch. Starting with a deficiency of the primary routes of elimination, psora expresses itself externally with all types of skin conditions. The skin incurs scaly eruptions and is dirty, dry and itchy. The psora miasm externalizes toxins, and if suppressed topically, it will lead to the manifestation of a serious internal ailment.



Sulphur is one of the leading remedies in the treatment of psoric conditions. It addresses various chronic conditions that rise from psora. The centrifugal action of the remedy brings diseases buried deep in the system to the peripheral. As the equilibrium of the vital force is reinstated and the condition improves, an anti-miasmatic nosode can follow. In every chronic disease lays a fundamental pathological factor.Unless the root cause of the disease is treated, it will never be cured.


Psorinum has many therapeutic properties. It is indicated in the treatment of all chronic diseases stemming from Psora. Psorinum is an anti-miasmatic remedy prepared from the secretion of the scabies vesicle. The deep stimulus action of the remedy addresses the inner perturbation of the psoric miasm.

Psora has two pathological tendencies:

Endogenous and exogenous contamination.
1.Endogenous substance contamination originates from within the organism. The toxins of the metabolism are not eliminated.

2. Exogenous substance contamination is due to a sedentary lifestyle combined with auto intoxication. Toxins enter the body from the outside. Food treated with additives which are grown in chemical fertilized environments, tobacco smoking, drugs, vaccinations, heavy metals, and microorganisms cause auto intoxication.

The 10 Characteristics of Psora Miasm Diathesis

1. Intense pruritus aggravated by heat.
2. Affection of ectodermic (outer cell) origin.
3. Functional pathologies - hypo tension, hypoplasia and atrophic conditions.
4. Poor elimination of toxins.
5. Variable pathologies due to suppression.
6. Bad odor of secretions.
7. Abnormal appetite, a tendency to gain weight.
8. Profound asthenia, a desire to lie down.
9. Affections of the digestive tract.
10.Predisposition to parasites. Intestinal parasites favor coetaneous fungus.



Syphilis is a venereal disease. It is transmitted through sexual contact by an infected person. Suspected syphilis in a woman can cause her to give birth to children who are blind, crippled, or deformed. Through a routine blood test syphilis can be detected. The symptoms of syphilis appear in three stages: primary, secondary, and tertiary. It takes fifteen years for this infectious blood disease to reach the tertiary stage.

Although, it takes fourteen days to three months during the primary stage to present a chancre on the anus, genital, or lips, the moment the organism touches the skin, the disease takes hold. A chancre can represent a pimple, blister, or open sore The secondary stage of syphilis may appear nine weeks after infection. A rash resembling psoriasis may appear covering the entire skin, soles of feet, and the palms of hands. Sores may appear in the lining on the mouth and throat, around the genitals and rectum. There may be pain in the joints, headache, and fever. The eyes and nervous system may also become affected.

The external sore or rash is an attempt of the organism trying to purify itself.

The syphilitic diathesis stems from a contagious and destructive organism. Syphilis is the miasmatic cause of cellular degeneration, deformities, and congenital defects in children.

According to Hahnemann, the founder of homeopathy, the syphilitic diathesis can be traced back to antecedent of syphilis.

You can recognize the syphilis individual by the malformation and ulceration of his bones. He has a big head, big lips, poor eyesight, crocked nose, and crocked teeth. He is the descendant of past generations of alcohol, drugs, and sexual abuse.He inherited a metabolic imbalance which predisposes him to destructive and ulcerative disorders of the mucus, brain, bones and spinal cord. It is the diathesis of difficult growth and congenital defects. His deforming body has a tendency towards repeated infections.

The intense burning pain in his bones gets worse the moment he goes to bed. All sores tend to perforate deep down into the tissue which ulcerates and bleed. The Syphylitic stigmata affects his mind. He is immature, stubborn, and violent. He has a desire to destroy things, to kill himself and others.

In every chronic disease lays a fundamental pathological factor. Unless the root cause of the disease is treated, it will never be cured.


is indicated in the treatment of chronic disease in the Syphilis diathesis. It addresses deep dermatological disorders which have a tendency to ulcerate. Luesinum is indicated in the treatment of all skin conditions, and chronic pains of the bones which get worse at night. This miasm has a mental tendency to self-destruction.

10 Characteristics of Syphilis
1. Destructive disorder.
2. Deformation of the bones.
3. Ulcerative tendencies. Destruction of soft tissues.
4. All “Dyses” pathologies (dysplasia, dystrophy, dysmenorrhea, dysphagia etc.).
5. Affection of mesodermal origin (bones, cartilage, lymph, blood, vascular, etc.).
7. Asymmetrical body structure (teeth, nose, extremities, etc.)
8. Mental and physical paralysis. Always sick catches everything.
9. Ameliorates through abnormal discharge (pus, leucorrhea, blood, etc.).
10. Ameliorates in the mountains or at high altitude.

The Sycotic Miasm

The word sycosis derives from the word “syco” (Greek word for fig). Hahnemann used this word because the sycotic person tends to make warts that may reach to the point of looking like a fig. In other words sycosis means verrucose. Let’s begin with the sycotic person’s mental sphere: The sycotic person has an inclination to show off. A sycotic woman walks in the street and cuts a dash. Heads turn around when she walks by and that is what she seeks, consciously or even unconsciously. A sycotic man walks with a swagger and puffs himself up to show his muscles. This inclination to show off marks every sycotic behavior and most times it is unconscious. When he is sad, for instance, the way he cries, the way he sighs draws everybody’s attention and sympathy towards him. The way a sycotic person gets angry is also flamboyant. The person screams, shouts, and makes a great fuss. It is some kind of “puffing up” that draws other people’s attention. When the sycotic person is happy, he roars with laughter and also makes a great fuss.

Another major feature of the sycotic person’s mental sphere is a tendency to keep things to oneself. In general the notion of keeping overweighs that of giving. Therefore the sycotic person is not keen on giving. The sycotic teacher is rather unwilling to give his knowledge; he is not the kind of person to communicate knowledge. He will try and keep it to himself. He may even try to mislead other people so long and he does not give it. As for emotions he keeps them inside him as well. Although he himself wants to be the focus of everyone’s attention, he does not open his heart to his partner when he is in trouble. It is the case of a mother who gives her child the cold shoulder. There is no emotion in her caress, which is rather straight-laced.

Sycosis is secret. The sycotic person tends to keep everything secret, out of sight. This may happen either consciously or unconsciously. For instance, he may keep his aims secret, he acts deviously, he does not reveal much about himself and he hides his real intentions. He also hides his real feelings. When he is sad, he does not look as sad as the circumstances require. That’s why he seems to be strong in other people’s eyes. He may dislike someone and still smile at him and be very friendly with him.When the sycotic person gives, he certainly means to receive something in exchange later on. Avarice is an expression of the need to keep things to oneself. An avaricious person is “stingy”, he does not give. Collecting objects is a sycotic manifestation too. In general, when a sycotic person responds to stimulation, his reaction is in the right direction but has a reduced intensity. This is due to the fact that he ‘keeps things to himself”, he absorbs only a part of intensity of the given stimulation. This shows that the person is strong in appearance only. For instance, when he is subjected to a sad stimulation, he does not seem to be sad.

In fact, however, this sort of strength is weakness and this is due to the fact that this kind of person has a limited width of response. He shows inflexibility in the way of functioning, that is to say. This stiffness coexists with a tendency to have control. The sycotic person wants to have control over other people and over himself as well. He keeps every expression, every emotion of his under control. He cannot stand the spontaneity of emotions and acts.

Pedantry is another feature of sycotic miasm. The housewife who gets annoyed at finding a speck of dust on the furniture, who sweeps and mops the floor three times a day, who forbids her husband to enter the house with his shoes on, is an example of sycotic pedantry.

In general the sycotic person is straight-laced prim and proper, orderly, he concerns himself too much with schedule, so much that he lays more weight on the schedule that on the essence of things. He wants all the objects on his desk to be in alignment, he wants his car to be perfectly clean, he sees that its color does not fade; he protects it against the rain and the wind. He worries about small details.

Religiosity is another example of sycotic pedantry. A religionist focuses his attention not on philosophy and the deeper meaning of religion but on the ritual. It is very important to him that the sign of the cross is made three times, not two, that the fasting is observed for exactly forty days, he is very strict on the observance of the schedule. Religiosity, along with the other features of sycotic miasm, were typical of the Scribes and Pharisees, who always abided by the letter of the law but could not understand what purpose the existence of the law served in the first place. The sycotic scientist tends to classify the phenomena. Classifications are sycotic expressions. Excessive adherence to classifying systems, such as DSM or ICDX is sycosis. The notion of specialty and overspecialization is a sycotic characteristic too. The sycotic person focuses his attention on details but misses the general picture. Therefore we can see the evolution of medicine and science in general and how important it is to have a complete and in depth cure of scientists so that science may evolve. In general the sycotic person is dogmatic. To him it is all black or white. He is inflexible. He is not receptive to new ideas. He rejects a new idea without even examining it. Reclassifications in the system of knowledge and values fill him with anxiety. He wants knowledge and ideas to be well classified inside his head. He wants everything to be arranged and fixed. That causes him a need for control.

He wants to keep control of everything. The complexity and multiformity of nature scare him. The perpetual motion of universe also scares him. Consequently of all this multiformity he picks out what he can classify, what he can put in order. That is usually only the surface of phenomena. Once he has classified it, he will try to keep it steady and fixed. He allows only small changes, which he can control.

In general, there is a tendency in sycosis for exaggeration of the psoric features. For instance, the psoric person has a vague and unconscious feeling of inferiority. When, however the person thinks that he is not capable of anything, that he is not good-looking, that he is not intelligent, that he is lacking in everything, then we notice an excessive expression of the feeling of inferiority and it is the case of sycotic miasm.

As far as the love life of a sycotic person is concerned, he has many fantasies related to the love partner. For example, as soon as a sycotic man sees a woman, he has fantasies about erotic positions. But although he has strong fantasies, he usually does not express himself during love making, does use love talk, is cold and always in control.

10 Characteristics of Sycosis
1. Medicine and “trendy” professions, such as journalist, lawyer, politician, have much appeal for sycotic persons
2. Sycosis produces infiltrations, indurations, and over growth.
3. Sycosis tends to cause heavy bones, water retention, over growth of tissue and slow metabolism.
4.gonorrhea is a sycotic manifestation.
5.Sycotic eczema shows profuse effusion of fluids.
6.we notice retention of fluids in the organism.
7.Inflammation is a major feature of sycosis as well as formation of cysts.
8. Sycosis temperaments are a hard realist, skeptical, secretive, pessimistic, suspicious, and jealous and have fixed ideas and hidden self-disgust.
9. Sycosis pains are sudden, intense, spasmodic, crampy, and colicky.
10. Sycosis skins are with warts, moles, growths, flecks, dark discolorations with too much growth of hair.

Pseudo-Psora/Tubercular Miasm/Diathesis

• In 1882, Dr. Robert, Koch identified Mycobacterium tuberculosis as the cause of tuberculosis. Pseudo-psora, also known as the Tubercular miasm, is the result of a tuberculosis infection. Tuberculosis affects the lungs and predisposes the individual to acute affection of the lungs, ears, eyes, nose, and throat.
• An individual inherits antecedent infection of tuberculosis, which was widespread years ago, and passes the germ down to the next generation (child).The pseudo-psora child suffers from recurring tonsillitis, colds, ear, nose and throat infections. The child is constantly put on antibiotics which weaken his immune system. The child faces another challenge…mandatory vaccinations and allergy tests. Pseudo-psora is the miasm of demineralization.
• The adolescent grows too rapidly, is tall and slender, and tends to lean forward. The chest and abdomen are drawn inward. He suffers from poor circulation of the extremities, spinal problems, and migrating rheumatic ailments that are made worst with rest and better with movement.
• The pseudo-psora mind is affected with a nervous hypersensitivity. One moment he wants one thing and when he receives it, he wants something else. This dissatisfaction follows him throughout life. Today, he wants to be a lawyer, tomorrow, he wants to be an account. He changes homes, cars, work, wives, doctors, and so on. Mentally dissatisfied he is constantly depressed, and dependent on antidepressants.

10 Characteristics of Pseudo-Psora/Tubercular Miasm/Diathesis:
1. Variable symptomatology.
2. Mental and physical asthenia (dissatisfied).
3. Respiratory disorder.
4. Demineralization.
5. Migrating bone and muscle pain.
6. Lack of concentration.
7. Digestive problems (a desire for fatty and salty foods).
8. Circulatory debility.
9. Depressed.
10.Symptoms aggravate in a closed room, and ameliorates in the open air.

Pseudo-Psora/Tubercular Miasm/Diathesis

Miasms Chart

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