| Grant is the Principal of the Victorian College of Classical
Homeopathy in Melbourne Australia. Both Grant and his partner Louise
have done intensive research into miasms and their influence on
facial features. This research has been applied clinically since
1999 and is now a recognized diagnostic method to determine a patient’s
miasm.
Background
In 1999 as part of an ongoing project with undergraduate students
about the practical application of miasms in clinical prescribing,
some of the works of Allen and Roberts were examined. Both these
authors mentioned facial features throughout their works on miasms.
Hahnemann’s great work Chronic Diseases had already been studied
in detail and it was clear that he advocated the inclusion of the
miasm in chronic prescribing.
- Why, then, cannot this vital force, efficiently affected
through Homeopathic medicine, produce any true and lasting recovery
in these chronic maladies even with the aid of the Homeopathic
remedies which best cover their present symptoms (1)
- by the employment of medicines more suitable for this miasm,
he is enabled to render more essential service and almost invariably
to effect a perfect cure (1)
But how was the miasm to be recognized? Boenninghausen posed this
question.
- we have not so far any certain signs by which we can distinguish
certainly the domain of one miasma from that of the other(2)
Hering determined that the miasm was so difficult to define that
he dropped the idea entirely and used symptom totality alone to
choose a remedy. Many Homeopaths followed on from this idea well
into the twentieth century.
Allen like Hahnemann knew that without the miasm a simillimum was
far more difficult to find.
- The fact is, we can not select the most similar remedy possible
unless we understand the phenomena of the acting and basic miasms
(3)
Allen and Roberts left us with some tantalizing suggestions about
the effect on facial structure of the miasm.
- In the tubercular patient…the face and head is often
seen to be the shape of a pyramid (3)
- How generally we see the landmarks of one of these chronic
miasms stamped upon the organism. We see it in every feature and
every physiological process; in the shape and contour of the body;
upon the visual expression, the face, nose, lips, ears, mouth,
upon the hair, its growth, lustre and general beauty or lack of
it…(3)
- The appearance of people suffering from the syphilitic stigma
often tells the story at a glance, for we observe that the head
is large and bulging, the hair is moist, gluey, greasy…
(4)
Foubister also took into account appearance as part of his clinical
research into the offspring of mothers suffering from cancer during
the 1950’s. This information forms part of his picture of
the remedy Carcinosin
- These children presented a remarkably similar appearance, having
blue sclerotics, a cafe au lait complexion and numerous moles
(5)
A branch of medicine popular in the late nineteenth and early twentieth
century was heredosyphilis; the study of the offspring of patient’s
suffering with syphilis. It was noted that these children often
displayed the following features (6)
- Cupped teeth
- High arched palate
- Depressed bridge of the nose or saddle
- Domed forehead
- Wide-set eyes
Using these small pieces of information, the research project into
the influence of facial features by miasm was commenced. All of
this information was validated through clinical practice in the
following manner –
Patients who had received a successful constitutional result for
a chronic condition from a polychrest remedy such as Sulphur (psora),
Thuja (sycosis) and Mercury (syphilis) were examined to determine
the relationship between their facial features and their miasm.
Very quickly a pattern emerged and the features that were allocated
to these three primary miasms were used for subsequent patients
when choosing their constitutional remedy.
Using the three primary miasms as the foundation four other miasms
were added as per the following diagram. It was already well established
that the tubercular miasm was a result of the combining of psora
and syphilis (two dissimilar diseases of equal strength)
- (as the syphilis is at least as strong as the psora), the two
join together (7)
The cancer miasm is a result of the combining of psora, sycosis
and syphilis (three dissimilar diseases of equal strength)
If the tubercular miasm and the cancer miasm are a result of the
combining of dissimilar diseases then psora/sycosis and syphilis/sycosis
must also create their own miasm.(8)
Hahnemann stated that when dissimilar diseases of equal strength
came together they would form a new disease. Based on this theory
there can only be seven miasms.
During this same period a number of polychrest remedies were examined
to determine their miasmatic dominance. Using repertory searches
of rubrics and comparing materia medica pictures, further remedies
were classified and many of them clinically verified against a patient’s
facial analysis.
The results of this research were published in 2003 in Appearance
and Circumstance by Grant Bentley.
Between 2003 and 2006 we continued to teach this method to our
students and showed the method to a number of practitioners in Australia,
New Zealand and Europe. To help practitioners in their analysis
of faces a second book was written and published in 2006, Homeopathic
Facial Analysis – A Companion Guide to Appearance and Circumstance
by Grant Bentley. Using photos and sketches this book demonstrates
the many varieties of feature structure, shape and size and how
they can be determined miasmatically.
Professional Impact
Every Homeopath wants to find the simillimum for their patient
as quickly as possible and many dedicate their lives to understanding
materia medica at a deep level to find remedies for their patients.
However the polychrests are medicines of many uses and they are
difficult to understand without years of practice and even then
they will surprise in their variety of presentations. HFA (Homeopathic
Facial Analysis) can offer the profession two important avenues
for success. Firstly experienced practitioners, classically trained
can easily add HFA to their clinical practice to confirm their remedy
choices. In Chronic Diseases Hahnemann was not suggesting a change
in how we find the simillimum, only that we needed an addition.
Standard classical repertorising includes both mental, general and
physical symptoms as an attempt to achieve totality. All of these
methods continue to exist with HFA so experienced practitioners
need only learn the addition of this diagnostic tool to complement
their existing practice.
HFA offers much needed support to the newly graduated Homeopath
for while patients are prepared to show a degree of tolerance it
is not exhaustible. For the new Homeopath without an earned reputation
Homeopathy poses the difficulty of finding the simillimum quickly.
Most patients are prepared to give their practitioner two, three
or four attempts before feeling any benefit, but they are not prepared
to give the five, six or seven often required before the simillimum
is achieved. This is the downfall of Homeopathy for the new practitioner
because it means a staggered hit and miss, up and down clinic for
some years before becoming established. In fact many graduates find
they cannot continue because their patient ratio doesn’t improve
quickly enough to make professional Homeopathy viable.
HFA addresses this problem because once the miasm is identified
and a good case along classical lines has been taken, relief for
the patient is often only a couple of remedies away and many times
significant relief is obtained from the first prescription. This
helps build quick reputations, professional confidence and patient
lists.
Philosophy
HFA has great rewards for both the pragmatic Homeopath as well
as for the more philosophical. For the pragmatist it offers the
most accurate objective diagnostic tool Homeopathy has ever produced.
For the philosopher it offers a deeper understanding into not only
the patient but in defining what Homeopathy actually is. HFA philosophy
reforms the way miasms are viewed and redefines our interaction
with them which provides an insight into the human condition.
These insights obtained through clinical practice are currently
being written for publication in 2007.
Practical Application
- Case taking
The patient’s case is taken including their biography,
current presenting complaint, history of complaints and generals
(temperature reaction, time reaction, sleep, menses, perspiration,
appetite etc)
- Repertorisation
The case taking information is analyzed and translated into
six to nine rubrics covering the totality of the case. The rubrics
required number no more than three mentals, three to five generals
and one physical rubric that is the most unusual. Many of the
rubrics chosen will contain from 20 to 500 remedies. This blend
of rubrics is then repertorised using Homeopathic software.
Using such large rubrics will bring to the practitioner’s
attention a range of polychrest remedies. Even where more then
twenty remedies repertorise, our miasmatic diagnosis will cull
the group down to only three or four remedies. This is because
on average only one seventh of the presenting remedies will
be of consideration.
- Facial analysis
At the end of the consultation photographs (digital) are taken
of the patient showing all aspects of their facial structure.
A minimum of five photographs are taken and each feature is
examined to determine to what extent that feature has been influenced
by one of the three primary miasms. All features effected by
a miasm are then tabled and the final miasm is determined by
the dominance of either a single miasm (psora, sycosis, syphilis),
or a combined miasm (tubercular, syco-psora, syco-syphilis,
cancer)
- Remedy selection
The repertorisation is examined and only the remedies belonging
to the same miasm as the patient are taken into consideration.
Where two, three or four remedies are presenting from the patient’s
miasm, the materia medica is checked to determine the most likely
simillimum.
Using this method we are obtaining consistent and strong results
of up to 80% across a wide range of pathologies. Even students with
only their undergraduate training as experience are obtaining results
usually not seen until a practitioner has many years of clinical
knowledge. See case (http://www.vcch.org/behaviour-oct06.html)
on the college website.
REFERENCES
- Hahnemann Samuel, Chronic Disease:Their Peculiar Nature
and Their Homeopathic Cure, B Jain Publishers, New Delhi,
India
- Boenninghausen CMV, The Lesser Writings, B Jain Publisher,
New Dehli, India, 1994
- Allen, JH, The Chronic Miasms Vol. 1 – Psora and
Pseudo-Psora, Author 1910, reprint B Jain Publishers, New
Delhi, India
- Roberts H, The Principles and Art of Cure by Homeopathy,
Health Science Press, Whitstable, Kent, 1942
- Foubister, Donald, The Carcinosin Drug Picture, MacRepertory
Reference Works
- Stokes, John H, Modern Clinical Syphilology: Diagnosis,
Treatment, Case Studies, WB Saunders, Philadelphia 1926
- Hahnemann, Samuel, Wheeler, CE (trans.) Organon of the
Rational Art of Healing, J M Dent and Sons, London, 1913
- Bentley, Grant, Appearance and Circumstance, Pennon
Publishing, Melbourne, Australia, 2003
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GRANT BENTLEY
ND Dip Hom Grad Dip Psych.Th Prof Memb AHA AROH reg ATMS ANPA
Principal of the Victorian College of Classical Homeopathy since
1995 Grant has enthusiastically taught and researched Homeopathy
during that time. His first book Appearance and Circumstance
was published in 2003 followed by Homœopathic Facial Analysis
in 2006. He is currently writing his third book showing how miasms
are reflected in all aspects of structure, behaviour, life events
and time.
LOUISE BARTON
Dip Hom Prof Memb AHA AROH regd
Louise Barton has been in clinical practice since graduating in
1996. She was involved in the Australian Homoeopathic Association
(Vic) from 2001, both organising seminars and as President from
2002 - 2004. She teaches at the Victorian College of Classical Homœopathy
and has been involved with miasmatic research and the production
of her partner Grant Bentley's book Appearance and Circumstance
and Homœopathic Facial Analysis.
Training
For further details and training opportunities, visit www.vcch.org |