NOTE: The rubrics quoted in this article are mostly from Radar 10 & Complete
Repertory 2005, unless otherwise stated.
Man is a mixture of nature and nurture. Nature belongs to the genetic makeup and nurture belongs to the environmental makeup. Both collude and connive to make patients of different hues. It will be difficult to recognize how much each of them contributed to the person sitting in front of us, unless we know the environmental makeup is a façade and needs to be ignored in arriving at the simillimum. The genetic makeup is the essence which we must distill in case taking, if we want to arrive at the Genetic Constitutional simillimum (GCS). A homeopathic remedy can be called as GCS if and only if the direction of cure strictly follows Hering’s Laws as shown in a number of video cases at his seminars by Dr. Prafull Vijayakar and his faculty members. To trace a true picture of the disease and find a match to it in a clinical setting is an art. Herein lies the secret of success or failure of the homeopath. The materia medica is a collection of drug pictures and the database on which the homeopath relies. Several homeopaths since the time of Hahnemann tried to enrich the drug pictures in the material medica. But all of them suffer from the inherent limitation of presenting only either the psoric or sycotic or syphilitic drug picture. Even in the case of polychrest remedies, all our standard text books of material medica give only one sided picture of remedies and the homeopaths are constrained in the use of remedies only to a limited number of cases not knowing the true and immense potential of homeopathic drug action of those remedies.
For example, even for a well known remedy like Ignatia, we are presented with its standard drug picture as that of hysterical, changeable, emotional personality affected easily by grief and indignation. Dr Vijayakar says in his “Genetic materia medica” [i] this is only the syphilitic defense of Ignatia and to come to this stage, she must have been once a psoric Ignatia – chilly, thirstless, timid young girl who is conscientious about trifles, very studious and diligent and falls ill when she loses first rank in class. (MIND – AILMENTS FROM – position; loss of).
The purpose of this article is to show some glimpses of the range and depth of action of a Polychrest remedy like Phosphorus when it happens to be given as GCS in the cases of advanced pathologies pronounced incurable by the allopathy. This becomes possible only when the materia medica of the remedy is understood in the three phases of development of miasms, – Psora, Sycosis and Syphilis.
Dr Praful Vijayakar of Predictive Homeopathy pioneered a new approach in predicting the material medica of known and well-proven remedies when under the predominating influence of either of the three miasms – Psora, Sycosis and Syphilis. He called this “Tri-Miasmatic Materia Medica”. It is the brain child of Dr Vijayakar. It is the greatest contribution to Homeopathy since the time Hahnemann discovered Miasms. He has outlined the methodology of how to derive the psoric, sycotic and syphilitic drug pictures of some polychrests in his book, “Genetic Materia Medica”. It consists of collecting all the rubrics in the repertory in which the particular drug is present. The rubrics are then classified miasmatic-wise and this he termed as studying material medica of a drug through the repertory, a kind of reverse engineering. At various seminars, he has shown how miraculous results can be obtained with such knowledge of ‘Tri-miasmatic Materia Medica’ of remedies.
Every rubric in the repertory or symptom expressed by the patient consists of two concurrent aspects – the sensation proper and the miasm that is giving color to its expression. For example anger can be psoric if it is only for a short time and proportional to the situation involved. If it turns into a chronic habit with violence, it could be Sycotic, or if the anger gets suppressed and the person begins to store it for a future time to deal with it, it could be still Sycotic. On the other hand if it turns into rage when the person loses control over himself, then it is Syphilitic. So we need to be constantly aware of the miasm that is giving expression, because it is this underlying miasm that we need to treat and not the collection of symptoms as clearly mentioned in Aph# 202, 203, 204, 205 by Hahnemann in his ORGANON.
Perhaps an example would make this concept of Tri-Miasmatic Materia Medica more clear. The American Elm tree looks quite differently in different seasons. In winter it looks completely denuded and withered in appearance. This can be compared to a remedy when expressing its syphilitic image. This same tree looks quite the opposite in Spring, and Summer which can be compared with the psoric and sycotic images of the same remedy. In the fall this same tree looks even more differently which can be compared with the syco-syphilitic image of the same remedy. I came across this video of Elm tree as it changes throughout the year and the best that describes this theme. http://www.youtube.com/watch?v=YHlxcXdRlw0&noredirect=1
THE INFINITE BENEFITS
It has become well known that followers of, “Predictive Homoeopathy” are able to emulate his method and achieve true cures even in the most incurable cases of severe pathologies including regeneration of destroyed organs or tissues and restoration of growth where it got arrested due to man-made diseases such as vaccination after effects, and even reverse genetic mutations as shown at his most recent seminars.[ii] It is not an exaggeration to say that the mantle of Hahnemann has been inherited by Dr Prafull Vijayakar whose contribution to classical homeopathy stands on par with our past masters like Dr Kent, Dr Hering, Dr. Boger and others.
Dr Vijayakar has gifted the following tools that helped putting “Predictive Homeopathy” as the most scientific method capable of achieving incredible results with mathematical certainty that Hahnemann envisaged in his Foot Note under Aph# 145.
- 7 – Layer Miasmatic Chart of Suppressions [iii]
- Miasmatic understanding and interpretation of signs, symptoms, & rubrics [iv]
- Miasmatic Reversal from Syphilitic to Sycotic to Psoric as an essential addition to Hering’s Laws of Direction of Cure.
- Miasmatic interpretation of Diagnostic reports like MRI, CT Scan, X-ray, and laboratory reports as explained in his seminars.[v]
Thus with these tools, homeopaths strictly following his methodology are in a position to reverse and cure genetic disorders, cancers, brain tumors, Motor neuron diseases, etc., And what is surprising is the fact that such uncommon results are obtained using very common remedies.
Phosphorus is one such polychrest and an attempt is made herein to trace its drug picture when the human organism needing it as GCS, is putting up either a sycotic or a syphilitic defense. The psoric drug picture is too well-known and so not considered much here. The methodology I followed here is more or less the same as suggested by Dr.Prafull Vijayakar and the limitations if any are of my understanding and not that of his method. As already pointed out, it consists of studying the rubrics in the repertory in which this drug is present. One favorite aspect tempting for beginners of homeopathy is to classify the patients to different categories such as Diligent or Non-diligent, Extrovert or Introvert, Mineral or Metal or Animal etc., and Phosphorus patient defies and slips out of all such categorizations.
LEFT-SIDED OR RIGHT SIDED?
We can’t rule out phosphorus based on the side affected, if otherwise this remedy is well indicated. Phosphorus constitutions get mostly left-sided symptoms in psoric and some sycotic disorders. They can’t lie down on their left side in most of their complaints. But when the organism shifts its defense to Syphilitic Miasm, they may get right-sided symptoms, their personality changes from Extroverted to Introverted, from affectionate and loving personality to marked aversion and indifference to those around them. So we must be on our guard not to miss a phosphorus personality as it seems to be exactly opposite to our standard text-book drug picture when the patient sitting in front of us is projecting frank Syphilitic or Syco-syphilitic defenses. This aspect was highlighted very clearly in her article, “Homeopathy in Practice” by Dr. Mrs. Niva S.Ghosh.[vi] She wrote: “an extrovert, loving, friendly, happy-go-lucky, excitable & very assertive and positive Phosphorus will give the impression of an introvert, sullen, indifferent, unfriendly, discouraged and highly depressed individual that may mentally somewhat correspond to a Natrum-mur individual, after maybe a disappointed love or business failure… Natrum-mur will temporarily act beneficially, but the case will never improve towards cure without the prescription of Phosphorus.” Dr Vijayakar says that the emotional mind and feelings depend upon the neurotransmitters which form part of disease make-up and we need to ignore them if we want to reverse the Syphilitic miasm back to Psora and restore health. In a number of video cases he has amply demonstrated this aspect. So we need to unmask the patient’s original innate characteristic genetic traits to arrive at the original uncompensated image of the patient’s makeup and all our efforts while case taking or its evaluation later must be trained in this direction.
SLOW OR FAST ?
Phosphorus can be slow in Sycotic diseases and fast in Psoric and Syphilitic diseases. Kent says: It produces a marked typhoid condition in its prostration as well as in its zymosis, which comes on slowly. So much so is this the case that routinists often speak of Phosphorus as a remedy belonging to the second or third week of typhoid fever, because of the slowness with which its symptoms come on. We find this quite justifiable by the slowness with which the symptoms appear in the provings.
Dr.Vijayakar gives greatest importance to the psoric need which helps in final filtration and selection of GCS. Psora is our basic survival mechanism. For survival the organism needs respiration, nutrition and regeneration at the physical level; and love, support and self-esteem at the mental level. These needs are to be distinguished from the Psoric miasm which is essentially activated when any of these psoric needs is not satisfied. More on this can be found in the discussion of Graphites in his book, ‘Genetic Materia Medica’ and elsewhere in his other books.
The psoric need of a Phosphorous constitution is love. The person wants to take and give love. [MIND – AFFECTION – yearning for affection; MIND – AFFECTIONATE – returns affection. MIND – SYMPATHY from others – desire for; MIND – SYMPATHETIC.] This Psoric need affects the personality throughout his life, because it is where the sensitivity lies in the inner most core of his being and it gets obscured as the psora develops into sycosis and then into syphilis.
PSORIC NEED IN CHILDHOOD versus ADULTS
Let us see a few rubrics pertaining to childhood in Phosphorus constitutions and then compare with similar rubrics appropriate for adults.
MIND – FEAR – happen, something will – parents; child is afraid something bad will happen to his
MIND – DESIRES – full of desires – everything; desire for – another person is using; which
MIND – FLATTERING – seducing behavior in children
Now let us examine a few similar rubrics pertaining to adults.
MIND – FEAR – happen, something will – family; to his
MIND – ANXIETY – children – about his
MIND – DESIRES – full of desires – everything; desire for – another person is using; which
MIND – FLATTERING
Although both these sets of rubrics literally mean the same, we can make out a difference in their contextual meaning because of their ages and evolving miasmatic backgrounds. Needs are psoric and desires are sycotic. Such exercises with rubrics will enhance our understanding of the miasmatic coloring of symptom pictures. And now let us continue this exercise as the adult becomes even more grownup and becomes busy with life. Easy impressionability and desire to give and take love lands him in love entanglements, mostly platonic and romantic but little realistic. The following rubrics give the well known story of what happens in various stages thereafter when his sweet heart deserts him for greener pastures elsewhere.
MIND – JEALOUSY – sexual excitement, with
MIND – AILMENTS FROM – jealousy
MIND – AILMENTS FROM – love; disappointed
MIND – DELIRIUM – maniacal – love, from disappointed
MIND – GRIEF – silent – love; from disappointed
MIND – AVERSION – women; to – men; in
MIND – COWARDICE
MIND – KILL; desire to
The last rubric above gives the prompting of the syphilitic miasm, but the innate nature of phosphorus being cowardice, it will not be carried out, nor will he have courage to end his life. The further reaction to this situation in the phosphorus constitution may occur in the following ways, which denote the syphilitic miasm developing from the previous sycotic phase. It must be understood that sycosis and syphilitic miasms are nothing but developed psora – the basic miasm.
MIND – GRIEF – undermining the constitution
MIND – INDIFFERENCE – loved ones, to
MIND – INDIFFERENCE – dearest friends; even towards
MIND – INDIFFERENCE – himself, to
MIND – INDIFFERENCE – life, to
MIND – ANXIETY – conscience; anxiety of – no rest night or day, prevents lying down
MIND – ANXIETY – conscience; anxiety of
This last rubric above, if present in the case, indicates that the patient is headed towards autoimmune disease if he has not already had it by then. The person may have dreams or delusions as follows, for what the conscious mind suppresses, will surface in dreams and delusions.
MIND – DELUSIONS – murdered – had murdered someone; he
MIND – DELUSIONS – murdered – will be murdered; he
If the patient had been brought up with strict religious upbringing, she may end up with Obsessive Compulsive Disorder (OCD) which is just a step ahead of insanity as shown by the following rubrics.
MIND – DELUSIONS – obscene – action of which she had not been guilty; accuses herself of an obscene
MIND – ANXIETY – conscience; anxiety of – no rest night or day, prevents lying down
MIND – INSANITY – sexual excesses, from
MIND – INSANITY – mental exertion; from
What is important to note here is that the reaction to the same situation in life varies from individual to individual. It depends upon the dominant miasm, but modulated by the innate constitutional traits of each individual as briefly outlined above.
PSORIC NEED – NOT RELEVANT
Because of the very nature of the psoric need, there is no point in hunting for it in cases of children born syphilitic or with autoimmune diseases. While working out their cases, the entry point in such cases shall be from the rubrics relevant to body constitution, state of mother during pregnancy, birth complications, thermals and generals, and not from mental disposition.
The three essential conditions that define a Phosphorus constitution at mental level are:
- WILL: He has a weak will and no strong adherence to any belief/ value systems or goals in life.
- UNDERSTANDING: He is ‘Easily MAGNETISED’ and ‘Highly Impressionable’. He is very alertand reactive to the environment around him. He gives an impression of pleasant, affectionate, and charming personality with a radiant smile and establishes instant rapport with the homeopath. He can be compared to a blotting paper or a cotton swab that absorbs everything it comes in contact with. He easily picks up the vibrations of those around him and resonates to their frequency losing his own set point. This leads ultimately to confusion of identity and identity crisis as will be explained later.
- 3. EMOTIONAL MIND & INTELLECTUAL MIND: He is intelligent but emotions predominate his intellect and hold complete sway over him. Emotions literally bleed him to death. Excitability even to ecstasy and clairvoyance. (Kent). Candegabe[vii] pointed out this essence of Phosphorus in his Comparative Materia Medica: An imbalance of phosphorus, one of the main components of the nerve cell, causes a state of over excitability in the patient’s contact with his environment. The lack of confidence, `Confidence, want of self’, which is potentially present in all human beings, is intensified in Phosphorus by his emotional hypersensitivity and not by an exaggerated awareness of a real inadequacy, as is the case with Lycopodium. Similarly his arrogance, `Haughty’, has a slightly different meaning: here (in Phosphorus) it is a transient arrogance which comes to the fore during his fits of enthusiasm, passion, elation and euphoria that herald the onset of the destructive phase. In Lycopodium, arrogance forms an inherent part of his personality structure and can manifest itself as conceit, servility or egotism, according to the susceptibilities of the individual and the environment he lives in.
At a physical level the Phosphorus constitution reveals itself in the following weakest points:
- Tall, slender, delicate, and feeble constitutions, such as have been born sick, grown up slender, and grown too rapidly. (Kent) Along with this type of body structure, symptoms extend from below upwards as shown in the rubrics vide Annexure-1. As their list is long and in order not to divert our attention from the main topic, the list is placed separately. As anyone of these rubrics may serve as entry point to a Phosphorus case, the reader stands to gain by looking into each rubric listed therein. As we can see from this list almost every organ has a symptom with this modality and so it can be taken as a general modality. A case cured based on this modality is posted at the end of this section under the heading, “Direction of Cure in Paralysis”. In Phosphorus constitutions we will find red face due to rush of blood to head. Where this arterial excitement is missing, Phosphorus may at best work as a state simillimum only and not as GCS. So also remedies known for venous engorgement like Carb-veg will not work as GCS where arterial excitement is there.
- 2. The Phosphorus patient is very sensitive to all external impressions; slight odors, noises, touch, electrical changes in the atmosphere etc. Slight causes lead to exhaustion of either body or mind. Trembling throughout the body from slight causes, using the hands, from slight exertion, from debility, from coughing. Patients in low fever want to be mesmerized, they are starving for vital energy.(Kent)
- Hemorrhagic constitutions. Small wounds bleed much; the prick of the needle will bubble forth much bright red blood. Hemorrhage from small wounds, from the nose, from the lungs, from the stomach, from the bladder and from the uterus. Bleeding from ulcerations. False granulations that bleed. Purpura hemorrhagica. (Kent) Hemorrhages in Phosphorus constitution are active and bright red arterial blood unlike in remedies like Carbo-veg which are passive, venous blood.
MIASMATIC REFLECTIONS AT PHYSICAL LEVEL
With the above deficits at the physical level, the ruling miasm defines the kind of pathology that the body reveals either by signs the physician observes or symptoms that the patient complains or the syndrome that the diagnostic report and laboratory reports indicate.
Thus for example the phosphorus constitution when under the influence of –
i.) psoric miasm will come with complaints of a psoric nature, like acute inflammatory conditions – dermatitis, endocarditis, Internal itching, tickling, running nose, diarrhea, fevers, etc.,
ii.) when under the influence of sycotic miasm, will come with complaints like General dropsical condition, Bloating of the hands and feet, marked state of anemia and relaxed condition of the muscles, Muscles flabby. In the woman, relaxation of the pelvic organs, prolapses and other displacements. polyps of the nose and ears, Exostoses of the skull or any bones with tearing pains, relaxations and prolapses in various organs, anus relaxed, open and oozing mucus or moisture, acute hydrocephalus and hydrocephaloid symptoms. chronic inflammation of the meninges of the brain; softening of the brain etc.,
iii.) when under the influence of syphilitic miasm, will come with complaints like, Fatty degeneration and destruction found in the liver, heart, kidneys, muscles, necrosis of any of the bones (especially jaws), Inability to swallow any nourishment because of paralysis of the esophagus or chronic inflammation of the mucous membranes of the throat and esophagus; constriction of the esophagus, Paralysis with formication and tearing in the limbs. Paralysis that comes with apoplexy, Jerking and twitching of the muscles along with paralysis, bleeding disorders like Epistaxis, retinal hemorrhage, Thrombosis of retinal vessels and degenerative changes in retinal cells, atrophy of optic nerves, anus oozing bloody moisture, Violent head pains; atrophy of the brain; medulla oblongata. Etc
In short (irrespective of the remedy or constitution) we get acute inflammatory diseases under Psora, accumulative or proliferative diseases under Sycotic miasm, and destructive or degenerative diseases of organs or tissues under Syphilitic miasm. But the difference lies in the selective affinity of each remedy to manifest these disease conditions. In Phosphorus these preferred areas of localization of disease are:
CAVITIES (Head, LUNGS, Heart);
CIRCULATION (Blood, BLOOD-VESSELS, Arteries);
MUCOUS MEMBRANES (STOMACH, BOWELS, Lungs (Lower);
NERVES (Brain, Cord);
Bones (Jaw; Upper, Shin, Spine.) – Boger
At a general level the Phosphorus constitution is revealed by
- Thermals: He is a Chilly patient, sensitive to cold, open air, thunderstorms or sudden changes in atmosphere. All his complaints are worse from cold and cold applications, and better from heat and warm applications, except the complaints of the head and stomach, which are ameliorated from cold. A patient suffering from the Phosphorus nausea will have vomiting come on from placing the hands in warm water, as when washing dishes. That peculiar vomiting of pregnancy when always aggravated by placing the hands in warm water will find its remedy in Phosphorus. (Kent). In hysterical patients and those suffering from thyroid disorders, thermals can be ignored.
- Thirst: craves cold drinks which amel., but are VOMITED IN A LITTLE WHILE as soon as they are warm in the stomach.
- General Ameliorations & Aggravations: The patient is ameliorated by rubbing (magnetization), cold food, carbonated drinks etc.,
All symptoms are worse in the dark; worse when alone; worse when hungry, worse from thunderstorms, worse from odors (smell of garlic), salty dishes, sometimes worse from music; worse from excitement; worse from playing the piano etc.
SOME CHARACTERISTIC SYMPTOMS AT PHYSICAL LEVEL
Some characteristic symptoms at physical level that may serve as entry points to Phosphorus cases are listed in ANNEXURE – 2 at the end of this article. These are rubrics which are exclusive to Phosphorus. Such an exercise can be repeated to collect all rubrics in which Phosphorus is present in BOLD (3 marks) to explore this remedy dimensions further.
DIRECTION OF CURE IN PARALYSIS – A CASE
The following case shows not only the importance of UPWARD direction of symptoms in Phosphorus but also which should improve first, the sensory or the motor nerves.
“Paralysis Following Typhoid Fever. – A strong, well-built man had hepatitis in 1857, and in September, 1858, typhoid fever. In October he had the following symptoms: Complete anesthesia of the upper limbs as far as the elbow, and of the lower up to the gluteal, which had come on progressively, beginning in the fingers and toes. At the same time the capacity for movement was largely lost; he could grasp nothing firmly, and could not stand, muscles flaccid and wasted. No mental impairment. Phosphorus 2 was continued for two months. First sensation returned, then motor power. In three months he was quite well. – Stoneham, in Jourl. B. H. S.” – AIH Journal 1910.
As shown above the improvement shall be first in sensory nerves and then in motor nerves and this should happen in all cases, if the remedy given is the correct simillimum.
ANNEXURE – 1
This is a list of rubrics that show the upward direction or extension of symptoms in phosphorus. The direction of symptoms is an important aspect because it differs from remedy to remedy. For example, the spine in patients that call for phosphorus is frequently the site of burning pain, a sense of heat which seems to travel up the back into the head to the vertex while picric acid shows the reverse direction for this symptom (Wheeler). This list is not exhaustive and this modality of upward direction of symptoms can be taken as a general modality of Phosphorus constitution.
GENERALS – PARALYSIS – extending to – Upward
BACK – PAIN – Coccyx – extending to – Spine – Vertex during stool, drawing head backward; through spine to
BACK – COCCYX; complaints of – extending to – Upward – stool – during – agg.
BACK – COCCYX; complaints of – extending to – Upward – Spine to base of brain; along
BACK – congestion, fullness – extending to head
BACK – coldness, chilliness – extending – head, to
BACK – HEAT – extending to – Up the back – menses; during
BACK – heat – extending – head, to – convulsions, before
BACK – heat – extending – back, over – up – hemorrhage, with uterine
BACK – LUMBAR REGION; complaints of – extending to – Vertex
BACK – PAIN – extending to – Upward – stool agg.; during
BACK – PAIN – Spine – extending to – Occiput – Coccyx to occiput, drawing head backward; from
HEAD – OCCIPUT; complaints of – extending to – Upward
FACE – TENSION of skin – Forehead – drawing upward of skin of forehead
MOUTH – PALATE; complaints of – extending to – Upward
STOMACH – COMPLAINTS of the stomach – extending to – Upward
STOMACH – HEAT, flushes of – extending to – Upward
STOMACH – JERKING – extending to – Throat
STOMACH – PAIN – extending to – Upward
STOMACH – REGURGITATION – food – eating – immediately after
STOMACH – RISING UP into throat; sensation of something – hot
EYE – PAIN – left – extending to – Vertex
NOSE – VAPOR rising into the nose; as if
FACE – COMPLAINTS of face – extending to – Forehead
MOUTH – PALATE; complaints of – extending to – Upward
THROAT – PAIN – extending to – Nostrils
ABDOMEN – coldness – extending – fauces, into
ABDOMEN – PAIN – Inguinal region – extending to – Stomach
ABDOMEN – PUBIC REGION; complaints of – extending to – Lumbar region
MALE GENITALIA/SEX – PAIN – Testes – pushed up; as if
EXTREMITIES – LOWER LIMBS; complaints of – extending to – Chest
EXTREMITIES – NUMBNESS – Fingers – First – extending to – Arm; up radial side of
EXTREMITIES – PAIN – Elbows – extending to – Shoulder – boring pain
EXTREMITIES – PAIN – Hips – extending to – Chest
ANNEXURE – 2
Some of the very characteristic symptoms (in which phosphorus is the only remedy present) at physical level that may serve as entry points to Phosphorus cases are listed below. Their study helps in recognizing a Phosphorus Constitution especially when mentals are either absent (one-sided diseases with gross pathology) or unreliable as in genetic disorders of children and the insane.