27-4-08 SAHYA

MIASMATIC
REPERTORIZATION

27-4-08 SAHYA
 Effective
Repertorization
is a combination
of Science,
philosophy and
above all art.
27-4-08 SAHYA
It is a tool that
helps us to
r each at the
rig ht si mi limu m

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 Try to confirm the
Miasm of the patient
before you attempt to
repertorize

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 Now a days we get mostly sycotic,
syco-syphilitic, Psoro-syphilitic or
syphilitic cases.

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 If the case is predominantly,
syphilitic case,

Select rubrics
that are
syphilitic.
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 syco-
syphilitic
one,
Select
syphilitic
rubrics

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 If the case is
predominantly
sycotic,

Select rubrics
that are sycotic
SAHYA 27-4-08
27-4-08 SAHYA

If the case is psoro

sycotic,
Select sycotic rubrics.
If the case is
predominantl
y Psoric,
select the psoric
rubrics.
SAHYA 27-4-08
 If the case is
psoro- syphilitic,
(Tubercular)
Select rubrics that
are syphilitic.
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 Examples of syphilitic Rubrics
(Non – expressive)
Reserved
Talk indisposed to
Grief undemonstrative
Anger suppressed.
Quiet disposition

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Examples of Sycotic
Rubrics
(Expressive)
•Vivacious
•Loquacity
•Shrieking
•Lamenting
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The incorrect approach or
selection of rubrics results
either in failures or in
temporary short lasting
results

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For long lasting results
and esp. in chronic, so-
called incurable cases,
pathological cases the
entire onus is on the kind
of rubrics that we select,
the symptoms on which
we prescribe
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“Extra-ordinary people
don't do different or
extraordinary things they
just do things differently”.

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 big & solid, which
everyone has to agree
on i.e. it should be an
objective rubric and not
subjective

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 Objective Rubrics
Hardness
Frown
Restlessness, physical
Swelling
Discolouration

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 Subjective Rubrics
Pain
Grief
Indignation
Dim vision
Delusions
Sensitivity
Dreams
Cravings and aversions
Modalities.
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 Similarly try and rule out the
remedies that come up after
repertorisation, when a rubric or a
remedy cannot be ruled out or
eliminated then, it assumes
significance and solidarity.

27-4-08 SAHYA
Proceed by taking such
qualities of that person which
run through and through his
personality in various
situations or circumstances, in
childhood, youth and
adulthood…… again bearing in
mind that they have to be
solid and beyond doubt.
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27-4-08 SAHYA

Take those qualities of a person

which are unshakeable or which
describe him as a person.
These are his innate
characters or traits
 Some examples of innate
characters and Traits:
 Conscientious about trifles
(Diligent).
 Mildness.
 Positive ness.
 Exuberance. (Enthusiasm)
 Courageous.
 Cowardice.
 Unfeeling , hard-hearted.
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 These are the characters
which are determined by
the genetic makeup of that
individual. So these innate
characters are given so
much value. 

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 Out of all the genes available to
man some are expressed while
some are not (repressed). The
expressed genes determine not
only his physical makeup but also
what diseases he is prone to
develop.
…they determine
the constitution
of the person
27-4-08 SAHYA
 So what we are taking as
prescriptive totality to arrive at
the simillimum is nothing but
the totality of the expressed
and dominant genes in that
individual

This is the “ Genetic

constitutional
simillimum” of Dr. Prafull
27-4-08 Vijayakar.
SAHYA
These are subject to change only when
there is a major causative factor. The
genetics in man will always resist
change. The causative factor will be
such as is analogous to his or her
constitution. E.g. only those people who
are sensitive to grief will be found under
A/f grief. So the way we look or read
the rubrics should change drastically
27-4-08 SAHYA
 be most definitely found in the
related remedies of his earlier
constitution i.e. either
complementary or followed well
by..….. Once we understand this it
becomes very simple to perceive
the logic behind the relationship of
remedies. This answers the long
debated question of whether the
constitution of man can change or
not.
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In Homoeopathy a symptom
assumes importance if it
represents him as a whole
rather the situation.

SAHYA 27-4-08
 Select a rubric which runs
through and through that
person, which has not changed
over the years or that which
resists change i.e. one that is a
genetic or an innate character of
his person. This is usually from
the non diseased group of
27-4-08
rubrics.
SAHYA
For the selection of any rubric we
need to be very well conversant
with the cross references of the
rubric under consideration. 
The exercise of compiling and
putting together rubrics which are
similar in meaning but may mean
or imply something slightly or
grossly different can always come
27-4-08
in handy.
SAHYA
 E.g. rubrics of
Inferiority complex :

lack of confidence,
contemptuous of self ,
reproaches himself,
Timid bashful, appearing in public.
Del: diminished.
Del: dirty.
Del: failure / fail he will.
Undertakes nothing lest he fail.
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 E.g. For the people who are rude
and harsh towards others:

Contemptuous
Rudeness
Insolence
Abrupt, harsh
Cursing swearing ,
Abusive, insulting.
Impertinence.
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 E.g.: Rubrics representing lively
or social people.

Vivacious
Sociability
Exuberance
Exhilaration
Company desire for
Loquacity
Mirth, hilarity
Cheerful.
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 Our repertories are not
perfect and we need to be
aware of the different flaws in
them by knowing all the cross
references of any particular
rubric lest we miss out the
remedy despite taking big and
solid rubrics.
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E.g. a big rubric like vivacious
containing more than a 100 remedies
does not cover Stannum met which is
the only 3 mark remedy in the rubric
Exuberance!

Sociability contains Nat-carb as one of

the medicines which is one of our
most misanthropist remedies!
27-4-08 SAHYA
 LEARNING MATERIA MEDICA
FROM REPERTORY:

27-4-08 SAHYA
 We should try not to settle
down with anything less
than the simillimum.
It may not be possible every
time but at least our efforts
should be directed towards
27-4-08
that end!
SAHYA
  Timid & coward :  Timid but not
Gels, bar-carb,  lyco, puls coward : Nat-carb ,  Ars-
, silica,   stram, alb, Carbn-sulph, alumn,
coca

  Timid and shy: Puls ,   Timid but not shy

Bar-carb ,  :Gels, kali- carb ,  lyco,
  coca, petro, sulph, calc plb-met, sep, borax , ars-
alb

  Timid but not

  Timid and yielding:
yielding: bar-carb, gels,
lyco , puls ,  calcarb, calc-sulph 
  m-arct, nux vom , phos,
sep,
27-4-08 sil. SAHYA
Another way studying the same
rubric is to study the groups of
families
e.g.Timidity covers carbons
in maximum percentage
followed by sulphurs, kalis,
arsenicums, metals……. This
helps us to understand that
carbons are most universally
timid followed by sulphurs.
If we study the repertory in
the above mentioned
manner then we can realise
the full potential of not
only the repertory but also
our own potential to a
significant level. We will be
able to do justice to our
unused talent, reading, to
our practice and to our
27-4-08
patients
SAHYA
 It is a very vast subject and
requires a lot of application,
perseverance and
determination conjoined with
a passionate desire to
prescribe better.
27-4-08 SAHYA
 A desire to come out
routinism or drug pictures
fixed in our minds over a of
period time. It also requires a
lot of self-evaluation &
criticism, otherwise we land
up using the same group of
rubrics or the same group of
27-4-08
remedies.
SAHYA
 Inmterpretation
of
Mental Symptoms for
Miasmatic
repertorization

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I was Planning to consult Postponing
Everything to
U For the past few Months Next Day (SYC)
MEDO
(Syc)

Sir Is it Curable ? Doubtful Recovery

Syc About (SYC)
ARS

How many months I have to Impatience

(Intolerance) – Tub
Take Medicines (Tub) SUL AC, Tarent

27-4-08 SAHYA
 Hom. Medicines are not fit Homoeopathy
For me, I do Smoke & Drink Aversion to
HEP
Syphil

I will Bring More Patients

To U if my complaints
Relieved (Syc)

It will take little time for Repulsive (SYC)

a favorable action from (Blaming)
PULS
Hom. Medicines

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 MIND - CENSORIOUS –
silent; disposition
If it acted Homoeopathy is Good to be faultfinding or
But it should get acted. AUR SUL
SYCORIC

People are advising me to MIND - DISCONTENTED –

Take Allopathy, But I won’t Take others; with
(Tubercular)
TUB Hep, Ruta

After taking this MIND - CENSORIOUS –

blames others - wants to;
medicine …….. and make them responsible
(SYC)
Syc LAC LUP

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 Relieved But Not
Complete

Quantity of
Medicines

Relief Due to Diet and

Regimen (Syc?)
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 Is any need
of
consultation
of a Surgeon
or likewise?

Did You
Prescribed
Shall I take the same
Tonic, remedy?
Vitamin
likewise
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 MIND
Is it Curable in DOUBTFUL
HOMOEOPATHY -recovery, of
ARS

MIND
It is not Curable DESPAIR
Isn’t it? -recovery, of
SYPH

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27-4-08 SAHYA
 Avoid Coffee

Black Coffee?

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 Forget to
Take Fastidious/
Patient Medicines Extremeness
Symptom Before Food!

Fastidious
Conscientious about trifles
Proper Too
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 Can I Take
Allopathic Patient Symptom
Medicines
Incordination
In Distrustful
Acute (Suspicious /
Emergencies Doubtful)

27-4-08 SAHYA
There is chance
of worsening PATIENT
So I SYMPTOM
Reach at you
In the SENSITIVIT
Beginning Y
Itself! SUSPICIOU
S
INTOLERAN
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CE
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 MIND - AFFABILITY - enemy; to an (1)
aloc (alcoholus)

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 MIND – AUDACITY
(21)Arn,Puls,Tub,IGN

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 MIND – MALICIOUS (98) ANAC
 MIND – BRUTALITY,
 MIND – CRUELTY,
 MIND - HARDHEARTED, inexorable

27-4-08 SAHYA
 GENERALS - LABORATORY
findings - albumin-globulin
ratio inverted

Beryllium
metallicum

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 GENERALS - LABORATORY
findings - electrocardiograph
- P-R interval prolonged

stroph
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 GENERALS - LABORATORY
findings - sedimentation rate -
increased

(Unreasonable)

Cobaltum Nit

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GENERALS - LABORATORY
findings - potassium level
- reduced

cortisonum

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 GENERALS - LABORATORY
findings - sperm count - low

Pituitary

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 GENERALS - LABORATORY
findings - spinal fluid pressure -
elevated

x-ray

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 Perspiration STAINING

BL UE Yellow RED

Indigo LACH Nux Mos

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 RELATED MODALITIES &
ACCOMPANIMENTS

Coughing from – Samb

Qualified with Mental

Symptoms
Anger With – SEP (Sycotic)
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 SLEEP
Age
Sleeplessness Old
People – (Syphil)
New Born – Coffea

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 Position
Stretched out
Lower Limbs

(Sycotic) PUL

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 Pattern
Naked
Merc Sol

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 Turning three
hundred and sixty
degrees all night

Lac Delphinum
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 Diagonal
Position

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Some Pathological Rubrics Which can
Individualize the patient

i.e
PATIE NT OU T OF
DISEAS E

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 Generals of Miasms

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 Food & Drinks are Pointers
Towards Miasms.

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 Psoric – Desires

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 Sweets
Fruits
Vegetables
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 Farinaceous
Yoghurt Etc

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 Psoric Sleep

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 On back
Smiling
Refreshing
> after catnap sleep
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 Season

Winter <
Clear fine weather >

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 Menses
 Winter <
DUB
 Clear fine weather
> Regular
Scanty menses
Spasmodic dysmennorrhoea
Itching without leucorrhoea
> menses
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 Perspiration
Aml - Perspiration
Scalp
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 Generals of
Sycotic Miasm

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 Alcoholic Drinks
Garlic
Rich Food
Pepper
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 Pungent Things
Refreshing
Spices
Vinegar Etc
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 Sleep Sycosis
Putting hand or leg over the bedmate.
Putting hand over head
Take the major part of the bed
Early to bed and late to wake
Wake up from sleep from slight noise
Burning soles

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 Sycotic Seasons

Rainy season

Cloudy Weather

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 Sycotic Perspiration

Yellow staining – LACH

Smells onion - LYC
Sweat in axilla - DULC
Single parts in excess - MEZ
On nose – NAT M
Anger during - SEP
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 Sycotic Menses
Sycotic Menses
Large clots
Large clouts

Leucorrhoea yellow
Leucorrhoea yellow purulent
purulent
> Leucorrhoea
> Leucorrhoea
Endometriosis
Endometriosis
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 Generals of
Sypilitic Maism

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 SYPHILITIC
DESIRES

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 Intoxicating things
Red Pepper
Stimulants Etc

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 Syphilitic Sleep

Diagonal position
Spits during sleep
Kicks during sleep

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 Bloody nocturnal
emissions
Ptylism
Night aggravations
and thus sleeplessness
from evening to early morning.

27-4-08 SAHYA
27-4-08
SYPHILITIC PERSPIRATION
SAHYA
 Bloody
Cadaverous odor
Night perspiration

27-4-08 SAHYA
 ME NSES
Dark Decomposed
Metorraghia
G:\A C D C\Red\616045.JPG

Night <
Bloody leucorrhoea

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 Some General Rubrics
of
Tubercular Miasm

27-4-08 SAHYA
 MIND - CAPRICIOUSNESS
STOMACH - THIRST - capricious
GENERALS - FOOD and DRINKS –
drinks - desire – capricious,
but refuses when offered

STOMACH - APPETITE - capricious appetite

RHEUM, CYPRIPEDIUM

27-4-08 SAHYA
Refer S.K.Banarji
or Use Your
LOGIC
27-4-08 SAHYA
 Self Explanatory
Miasmatic
Presentations

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 Hair falling after Acute
Disease – Psoric
HEAD - HAIR - falling -
disease - acute
exhausting disease;
following – Mancinella
Follow with a dose of SUL

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Sun head ache Psoric

Sulpur will prevent

recurrence
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 Falling of hairs from
eye brows, eyelashes,
beared,
Entropion

 SYPHILITIC
27-4-08 SAHYA
 Try to find out
“MIASMATIC
SPECIFICS” by
considering miasmatic
group of Symptoms.

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FACE - HAIR - falling of hair -
Eyebrows
FACE - HAIR - falling of hair -
Mustache
FACE - HAIR - falling of hair -
Whiskers
EYE - INVERSION of lids
All are syphilitic presentations
 Anacardium covered all rubrics
Except falling mustache – KaliC
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 Spots Before eyes, Psoric

VISION – SCOTOMA – Agar

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 Injuries to eyes – Syphilitic ?
EYE - INJURIES, from – Staph,
Sil
Refractory changes are
syphilitic

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 Sensitive to odors - Psoric

 NOSE - SMELL – acute

Colch
 MIND - SENSITIVE -
odors, to - Colch

27-4-08 SAHYA
 All snuffles are not sycotic

 Mouth breath due to

blockage and dryness of
nose – Tubercular
 NOSE - DRYNESS - Inside -
breathe through mouth; must –
Melilotus
27-4-08 SAHYA
 All asthmas are not Sycotic

 Wet asthma (With Rattling) – Sycotic –

Nat Sul (F/H)
 Dry Asthma – Psoric - Thymus
 Dyspnoea > Stool – Sycotic – Ictodus F
(Pothos F)
 Asthmatic Bronchitis – (smokers)
Syphilitic – Stann Iod
 Asthma < ascending stairs – Tubercular
– Stann Met

27-4-08 SAHYA
 Worms – Tubercular
Except tape worm which
is PSORIC

27-4-08 SAHYA
 Tape Worm
unreasonable
but in practice
CALC & Filix
Mas found
effective
remedies are
found effective

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 Albuminurea –
Phospahturea,
Glycosurea –
TUBERCULAR

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  URINE - ALBUMINOUS
 URINE - SUGAR
 URINE - SEDIMENT –
phosphates

PHOS ACID
covered the
above 3 rubrics
27-4-08 SAHYA
 Mi lk i nt olera nce
TUBE RC UL AR – T UB

Easy E jacu lati on

PSORI C GRA PH ,
27-4-08 TITAN IUM
SAHYA
 Abortion
Tendencies
Syphilitic
Kali C
27-4-08 SAHYA
 A zoo sp er mi a
Sy phi lit ic

ext re me T r y
Noso de
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 Bed wetting ?
Not only
Tubercular but
sycotic too.

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Difference is, in Tubercular
patient nocturnal enuresis will
take place soon after going to
bed, but in Sycosis the indication
is patient wakes up during
micturition (Sep)

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 Warts on Hands
and face
PSORIC
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 Though Asthma < ascending
stairs listed under
Tubercular miasm
 It can be Sycotic in
 CCF and Cor pulm.
 And syphilitic in
 Valvular Heart Disease
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 RESPIRATION -
DIFFICULT - high
altitudes; in
(palitation) –
Tubercular – coca

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 Keeping his
mind on heart –
Psoric

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  MIND - ANXIETY -
heart; about his

 SAMB (Sycoric)

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 MIND - ANXIETY -
heart failure; in
congestive – CARB
V ( Only one drug
and this is also
covering all
miasms -
Multimiasmatic)

27-4-08 SAHYA
 MIND - FEAR -
heart - disease of
the heart – Psoric
– Calc , Spong

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 RHD - Sycotic

CHEST - HEART; complaints

of the - rheumatism, after -
Kalm

Goiter & Heart Diseases

are SYCOTIC

27-4-08 SAHYA
 CHEST - HEART; complaints of the
- thyroid glands; after over
activity of –Sycotic
Dys {Bacillus Dysenteriae} (Bach) (Bowel
nosode) –
Antisycotic remedy ?
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27-4-08 SAHYA