Theory of Suppression by Dr. Prafull Vijayakar.

Book Information [Book Info]

PREDICTIVE HOMOEOPATHY

PART I

THEORY OF SUPPRESSION

Dr. Prafull Vijayakar

L.C.E.H. (Bom.)

Consultant Homoeopath

President- INDIAN INSTITUTE OF HOMOEOPATHIC PHYSICIANS (Mumbai)

Ex- Hon. Consultant -- Govt. Homoeopathic Hospital, Mumbai

First Edition 1997

Second Edition 1999

Third Edition 2001

Fourth Edition 2002

Fifth Edition 2006

Sixth Edition 2008

Copyright 2002 Dr. Prafull G. Vijayakar

 All rights reserved. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted or translated into any language in INDIA or
abroad in any form or by any means without the prior written permission of the
author.

Price: India Rs. 150

US Dollar 10

Publisher:

Preeti Publishers

144, Anand Bharati Co-op. Hsg. Soc.,

Dr. M. B. Raut Road, Shivaji Park,

Dadar, Mumbai 400 028

Printed by:

Sajjad Reshamvala and Dr. Rashida Reshamvala

AQREENS

Sai Palace No. 1,

Plot 36, Sector-14,

Navi Mumbai 400 703

Planned and formatted by:

Dr. Pravin Jain.

Proof reading:
Dr. Prafull Borkar and Dr. Pravin Jain.

Dedicated to MOTHER

CONTENTS

About the author .. 7

Introduction .. 9

Acknowledgement .. 11

Foreword 13

Chapter 1 Theory of suppression 15

Chapter 2 Reasons for suppression.. 19

Chapter 3 Direction of cure 25

Chapter 4 Chart of 7 layers of suppression ... 31

Chapter 5 Second prescription 51

Chapter 6 Science of Genetic constitutional similimum . 57

Chapter 7 Cases 77

Chapter 8 Proof of similimum . 113

Chapter 9 Different types of suppression 117

Conclusion 123
 About the Author

In every field, during a particular era, there is an individual, who stands up to a

cause. There is a 'North Star' in the sky, to guide the 'navigator,' who might
erringly go astray while reaching his destination. The star gives direction, through
sheer stability!

In order to achieve anything in life, the foremost requisites are belief in

oneself and Positivity. This quality is not to the extreme of the fanatic, who just
forces his views on others; just because HE thinks HE is right! The Positivity here is
based on years of experience, and supported by proofs. The confirmations are,
through basic universally accepted laws. The 'theories' put forward are, an
awareness, a stimulus, or a desire to revive a science that a man 'foresaw' more
than 2 centuries ago. Homoeopathy as such is widely accepted throughout the
world. It specially has a very firm footing in India, thanks to the dedicated
physicians in this field. The popularity seems to have stemmed from the fact that,
the homoeopathic medicine is very 'safe,' easy to take and has a panacea for their
ailment, at their own whim and fancy, whenever required!

The above thoughts and so many other frustrating situations, in a practice

spread over 22 years, set Dr. Prafull Vijayakar's mind 'ticking' for that 'something
more' in a practice which was already giving him kudos.

Dr. Prafull Vijayakar is an eminent classical homoeopath of Mumbai city. He is

an honorary physician at the Government homoeopathic hospital at Irla, Mumbai,
and a very active worker in the Indian Institute of Homoeopathic Physicians. This
is a national organization, and Dr. Vijayakar leads this association as President, at
the Mumbai level. It was through his dedication and untiring efforts that the
association is doing good constructive work in homoeopathy. He is also the joint
secretary, All India I.I.H.P., In charge of Gujarat, Maharashtra, Goa and Karnataka.
Dr. Vijayakar with his powerful oratorship, and command over his subject, has
won laurels in all his seminars lectures. Homoeopathy as he says is based on
immutable laws of science and nature. This, coupled with his vast experience,
seeing around 200 patients per day, has made him very firm in his belief in, the
"Scope" of Homoeopathy. He is the one to fight for a right cause. Hence, with his
positive attitude and forceful drive, he moves on confidently on his chosen
mission i.e. propagation of the "right" homoeopathy. He believes striking at the
roots, hence his lectures are aimed at stimulating and encouraging the young
upcoming practitioners of Homoeopathy. Believing in selfless service he is always
ready to share all his "new" ideas in practice and helps others to the road of
success.

Dedication, commitment, untiring effort in practice and depth of study in all

required branches of medicine has helped him to explain the basis of the
principles of Homoeopathy. He is the pioneer in this scientific explanation
through his famous "Dr. Vijayakar's chart of suppression" the 7 layers of
Suppression of disease, and then cures in the opposite direction. It is thus that Dr.
Vijayakar marches on, full of positivity and vibrant energy, and confident in his
study of classifying Homoeopathy. With his omnipresent wit and ardent study he
has an answer for every query thus making him very popular. Being a firm
believer in cosmic sciences and astrology and phenomenons like lunar
aggravations, predispositions, physiognomy, all predictions like mathematics are
Dr. Vijayakar's forte. The conviction with which he predicts the course of the
disease after the similimum is administered should be seen & believed. Hence his
stress on the importance of a follow up.

Dr. Vijayakar has a 'penchant' for travelling (enjoys nature), driving, music,
drawing, handicrafts, poetry, a voracious reader and, a fun-loving person with
strong family ties. He has been able to put into print, the first of his publication of
a series of three.

It will be a pleasure to receive a feedback from all the enthusiastic readers.

Towards unity in Homoeopathy.

Aude Sapare

Dr. Sucheta Desai .

 Theory of Suppression by Dr. Prafull Vijayakar.
Introduction [Intro]

There is a fathomless chasm existing between Homoeopathic principles and

science. It has been deepened by misunderstanding of principles and
misconceptions which have prevented each of them to be benefited by mutual
interaction.

This book is an humble attempt to bridge the chasm.

This work of mine on the 'Theory of Suppression' is based on basic principles

of immunology, genetics, embryology, human biochemistry and neuro-
endocrinology. This is an attempt by me to remove homoeopathy from age-gold
confinement of being a blind symptom based science or a mystic science and
introduce it to the world as a post-modern scientific science. I have just put forth
before the homoeopathic world a concrete chart of 'suppression' and direction of
cure which if properly understood will remove the element of uncertainty and low
success rate prevailing for centuries in Homoeopathic practise.

This is by no means a flawless theory. With this in mind I would like to end this
foreword by asking fellow homoeopaths who read this book to use my 'chart' in
daily practice and try to confirm or rectify it with their own personal experiences.
Feedbacks and suggestions are welcome and will enhance the purpose of this
book. This book I hope shall be the basis of more work in future.

With blessings I 'yearn from the 'father' Dr. Hahnemann we hope to rectify all
that is wrong in the Homoeopathic 'Clan.
Acknowledgements

Writing a book was never my aim. The credits if any for making my thoughts
and experiences see the light of the day should primarily go to my near and dear
friends, students and assistants who have coaxed me to put my theories in black
and white.
 Let me start by expressing my gratitude to the large number of patients whom
I have examined and treated in the past 22 years of my practice. Without their
passive co-operation, through which I gained in knowledge and practical
experience this sort of work would never have been possible.

My foundation, to a scientific Homoeopathy is based on Allopathy. The quick

diagnosis, the differential diagnosis, the prognostic qualities and above all the
observations and application of all this to please and capture the patients have
been endowed to me by my mentor and father Dr. Gajanan Vijayakar. He has
always been a friend, philosopher and guide to me. His guidance to me when I
practiced allopathy under him, his timely advise to me to switch over from
allopathy to homoeopathy and his over encouraging attitude in all my
experiments and ventures inspite of being an allopath forms the very foundation
of my knowledge and achievements today.

Homoeopathy is 'Mathematics' this is what I always quote. By this I mean that

there is no scope for uncertainty in Homoeopathy. Practice like mathematics if all
the 'signs' and the figures are taken into consideration and the equation between
the drug picture and the patients picture is well balanced cure is imminent. To be
a good homoeopath 'mathematical calculations' and 'analyses' of the situation is
very important. The credit to develop such qualities in my mind goes to none
other than my mother Mrs. Mohini Vijayakar herself a Xavierite whose command
on Mathematics, English and French she transferred to me and which has come in
handy from time to time (in understanding and analyzing different and difficult
words and situations.)

Without my wife Preeti's patience it would have been impossible for me to

devote so much time to my patients and my work. The burden on her shoulders
of dealing with the day-to-dry cores of a joint family, bringing up two naughty
boys Tarang and Ambrish, helping me with my personal and official work and
above all bearing a complex husband and his complexities is really a Herculean
task possible only because of her undaunted love for me.

Having been involved in a 'holistic' science for 22 long years one cannot but
resist the temptation of an analogy with the same. I am grateful to the Almighty
to have bestowed upon me blessing in the form of a holistic friend in Dr. Sucheta
Desai. A friendship lasting for over 25 years. She was the one to whom I expressed
my every new thought and theory for approval and criticism. A silent, dedicated
and 'selfless' person to the core she provided a perfect balance to my loud
aggressive and impulsive personality. In my achievement her's is a rare, incredible
and tremendous contribution.

In my success in this field 'God' has given me many other friends also, who
have been helping me day-in and day out. Dr. Narendra Mehta's maturity and
advice have been of tremendous utility. Besides, his frankness, out spokenness
and 'practicality' has helped me innumerable times to cut down my 'short
comings' and improve upon myself. His positive approach to any problem is an
example enough to give a boost to any sinking morale. His actions amply justified
an old saying and even modified it - "an amicable critique is Man's best friend."
My morale has been constantly boosted by other friends Dr. Satya Shetty and Dr.
Rashida Reshamwala who have been ready to help me in all possible ways even to
the extent of proving my theories in their clinics.

The artist in a doctor is visible when one appreciates the colorful chart on the
cover page of this book, and within. This colour has been added by none other
than the artist-doctor Dr. Himanshu Desai M. D. Thanks to the pathologist part of
him which was responsible for my basic knowledge on pathology and
immunology. My earlier discussion with him perhaps, was a stimulus to my brain
which cascaded into various theories and hypothesis.

Unlimited thanks are due to all my assistants past and present. Dr. Vaishali, Dr.
Twinkle, Dr. Vidyut, Dr. Savita, Dr. Ashish, Dr. Deepti, Dr. Reshma, Dr. Vinita who
have worked with me in this venture sincerely honestly and enthusiastically
probing the patients to prove and reprove my theory of mathematical
propagation of disease. They have worked like ones possessed to assist me. My
dispensing staff of Suresh, Deepak, Sugandha and Jyoti requires a special
mention. They have been with me for the last 15 to 17 years. (But consistently
worked with me up to past midnight never grumbling about time or caring for
hunger. Their smiles, co-operation has gone a long way in encouraging me to
work tirelessly for fifteen hours a day. Thanks also are due to all my past assistant
doctors who have aided unabatedly my theories by giving me fruitful feedbacks.
 After all, 'me' knowing nothing about printing, publishing, copy rights etc. a
dynamic enthusiastic, ever helpful Mr. Sunderji Pasad has emerged as 'God sent
messenger' and worked to complete this book in record time. Thanks to him for
his unstinted support.

Thanks finally to the Masters of homoeopathy Dr. Hahnemann, Dr. Kent, Dr.
Clarke and others without whom we would never have be aware of a science
called 'Homoeopathy'.

Foreword (1st Edition)

India is known for its medical science in which Homoeopathy has a special
status for the last Two Centuries. Unfortunately homoeopathy was pushed to the
back seat during the British ages. But late in 20th Century, not only India, but the
entire worlds, in particular European countries, have realized the importance of
this science. The credit goes to a few Homoeopathic doctors who are dedicated to
this wing of the medical science. Dr. Prafull Vijayakar is an eminent Homoeopath
is Mumbai. At a very young age, as a Homoeopathic doctor, not only has be made
a name for himself, but he has also upgraded the status of this science. As a close
associate of the Vijayakar family, I have been closely observing the growing
popularity of Dr. Prafull Vijayakar. The secret of this, I consider, is that his thinking
is always patient oriented. Each patient appearing before him is a subject of
investigation. This results in a deep study of the human body and reaches the
route cause of any sickness.

As an Ambassador of Indian Homoeopathy, Dr. Vijayakar has been propagating

this science in many other countries. Normally the diagonal of any disease is done
in an isolated form. This some times resulted in further complications. New Dr.
Vijayakar has done some very brilliant research in classifying the human body
along with the medical problems into seven regions. The clarity of research is so
evident that this book will serve as a doctor to a family for remedial purposes.
Nobody ever thought that even a small scratch on the body, if ignored at the
initial stages might travel across the "7 seas" and land into cancerous death-trap.
 Having undergone major by-pass surgery recently I, am very conscious of the
importance of this book, not only for preliminary precautions, but also for post
operative care to be taken after major operations.

His father being a doctor, Dr. Prafull Vijayakar has a very high tradition of
medical science and is a God gifted child.

The research of classifying the body into 7 parts which has been successfully
done by Dr. Vijayakar will be a watershed in the Homoeopathy world and I am
sure it will serve as a fuel for the flight of this suppressed wing of medical science
around the world.

I wish Dr. Prafull Vijayakar the best of luck. I am confident that this book will
be a path breaker, leading this science into the 21st Century.

Pramod Navalkar Minister Transport, Cultural Affairs, Ports, Protocol and

Prohibition Propaganda Excerpts .

Theory of Suppression by Dr. Prafull Vijayakar.

Chapter 1 [Chapter 1]

THEORY OF SUPPRESSION AND PROGRESSION OF DISEASE

In the world of homoeopathy every homoeopath seems to be claiming

excellent results, be it with four to five medicines at a time, with multiple
repetitions in a day, or single medicine single dose. There are scores of
homoeopaths, both non-qualified and qualified (unfortunately), who have been
making diseases and symptoms disappear in a patient oblivious of what happened
next. All the same they all seem to vouch for their results. Now the million dollar
question is "What is a Homoeopathic Result? Let us assess the following case.

"What is a Homoeopathic Result?

 A Case of girl with chronic asthma:

Miss V. G. Age 19 years. had suffered from asthma every since childhood, After
having been treated homoeopathically for a period of 6 months, she was happy.
She had no attack for 1 year. A year later she came back with a severe relapse.
The acute asthmatic attack could not be controlled by her general physician, and
she had to be hospitalized. Nevertheless the patient herself and her parents were
happy with the homoeopathic result, which had prevented her from getting
regular asthmatic attacks.

An intelligent homoeopath is the one who assesses his result by quality and
not quantity. Absence of an attack for some time should be followed, if at all by
milder attacks. This is in keeping with a true homoeopathic result. A
homoeopathic medicine cures a patient by decreasing his sensitivity of an
allergen, in short reducing the intensity and frequencies. Hence a homoeopath
strengthens the patient and weakens the disease. In this above mentioned case
there was an evidence of the strengthening of the disease, hence it goes without
saying that one has to encounter symptoms & signs in the patient which shall
indicate weakening of the patient as a whole.

What do we mean by weakening of the patient ?

Weakening of a patient as a whole may mathematically point out to 'Generals'

and 'Mentals' deteriorating.

If a patient says during follow-up that he is much better and his chief
complaint is almost cured, one should ask him a leading question as to how is his
stamina and desire to work. If he says he is feeling weak and has no desire to
work or do anything, then, even if his chief complaint, be it pain, fever, or loose
motions etc, is much better, we can be sure that there has to be either of the
generals i.e. desire for food has lessened or his sleep now-a-days is disturbed, or if
both are not disturbed be sure that the stools which were normal before are not
proper and he is constipated. Even mentally he might be feeling disturbed or
depressed. Such is the mathematical relation between the generals and mentals.
 Further interrogation revealed the following facts. The girl who used to study
on her own and secure high percentage of marks had become dull in the last year
or so. Her interest in studies had waned. She would feel 'bored' to study and
would feel sleepy in her class. Her performance in maths had gone down.
Alarmingly her eyesight had deteriorated over the last year. Her mother
complained that this was due to 'her not feeling hungry at all nowadays. She had
disturbed sleep with dangerous dreams. All these were coupled with loss of
weight and dark circles increasing around the eyes.

She was also alarmed by sudden and profuse loss of hair over the last few
months.

Is this a good or bad result?

In the above mentioned case the patient was 'Cured' of her chronic
discomforting disease but at what cost? At the cost of making her old and setting
in premature old age at 16 years, with falling hair, weakening of eyesight, loss of
stamina, for work and studies, and even loss of interest in studies which she loved
before.

We have to remember that our science Homoeopathy is a Holistic or Wholistic

science, wherein we treat the man in disease and NOT disease in man. It is
obvious from the above facts that the Disease has disappeared but the MAN'S
(patients) health has not improved but 'has gone to dogs'.

How many of us are aware of the fact that day in and day out what we claim as
cured, may not be real cures, and may be dangerous Suppressions.

Theory of Suppression by Dr. Prafull Vijayakar.

Chapter 2 [Chapter 2]
 REASONS FOR SUPPRESSIONS

Many of us are not aware that day in and day out, cases we claim as cured,
may not be real cures at all, and may be dangerous suppressions.

The reason for the above predicament are mainly four.

(1) Many of us homoeopaths are not aware that homoeopathy also can
suppress. Hence they tend to prescribe rather casually eg: Nux.v for constipation,
Ignatia for grief; Arnica for injury; Staphysagria for mortification etc.

(2) Very few homoeopaths tend to follow the 'Herrings Law of Cure'.

(3) Even if they do want to follow, they shall never see it until the Right
Constitutional Similimum is prescribed.

(4) The right constitutional similimum can never be reached until they apply
the cardinal principles rigidly.

(5) Even if they do want to follow the Law of Cure, they have no definite
guidelines as to which is the more important organ and which is the less
important organ, what is the meaning of inside-out direction of cure and so on.

My practice of Homoeopathy in the first ten years I confess, has been far from
correct. I used to prescribe sometimes on single symptoms; sometimes on
particular symptoms; occasionally on pathology alone; I used to practice giving
importance to only mental. Not only the concept or base on prescribing was
different at different times but also the posology principles differed .I used to
prescribe single remedies; multiple remedies; formulae; three times a day or even
hourly. I confess that a lack of proper guidelines or may be misunderstanding of
those rules already laid down in the Organon of philosophy and no
standardization of `practice due to lack of scientific correlation were and are,
even today, the chief cause of young Homoeopaths going astray.

Those who learn from their mistakes are few. Those who dont and go on
repeating those mistakes are plenty. There are some of them who even enjoy
pride of place as good Homoeopath` in a `misled Homoeopathic community,
making (and breaking) rules of running colleges by being member or leader of
some or the other council in homoeopathy. To prove my point I am here with
quoting and relating few of my cases in the first 10 years of my 25 years of
practice.

Case:-

An old lady of 60 years plus suffering from chronic migrainous headache for
fifteen years was treated successfully by me in the initial days of my practice. She
had presented with the following symptoms:

(a) Acute headache-frontal and occipital with severe nausea and vomiting
accompanying it.

(b) Burning in the esophagus with excessive ropy salivation.

(c) Vomiting was spasmodic and greenish in colour.

After having 'tried' several medicines for migraine. I finally got result with Iris
Versi 1000 repeated three times a day for 2-3 months. Three months had barely
elapsed after I cured (?) her long standing illness when she started getting mild
tremors in the right thumb. This was followed by tremors in the hands and within
a year's time she was a full fledged case of Parkinson Disease.

Today for the last 15 years. she has been progressively crippled almost to the
extent of being a tremulous vegetable.

Case:-

Another lady coming to me with widespread baldness was completely and

miraculously cured (?) by me with Vinca minor 200 administered repeatedly for
six months on the basis that the hair which had fallen off were being replaced by
white hair. This case earned me lot of fame as well as patients but, put my
conscience a tremendous turmoil as I saw this lady develop a dreaded tumour in
the breast which turned out to be malignant.
 I gave her hair and took away her life!

Other Results

Many cases of children with recurrent tonsillitis treated by me with specifics

and mixtures have been found by me to come back with dullness of memory.
They fail to pass in subjects in which they used to previously secure high marks.

The parents are happy that the child has overcome the disease, has developed
good immunity to cold drinks, cold weather, changes in weather etc. They are
happy that the child has put on weight and become chubby but they do not relate
the loss of memory or dulling of intellect, to the disappearance of cough and cold.

Young boys with chronic bronchitis and asthmas have been treated with
remarkable acumen and relief. They stop getting attacks of bronchitis and
wheezing much to the satisfaction of the parents. These children gradually change
in their LOOKS, APPEARANCE, and behaviour. They become obese, the features
start rounding, the nose changes from sharp to plump. The face changes from
long thin to fleshy and pulpy. Some allopathic friends start accusing this
homoeopath of clandestinely administering steroids looking at the MOON-FACE.
The homoeopath is sure he has not administered steroids and though baffled,
defends himself vainly by arguing that the boy has become obviously healthy. This
healthy boy unfortunately now starts getting tired now. Tired on going upstairs,
tired on cycling, on playing. Lethargy creeps in. He is blamed for his over eating
and less exercise which could be the cause for his predicament.

The reason is far from any one of them! The treatment of bronchitis and
asthma was with a partial similimum. It has suppressed the child now from
previous psoric-disease-manifestation to a sycotic-disease manifestation. SYCOSIS
which stands for slowness, stoutness, under-coverness, deceitfulness and is now
making the child express lethargy, obesity, false-healthy-look. Then obviously
under-coverness is going to express itself into an underlying silent disease. At the
age of 14-15 years this boys blood pressure shall start showing higher limits. If this
process is not nipped in the bud, the young boy becomes a frank hypertensive
with blood pressure measuring 140/100 mm of Hg and that too, at the young age
of 20 years! How many of us know that in order to cure his hypertension we have
to make the psoric asthma come back transiently. This should be followed by dry
cough at laryngeal or pharyngeal level. This should be further followed by
sneezing and then onto skin by transient psoric eruptions. This skin eruptions
should also proceed in the downward direction. Above all, these should not be
interfered with by any medicines local or internal. One has to remember that it is
the vital force itself which is curing the disease and not our homoeopathic
medicine, The work of the homoeopathic single dose administered was only to
stimulate the immune reaction that proceeds towards cure!

Many cases of children with recurrent tonsillitis treated by me with specifics

and mixtures have been found by me to come back with dullness of memory,
failing to pass in subjects in which they used to previously secure high marks.

Asthma and bronchitis patients when improperly treated have ended with
having joint pains or arthiritis.

Asthma have been made to disappear much to the satisfaction of patients only
to create hypertension or ischemic heart diseases in them.

Lumbago and sciatica patients are bound to develop blood pressure problems
or ischaemia or heart attacks if not treated properly with Allopathy,
Homoeopathy or Ayurvedic remedies.

Lumbago if improperly treated, will end with patients complaining of pain in

the neck which is then diagnosed as cervical spondylitis.

Similarly, if cervical spondylitis is improperly treated, it ends up in the patients

complaining of severe giddiness, which is then diagnosed as vertigo.

Treatment of hyperacidity ends up in pain or affliction of some cartilage

somewhere in the knee, back or even nasal cartilage or thickening of vocal cords.

Putting eye drops to cure conjunctivitis or ear drops to cure otitis media can
produce pain in the wrist or shoulder or any other joint. Commonly seen are
patients who develop joint pains after a cataract operation, which are directly as a
result of use of eye drops.

The list is endless. One has to realize that Disease Symptoms Disappear only to
reappear in a different system, tissue or organ. If the reappearance is in
progressively lesser important organs or systems it is proceeding towards "cure".
If its progress is towards more important systems or organs it results in
Suppressions.

In the 1st and 2nd case above it is obvious that the drugs Iris V and Vinca
Minor were a 'similimum' to the disease and not 'similimum' to the constitution.
Hence I ended up removing the disease but was not able to strengthen the
constitution.

My observation is that Homoeopaths who prescribe more on mentals are

guilty of more dangerous suppressions that their physicals or particular
prescribing counterparts.

7 CARDINAL PRINCIPLES:

The 7 cardinal principles of homoeopathy on which the whole homoeopathic

system of medicine and practice is based are:

1. Law of simplex: that medicines should be prepared only from simple

substances.

2. Law of single: only single medicine should be prescribed at a time.

3. Law of similars: the law of homeopathy Similia Similibus Curantur

4. Law of minimum: the least amount (quantity) of medicine required to cure

should be prescribed to achieve what is called as gentle rapid and permanent
cure. (also sometimes known as the law of the minimum dose)

5. Law of drug dynamisation: only dynamic and potentised medicines should

be used to cure.
 6. Law of drug proving: only medicines which have been proved on healthy
human beings should be used in practice.

7. Theory of vital force: the vital force governs the functioning of the entire
living organism and is the supreme autocratic force which rules with unbounded
sway. In health it is responsible for the harmonious functioning of the human
body and disease is nothing but the altered state of health of the vital force.

There are like the seven key notes of music and these are combined with the
rhythm of Herings law of direction of cure, the harmonious music of
homoeopathy is produced.

Inserted from <file://C:\Predictive\MetMad\template3.html>

Theory of Suppression by Dr. Prafull Vijayakar.

Chapter 2 [Chapter 2]

REASONS FOR SUPPRESSIONS

Many of us are not aware that day in and day out, cases we claim as cured,
may not be real cures at all, and may be dangerous suppressions.

The reason for the above predicament are mainly four.

(1) Many of us homoeopaths are not aware that homoeopathy also can
suppress. Hence they tend to prescribe rather casually eg: Nux.v for constipation,
Ignatia for grief; Arnica for injury; Staphysagria for mortification etc.

(2) Very few homoeopaths tend to follow the 'Herrings Law of Cure'.

(3) Even if they do want to follow, they shall never see it until the Right
Constitutional Similimum is prescribed.
 (4) The right constitutional similimum can never be reached until they apply
the cardinal principles rigidly.

(5) Even if they do want to follow the Law of Cure, they have no definite
guidelines as to which is the more important organ and which is the less
important organ, what is the meaning of inside-out direction of cure and so on.

My practice of Homoeopathy in the first ten years I confess, has been far from
correct. I used to prescribe sometimes on single symptoms; sometimes on
particular symptoms; occasionally on pathology alone; I used to practice giving
importance to only mental. Not only the concept or base on prescribing was
different at different times but also the posology principles differed .I used to
prescribe single remedies; multiple remedies; formulae; three times a day or even
hourly. I confess that a lack of proper guidelines or may be misunderstanding of
those rules already laid down in the Organon of philosophy and no
standardization of `practice due to lack of scientific correlation were and are,
even today, the chief cause of young Homoeopaths going astray.

Those who learn from their mistakes are few. Those who dont and go on
repeating those mistakes are plenty. There are some of them who even enjoy
pride of place as good Homoeopath` in a `misled Homoeopathic community,
making (and breaking) rules of running colleges by being member or leader of
some or the other council in homoeopathy. To prove my point I am here with
quoting and relating few of my cases in the first 10 years of my 25 years of
practice.

Case:-

An old lady of 60 years plus suffering from chronic migrainous headache for
fifteen years was treated successfully by me in the initial days of my practice. She
had presented with the following symptoms:

(a) Acute headache-frontal and occipital with severe nausea and vomiting
accompanying it.
 (b) Burning in the esophagus with excessive ropy salivation.

(c) Vomiting was spasmodic and greenish in colour.

After having 'tried' several medicines for migraine. I finally got result with Iris
Versi 1000 repeated three times a day for 2-3 months. Three months had barely
elapsed after I cured (?) her long standing illness when she started getting mild
tremors in the right thumb. This was followed by tremors in the hands and within
a year's time she was a full fledged case of Parkinson Disease.

Today for the last 15 years. she has been progressively crippled almost to the
extent of being a tremulous vegetable.

Case:-

Another lady coming to me with widespread baldness was completely and

miraculously cured (?) by me with Vinca minor 200 administered repeatedly for
six months on the basis that the hair which had fallen off were being replaced by
white hair. This case earned me lot of fame as well as patients but, put my
conscience a tremendous turmoil as I saw this lady develop a dreaded tumour in
the breast which turned out to be malignant.

I gave her hair and took away her life!

Other Results

Many cases of children with recurrent tonsillitis treated by me with specifics

and mixtures have been found by me to come back with dullness of memory.
They fail to pass in subjects in which they used to previously secure high marks.

The parents are happy that the child has overcome the disease, has developed
good immunity to cold drinks, cold weather, changes in weather etc. They are
happy that the child has put on weight and become chubby but they do not relate
the loss of memory or dulling of intellect, to the disappearance of cough and cold.
 Young boys with chronic bronchitis and asthmas have been treated with
remarkable acumen and relief. They stop getting attacks of bronchitis and
wheezing much to the satisfaction of the parents. These children gradually change
in their LOOKS, APPEARANCE, and behaviour. They become obese, the features
start rounding, the nose changes from sharp to plump. The face changes from
long thin to fleshy and pulpy. Some allopathic friends start accusing this
homoeopath of clandestinely administering steroids looking at the MOON-FACE.
The homoeopath is sure he has not administered steroids and though baffled,
defends himself vainly by arguing that the boy has become obviously healthy. This
healthy boy unfortunately now starts getting tired now. Tired on going upstairs,
tired on cycling, on playing. Lethargy creeps in. He is blamed for his over eating
and less exercise which could be the cause for his predicament.

The reason is far from any one of them! The treatment of bronchitis and
asthma was with a partial similimum. It has suppressed the child now from
previous psoric-disease-manifestation to a sycotic-disease manifestation. SYCOSIS
which stands for slowness, stoutness, under-coverness, deceitfulness and is now
making the child express lethargy, obesity, false-healthy-look. Then obviously
under-coverness is going to express itself into an underlying silent disease. At the
age of 14-15 years this boys blood pressure shall start showing higher limits. If this
process is not nipped in the bud, the young boy becomes a frank hypertensive
with blood pressure measuring 140/100 mm of Hg and that too, at the young age
of 20 years! How many of us know that in order to cure his hypertension we have
to make the psoric asthma come back transiently. This should be followed by dry
cough at laryngeal or pharyngeal level. This should be further followed by
sneezing and then onto skin by transient psoric eruptions. This skin eruptions
should also proceed in the downward direction. Above all, these should not be
interfered with by any medicines local or internal. One has to remember that it is
the vital force itself which is curing the disease and not our homoeopathic
medicine, The work of the homoeopathic single dose administered was only to
stimulate the immune reaction that proceeds towards cure!

Many cases of children with recurrent tonsillitis treated by me with specifics

and mixtures have been found by me to come back with dullness of memory,
failing to pass in subjects in which they used to previously secure high marks.
 Asthma and bronchitis patients when improperly treated have ended with
having joint pains or arthiritis.

Asthma have been made to disappear much to the satisfaction of patients only
to create hypertension or ischemic heart diseases in them.

Lumbago and sciatica patients are bound to develop blood pressure problems
or ischaemia or heart attacks if not treated properly with Allopathy,
Homoeopathy or Ayurvedic remedies.

Lumbago if improperly treated, will end with patients complaining of pain in

the neck which is then diagnosed as cervical spondylitis.

Similarly, if cervical spondylitis is improperly treated, it ends up in the patients

complaining of severe giddiness, which is then diagnosed as vertigo.

Treatment of hyperacidity ends up in pain or affliction of some cartilage

somewhere in the knee, back or even nasal cartilage or thickening of vocal cords.

Putting eye drops to cure conjunctivitis or ear drops to cure otitis media can
produce pain in the wrist or shoulder or any other joint. Commonly seen are
patients who develop joint pains after a cataract operation, which are directly as a
result of use of eye drops.

The list is endless. One has to realize that Disease Symptoms Disappear only to
reappear in a different system, tissue or organ. If the reappearance is in
progressively lesser important organs or systems it is proceeding towards "cure".
If its progress is towards more important systems or organs it results in
Suppressions.

In the 1st and 2nd case above it is obvious that the drugs Iris V and Vinca
Minor were a 'similimum' to the disease and not 'similimum' to the constitution.
Hence I ended up removing the disease but was not able to strengthen the
constitution.
 My observation is that Homoeopaths who prescribe more on mentals are
guilty of more dangerous suppressions that their physicals or particular
prescribing counterparts.

7 CARDINAL PRINCIPLES:

The 7 cardinal principles of homoeopathy on which the whole homoeopathic

system of medicine and practice is based are:

1. Law of simplex: that medicines should be prepared only from simple

substances.

2. Law of single: only single medicine should be prescribed at a time.

3. Law of similars: the law of homeopathy Similia Similibus Curantur

4. Law of minimum: the least amount (quantity) of medicine required to cure

should be prescribed to achieve what is called as gentle rapid and permanent
cure. (also sometimes known as the law of the minimum dose)

5. Law of drug dynamisation: only dynamic and potentised medicines should

be used to cure.

6. Law of drug proving: only medicines which have been proved on healthy
human beings should be used in practice.

7. Theory of vital force: the vital force governs the functioning of the entire
living organism and is the supreme autocratic force which rules with unbounded
sway. In health it is responsible for the harmonious functioning of the human
body and disease is nothing but the altered state of health of the vital force.

There are like the seven key notes of music and these are combined with the
rhythm of Herings law of direction of cure, the harmonious music of
homoeopathy is produced.

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 Theory of Suppression by Dr. Prafull Vijayakar.
Chapter 3 [Chapter 3]

DIRECTION OF CURE

We know that diseases just do not disappear into thin air. Nor do they appear
from out of the blue. Everything in the world, including diseases, have a precursor
and a follower.

Symptoms disappear from one system only to reappear in a different system,

tissue or organ. This is called transfer of disease. Transfer of disease can be of two
types: (a) When symptoms disappear from one organ or system only to re-appear
in a system or organ of more importance, it is progression of disease or
suppression. This may occur in natural course or with improper treatment. (b)
When the symptoms disappear from one organ or system to appear in organs of
lesser importance, it is regression of disease or proceeding towards cure.

Now which are less important organs and which are the more important
organs? This has been the biggest question looming large in front of all
Homoeopaths. Lack of this knowledge, makes the Homoeopathic prescriber lurch
in the dark. Many a good follow-up after a prescription. Which is proceeding
towards a cure, is nipped in the bud, due to inadequate knowledge of direction of
cure.

Dr. Constantine Hering was the first Homoeopath to show us the light in this
direction. His direction guiding Law of Cure should be considered as one of the
greatest discoveries in Homoeopathy, second only to the discovery of the science
itself by Dr. Samuel Hahnemann. Both these discoveries perfectly compliment
each other. It is only when a cure is seen following Herings Law one can really
vindicate dr. Hahnemanns universal principle of Similia Similibus Curantur.

The direction of Cure has been laid down by Dr. Hering in his Law of Cure with
the following corollaries.
 Cure takes place with symptoms disappearing from

(a) Above-Downwards.

(b) Inside-Outwards.

(c) Centre to Periphery.

(d) From more important to less important organs or system.

(e) In the reverse order of the appearance of symptoms.

Some of these directions seem to confuse the homoeopath since they

apparently contradict each other.

A case of asthma getting better with the catarrh in the chest reducing followed
by dry cough and further by sneezing should be taken as direction down-up-
wards? i.e. wrong direction? or from inside-out right direction?

A case of hyperacidity and burning in the stomach disappearing and tingling

numbness in hands appearing is to be taken as what direction-inside-out, and
centre to periphery? both right directions or from lesser important organ-
stomach to more important nervous system? i.e wrong direction.

Similarly cough and recurrent bronchitis disappearing only to give rise to

Leucoderma on skin is exteriorization of disease? i.e. good direction or bad?

These and many other questions arise in our minds and confuse us to the
extent of neglecting the law of cure. This non-abidance of the law of cure or
'Lawlessness' in homoeopathic practice is the sole cause of homoeopaths not
being confident in their practice and not ready to accept risks in emergency cases
myocardial infarction of heart, tuberculosis, etc.; all on their own. This has
unfortunately given homoeopathy a rank of auxillary science. only to be used
when there is no immediate risk to life along with other conventional therapy
going on. We ourselves belittle the scope of homoeopathy due to our ignorance.
 This is due to ignorance or lack of knowledge of "Human Sciences" e.g. proper
anatomy, physiology, embryology, immunology, neuro-endocrinology, human
biochemistry, genetics, etc. This ignorance has prompted many of us to put forth
their "Theories of Cure" to suit their convenience. But, these theories do not
stand the test of time & science.

After 22 years of practical experience which includes allopathic practice,

wrong homoeopathic practice with mixing of drug specifics, prescriptions based
on all possible wrong principles in homoeopathy and above all after an in depth
study of Human Sciences; e.g. embryology, genetics, immunology and physiology,
etc. I have been able to set up a chart of progression of disease which I have seen,
experienced and found true again and again in my practice. This chart indicates
that all that is happening in the human body whether cure or diseases are
mathematical in progression or regression. There is a certain 'order in Disorder'.

Importance of Human Sciences in Homoeopathic Practice.

Homoeopath as is wrongly believed is not just s symptom reliever. At least he

shouldnt be one.

Homoeopath treats MAN in disease and not disease in MAN. If he treats MAN
as a whole it is imperative that he understands the internal mechanism of man.
He should know what a man is made up of. He should know how his systems of
the body function, and how he falls ill. If he knows all this, he shall know how and
what to correct in him i.e. how to cure him.

Importance of physiology One has to realize that man is made up of unit of life
called cells. These cells make up tissues. Tissues make up organs. Organs make up
systems and systems help man to live or survive.

All the cells and tissues are in connection with each other. There are various
food elements like proteins, fats, carbohydrates and various ions like Fe, Mg, Na,
K which pass from one cell to another. They pass from tissue to tissue and get
distributed all over the body. Such food elements and necessary ions are supplied
all over the body to build and maintain the tissues.
 The supply all over the body is essentially by various means e.g cytoplasmic
streaming, osmotic gradients, concentration gradients and the most important
the electrical potential gradients.

It has been scientifically proved by scientists like Woolpart and Waddington,

that there exists four different paths of supply of food called nutritive gradients or
animal growth axes, which make these essential constituents flow. All these
gradients are 'passive' gradients i.e. no energy is required for the transfer of these
elements. They flow from above downwards, from more important organs to less
important organs, from centre to periphery, from inside-out.

How do we know that the animal growth-axes flows in a particular direction?

Importance of Embryology: This is exactly where knowledge of embryology

helps. Embryologically we know that a foetus grows step-by step in particular
manner and direction. The direction of growth is along the 'animal growth axes'. If
construction of foetus takes place in this direction, this can be called as life giving
'Nutritive gradient' along which flow the elements necessary for growth and
maintenance.

On the other hand 'toxins' or toxic proteins which do not have an already
existing passive gradient are transported from cell to cell or tissue to tissue
through active transport using up energy. This is destructive in character and
being opposite of the nutritive gradient can be called as disease axis.

The 'disease' axes proceeds towards deterioration of human life and finally
death. The 'cure' axis ie. the nutritive gradient has to be exactly opposite, leading
to appreciation of living values and healthy life, but not immortality.

These 'Cure' axes corresponds to nutritive gradients. These nutritive gradients

also correspond to the four corollaries of Hering's Law of Cure. These Nutritive
gradients when, strong or when strenthened can wash down the toxins from the
tissues. These Nutritive gradients can therefore be called as gradients of
'elimination' since it helps in eliminating toxins from the deeper tissues or
parenchymas of organs which are not drained by our other two excretory systems
e.g. urinary and gastro-intestinal systems.

We thus conclude that the Homoeopathic remedy acts on the body to

enhance the nutritive gradients by adjusting the electrical potentials, which
should be higher in the more important tissues like brain, heart, lungs etc. to the
lowest outside on the skin. The lower the skin electrical potential the better is the
elimination. Anything, which increases the electrical potential on the skin, shall
interfere with elimination or excretion process via the skin. Any ointments or local
applications be it soframycin, calendula, graphites, vicks or sensor ointment, all
these interfere with the electrical potential on the skin. These are therefore
contraindicated in homoeopathy. Even menthol products or anaesthetic
ointments which benumb the tissues either on the skin or mucous membrane of
mouth, throat or stomach, do the same damage and interfere with action of
homeopathic medicines.

After establishing what could be happening when homoeopathic remedies

start a 'cure' we take the help of embryology again to see what path the nutritive
gradient takes to establish the path of cure. This also means one should know
what path disease takes in the organs and systems in the mathematical
progression of disease. Once we understand 'which' organs are derived from
'what' embryological tissue, we shall clearly understand 'which organ is more
important and 'what' is less important. This chart can then be used productively
like a compass to gauge the directions of Hering's law of cure! .

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Theory of Suppression by Dr. Prafull Vijayakar.

Chapter 4 [Chapter 4]

CHART OF SEVEN LAYERS OF SUPPRESSION AND PROGRESSION OF DISEASE

Embryological basis of Seven Layers of Suppression:

 1. Human being has essentially 7 layers of suppressions, denoted in the chart
in order of importance from down upwards based on embryological origin. i.e
from skin to nervous tissues. Let us see what gives them their importance. Why
one is more important than the other.

Human egg, like that of any chordate egg differentiates in to various organs
and system. Before it differentiates into the various organs and system it given
rise to 3 main germinal layers.

(a) Ectoderm

(b) Endoderm

(c) Mesoderm

The fourth is a specialized ectoderm called Neuroderm or Neuroectoderm.

Ectoderm: Gives rise to all the organs which are in connection or exposed to
the external environment. (It forms the outer surface of a tube shaped man). This
is of least importance and hence forms our first layer.

Endoderm: Forms the respiratory tube lining, the gastro-intestinal tube lining
and urinary tract lining. This is also in connection or exposed to external
environment but internally. It is as if inside of inner tube of a double tube man.
This is second last in importance and forms our 2nd layer.

Mesoderm: Gives rise to the Viscera or the parenchyma of the viscera i.e the
Lungs, heart, kidneys etc.

These are organs arising out of Mesothelium of Mesoderm.

Connective tissue: Apparently there exists no connection between endoderm

derivatives and mesoderm derivatives. This connection is established by tissues
arising out of mesenchyme of mesoderm. These tissues are called connective
tissues. Connective tissue includes blood, lymph, bones, cartilages, muscles,
dermis and fascias and coverings of organs. This forms the layer between
endoderm and visceral-mesoderm.

The Neuro endocrime glands are externally (the body) derived from ectoderm,
endoderm or even mesoderm. But the functional part of it i.e. the secretary cells
are of either neural crest in origin or neuron-ectodermal origin etc.

Some of these cells are found scattered in various tissues of the body like
lungs, intestine etc, secreting the neuron-transmitters. Thus all these which
perform the function of secreting neuron-transmitters or hormones whether in
endocrinal glands or elsewhere are grouped together in A.P.U.D system layer (i.e
Amine precursor uptake decarboxylate system layer.

The nervous system whether it is the central or peripheral and the brain are
derived from the neuroectoderm which is a specialized ectoderm.

The development of an embryo is just like the development of a city. The city
grows in all directions. During the growth, building material and maintaining
materials is brought from the most important market place or source to the less
and lesser important peripheral places. Similarly, as the embryo grows the
nutrition is supplied from first formed organ which act as chief source.

The first to form is the Prochordal plate which represents head part. In cure
axis head or brain or upper part is more important than other parts, which are
formed later.

The cephalo-caudal axis formed denotes the higher to lower level of

importance.

The spread of mesoderm paraxially from inside out and from dorsal to ventral
region also denotes the importance in that direction.

All these indicate 4 directions of cure

(a) more important to less important

 (b) above downwards

(c) inside out and

(d) centre to periphery

Ectoderm is least important when it forms skin and most important when it
forms brain and neural tissue. The Endoderm and Mesoderm give rise to the
organs which are in between.

How beautifully the circle becomes complete!

From ectoderm to endoderm to mesoderm to neuron-ectoderm to ectoderm

once again.

This shows a complete connection between all tissues from ectoderm back to
ectoderm.

The World is round and so is the egg!

2. The least important Skin arising from Ectoderm is at the bottom of the chart
followed by more and more important levels above.

3. Every layer has also sub-levels of importance which are not shown in this
chart e.g. respiratory tract and gastro-intestinal tract both are in the same level
(ectoderm) but transfer of disease from respiratory tract to Gastro Intestinal Tract
is suppression.

4. Emotional, changes are present in all layers: as concomitants. Emotions,

attitudes, behaviour, anxieties, delusions etc. arise from the secretions in the
'limbic system', which varies with varying bio-chemical reactions at the humoral
level and neuro-endocrinal level. Neuro transmitters like serotonin,
norepinephrine (sadness grief); A.C.T.H (fear); encephalin endorphin
(painlessness) etc. can be secreted or depressed at all levels (layers) in different
proportions in different individuals and helps us in individualization.
 5. Mind: The 7th layer of suppression. Mind is not actually the emotions of
lover fear anxiety illusion, delusions and hallucination. Affection of Mind means -
affection of Basic Cell Code. Every cell has Genetic Code which has two parts.

(a) Basic cell code common to all living cell whether plant, animal or man. It
includes functions and properties which are common to all living beings eg.
Function of respiration, ingestion, digestion, excretion, defense, reproduction etc.

(b) Inherited Code: Code inherited from parents and species. This includes the
nature, structure, tolerance, susceptibility etc, which differs from individual to
individual and from species to species.

Explanation Of The Chart Of 7 Layers Of Suppression

It is noteworthy that disease exhibits symptoms in tissues and organs where

the immunity is impaired. A person having impairment of immunity in respiratory
tract shall show a tendency to cough, cold and catarrh frequently. If this
impairment of immunity shifts to G.I.T., he shall suffer from diarrhoea or
dysentery frequently. This impaired immunity at local cellular and tissue levels
produce toxins which are transported higher and higher through the 7 layers by
what is called active Trans-cell transport. This active transport through cells is
done with the help of intrinsic and extrinsic proteins in the cell wall. Active
transport, as a rule is against a gradient and hence requires energy. This energy is
taken from A.T.P., in mitochondria of every cell. Thus every time a disease is
suppressed, the toxins are pushed upwards. The stored energy A.T.P., which was
supposed to be used for daily natural activities of the cell is used up. This gives
rise to weakness. This proves the fact that any treatment which is accompanied
by weakness is leading to Suppression. Any treatment which produces a sense of
well being with reducing weakness by pushing the toxins downwards by
enhancing already existing nutritive gradients is proceeding towards 'Cure' (See
explanation of nutritive gradient).

Hence a partially similar drug shall remove symptoms but produce weakness
but only a right 'Constitutional Similimum' shall remove disease and remove
weakness giving a desire and stamina to work. DESIRE and STAMINA to work and
perform daily chores are the most important parameters in any kind of
Homoeopathic treatment.

Elaboration of The Chart Of 7 Layers Of Suppression

The Chart of 7 layers of suppression is the 'Compass' which when applied can
distinguish a right similimum from a wrong similimum. It is the one of the best
means of ascertaining whether a Homoeopath's prescription is curative or
suppressive.

1st Stage of Disease suppression:

1st stage of any diseases is impaired immunity in the Ectoderm. (Dr.

Hahnemann said the origin of all diseases is in psora).

When immunity is impaired at the ectodermal levels the disease is said to be

in its first stage. It is relatively the outermost and the least important organ of the
body. When the immunity at the cellular level here is low or the fighting powers
against bacteria and virus go down. This gives opportunity to these bacteria to
attack the cells and tissues and reside here. Inflammation follows, and these
ectoderm derivatives are now said to be dysfunctional and hence diseased.

The ectodermal derivatives where the disease may begin are:

(a) Skin (epidermis): eczema, fungal infections, bacterial (i.e. streptococcal,

staphylococcal) infections, nonspecific boils etc.

(b) Anterior epithelium of Cornea, Anterior epithelium of conjunctiva,

epithelium of iris.

(c) Lens of Eyes (i.e. Cataract is 1st stage disease).

(d) Hair (not hair fall from roots), nails, enamel of teeth.

(e) External auditory canal, tympanic membrane, lower part of anal canal,
terminal part of male urethra, outer part of vagina etc.
 (f) Lips, cheeks, gums, outer part of tonsils.

It is to be remembered here that Psoriasis and Lichen Planus is of dermal

origin having its effect on epidermis, and Leucoderma (destruction of
melanocytes whose origin belongs to A.P.U.D system) etc., are not 1st stage
ectodermal disease.

Disease or symptoms which occur in the 1st stage are different in different
miasmatic constitutions:

Psoric individuals Boils, rash, acne, eczema, dermatitis, conjunctivitis, aphthae,

otitis externa.

Sycotic individuals Warts, corns, taenia, ringworm, blepheritis, thrush, otitis

interna.

Syphilitic individuals Ulcers (uneven, jagged edges), cracks, corneal ulcers,

denuded mucus membranes, ear drum rupture.

Age: Infant and children suffer predominantly from disease of ectoderm.

A patient with skin eruptions or cracks with burning better by warmth,

characteristic sticky discharge with scabs covering it may be treated by different
homoeopaths differently. One will prescribe Graphites 30 because of the sticky
discharge, the other will give Mezereum 30, looking at the scabs or a third will
give Sulphur just because the patient has psora and has burning. A fourth will
differ from all of these and give Arsenic Album 200 saying that burning better by
warmth is characteristic of Arsenic album and hence it has to cure.

Obviously all these prescribers vouch for their prescriptions and guarantee the
result as per their years of experience. Certainly, the follow up after a month is
encouraging, with the skin eruptions receding and finally residual eruptions still
remaining the patient is told to increase the dosage from 3 times a day to 4 times
a day failing which the prescriber hikes up the potency to 1000, 10m, CM or
change to frequent repetition of 50 millisemal potency. Lo and Behold! the
patient after all these hammerings is bound to be free of the initial complaint,
barring perhaps or few symptoms which have cropped up like indolence, sleep
disturbed by fearful dreams and bowels not clear. The patient is extremely happy
that his homoeopath has got rid of his chronic ailment which his allopathic
counterpart, was not able to achieve. The homoeopath is also happy at his
success and more so, that his 'way' of practice is result oriented.

A few days later, the same Homoeopath when confronted by the same patient
now having full faith in him, blames pollution for his rhinitis, and promises to cure
him as he did his skin. Either Alluim cepa or Euphrasia or Arum triphyllum, or
Solanum lycopus is repeated 3 to 4 times a day for a number of days to find the
patient again free of sneezing and coryza. A few days later the patient comes with
cough and superadded breathlessness. Now the patient is consoled by the
homoeopath as being victim of 'hereditary' asthma which his father or mother
ought to have suffered. Or else 'your parents could have suffered from TB if not
asthma", is the vain argument put forth by the homoeopath.

Some patients especially children after treatment for skin eruptions may
develop, acute spasmodic pain in abdomen, instead of respiratory tract problems.

The Disease has now travelled from Ectoderm (Skin) to the Endoderm
(Respiratory. Tract.)

2nd stage of Disease Suppression:

(Ectoderm to Endoderm)

Disease is said to be in second stage when symptoms manifest in the

Endodermal Derivatives such as:

Respiratory tract epithelium.

Gastro intestinal tract epithelium.

Urinary tract epithelium (urinary bladder epithelium)

 Epithelium of gall bladder and extra hepatic duct.

Endodermal cells of liver parenchyma.

Here the disturbances are in the functional elements i.e. the mucus membrane
endothelium, and not in the structural element or parenchyma.

Note: Diseases like pulmonary kochs, atelectasis, chronic renal failures which
are associated with the parenchyma, do not come in this level.

Diseases or symptoms which occur in the 2nd stage are different in different
miasmatic constitutions.

Psoric individuals Acute rhinitis, tonsillitis, sinusitis, asthma, bronchitis,

pharyngitis, dry cough, alveolitis, bronchiolitis, bronchitis, hepatitis, gastritis,
diarrhea, dysentery, enteritis, acidity, enteric fever, appendicitis, infection,
urinary tract infection.

Sycotic individuals Nasal Polyp, DNS, Asthma, Laxyngeal nodes, Polyps &
Nodes, Asthma, Chronic Catarrh, Gall Stones, Tumors, Polyps, Chronic Gastritis,
Gonorrhoea.

Syphilitic individuals Destruction of Nasal Septum, Destruction of Tract, Bloody

Catarrh, Ulcerative Colitis, Crohns Disease, intussusception, Ulcers.

Age:-Children from 1 year to teenage are more prone to endodermal

affections.

The patient is now put on Antim tart for the catarrh or Ars alb, Blatta orien as
a bronchodilator. It is rare that the patient on such a treatment ever responds
favourably. Hence the homoeopathic physician advices to take help of asthalin,
syrup or tablets, theo-pred, vent, decadron, or a pump, when his attack is really
bad.

If the homoeopath manages to relieves him with any such homoeopathic

medicines given 3 times a day or with gradually increasing potencies he notes it
down and publishes it as "his greatest achievement even though the patient
himself says "I have no attacks of breathlessness since last few days, but I find
myself short of breath when I ascend stairs which was not so before." "I hardly
have the will to get up in the morning, least of all to go for work. All my joints
ache. Of late I also get headaches. The patient is now going in for 3rd stage of
suppression.

3rd stage of Disease Suppression:

Disease is said to be in the 3rd stage when affections manifest in the

mesenchyme derived mesodermal tissues i.e. connective tissues. Connective
Tissues as the name suggests, act as a missing link or connection between
endodermal epithelium and mesodermal viscera.

This layer consists of Somites and coverings. The 3 coverings are:

Dermatome, (gives rise to Dermis-outermost)

Myotome: (give rise to Muscles-intermediate)

Sclerotome: (gives rise to Bones & Cartilages-innermost)

Along with these the fascias tendons, the aponeurosis, cartilages, bursae joints
(lining mesothelium), blood cells also arise from the mesenchyme.

Diseases or symptoms which occur in the 3rd stage are different in different
miasmatic constitution:

Psoric Individuals Arthritis, Synovitis, Back Pain, Rheumatic knee pain, Falling
Hair.

Sycotic Individuals Chronic Arthritis, Laryngeal Cord Inflammation, Psoriasis,

Lichen Planus.

Syphilitic Individuals Rheumatic Arthritis, Osteoarthritis, Destruction/Paralysis

of Vocal Cord, Syphilitic Arthritis, Psoriasis.
 Age: 20-40 years aged people are prone to 3rd layer affections.

The patient's backache & joints being better he starts complaining of

headache, breathlessness on exertion, palpitation etc. These are sure shot signs
that the patient is now going in for hypertension, after measuring B.P. he is
labelled as a hypertensive and told categorically that he is now to accept that he
is a potential heart patient and has to be dependent on allopathic
antihypertensive. The patient has now entered the 4th stage of suppression.

4th stage of Disease:

Disease is said to have reached/progressed to the 4th stage when affection

starts manifesting in the endothelium and mesodermal derivatives.

Mesodermal derivatives are : lung parenchyma; kidneys; muscles which form

the trachea angioblastic tissue products e.g
Besides these, all the viscera converings e.g. pleura peritonium; pericardium;
duramater; piamater; spleen; liver (capsule & fibrous tissue Diseases).
 Diseases or symptoms which occur in the 4th stage are different in different
miasmatic constitutions:

Psora Anxiety, Angina, Hypertension, Myocarditis, Lymphangitis, Nephritis,

Alveolitis, Tuberculosis, Pleurisy.

Sycotic Stenosis, Ischamic Heart Disease, Chronic Hypertension,

Atherosclerosis, Hyperlipidemia, Enlargement of Heart. Filaria, Nephrosis, Benign
Lung Tumours, Tuberculosis, Thickening of Pleura.

Age: 30-50 years.

The patient who is put on specific treatment of above complaints e.g. cardiac
tonics, anti hypertensives or on combined allopathic and homoeopathic
treatment gradually develops diabetes or thyroid problem.

5th stage of Disease Suppression:

The disease is said to have progressed to the 5th stage when affection
manifests due to impairment of functioning of neuro-endocrine system and
A.P.U.D. system. A.P.U.D stands for Amine Precursor Uptake and Decarboxylation
system. These are isolated groups of hormone secreting cells, not restricted to
endocrine glands only. They are widely scattered in many tissues. They synthesise
peptides which act as hormones or neuro-transmitters.

APUD SYSTEM CELLS OR NEURO-ENDOCRINE CELLS are classified into three

types:

1. NEURAL CREST origin: i.e. affections of the Thyroid.

Adrenal medulla (secreting adrenaline and noradrenalin

Dermis-Melanoblasts.

Uro-genital tract secreting 5-Hydroxytrytamine.

 2. NEURO ECTODERMAL ORIGIN A.P.U.D. cells i.e. affections of:

Hypothalamus

Parathyroid

Pituitary: (oxytocin, vasopressin, thyrotropin releasing factor)

3. A.P.U.D. cells of disputed origin: i.e. affections of:

Pancreas-islets of langerhans secreting insulin (diabetes) glucagon, enkephelin,

motilin, cholecystokinin, neurotensin, secretin, ANF (atrial natriuretic factor etc.)

Diseases or symptoms which occur in the 5th stage are different in different
miasmatic constitution:

Psoric Individuals:

Diabetes and Thyroiditis.

Sycotic Individuals:

Hypothyroidism, Goitre

Syphilitic Individuals:

Leucoderma

Age: 40 years. & above.

6th stage of Disease Suppression:

Here the disease or impaired functioning progresses to nervous system. First

the sympathetic and then the central nervous system. These are Neuro-
ectodermal in origin.
 Diseases or symptoms which occur in the 6th stage are different in different
miasmatic constitution:

Psoric Individuals:

Peripheral Neuritis, Neuritis, Diabetic neuropathy.

Sycotic Individuals:

Tumours, Neurofibromatosis.

Syphilitic Individuals:

Disemminated Sclerosis, Parkinsons Disease.

7th stage of Disease Suppression:

I have categorized the last and the most important stage of 'Mind.'

As already clarified, here mind does Not Mean Emotions of love, hate, fear,
fright, anxiety, anger etc.

Every cell is supposed to have a 'Mind'. This mind is encoded in genes, and is
called the Genetic Code. This genetic code is the same in all cells and thus imparts
character to the individual as a whole. The genetic code is essentially composed
of two parts, acquired and basic.

The Acquired Code which is 'inherited' from the parents is specific to the
species. It also represents characteristic acquired as a reaction to environmental
effects.

Second is the code which is the basic code. 'Basic' code is the code which has
characteristics which every cell (whether human plant or animal) has to possess.
It represents code from functions which every cell has to perform e.g.
homoeostasis, defence and propagation. 'Hemoeostasis' comprises of functions
which are necessary for the cell and individual to survive. It includes functions of
respiration, ingestion, digestion, excretion all of which are controlled and
governed by normal working and normal secretions by physio-neuroendocrinal
mechanism or control system.

Disturbance of this function leads to tendency to disturbances in the

functioning of organs and system and is called Psoric Trait. Disturbance at organ
level produces functional impairment of organs, whereas disturbance at limbic or
neuro-endocrinal level produces excess or reduces neuro transmitters and
hormones like adrenaline, epinephrine etc. to produce intense emotions typical
to the Psoric Trait.

'Defence' mechanism functions to protect the cell and individual from external
harmful agents. This also contributes to homoeostasis. Predominant tendency to
impairment of defence leads to injury to the organs and tissues, and hence
simulates the Syphilitic Trait 'Destruction' tendency along with its effect on the
organism, implies Syphylitic Miasm which in turn is a flaw in the 'Defence'
function of a cell.

Propagation of every cell is characteristic.

Every cell has a code to multiply only into two daughter cells and this is called
Mitosis. If this code is disturbed, multiple reproductions of more than 2, 4, 8, 10
cells takes place resulting in overgrowth. This tendency, with its resulting effect
on the organism, is called as Sycosis or Sycotic Trait.

When disease reaches the 7th stage and there is massive disturbance in the
functioning of limbic system, it produces schizophrenias, obsessive psychosis,
insanity etc.

If the disease reaches the 7th stage to completely destroy the code of defence
mechanism, it gives rise to injury which is irreparable, resulting in diseases like,
gangrene, Parkinsons disease, motor neuron disease disseminated sclerosis,
complete destruction of islets of langerhans, (causing permanent diabetes),
Alzheimers disease etc.
 When the disease reaches the 7th layer in a person having predominantly
sycotic trait, it produces diseases like cancers, fibroids, atherosclerosis and its
complications.

Points To Note

Disease symptoms in the lower 3 layers can easily be removed by any

homoeopath, prescribing on particulars, only on mental symptoms or with
specifics, mixtures or multiple doses, He can show impressive results in skin
eczemas, boils, ringworm (1st stage), or rhinitis, bronchitis, diarhoea, urinary tract
infection, (belonging to 2nd stage); or sciatica, joint pains, alopecia (3rd stage).

Disease symptoms of the fourth and 5th stage can be sporadically or

'accidentally' removed by wrong practitioners.

Partial similimum prescribers who take into account the mind axis, but not the
totality can only partially ameliorate the disease symptoms in the 4th and 5th
stage. This stage includes diseases like hypertension, ischeamias, diabetes,
thyroid. They run a risk of suppressing the disease to higher stages. They require
higher and higher potency to 'cow' down the symptoms with gradually decreasing
intervals at which they need to repeat. This indicates suppression.

Disease symptoms of 4th, 5th, 6th, stage can not be ameliorated by wrong or
specific prescribers. Diabetes, pituitary tumours, hypertensions, tuberculosis,
atherosclerotic conditions, multiple sclerosis, cancers, AIDS, cannot be treated
confidently by wrong prescribers.

Lower stage disease symptoms are a result of dynamic disturbance in

biochemical reactions, which can be altered easily either ways. Higher, stage
disease symptoms are brought about by a deviation of the 'genetic code'. At this
stage, say a gene is derepressed, which synthesises protein which alters the lipid
metabolism to create hypercholesterolemia, or derepresses a gene which
synthesises protein to alter blood biochemistry to create atherosclerosis in
cardiac vessels or cerebral vessels. Such tendencies cannot be eradicated without
affecting a change at the genetic level. This can be done by homoeopaths who are
not 'extremists' i.e. those who do not prescribe 'only for body' or 'only for mind'.
They have to be Wholistic and prescribe for totality to get a cure as per 'Law of
cure'.

Cancers, Schizophrenias and Malarias can never be cured or even ameliorated

by Extremists (those who take Only mentals or Only physicals for Prescriptions)

Disease progression can be in one, two or three currents. A lady having

backache proceeds to have diabetes and further goes into Parkinsonism. Here the
disease has progressed from 3rd layer to 5th layer to 7th layer. After a few years
she develops backache again, which further proceeds to acute ischaemic heart
disease with massive atherosclerosis. (it is needless to say that she will proceed
further into cerebral ischaemia) Again the disease progressed from 3rd layer to
4th layer. The difference between the two currents was, the first one was
destructive or syphilitic 'current' destroying the islets of langerhans permanently,
to give permanent diabetes and later destroying the nerve cells to give Parkinsons
disease permanently. At first syphylitic 'current' expressed itself, later sycotic
miasm came to the fore after few years to give rise to atherosclerosis. This gives
us a clue to the drug which should be her genetic constitutional similimum. The
drug has to have predominance of syphilitic and sycotic tendencies e.g. Aur-met,
Phos, etc.

Chicken-pox; small-pox; measles; herpes; have the direction of expression on

the body which is exactly opposite to that of other common ectodermal diseases.
An eczema or dermatitis when appearing on the body travels from outside in
from extremity to the trunk and when getting cured reduces from inside out i.e.
from the trunk to the extremity. In case of the chicken-pox, small-pox, measles
and herpes, the direction of appearance is from centre to periphery i.e. from
trunk to extremity. This is mainly because these viral diseases are expressed on
the skin only when the body is trying to cure the infection. It is more in the form
of exteriorization of the toxins. Hence enanthema is followed by exanthema.

Egg of a chordata in the early day of development shows a rim of cells

develop. This 'rim' of cells further divided into ectoderm endoderm and
mesoderm (the three germ layers) the notochord and the neural plate, which
again is continuous with ectoderm. The brain, nerve tissue and spinal cord etc. are
actually developed from neuro-ectoderm (and not only neural plate as the chart
may suggest). This is in keeping with roundness of egg. Hence the continuity from
ectoderm to endoderm to mesoderm is maintained even from neuroderm to
ectoderm as egg is round.

Significance

The growth axes (about four in number) represents growth and the gradients
of food supply from neuroderm to meso-endo-and ectoderm (clockwise). One
axes also comes from Neuro to ectoderm All these growth axes are 'curative axes.
The toxins are thrown out from either Neuro to Meso to endo to ecto in clockwise
manner or neuro to ecto in anticlockwise manner. Thus diseases are cured by the
body itself in either of these directions.

All disease follow the 'clockwise' directions of cure except viral diseases e.g.
Herpes, Chicken-pox, Small-pox. They are essentially neuro-ecto-dermal diseases.
Body is trying to throw out the toxin of these diseases or cure the infection as if
represented by the following facts.

(a) In measles or chicken pox etc. Enanthema is followed by Exanthema i.e.

eruption inside mouth comes first and skin eruption follow. (opposite. of all other
diseases where skin is affected first, endoderm later.)

(b) These diseases spread from centre to periphery and up-downwards

(whereas all other skin diseases spread from down upwards and periphery to
centre.)

(c) 'Cure' should take place as usual from up-downwards or centre to

periphery. Here in these cases it happens to be also the direction of appearance
of disease.

(d) Receding of eruptions or exanthema leads straight to the neuro-

ectodermal derivatives of brain and nerve cell resulting into disease like Subacute
Sclerosing Pan Encephalitis or any other encephalitis. (If patient is Cup met or
zinc-met etc.)
 (e) Enanthema or Koplik's spots appear only on roof of mouth or palate. This is
significant. This part is the only part where the Neuroderm and ectoderm are in
direct connection with each other. (Remember palate is from ectoderm). This is
the only place in body where mesoderm does not come between ecto and
Neuroderm.

Hence if a patient develops measles, chickenpox etc. -no medicine is the best
treatment. Just wait and watch. The body 'cure' itself. Of course a sharp watch
should be kept to observe the disappearance of the lesions. If any untowards
direction is being followed it indicates a weakening of the body forces of cure and
a homoeopath has to intervene immediately with the right similimum.

Compensatory Cures

7th layer is virtually a point of 'no return'. But 'cure' can still take place of
certain diseases at this level. Here the definition of cure has to be understood.
'Cure' here implies 'restoration' of near to normal functions, with sensation of
'well being', leading to peaceful, and prolonged existence inspite and despite of
the pathology. This can be achieved only by homoeopaths prescribing on Totality.

A 4 year old boy, a patient of mitral valve prolapse slated for immediate open
heart surgery, was treated with his constitutional similimum which was
Phosphorus.

The boy who complained of breathlessness on slightest effort of walking,

ascending stairs etc. gradually within 2 weeks time showed remarkable
improvement in stamina and after a repetition of hardly 3 doses over a period of
1 year, could sustain an effort of carrying 10 kgs of weight up a staircase to the
6th floor of a building regularly (as he was a carpenter). Even as on today after 8
years of no other medications, he is working really hard for the living without any
complaints. But his echo cardiogram, the color doppler and all other
investigations for the heart show, he still has the same old prolapsed mitral
valve!. His 'murmur' also stays.

For an allopathic physician, he is still 'diseased' but for a homoeopathic

physician, he is Compensated to call himself 'cured'.
 All these are compensatory cures. In such cures, we do not see the
applicability of Herings Law of Cure.

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Theory of Suppression by Dr. Prafull Vijayakar.

Chapter 5 [Chapter 5]

SECOND PRESCRIPTION ANALYSIS

In our daily practice we encounter lot of dilemmas. The complaints disappear

in one system only to appear in another. Comprehending or not comprehending
the follow-ups properly might be a key in determining success and failure. In the
following examples one can see how there is confusion to assess patients in terms
of Hering's law of cure if it is taken in strict sense of the word and not understood
properly. It is important to remember that a real sense of 'well being' is always an
accompaniment of disappearance of physical symptoms in the right order. This is
true in psora but not always true in sycosis and syphilis. In sycosis the patient may
feel good generally but the disease concealed deep inside goes on increasing.)
Based on the chart of "7 layers of suppression" or disease progression" one finds
it easy to answer queries which arise in day to day practice e.g. whether the
follow-up is good or bad.

Examples: Are the following follow-ups good or bad?

What direction does each one follow?

(1) A patient complaining of pain in abdomen due to acidity is treated

homoeopathically. The pain in abdomen disappears and tingling numbness in
hands starts. It is good or bad? How did the disease progress, from centre to
periphery or inside out.
 Ans. Disease has travelled from abdomen (endoderm) to Sixth Level of
Nervous system-Bad.

(2) Pain in abdomen disappears and ankle joints start paining, good or bad?
Whether this is inside out; up-downwards or more important organ stomach to
less important extremities?

Ans. The disease has shifted from endoderm i.e. 2nd level to mesodermal
connective tissue 3rd level-Bad.

(3) Diarrhoea stops and

(a) Scaling and keratinocytosis of skin starts (Psoriasis)

Ans. Bad-It appears as exteriorization of disease which has gone from inside
(stomach) to outside (skin). But actually disease has shifted from endoderm i.e.
2nd level to Mesodermal connective tissue i.e. 3rd level since psoriasis is
expressed on skin i.e. the epidermis but is actually due to pushing up of
Keratinocytes by problem in the dermis. (Dermatome origin). Hence it its deeper.

(b) Vitiligo appears on skin both from inside (GIT)?

Ans. Bad - Vitiligo - Leucoderma appears due to destruction of melanocytes

which produce melanin, Melanocytes belong to 5th level i.e. A.P.U.D. system
(Amine Precursor Uptake Decarboxylate system) Again not only the disease has
gone deeper but there is also destruction which should not occur when on
Wholistic treatment.

(c) Hair fall starts, inside-out?

Ans. Bad Sign - Hair follicles find their origin in dermis again 3rd level. Hairfall
which appears so benign and unimportant and is so casually dismissed as 'B'
Complex deficiency may be an indication of wrong medicine.

(d) Itching eruption starts with fever inside out?

 Ans. Good sign - Epidermis or Ectoderm being effected after endoderm is
welcome.

(e) Abscesses start appearing on skin with fever inside-out?

Ans. Bad - No pus or infections inviting septic conditions is welcome even if it

is an epidermis or Ectoderm. It indicates that immunity of the person as a whole
has not been geared up.

(4) Respiratory problem like Asthma disappears and

(a) Dry Cough starts. It is down-upwards?

Ans. Respiratory problem like asthma disappears and if dry cough starts the
direction taken by the disease is inside-out-hence very good.

(b) Sneezing starts. It is down-upwards?

Ans. Sneezing starts equally good.

(c) Asthmatic sneezing stops and yet breathlessness on exertion persists.

Ans. Breathlessness on exertion is a sure shot sign that the disease has been
suppressed to the cardiac plane -mesodermal plane.

(d) Blood pressure increases.

Ans. Bad result - Reason same as above.

(e) Cervical spondylitis starts.

Ans. Cervical spondylitis indicates inflammation of cartilages of spine which is

in 3rd layer hence prognosis bad.

(f) Giddiness occurs.

 Ans. Giddiness - certainly bad - layer affected is 6th.

(5) Lumbago - Sacral Pain and Sciatica is better and

(a) Pain in chest radiating to left arm occurs.

Ans. Disease progression from 3rd to 4th layer - Bad

(b) Blood pressure increases.

Ans. (Same as above)

(c) Blood sugar appears to have increased.

Ans. Disease progressed from 3rd layer to 5th layer affecting the islets of
Langerhans of A.P.U.D system - Bad sign.

(d) Pain in neck starts.

Ans. Bad sign - Disease has ascended upwards in the same layer.

(e) Facial or trigeminal neuralgia occurs.

Ans. Bad sign - 3rd layer to 6th layer.

(f) Leucoderma occurs.

Ans. Answer same as 3 (b).

(g) Lichen Planus occurs.

(h) Headache with dizziness occurs.

Ans. (g) & (h) Both obviously - Bad signs (Lichen planus is a psychosomatic
disease)
 (i) Urticaria occurs.

Ans. Urticaria is due to secretion of histamine from 'mast cells.' (Angioblastic

origin). Hence disease has progressed 3rd to 4th layer.

(6) Mental symptoms better but patient feels physically weak.

Ans. Bad prognosis - Physical weakness in NOT a physical particular. It is due to

toxins being transported higher up through active gradient. This uses up A.T.P.
(energy). Hence A.T.P. is insufficient for daily work of cells and tissues. Hence
weakness and no desire for work or daily routines is a sure shot indication of
suppression irrespective of what mental symptom is better.

Why do suppressions occur? - Practice oriented explanation

Suppressions are not a 'monopoly' of 'physical' prescribers or particular

symptoms, prescribers or formula prescribers. Even Homoeopaths who base their
prescription on 'Mind' can equally and frequently suppress.

Today the Homoeopathic world has been unfortunately divided into two
extremist camps.

(1) Those who consider the 'physical' only and

(2) Those who consider the 'Mentals' only.

Both these camps treat each other as untouchables. They conveniently forget
that Homoeopathy is a Holistic (Wholistic) science and Man as a 'Whole' includes
'Mind and Body.' Mind cannot possibly exist without the Body nor the Body
without Mind.

It is this 'lacunae' in the approach of homoeopaths which has been solely

responsible for homoeopaths not being able to see or appreciate the 'Herrings
Law of Cure' come true in each and every case be it acute or chronic.
 A proper prescription to view the law of cure in acute and chronic cases is
based on physical and mental Totality which includes

(a) The basic Nature or 'mind' of a person as is represented in each and every
'cell' by his genetic code. This includes even the non-diseased nature e.g.
religiousness, conscientiousness, temper, slowness, quickness, mildness,
bashfulness, contentment, courageous cowardice, yielding, resignation,
affectionateness, revolting or anarchist nature etc. All these and many other arise
from 'genetic code' inherited from the parents, i.e. carry a family trait and thus a
tendency to peculiar,

(b) built, looks, peculiar speech, peculiar behaviour both of the individual as a
whole and his organs and system and thus have a tendency to particular diseases
or illnesses which together we call as 'Miasmatic Trait' (Even the texture of hair,
distribution of hair, the type and colour of skin, nails, the length and prominences
of bones go a long way in considering the right genetic constitutional similimum),

(c) The emotion of love, hate, fear, anxieties, fright illusions, delusions etc.

(d) Desires and aversions of food, drinks, temperature etc.

(e) Tolerance and intolerance to various stimuli physical and mental.

Considering only the Mentals or only the Physicals are the chief reasons for
suppressions.

Inserted from <file://C:\Predictive\MetMad\template5.html>

Theory of Suppression by Dr. Prafull Vijayakar.

Chapter 6 [Chapter 6]

SCIENCE OF GENETIC CONSTITUTIONAL SIMILIMUM.

 Every Homoeopath is a 'Wholistic Healer'. He therefore has bounden duty to
know the 'make-up' of man, what constitutes a man and how his organs function.

Human being is made up of a unit of life called 'cell' All cells have same basic
structure. Whether it belongs to skin, bone, liver or brain.

All these cells have a nucleus with chromosomes.

Chromosomes bear on them large number of structures called Genes.

Genes are units which guide the performance of cells.

Genes have a triplet code called genetic code which are inherited from
parents.

Genetic Code is entirely responsible for what is going to 'Constitute' the

resultant individual.

This Code Map is responsible for

(a) The structure, built and looks of an individual.

(b) The basic nature of an individual.

(c) The nature, emotions, attachments, sensitivity, reactions, of physical and

mental upset that he will be prone to.

(d) His tolerance to various external factors like heat, cold, sun, wind, moon,
rain, sound, light, electrical disturbance etc.

(e) Desire, aversions, thirst, appetite.

(f) Any symptom, physical or mental which is peculiar for that individual.

When all these are taken into account for prescribing, it becomes a GENETIC
CONSTITUTIONAL SIMILIMUM.
 How does this code express?

This genetic code expresses itself by synthesizing proteins.

These proteins are of 2 types:

(a) Structural

(b) Enzymatic

(a) Structural proteins are responsible for solid structure of the individual.
These proteins are synthesized differently in accordance to the nature inherited
by the individual. Hence the shape and features of face of a person shall to a great
extent reflect his nature.

(b) Enzymatic proteins: These are proteins which form the part of human bio-
chemistry and are circulated in the blood. These proteins are either in form of
enzymes or catalyst, neuron-transmitters or hormones and are associated directly
or indirectly with maintaining the equilibrium of the human biochemistry. They
are involved in all the biochemical reactions in the human body in one way or the
other.

All these reactions are in complete balance and not independent of each
other. This balance is called Homoeostasis.

The disturbances if any in the above balance is due to

(a) Mal-synthesis which is genetic in origin (b) Introduction of any protein in

the human biochemistry (e.g. vaccination, insect bite, bacterial toxins, toxins from
killed bacteria after antibiotics, proteinous ointments, etc.) Proteins synthesized
by cells themselves due to shock grief, mortifications can upset the Homoeostasis
causing a reverse - RNA - DNA - Synthesis which may result in grave disease like
cancers.
 Disturbed Homoeostasis IMPAIRS IMMUNITY and causes physical symptoms as
well as mental symptoms.

Thus CAUSE or AILMENTS FROM is very important in prescribing the

similimum.

EMOTIONAL PRESCRIBING

Behaviour associated with Emotions, subconscious motor and sensory drive

and the intrinsic feeling of pleasure and punishment, are functions performed
mainly by subcortical structures located in the basal regions of the brain. This
region constitutes of what we call as Limbic system The Biochemical
Homoeostasis when disturbed can influence the limbic system along with
hypothalamus and stimulate various nerve centres to secrete different neuro
transmitters

The different neuron-transmitters secreted are responsible for various

emotions and different aspects of behaviour.

Secretion of Dopamine, Epinephrine, Nor-epinephrine, Encephalin-Endorphin,

Adrenaline etc. can be in excess or deficient depending upon the basic nature of
the patient. This is dependent upon the genetic code. Sad constitutions like
ignatia, natrum mur, Acid-phos, Sepia may have a genetic tendency to decrease
secretion of norephinephrine or Serotonin. Cheerful, mirthful constitutions like
Cannabis indica, Lachesis, Hyoscyamus, Belladonna may have a genetic tendency
to secrete more of dopamine. Thus various neuro transmitters will be secreted in
different individuals in different quantity giving these individuals their basic
characteristic which incidentally correspond to their basic structure, features etc.

Secretion of these neuro transmitters can also come about in excess or be

deficient in individuals due to sudden shock, prolonged grief, apprehension or
mortification. In these cases the neuro transmitter levels increase or decrease
temporarily giving a temporary change in attitude and behaviour. Gelsemium in
nervousness, Staphysagria in mortification, ignatia in grief are classic examples of
prescriptions on local emotional level where basic genetic code is neglected. This
amounts to prescribing for the disease in man rather than man in disease which
may lead to dangerous suppression if the vital force is not strong enough to resist
it.

Prescribing for delusions, illusions, hallucinations and only on mental sphere

without considering the generals and the physical make-up is what is known as
emotional prescribing.

Effects of various neuro transmitters on the human mind is shown in the table
below.

NEURO-TRANSMITTER - THEIR EFFECTS ON MIND

Doctors who consider only the physical symptoms are tampering the
'Homoeostasis' at local biochemical level. This upsets the homoeostasis further in
deeper and deeper tissues and transfers the toxins higher to cause disease
suppression.

Doctors who consider only the 'mentals' as shown in the chart are actually
acting on the neurons which secrete the particular neoro-transmitter. e.g.
Prescribing for a 'core' of suspiciousness, people are talking about me, laughing at
me etc. is a symptom of 'Baryta Carb'. Baryta Carb might help temporarily by
decreasing the synthesis of dopamine. But the drug may not hold since action and
reaction are equal and opposite. The patient might have rebound aggravation and
the doctor may become helpless.

This plight of the Homoeopath is because he has not considered patient as a

'whole'. The patient in question was not Baryta Carb but his state or symptoms
were.

Hence one sided prescribers can never get results in schizophrenias!

Hence one sided prescribers can never get results in schizophrenias!

 Practice of Homeopathy does not mean only administration of Homoeopathic
remedies. If Homoeopathic remedies are given or administered not in keeping
with the law of similia it is just not Homoeopathy. It has been seen that many
practitioners give Arsenic alb for Asthma, Allium cepa and Euphrasia for coryza,
Plantago for toothache, Arnica or Natrum sulph for head injury Rhus tox and Ruta
for bones or joints pain etc. The list is endless. But this is not Homoeopathy - it is
HOMALLOPATHY. Allopathic minded physicians wearing a garb of Homoeopathy
do this.

Where do we all falter? Why do we all have different approaches? How come
ten different homoeopath derive ten different simillimums for the same patient
and yet claim to cure? Who is right and who is wrong? Is the Homoeopath who
takes longest history right or the one who analyses with figment of his
imaginations and gives a fascinating explanation, fit in a rarest of rare remedy-
right! Is that one who hardly asks questions, but observes and prescribes is always
wrong? Or the homoeopath who plainly prescribes a polychrest on the basis of
materia medica always wrong because he does not have any fascinating story to
justify his prescription of Pulsatilla or Sulphur?

If Dr. Hahnemann sowed the seeds of our inimitable Homoeopathic science it

was Dr. Kent, Dr. Boenninghausen etc who groomed it, nurtured it and it was Dr.
Hering who with his futuristic scientific master piece of 'Law of cure1 has
provided legal discipline to our scientific constitution. Those, who do not follow
the 'Laws of cure' are solely responsible for the 'chaos' created

Every homoeopath talks of

(a) How well to take a case

(b) How to analyse

(c) What to prescribe?

Very few (and I dare say this breed is too small) talk about the process of cure!
Very few are concerned with the follow-up analysis of the case.
 Any Homoeopath who shows his case, taking a course prescribed by Hering
after prescription is the only right classical homeopath. This again should not be a
sporadic result. Whether it be acute or in chronic case his simillimum should elicit
Hering's law of cure except in incurable cases where irreversible pathological
changes have taken place. Even in such a case compensatory cure can be
established.

Follow-up of a case and not only good prescribing for a case is what
distinguishes one as a good 'simillimum' prescriber.

Understanding of what is more important and what is less important in the

symptoms that follow is what makes a good prescriber. More so overpowering
one's ego and admitting that our prescription is wrong for the benefit of his
patient is what makes one a good Homoeopath, Predicting actually to the patient
what he is bound to come up with systematically and serially is what makes a
scientific Homoeopath.

I for one have had experience with lots of different prescribing concepts in the
last 25 years. 1 started seeing Hering law coming live in each and every case only
when I switched over to GENETIC CONSTITUTIONAL PRESCRIBING.

DR. HAHNEMANN AND GENETICS

The genetic constitutional simillimum was indirectly advocated by Dr.

Hahnemann for eliciting ideal cures, through series of Aphorisms, in the organon.

In aphorism 9 Hahnemann states: -

In the healthy condition of man, the spiritual vital force (autocracy), the
dynamis that animates the material body (organism) rules with unbounded sway
and retains all the parts of organism in admirable, harmonious, vital operation all
sensations and functions, so that our indwelling reason gifted mind can freely
employ this healthy living instrument for higher purpose of existence. In this
aphorism Hahnemann has made us aware of following concepts
 (a) That man's health depends on 'harmony' or equilibrium amongst its organs
and systems, when this is disturbed it causes ill health.

(b) That this harmony is compelled by an invisible 'Energy - the dynamis' which
pervades it and controls it

(c) Consequently this body (organism) animated by the energy harbors within
it a reason gifted mind. In short man is made up of (a) Body (b) Mind (c) Energy,
which rules both the body and mind.

(d) Further he mentions that when the energy driven organs and systems of a
organism are in a harmonious equilibrium it helps the mind to use the body for
higher purpose of existence.

(e) By this the philosopher in Hahnemann tells us that our very birth in this
world has 'some purpose'. This 'same' purpose is evolution to higher and higher
state of existence. Thus every creation is created to progress and evolve,
evolution of man in the universe is synonymous to progress of life in the universe,
which is part and parcel of the universal energy cycle, which follows the laws of
Bioenergetics and thermodynamics. Thus man and every living cell has to work for
a living, sincerely, conscientiously and diligently, engulf as much knowledge as it
can to deal with life, to face life with success and finally evolve to a higher state,
thus fulfilling the sole objective of its existence in the world

[Thus in my practice 'Diligent-conscientious1 or non- diligent, non-

conscientious nature in an individual be it in acute or chronic disease, if very
prominent is taken to rule out or rule in a remedy. And believe me it has paid rich
dividends]

In Aphorism 7 he mentions; attention be paid to TOTALITY of symptoms - this

outwardly reflected picture of internal essence of disease or affection of vital
force because he says 'it is the sole means whereby the disease can make known
what remedy it requires - the only thing that can determine the choice of most
appropriate remedy -and thus, in a word the totality of symptoms must be the
principal and only thing the physician has to take note
 [In this aphorism no 7 he has made it amply clear that every individual
constitutions behaves differently when diseased depending upon its make-up in
totality i.e, mind body and energy.]

Further in aphorism no 15 he talks about dynamis and the organism (body)

having a close relation with each other because the two together constitute a
"UNITY ". Although in thought our mind separates this unity into two distinct
concepts. Thus he envisaged by his foresight the genetic code concept 200 years
back.

As per our science today we are aware that whether it is our body or structure
which is made up of parts, organs and systems and cells or it is our behaviour,
attitude, emotions, will, intellect or whether it is our energy as represented by
speed of activities etc. all arise from our genes or genetic code.

Our gene or the genetic code, which has inherited and acquired its characters,
expresses itself in the form of proteins synthesized by each and every cell in
general or peculiar cell in particular. These are the proteins, which give us
everything. They give us our nature, structure, energy, tolerance and
susceptibility depending solely on the miasmatic taint as mentioned in aphorism
7- "regard being had to the possibility of a miasm and attention paid to necessary
circumstances.

Our science is a rare science perhaps one of the very few scientific sciences
since the very base is on 'Organon' and 'philosophy' which has stood the test of
time. In fact all that is written by our great MASTER stands vindicated today in the
light of modern science and its discoveries and inventions. The 'genetics, the
automaticity of body' the vital principle concept, the immunity concept, the
similimurn concept, all stand firm amongst the ruins of the modern sciences
dilapidated short lasting anti-biotic, anti allergic and anti- xyz theories. The only
place where modern science has succeeded is in eradicating certain infectious
disease but ironically that too with partial application of similia similibus curantur
in the usage of vaccination.

Such a science or rather the philosophy has to be followed to the hilt. Only a
strict follower of the same with proper application shall find the right simillimum
which shall reverse the disease and help the physician (to remove the whole
symptoms in order), at the same time annihilate the morbid derangement of vital
force - consequently the totality of disease, the disease itself (aphorism 17)

Hence Homeopaths who do not prescribe on totality are very unlikely to

observe the Hering's law of cure be it acute or chronic disease. Those who
prescribe only on emotions, feelings, and think feelings are the core and thus
totality are as guilty as their "physicals prescribing" counter parts. They shall get
results but only in functional spheres of ectoderm, endoderm or mesodermal
derivative organs. They shall show fantastic results in making symptoms
disappear from skin e.g. Eczemas, dermatitis etc. or rhinitis, bronchitis, acidity,
colitis. Urinary Tract Infections, or bone pains. They can at the most bring about
changes in secretion of neurotransmitters causing behavioural changes arising out
of limbic system. Intolerances, susceptibility, will, intellect, shall never improve or
show changes. They may not succeed in annihilating the cause, which give rise to
hypertension, diabetes, thyroid disorders, rheumatoid arthritis etc: They shall not
be fortunate enough to see single dose results, which enforce the Hering's law
only because they do not consider the TOTALITY" or the "genetic constitution'

ESSENTIALS OF GENETIC CONSTITUTIONAL HISTORY TAKING

GENES, as we all know, is mother of our existence. Our map of genetic code or
'genome' is responsible for our physical makeup, mental make-up and general
make-up. All these three arise out of same genetic map or genome. Hence it is but
natural to conclude that looks, features and built of an individual have relation
with this nature. It is important for a homoeopath to be a keen observer so that
he can decode the physique to know the nature of a person.

(a) Physical make-up includes

(i) Height, Weight, Stature:

A tall, lean, thin individual can indicate a constitution with either a Psoric trait
or Tubercular heredity.
 A stout, obese person can be drawing our attention towards his sycotic
heritage.

A short, stunted individual could be again a 'shallow' type of sycosis. It can

indicate a Baryta constitution or a Medorrhinum, carbons, Sulph., Nat-Mur, Sil.,
Syphilinum., Calc-Ph.,Tub.etc.

(ii) Facial Features and Shapes:

Sharp features could give us an idea that some tubercular constitution is in

front of us. It could be a psoric constitution as well. Nevertheless we can safely
presume that this constitution is not purely sycotic.

Extra sharp and crooked features can mean some syphilitic remedy.

Rounded, rotund, obtuse features attract our mind towards sycotic miasm
lurking deep within.

Face Shapes could be of three basic types - Mental, Vital and Motive

Mental type: oval shaped or pear shaped, tapering chin could mean very
conscientious, scientific or artistic personality. People who are Sensitive &
interested in details

Vital type: A rounded, sycosis like chubby face may

mean, happy-go-lucky, frivolous, cheerful, not very serious person with good
oratory power, like lachesis, opium etc.

Motive type: The prominent cheeked or bony structure of face that is squarish
indicates a strong, positive, courageous leader like personality.

There are also combinations of three basic types which give rise to other types
of faces. The mixtures of motive-mental, mental-vital or vital-motive could also
tell us a lot more about their natures. These combination faces are due to natures
which are consistent with combination of different characteristics or natures.
 (iii) Hair:

Type: Distribution of hair on scalp and body, thickness, straightness, colour, all
signify constitutions.

Toughness and thickness indicates strength of character as found in Mercuries,

Nux Vomica, Ferrums, Hepar Sulph. etc.

Thinness of hair is sign of weak morals, weak- will or a timid personality.

Curliness of hair can indicate either a confused personality if the hair is thin in
texture or mortified, suppressed individual if the texture of the hair is rough and
thick. This might help us in differentiating a Calcarea or a Thuja from Mag.Mur or
Staphysagaria. Never expect thuja, calcarea, baryta or silica to have thick hair.

Distribution:

Distribution of hair tells us also their whole story. Fastidious distribution or

non-fastidious distribution of hair on the chest can help us distinguish between
Ars. alb and Nux Vomica.

Baldness Even the site of baldness can indicate a secretive or extroverted

person.

(iv) Nails:

Length of nails more than the nail breadth or vice versa, signifies whether a
person is business minded, nervous or apprehensive type. Their thickness, curves
etc. all signify a constitution.

(v) Neck:

Long and short - could help us differentiate a Natrum group from a Kali group
or a sensitive person from a shrewd business mind or psora from sycosis.

(vi) Extremities:
 Long, short, relative length of fingers (foot analysis). (Even the lines on your
palm tells you the hidden story - which is important from a homoeopathic point
of view).

(vii) Shape of the trunk:

All these upper observations help us determine not only the nature but also
the Miasm. All these arise from the same genetic code.

(b) Mental Make-up

This includes:

a) Will, Morals, Intellect

b) Natural Traits which are outstanding

c) Emotions as reactions

d) Sensitivity

e) Attachments

a) Will:

Is the power of making a reasoned choice or decision; of controlling one's own

action. The assessment of this power or a force helps us to decide whether a man
is weak- willed, timid person or a strong willed, positive, aggressive, persevering
person. Positive, strong-willed constitutions are like Arsenic, Camphor, Causticum,
Ferrum and other metals, Hepar, Mercury, Lachesis, Nux Vomica, Sepia should
stand out from the weak-willed Pulsattila, Silica, Baryta Carb, Calcarea etc.

If either of these characteristics of positivity or timidity, courageousness or

cowardiceness is marked or outstanding in an individual, then we should bear in
mind that the simiiimum which we arrive at should cover this characteristic of
Will.

Morals:

Morals and Conscience as we have already mentioned earlier or diligence in a

person, helps us to differentiate immoral remedies like Anacardium, Tarentula-
Hisp., Stramonium, Verat-alb. from conscientious constitutions like Ignatia,
Iodum, Silica, Staphysagria etc.

Intellect:

The knowledge craving intellectual person writing intelligent stories, novels,

articles, books can be differentiated from people lacking in intellect like
Helleborous, Bufo, Aethusa and other foolish idiotic remedies.

These 3 characteristics of WILL, MORALS, (CONSCIENCE) AND INTELLECT are

innate characteristics. If prominent they are the MOST IMPORTANT rubrics to be
considered for deciding the similimum.

b) Natural Traits are undiseased but prominent characteristics of an individual.

Every individual is a bundle of traits e.g. timidity, courageousness, cowardice,
religiousness, deceitfulness, mildness, contentedness, discontentedness,
haughtiness, obstinacy and yielding. Combinations of these characters in various
permutations are what decide the emotional reactions of an individual and the
diseases he is supposed to suffer from.

Reactions of an individual to different situations in life, helps us to analyze the

natural trait in the person. After death of a loved one, how the person reacted to
the news - whether it was sadness for the loss or was it anger for not being able
to do anything to prevent the loss or whether he blames himself for the whole
situation or whether the individual is completely indifferent to the loss, all these
circumstances help us to understand the natural trait of the individual. From the
above circumstances we come to know whether the person has tremendous
anger or is easily grieved, does he have anxiety of conscience or is completely
indifferent or apathetic to the loved one.
 c) The Emotional reactions in the form of ANGER, SADNESS, FEAR, ANXIETY,
FEELINGS, SENSATIONS, URGES, DRIVES, ILLUSIONS, and DELUSIONS are disease
manifestations. Nevertheless, they are always as a result of the natural traits, will,
morals, intellect and sensitivity of the individual constitution. They may form
'core' of mind but not MAN as a whole. They may lead you to the right similimum
provided the remedy indicated by them covers the will, intellect, thermals, thirst,
generals and other natural traits.

One cannot give a patient Baryta-carb just because he feels helpless

everywhere. He has to be mentally, physically and generals'-wise Baryta-carb. He
has to have natural traits of Baryta-carb like Timidity, Bashfulness, though
sometimes intellectual - lack of fertile mind or thinking powers. He has to be
chilly, thirsty with rounded features etc. and above all he has to be miasmatically
*sycotic'. The natural traits are obtained in history by

(a) observation of patient and (b) deduction from reactions to various

incidents in life. (See cases).

d) Sensitivity

Any special sensitivity to rudeness, reprimand, criticisms, insults, social

position etc. reflects again on the natural traits.

e) Attachments

If marked as clinging to mother, lover, friend, dog, children, forms an

important rubric for repertorization.

(c) GENERAL MAKE UP

This inquiry includes:

(I) Energy or Activity

(II) Speech type

 (III) Tolerances or intolerances

(IV) Thermals hot/chilly/Ambi-thermal

(V) Appetite, cravings, aversion

(VI) Thirst

(VII) Sexual functions

(VIII) Organs susceptible

(IX) Characters peculiar to that person

(X) Aggravations/ameliorations

(XI) Time/season effect

Energy: The sum total of which, the lack of it or excess of it represented by

a. Speed or physical activity (slow/fast/medium)

b. Speed of thinking processes. Rubrics of vivaciousness, restlessness, lethargy,

torpor, slowness, quickness, can form a core of repertorization if marked or
outstanding in that individual.

Speech: Many times leads us to a similimum is an important factor because it

cannot be covered up. The patient is not aware that his speech is observed or
interpreted. Different types of speeches or talks are natural to different
constitutions and it is a innate characteristic arising out of genetics (case has to be
taken to rule out any pathological cause) e.g. jerky speech, hesitating speech,
loud, hasty, slow, vivacious, formal etc.

Cause or Aiiment from: is the first probe every homoeopath has to perform.
Nothing in this world occurs without a cause. So also man's sickness or
impairment of immunity cannot occur without a cause. We owe our immunity to
'protein' balance in our body. Reciprocally, immune impairment is possible only
due to protein imbalance. Protein balance can be disturbed by

(I) Emotional upsets (due to secretion of neurotransmitters which are

proteins).

(II) Vaccinations (which are immuno globulins and protein tampering).

(III) Antibiotics (toxic-protein liberation from killed bacterias)

(IV) Viral or bacterial infection (invitro toxin liberation)

(V) Animal bites, insect bites, poisoning (all induction of foreign proteins)

(VI) Tissue injuries (which causes protein liberation from destroyed tissues).

Emotional upsets are the main causes which have to be probed. Whether
ailments have started after anger, grief, disappointment, loss etc. We come to
know that the constitution we are facing is badly affected by this particular
emotion.

Type of disease and symptoms of disease helps us to assess the MIASM.

The disease type whether inflammatory or only physiologic dysfunction or

sensitivity which is due to deficiency is Psoric disease. Eczemas, Rhinitis,
Bronchitis, Gastro-enteritis, Urinary tract infections (non-gonorrhoeal) are
indicative of a person in psoric phase.

The disease type where there is accumulation, thickening, growth, tumours

are due to sycosis. People having warts, callosities, corns and other excrecences
are pointing towards sycotic drug as a similimum.

The disease where there is distortion, perversion, destruction are generally

syphilitic diseases
 All these are accompanied by respective Psoric, Sycotic or Syphilitic
behaviours.

THERE CANNOT BE A RIGHT SIMILIMUM WITHOUT CONSIDERATION OF

MIASM.

This helps us to know which group of remedies may be indicated. It also helps
us to decide on Potency and Repetition.

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Theory of Suppression by Dr. Prafull Vijayakar.

Chapter 7 [Chapter 7]

CASES

Case of Sanjay

A boy aged 16 years from a poor family was brought to us with a complaint of
acute pain and tumour like swelling on posterior aspect of right thigh following
injury, with no external signs of any injury. He had fallen from a bicycle in his
native place and had been injured in the right thigh about 4 weeks back. He was
treated by a local doctor. After 1 week of mild pain very severe excruciating pain
started occuring in the place of injury and he was again treated with anti-
inflammatory tablets and painkillers. After about 15 days he fell down whilst
playing and got injured at the very same place.

He started getting severe excruciating pain at the same place every evening
for which he was hospitalized and had to be given painkiller injections every day.
He then came to Mumbai on a vacation stayed with his elder brothers. He was
one of four brothers. Father had expired 10 years back. Mother was working hard
to earn a living. He was one of twins. The other twin brother was very close to
him. They were very attached to each other and he could not stay without him.
But as the twin brother was not good in studies, he discontinued studies and
came down to Mumbai for work. This boy was very good and sincere in studies
and stayed back in native place. After this separation (4 years back) this boy
became sad, quiet, never talked to anybody, sulked and had gradually developed
low fever almost daily.

He was afraid of his eldest brother who was strict and occasionally got beating
from him. This boy was a brilliant student and scored well in languages. He did not
like mathematics and would get low marks, which was the only reason for him to
be punished. In native place he never talked to anybody except mother after the
departure of his twin brother. He was so reserved and secretive that when he
came down to Mumbai on vacation he did not even disclose to his elder brothers
that he had injury or was hospitalized prior to coming. It was only because of his
limping gait the brothers came to know about his injury. Within 3 days of arrival
the pains increased so much that he had to be hospitalized in Mumbai again.
There was no fracture detected but the allopathic treatment was not able to give
him relief. Probability of osteo-sarcoma loomed large and hence they were
contemplating a major Surgery.

When the child was brought to us in the out-patient department, this child sat
with his head down hardly looking up and hardly talking to us. Answers were
given in monosyllables without looking up. He was short and thin even at this age
of 16 years compared to his twin brother who was almost double his height. He
had stopped growing after his brother left the village & came to the city. He
refused to comment on what he felt after his brother left.

His personal likes and dislikes were very clear.

He hated cold weather, as he could not tolerate it at all. He hated sun. which
gave him headaches.

He was completely thirstless and strong aversion to milk

HISTORY PROBING:
 It is often useful for us to probe the immediate cause thoroughly. The injury to
thigh-history is simply not sufficient. The way or circumstances during the injury
and the reaction of that boy to it tells you so many things about his constitution.
The boy was asked how he fell down from the cycle

Was he learning to cycle? Or was he pushed down by somebody?

Or was he trying to do acrobatics? Was he rash?

Was he trying to knock somebody else down in mischief. After he fell down
what did he do?

Did he just pick-up the cycle and start riding again?

Did he get so angry on the cycle that he started kicking the cycle? Or did he get
up and bang the cycle tyre against the wall?

Did he get so frightened that he did not get up from there and called for help
or did he just let the cycle be there and go home and cry?

He just got up, picked up the cycle, returned it to the owner, paid his dues for
an hour though he had cycled only for halt an hour, and went home.

Even if it is an injury or bad effects from injury a genuine Homeopath would

like to ascertain what constitution the patient or the injured man is likely to be?
The knowledge of constitution will let him know predictively, how the bone is
going to behave on being injured. Vice-versa it is the knowledge of the reaction or
behaviour of the injured person, which is going to help him assess the
constitution.

It is so easy to prescribe Arnica, three times a day or Symphytum or Ruta or

Calc-fl. etc. repeatedly. These will act only if the injury is not grave and it has not
had a constitutional effect and grown or threatening to grow into malignancy. Nor
can it prevent the constitution from developing into rheumatoid arthritis etc.
Hence the sphere of action of the use of such acute injury drugs prescribed on the
history of injury alone not having a matching general, mental, particular picture
shall be of help only in psoric constitutions where the constitution is strong
enough to resist any suppressions. In such cases it has been seen by me it is
always better to let the patient's constitution recover by itself rather than
interfere, so the best possible result is achieved by keeping the patient on
placebo. Injury to joints say knees treated blindly with Arnica montana or Bryonia
alba or Rhus tox have inadvertently or unknowingly been seen to proceed after a
primary relief of pain into lumbo-sacral spondylitis and further either into
widespread multi-joint polyarthritis or progressively changing into a different
sphere say cardiovascular (3rd layer to 4lh layer of suppression) and the patient
starts exhibiting hypertension or ischaemic heart disease. The Arnica-Bryonia-
Rhus tox prescriber is blissfully unaware of such a symptom transfer which is of
his own making, primarily. This is because of blatant violation or bending of
Homoeopathic Law of cure - "The Similia Similibus curantur!" The symptom
similarity if one argues, is only local. Every individual or every constitution gives
back a reaction to an injury befitting its basic nature. This reaction is individual
not only at the level of mentals (i.e. the attitude towards suffering) but also at
physical level i .e. at the level how tissue will behave or react to the injury. This in
turn is wholly dependent on the predominant miasm which is ruling the
constitution at that time.

In the above mentioned case the miasm has forced the tissues especially the
bone to grow in the form of tumour and that too in a concealed manner, slowly
and insidiously. The same miasm is reflected in the behaviour of the boy where he
is so secretive, so closed, so untalkative though so deeply injured. He did not
complain or reveal the injury or even his hospitalization (a major incident) to his
brother. Providing a perfect cover up. His miasm now amply clear - a strongly
sycotic one is the one which has had sway over his life process since last many
years keeping him stunted and not allowing him to grow. This sycosis was now
threatening to move or to degrade to the more dangerous and destructive of its
miasmatic brethren - the syphilitic miasm. The threat of invasion of syphilitic
miasm was in dynamic form not yet settled as syphilis as was demonstrated by
the pains coming on after sunset only forcing him to take painkiller injections. A
tolerant non-complaining child being tormented to such an extreme of making
him resort to painkiller injections at night when gleefully playing in the day time
was a definite warning by the constitution that it is threatening to go syphilitic
e.g. towards destruction. The dreaded combination of 'sycosis and syphilis'
building up on an injury or irritation (psoric). Discontinuity of a normal tissue is
what develops into malignancy or cancerous growth.

If his constitution was syphilitic, the predominant syphilis miasm in the above
case would have given rise to very destructive lesion both in terms of skin and
bone. In short a strongly syphilitic constitution would have presented to us with
destruction of epidermis, dermis and muscles as a very ragged or jagged or not
clear-cut demarcated lacerated wound bleeding on touch and with a underlying
multiple fracture of the bone.

A psoric would have shown abrasions of superficial type with intense

nervousness in attitude, telling everybody of his complain and being anxious of
prognosis.

This boy allowed not only me but all the other students doctor to examine
without much fuss.

Our one job was over. We needed a simillimum which was 'sycotic in
miasm'........... (1)

Now we proceeded to find out what are the innate or inherent characteristics
or non-diseased natural traits exhibited by the genetic code. These were going to
be the basis of our genetic constitutional simillimum.

These innate natural characteristics should be pronounced and obvious. They

should be agreed to by all physicians and relatives present. They should not be
fictitious or figments of a physicians imagination. The innate characteristic should
be preferably a large rubric bearing more than 250-300 remedies. Thus even a
lesser known remedy is not excluded from being considered as simillimum e.g.
Timidity, Mildness, Violence, Vivaciousness. Talk indisposed to etc. Right
observation also plays an important part in considering the innate characteristic.

The main characteristic i.e. the pivotal rubric should be observed, analysed
and understood in proper perspective. It need not necessarily be announced by
the patient.
 Are you shy, timid, bashful? Or are you haughty? Are you a Coward? Are you
reserved or vivacious etc. such leading questions can never benefit a history. A
really haughty person shall never admit he or she is haughty because it hurts
his/her image. She sees nothing wrong in her approach and behaviour with others
and whatever wrong behaviour she exhibits, is strongly attributed as her reaction
to bad behaviour of others which she thinks is quite natural.

Keen observation with a broad spectrum view of what has happened to the
person in the past and present, and the reaction to the circumstances helps us to
analyse his reaction in proper perspective and choose a befitting natural, innate,
mostly non-diseased characteristic rubric.

A Reaction of an individual constitution is like how a substance (wood, tin,

iron, glass, cotton etc) will behave when exposed to the same action or stimulus.
If we hit a fist on wood, tin, iron glass, cotton pillars etc, even on being
blindfolded a man with normal intellect or intelligence will be able to differentiate
and diagnose the substance hit upon. Similarly a homoeopath has to develop
natural fervor or trait of understanding to know and differentiate how different
remedies by virtue of their natural characteristic will behave or react in the same
situation or under similar stimulus.

(A) In the PROBE OF the circumstances of the injury.

Since the boy was learning to ride a bicycle at the age of sixteen shows us that
he ought to be either CAUTIOUS or a TIMID child like a Calc, Sil, Puls, Baryta, Bufo
etc.. (slow learner). He did not learn cycling up to this teenage.

If the boy was playing acrobatics e.g. leaving both the hands while riding or
standing on the seat or sitting facing back etc., shows a dare devil character ready
to take risks or a show off; (Plat., Lach., Bell., Merc, Nux-v.) or a mischief monger
or an antic player? (Playing Antics - Merc, Hyos., Op., Verat., Bell.) or rash,
heedless, courageous? Or revolting character (Merc, Op., Tarent., Tub.). He may
also be a boy with either less intelligence or whose sense of right and wrong is
abolished, Like a Baryta carb. or Anacardium Who are not bothered about the
consequences.
 If he was trying to knock down somebody, is he mischievous, destructive,
malicious or inciting (like Hyos.. Lach., Cann-Ind., Nux-v., Merc-sol., Tarentula etc.)

(B) Reaction to Action (Accident): What did he do after the accident

If just picked up his cycle and rode again shows quite a balanced individual
taking everything into his stride, not discouraged easily.

Trying to damage the cycle shows a child of angry temperament, agg. by

contradiction, destructiveness malicious etc. probably a syphilitic drug.

Sitting, crying and calling for help does not project a strong character and
probably shows a soft, timid, mild weeping easily, discouraged, anxious, fearful
personality.

Leaving the cycle there at the accident spot and rushing home would portray
to us a self-centered, selfish personality with anxiety for his own health
superseeding everything.

Coming back to case: In this case he was learning the cycle, fell down, got up.
returned the cycle to the owner and paid his dues though time of hire was not
over, came home and never told anybody about accident. One sees that this
teenager was learning cycle-riding at age of 16 years showing a character which is
CAUTIOUS, TIMID. The child's reaction to the cycle accident was that he picked up
the cycle returned it to the owner paid his dues and quietly came and rested at
home. This shows not a selfish but more conscientious though timid character.
Despite the pain and accident he thought it to be his duty to pay first and return
the cycle to the owner. He did not continue to ride either due to pain, or fright, he
was discouraged easily.

Final Analysis:

We want a remedy or a constitution which is predominantly SYCOTIC in

miasm. Chilly, Thirstless, Timid, Reserved, Cautious, Conscientious, Discouraged
easily, who has sun aggravation and strong aversion to milk.
 If we take small rubrics we might face the risk /chance of eliminating a remote
remedy

By Observation he was seen to be

Introvert, (Total 28 remedies.... NO 3 mark remedies)

Reserved, (Total 98 remedies.... ONE 3 mark remedies)

Secretive, (Total 19 remedies.... NO 3 mark remedies)

Company aversion to ( 187 remedies.... eleven 3mark remedies)

Misanthropy (45 remedies.... ONE 3mark remedies)

All of these rubrics finally end up showing an inexpressive personality i.e. a

person who does not talk or reveal anything. Hence first rubric taken as pivotal
rubric was.

(a) Talk Indisposed to. (268 remedies. Which has almost all remedies from
above rubrics and many 2-3 mark remedies) secondly he was a shy personality
hardly looking up and answering to the point looking down i.e.

(b) BASHFUL (Timidity-Bashful)

By eliminative analysis of (a) + (b) + Chilly remedies, the remedies which came
up were Anac, Aur, Bar-C, Bell, Bov, Calc-C, Cal-Sil, Carbo-Veg, Caust. China,
Coffea, Canth, Cupr, Graph, Ign, Nat-Carb, Mez, Nat-Phos, Nux-v, Petrol, Phos, Sil,
Staph. [Out right restless, active and violent remedies were eliminated eg. Rhus
Tox, Hyos, Stram, Tub, Zinc, Tarent, Kalis, Bell]

Sun from exposure to aggravation was taken as 3rd Rubric for elimination.

Man is a part and parcel of energy cycle and any effect of any cosmic energy
eg. Sun, moon, magnetism, or electrical changes, changes in weather e.t.c on a
constitution should be given great importance because the life organism was so
created by the eternal being so as to live in harmony in this universal cycle. Any
hypersensitivity (or Lack of) can be used as an eliminating factor. In the above
case the constitution which is chilly, is quiet (Talk indisposed to) and bashful has
to have aggravation from sun:

(A) + (B) (SUN Aggr.) = Baryta-C, Bov, Calc-Carb, Carbo - V, Graph, Ign, Nat-C,
Nux V
(C) STEP V

Now use the generals for elimination:

(a) Thirstless

Calc. C and Nux-Vomica being predominantly excessively thirsty remedies can

safely be ruled out since the boy was thirstless. We are left with - BC, Bov, Carbo-
Veg, Graph, Ign, Nat.-C,

(b) Strong aversion to milk brings down the likely constitutions to (Bov, Carbo-
Veg, Ign, Nat.-Carb.)

STEP VI

The boy was very diligent and conscientious as seen from his studiousness as
well as his reaction to the accident where he cared for others property and
returned it duty boundly as well as paid his dues. By eliminating the non-
conscientious we are left with two possible genetic constitutions [Ign. and Nat-
Carb]

STEP VII

Using materia medica knowledge we know that Ignatia is a very sensitive,

sentimental, vivacious, courageous, more hysterical personality.

Nat-Carb with its misanthropy and predominantly sycotic miasm and timidity
with one-to-one reaction with twin brother was a better choice
 Nat.-Carb., also covers inaptitude for mathematics.

Nat.-Carb., is discouraged easily

Nat.-Carb. has one to one relationship (here with brother)

Thus Nat.-Carb., was selected as Genetic constitutional simillimum as it

covered the miasm (sycosis), natural general trait of talking indisposed to and
bashfulness; was chilly yet aggr. from sun; with aversion to milk and being
extremely conscientious

7th July:

Nat.-Carb., 30-one dose

14th July:

(a) The boy came in without Limping.

(b) The boy came in smiling and at ease in front of all the doctors in O. P. D.

(c) Did not take any painkiller injections throughout the week as the pain was
considerably less.

(d) Had desire to play and played throughout the day.

(e) Tumor-like swelling reduced but still present.

(f) Answered freely and smilingly

21st July:

(a) Pain vanished

(b) Swelling gone

 (c) Child active, smart, smiling and more communicative.

CASE NO. II

CASE OF HYPOTHYROIDISM

12/4/97: A young female Aged 18 years, commerce graduate, coming with

complaints of:

She was taking Eltroxin tab 1 daily since 1990 and Thyroid function test on
22/2/97 showed

T3....52ug (N. 70-200)

T4...2.20 (N. 5-13)

T.S.H. - 150 (0.3-6.8)

Pain in left calf muscle

Cravings: Cheese, Butter, Pizzas, Oily food. Sweet, Chocolate, Ice-creams,

Aversion: salty food.

We proceed in following manner

1) In the first place the girl is suffering from a disease, which is at the neuro-
endocrinal level i.e. 5th stage of suppression probably after suppressed mumps in
1989.
 2) We have to treat Man in Disease, so we try to find out her genetic
constitutional which means we take her 'Innate' characteristics i.e. 'non-diseased
nature' that are outstanding.

So we have a constitution which is TIMID, MILD, Intellectual, conscientious,

which has peculiar tendency to fancies [fanciful thinking and introspection], which
at the same time is chilly with Extreme thirst and Covers Tubercular Diathesis.

Take the broadest or largest Rubric - TIMIDITY, and combine it with

intellectual.

Result: Chilly constitutions which are Timid and have an intellectual trait are:
[Aco, Bar-c, Bell, Care, Cocc, Hyos, Ign, Merc; (Chilly in chronic-Hot in acute) Nat.-
carb, Nux-V, Phos, Plb, Sepia, Sil, Stramonium.)

Out of the above remedies which may have Timid but intellectual constitution,
we proceed to find out which of them is fearful of Dark and which of them has
tendency to be absorbed in fancies.

FANCIES absorbed in: has following chilly remedies: Am, Aur, Ars, Cupr, Kali-
ph., Sil, Stram.

So we have only [Silicea and Stram] coming down unscathed in the final result,
both of which incidentally have fear of dark too. In this manner we have been
able to reduce the selection of simillimum to 2 remedies from a large group of
125 remedies in TIMIDITY by the process of elimination.

Finally it is the knowledge of Materia Medica which will be of use to help us

narrow down or zero down on the 'Simillimum'.

Now the feel of the various remedies come in handy. The history of the patient
projects an 'image' or 'feel' of constitution which is more stable, though Timid,
and involved in fancies. The fancies which she is absorbed in are also quiet
moderate and not exalted or intense as it would have been if she was
'Stramonium'. The fears, frights or for that matter all the actions of Stramonium
as regards speed and intensity would be high which was not the case here.
 Thirst extreme was covered by both.

Tubercular Diathesis was covered by both.

The Structure and built was covered by both.

Only the speed and intensity of actions and reactions pointed to "Silicea" -
which incidently also has the 'good girl' image.

4/4/97

Remedy given was Silicea 1m - one dose

Advised to reduce Eltroxin to 1/2 tab per day

6/5/97

Appetite- improved, sleep-pleasant dreams

Reported feeling of freshness

Laziness, lethargy reduced

Desires to read more books

Swelling neck-SQ

Pain calf muscles SQ

[In short Generals belonging to patient show improvement. Particulars of pain

and swelling SQ.] [advice to discontinue Eltroxin] Rx: SL

7/6/97

Swelling on neck reducing.

 Generals of stamina, appetite, better as before.

Pain legs SQ.

Sleep refreshing no more dreams

Pain slight near the region of parotids Jasting for 3 days (return of old
Symptom).. .Rx: SL

8/7/97

1) Pain slight near parotids + and leg pains better.

Nodular swelling disappearing.

2) Thyroid function test:

T3... 85 ug

T4...6.3Mg

T.S.H.3ug

3) Dry cough followed by coryza.

CASE NO, III

Miss N. S. age 18years.

C/c Primary Epilepsy since last 3 years. Manifests in the form of sudden fall. On
treatment of Tegretol - 200 since 3 years

Sudden fall occurs with blanking out for 10-15 mins. It occurs any where, any
time whether at home, at college, or on roads, etc. luckily she has not got one
while driving. This is followed by uncontrolled sleep for 12-14 hours, feels weak,
tired and confused after the attack.

From the above history we see a very bold, courageous, high spirited and
haughty character a typical spoilt college going rich girl, probably pampered and
hence disobedient with hysterical element.

9/8/97:

Given a single dose of Moschus 1m

30/8/97:

a) Coryza increased, Headache increased

b) Felt more lazy in 2 weeks

c) Feels indifferent to dressing up, even wearing a lens.

d) No fits

e) 1st 4 days were fine.

Remark:

Particulars of headache and Coryza are welcome signs as R.O.S. - return of

original symptoms according to Herings Law of Cure

No fits- ok sign

1st few days were fine - not a good sign- indicates a partially indicated remedy
probably covering only disease factor.
 Laziness, weakness increasing - a bad sign indicates- toxic condition of the
constitution not better, toxins are not being eliminated but are very much in
tissues and may lead to suppression.

No desire to dress or wear a lens. Especially in such a lively girl- not at all a.
good sign. Desires - (natural) to live and enjoy or carry express the natural genetic
trait in an individual is 'MOST IMPORTANT', loss of such desire and liveliness is a
sign of wrong remedy!

Case was reconsidered.

Haughty, Courageous, high spirited loves fruit juices,

Chilly, thirsty Verat-alb 1m one dose prescribed.

Remarks:

On deep inquiry the girl confessed of having applied local ointment on the
ulcer despite of being warned against by me and her parents. The fits had
increased in number and intensity. The duration of dullness and confusion after
sleep had increased. This showed that the disease had not weakened nor
constitution had strengthened despite exteriorization projected as ulceration on
skin of legs. A new ulcer has no business to form above the old one-indicating
suppression.

Strengthening of constitution with the help of a genetic constitutional

simillimum has to be associated with weakened disease i.e. in this case reduction
in number of fits, more alertness of mind and less dullness. Then how do we
explain the exteriorization on skin? Then what is the use of following Hering's law
corollary of inside out? Disease in the sixth layer of suppression to the Ist layer.
But there is a catch to it. The epileptic seizures are due to discharge of excess
electrical activity in the neuronal cells as was evident in the EEG investigation. M.
R. I did not show any abnormality. The disease was in neuroderm but psoric in
nature. The disease after our remedy came out on skin but not in psoric form but
in syphilitic form i.e. destruction form (ulcers with bleeding, jagged edges). A
travel of disease from psora to syphilis, even though in the lesser important layer
of skin is not a journey towards ideal 'cure'.

'Syphilis' miasm is more dangerous and if spread announces destruction unlike

psora which is only functional derangement. In case the M. R. I. had shown
epilepsy arising from lacunar infarcts inside the brain or any other destructive
process in the brain then appearance of 'ulcers' on the skin with definite
improvement in fits and general alertness, would have been a welcome sign, this
would have indicated change that the disease destructive process has shifted
from more important to less important sphere i.e. the skin, if the fits were the
outcome of S. O. L. in the brain like a tumor then exteriorization would mean
appearance of warts or callosities or ringworm (all sycotic) on skin. If this is
further followed by boils or rash or mild eczematous dermatitis it would definitely
mean process towards psoric miasm and hence a perfect 'Cure' (albeit with
general improvement in stamina as explained earlier)

Naturally in above mentioned case the remedy was still not the genetic
constitutional simillimum. Continuing with the same remedy again and again or in
higher and higher potencies despite the wrong direction indicated by miasmatic
chart of suppression would invariably take the girl towards doom! The case had to
be reconsidered.

Re-analvsis:

Firstly giving importance to the girls most pronounced natural un-diseased

characteristic which symbolises the girl, was most important.

Secondly that nature has to be coupled with a second pronounced trait of the
girl.

First Rubric: chosen from her liveliness, freak-out enjoyable, enthusiastic

nature was

VIVACIOUS (A) - 119 Remedies

 Second Rubric: Selected from following nature (1) never bothered by or
actions never restricted by her fits, always ready to go ahead in life. Advice to
mother don't take tensions our luck is always with us! "Always looks at positive
side never at negative side.

POSITIVITY.(B)

By elimination analyses:

(a) VIVACIOUS + Positiveremedies are Ars, Ferr, Hep, Lach, Merc, Sep.

Third Rubric as seen from her behaviour of defying her parents and driving a
car 1 hour after fits and defying me you cure me or not I won't leave perfumes we
take the 3rd pronounced rubric.

Defiant (C)

By eliminating analyses: We come to 2 constitutions which are vivacious +

positive + defiant are. Merc, and Sep.

Fourth Rubric: Wander desire to gives us only Merc-Sol.

Incidentally Merc-Sol is chilly (in chronic disease); has increased thirst;

increased perspiration; it also covers Haughty, Dictatorial, Self- Esteem,
Disputatious; non-conscientious, sensitive to odors of perfumes etc. Drawing of
broken heart -probable indication of syphilitic constitution.

15/11/98

Prescribed by above analysis Merc-Sol 1m

15/12/98

1) Number of fits increased but fits lasting very short time and transient.

2) No more sleepiness and dullness.

 3) Feels more alert, freaks out more.

4/1/99

1) Fits lesser in number and intensity

2) Confusion not more after fits.

3) Laziness-nil.

24/1/99

1) Consciousness during fits (which were only 2 in 2 weeks.).

2) Awareness of fits before they came

3) She was talking during fit

14/2/99

1) Headache mild for few days now ameliorated 2+.

2) No more fits

3) Skin eczematous, reddish rash on leg

4) No dullness laziness etc.

10/3/99

Generally better in all ways -stopped medicine - eczema - persisted - left

alone.

CASE NO. IV
 Master Chinmay aged 4 1/2 years. Came with VIOLENT COUGH since age of 1 =
years i.e., for last 3 years.

Aggravation 4 a.m.

Aggravation Sleep during;

waking him from sleep with redness of face and suffocated feeling. The child
woke up due to sheer loudness of cough. Started after Hepatitis B, vaccination.
Initially the cough was periodic aggravated every month end but after having
treated with allopathy as well as homoeopathy it had got aggravated and became
daily nocturnal cough. This spasmodic cough (or croup) was sometimes associated
with sudden unexpected rise of temperature, coming on at night.

Appetite had reduced over last 1 years or so and he had lost weight drastically.

Another physical complaint which had started after the vaccination was loose
stools with very offensive flatus and loss of appetite. Voice was hoarse or heavy.

Nature of the child

Loves to play in mud and dirt. Can do anything in mud, likes to roll and crawl
and play in muddy water when very happy or even rolls obstinately in muddy
floor when he lost his temper. Throws temper tantrums and rolls on the floor.
Whenever he sits on a seat he involuntary falls down on to the floor. He is very
shabby and dirty. Any good clothes he wears after a few minutes you'll find the
clothes dirtied (perverted and destructive syphilitic mentality). Anger was very
violent and so was his love. Besides rolling on floors his anger would make him kill
insects ruthlessly or tear or throw away book and valuable things. Even his love
was violent. He would embrace his mother so violently that she would be almost
suffocated. He demonstrated his love by pinching her cheeks and hurting her.
Anger was precipitated suddenly. Anything he suggested which was contradicted
like wanting to watch a particular T. V. channel he would straight away get up and
throw anything like a vase on that persons face or give a box on the face not
bothering to see who the person was. Loves to watch violent action movies.
 Extremely restless child; could hardly sit in one place memory was very sharp
and the parents said he picked up things very fast.

Fearlessness was marked. He would jump from any height, swings, steps of
Ladder. Never cautious about getting hurt. But once he was hurt he will take care
of that injury immediately by applying ointments etc.

Great love for animals extremely crazy about Horses, he has one too. Of
animals at home he has forced his parents to keep a horse, dogs, cats, ostrich,
hens, rabbits, turtle, a deer, a cow, and now wants them to keep a tiger. Very
affectionate towards bigger animals and very cruel towards insects. He feeds all
the animals by himself

Horses fascinate him, even on sitting on a swing used to gesture as if riding a

horse.

Egoistic - Sorry word does not exist in his dictionary

Hits with head: Very moody, He will listen to parents only when his moods
allow usually does exactly opposite of what he is told.

Habit of putting collar in month. Braggart and a liar.

The more he is praised better is his output. Things he is interested in he does

fast and what he is not interested in he will do it slowly. Not much interested in
Music. But wants music on continuously in the car.

Sometimes tells mother to sing with room closed and dances alone for hours.
Will never dance in front of others at all. Why? He does not want people to
criticise him. If any body criticized him or said bad about him he would be so hurt
that he would roll on the floor kicking, weeping, shrieking and screaming. His
sensitivity was marked not only towards himself but also towards his pets with all
this destructive anger and sensitivity. He is very restless, high-strung. He startled
easily on being called suddenly or due to a loud noise. He was also kind hearted as
mother put it. He could not bear to hear about cruelty to animals, or could not
see a man or animal dying even in movies.
 Personal History:

Appetite: depends upon moods he might feel hungry suddenly or not eat at all
for days. Thirst on higher side.

Loves: Curds, soups, sweets, chocolates, ice creams,

Bowels: Now constipation

Sleep: less but refreshing, wakes up fresh

Dreams: -Nil-

Qrigin- Duration- Progress (O. D. P.)

1) After 1st vaccine at age of I years the child developed 'mild rash' on face
treated with local ointments.

2) There after 'mild cough' started

3) 2nd vaccination of Hepatitis was given which was followed by loose

motions.

4) Loose motions were treated with some local homoeopathic remedies and
voice started becoming hoarse off and on

5) After the 3rd vaccination at 1 = years, of age voice became completely

hoarse.

6) This was followed by severe violent spasmodic coughing which was first
periodic and later after treatment became a daily affair

In the above case disease initiated or precipitated by vaccine (1st layer in the
form of disturbed immunity expressed itself and) travelled as inflammation
(psora) from skin to mucus membrane of pharynx and trachea (causing cough (2))
further to G. I. T. (3). In the intestines the inflammation gave soreness and
sensitiveness (Psoric manifestation) to give rise to diarrhoea (2nd layer
endoderm) from here the inflammatory process of psora travelled to 3rf layer i.e.,
connective tissue layer and affected the laryngeal cartilage. This hoarseness
would come and go since the laryngeal cords were now and then irritated and
inflamed by whatever irritant like cold air, cold water, dust, pollution, etc. This
was a Psoric-state of hoarseness. As is well known every irritation is followed by
induration or thickening. When this thickening or induration occurs the
inflammatory stage is over, i.e., 'Psora' stage is over and growth stage i.e., Sycosis
stage starts. Thus psora or inflammatory manifestation in a particular cell, tissue
or organ (here the laryngeal cartilage or vocal cords) (4) after having warned the
person often by dynamic symptoms i.e., changeable-reversible symptoms now
decides to settle permanently in that organ in the form of growth or induration
which we call as Sycosis. This is dangerous stage where the individual's
constitution starts showing various signs (i.e. increase in weight, rounding of
previously sharp) features e.g., nose, eyes contours of face etc. Dullness,
slowness, deceitfulness, hiding tendency, vanity etc start manifesting in behaviour
and attitudes. Performances in school is affected. Any exercise becomes laborious
and a young active boy may also develop dyspnoea a preliminary hypertensive
symptom.

This stage is travel from 'psora to Sycosis' In the above case the voice became
permanently hoarse; due to induration or nodes after 3rd vaccination (5). Travel
from 'Sycosis to Syphilis'

The hoarseness had now become permanent. It was treated with different
medicines with no avail. Now the inflammation on the cartilage was sycotic
inflammation. The advent of violent, out of proportion devastating coughing
bouts was an indication that the disease was threatening to progress from
'Sycosis' to 'Syphilis'. Syphilis is 'destruction' perversion, 'abnormal' distortion.
Ordinary bronchitis or Psoric bronchitis does not give violent cough which affect
the whole economy. Periodical monthly cough was pre-syphilitic stage where
disease was threatening to travel from Sycosis to Syphilis. The more the cough
was suppressed with allopathy and partially indicated homoeopathic medicines
the more vigorously it boomeranged [Newton's 2nd law of action "Every action
has an equal and apposite reaction].
 Once the syphilitic cough set in i.e., coming on only at night; a violence filled
coughing bout giving rise to suffocative spasm the child started on other
destructive trait like loss of weight, nature becoming unduly harsh, obstinate, and
cruel.

Analysis

At the onset so many remedies came to our mind.

The de strucu'veness, Restlessness; dancing; eating indigestible clothes points

to Tarent-h.

The revolting angry, restlessness, with indifference to reprimands point to

Merc.

The love for animal with hatred, destructiveness and restless may point to
Medorrhinum.

If one wants one can easily fit in any remedy to prove an point since most of
the remedies have large number of symptoms. Some times an strong symptom
like love for horses is stretched so far that credibility breaks. There are cock and
bull stories framed to arrive at conclusions, which have started making
homoeopathy a part of Aesops fables. This has been dissuading youngsters,
demoralizing them and convincing them that homoeopathic practice is real
difficult one and is a monopoly of imaginative and hi-fi thinkers.

On the Contrary Homoeopathic practice is 'Easy1! All that you have to is to

apply all your knowledge of materia medica, miasm and use the repertory to
guide you. All that one has to know is differentiation between remedies, and what
symptoms to give importance to, in order to reach the simillimum.

As shown above importance given to different set of symptoms will point out
to different remedies e.g., Tarentula, Mercury, Medonhinum etc. which of the
above is real simillimum? Any one of the above remedies are going to work
partially, Most of such partially indicated remedies given by homoeopaths show
initial improvement in the symptoms and are projected and presented as
fantastic cures by homoeopaths all over the world. No one shows cure occuring
according to Hering's law. The patient who comes with symptoms of cough, or
nervousness agitated mind as X. Y. Z. symptoms are shown as the patient felt
better. Therefore the remedy was a 'simillimum'. It is more like a child's story
ending in- "and they lived happily thereafter"

No symptoms or disease can disappear all of a sudden into thin air. Every thing
occurring in this world has a cause. Every thing occurring in this world has a
precursor and follower. Everything occurring in this world is a result of Force or
energy. As per the 1st law of thermodynamics and bioenergetics the sum total of
the energy is constant. Energy can never be created nor destroyed. It can only be
transferred from one from to another thus the effect shown or manifested on any
of our systems like G. I. T. or respiratory tract etc has to be due to a cause inside
the body which is in the form of energy. The effect can change location form less
important to more important system in the body in case of suppression or
progression of disease or vice- versa in case of cure. In short every homoeopath
has to look-out for symptoms which shall be thrown up by the organism (patient)
to assess whether it is in more important or less important system or layer and
then conclude whether the remedy is right or wrong. Our 'gullible homoeopaths'
starved of results are ready to take in any new fantasy' as a mode of prescribing
with the patient going to dogs! Worst of all the results which are shown are all in
the first 2 layers eg. ectoderm and most of them are functional which would have
subsided even otherwise. A real homoeopath is the one who shows results in
higher levels of suppression like chronic diabetes, tuberculosis, tumours, cancers,
terminal cases etc. either eliciting herings law or showing 'compensatory cure'.

In the above case I had to select a simillimum which was

(a) syco-syphilitic and

(b) representing the child as a whole.

Child as a whole had strong general going through him and that was
'VIOLENCE' The anger was violent, the love was violent, the cough was violent. A
second most peculiar characteristic which strikes us is his attraction towards
floor. He rolls on floor when angry, he crawls on muddy floor, he slides from any
seat on to the floor.

VIOLENT + ROLLING on floor and we get following drugs Cieuta, Proetus,

Sulph, Tarent.

Children who are violent and Roll on the floor are above constitutions. Now
we wanted a constitution which is sensitive to public opinion about himself.
Though the child Loved dancing it would not dance in public. It is not that the
child would just dance and fish for compliments and if not given proper
compliments would become sad. At the onset itself he was afraid of any
compliments in fear that he might be hurt. Hence he danced in a closed room. For
a destructive angry violent child this small fear of opinion of others mattered
which was very contradictory and peculiar

Taking "fear of opinion of others1 as eliminating rubric we are left with only
one remedy, 'PROTEUS'

Retrospectively

a) Proteus is a syco syphilitic remedy

b) Proteus covers the suddenness (it is known as cyclone)

c) Proteus covers Restlessness

d) Proteus covers quarrelsomeness

e) Proteus covers offended easily

f) Proteus covers kill desire to, Destructiveness

g) Proteus covers contradiction is intolerant of

Incidentally it is the only remedy, which has crawling, rolling on the floor,
anger during. It would be dangerous to go from a small rubric towards simillimum
because the other drugs which also have rolling on the floor like cicuta, Sulph,
Tarentulla, Calc, Opium, Acetic acid, paeonia, would never be considered and if
the generals of violence, suddenness and sensitivity was absent then proteus
could never have worked.

Thus it is always better and safer to

(a) consider a 'General rubric' with a large number of remedies and

(b) filter them down with thermals or a strong peculiar symptoms and

(c) finally use your materia-medica knowledge to zero- in on the simillimum.

Even this does not suffice. One has to retrospectively see whether the same
remedy is getting confirmed by other strong generals, physicals mentals, and
miasms. In this way a "Genetic constitutional Similimum can be selected. Only
genetic constitutional simillimum can

(i) Reverse the Symptoms-according to herings law

(ii) Cure irreversible pathology

(iii) Cure chronic diseases like hypertension, diabetes etc.

(iv) Reverse disease process from Sycosis to psora or Syphilis to psora,

(v) and all this with 'single dose' repeated infrequenty

Follow-up

Inserted from <file://C:\Predictive\MetMad\template3.html>

Theory of Suppression by Dr. Prafull Vijayakar.

 Chapter 8 [Chapter 8]

PROOF OF SIMILIMUM

How then to make out whether or not your remedy is the right one.

There are certain criterias to be followed and examined when the patient
comes for the follow-up. e.g.

(a) The PROOF of correctness and 'Right' prescribing is provided by the patient
himself. After a minimum dose 'similimum' stimulus, following changes could
occur.

1. Disappearance of weakness (if any)

2. Normalizing of stamina and desire to work.

3. Restoral of original desires and passion (i.e. to read, play, eat, study, wander
etc.)

4. Normalizing of sleep - (without dreams).

5. Normalizing of appetite and stool.

6. Increase in tolerance to aggravating factors (e.g. noise, sun, wind, cloudy

weather, cold food drink and air)

7. Decrease in sensitivity to rudeness, offences, or any other exciting

emotional factors.

8. Tempering off, of tempers, reduction of fears and anxieties.

9. Disappearance of symptoms from higher layer to lower layer progressively

and simultaneously and appearance of symptoms in lower layer of disease as well
as in outward and downward direction (e.g. pain in heart better, going to pain in
neck first, lumber region next, the knee further, down to the ankle, heel and lastly
the toe and from the toe to cause acidity or diarrhoea and lastly to eruptions on
skin

(b) The eruptions or pains on upper part of the body like face and neck should
disappear first followed by the ones on trunk and extremities.

(c) Appearance of any new lesion or eruption or pain above the level of
already existing ones is a bad sign which would INVARIABLY lead to suppression.
Appearance of new ones below or on extremities with disappearance of lesions
already existing is a good sign.

(d) The circular lesion should disappear by shrinking of the area of lesion i.e.
here the healing should take place from outside in. This leads to cure. Contrary to
expectations the local lesion (singular circular) the cure cannot take place from
inside out that means the centre should not heal first followed by edges. This is
sure suppression and one can expect a boomerang of the lesions and severe
aggravation on face and scalp or any higher up places. This centre to periphery
type of healing shall invariably be associated with loss of interest in work or
reduction in stamina to work or disturbed sleep and bowel movements.

(e) When skin eruptions are receding, appearance of dullness, giddiness, loss
of interest in work or sleep reduced stamina and bad bowel movements, loss of
appetite or appearance of joint pains; sneezing or burning urine is a definite
indication of the Ongoing Suppression. If the same treatment is continued one
can mathematically expect bronchitis followed by asthma or diarrhoea or urinary
tract infection (i.e. an affection of Respiratory tract, G.I.T., or urinary tract) to
follow the previous complaint without much delay.

(f) Appearance of any deep infection i.e. patient suffering from acute
conjunctivitis, parotiditis or jaundice or any infections diarrhoea during the course
of the treatment is a sure-shot indication that the 'resistance' of the patient which
the homoeopath aims at building up is not coming upto the mark especially
within. (A single dose of the right constitutional similimum takes less than 24
hours to strengthen the immunity in the endodermal derivated mucous
membrane or respiratory tract, GIT and urinary tract)

(g) Very often we find often eczematous eruptions have disappeared from the
skin followed by suppuration in certain parts with large, red, inflamed and painful
boils being thrown up with fever. This also is a bad indication since one can not
justify exteriorization of disease with reduced immunity and increased
susceptibility to streptococcus or staphylococcus. Our Right Similimum should
make the tissues and the body parts unlivable, and unthrivable places for all
bacteria and fungi - (and hence no need of antibiotics to get rid of them.)

(h) Appearance of gum boils or aphthae in the mouth during the treatment of
skin lesions is a bad sign.

(i) If a patient does not respond favourably after single stimulation or relapses
frequently or has to be given frequent repetitive doses to make a skin lesion
disappear be sure - you are suppressing.

(j) If higher and higher potencies are required i.e. patient responds favourably
to mezerium 30 but relapses often and later mezereum 200 or 1000 is given
repeatedly to make the symptoms disappear - it is frank Suppression.

(k) Disappearance of symptoms in reverse order of appearance down the chart

of suppression is a must. Where cases are incurable a stage of compensation is
attained where-in a disease symptom which is less morbid is created in the body
and persists with a general improvement in all other natural habits, tolerance and
functioning of the patient.

If the above sequence occurs with the above general and mental improvement
in all cases, acute or chronic, then and only then a homoeopath is a RIGHT
prescriber.

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Theory of Suppression by Dr. Prafull Vijayakar.

 Chapter 9 [Chapter 9]

DIFFERENT TYPES OF SUPPRESSIONS

All animate things in this world have to degrade. On the other hand, every
animate thing in this world has an innate instinct to survive, it tries all the forces
at its disposal to live or survive in this hostile world. One set of forces is always
trying to degrade or shorten the life whilst other set of forces trying to defend
and prolong life. MAN is no exception to this rule.

Man is apt to face innumerable hostile forces in the world in which he lives,
and which is ruled by Darwin's law of '"survival of the fittest". To defend himself,
man has his own immune system governed by the animating force, which we call
the vital force; which tries to maintain homeostasis in whatever situation. A dent
in this immune system produces what is called "disease." Thus, disease is nothing
but the disturbed homeostasis and failure of the immune system to cope fully
with the disturbing force.

The protective or defensive forces use all their energies to keep the disturbing
forces at bay. If they are not entirely successful either due to its own lowered
vitality or, due to the overwhelming disturbing force, then, they may allow the
dysfunction, to start with followed by structural changes of organs or tissues or
systems which are of lesser importance thereby trying to keep the more
important parts as much healthy as possible. Thus, as our defenses fail layer-by-
layer or system by system, the disease symptoms start manifesting themselves in
deeper and deeper organs or systems.

Next we come to the important question of how do we decide which organ or

system is more important than the other? The direction, which the disease will
take and conversely, the direction the cure should take in any particular
individual? How do we judge whether after the removal of the symptoms the
patient is on the right path or not?
 The importance of the organs and systems can be known from the knowledge
of Embryology and Physiology.

Journey of disease can take place either as a result of the unrestricted natural
progression of the disease or due to suppressive means of any kind. This can take
place in five ways. Thus suppressions are of five types.

The types of suppression are:

1. Location-to-location in the same organ e.g. eczema or vitiligo spots on the

lower limb getting better and appearing on the upper limb

2. Organ-to-organ in the same system e.g. nasopharynx to the larnyx i.e

Pharyngitis to laryngitis to bronchitis. Apthae on the tip of tongue disappear after
remedy only to appear posteriorly on the fauces. Pain in the neck due to cervical
spondylitis disappears to give rise to hoarseness i.e. the inflammation on the
cervical cartilage gets transferred to inflammation on the vocal cords.

3. System-to-system in the same layer e.g. Bronchitis getting better and

diarrhoea or urinary tract infection developing.

4. System-to-system in different layers, e.g. Gastro Intestinal complaints

(endodermal disease) like diarrhoea getting better and patient developing hair fall
or arthritis (mesodermal disease) and further heart problems and endocrines
getting affected.

5. Miasmatic transfer, i.e. from one miasm to another e.g. psora to sycosis. A
child suffering from tendency to recurrent bronchitis getting better only to suffer
from hypertension or getting a tendency to developing lipomas.

First three types of suppressions are self-explanatory. The last two are
complex and important. Layer-by-layer suppression:

As can be seen in conjunction with the chart when the disease transfer or
suppression takes place from lesser important to the more important organs.
 From the knowledge of embryology, we understand that the ectoderm gives
rise to the tissues or organs which are of lesser importance e.g. skin and when
these are suppressed due to any reason they travel upwards to affect the tissues
which have their origin in the endoderm e.g. like the respiratory tract, GIT etc.
and further to mesoderm.

If diseases affecting the endoderm derived organs are suppressed, then they
travel further inwards (upwards as per the chart ) to affect the tissues which are
derived from the third layer of the embryonic disc viz. The mesoderm . But in this
too those derived from the mesenchyme, e.g. connective tissues like bones,
cartilages and dermis are lesser in importance as compared to those derived from
the mesothelium e.g. parenchyma of organs and viscera.

This layer to layer suppression does not occur easily and hence homeopaths
may get away with wrong prescriptions like mixtures, compounds, specifics or
even partially similar drugs, till such time that the immunity of the person is not
severely compromised due to various reasons.

This layer to layer suppression also forms the spectrum of the degradation of
MAN from "birth to death".

This concept can be simply explained in this way:

The diseases of the level 1&2 e.g. skin eruptions, rash boils and rhinitis,
bronchitis , gastritis of the second are frequently observed in the first few years of
mans life (usually &or initially).

The third layer, diseases usually manifest in the teenage or young age. e.g.
joint pains, psoriasis, hair fall. slip disc, spondylitis, spondylolisthesis...... The
fourth layer disease are seen in middle age i.e. 30-50 years. But more often than
not the expression of the disease changes. From simple inflammation to
induration of organs and systems or even to destruction of organs is the change in
the expression of disease. The type of disease changes from spondylolisthesis to
atherosclerosis of the CVS producing hypertension. Rheumatic arthritis changes to
gout. This is exactly what is meant by "Miasmatic transfer or miasmatic
suppression"
 Miasmatic transfer or suppression:

This is according to me the most important of the disease transfers. It is also

the least understood. If a physician understands the base of miasmatic
suppression or transfer, the world of knowledge will unfold before them.

Until now we saw a certain type of expression from one organ to another, say
'infection or inflammation", being transferred from one organ to the other, e.g.
eczematous dermatitis may be transformed to rhinitis........

Till the level of infection and inflammation is mild the body tries to regain the
normalcy of functioning or homeostasis.

Psora: "plain or benign inflammation" (may or may not be because of

infection) arises out of deficiency on the part of the organism, deficiency in the
normal functioning of the organism. This deficiency or rather diseases finding
their origin in this deficiency are PSORIC in nature.

Sycotic miasm: thickening, collection, hardening, induration, chronic greenish

yellow discharging inflammation or inflammation giving rise to induration are all
essentially sycotic in nature. These also include diseases which are insidious in
their onset and manifestation; which remain hidden for long before they can be
detected e.g. diabetes, hypertension from atherosclerosis, leading to cardiac
ischaemia are sycotic in nature.

Syphillitic miasm: destruction of organs, perversions of functions, lawlessness

and distortion are all expressions of this miasm. Ulcerations or destruction which
have distorted or ragged and jagged edges or which cannot be delineated are
syphillitic.

All sycotic conditions finally end up with perverted functions or destructions of

different organs i.e. they have a syphillitic end.

Thus we see how the journey of disease usually takes place in the human body
and from this we can also conclude that not only should the cure take place from
 1. Above downwards

2. Inside outwards

3. From more important organs to less important organs

4. From center to periphery (except in diseases like measles, chickenpox,

herpes )

5. In the reverse order of appearance of symptoms.

6. But also from more destructive miasm to lesser destructive miasm i.e.
syphillis a sycosisa psora. This corollary which is my addition to the hering's law of
direction of cure, according to me should given a lot of weightage in viewing any
follow up.

So if we now compare this with the chart given we can see that the disease
travels from below upwards and from the left side to the right (from psora to
sycosis to syphillis )

Conclusively and logically the cure should take place not only from above
downwards as per the chart but also from right to left.( syphillis to sycosis to
psora )

By this I mean to say that only bringing the disease to a lower layer is not
sufficient it should also be brought down miasmatically from structural changes to
functional changes.

The knowledge of the different types of transfer of diseases is essential to

every homoeopath because only if he is aware of such a thing, he shall be able to
see it in his patients. In short, eyes do not see what mind does not perceive.

Conclusion:
 The sequences occuring during 'cure' are a mathematical certainty. All
homoeopaths should leave their "Extremism" which leads to 'Unsure' and
'Unpredictable' results and opt for 'Totalistic' homoeopathy, by which results are
Sure, Predictable and a Mathematical Certainty.

This will be the First Step toward Perfection of Homoeopathy.

Dr. Prafull Vijayakar

L.C.E.H, Mumbai.

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