J.H.Allen suggested and discussed the eliminative and suppresive approach of treatment for the sycosis cases….

In the treatment of gonorrhoea, either of the simple or sycotic form, we, as Homoeopaths, ought to learn a few things. Is the disease a local or constitutional one? If not local, then it cannot be reached by local means, as all local measures are circumscribed and directed to some local point. Therefore, the action of all local measures are from without inward, and are not eliminative, but suppressive in their action, and do not agree with any physiological process or law governing any form of life; besides, it is directly opposite to the homoeopathic law of cure, “that disease is cured from within outward and from above downward,” or through the natural evolution of the life processes. This is as true of a simple cell, as it is of an organism.

In this way all organic life grows or develops. If it be a cell, the evolution is from the nucleus, and if it be a biotic life, from the great central nervous centers. The true dynamis of the cell is from the nucleus, and the true dynamis of the organism is from the royal centers. What kind of an organism would it be if the twelve cranial nerves were absent? It would be no better than a worm of the dust that crawls upon the earth. The paralyzed arm that has lost its connection with a life center is dead to all its correspondents with that life; so is the ear that is deaf or the eye that is blind. The loss is not an outward but an inward failure. The inward power failed by virtue of some subversive change from within. Shall we whip it into action from without the walls by electricity, by the X-ray, by mechanical or chemical forces, or by any of the thousand and one methods and means now in vogue, or shall we send the help within the walls; a selected force, a power that is governed by the same law by which the organism is governed in health? The physician who attempts to heal any disease by local means, either sets aside and ignores all the teaching of the sciences as revealed in physiology and the philosophy governing the laws of motion or of life, or else he is ignorant of them all. He evidently has not the spirit of Hahnemann, who not only has revealed to us a law governing the life force, but a law governing the action of our Therapeutics, out of which came the law of Similia or the law of cure.

Again, we must ask ourselves the question is the curing of disease an eliminative process or a suppressive process? Which do you think will relieve the patient, and remove all the noxious influences of a sycotic gonorrhoeal poison from an infected organism–an astringent locally applied, or a remedy given internally through this law of cure of which we are so proud? We might press the question a little closer. Supposing you, fellow- healer, were that affected one, and you were about to marry a healthy, clean-boiled, refined young woman, through whom you had hopes of perpetuating your name and your race. I say, supposing this is the case, which treatment would you choose? Which do you think is the safest, shortest method of cure? You ar aware of the danger; you know the history of such a relationship well; you have seen many of such cases and have heard that story often, a story full of grief, of suffering and of pathos.

If you want the ear-marks of a sycotic disease forever stamped upon your progeny simply suppress the disease in the parent and it will come. It never fails to appear in the new life. At its birth you will find it is labelled with the disease. Often we speak of the child having a birth mark. Where did it come from? I think I hear you say from some maternal impression, due to fear or perhaps fright or in other words a psychic effect. Yes, I know that is the old story of man reflecting the fault of his weakness upon his Creator, like Adam of old who said “the woman whom thou gavest to be with me, she gave me of the tree and I did eat,” which is not true in this case, as if the all good and wise Creator subjected man to anything that would mar the organism or pervert the life. If we study carefully any form of naevus, whether of erythematous character or not, we can easily classify it among the sycotic skin lesions. In my study of skin lesions, I do not find it difficult to recognize their nature and to designate them as Sycotic, Psoric or Syphilitic, or even when they are of mixed origin. The lesions and manifestations of each miasm to a trained observer are so manifestly clear, that it is seldom a mistake need be made.

The true physician, who has any skill at all as a pathologist, can, by careful analysis, quickly recognize the presence of a specific disease in the organism of his patient. There is a mental aura about these patients, when the disease is acquired, that stands out strikingly prominent as we are taking down the case, that somehow tells its own story. Perhaps we may be unable to explain why, or give a reason for what we may feel, but nevertheless we know, by virtue of the fact that we are searching after the truth. But this gift comes not to the ignoramus, “for the truth is only made manifest by light,” and we must first have the light within us, or the knowledge of the phenomena of these things, before the truth can be revealed; for, back of that inherent conception or intuition is the knowledge of research, whether it be our own or borrowed from another.

Therefore, in the treatment of this disease, Sycosis, in the multitude of forms in which it now presents itself, we must have the necessary knowledge in order to be able to detect its presence in the organism, even when it is hidden or veiled by suppression, or when disguised in new forms, which are but new vibrations and new perversions of the life force, due often to the attempt to cure by false methods, methods not in accordance with law. We know that all functions and all physiological processes in the organism are governed in health by physiological law, and that disease is nothing more or less than a disturbance of that law, or rather a perversion of it, and that the disturbance is governed by physiological processes, plus the perverting element, whatever it may be. All disease must be first a disturbed or perverted function. There can be no pathology outside of traumatism or local causes, that does not come first through a functional change, originating in the false or abnormal molecular or cell movement. I am speaking now from an idiopathic standpoint. This might be illustrated by striking a key on the piano, say middle C, which gives us a revolving vibratory sound, thus MMM. It is the standard note in that instrument; and harmony is produced by tuning all the keys to that tone or pitch. So it is in the organism; the organs must be toned to the same vibratory note, as it were, and any slight variation from the standard will produce a discord. It is the same in the life force. A vibration similar to this XXX may produce a tumor or some abnormal growth, or it may produce a convulsion, or spasm, and even death. Thus, when the life force is vibrating normally, we can have no disease. Then it is the form or character of the vibration which gives us the expression or form of life, just as we see or note in a certain kind of light, heat, or sound. A slow vibration upon a musical instrument is but a grating sound, while a rapid vibration may give us a beautiful musical note.

The whole study of disease then resolves itself into a study, first of the action of the life force in health, as a normal standard, then a study of any deflection from that standard recognizable by our senses or by the feelings and sensations of our patients, such deflections being due to the workings in the organism of a certain order or subversive forces, as specified under the headings of Syphilis, Psora, and Sycosis.

The treatment of Sycosis at the present time has changed largely from local to constitutional measures in all schools, although there are yet many physicians fool-hardy enough to persist in the use of local measures, knowing full well that in doing this they are damming up a reservoir of disease within that organism that at any time may break forth in all its violence, presenting itself in any one or more of the multiple forms before mentioned in this book. This will be clearly seen as we study the article on Suppression with the clinical cases given as examples, together with Beauchamp’s Theory of the Origin of Bacteria. Occasionally the attending physician will volunteer the information that the patient may have some slight rheumatic difficulty, which is one of the probabilities that may follow a local suppression of the disease by such powerful crude drugs as silver nitrate, zinc sulphate or others that might be mentioned in common use today, given in the form of injections or as a douche.

Quite often a metastasis of the disease to internal organs is prevented by a continuance of a gleety discharge. A catarrhal discharge from almost any mucous surface relieves, to a great degree, and prevents the possibility of a pathological lesion in the organism. This fact should constantly be kept in mind, that a catarrhal discharge is a salutary and an eliminative process, and that it is very difficult thing to cure permanently any secondary or tertiary process that may arise from a suppression unless the discharge is re-established. And if the disease is in the tertiary stage, a true anti-psoric, such as Sulphur or Psorinum, may have to be given in order to re-establish it. Of course, it all depends upon the symptomatology of the case.

Only the higher potencies have proved satisfactory in these cases of suppression; the lower potencies seldom accomplishing the work, or have the desired effect. A suppressed disease to have such a complete bond with the life force, that only the higher potencies reach down deep enough to sever that bond. This truth cannot be given to another by word of mouth, it is only as we see the face demonstrated in the sick organism through the processes of similia, that we can come to a true realization of it. A few trials will convince the most skeptical that the power in Similia is, to a great degree, in the potentiality of the remedy, as well as through the workings of the law. Dr. Swan’s and Dr. Fincke’s highest potencies are usually employed in these cases; although in some cases, especially in sensitive organisms or those easily effected, the lower potencies are to be used, such as the 30th, 200th, and the 1000th. As soon as an old gonorrhoeal or gleety discharge is re-established, the other symptoms, whatever they may be (even of the severest type of character) usually subside. Thus headaches, neuralgias, rheumatic pains, whether of an inflammatory or non-inflammatory character, cease altogether or are greatly modified. Even scirrhus, or abnormal growths, no longer increase in size; abscesses grow better, inflammatory processes, even of internal organs, get well, gouty states, and gouty concretions disappear; affected joints often greatly deformed resume their normal condition, in short the disease disappears under the use of the higher potencies of the Homoeopathic remedy.

The writer has seen all these things take place. Abscesses of the the tubes have been cured frequently, nasal catarrh of a severe type is cured never to return; enlarged prostrates, bleeding hemorrhoids, rectal pockets and rectal abscesses, are readily cured by a careful selection of the right remedy in each case. The suppressed discharge cannot always be re-established, but then some other eliminative process may be brought forth, such as increased action of the kidneys, pruritis ani, or of the vulva in woman, an eruption upon the skin in some form, quite often eczematous in its nature. We can never tell how the life force may re-act under the right remedy or the proper potency; that belongs to the mysterious law of action and reaction, and comes under the formula of Newton’s third law of motion. The reaction will depend upon the nature and stage of suppression, upon the bond of the sycotic element, whether with Psora or when more than one miasm is present in the organism. The pre-existing miasm may be acting upon the ear or upon the eye in a latent form, or the patient may have Syphilis, which will change the whole aspect of this reaction in the life force.

I have just such a case now under treatment, and as the sycotic discharge lessens, the secondary eruption or the syphilitic roseolic flush becomes more prominent upon the chest. This is according to Hahnemann’s teaching in the Organon that in a mixed case as one miasm disappears or is cured, the latent one becomes suddenly active. So we have no right to speculate or hold in our minds any pre-conceived plan of action for the life forces to bring about a restoration of health in the organism, other than by the method nature takes for herself. The simpler the processes in the re-establishment of the patient to health, the better for all concerned.

Quite often we have seen or known physicians who were not familiar with the Hahnemannian homoeopathic art of healing, attack these newly established processes (which are the only way by which nature can make a cure) by local mediation, reflecting back upon the organism again the whole accursed disease-producing processes. How utterly empty these would-be-healers of the sick are of the knowledge of the true science and art of healing, and the nature and action of the disease, or in fact, of any process in nature or of physics in general. The law of action and reaction is in all motion, yes in everything. It is the key to motion; the key to the existence of the material and all created things. Therefore, the reaction set up in the organism by the homoeopathic remedy is the curative action, and this curative action in the organism is equal to the diseased action. Should it become greater it amounts to an over-action, or what is known as an aggravation which is usually temporary, until the true curative, or equal action is established again. So we see that all we can know of disease, is what we know of the laws of action and reaction, of the laws of motion governing the life forces. It is solely a study of the phenomena of the functions of the organism in general. Perfect function is perfect health, and perverted function is disease in some form or other.

In the treatment of gonorrhoeal Sycosis, the patient should be fully made to understand the nature of his case; that such an infection is not a local affair, as many suppose, but a general infection of the whole organism, even to the last drop of blood in that organism. It is well for the attending physician to allow himself plenty of time for the cure of this very determined and stubborn disease. I usually say from six weeks to five months. Few cases have been prolonged over the five months, even where a chronic gleet was present. Many cases have been cured in six weeks, where the patient had not received free drug store advice, or where no local measures were in any way employed. Cases appearing for treatment in the late secondary stage may require one year’s treatment, and even longer. On the other hand I have frequently seen cases clear up within two or three months. In the early tertiary period where warty eruptions appeared on the hands, sexual organs, and other parts of the body, they would dry up and dessicate, followed by no other symptom or sign of the disease. These cures were made in non-tubercular and not very psoric cases. Quite often, however, Sulphur, Calcarea carb., Psorinum, and some other anti-psoric remedies were employed to finish up the case.

The diet was usually modified, and if the disease was in the tertiary stage, where gouty states were present, or where uric acid was in excess, meat was either greatly reduced or prohibited entirely. It seems to be pretty generally understood that the blood of sycotic patients is diminished in alkali, and the power to assimilate nitrogenous foods greatly diminished in most, if not all, cases.

Stimulants of all kinds are prohibited, as the results are invariably unfavorable, with tendencies to relapse or become complicated. The system should not be clogged in any way, but there should be a free and easy elimination in every organ. Water should always be taken freely, as it assists in diluting the excessive solids of the blood. Especially is this true of the kidneys. Patients taking treatment at mineral springs are requested to drink large quantities of the water, often from ten to twelve glasses in twenty-four hours. The result upon the system is soon seen, as the urine clears up, the bowels become more regular, the liver becomes more active–an organ that is generally dormant in Sycosis; the skin clears up, and the patient soon takes on all the health processes and the normal condition is again established. But this normal condition of things in gouty or rheumatic subjects is only temporary, unless they also receive careful homoeopathic treatment which removes the miasm from the system.

The disease should disappear exactly in the reverse order in which it came. The discharge usually begins as a thin watery, gluey, or sticky fluid, gluing up the meatus, later becoming muco-purulent, and finally purulent; as the case progresses, it is reduced to a single drop, appearing in the morning, of a viscid, gluey nature, causing the lips of the meatus to stick together. Of course the pains if any and all other concomitant symptoms disappear also, before this last token of the disease. (This is, of course, in an acute case or primary disease). Should the case be a chronic one of a tertiary form, the patient cannot be said to be free from the disease so long as a warty growth, a red mole, or any such sycotic stigmata is present. The drying up or disappearance of the catarrhal discharge is not a certain sign of the cure of the disease, as long as any eruptive manifestation is present upon the skin. It is simply a step in the progress of the case. The parents in that state are capable of transmitting the disease to their offspring, even if the discharge is absent for twenty years. Should the child born to these parents be free, as far as could be seen or known at birth, from any manifestation of the disease, there will invariably appear at the period of second dentition, a warty eruption upon the hands or other parts of the body.

Now is the time to free the organism from this miasm, as children at this age or cycle are very amenable to treatment. Probably at no other age are we able to get better results from our potentized remedies. If one thing more than another ought to be impressed on the mind of the physician in his treatment of acute Sycosis, it is to give the indicated remedy, and wait on its action; wait as long as there is any improvement. Then, when its action ceases, either repeat or change the remedy as the symptoms in the case demand. No special benefit is to be derived by a frequent repetition of the remedy. It invariably is bad practice, as it muddles the case and in many instances spoils the curative action, or produces aggravation of the symptoms which are liable to lead to a premature change of remedy. This is especially true where deep acting remedies are prescribed.

After the first stage has passed, and the disease has become a secondary condition, it is a loss of time to prescribe other than the deep acting anti-miasmatics, as the superficial remedies are only palliative and prolong the case, often leading to discouragement both of physician and patient. No other fact has been more deeply and more frequently impressed upon my mind than this: Sycosis is a profoundly acting miasm; it acts upon every cell of the human organism, even to the very depths of the physical being.

John Henry Allen
Dr. John Henry Allen, MD (1854-1925)
J.H. Allen was a student of H.C. Allen. He was the president of the IHA in 1900. Dr. Allen taught at the Hering Medical College in Chicago. Dr. Allen died August 1, 1925
Books by John Henry Allen:
Diseases and Therapeutics of the Skin 1902
The Chronic Miasms: Psora and Pseudo Psora 1908
The Chronic Miasms: Sycosis 1908