Discussion on the stigma and expression of miasm….

***LET us summarize the different stigmata, remembering that we may get all shadings of all the stigmata in their groupings in our patient, but one stigma will predominate above all the others. They all have their characteristic differences. The accentuation of psora is functional; the accentuation of the syphilitic taint is ulcerative; the accentuation of sycosis is infiltration and deposits.

When suppressed, the syphilitic stigma spends itself on the meninges of the brain, and affects the larynx and throat in general, the eyes, the bones and the periosteum.

Psora spends its action very largely upon the nervous system and the nerve centres, producing functional disturbances, which are better by surface manifestations.

Sycosis attacks the internal organs, especially the pelvic and sexual organs. In this stigma we find the worst forms of inflammation, infiltration of the tissues causing abscesses, hypertrophies, cystic degeneration; when thrown back into the system by suppression this stigma causes dishonesty, moral degeneracy and mania.

In treating patient suffering from those stigmata, this classification is of inestimable value, for it immediately throws the *simillimum into a class of remedies corresponding with the accentuation of the stigma that is outstanding in the case, and this should be considered in the totality; it will often throw light upon the choice of a simillimum that is applicable to the individual case and state of development.

When we are considering a case manifesting mixed stigmata, there is always one more prominent, and this will be the one requiring relief; when this is relieved, the next in prominence must be cared for, until the patient is freed from the inheritance of generations.

H.A. Roberts
Dr. H.A.Roberts (1868-1950) attended New York Homoeopathic Medical College and set up practrice in Brattleboro of Vermont (U.S.). He eventually moved to Connecticut where he practiced almost 50 years. Elected president of the Connecticut Homoeopathic Medical Society and subsequently President of The International Hahnemannian Association. His writings include Sensation As If and The Principles and Art of Cure by Homoeopathy.