Useful to the physician in assisting him to cure are the particulars of the most probable exciting cause of the acute disease, as also the most significant points in the whole history of the chronic disease, to enable him to discover its fundamental cause, which is generally due to a chronic miasm. In these investigations, the ascertainable physical constitution of the patient (especially when the disease is chronic), his moral and intellectual character, his occupation, mode of living and habits, his social and domestic relations, his age, sexual function, etc., are to be taken into consideration.
Dr Prasad Rasal:
Hahnemann turns towards the physician's knowledge about disease and he starts explaining the causes of disease. He first explains the exciting cause of the acute disease, which means the things which excites the disease.
The physician will need to understand these exciting causes of any type such as biological, physical, chemical, psychological, etc, in order to find the causative modality for a prescription.
Hahnemann continues to explain the cause of the chronic diseases i.e., chronic miasms, which he labels by "Fundamental Cause." The homeopathic physician must investigate this Fundamental Cause in order to understand the sick, including these aspects delineated below:
- The ascertainable physical constitution guides the physician to understand a few aspects about the patient's individuality for a clear prescription.
- Moral and Intellectual Character provides information dealing with the nature of an Individual and the patient's Intellectual character. Both characteristics are necessary to individualize the patient.
- Occupation guides the physician in understanding potential occupational diseases or hazards, along with the patients perspective toward his job; for instance, whether he likes it or not? The observant physician learns whether the motivations for working, whether out of necessity, passion, or other reason.
- Mode of Living and Habits gives the physician information about the socio-economical status, position and nature of the patient. Habits, in particular, provides an idea regarding the Causa Occationalis, such as maintaining causes. Hahnemann teaches the physician understand his sole duty to remove these causa occationalis from the patient.
- Social and Domestic Relations provides the hints to the nature of the patient, whether he likes company or desires solitude, whether he has any leader qualities or yielding one etc., and his position in the society. Dynamic causes of the number of chronic diseases are hidden in his domestic relations. Common family disputes and family quarrels create stress and turmoil at the psychological level and ultimately creates the disorder.
- Age provides general guidelines of typical common illnesses among age groups. It may be helpful to know whether his age matches his development or not etc.
- Sexual Function: Last but not the least one because especially in India where this aspect is considered as something special and one should not talk or discuss on such matters, the problems at this level remains hidden due to shame ill the disease get advanced. One should not overlook this matter in the investigation of the chronic diseases.
This is how one should investigate the Chronic Miasm or the Fundamental Cause of the Chronic Disease.
Commentary on Organon of Medicine: Aphorism 1
Commentary on Organon of Medicine: Aphorism 2
Commentary on Organon of Medicine: Aphorism 3
Commentary on Organon of Medicine: Aphorism 4
Commentary on Organon of Medicine: Aphorism 5
Commentary on Organon of Medicine: Aphorism 6
Commentary on Organon of Medicine: Aphorism 7
Commentary on Organon of Medicine: Aphorism 8
Commentary on Organon of Medicine: Aphorism 9