20. Most chronic diseases originate from three chronic miasms:
a. internal syphilis,
b. internal sycosis, and
c. particularly from internal psora.
Each of these must have pervaded the whole organism and penetrated all its parts before the primary representative local symptom makes its appearance for the prevention of the internal disease. Innumerable chronic diseases may follow the suppression of the local symptom; the true physician cures the great fundamental miasm together with which its primary as well as its secondary symptoms disappears.
21. Before beginning the treatment of a chronic disease the physician must find out whether the patient ever had been infected by syphilis or by gonorrhea. Although it is rare to meet with- uncomplicated cases of these affections, as we usually find them often complicated with psore, the most frequent and fundamental cause of chronic diseases. To determine the course now to be pursued it will be necessary to inquire into all former treatment and what medicines have been employed and with what result. By this we can understand the deviations which the treatment had produced in the original disease, to convert this artificial deterioration.
22. A full anamnesis of the case along with the state of mind and temperament of the patient ought to be recorded. It may be useful to direct or modify the mental condition by psychical means. Guided by the most conspicuous and characteristic symptoms, the physician will be enabled to select the first anti-psoric, anti-syphilitic or anti-sycotic remedy for the beginning of the cure.
23. The state of the patient’s mind and temperament is often of most decisive importance in the selection of the remedy, as each medical substance affects also the mind in a different manner. Mental diseases must only be treated like all other affections and they are curable only by remedies similar to the disease.
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