The three disease states or predispositions to disease which Hahnemann called miasma are psora, sycosis and syphilis. Even if they are expressed in a language that is certainly not considered a modern language they correspond to three types of alterations, psycho-spiritual, physical and cellular that, using modern terms, can be compared with developments in epigenetics.

Miasma 1: “Psora” expresses at a physical level all that is “hypo” defective – hypoplasia, atrophy, etc. It is the defect miasma or hypofunction. Externally it manifests as a flat skin rash, itching, eczema, psoriasis, etc.

At a mental level it is characterized by shyness, insecurity, anxiety, fear, weakness.

Miasma 2: “Sycosis” expresses at a physical level all that is in excess, “hyper” – hyperplasia, hypertrophy, etc. It is the excess miasma or the hyperfunction. Externally it manifests as warts, polyps, nodules, cysts, fibroids, condyloma, etc.

At the mental level it is characterized by ambition, excessive boldness, impatience, restlessness, self-assertion, dictatorialness.

Miasma 3: “Lue or Syphilis” expresses at a physical level all that is destructive, “dis” – dysplasia, dystrophy, etc. It is the dysfunction or destruction miasma. Externally it manifests as ulcers, erosion, necrosis, etc.

At the mental level it is characterized by aggression, violence, viciousness, litigation, restlessness, and vindictiveness.

The miasmatic interweaving of every individual determines the various nuances of each disease and possible epigenetic evolutions.

The first miasma contributes to the formation of all diseases, it is deeply innate in man. It identifies with latent existential anxiety or manifests innately in every human being. In fact, the mental symptom characteristic of psora is anxiety. A psoric person feels that he is not able to deal with a situation, he does not have confidence in himself and even if he does not have to face an issue, he feels distressed by anxiety about what he could be facing. He is unsatisfied, insecure, anxious, afraid of what might happen in the future.

Psora is exacerbated by the suppression of the infection with cutaneous external medicines.

Psoric symptoms arise from the removal of a skin manifestation that comes from the effort of the body to externally release the miasma. “Each transgression during this trajectory towards the periphery involves a pathogenic inhibition or suppression, which generates a diathesis state of ‘allergic’ susceptibility, called Hahnemann Psora.”

“Vital energy, pushed back and vexed in its outward eccentric trajectory, is internalized and transformed in tension.”

The psoric individual has two ways to come out of his psoriatic condition: he hypertrophies (at both a mental and physical level) to hide his weakness, swerving toward miasma 2 – Sycosis; or he self-destructs or destroys whatever is around him thus swerving toward miasma 3 – Lue or Syphilis.

 In the deviation towards sycotic miasma

the individual has a feeling of inner weakness and tries to hide it by reacting and “hypertrophizating” with compulsive acts, secrecy and selfishness.

Its tendency to hypertrophy internally develops at a physical level with warts, polyps, fibroids; at a mental level with hypertrophy of the ego, resulting in delusions of grandeur and fixed ideas.

 In deviation towards lue or syphilis

causes an imbalance that is expressed with violence against oneself or against others, with a sense of pessimism and total despair, leading to attempts to change oneself or others with a violent process of destruction. They produce exaggerated reactions; they are authoritarian and contradictory; they keep grudges and feel resentment, cruelty, envy, hatred. From a physical point of view they are subject to lesions that are transformed from an inflammatory state into ulceration and necrosis.

 The three miasma coexist with the predominance of one over the other, according to a miasma interweaving that is specific for each individual.

They are not set, but they evolve and change for the worse due to incorrect behavior or suppressive therapy and are transmitted to their children.