International Journal of Homoeopathic Sciences

The concept of miasm forms the philosophical and clinical foundation of chronic disease management in homoeopathy. Samuel Hahnemann introduced the theory of chronic miasms to explain the persistence, progression, and recurrence of diseases that could not be permanently cured by acute remedies alone. According to homoeopathic philosophy, chronic diseases are not merely local or pathological entities but are expressions of deep-seated miasmatic disturbances affecting the vital force. Proper understanding and interpretation of miasms enable the physician to perceive the underlying cause of disease rather than treating superficial symptoms alone.

This review article presents a comprehensive academic analysis of the classical and modern miasmatic interpretation of chronic diseases and emphasizing their classification, pathophysiological significance, and its role in practical application in homoeopathic remedy selection. The article explores the historical evolution of miasmatic theory, detailed classification of miasms, their clinical expressions, and their relevance in chronic disease management. Emphasis is laid on how miasmatic diagnosis assists in selecting deep-acting constitutional remedies, prevents suppression, and ensures lasting cure. Classical teachings of Hahnemann, Allen, Kent, and other stalwarts are integrated with modern clinical perspectives to demonstrate the continued relevance of miasmatic prescribing in contemporary homoeopathic practice. This review aims to provide postgraduate students, academicians, and clinicians with a structured and practical understanding of miasmatic interpretation for effective remedy selection.