A small change early becomes a large one later.
Every chronic illness I see in an adult has a history that began long before the diagnosis. Hahnemann traced that history to the miasm: an inherited susceptibility, carried down a family line, that shapes which illnesses a person is prone to and how they express them.
In an adult, that susceptibility has had thirty or forty years to settle in. It has been through infections, suppressions, stresses and treatments, and by the time I meet it, some of it has become structural.
A child is different. Development is still a line being drawn, and the susceptibility is still largely functional: close to the surface, quick to show itself, quick to respond.
Change the slope of a line slightly at its start, and ten years later it ends somewhere entirely different.
That is why I regard deep, anti-miasmatic treatment of children as the most consequential work in my practice. The aim is not only to clear this winter’s chest infection or this month’s rash. It is to address the susceptibility that keeps producing them, at the age when that susceptibility is most open to change.