Invited talk

Reaching the Root: A Case of Ulcerative Colitis and the Miasmatic Thread

Presented at Hpathy’s Remedy Roundtable 2026

Online, via ZoomSameer Vermani, C.Hom.

Download the slides (PDF) 37 slides · 2 MB

A 13-year-old girl, previously healthy, developed bloody diarrhea, colic and vomiting within days of an acupuncture treatment that suppressed her menses. Colocynthis resolved the acute state within 48 hours. Months later the flare returned, deeper, and a colonoscopy confirmed ulcerative colitis.

For three weeks, remedies that covered her symptoms well would not hold. That pattern was the clue. When well-indicated remedies fail repeatedly, the problem is depth, not coverage: the remedy is not reaching the miasm driving the case.

The talk follows how the sycotic miasm was established in her case, through the mind, the general state and the parts, and through three generations of the same sycotic picture on the maternal side. It shows why the repertory alone pointed elsewhere. It then follows how a deeply anti-sycotic remedy, chosen from among those that met the miasm and her totality, changed the course of the disease.

From the presentation

Key slides

Slide titled No part lies outside its reach: a luminous outline of the human body with sycosis marked through the skin (warts and excrescences), chest, bowel (polyps, colitis, green sour stools), bladder (calculi), genitals and joints, beside a quotation from J. H. Allen, The Chronic Miasms
The reach of a miasm: the parts. Anatomical geometry: BodyParts3D, © The Database Center for Life Science, CC BY 4.0, adapted.
Slide titled The Family History: three panels for the grandmother, the mother and Patient E, showing the same sycotic picture carried through three generations on the maternal side, and in the patient ulcerative colitis, a wart after the colonoscopy and cracking of the joints
The family history: three generations on the maternal side.
Slide titled Rubric on Ulcerative Colitis: the Synthesis Repertory rubric Abdomen, inflammation, colon, ulcerative, with 16 remedies, and three panels separating the sycotic remedies in the rubric from the surface remedies already tried, with Natrum sulphuricum named as the choice
The rubric on ulcerative colitis, Synthesis Repertory.
Slide titled Why Repertorization Alone Can Mislead: a RadarOpus repertorization of eleven rubrics in which Sulphur runs through ten while Natrum sulphuricum does not appear, with a clinical tip that Natrum sulphuricum contains sulphur and should come to mind when Sulphur is strong in a deeply sycotic case
Why repertorization alone can mislead.

Under Natrum sulphuricum, the bleeding and pain resolved within days. She remained symptom-free for more than six months without steroids or immunosuppressants. After a milder relapse in June 2026, the same order of treatment held a second time. Her family began a biologic as a precaution, and that is stated plainly in the slides.

The talk draws on Hahnemann’s Organon (Aphorisms 5 and 78) and The Chronic Diseases, and on J. H. Allen’s The Chronic Miasms.

Further reading

Two articles develop the ideas in this talk.

  • The Chronic Miasms Reconsidered: From Definition to the Anti-Miasmatic SimilimumHpathy · December 2026 · Forthcoming
  • The Peculiar Symptom Reconsidered: Repertorization Within the Miasmatic FrameworkHpathy · February 2027 · Forthcoming
  • Download the slides (PDF)37 slides · 2 MB

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