I have been a part/time homeopathic student for a short time so I appreciate everyone's patience.

1. Should a homeopath attempt to determine the patient's surface miasm on the initial visits? And then perhaps the deeper miasms?

2. If the homeopath determines that it is best to deal with a psyoric miasm, would the homeopath limit the remedies to only psyoric remedies except perhaps for acute problems?

3. Passkey, you mentioned giving a Miasmatic nosode. How does that differ than a miasmatic remedy? Perhaps I am confused on Psyora as a miasm and Psyorium as a nosode/remedy.

Thank you,
Cynthia Rankin

A remedy can be of any sort , a nososde relates to miasmatic interrealtionship. Tuberculinum is a nosode - Arnica is not. Psorinum is a Nosode .
one should always - in my opinion - try to locate the miasmatic influence that is most prominent , as this will also indicate remedies relating to that miasm - Calc carb relates to the nosode Tuberculinum etc.
The important miasm is that which is near the surface- others may emerge as treatment5 progress's

And Thuja, Sulph, Merc. sol, Nat. mur. etc. etc. etc. aren´t ¨related¨ to the various miasms...?

Of course all the remedies you quote are related to various miasms. I once tried to calssify ALL remedies by their miasmatic grouping . Quite a task believe me - but I learned a lot!.