Intermittent diseases in which two or three reciprocal states alternate at indefinite intervals are always chronic and usually purely psoric.
These latter intermittent diseases [point 2, above] are also very diverse 195 but they are all numbered among the chronic diseases. Most of them are the engenderment of effloresced psora only. Occasionally, although seldom, they are the engenderment of psora which is complicated with a syphilitic miasm. In the first case they are cured with antipsoric medicines, while in the latter case they are cured with antipsoric medicines alternated with antisyphilitic ones, as is taught in my book The Chronic Diseases.
195 In these diseases, two or even three states may alternate with one another. The following are examples of two reciprocal states alternating with one another:
1. Certain unremitting pains in the feet, etc., can appear as soon as an eye inflammation subsides, which then comes up again as soon as the pain in the limb has temporarily passed.
2. Spasms and cramps can directly alternate with any other suffering of the body or one of its parts. The following is an example of three reciprocal states in a persistent infirmity: A patient’s customary moderate indisposition is suddenly replaced by a period of apparently heightened health with a tense heightening of the mental and bodily powers (an exaggerated hilarity, an all-too-active liveliness of the body, an excess of comfort, inordinate appetite, etc.) whereupon there then appears, just as unexpectedly, a somber, melancholic temper, an intolerable, hypochondriacal emotional mistunement with disturbance of several vital functions (digestion, sleep, etc.) which in turn, reverts just as suddenly to the customary moderate indisposition. In this manner, there can be several other manifold reciprocal states. Often there is no longer any noticeable trace of the previous state when the new one sets in. In other cases, there are only a few traces of the preceding reciprocal state that are still present; there is little left over from the symptoms of the first state upon emergence and continuation of the second. Occasionally, reciprocal disease states will be completely opposite to one other; for example, periods of melancholia will alternate with periods of jovial insanity or frenzy.