Some diseases come primarily from past kamma; some primarily from present kamma. If it's a present-kamma disease, it can go away when the present kamma changes.
Question 11. If hurting others tends to lead to illness in the next lifetime, is illness in this lifetime always the result of past kamma?
Thanissaro Bhikkhu:
As with every other experience of pain, illness can come from a wide
variety of kammic factors, past and present. You’ve already noticed this
yourself: When you intentionally stick your finger in a fire, the
resulting pain doesn’t come from an action in your previous lifetime. It
comes from a choice you made here and now.
The Buddha himself
argued against the idea that all pain comes from past kamma, and in the
course of his argument he provided a list of other factors that could
give rise to illness. The list comes from the medical beliefs of his
day, and although it includes a lot of other causes besides past kamma —
things like a chemical imbalance in the elements in the body, the
change of the seasons, or poor care of the body — all the causes
included in the list come under what, in another discourse, he
identifies either as past kamma or present kamma [§§2,5].
So his
list conveys two points. First, when the kamma leading to a disease
plays out, it can often fall under the laws recognized by science. When
it does, as when it’s a result of poor diet or body chemistry, the
knowledge of medical science can be used to alleviate it — if the person
has the good kamma to be able to find the proper treatment.
Second,
some diseases come primarily from past kamma; some primarily from
present kamma. If it’s a present-kamma disease — coming, say, from poor
treatment of the body or unhealthy attitudes in the mind — it can go
away when the present kamma changes. If it’s a past-kamma disease, there
are times when treatment in the present can make it go away — in which
case, the seeds of good kamma are ripening to counteract the effect of
bad kamma seeds. But there are also times when the past kamma is so
strong that no treatment will help it. In cases like this, though, your
present kamma — your attitudes, intentions, and mental skills — can be
changed so that even in the face of the illness in the body, your mind
doesn’t have to suffer.
~ Karma Q & A, a Study Guide
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