Clinician's Quick Guide to Dermatological Complaints

Clinician's Quick Guide to Dermatological Complaints

   Author : Dr. Roshni Shah, BHMS

i found this article very effective and i really like to thanks dr roshni for her work 

 

The list of medicines in the repertory is very large but without sound knowledge of each Homoeopathic medicine it becomes burden to the minds of prescribing homoeopath.

Here the CAPITAL letter medicines have higher marking then the italics one

1) PYODERMA

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1. Abscess:
   Abscess:

   ANTHR, ARN, CALC-I, CALC-S, CALEN, HEP, LACH

   MERC, PHOS, SIL

    

   Absorption of pus: LACH

    

   Acute:

   HEP, MERC, SIL, anac,arn, calc-s, myris, nit-ac, rhus-t,

   Sulph, tarent-c

    

   Burning: ANTHR, ARS, TARENT-C, pyrog

    

   Chronic:

   HEP, asaf, calc-f, calc-s, carb-c, iod, merc, nit-ac, pyrg,

   Sulph

    

   Deep: calc-s

    

   Discharge:

    Acrid:

   ARS, CAUST, asaf, carb-v, cham,clem, hep, kali-

   Iod, lyc, merc, nat-c, petro

    

   Black: sulph

    

   Bland: PULS, calc, hep, lach, merc, sil, sulph

    

   Bloody: ASAF, HEP, ars, carb-v, caust, lyc

    

   Fetid: ASAF, CARB-V, HEP, KREOS

    

   Gelatinious: sil

    

   Gray: ambra, ars, caust, sil

    

   Greenish: MERC, asaf, arn, caust, puls

    

   Sour smelling: hep, merc

    

   Suppressed: HEP

    

   Thick: calc-sil, puls

    

   Thin: asaf, caust, lyc, merc, sil, sulph

    

   Watery: ASAF

    

   Yellowish: CALC-S, HEP, PULS

    

    

   Foreign bodies to promote elimination of: MYRIS, SIL

    

   Gangrenous: LACH

    

   Hastern: HEP, SIL

    

   Orgens, of internal: LACH

    

   Reccurent: arn,pyrog, sulph,syph

    

   Slow developing: merc
   
   
   
2. Acne :
   Bilateral: ARNICA

    

   Forhead:

   CARB-AN,CARB-S,CARB-V,CAUSTI,HEP,NUX- V, PSOR,

   RHUS-T, SEP, SIL, SULPH

    

   Lips: sul-i

    

   Nose: CAUSTI, ars-br, sulph

    

   Rosacea:

   Bluish : lach, sulph

    

   In groups: CAUSTI

    

   Nose, on: CAUSTI, psor
   
   

    

   Valgaris:

    Chin: hydro, viol-t

    
   
   
   
3. Boil
   Blood boil:

   CROT-H, PHOS, anthr, bell, iod, lach,led, mur-ac,

   nat-m, sil

    

   Small, blood boil: sil

    

   Blue: anthr

    

   Crops of: calc-s

    

   Children, disposition to: calc-s

    

   Greenish, pus: sec

    

   Injured places: dulc,sil

    

   Large: apis,hep,lach,lyc,nit-ac

    

   Menses, at: merc

    

   Periodical: ARS, iod, lyc, merc, sulph

    

   Reccurent tendency: arn, calc-s, sulph

    

   Small: ARN, KALI-I, fl-acid, lyc

    

   Spring, in: crot-h, lach

    

   Summer, in: cal-s
   
   
   
4. Impetigo :-
   Impetigo : AN, ECHI

    

   Face:

   ANT-C, cic, con, crot-t, dul, graph, hep, kali-s, lyc, merc,

   nit-ac, rhus-t, violt-t

    

   Forhead: merc, rhus-t, violt-t

    

    

    

   Head: MERC, ant-c, caust, iris, petr, violt-t

    

   Head, margin of hair: nat-m

    

   Lips: ant-c, ars, echi

    

   Lips, around: ant-c, ars

    
   
   
   

Therapeutics of pyoderma

Antim crud :-

• Eruption forming thick, heavy, yellow crusts, with burning.
• Eruption about face
• Modalities:-
  • <bathing the parts
  • >in open air

Anthracinum: -

• Hemorrhages, black, thick, tar-like, rapidly decomposing from any orifice.
• Cellular tissue edematous and indurate.
• Ulceration, sloughing and intolerable burning.
• Black and blue blister.
• Dissecting wound. Insect sting.
• Succession of boils.
• Character of discharge:- ichorus, putrid and horribly offensive.
  

Apis mell:-

• Diffuse inflammation of the cellular tissue, ending in their destruction.
• Stinging, burning pains in incipient abscess.
• Modalities:-
  • < warmth covering
  • >cold application

Arnica: -

• Causation:- mechanical injury, falls, blow, concussion, contusion.
• Itching, burning, eruption of small pimples.
• Crops of small boils.
• Hot, hard, shining swelling.
• Priking pain and dull stitches in the part.
• Acne indurate characterized by symmetry in distribution.
• Modalities:- < least touch.
  

Arsenicum album:-

• Itching, burning, swellings, oedema, eruption, papular, dry, rough, scaly, worse cold and scratching.
• Malignant pustules.
• Character of discharge:- scanty, putrid, dark and offensive with cadaverous odour.
• Modalities:-
  • <cold in general
  • < touch
  • >from warmth

Belladonna:-

• Used in 1 st stage before pus formation takes place.
• Pressure, burning and stinging pain.
• Uniform, smooth, shinning scarlet redness.
• Character of discharge: - scanty, cheesy, and flocculent.
• Modalities: - > warm room

Hepar sulph:-

• Causation:- suppressed eruption, gonorrhea and syphilis, eruption after mercurialism.
• Unhealthy skin; every little injury suppurates.
• Ulcers with bloody suppuration, smelling like old cheese.
• Putrid ulcers, surrounded by little pimples.
• Throbbing and beating in abscess.
• Pus- scanty, bloody, corroding, smelling like old cheese.
• Modalities:-
  • < at night
  • < by exposure to cold.
  • >Warm covering

Lachesis:-

• Causation:- bad effect of poison, wounds.
• Hot perspiration, bluish, purplish appearance.
• Character of discharge:- ichorous and offensive.
• Modalities:-
  • < heat
  • < extreme of temperature
  • < pressure and constriction
  • >with appearance of discharge
  • >cold application

Mercurius: -

• Slowly suppurating abscess.
• Burning redness of the skin with prickling and tingling sensation
• Hard, hot inflammatory swelling, pressing from within outward. Pus copious, bloody, corroding, thin, and watery but scanty.
• In impetigo- moist scab, with excoriation of the scalp and destruction of the hair, yellowish scabs on face esp. mouth, with foetid discharge.

Silicea: -

• Causation:- vaccination, suppressed foot sweat.
• Controls suppurative process, reduces excessive suppuration to moderate limits.
• Burning, cutting, pricking, or pulsative.
• Pus- copious or scanty, bloody, brownish, corroding, gelatinous, gray or greenish, putrid, thin or yellow.
• Promotes granulation and cicatrization.
• Modalities:-
  • <cold
  • >warm

 

2) DERMATITIS

---

Dermatitis:

• CHAM, HEP, MERC, PULS, RHUS-T, SIL, anac, apis,
  
• arn, ars, asaf, aur, bar-m, calc, dulc, gels, kali-s, nit-
  
• ac, plb, staph, sulph

Tendency to:

• CHAM, SIL, asaf, bar-c, bor, hep, merc, nit-ac,
• petr, puls, sulph
  
  

Therapeutics of Dermatitis

Hepar sulph :-

• Burning itching of body, with white vesicles after scratching.
• Chapped skin with deep cracks on hands and feet.
• Spreads by means of new eruption appearing just above the old one.
• Very sensitive to touch even cant bears the touch of cloths.

Mercuruis:-

• Moist, itch like eruption on hands with rhagades with tendency to suppurate.
• Vesicular or pastular eruption with yellowish brownish crust and offensive discharge.
• Modalities:-
  • <night
  • <Warmth of bed

Rhus tox :-

• Vesicular eruptions with tendency to scale formation.
• Vesicles are yellow, from left to right, with much swelling, inflammation, burning, itching and stinging.
• Modalities:-
  • < night
  • < Cold wet rainy weather
  • >dry weather
  • >warm application

Silicea:-

• Itching esp. during night, sensation as if ants were crawling over the skin.
• Itching humid spots on genitals, mostly on scrotum with sweating, driving to despair.
• Modalities:-
  • < night
  • >warmth covering

 

3) HERPES ZOSTER

---

Herpes zoster:

• ARS, IRIS, MERC, MEZ, NAT-M, RAN-B, RHUS-T,
  
  
• canth, caust, cist, clem, graph, hep, kali-bi, kali-
  
  
• ch, lach, petr, sep, sil, sulph, thuja, vario
  
  

Chronic: nat-m, rhus-t

Neuralgic pains, persisting after herpes: mez, rhus-t

Therapeutics of Herpes zoster

Arsenicum alb:-

• Confluent herpetic eruption with intense burning of the blisters.
• Dry and parchment like skin.
• Marked prostration and lassitude.
• Modalities: -
  • <after midnight
  • <from cold of any kind
  • >from warmth

Iris vers:-

• Herpes following gastric derangement.
• Esp. on right side of body, fine eruption, showing black points after scratching with great itching.
• Modality:- < night

Mezereum:-

• Herpes zoster following intercostals or supraorbital nerves with sharp stitching, lightening like pains, sometimes boring, which leave the part numb.
• Vesicles from a brownish scab, blotches on forearm becoming hard after scratching.
• Neuralgic pain remains even after disappearance of herpes.
• Modalities:-
  • <in bed
  • < touch

Rananculus bulb :-

• Herpes zoster supraorbitalis and intercostalis with sharp stitching pain.
• Vessels filled with a thin, acrid fluid, burning, itching vesicles in clusters.
• Modalities:-
  • < touch
  • <motion
  • <change of temperature

Rhus tox:-

• Right sided affection, with incessant itching, burning, tingling, alternating with pains in chest and dysenteric stool.
• Herpes on hairy part, more annoying after perspiration.
• Modalities: - < in winter

 

4) KELOIDS

---

Keloids: CARC, GRAPH, SIL, bad, calen, caust, fl-ac, iod, thiosin

Therapeutics of keloid

Graphites: -

• Rough, hard, persistent dryness of skin.
• Early stage of keloid.
• Burning and stinging pain.
• Modalities:-
  • < night
  • <warmth of bed
  • >open air

Thiosinaminum:-

A resolvent, externally and internally, for dissolving scar tissues.

 

5) PSORIASIS

---

Psoriasis: ARS, ARS-I, BOR, CARB-AC, CHRYSAR, GRAPH,KALI-ARS, KALI-BR, LYC,

MERC, PETRO, PHOS, SEP, SUL, THYR

Palms, on: GRAPH, HEP, LYC, calc-c, coral, med, petr, phos

Nails, of: SEP, graph

Tongue, of: SEP, graph, mur-ac

Therapeutics of Psoriasis

Arsenicum album:-

• Skin has white pasty look, with black eruption.
• Itching, burning, oedema, eruption, papular, dry, rough, scaly scratching.
• Psoriasis with burning and restlessness.
• Icy coldness of body.

Arsenicum iod:-

• Psoriasis diffusa. Dry , scaly,itching.
• Marked exfoliation of skin in large scales, leaving a raw exuding surface beneath.
• Modality:- <washing

Graphites :-

• Psoriasis diffusa.
• Rough, hard, persistent dryness of skin.
• Eruptions moist, lids red and margins covered with scales and crusts
• Eruption esp. on palms- between the fingers and toes, upon the ears.
• Psoriasis of nails. Nails are brittle, crumbling and deformed, thick and crippled.

Kali sulph :-

• Psoriasis inveterata.
• Burning, itching, papular eruption.
• Seborric psoriasis with soreness of the skin.
• Modalities:-
  • < heated room
  • < evening
  • >cool open air

Lycopodium:-

• Psoriasis diffusa.
• Psoriasis with violent itching, fissured eruption.
• Skin becomes thick and indurated, dry, shrunken, esp. palms.
• Modality:- < warm

 

Petroleum: -

• Psoriasis inveterata.
• Skin dry, constricted, very sensitive, rough and cracked, leathery.
• Psoriasis of hands esp. on tip of fingers. Thick, greenish crusts, burning and itching, redness, raw, cracks bleed easily.
• Modalities:-
  • < in winter
  • >In summer

References:-

• Murphy's Repertory
• Kent 's Repertory
• Pocket manual of Materia Medica by William Boericke
• Prisma by Frans Vermeulen
• Homoeopathic therapeutics by Samuel Lilienthal
• Select your remedy by Raibishambar Das

 orginall article published in  Homeopathic Journal :: Volume: 3, Issue: 10, Aug, 2010 (General Theme)   -   from Homeorizon.com