Abstract
Atopic dermatitis(AD), commonly known as eczema, is a chronic skin condition that causes dry, itchy, inflamed skin. It often begins in childhood, though it can persist or appear in adulthood. While not contagious, it can severely impact quality of life. A case of a 47 year old male was taken for the study. The case was taken with presenting complaints with detailed history. After physical general, mental generals, physical examination the case was repertorised and treated homoeopathically.
Keywords – Homoeopathy, Atopic dermatitis
Introduction
Atopic dermatitis is a chronic, relapsing, and remitting inflammatory skin disease characterized by pruritic, eczematous lesions with scaly, erythematous patches, vesiculation, crusting, and fissuring1. The prevalence has increased dramatically since the early 1980s and the disease now affects at least 20% of school children and 5-10% of adults. It is a chronic pruritic skin disorder of unknown aetiology associated with personal or family history. Itching is severe distressing and there is tendency for
lichenification and frequently raised level of IgE3.
CASE STUDY
On 27/03/2025, male patient age 47 years, hindu consulted us with the complaints of itchy eruption on the right side of abdomen and right leg since 10 years. Complaints aggravated at night and evening, tingling sensation of leg (right side) while sitting for a long time, constipation passes hard stool which is very offensive with much straining.
Past History
Taken allopathic treatment for skin eruption but no significant relief.
Family History
Father – diabetes mellitus
Physical Generals
Appetite – adequate
Thirst – taken 1-1.5 ltr/day
Tongue – thick yellow coating
Desire – salty things
Aversions – onion
Urine- D5N1
Stool – hard, very offensive
Perspiration – offensive, especially on the head Sleep – disturbed
Thermal reaction – hot patient
Temperament – irritable and angry
Mental General-
• Irritability well marked
• Anxiety about health
Physical Examination
BP- 130/80 MMHG
PULS – 82/min
R/R – 18/min
Temp. – Afebrile
Weight – 67.3kg
Skin- reddish, scaly eruptions
Totality of Symptoms
1) chronic itching with red, scaly eruptions on right side 2) Offensive discharges (stool, sweat)
3) Constipation with hard stool much straining to pas. 4) Thermal hot
5) Irritable
6) Anxiety about health
Analysis of Symptoms
Symptoms- reddish, scaly, itchy eruptions
Location – leg and abdomen
Sensation – burning after itching
Modalities – evening and night
Concomitant – constipation (hard stool)
Analysis of the Case
1) PHYSICAL GENERAL:
Thirstless, desire for salty things, aversion to onion, yellow coated tongue, offensive perspiration and stool, sleep disturbed.
2)MENTAL GENERALS
Mentally he was very irritable and very anxious.
3) PATHOLOGICAL
Atopic dermatitis
4) CHARACTERISTIC PARTICULAR
Reddish, scaly, itchy eruption over leg and abdomen. Itching aggravated in the evening and night. Constipation passes a hard stool which is very offensive.
Evaluation of Symptoms-
• Irritable
• Very much anxious about health
• Reddish scaly eruption over leg and abdomen
• Itching ++
• Constipation (hard stool)
• Discharges are offensive (stool, perspiration)
• Thirstless
• Sleep disturb
• Complaints aggravated in evening and night
Repertorization- Used Synthesis Repertory.4
Rx
Sulphur 200 stat dose
Rubrum met 200
5 pills BD for 15 days
Follow up
| DATE PROGRESS PRESCRIPTION | ||
| 17/04/2025 | Redness slightly decrease, itching decrease, stool soft but offensive, sleep slight improved | No need to repetition of medicine only given placebo for 10 days |
| 02/05/2025 | Redness present, itching decrease, stool soft non offensive, sleep improvement | Sulphur 200 stat dose Placebo for 15 days |
| 13/05/2025 | Redness not present, no itching, no constipation stool normal non offensive | Placebo 30 BD for 10 days |
Discussion
From the above case, we understand that atopic dermatitis is an genetic inherent disorder and also difficult to cure by modern medicine but it can be cured by homeopathic medicine. Here sulphur 200 was selected according to susceptibility and severity of case. Then he started improving and we prescribed placebo. After some time he felt better both physically and mentally.
Conclusion
Homoeopathy treats the case magically when we select medicine according to symptoms similarity. In this case patients had better quality of life due to homoeopathic medicine. As we know from our Organon of medicine, exact observation and correct
interpretation helps in this process of cure.
References
| 1 | Harrison TR, Braunwald E. Harrison’s principles of internal medicine. 15th ed. New York, NY: McGraw-Hill; 2002. |
| 2 | Penman ID, Ralston SH, Strachan MWJ, Hobson R, editors. Davidson’s principles and practice of medicine. 24th ed. London, England: Elsevier Health Sciences; 2022. |
| 3 | Souhami RL, Moxham J, editors. Textbook of Medicine. 2nd ed. London, England: Churchill Livingstone; 1994. |
| 4 | Schroyens F, editor. Textbook of repertory language: For essential synthesis. Aberdeen, Scotland: Homeopathic Book; 2007. |
About the Author:
Dr. Pooja Nirapure1, Dr. Geeta Tiwari2
1)PG Scholar, Department of Organon Of Medicine & Homoeopathic Philosophy, Govt Homoeopathic Medical College And Hospital, Bhopal, Madhya Pradesh.
2)Associate Professor, Department of Organon Of Medicine.& Homeopathic Philosophy, Govt. Homoeopathic Medical College and Hospital, Bhopal, Madhya Pradesh.
