A Case of Psychosomatic Disorder

A Case of Psychosomatic Disorder


The term “psycho” refers to the mind, and “soma” refers to the body. Therefore, a psychosomatic disorder is a condition that involves both the mind and the body. This dualism, or separation between mind and body, is evident in how diseases are traditionally categorized among medical specialties and how healthcare institutions are structured.

In the traditional medical model, different specialties focus on specific body systems or organs, often separating mental health from physical health. Hospitals and medical facilities may also have separate departments for physical health and mental health, further reinforcing this dichotomy. This is the case of early onset of psoriasis, which was improved as per modified Naranjo Criteria & clinical evidence of gradual decrease of itching and thickness in the skin of knee and leg region after administration of individualized homoeopathic medicine Nat. mur. followed by Sulphur.

Keywords: psychosomatic, psycho, soma, homoeopathy, health, individualized


The term ‘Psychosomatic’ originates from the Greek words “psyche” (mind) and “soma” (body), signifying the close relationship between the mind and body. A psychosomatic disorder is a condition that involves both psychological and physical aspects. Mental and emotional factors can act as risk factors, influencing the onset and progression of physical diseases. Homoeopathy, a system of alternative medicine, is based on the principle that “like cures like.” It uses highly diluted substances to stimulate the body’s natural healing abilities. According to homoeopathic philosophy, when an individual is cured using homeopathic remedies, not only physical symptoms improve but also the deeper aspects of their being, including the will, understanding, and rational mind are balanced. This leads to an improvement in mental and moral spheres, resulting in better physical health and increased resistance to various diseases. The transition is from constitutional weakness and suffering to a state of health and comfort. Homoeopathic pioneers have also expressed their views on psychosomatic disorders. They believed that treating the underlying emotional and psychological imbalances could lead to significant improvements in physical health. It is essential to consult with qualified homoeopathic practitioners or healthcare professionals to explore personalized treatment options for psychosomatic disorders based on individual needs and medical history1.

Diagnosis of Psychosomatic Diseases 

The  diagnosis  of  psychosomatic  disease  requires  the presence of clearly defined  signs and  symptoms consistent with  each  diagnostic  category.  Reliance  upon  the  total clinical examination, including an adequate history, review of systems, psychiatric assessment, and clinical judgment, is more  valid  than  reliance  upon  any  single  laboratory  or diagnostic test. Till  date  in the conventional  medical  system there  is  no  clear  test  to  differentiate organic  and psychological diseases. But Hahnemann in 1810 itself made a clear distinction between them.  In fact, he prescribed psychotherapeutic techniques. In paragraph 224 he recommends “If the mental disease …be still somewhat doubtful whether it really arose from a corporeal affection or… result from faults of education, bad practices, and corrupt morals, neglect of the mind, superstition or ignorance. The mode of deciding this point will be, that if it  proceed from…the latter  causes it  will diminish and  be improved  by  sensible  friendly  exhortations,  consolatory arguments, serious representations and sensible advice. …whereas  a  real  moral  or  mental  malady,  depending  on bodily  disease,  would  be  speedily  aggravated  by  such  a course, the melancholic would become still more dejected, querulous,  inconsolable  and reserved,  the  spiteful maniac would  thereby  become  still  more exasperated,  and  the chattering fool would become manifestly more foolish.2


Patient information 

A 20 year old boy had complained on 15/09/19 of a whitish dry scaly eruption on legs, palm, knee, and feet, behind the ears, back of neck and at the region of the hip for 2 years. The eruptions were thickened and had dark red margins and sometimes when the scales were removed, especially on the knee, bleeding occurred and the complaint spread rapidly. There were occasional itching presents which were aggravated during summer and ameliorated from cold application.

History of present complaint:It was initially treated by Allopathic drugs and ointments but without any relief and the complaint gradually spread to the whole body.

Past history

There was Jaundice, Suppressed skin disease, chicken pox. 

Family history 

Psoriasis and Diabetes- to his mother.


Nothing as such found.

Physical generals:

  • Hot patient
  • Cannot tolerate heat, even sun heat of winter season. 
  • Great desire for sweets.
  • Easily prostrated. 
  • Stool constipated; dry, hard, difficult to pass and smarting after passing stool.
  • Had tendencies to take colds easily. 
  • Perspiration scanty though with offensive odour and blackish staining on clothes.

Mental Generals: 

  • Introverted patient and had strong aversion towards consolation, cannot tolerate any consolation from anyone. 
  • Sad and depressed with vexation. 
  • Likes to make drawings when he is alone.

Origin of development of the disease:

In searching for the development of the case an incident of emotional upset was found around 2 and a half years ago which he was unable to express to anyone and everyday he used to brood about the incident; was constantly in a depressed mood but didn’t share the incident to anyone. The patient was by nature an introvert but was very cheerful in his daily life, but after that incident he gradually became irritable and later developed vexation. Gradually day by day he became a more closed mouth person, always preferred to stay alone, to not talk to anyone and most of the time kept himself alone in the room by shutting the door. His parents were greatly upset with these. Gradually the patient started suffering from headache and indigestion for which he took an allopathic drug and after that, a few days later he developed the skin complaint.


  • Dry scaly eruptions in the leg of the right side.
  • Itching and burning were also present in the affected area. 
  • Itching and burning aggravated during summer and ameliorated after cold application.

Evaluation of symptoms:

  • Introverted patient and had strong aversion towards consolation, cannot tolerate any consolation from anyone. 
  • Sad and depressed with vexation. 
  • Likes to make drawings when he is alone.
  • Cannot tolerate heat even sun heat of winter season, hot patient.
  • Great desire for sweets.
  • Stool constipated; dry, hard, difficult to pass and smarting after passing stool.
  • Perspiration scanty though with offensive odour and blackish staining on clothes.
  • Dry scaly eruptions in the leg of the right side.
  • Itching and burning were also present in the affected area. 
  • Itching and burning aggravated during summer and ameliorated after cold application.

Treatment and Management 

On the basis of totality of symptoms and final consultation with material medica, Nat. Mur 0/1 was selected once in a day for 14 days 15/09/2019.The medicine prescribed was Natrum muriaticum in LM potencies from 0/1 to 0/15 with occasionally Sulphur 30 was used for 2 times and Sulphur 200 was given once as an intercurrent.Advised to maintain proper personal hygiene.

29-09-2019After 14 days the itching and burning sensation in my knee and leg was slightly better.Nat. Mur 0/2Followed by Nat. mur 0/3
03-11-2019The thickened eruptions with dark red margins were slightly decreased, bleeding occurred but rarely.Nat. mur 0/4Followed byNat. Mur 0/5
01-12-2019Condition stand stillSulphur 30; 1 dose
15-12-2019Scaly dandruff was still present but the itching and burning sensation in the scalp was slightly improved.Nat. mur 0/6Followed byNat. Mur 0/7
12-01-2020Markedly improved symptoms.Nat. Mur 0/8Followed byNat. Mur 0/9
09-02-2020Patient was better after medication.Nat. Mur 0/10Followed byNat. Mur 0/11
08-03-2020Condition stand stillSulphur 30; 1 Dose
05-04-2020 (From this date prescription was made virtually and over phone)Patient was feeling better after medication; no new complaints physically and mentally Nat. Mur 0/12Followed byNat. Mur 0/13
03-05-2020Normal skin colour appears in some places and mentally feels better.Nat. Mur 0/14Followed byNat. Mur 0/15
31-05-2020Patient feels mentally and physically better. No brooding was found.Sulphur 200/ 1dose
28-06-2020Markedly improved symptoms with no new complaints.Placebo 200

Follow up

The patient now has the only few whitish spots here and there but with no thickened skin or itching or scaling or any other complaint with that regard.

Modified Naranjo’s criteria

1Was there an improvement in the main symptom or condition for which the homeopathic medicine was prescribed?+2
2Did the clinical improvement occur within a plausible time frame relative to the drug intake?+1
3Was there an initial aggravation of symptoms?0
4Did the effect encompass more than the main symptom or condition (i.e., were other symptoms ultimately improved or changed)?+1
5Did overall well-being improve? (Suggest using validated scale)+1
6 AA Direction of cure: did some symptoms improve in the opposite order of the development of symptoms of the disease?+1
6 BDirection of cure: did at least two of the following aspects apply to the order of improvement of symptoms: –from organs of more importance to those of less importance? –from deeper to more superficial aspects of the individual? –from the top downwards?+1
7. Did “old symptoms” (defined as non-seasonal and non-cyclical symptoms that were previously thought to have resolved) reappear temporarily during the course of improvement?0
8Are there alternate causes (other than the medicine) that—with a high probability— could have caused the improvement? (Consider known course of disease, other forms of treatment, and other clinically relevant interventions)+1
9Was the health improvement confirmed by any objective evidence? (e.g., laboratory test, clinical observation, etc.)+1
10Did repeat dosing, if conducted, create similar clinical improvement?+1

Total score = 10

 As the total score is ‘10’ so causal attribution is definite and improvement is solely due to homoeopathic medicines.

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Homoeopathy is a system of medicine which deals with a holistic approach in the treatment of sick individual. In Homoeopathy, detailed case taking is done to find out the constitutional makeup of the patient. Finally, a single medicine with minimum dose is selected on the basisof totality of symptoms. At the first instance, the present case appeared to be a case of Psoriasis. After considering the totality of symptoms, homoeopathic medicine Nat. mur 0/1 was selected as similimum. When prescribed in appropriate dose, it resulted in healing with a very reliable manner. Homoeopathy treatment is very commonly sought generally towards the terminal stages of incurable diseases. This case report is an evidence in preclinical condition highlights the use of Homoeopathy right from the beginning of disease.


Natrum muriaticum has been used as a drug for several skin complaints vastly but in this case the medicine was chosen principally observing the developmental of psychic state after that emotional upset and from that gradually development of physical complaints. The improvement made by prescribing Natrum muriaticum in this case signifies the importance of psychic factor in development of physical ailments and whenever we are dealing a case according to our Homoeopathic law and principles we should enquire if the case was of a mere physical ailments or the case is a Psychosomatic; as this particular case was. So, this case shows us a wonderful evidence of cure by homoeopathic treatment of psychosomatic disorder.


1. Ramakrishnan, Vivek & Samaran, Dr. (2020). Concept of psychosomatic disorders in homoeopathy: A review. International Journal of Homoeopathic Sciences. 4. 10.33545/26164485.2020.v4.i2c.161.

2. Hahnemann S. Organon of Medicine.  Reprint Edition. Indian Books and Periodicals Publishers; 2004. P.142,143,146.

About the author

Dr. Navisha Khatoon

Dr. Navisha Khatoon - Senior Research Fellow at Drug Proving Unit, Bhubaneswar Under CCRH, Ministry of Ayush, Govt. Of India