Eczema is a reaction pattern in which skin forms blisters, becomes inflamed, crusty, thick, scaly, and pigmented. The aetiology is still unknown. Eczema causes itching, scratching, and burning and it may occur for long period of duration. Homoeopathy has a great role in treatment of eczema. A 47-year old male came with a complaint of severe itching on back. The case was recorded and studied thoroughly. After repertorisation, on the basis of individualisation, Kalium arsenicosum was prescribed. The aim of article is to show the effectiveness of Kalium arsenicosum in cases of eczema.
Kalium arsenicosum– Kali. ars. Arsenicum album- Ars. alb. Psora- P. Sycosis- Sy. Syphilis- Syp. Latent psora- Lt. P. Latent sycosis- Lt. Sy. Latent syphilis- Lt. Syp. history of – H/o, 1 dose – 1D, thrice a day – TDS.
Keywords: eczema, Kalium arsenicosum, allergy, homoeopathy.
The term ‘eczema’ means ‘to boil out’ (ec = out; zema = boil), because it seems that the skin is ‘boiling out’ or ‘oozing out’ in eczema.1 The term ‘eczema’ and ‘dermatitis’ are synonymous.1 Patients usually use the term eczema to denote any skin disease which is chronic.1 They sometime use the term ‘allergy’ as well.1 Eczema is a reaction pattern1, it can be acute or chronic and there are several causes.2 It is diagnosed clinically on the basis of patient’s presenting complaints.2 Acutely, epidermal oedema (spongiosis) and intra-epidermal vesiculation (producing multilocular blisters) predominate, whereas with chronicity, there is more epidermal thickening (acanthosis) with pronounced skin markings, secondary to chronic rubbing and scratching.2 Vasodilation and T-cell lymphocytic infiltration of the upper dermis also occur.2
Many medicines are very popular in the treatment of eczema like Arsenicum album, Rhus toxicodendron, Petroleum, Belladonna, etc. But Kalium or Potassium is one of the important minerals which is present in blood plasma as well as in all tissues which causes great disturbance in the circulation of fluids in the tissues4 and which also act as a complexion cleaner6. Although Arsenicum album run parallel in the repertorial chart but Kalium arsenicosum was chosen. as it covers the mentals, as he was very fearful and very anxious about his health and heart diseases. Time modality was very marked, <1 a.m. to 3 a.m. and it is covered by only Kalium arsenicosum.
Mr. XYZ, 47 years old, came with the complaint of dry, scaly eruptions on back.
Patient was suffering from severe itching on back with dry, scaly skin for 2 years, which was aggravated by undressing and at night, scratching resulted in burning. While sitting, he seemed to be anxious, very restless and patient complained of sleep disturbance at night because of itching, especially between 1 a.m. to 3 a.m. He was unable to sleep again resulting in dullness and irritability whole day. Patient also complained of difficulty in respiration while walking fast.
History of presenting complaints
Patient had history of itching since 2 years on back. Itching started with minor eruptions and it was tolerable but it gradually increased day by day. He took allopathic medication and applied external application on eruptions which relieved and suppressed the complaints but as soon as he stopped the treatment itching appeared severely with eruptions covering the whole back with dry, scaly skin. Since 15 days, he was not using any external application but took allopathic medicine for itching before 5 days.
H/o chickenpox in childhood.
Father: 69 years old, healthy and alive and shopkeeper.
Mother: 67 years old, healthy and alive and housewife.
Dark complexion with height of 179 cm and weighing 86 kg (BMI= 26.8 kg/m2– overweight)
Patient as a whole
Appetite: 3-4 chapattis/meal; 2meal/day.
Thirst: 2-3 litres/day, took seasonal water.
Stool: Satisfactory and normal bowel habit.
Sweat: On whole body, on physical exertion.
Thermal reaction: Chilly++
Mind: Patient was restless and anxious. Fear of his illness and while conversation patient asked that this disease will harm to heart because on walking fast he had difficulty in respiration.
Sleep: Disturbed because of itching.
Analysis of case
Mental generals: Restlessness and anxiety. Fear of his illness, fear of heart disease.
Physical generals: Chilly patient. Desire for sweet things.
Particulars: Itching on back causes burning, Itching <by undressing, at night. Eruptions are dry and scaly. Itching after midnight at 1-3 a.m.; difficulty in respiration on walking rapidly.
Evaluation of symptoms5:
|MIND- Health, about||123||4|
|MIND- Heart, disease of||12E|
|RESPIRATION- Difficult, on walking||12|
|STOMACH- Desires, sweets||234||4|
|SKIN- Itching, burning||124|
|SKIN- Itching, undressing agg.||1|
|SKIN- Itching, night||124|
|SKIN- Eruptions, scaly||145|
|SKIN- Eruptions, dry||12|
Synthesis Repertory was selected due to presence of mental symptoms and marked particulars.
Eczema: severe itching, dry, scaly skin.
Repertorisation was done using RADAR 10.0 and the repertorial result is shown in [Table 1].
Table 1: Repertorisation chart8
Fig 2: Before treatment
Fig 2: After treatment
First prescription: On 12 april 2021, Kalium arsenicosum 30C/1D/stat.
of prescription: Medicine selected on the basis of individualisation, symptom
totality and in consultation with materia medica was Kalium arsenicosum.
Furthermore, Kalium arsenicosum was chosen as it covers the totality of
symptoms and the patient’s thermal reaction was chilly. Kalium arsenicosum
30C/1D/stat, was prescribed and on subsequent follow-ups, potency was changed
based on the assessment of improvement in itching and eruptions. Kalium
arsenicosum is a deep and long
|Date||Symptoms||Prescription||Justification of potency and doses7|
|12/04/2021||Severe eruptions on backSevere itching in eruptions Dry, scaly skin on backRestlessness and anxiety about health.Disturbed sleep and fear of fatal disease.||Rx Kalium arsenicosum 30/1D/ stat Rubrum 30/TDS/7 days||Selected low potency due to low susceptibility.|
|19/04/2021||Slight relief in itching in eruptions.No improvement in eruptions.Patient seemed restless and anxious as well.||Rx Kalium arsenicosum 30/1D/ stat Rubrum 30/TDS/7 days||Repeated as used low potency|
|26/04/2021||Slight improvement in the state of well being.Improved sleep.Itching and eruptions was present but patient started feeling hopeful.||Rx Phytum 30/1D/ stat Rubrum 30/TDS/7 days||Medicine not given, as it left to act.|
|03/05/2021||No marked improvement seen.||Rx Kalium arsenicosum 200/1D/ stat Rubrum 30/TDS/15days||High potency given as no improvement noticed.|
|20/05/2021||Patient felt much relaxed regarding itching.Slight improvement in eruptions seen.||Rx Phytum 30/1D/ stat Rubrum 30/TDS/15days||Medicine not given, as it left to act|
|31/05/2021||No marked improvement in eruptions.Itching not much annoying but aggravates on undressing.Sleep doesn’t get disturbed due to itching at night.||Rx Kalium arsenicosum 200/1D/ stat Rubrum 30/TDS/15days||Potency repeated due stand still condition|
|14/06/2021||Slight improvement in eruptions.Improvement in sleep.Much relief in itching.||Rx Phytum 200/1D/ stat Rubrum 30/TDS/15days||Medicine not given, as it left to act|
|24/06/2021||Fever since 1 day, temp.- 101.2Frontal headache, dull aching pain over eyebrows.Dullness in whole body. Heaviness in eyes. Ame.-from closing eyes, lying down.No thirst, clean tongue.||Rx Gelsemium sempervirens 30/2D/ OD Rubrum 30/TDS/5days||Patient came with acute complaints so on acute totality medicine was prescribed|
|05/07/2021||Patient feels relaxed.Complaints got stand-still.||Rx Kalium arsenicosum 1 M/1D/ stat Rubrum 30/TDS/30days||High potency used because of standstill of symptoms|
|03/08/2021||Started seeing significant improvement in eruptions.Relief in c/o itching.Improvement in scaly skin.||Rx Phytum 200/1D/ stat Rubrum 30/TDS/7days||Medicine not given, as it left to act|
|14/08/2021||Patient feels better but no significant improvement seen.||Rx Kalium arsenicosum 1 M/1D/ stat Rubrum 30/TDS/30days||Repeated potecy because no marked improvement seen|
|13/09/2021||Eruptions are much relieved.No complaint of itchingSkin started healing up, not that much dry and scaly.||Rx Phytum 200/1D/ stat Rubrum 30/TDS/15days||Medicine not given, as it left to act|
|29/09/2021||Complete disappearance of eruptions on back.||Rx Phytum 1M/1D/ stat Rubrum 30/TDS/15days||No complaints noticed and patient is towards cure|
|18/10/2021||Significant improvement in dryness and texture of skin on the back without any recurrence of new eruptions.||Rx Phytum 1M/1D/ stat Rubrum 30/TDS/30days||Patient is cure but on under observation with no eruptions seen.|
With the individualisation of the case, Kalium arsenicosum was considered as the indicated remedy and it proved effectiveness in the treatment of eczema of the patient. According to patient narration, he is about 80-90% better and still under the treatment.
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1) Dr. Sonia Tuteja
Professor-Department of Materia Medica-Homoeopathy University,Jaipur.Ex-Associate Professor-Department of Materia Medica-Swasthya Kalyan Homoeopathic Medical College & research centre, Sitapura, Jaipur
2) Dr. Shivani Saini
PGR-Department of Materia Medica-Swasthya Kalyan Homoeopathic Medical College & research centre, Sitapura, Jaipur.