Abstract :
A Case representation development of chronic skin eruption which help to find efficacy of homeopathic in skin disease with most gentle, harmless and fastest result without any reoccurrence. With the help of this, we can get knowledge how to manage skin disease with most similimum way. Physician should have right knowledge about medicine for the permanent cure of the patient and most important the organon of medicine which will inform us about the miasmatic background which is very important.
Case Presentation
Patient Information:
Name: XYZ
Age: 13 years
Sex: Male
Chief Complaint:
| Location | sensation | Modalities | Concomitant |
| Skin: skin eruption over hand ,leg and face; since 1.5 year | Offensive Watery fluid oozing, later convert into thick crust Sever itching all day and night | Aggravate by washing with cold water, nightAmeliorate by scratching | Sleep disturb |
Past & Medical History:
Taken allopathic medicine with topical application for 1 month.
Family History:
Father has the same complaint since 20 years. No any other family history
Physical Genral:
| Thermal | Ambithermal |
| Appetite | 3 meals a day but quantity Decreased |
| Thirst | 3 liter a day |
| desire | Spicy food |
| Aversion | Bitter |
| Urine | Yellow color, odorless ,5-6 time a day |
| Stool | 4 -5 time a day; scanty quantity |
| Sleep | Disturbed due to itching; Refreshing |
| Dream | Not specific |
| perspiration | Profuse on face, odorless |
Mental & Emotional Symptoms:
- Mild
- Ailments from parental domination
- Gentle
- Communicative
- Want to become that type of person so that everyone will respect
- Do not like restriction, as mother always say you have to follow the strict routine
- Desire for respect
- Desire for recognition
- Dislikes restriction
- Sensitive to criticism
- Less confidence when doing a new things
- Every time my mother restrict me for doing everything, I feel like ”why every time me”
- Do not allow to play and fun with cousins
- Smiling while answering
- Fear of failure.
Analysis & Evaluation Of Symptoms:
MENTAL GENERAL :
- Ailments from domination of parents
- Ambition increased
- Confidence, want of self confidence , children in
- Fear failure of
PHYSICAL GENERAL:
- Perspiration profuse over face
- Ambithermal
- Appetite decreased;Sleep disturbed due to itching
Repertorial Analysis:
Selection Of Repertory:
As this case contain more mental symptoms so, I choose Kent repertory .As the Dr.kent given more importance to mental general, physical general and less important to particular.
Software Name: Radar opus
Differential Diagnosis:
- Tinea Corporis (Dermatophytosis )
- Psoriasis
- Pityriasis Rosea
- Eczema
Final Diagnosis:
- Tinea Corporis (Extensive Dermatophytosis)
Prescription:
Carcinosin 200 stat dose
SL 30 6 BD for 4 days
Management: Avoid scratching ; Apply coconut oil
Follow Up:
| After 4 days | Reduced itching and oozing | SL 30 |
| From 4-14 days | Thick crust reduced and lesion are newly marked | SL 30 |
| From 14 -21 days | Absent from the face ,reduced from forearm and same lesion over the thigh | CARCINOSIN 1MSL 30 |
| From 21- 30 days | Only scar will remain | SL 30 |
Case Photographs
Conclusion:
By case taking and analysis we get the totality of symptoms .After repertorizing symptom. we get the similimum remedy .so through which get the result. After giving similimum mild aggravation is there in this type of situation physician should know about the Kent’s observation which help to get cure in case. We have a follow up of 3 month through which we can know about reoccurrence but, when you are giving similimum it is enough for the permanent cure until and unless any exciting factor inhibits the disease but not to this much 0of level again it will happen. It will be acute phase which will easily get cued by refreshing case. There is no any constitutional remedy because every time patient is getting affected by the different factor so every time you should have to analysis the case and give medicine according to that totality don’t rely on previously given remedy.
References
- Repertory of the Homeopathic Materia Medica By J.T Kent
- Allen’s keynote of materia medica by H.C. Allen
- Complete repertory
- Medicine by Davidson
- Orgonon of medicine by B.K Sarkar
