Study of Urticaria in light of Aphorism 153 of Organon of Medicine 6th Edition – Case report
Introduction:
As today’s age has become more advanced the exposure to new polluting elements or chemicals has also increased. Hence, the incidence of allergy related disease has also been seen to increase and among them urticaria is one of the diseases associated with allergic conditions. Urticaria is an inflammatory skin disorder that affects up to 20 % of the world population at some point during their life. Urticaria is an inflammatory neurosis of the skin, characterized by evanescent, pinkish white or reddish elevations of an oedematous mature, known as wheals, and attended by burning, stinging or itching. Acute urticaria (hives) affects 15-20% of the general population at some time during their lifetime and chronic urticaria affects 2- 3% of the individual over their lifetime. Many people in the population have some kind of allergic condition at some point in their life including urticaria and many people have been taking anti allergic medication for years. But even then, they don’t get rid of the urticaria. Circumstances of characteristics made individualizing the patient easy. Urticaria falls under the section of dynamic chronic diseases with few developed symptoms-local diseases. In cases of Urticaria medicine can be prescribed on the basis of Characteristic symptoms to frame the totality and prescribe according to get more favourable result of urticaria in patients.
Case Report:
On 13th September 2024,11:23 AM, a 36 years old male patient came with a complaint of skin allergy since 10 years on and off with Red spots on hands and legs with itching and burning.
| LOCATION | SENSATION | MODALITIES | CONCOMITANTS |
| Skin (Upper and lower limbs) O-suddenD-since 10 yrsP- gradually (Increases frequency in last 4-5 months Once or twice/week) | Red spots on hands and legs with Itching(+3).Burning(+3) after scratching (+3) but without any bleeding. (Eruptions occasionally on alternate side, sometimes upper limb and sometimes lower limb or both – eruptions disappear within 6-8 hours by itself) | Sun exposure (+3) , sour food (+1) , warmth(+3)Winter(+3) , cold air(+3) | – |
Physical Examination
General appearance
Height : 5’7”
Weight : 68 kg
Built : lean, thin ,tall
Hair : black
Teeth : whitish
Nails : pink
Mouth : breath no odour
Eyes : conjunctiva pink, sclera white
Lips : pinkish
Gums : blood streak from teeth
Tongue : mild bluish
Skin : Oily
Vital Data
BP-100/80 mm of hg
Pulse-78beat/min
RR- 20/min
Tempareture-98.6 F
Local Examination
•Mild raised multiple sizes of rashes with scratching on upper and lower limbs.
Systemic Examination
R.S- AEBE equal
G.I.T- Regular bowel sound present
C.V.S- S1S2 normal, no murmur
C.N.S -Conscious and well oriented
Mental State & Life Space
The patient, as a person, is very calm and mild in nature, but if he assigned work to someone and it’s not completed on time and not proper manner, then he gets angry. He wants everything neat and clean and properly in place if not, then gets angry and irritable. He is very curious about reading the history of ancient and economics on the internet. He does not like to be alone he always wants to be company. Not much interested in studying and like to hang out with friends. He is very fascinating about clothing and outings. There were no major childhood events found, nor any major life event found during case taking.
Physical Generals
APPETITE: 2 times/day
THIRST: Thirsty (3-4 lit/day, pot water ,2-3 glass at a time)
DESIRE: sweet (+3), warm food (+3)
AVERSION: Not specific
STOOL: once or twice/day, satisfactory
URINE: 3-6 times/day
PERSPIRATION: profuse on back and face (+3) while working
SLEEP: 8-9 hours, refreshing
THERMAL: Hot
DIET: Vegetarian
ADDICTION —
Past History
Viral infection – in 2006
Piles – in 2022 (operated)
Family History
FATHER – Dust allergy Alive
MOTHER – Healthy Alive
YOU.BROTHER – Skin allergy Alive
ELD.SISTER – Skin allergy Alive
Diagnosis – Chronic Urticaria
Totality Of Symptoms
1. Mildness
2. Desire for company
3. Inquisitive
4. Fastidious
5. Thirsty
6. Hot
7. Sweet Desire
8. Skin eruption by sun exposure
9. Skin eruption by warmth
10. Skin eruption winter
11. Skin eruption by cold air
12. Itching until scratching
13. Burning after scratching
14. Redness of skin
15. Profuse perspiration
Repertorial Analysis
● Sulphur -100/8
● Calcarea – Carbonica -72/7
● Lycopodium Clavatum – 61/7
● Natrium – Muriaticum – 47/7
● Sepia Officinalis – 38/7
Prescription: SULPHUR 200 (ONE DOSE – STATE)
SAC LAC (4-4-4) FOR 1 WEEK
Result:
| Follow up (20/09/24) Red spots on hands and legs as it is.Burning with scratching present Mild decrease in itching All generals are better Rx – sac lac (4-4-4) for 1 week. | Follow up (27/09/24) Red spots on hands and legs decrease 70%Burning with scratching decrease Itching reduces All generals are better Rx – sac lac (4-4-4) for 1 week. |
| Follow up (04/10/24) Red spots on the back, but no spots on hands and legs Itching present Burning with scratching present but as compared to before very less. All generals are better Rx – Sulphur 1M (stat)sac lac (4-4-4) for 1 week. | Follow up (18/10/24) No Red spots on hands and legs Itching better Burning with scratching better All generals are better Rx – sac lac (4-4-4) for 1 week. |
Conclusion
This case of chronic urticaria highlights the benefits of individualized homeopathic treatment guided by Aphorism 153 of the Organon. The remedy Sulphur, selected based on the patient’s characteristic symptoms, led to significant improvement. This case underscores the importance of symptom individualization in managing dynamic chronic diseases like urticaria, offering a holistic and lasting approach beyond temporary relief.
“You cannot individualize except you have that which characterizes”. – Dr. J. T. Kent
References
1.Jameson JL. Harrison’s manual of medicine new York McGraw- Hill
education; 2020.
2.hahnemann s. organon of medicine. 6th ed. new Delhi B. JAIN
PUBLISHER(P) LTD.; 2013.
3.Complete dynamic software version 24.19
