Psoriasis,
the mixed miasmatic combined complex disease needs deeper
understanding. Usually we focus our attention on outward
manifestations and treatment is based on the symptom similarity.
psora will be the most outstanding in the symptom totality
in the earliest manifestations. This manifestation must
be treated first; then after that is eradicated or considerably
lessened, the next most potent dyscrasia, as it expresses
itself in the symptomatology, must be treated , until
this too, is eradicated. The treatment should continue
in this way, each time treating the most dominant stigma,
as expressed by the outward manifestations until cure
is established.
We are fortunate that
many of our most deeply acting remedies have the ability
to meet and deal with more than one of these deep underlying
conditions; therefore it is not always necessary, if a
remedy be carefully selected, to zigzag a chronic case
toward cure. Nevertheless, our treatment must always be
based upon the totality of the symptoms as they manifest
themselves.
Usually
in this union of psora and syphilis the psoric symptoms
predominate, here the predominant symptoms of psora must
be treated first with the antipsoric simillimum, for the
syphilis is largely hidden and we must strive to help
the vital force to throw off the greater and more predominant
incubus which the patient manifests.
After
the patient responds to the remedy by a decided improvement
in the conditions first prescribed for, and the psoric
condition is largely obliterated, we must change our tactics,
for then the syphilitic dyscrasis will show itself and
become prominent, then the symptoms must be met with the
antisyphilitic simillimum or the remedy that is most similar
and adapted to syphilitic symptoms, to which we will be
guided by the similitude of the remedy.
My
Clinical experience
A case of Arsenicum Album
A 42 years old field
worker of Salem Corporation consulted me for his skin
complaints, suffering since two years. He presented the
typical psoriatic lesions with severe scaling and thickening
of skin. Initially they started on the back of fore arm,
on low back, and below umbilicus over abdomen. He had
severe itching with burning <winter, mid night >
applying warm water.

Before Treatment
He was hale and healthy
from childhood, No history of suppressions, skin diseases
or asthma. He had occasional fever with cold and cough
and no major illness. His father is a diabetic and mother
is hypertensive. No familial diathesis for skin complaints.
Initially
he had allopathic medicines; and of late he had chosen
homoeopathy. His appetite was poor : had burning thirst
for cold water; non vegetarian and desires alcoholic drinks.
His mental state is irritable; often thinks that it is
useless to take the medicines ; chilly patient.
Analysis and evaluation
of symptoms:
Mental general:
Irritable, Restless, Fastidious, Wants to commit suicide
Physical general:
Craving for alcoholic drinks , Thirst for cold water little
at a while
Particulars:
Craving for alcoholic drinks, Desquamation , scaly skin
Reportorial totality: