Clinical Evidence
 
A case of Dyshydrotic Eczema
 

Dr. G. Gopal, BHMS. MD (Hom)
R.V.S Homoeopathic Medical College & Hospital
242-B,Trichy Road,
Sulur,
Coimbatore-641 402
Mobile : 9345502181

Introduction

        Dr. G. Gopal, Lecturer, R.V.S.Homoeopathic Medical College shares his experience on a skin disorders which was treated during his post Graduate study at Fr. Muller’s Homoeopathic Medical College,Mangalore along with his under graduate interns Dr.Agnes and Dr.Diana .

        When I was doing my post Graduation at Fr Muller Homoeopathic Medical College, a male patient aged 35 years, came to our out Patient Department. He was suffering from Dyshydrotic Eczema since three years and had been treated by various systems of Medicine. He presented itching eruptions on palms and soles.

        The lesions were with burning, moderate scaling and blackish discoloration without any discharge. The skin was dry and cracks were present in both the arms and sole. The complaints became worse in winter and was better by hot water application. He was dark complexioned with thick, dark hair, soft-spoken, mild and friendly in nature.

        All other symptoms like (desires, aversion, perspiration etc) were lacking. The mental symptoms were also not characterized. But we could trace some stress in his mind.

ON EXAMINATION

Palms : Cracks, multiple in number, painful
Palms : Dry skin
Palms : Peeling of skin
Palms : Blackish discoloration

Soles : Two cracks of 1.5cm in size
Soles : Peeling of skin
Soles : Lesions are painful
Soles : Blackish discoloration

       As the physical and particular symptom was much characterized than physical general and mental symptoms, this case was repertorised in Boenninghausen’s characteristic and repertory by Boger.

The following symptoms were selected for repertorisation:

  1. Upper extremities, palms (806)
  2. Lower extremities, soles (844)
  3. Skin and exterior body tetters, in general (including Herpes & Eczema) (968)
  4. Skin and exterior body tetters, burning (968)
  5. Skin and exterior body tetters, chapped (fissured) (968)
  6. Skin and exterior body tetters, dry (969)
  7. Skin and exterior body tetters, itching (969)

The result of repertorisation:

Sepia – 28/8
Merc – 27/8
Sulphur – 26/8
Lyco – 26/8
Rhus. Tox – 26/8

       Finally Sepia was selected as the final choice of remedy


  First Prescription                                                 07-01-2004

Rx   Sepia 200 – 1 dose
       Followed with placebo b.d for one wee

  Follow Up 1                                                           16-01-2004

       No change in the symptoms
Rx   Sepia 200 – 2 dose (once in a week)
       Followed with placebo b.d for two weeks

  Follow Up 2                                                           03-02-2004

       Slightly better
Rx   Followed with placebo b.d for two weeks

  Follow Up 3                                                           20-02-2004

       No expected improvement (itching), cracks
Rx   Sepia 1 M – 1 dose
       Followed with placebo b.d for two weeks

  Follow Up 4                                                           09-03-2004

       All the complaints are better
Rx   Sepia 1 M – 2 dose
       Followed with placebo b.d for two weeks.

  Follow Up 5                                                           24-03-2004

       All the complaints are better
Rx   Sepia 1 M – 2 dose
       Followed with placebo b.d for two weeks

  Follow Up 6                                                           13-04-2004

       No expected improvement
Rx   Sepia 10 M – 1 dose
       Followed with placebo b.d for two weeks

  Follow Up 7                                                          30-04-2004

       All the complaints became worst (itching, burning, cracks)
Rx   Followed with placebo b.d for two weeks

  Follow Up 8                                                          06-05-2004

       All the complaints are better
Rx   Sepia 10 M - 1 dose
       Followed with placebo b.d for two weeks

  Follow Up 9                                                          11-06-2004

       All the symptoms are very much better
Rx   Followed with placebo b.d for two weeks

  Follow Up 10                                                        13-07-2004

       Symptoms returning
Rx   Sulphur 10M - 1 dose
       Followed with placebo b.d for one month

  Follow Up 11                                                        17-08-2004

       Initial aggravation followed by amelioration
Rx  Sepia 10 M – 1 dose
       Followed with placebo b.d for three weeks

       All the symptoms are disappeared. No new leision. Sepia 50 M, 1 dose given to take after 15 days. The case was observed for two months. No complaints.

Note:

First prescription started with 200 to avoid aggravations.
Each potency showed its own penetration of tissue.
The single remedy is followed through out the treatment period.
The repertorisation done after careful analysis of symptoms.
Sulphur was given as a Miasmatic.