Patient is the only child of the family from
a lower middle class family. She has two daughters and two sons.
Sons are doing their degree. The daughters are elder ones. Husband
is a party worker involved with labour union and he spends most
of the time for party work and even money he spends on party
work. The daughters are to be married; patient feels that father
is not very much bothered about it. She worries a lot about
the irresponsibility of her husband and gets angry over the
issue, yet does not express about. While narrating these there
was tears on patients eyes and she was very quick to wipe it
out so that the physician does not notice that.
Pulse 74/min, BP110/70mm Hg
Thickened lichenified patches all over the body
Analysis and evaluation
This is a case of Lichen Plannus and where the
immunity plays a very major role. The immunity itself is maintained
by the Psycho –Neuro - Endocrine mechanism. So in understanding
the patient the importance has to be given for the mind. The
prolonged worry and the suppression of anger is to be given
more importance and so the mental generals need much importance
in the construction of totality. More over there are no characteristic
modalities available, so the prescription should be based on
Mental Generals and Physical Generals.
- Ailment from Prolonged worry (Grief)
- Anger Suppressed
- Desire for fish
- Hot patient
- Head ache aggravated in sun, hungry while
- Skin discolouration blackish
The remedies which came up predominantly
for this totality are Natrum. Mur and Pulsatilla.
1. Kent: Mind. Grief Ailment from
2. Kent: Mind. Weeping, tearful mood
3. Kent: Mind. Ailments from anger after silent grief
5. Kent: Stomach: Desires fish
6. Kent: Head. Headache in general sun from exposure
7. Kent: Head. Headache in general fasting
8. Kent: Skin. Discolouration blackish
10-8-2002 First Prescription
Natrum. Mur 0/6
3 Doses on alternate days at night
Not much change
But generally feels better
Natrum. Mur 0/6 7 Doses daily night
The remedy was continued till 31-8-2004 then there was marked
improvement in the lesions and yet there was itching persisting.
Later on the potency was raised to Natrum Mur 0/12 and was repeated
frequently. Now the patient is completely free of the Skin lesions
and no more itching. Patient also got Rhus tox and Pulsatilla
in between when she developed fever and acute coryza as acute
Since the disease is an autoimmune disease which is usually
a functional change and not much of structural damage is not
there a higher potency could have been used. But as auto immune
disease where a flare up and aggravation could be expected the
safer potency Millesimal was used so that a frequent repetition
was done. During the course of treatment the old symptoms of
cold reappeared. But those symptoms were so much troubling the
patient that she even developed fever, which required an acute
The other physical generals such as Perspiration, Appetite,
and thirst were not enquired. The family history and miasmatic
background is not understood.
When there is physical disease and mental state or symptoms
are available prime importance has to be given. In autoimmune
disease where one expects flare up the medicine in Millesimal
potency can be used without any aggravation and with positive
results. Lichen planus is a disease, which allopathic system
considers as an incurable disease and there could be remissions.
It requires a prolonged medication especially with steroids.
But with homoeopathic treatment the improvement is very fast
and there are no remissions till now.