Psorinum is closed allied to Sulphur.
Skin: The patient dreads to be washed. The skin over the body, especially of the face, looks filthy, though it has been well washed. A dingy, dirty, foul look, as if covered with dirt.
Skin rough and uneven, cracks easily, bleeding fissures; it becomes rough and scaly. He cannot wash it clean. The skin of the hands is rough, chaps easily, becomes thick and scaly, easily cracks; breaks out in little scaly, eruptions; looks unwashed; he always appears to have dirty hands.
Many of the complaints of the skin are worse from bathing and from the warmth of the bed. The skin itches when warm; itches when wearing woolens. Itching when warm in bed; he scratches until the part becomes raw, and then it becomes scabby. When healing takes place there is itching and then it becomes scabby. When healing takes place there is itching and then he has to scratch. Legs and arms raw and scabby from scratching. Violent itching from the warmth of the bed, even, without any eruption.
The skin is unhealthy, looks dirty, dingy, studded with capillary blood vessels and enlarged veins. This is the state before the eruption appears. Scabs form from scratching and then comes the eruption.
Papules, pimples, crusts, boils, vesicles, and eruptions ooze a watery moisture. When the eruption has gone on for some time the crusty formation and vesicles mingle; the skin becomes thickened and indurated, and new crops come out under the old crusts; rawness, itching, tingling, crawling, bleeding eczema of the scalp and face; the crusts cover the scalp; the hair falls out; the oozing lifts up the crusts and exposes new vesicles; it looks like raw beef, and it tingles so that the child cannot keep its fingers off it; worse at night, worse from the warmth of the bed, worse from warm applications, anything that would keep the air away from it; ameliorated by cool air and worse from covering. This is the opposite of the general Psorinum state, which is aggravated from the open air. He has an aversion to open air.
The eruption goes on, spreads, and the true skin becomes elevated, thickened, indurated, with an increased vascularity and redness. The oozing is offensive like carrion or decomposed meat; nauseating odor from the oozing fluid.
Offensiveness runs through Psorinum in such a characteristic way that is worth while mentioning it here; foetid odors, foetid breath discharges and oozing from the skin smelling like carrion; stool so offensive that the odor permeates the whole house, in diarrhea, summer complaint, cholera infantum; perspiration foetid; leucorrhoea abominably offensive; eructations taste as if be had eaten bard boiled eggs and they had spoiled, and they smell so to others; stool flatus, and eructations smell like spoiled eggs; offensive to sight and smell is the subject who needs this medicine.
The skin grows increasingly thick and bleeds, and the eruption spreads to other parts. Eruptions on the lips, on the genitals; very offensive; soreness and rawness about the anus; the vulva ulcerates and is very offensive; ulcers on the legs; on the tibia; on the backs of the hands; on the dorsum of the foot; behind the ears and upon the ears; over the scalp; over the cheek bones; on the wings of the nose and on the nose and eyelids.
Greasy skin. The eruption is accompanied by redness of the mucous membranes of the nose, mouth, lips and eyes. Eyelids thickened and turned out, like ectropion; granulation and induration of mucous membranes, so that they become like gristle; redness and ulceration. Ulceration of the cornea; lachrymation; turning out of the lids with loss of the eyelashes.
Eyes and nose: He looks frightful with his red eyes, eruption on the face, red skin oozing a thick yellow discharge. In the early stages the oozing is a whitish thin or whitish thick moisture. In old eruptions ulceration takes place beneath the crusts and there is a thick, yellow, purulent discharge. Yellow green discharge from the eyes and nose. Horribly offensive discharge from the nose; gluey discharge from the nose; offensive like Mercurius, Silicea, Calcarea p., Hepar
Accumulation of foetid pus in the eyes. Coryza with thick, yellow discharge. Always taking cold. In the coryza, the nose dries up part of the time and runs part of the time; he must use the handkerchief continually; must blow the nose all the time.
In the early stages of the coryza he blows it all the time, but there is no discharge or relief. This state is so marked that some think of it as a continuous hay fever, which runs all the year and rippens up in the Fall.
It is closely related to hay fever; stuffing up of the nose in the Fall; catarrhal state of the eyes and nose. Hay fever is one of the most difficult conditions to fit a remedy to. It belongs to a low constitution which must be built up before the hay fever will cease.
It is an expression of psora which comes once a year, and the psoric miasm must be changed. In a few years most subjects can be changed, but not in one season, so do not be disappointed. In catarrhal states, hay fever often dates back to low fever improperly treated.
The Psorinum patient himself is one of debility. He wants to go home after a short walk. He is worse in the open air. He cannot breathe in the open air; cannot breathe while he is standing up; wants to go home and lie down so that he can breathe.
Asthma: or cardiac dyspnoea, when the patient wants to go home and lie down so that he can breathe. Usually this condition is relieved by sitting up and from the open air. Not so with Psorinum, he wants a warm place and to he down and to be let alone.
Psorinum is slowed down in all of its functions; a state of paretic weakness. He does not rally after a fever; his digestion is slow; the stool is normal, yet it requires a great effort to expel it; the bladder is full of urine, yet it passes slowly and he feels that some remains; he can never finish stool or urination; he has to go back several times. Although the stool is soft and perfectly normal it cannot be expelled at one sitting.
A psoric patient comes down with typhoid; the typhoid has been arrested or has run its course and it is time for convalescence. The fever has subsided, but the patient has no appetite; he does not convalesce; he wants to lie down and does no desire to, be moved; he is worse when sitting up, lies upon his back; he has troublesome breathing and lies with his arms abducted from his side, thrown across the bed; this relieves his breathing and allows the chest to operate properly; so tired and so weak; one dose of Psorinum will cause a reaction, stop his sweat, increase his appetite, cause better breathing.
The Psorinum complex of symptoms is one in which remedies cause improvement but a short time and then the symptoms change and another remedy must be selected. It is a state of feeble reaction.
Mind: The mental symptoms present some strong features. Sadness, hopeless; he sees no light breaking through the clouds above his head; all is dark about him.
He thinks his business is going to be a failure; that he is going to the poor house; that he has sinned away his day of grace. It is a fixed idea during the day and he dreams about it at night. Overwhelming sadness; dejection; he takes no joy in his family; feels that these things are hot for him.
His business is prosperous, yet he feels as if he were going to the poor house. No joy or realization of benefit . Extremely irritable, wants to be alone. Does not want to be washed.
Full of anxiety, even of suicide. Despair of recovery his sick. Though there is no eruption at night he is driven to despair by the continual itching. If he throws the covers off then he becomes chilly; if he covers up, then there is itching.
Sensitive to cold yet the skin is worse from heat. Tingling, itching, formication, crawling like ants running over the surface, as of insects in the skin.
Especially suited to broken down individuals, who have vertigo as soon as they go into the open air; become dizzy and want to go home. and lie down; afraid they will lose their breath.
Head: Old chronic periodical headaches with hunger, and often the hunger lasts during the whole headache; must get up at night for have something to eat.
The headache is sometimes improve by eating. If he goes without a meal he has a headache.
Violent rush of blood to the head, hot face, hair wet with the perspiration, hunger. Every one, two, or three weeks a recurrent headache. Every time the air blows on his head it slacks up the catarrh and a headache comes on.