A Very Obstinate  Skin Case

Dr. Maurizio  Paolella shares a case of obstinate eczema and herpes in a woman of 48.This case was followed treated with both homeopathic and allopathic medicines from 1990 to 2016. Tuberculinum Bovinum was found to be the simillimum.

It is a supervision I did, and I received only the summary of previous consultations made by a homeopathic collegue with whom I do regular supervision work.

NS = New Symptom

OS = Old  Symptom

Case taken during October 2016:

(This is a synthesis of 27 years of homeopathic consultations, and lots of allopathic medications and seemingly well selected homeopathic remedies)

A woman of 48

Former teacher now a textile artist, has 2 kids

She is very lean +++

She came the first time for consultation in 1990

Eczema since she was 3 years old. Used lots of medications, mostly cortisone and petroleum ointments, quite often too.

It started in bend of knees and elbows

Then has gone to her face

It has been yellow discharging a serum like liquid +++

Red spots on her face

Old looking expression, many wrinkles and her skin looks folded and

somewhat old

Lots of herpes simplex around her mouth and nose

Red patches urticaria –like, all over her face

Eczema > at seaside

>damp wet

<cats – there is an allergy to cats +++ not to dogs

<wool, spring, autumn

Allergies also to carrots, kiwi, celery, hazelnuts, fenugreek (very strong)

<sulphur used for fruit preserving

Hangnails as a kid

Had warts around fingernails also as a kid

Very chilly person

Raynaud syndrome when young

Tendency to constipation

Lots of headaches

Vaginitis, sore pain during intercourse plus leucorrea

As a child many head concussions

At age 11pneumonia – treated in Hospital

Likes salty foods

Now the taste of salt feels too strong on her tongue

Does not like fats and bananas

Family is something very important for her.In fact, she lives with her parents in the same building. Was a sort of perfect child, always correct, never giving problem to her parents. Good at everything, always doing as her parents wanted

Married to an alternative guy, smoking pot etc. She likes travelling and changes

Loves art stuff She would like to have been a rebel, in fact both of her two kids are so inclined. Fear of wind

1994: abortion at 23 weeks of pregnancy (spontaneous)

Lots of eczema during pregnancy plus cystitis, many antibiotics

Since 2001 took Psorinum in different LM potencies. Has taken 1 dose every 3-6 months or so; this remedy helped for 7 years

From this remedy a new symptom appeared: herpes simplex on her lids (NS)

As soon as kids went into puberty, eczema was very bad again

She has taken Sepia, Staph and Psorinum from Dr. S. (her homeopathic family doctor)

Since 2013 eczema got very bad, especially her face and she had to use large  amounts of cortisone. She also tried many homeopathic remedies again but without effect.

Finally this was the prescription given on Oct 2016 after supervision:

Tuberculinum Bovinum  LM1,  2 doses every 4-5 days (to begin with)

My choice for Tub bov is related also to the fact that Sulph, Graph, Nat m and Sepia were already prescribed without effect.

Everything better, including stools -no longer constipated.

Lots of herpes on lips and headaches andprevious vaginitis came back

She said : “My skin problem is over!”

Energy much better

Even better in comparison with when she took Psorinum

Stopped cortisone

Headaches better, no medication

Repeated LM1 of the remedy for a new herpes labialis

Follow up six months later (March 18th ) no more herpes, skin is fine, some migraines (OS) before menses. They start at 6am, much worse at 10am. She feels very weak also, and someone has to carry her home.

Rx Tub Bov LM3 – To be taken when necessary in some water, infrequently

All is fine, but it is not clear what happened with these last migraines, as patient did not report.

She experienced one migraine with aura, similar to what she had once inher youth. Now, since Tub Bov, headaches are much less frequent – still present though.

Since 2015 hard stools and constipation especially when travelling

Much >>> after Tub Bov.

November 2018:

Last follow up, skin is absolutely fine

Phatak  Materia Medica :

From Boericke Repertory:

Interesting rubric in Boericke Repertory:

Personal note:

If we look at Complete Rep (version 4.5)  under:

We get lost in 70 remedies while a Repertory like Boericke’s, which is mostly clinical, lists only 13 remedies, which can be of great help in selecting the right remedy.This is what I learned from this woman’s case.This is a suggestion to be used only in very complicated or spoiled cases, or very medicated chronic cases, otherwise always consider the totality of case first.

Mycobacterium Tubercularis  (Koch’s  Bacillus)

About the author

Maurizio Paolella

Maurizio Paolella

Dr. Maurizio Paolella is an M.D. practicing Classical Homeopathy in Rome since 1986. He trained with A.Geukens, M.Mangialavori and Jeremy Sherr (Dynamis Course 200/2002) among others. He also studied at the Clinic of Dr. Dario Spinedi from 2008 until 2014, mostly for Oncology followed by Classical Homeopathy. Dr. Paolella worked for 9 months in 2014 as Assistant Doctor at Clinica Santa Croce (Orselina, Switzerland) directed by Dr.Dario Spinedi. He is available for medical homeopathic consultation in person in Rome and also via Skype (dr.pao) Visit Dr. Paolella at his website www.mauriziopaolella.it

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