A Case of Eczema on the anterior aspect of the nose since 2 years reported at our OPD. Patient was having itching of nose with scratching and mild burning and he was worried about his condition. He had undergone some allopathic treatment, some sorts of ointment, but the response was unsatisfactory. After going through the detailed history, after repertorization, and basing on the totality of symptoms, Graphites–30 was prescribed. Six doses of this homoeopathic medicine proved to be effective.
Keywords: Homoeopathy, Eczema, Graphites, Atopic Dermatitis,
Eczema is often referred to as atopic dermatitis  (A form of dermatitis or inflammation of the epidermis (the outer layer of the skin). The term eczema is broadly applied to a range of persistent skin conditions. These include dryness and recurring skin rashes that are characterized by one or more of these symptoms: redness, skin oedema (swelling), itching and dryness, crusting, flaking, blistering, cracking, oozing, or bleeding. Scratching open a healing lesion may result in scarring and may enlarge the rash. Eczema is not contagious and it runs in families.
There is no known cure for eczema in allopathy; therefore, in their treatments, the main aim is to control the symptoms by reducing inflammation and relieving itching by the method of palliation. Corticosteroids in the form of oral medication and ointments are the mainstay treatment in counterpart. Usually it brings about rapid improvement of symptoms, as they are effective in controlling or suppressing symptoms but as soon as the action of the medicine completed, the skin complains flare up more than before. These medications also have greater side effects.
In contrast, Homoeopathic medicine has a great role to play with skin diseases like eczema and many others. It can cure permanently without having any side effects. In this case report, I want to share my own clinical experience in the treatment of Eczema.
A Male aged about 56 years presented the following complaints.
- Severe itching on the anterior aspect of the nose especially on the tip and both alae followed by scratching and mild burning.
- Dry, exfoliation of skin from the affected part due to severe itching
- Scaly appearance with mild raw surface of the nose. (As shown in Figure -1)
H/O Eczema since 4 years and was under allopathic medicines like corticosteroids (Oral medications and ointments) but with unsatisfactory response.
Family History: Father – Eczema
Personal History: Non-vegetarian
Irregular diet habit
Thermal Reaction – Chilly patient
Easily catches cold
Desires: Bitter, warm food
Stool: Constipation with ineffectual urging
Plate- 1, First Visit, Before Treatment on 02/04/2013
Analysis and Evaluation of symptoms:
From the above history of the patient, it is observed that, there are more physical general and particular symptoms. According to Dr. Kent, General symptoms are more important than particulars and again Mental Generals are more important than Physical generals. But in this case, there are no mental symptoms, as it is quite difficult to trace out the mental symptoms in the first meeting.
In this case, I have evaluated the symptoms according to Dr. Kent. The following rubrics were selected for repertorization. (Chart is attached)
GENERALS – HEAT – vital lack of
GENERALS – COLD – take cold, tendency to
GENERALS – FOOD AND DRINKS – bitter food – desire
GENERALS – FOOD AND DRINKS – warm food – desire
GENERALS – FOOD AND DRINKS – sweets – aversion
RECTUM – CONSTIPATION – ineffectual urging and straining
SKIN – ERUPTIONS – eczema
SKIN – ERUPTIONS – itching
SKIN – BURNING – scratching, after
SKIN – ERUPTIONS – dry
1st visit: Graphites -30, 4 doses, BD, Rubrum- 1 dm, BD for 15 days
Basis of Prescription-
After going through Repertorization, by RADAR-7, it was seen that Arsenicum Album, Graphites, Lycopodium and Sepia,covered the maximum no. of symptoms. In the chart, Arsenicum Alb. secured the highest mark, but after referring to Materia Medica and on the basis of totality of symptoms, Graphites was prescribed.
Repertorization (Radar-7 Verbascum)
1st Follow up / 2nd Visit (17/04/13)
- Itching of nose was mildly reduced.
- Burning pain also reduced
- Exfoliation of skin due to scratching also reduced.
Treatment Rx : Graph -30, 4 doses, BD, Rubrum- 1 dm, BD for 15 days
Basis of prescription:
As, the patient was improving, the same medicine was repeated followed by placebo.
2nd Follow up / 3rd Visit (05/06/13)
- Itching of nose was markedly reduced.
- Burning pain was no more.
- Exfoliation of skin due to scratching also reduced mildly.
Rx : Rubrum- 1 dm, BD for 15 days
As, the patient was improving, the placebo was prescribed.
3rd Follow up / 4th Visit (12/08/13)
- Itching of nose was no more
- Burning pain was no more.
- Exfoliation of skin was markedly reduced (As shown in Fig-2)
Rx : Rubrum- 1 dm, BD
Plate-2, Fourth Visit after treatment on 12-8-13
DISCUSSION AND CONCLUSION
This patient has never come again for those complaints after the last follow up. The efficacy of a single homoeopathic medicine in the treatment of eczema is revealed from the above case report. This case assumes a great deal of significance in the context of a large interest in alternative medical treatment modalities in recent times. This case would help to sustain this interest and also contribute towards encouraging clinicians to undertake similar studies to highlight the usefulness of homoeopathic medicines in eczema.
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2. Eczema” at Dorland’s Medical Dictionary
3. Johannes Ring; Bernhard Przybilla; Thomas Ruzicka (2006). Handbook of atopic eczema. Birkhäuser. p. 4
4. Hoare C, Li Wan Po A, Williams H (2000). “Systematic review of treatments for atopic eczema”. Health Technology Assessment 4 (37): 1–191
Address for Correspondence:
Dr. Biswo Ranjan Das, B.H.M.S., M.D. (Hom), PGDHHM
Senior Research Fellow (H),
Regional Research Institute for Homoeopathy, under CCRH, Marichikote Lane, Labanikhia Chhakka, Puri, Odisha- 752001