A male patient, 36 years old presented with a c/o- red, itchy eruption since the last three days, on the right side of the abdomen on lateral and frontal region along with slight extension over the chest and back. Initially there was pain in his abdomen and slowly the eruption started. The eruption was in a budding stage and the diagnosis was very obvious as herpes zoster.
It was in August (commonly a rainy season) in Maharashtra, India and it had been raining heavily for 8 days.
Eruption was itching ++ and burning ++ also .
I explained the diagnosis and probable management with homoeopathy. The patient was slightly hesitant to take homoeopathy but after convincing him, he was ready to try it.
Eruption was getting agg. by cold air++ and was better by warmth application ++
He told me that during the rainy season he gets a skin eruption every year and this ailment was also because of the rainy season. There was no other cause found. There was no history of any other major illness in the past. Patient was not on any other treatment for any other ailment.
Chilly ++ Thirsty++
Except local symptoms and few generals I couldn’t found any other information.
Diagnosis – herpes zoster
Particulars and few physical generals.
COMPLETE REPERTORY: RUBRICS SELECTED:
- ABDOMEN, ERUPTION HERPES ZOSTER
- BACK, ERUPTION HERPES ZOSTER
- CHEST, ERUPTION HERPES ZOSTER
- ERUPTION HERPES ZOSTER, BURNING
- SKIN, ERUPTION ,COLD AIR FROM AGG.
- SKIN, ERUPTION, ITCHING, WARMTH, AMEL.
- GENERALITIES, COLD, WET WEATHER AGG.
REPERTORISATION
DAY 1-: RHUS TOX 200, 2 DOSES + SL FOR 3 DAYS
Along with auxillary mode of treatment patient was advised to follow up SOS or after 2 days.
FOLLOW UPS:
| DAY | SYMPTOMS | TREATMENT |
| DAY 1 | ERUPTION +
Burning + Itching ++ Eruption on right side only No fever |
RHUS TOX 200, 2 DOSES + SL FOR 3 DAYS
|
| DAY 3 | Eruption was increased along with burning and itching. Slight pus formation and pain on lateral side of chest wall
G.C. average |
RHUS TOX 200, 2 DOSES + SL FOR 3 DAYS
Adv.- Follow up after 2 days No local application in any form. |
| DAY 5 | Eruption SQ with slight fever and pain and discomfort++ on right side of the chest wall , PUS FORMATION +
Local burning ++ Patient was worried slightly |
CT ALL |
| DAY 7 | Appearance of the eruption was getting better with less pain and discomfort. No further eruption on front but slightly increased on the back
Eruption started drying |
RHUS TOX 200 , 2 DOSES + SL FOR 5 DAYS
Adv.- Follow up after 2 days |
| DAY 9 | Pain ++
Discomfort ++ Eruption started drying much G.C. avg. |
CT ALL |
| DAY 12 | Eruption dried
Pain reduced Burning reduced |
RHUS TOX 200 , 2 DOSES + SL FOR 3 DAYS |
| DAY 16 | Eruptions disappearing
No burning, redness, pain No post herpetic neuralgia |
SL for 5 days |
| DAY 21 | Apparently no symptoms
No recurrence NO POST HERPETIC NEURALGIA. |
SL continued for 7 days.
Adv . Inform SOS. |
Conclusion
1) Healing was complete without any scar marks and without any neuralgia remaining which is very common in this diagnosis. (See photos below)
2) A well selected medicine on the basis of Present, Predominent and Persistent Symptoms works very well.
