– 8 years
This girl presented with skin problems. A history of rashes and spots. Currently psoriasis on the head and face. Spots on skin h/o last six months. Rash on face started 3 weeks ago on the nose. Red rashes under arm, genital area. At age five slap fever for 2 days after which the rash started. The patches are red and white and very rough and dry and the area is raised. After taking a shower the area becomes smooth. Red patches on both legs front and back. Takes very warm showers in summer and does not feel the cold in winter.
Childhood history – birth forceps delivery. As a baby she cried a lot. Reflux diagnosed at age six months. Was a slightly slower baby and walked at 13 months. First tooth 9 months. Very good eater first 12 months then stopped eating properly. Started to vomit after eating. Afterwards very healthy. I cold per year. Age 2-5 very active, very happy and well settled at school. No problems at school, loved to play. Likes running games. Very independent. At age 5 rotavirus, resulting in diarrhoea and vomiting. Age 5-7 an episode of slap fever. Started with a rash. Current skin problem started 6 month before.
She is very independent, easy going and very careless. Likes to study. Likes doing additions and has lots of friends. She is always in a hurry and is very untidy. Fights with her brother and is very obstinate. Cries and becomes angry when she doesn’t get something that she wants. Lives in her own world. Does not show affection.
Physicals – Top to toe
Headaches sometimes after coming home from school. Head dry patches – psoriasis, white and flaky no itch.
Ears – dry skin patch, white and flaky and dry.
Stomach – h/o of colic
Thirst – low
Bowels – h/o of rotavirus. Stools smelly, yellowish green. Watery 6-7 times
Limbs – rash under arms and lower limbs.
Back – rash
Skin – psoriasis 6 months, sensitive skin.
Weather – feels very hot in summer stays normal in winter.
Sleep – very little but very sound.
Appetite – not good, goes to bed with an empty stomach but does not complain of hunger. Desires fruit – water melon, mango, strawberries, grapes, kiwi fruit. Desires sweets, drinks milk three times a day, eats dry cereal, dry toast. Likes yoghurt. No cheese. Aversion to eggs both taste and smell.
RUBRICS CHOSEN (MACREPERTORY COMPLETE)
MIND; HURRY, haste; tendency) (138)
MIND; HEEDLESS, careless (92)
SLEEP; SHORT (134)
STOMACH; APPETITE; wanting) (334)
SKIN; DRY) (204)
SKIN; ERUPTIONS (261)
GENERALITIES; BATHING, washing; amel. (101)
STOMACH; THIRSTLESSNESS (166)
Remedies that repertorise are –
Puls, Sil, Sulph, Lyc, Nat M, Sep, Caust, Apis, Phos, Rhus T, Alum, Camph, Lach, Mez, Nux vomica, Staph, Thuj, Anac, Hep S, Ambra, Laur, Zinc
|YELLOW (psora)||RED (sycosis)||BLUE (syphilis)|
Chin angle on profile
|Hair line height|
There were an equal number of yellow and red features – so the patient was assessed as belonging to the orange miasm (syco-psora).
Only two orange remedies show in the repertorisation – Nat Mur and Nux Vom. On checking her food desires/aversions (smaller rubrics) Nux is found under agg eggs and desires juicy things (but not in des fruit) – Nat Mur is still close, but Nux Vom is chosen.
NuxVom 6x once daily for 5 weeks
The remedy started acting one week after being taken; the skin condition improved completely by the 4th week. No repeat of the remedy was made in the follow up consultation after 5 weeks. The mother was instructed to monitor the child and to contact if the condition returned. The action of the remedy included:
Headaches – gone
Appetite – improved
Rash on the body and psoriasis gone
Head eruptions – gone
Follow up after 12 months – no recurrence of symptoms. No remedy given.
Mrs. Amtulnaseer Lubna Ahmad
(4th year student 2007)
Ad Dip Hom
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