Chief Complaints:
A 15 months old female child, T.G., was brought by her mother on 13-10- 2018 in OPD, presenting symptoms of dry itchy, scaly eruption on scalp for one month. Itching ameliorated by scratching. Discharge from left ear for 3-4 days. Character of discharge is thin and offensive in nature.
Past History
□ H/O of Diarrhea (Green, watery stool) 3 months before.
Family history
□ Father-H/O CA Throat
□ Grandfather-H/O Hypertension
Personal history
□ Milestones-normal
□ Vaccination-Regular
Physical General
□ Appearance-Looking Dirty, Dark Complexion.
□ Appetite-Good
□ Desire-Sweet, chocolate.
□Thirst-normal
□ Tongue- Moist, clean
□ Sweat-Profuse, offensive
□ Urine-NAD
□ Stool-Clear, Regular, Soft
□ Thermal reaction -Hot (Uncomfortable in Warm weather.)
□ Sleep- Good, Lie on Back
Mental General
□ Very active and Energetic
□ Restlessness
□ Usually put everything into the mouth
□ Playful child
On Examination:
Auspitz sign is positive.
Investigation: Not done.
Miasmatic diagnosis: Psora is Predominant.
Totality of the symptoms:
□ Restlessness.
□ Appearance dirty look.
□ Perspiration profuse and offensive.
□ Hot patient.
□ Desire for Sweet
Repertorial Analysis:
The repertorization was done using RADAR 10.0 by Kent Repertory. The medicine Sulphur got the highest mark. After consulting with materia medica Sulphur was prescribed.
Prescription (13-10-2018)
Rx,
Sulphur 200/2doses, OD
Followed by Placebo for 4 weeks
Follow up (10-11-2018)
Itching mildly decreased, Ear discharge diminished.
Appetite- good, Sleep- sound, Stool-Regular, clear.
No other complaints.
Rx,
Placebo for 8 weeks
Follow up (05-01-2019)
Itching and scales decreased, Ear discharge stopped.
Other general features are normal.
Rx,
Placebo for 8 weeks
Follow up (02-03-2019)
Scales disappeared, No itching.
Pigmentation started.
Other General symptoms -normal
Rx,
Placebo for 8 weeks
Follow up (27-04-2019)
The normal color of skin regained
Other General symptoms -normal
Rx,
Placebo for 8 weeks
Follow up (22-06-2019)
No relapse of symptoms.
Other general symptoms- normal
13-10-2018 (Before treatment) 10-11-2018
05-01-2019 02-03-2019
27-04-2019 (After treatment)