A forty-four year old male patient presented with complaint of psoriasis on bilateral soles of feet for the last two years. The eruptions affected only the plantar region of feet with intense itching and scaling with cracks and cuts,which used to bleed occasionally. At times there was a white, sticky discharge from the eruptions.
MIND:
He describes himself as a simple personality. He is calm and reserved. He says he wants to do all his work in as perfect a way as possible. Religious, trusts in spiritual aspect and acts accordingly in life. He likes to listen to music, which makes him feel better. He worked for one company for almost 30 years. He thought of starting his own business as he found himself experienced enough, so he resigned from his job. His boss didn’t like it and made sure he couldn’t get any materials from the market for his independent project. He had to struggle a lot. Though he knows he did nothing wrong, he feels guilty as if he had done some crime by doing this, and constantly reproaches himself. All his physical complaints started after this episode.
PHYSICAL GENERALS:
Appetite- normal
Thirst- 2-3 litres/day
Stool- satisfactory, once a day – Urine- normal
Perspiration- moderate
Sleep and dreams- sound/ not remembered Thermally- chilly
Craving- sweets++ Aversion- nothing specific
REPERTORISATION:
PRESCRIPTION:
29/1/2018Aurum metallicum200 1dose
FOLLOW UP:12/2/2018
Eruptions on both feet reduced by 40%. There was no bleeding and discharge since last week. Itching reduced by 50%
Rx- Aurum metallicum 200 1 dose13/3/2018
Lesions in both feet better by 90%. No bleeding or discharge from lesions. Occasionally mild itching.
Rx – SL16/4/2018
Lesions in both feet better with mild itching, no discharge or no bleeding.
Rx- SL14/5/2018
Lesions on both feet better with no itching, discharge or bleeding.
Rx- SL18/6/2018
Fully recovered from eruptions. Mental and physical state is good.
Rx- SL
SUMMARY:
The anxiety of conscience which triggered the psoriasis in the patient was the core of this case. The theme of Arum Metallicum is anxiety of conscience as if guilty of crime, which is clear in this case. Also, the basic personality of this patient as reserved, religious and with amelioration by music is well covered by Aurum Metallicum. With the simillimumthe patient improved without much repetition of the remedy.(See photos below)
BEFORE TREATMENT:
DURING TREATMENT:
AFTER TREATMENT:
