Patient Name XY
Male – 67 Yrs
Profession – Retired Policeman
Consultation 24 -2 – 2020
A 63 year old male consulted me in my clinic for his skin complaints
He has been suffering with skin complaints since for 8 years. Dry skin, severe itching, psoriatic points are making thick plaques that are coming after scratching. He used to scratch over the eruptions and gradually his skin filled with dark pigmentation. Eventually that pigmentation stretched all over his body with a symmetrical appearance. He used topical conservative treatments including salicylates and cortisone, but without effects. Dermatologists stated it was incurable.
SKIN ERUPTIONS DESCRIPTION
Symmetrical distribution of the eruptions with dark black pigmentation. Dry eruptions, crusty, desquamation after scratching.
Itching and dry sensation of the skin
No concomitants to this complaint
Itching day and night, but especially aggravates when he covers with a blanket. When fan is off, itching increases. Skin becomes dry and aggravates after taking meat diet.
He wants to lie always free of clothes except under waist in bed . He would always apply water to tolerate dryness which encourages itching. No fluctuations of symptoms with seasons.
OTHER SYMPTOMS AT THE TIME OF CASE TAKING
An abscess formed over the foot, Benign prostate gland hypertrophy.
MIND OF THE PATIENT
He is a very friendly person by nature. He shows his pigmentation at his private parts, buttocks. This also helps to analyze his nature. He is vexed with his itching.
History: He had no complaints before developing this. One day itching started at his waist region and then gradually it covered over his body and pigmentation followed. No obvious causative factors like allergens.
Hunger – he can tolerate
Thirst – drinks moderate amounts
Food– no specific desires/ cravings or aggravations
Bowel movements – regular
Urine ;- watery colour. Due to prostatic complaint some urgency is there.
Sleep – disturbed sleep in warm conditions, otherwise good sleep. No specific dreams
Thermals – He is a hot patient.
He suffered on and off with seasonal colds. At age 45 he contracted typhoid.
As it was a chronic skin case I determined to take his constitution along with local skin manifestations. I enquired for the causative factor, but there was no apparent element expressed by the patient.
Being a friendly talker, he discussed everything without much questioning by me and with a cooperative attitude. From the symmetrical appearance of complaints I took the following rubrics:
1.MIND – COMMUNICATIVE
- GENERALITIES – FOOD AND DRINKS MEAT AGG
- SKIN – DRY
- SKIN-ERUPTIONS –CRUSTY , DRY SCRATCHING AFTER
- SKIN – ERUPTIONS- DESQUAMATING
- SKIN – ERUPTIONS –DRY-ITCHING
- SKIN- ERUPTIONS –PSORIASIS DIFFUSA
- SKIN- ITCHING –DRYNESS, FROM
- SKIN – ITCHING OLD PEOPLE
Sulphur 30, 200, 1m potencies
Rx-1. Sulphur 30 3 doses every day morning (I believe Sulphur acts better when adminstered in the morning as per Dr Allen )
2. Phytum for 15 days time .
Patient did not appear for 42 days for next consultation. 30 days time he had no medication . Skin symptoms started to fade, but itching was there due to dryness of skin and from psoriatic patches .
Rx-1.Sulphur 30 1 dose in morning
2.phytum for 15 days
Patient again came after 1 month. Dark pigment started to fade. Itching 40 % decreased.
He has shown good improvement in psoriatic patches. Itching dramatically decreased 60-80 % percentage.
Rx-1.phytum for 1 month
No change in progress, but improvement in same as it is. I felt case is suspended in improvement. All his generals are good, no abnormality.
Rx-1. Sulphur 200 3 doses every morning.
2.phytum for 1month
He has shown 60-70 % improvement in depigmentation. His original skin colour is visible at dark pigmentary places. His generals are good.
Rx- 1.phytum for 1 month
Improvement in dark patches and itching continued. Generals are good. 10 days ago he got seasonal cold due to rainy season. No medication used and it passed on its own.
Rx- 1.Sulphur 200 1 dose
2. rubrum for 15 days to observe for seasonal cold attacks in rainy season.
No cold attacks.
Decided to wait for further 15 days.
Rx-1. rubrum for 15 days
No further improvement in pigmentation as it stopped at 70%. Decided to change potency of same medicine. 1M of Sulphur.
Rx-1. Sulphur 1M 3 doses daily morning .
2. phytum for 1 month .
Improvement gears up. Pigmentation faded up to 90% percent, psoriatic patches decreased. Skin got its natural glow. Still winter dryness is there. I suggested to apply coconut oil instead of petroleum jelly.
Rx –1. phytum for 1 month
Improvement in dark pigmentation of 97% achieved.
1.Sulphur 1M 1 dose dispensed for morning time.
2. rubrum for 1 month….