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Cases of Lichen Planus

Case 1:


Mrs. R.A., age 45 years, reported to us on 1st March, 1994 with the complaint of Lichen Planus almost all over her body, except on the face and head, for one year. She had had oral Lichen Planus six months prior to it for which she was treated with steroids and she had put on 10 kg. of weight, with several other side effects as well. Her case was evaluated in the light of the following background:

She lives in England with her husband (who works with the Ministry), sons (14 and 8 years), daughter (6 years). She was working with a government organization as a secretary, where she was abruptly given a lay off, probably due to racial discrimination. She was compelled to fight in the law of court for over one year and eventually won the case. The entire situation induced the following emotions in her:

• Anger, which was expressed
• Sense of injustice
• Felt cheated
• Fear
• Sense of insult

During the stressful period she developed oral Lichen Planus which was treated by cortisone and spread to other parts of the body.

Case analysis and evaluation:
It was appreciated that the patient was exposed to injustice and cheating. Her personality was understood to be one of self-esteem, with sensitivity to injustice. Her system reacted to the stress and the inner vital disturbance was manifested in the form of skin eruptions in the mouth (Lichen Planus).

This was a typical case of socialization of the psychological reaction where certain strong negative emotions precipitated the physical disorder of Lichen Planus. As understood in homeopathy, the treatment with cortisone was 'suppressive', which eventually led to spread of disease on other parts of the body.

Other important aspects of her as a person were also incorporated, such as: She is a kind hearted, sympathetic and cheerful person. She loves wine and coffee. Her thirst is excessive and perspiration is less. Obese and flabby.

During the phase of acute emotional stress she also had Irritable Bowel syndrome. Her sleep is disturbed and fearful dreams. She has undergone hysterectomy.

Treatment:
A homeopathic remedy called Causticum (a specially preparation medicine form of potassium hydrate or caustic potash in a very minute dose) was selected on the basis of the patient's constitution.

Causticum is a homoeopathic remedy that is meant for individual sensitive to injustice and has a great fighting spirit. This remedy has action on the skin where it can check eruptions like Lichen Planus.

The patient was treated for over seven months with complete recovery of the Lichen Planus and no remission till the date.

Remark: The remedy prescribed in these cases is patient-specific i.e. it has been prescribed based on the symptoms specific to the patient at that point of time. It is advisable that the patient does not indulge in any self-medication.

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Case 2:

A young man of 29, presented with Lichen Planus on the legs, on both sides. The eruptions were thick, raised, dark brown with profound itching, worse at night. He had Lichen Planus as adolescence and which was treated with some creams containing steroids. He has been developing it over and again almost every two years. He was having it for five years now without any remission.

Case analysis and evaluation:
The following aspects were considered significant his case:
He did not have any emotional stress connected with the development of Lichen Planus. His personality type was studied in depth. He claimed to be an aggressive kind of a person with a great deal of irritability. He would shout and scream at those who contradict him.

He is a dominating person, and his wife labels him as a 'Hitler at home'! On detail study it was revealed that he would express his anger and would like to dominate only on his subordinates and his wife. He was not equally aggressive with strangers and superiors.

He was understood to be a weak minded and timid person. He had fear of darkness and high places. He had dreams of terrible car accidents. He has great craving for sweets and warm drinks and strong dislike for onions, which gave him gastritis. He had a family history of Lichen Planus and cancer.

Treatment:
After thorough case study, a remedy was given called Lycopodium Clavatum, also called Club Moss, which is a kind of fungus inhabiting moist places, especially in tropical and subtropical forests. Homeopathic medicine prepared from Club Moss, with a special technique called Potentization, was administered to him in various potencies (strengths) over the period of 18 months, which cured him completely of Lichen Planus.

He has not had remission till date. It is also interesting to note that the constitutional medication in his case also made him a cool headed person with healthier emotions.

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