Cases of Psoriasis

A 40 years old male patient Mr. A. T. (Patient Ref. No. L6925), reported to the clinic with complaints of psoriasis since about 4 years. He had psoriatic lesions spread almost all over his body and they were increasing since the last 1 year. He had inflamed, thickened, scaly lesions with scab formation and exfoliation at places. There were hyperpigmented marks of the lesions left behind on his skin. He had very dry skin in general and lot of itching. The itching would be worse at night and he would get burning sensation on the parts after scratching them. He would feel worse from warmth (especially warm water) on the affected parts. The psoriasis would be at its worst during summer. He had been on certain allopathic medications for the last 3-4 years and had also been put on steroids for a year. Since the last 3-4 months he had stopped all kinds of medication.

He also had complaints of constipation since last 3-4 years. His stools would be hard and dry and would require much straining to be passed.

He had loss of appetite since the last 6 months. He had great liking for sweets and his thirst was on the lower side. His sleep would be disturbed due to thoughts about routine things being on his mind. He would sleep on his abdomen.

He stayed with his wife and two children and was into a clerical job. His childhood had been unhappy and he would feel quite neglected as a child. His youth years were also stressful in nature as described by him. His father had died at a young age and so he had to struggle throughout his childhood due to this reason. He was a reserved person with lot of bottled-up feelings. He was sensitive by nature and would react easily to small things happening around him. He would always feel very conscious about what the people around him were thinking about him. The feeling of loneliness had persisted with him even at this point of time in his life. He would get anxious about trifles and also had lot of anxiety about his illness. He would get irritated at trifling matters but would never express his irritability. He would weep easily. He would tend to brood over things that had happened with him. He was afraid of taking responsibility of anything in life.

He had suffered from jaundice twice in the past. His father had tuberculosis and his mother had bronchial asthma and cirrhosis of liver. His paternal aunt had bronchial asthma.
 
Based on this history the patient was prescribed Natrum Muriaticum 200 for his complaints. At the beginning of the treatment there was an increase in his complaints as expected due to the use of steroids recently. This lasted for about a month after which the improvement slowly started showing up. At the end of about 4 months of treatment his psoriasis was almost 70% better and the itching had completely stopped. He did not get any new lesions. He continued the treatment for another few months for complete recovery from his complaints.

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Case 6:

A 30 years old female Mrs. H. S. (Patient Ref. No. L6530), reported to the clinic with complaints of psoriasis since 15 years. She had extensive lesions on her hands, arms, legs and on her scalp. She had been in remission twice during this period, each lasting for about 1-2 months. She had taken all kinds of treatment available but was not helped much by this. She had received steroid injections in the past and had been aggravated after stoppage of the same. She did not have any other complaints besides this.

Her appetite was average and she was fond of spicy foods and bread. Her thirst was decreased and she would take less amount of water. She would sweat profusely and would be more comfortable in the cold weather; she could not tolerate much of heat. Her sleep was sound.

She was a housewife and stayed with her in-laws in a joint family set-up. She was a mild and co-operative lady. She had much anxiety about her disease especially since it had lasted so many years and would not get better with any treatment.

There was no history of any major illness in the past. There was history of psoriasis in the family; two of her uncles had psoriasis. Her father had poliomyelitis and her brother had tuberculosis.

Based on this history she was prescribed Psorinum 200 for her complaints. After about 2 months of treatment her complaints were slightly better than before. In another 3 months, she was almost 50% better than before. She did not have any itching of the lesions. She was 6 months pregnant at this point of time. The treatment was continued for another 6 months and at the end of this, she was completely free from the disease. She had some mild hypopigmentation persisting at the area of the lesions which faded away after treatment.

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