Psoriasis and Homoeopathic Management

Clinical Study of Types of Psoriasis and Homoeopathic Management.

Presented at LIGA 2011,International conference at New Delhi on 4^TH Dec2011

Psoriasis is a common, chronic, recurrent², non-infectious genetically determined, inflammatory skin disorder of unknown cause, papulosquamous skin disease that may appear at any age and affect any part of the skin.

25cases were studied (20male & 5female), the diagnosis was made clinically; some cases were referred by Dermatologists. In 6 Cases BMI was above 30, 6 cases were US based, in 3 cases sever negative impact was present, the types of Psoriatic cases were as shown in table below. Improvement Scale :47.6% cases got above 70% improvement, 28.5% cases got above 50% improvement, 14.4% cases got above 30% improvement, 9.5% cases got above 10% improvement, The medicines found useful were Calcaria  Carb, Graphites,Nat murur, Pulsatilla, Ars Alb, Thuja oc, Sepia, Acid Nitric, Sulphur and Thyroidin. Following nosodes were given Tuberculinum, Syphilinum and Carcinosin. The potencies used were in 30, 200 and 1M. The 30 potency was repeated weekly, 200 potencies were repeated fortnightly and 1M potency was repeated after a month. Nosodes were given in 1M potency. Along with treatment diet advice, Psychological counseling was given.

Conclusions:

It is a common belief that Psoriatic diseases difficult to cure, but if you take detailed life space investigation, read the mind of psoriatic patient we can overcome the challenges in treating Psoriatic diseases. In conventional system of medicine treatment is unsatisfactory as the ‘cause’ is unknown; hence the treatment is only palliative; In Homoeopathic system psoriatic skin diseases can be treated successfully. Guttate psoriasis, Pustular psoriasis^{, Psoriatic} Tongue and Erythrodermic psoriasis which are successfully treated by the author, details of cases are published in reference cited journals 


* due to uploading problem case visuals not posted

                                                                    

Guttate type Psoriasis

 

Tongue Psoriasis

  

 

Erythroughdemic  Psoriasis

 

 

 

Psoriasis types Homoeopathic Cure

Clinical Study of Types of Psoriasis and Homoeopathic Management.

Presented at LIGA 2011,International conference at New Delhi on 4^TH Dec2011

Psoriasis is a common, chronic, recurrent², non-infectious genetically determined, inflammatory skin disorder of unknown cause, papulosquamous skin disease that may appear at any age and affect any part of the skin.

25cases were studied (20male & 5female), the diagnosis was made clinically; some cases were referred by Dermatologists. In 6 Cases BMI was above 30, 6 cases were US based, in 3 cases sever negative impact was present, the types of Psoriatic cases were as shown in table below. Improvement Scale :47.6% cases got above 70% improvement, 28.5% cases got above 50% improvement, 14.4% cases got above 30% improvement, 9.5% cases got above 10% improvement, The medicines found useful were Calcaria  Carb, Graphites,Nat murur, Pulsatilla, Ars Alb, Thuja oc, Sepia, Acid Nitric, Sulphur and Thyroidin. Following nosodes were given Tuberculinum, Syphilinum and Carcinosin. The potencies used were in 30, 200 and 1M. The 30 potency was repeated weekly, 200 potencies were repeated fortnightly and 1M potency was repeated after a month. Nosodes were given in 1M potency. Along with treatment diet advice, Psychological counseling was given.

Conclusions:

It is a common belief that Psoriatic diseases difficult to cure, but if you take detailed life space investigation, read the mind of psoriatic patient we can overcome the challenges in treating Psoriatic diseases. In conventional system of medicine treatment is unsatisfactory as the ‘cause’ is unknown; hence the treatment is only palliative; In Homoeopathic system psoriatic skin diseases can be treated successfully. Guttate psoriasis, Pustular psoriasis^{, Psoriatic} Tongue and Erythrodermic psoriasis which are successfully treated by the author, details of cases are published in reference cited journals 

Clinical Study of Types of Psoriasis and Homoeopathic Management.

Psoriasis is a common, chronic, recurrent², non-infectious genetically determined, inflammatory skin disorder of unknown cause, papulosquamous skin disease that may appear at any age and affect any part of the skin.

25cases were studied (20male & 5female), the diagnosis was made clinically; some cases were referred by Dermatologists. In 6 Cases BMI was above 30, 6 cases were US based, in 3 cases sever negative impact was present, the types of Psoriatic cases were as shown in table below. Improvement Scale :47.6% cases got above 70% improvement, 28.5% cases got above 50% improvement, 14.4% cases got above 30% improvement, 9.5% cases got above 10% improvement, The medicines found useful were Calcaria  Carb, Graphites,Nat murur, Pulsatilla, Ars Alb, Thuja oc, Sepia, Acid Nitric, Sulphur and Thyroidin. Following nosodes were given Tuberculinum, Syphilinum and Carcinosin. The potencies used were in 30, 200 and 1M. The 30 potency was repeated weekly, 200 potencies were repeated fortnightly and 1M potency was repeated after a month. Nosodes were given in 1M potency. Along with treatment diet advice, Psychological counseling was given.

Conclusions:

It is a common belief that Psoriatic diseases difficult to cure, but if you take detailed life space investigation, read the mind of psoriatic patient we can overcome the challenges in treating Psoriatic diseases. In conventional system of medicine treatment is unsatisfactory as the ‘cause’ is unknown; hence the treatment is only palliative; In Homoeopathic system psoriatic skin diseases can be treated successfully. Guttate psoriasis, Pustular psoriasis^{, Psoriatic} Tongue and Erythrodermic psoriasis which are successfully treated by the author, details of cases are published in reference cited journals

Clinical presentations ⁴:

Plaque psoriasis is the most prevalent form of the disease. About 80 percent of all those who have psoriasis have this form. Females develop plaque psoriasis earlier than males. The first peak occurrence of plaque psoriasis is in people aged 16-22 years. The second peak is in people aged 57-60 years. The skin is red and covered with silvery scales. Circular- to oval-shaped red plaques that sometimes itch or burn are typical of plaque psoriasis. The patches usually are found on the elbows, knees, trunk, or scalp but may be found on any part of the skin. Most plaques of psoriasis are persistent.

Guttate psoriasis often comes on quite suddenly. A variety of conditions like upper respiratory infections, streptococcal l infections, tonsillitis, stress, injury to the skin and the administration of certain drugs (including antimalarials and beta-blockers).have been known to bring on an attack of Guttate psoriasis, Guttate psoriasis looks like small, salmon-pink (or red) drops on the skin.. Guttate psoriasis usually occurs on the trunk

Erythrodermic psoriasis is a particularly inflammatory form of psoriasis that often affects most of the body surface. This is the least common type of psoriasis and can be quite serious. A very large area of the body, if not most of the body, is bright red and inflamed. The body can appear to be covered in a red, peeling rash. The rash usually itches or burns. It may occur in association with von Zumbusch pustular psoriasis. It is characterized by periodic, widespread, fiery redness of the skin. The erythema of the skin are often accompanied by severe itching and pain.

Pustular psoriasis is an uncommon form of psoriasis. Pustular psoriasis in this variety, tiny, superficial, sterile pustules appear either on the surface of psoriatic lesions or on previously unaffected skin. The degree of underlying erythema is variable but constantly present. The localised variety mainly involves the palms and soles while the generalised type has widespread involvement accompanied by severe constitutional symptoms. A generalized type with acute symptoms of fever, chills, nausea, headache, and joint pain is called the von Zumbusch type. Pustular psoriasis of the palms and soles is usually chronic and presents with red patches studded with white-to-yellow pustules.

Nail psoriasis can affect the fingernails and toenails. Most people who have psoriasis of the nails also have skin psoriasis. Psoriasis of the nails involves any of a number of changes to the nail area. Clear yellow-red nail discolouring that looks like a drop of blood under the nail plate may occur. Little pits may form in the nails. These pits develop when cells are lost from the nail's surface. Psoriasis of the nails occurs in fewer than 5% of people.

Psoriasis of the Scalp the scalp may have fine dry scaly skin, or have heavily crusted plaque areas. The plaque can flake off or peel off in crusted clumps. Sometimes psoriasis of the scalp is confused with seborrheic dermatitis. In seborrheic dermatitis, the scales are greasy looking, not dry.

Inverse Psoriasis or flexor is Bright red, smooth (not scaly); patches are found in the folds of the skin. The most common areas are under the breasts, in the armpits, near the genitals, under the buttocks, or in abdominal folds. These irritated and inflamed areas are aggravated by the sweat and skin rubbing together in the folds. Yeast overgrowth may trigger the skin lesions of psoriasis

Psoriatic arthritis is a specific condition in which a person has both psoriasis and arthritis.  Psoriatic arthritis is an autoimmune disease, rarely; a person can have psoriatic arthritis without having skin psoriasis. Usually, the more severe the skin symptoms are, the greater the likelihood a person will have psoriatic arthritis

A Case of Paediatric Cholelithiasis treated with Homoeopathy

Prof G R Mohan

M D (Hom) PG dip (Env Stud)

Abstract:

Introduction: Gallstones are a major public health problem in all developed countries. Although gallbladder disease had traditionally been considered an adult condition, the prevalence has been rising in the pediatric population. Baby aged 5year came with multiple Gall stones was treated successful with Lycopodium and Carduus Marianus.   Treatment was guided by ultra sound scan of abdomen before and after treatment. It is an Evidenced based Homoeopathic treatment.

Key words: Cholelithiasis, Homoeopathy,

Introduction:

Cholelithiasis is defined as “the presence or formation of stones in the gall bladder”. Cholelithiasis incidence ranging from 0.15% to 0.22%.^. Cholelithiasis is common throughout the adult population, affecting as many as 25 million Americans and resulting in 500,000-700,000 cholecystectomies per year.

The Cholelithiasis prevalence has been rising in the pediatric population. Gallbladder disease is much rarer in children, with 1.3 pediatric cases occurring per every 1000 adult cases .A population-based study estimated that the prevalence of gallstones and biliary sludge in children is at 1.9% and 1.46%, respectively²_.Pediatric patients undergo 4% of all cholecystectomies. Cholecystectomy is the procedure of choice for symptomatic children with Cholelithiasis, regardless of age ^{2, 3}_. Cholelithiasis can occur at any age, including prenatally, but is most common during puberty. Females are at significantly higher risk, with an overall 4:1 female-to-male predominance that increases to 11 to 22.1 during adolescence.

The common causes related to predisposing factors  are Hemolytic disease, hepatobiliary disease, obesity, prolonged parenteral nutrition, abdominal surgery, trauma, sepsis, and pregnancy. In children one fourth of total Cholelithiasis cases are Calcium carbonate stones, remaining 48% of gallstones in children belongs to Black pigment stones. They are formed when bile becomes supersaturated with calcium bilirubinate, the calcium salt of unconjugated bilirubin. Black pigment stones are commonly formed in hemolytic disorders and can also develop with parenteral nutrition. The complications of Cholelithiasis in children are similar to those in adults.²

A Case: Baby aged 5year came with following complaints

Complaints: Pain in the abdomen on and off, pain in the throat with recurrent fever. with multiple Gall stones.

Presenting complaints : Pain in the right hypochondria  on and off since a year shifting from right to left, fullness of abdomen, on and off pain in the throat < by eating Chocolates, she has great desire to eat.

Past history: nothing particular

Treatment history: took conventional medicine for above problem.

Family history: mother is suffering from Migraine.

Personal history:

Appetite: Normal

 Thirst:  normal

 Desires: Chocolates

 Aversions: - Nothing Particular

 Bowel movements: Normal.

 Urine: normal

 Sleep: normal

General physical examination & observations : normal built with 20 KGs; child is fussy in nature,  on examination of throat : no congestion only chronic enlargement of tonsils.

Systemic examination:

CVS:   NYD

RESP: NYD

CNS: NYD

GIT: abdomen on palpation soft, NYD

Investigations of significance: WBC: 18200, ESR: 15mm, CRP: 60mg/l, ASO: 200IU/ml,

Alkaline Phosphate: 650IU/L, SGPT 45IU/Land SGOT 37IU/L. Ultra sound Scan: Multiple stones in Gall bladder.

Provisional diagnosis: Cholelithiasis

Clinical diagnosis: Cholelithiasis, Chronic Tonsillitis,

Clinical classification: Dynamic chronic fully developed miasmatic disease

Miasmatic diagnosis: Trimiasmatic

Totality of symptoms: A shown in reportorial chart

Repertorial totality: A shown in Repertorial chart

Repertorial result:

Analysis of repertorial result:

Susceptibility: Moderate

Reasons for selecting the remedy:

Reasons for selecting the remedy:

8/9/2009: Nux Vomica 200,3doses was given and 15 days Rubrum was given.

25/09/09: no change in her complaints, 7 days Rubrum was given

09/10/09: no change in her complaints as per the Repertorisation, Lycopodium covered 7 out of six symptoms, I gave   Lycopodium 30 C 3doses were given, 15 days Rubrum was given.

24/10/09: pain in throat reduced, appetite no improvement, pain right hypochondrium was persisting, 15 days Rubrum was given

19/11/09   appetite improved. Pain right hypochondrium was persisting, fullness of abdomen was slightly better, Tuberculinum 200C, 3doses were given, 15 days Rubrum was given.

28/11 / 09 she came with pain in right upper quadrant of abdomen, bowel movement was normal, regular. Cardus M 6C, 2pill twice a day for 1O days followed by Rubrum 20 Days,

25/12/09 :  Weight has increases to 21 kgs, General condition was normal,  repeated  Cardus M 6C , 2pill twice a day for 1O days followed by Rubrum 20 Days advised them to go for  Ultra sound Scan,  Liver function Test

17/01/2010: General condition was normal Ultra sound Scan was normal as shown below.

Liver function Test Within normal limits. Advice the father of the patient to come after 2 months for review.  

Reasons for selecting the remedies:

Nux Vomica was selected as case has come from conventional system of treatment; it has covered five out of seven symptoms. Lycopodium  was selected as  it  has covered  six  out of seven symptoms. It is a right sided remedy ,Tuberculinum was prescribed  as well indicated remedies are not giving desired results, Carduus Marianus 6C was given as it is a very important remedy for Gall Stones , there was lot of pressure on me as said  patient was relative of  local Gastroenterologist , there was fear of obstruction, parents were afraid of  going for Surgery. For this reasons  I have changed the remedies frequently. But  child got desired cure.

Conclusion: estimated the prevalence of gallstones and biliary sludge in children at 1.9% and 1.46%, respectively.² in children very common presentation will be pain in right upper quadrant of abdomen, most of the Physicians don’t dream of this Cholelithiasis condition. In majority of cases we can relive the pain by our homoeopathic remedies. Sometimes we may not get expected results, only ultra sound Scan can give us the direction to proper treatment. The above case is one example, an organopathic remedy helped to dissolve the multiple stones. In children we have depend on only objective symptoms only as children are not in position to give their subjective symptoms.

*** full length article is published in homoeopathy 4 everyone,vol 8, issue 11,2011 Nov,(hpathy.com)

Vanabhojanam, Devs homoeopathic medical college, Hyderabad

Vanabhojanam is a garden party done in Kartik mas, just like last year staff and students of Devs homoeopathic medical college, Hyderabad, participated in this traditional vanabhojanam with joy. Of course due to some reasons it was indoor even though nice eco was available.In the Ashram premises very big Sai bana is situated, next to it was gurudatta temple and as Sri Swamy was a great patriot a Bharatmatha temple was built by him. At Sai bana temple 12 noon Ahrathi was attended by us, Dr Swarna madam who took lot of pains along with our staff members Dr Uma Rani & Smt Vijayalaxmi in preparing the menu.

At 3PM Swamy jee addressed our staff and students and advice them to do some social activity for needy people.

Europe visit Dr G R Mohan

I was thrilled by the affection and love showered by Devs homoeopathic Medical college staff (friends) and students on my visit to Europe. Through this blog I thank one and all.