Eczema
And Its Homoeopathic Approach
|
ECZEMA
SKIN
The human
skin is the outer covering of the
body. In humans, it is the largest organ of the integumentary system. The skin has multiple layers of ectodermal tissue and guards the underlying muscles, bones, ligaments and internal
organs.
ANATOMY OF THE SKIN:
LAYERS
OF THE SKIN:
The 3 layers of skin - the epidermis, dermis,
and subcutaneous tissue.
Epidermis
The
epidermis is the outer layer of skin. The thickness of the epidermis varies in
different types of skin. It is the thinnest on the eyelids at .05 mm and the
thickest on the palms and soles at 1.5 mm.
The epidermis contains 5
layers. From bottom to top the layers are named:
·
stratum basale
·
stratum spinosum
·
stratum granulosum
·
stratum licidum
·
stratum corneum
The bottom layer, the
stratum basale, has cells that are shaped like columns. In this layer the cells
divide and push already formed cells into higher layers. As the cells move into
the higher layers, they flatten and eventually die.
The top layer of the
epidermis, the stratum corneum, is made of dead, flat skin cells that shed
about every 2 weeks.
Dermis
The dermis also varies in thickness depending on the location of the skin. It is .3 mm on the eyelid and 3.0 mm on the back. The dermis is composed of three types of tissue that are present throughout - not in layers. The types of tissue are:
The dermis also varies in thickness depending on the location of the skin. It is .3 mm on the eyelid and 3.0 mm on the back. The dermis is composed of three types of tissue that are present throughout - not in layers. The types of tissue are:
·
collagen
·
elastic tissue
·
reticular fibers
Layers
of the Dermis
The two layers of the dermis are the papillary and reticular layers.
The two layers of the dermis are the papillary and reticular layers.
·
The upper, papillary layer, contains a thin
arrangement of collagen fibers.
·
The lower, reticular layer, is thicker and
made of thick collagen fibers that are arranged parallel to the surface of the
skin.
Subcutaneous Tissue
The subcutaneous tissue is a layer of fat and connective tissue that houses larger blood vessels and nerves. This layer is important is the regulation of temperature of the skin itself and the body. The size of this layer varies throughout the body and from person to person.
The subcutaneous tissue is a layer of fat and connective tissue that houses larger blood vessels and nerves. This layer is important is the regulation of temperature of the skin itself and the body. The size of this layer varies throughout the body and from person to person.
`The skin is a complicated structure
with many functions. If any of the structures in the skin are not working
properly, a rash or abnormal sensation is the result. The whole specialty of
dermatology is devoted to understanding the skin, what can go wrong, and what
to do if something does go wrong.
SKIN COMPONENTS:
Skin has mesodermal
cells, pigmentation,
or melanin provided by melanocytes, which absorb some of the
potentially dangerous ultraviolet
radiation (UV) in sunlight. It also contains DNA-repair enzymes that help reverse UV damage, and people
who lack the genes for these enzymes suffer high rates of skin cancer. One form predominantly
produced by UV light, malignant melanoma, is particularly invasive,
causing it to spread quickly, and can often be deadly. Human
skin pigmentation varies among populations in a striking manner. This has led
to the classification of people(s) on the basis of skin color.
FUNCTIONS OF THE
SKIN:
Skin performs the following
functions:
1. Protection:
an anatomical barrier from pathogens and damage between the internal and
external environment in bodily defense; Langerhans cells in the skin
are part of the adaptive immune system.
2. Sensation:
contains a variety of nerve endings that react to heat and cold, touch,
pressure, vibration, and tissue injury; see somatosensory
system and haptics.
3. Heat
regulation:
the skin contains a blood supply far greater than its requirements which allows
precise control of energy loss by radiation, convection and conduction. Dilated
blood vessels increase perfusion and heatloss, while constricted vessels
greatly reduce cutaneous blood flow and conserve heat.
4. Control
of evaporation: the skin provides a relatively dry and semi-impermeable
barrier to fluid loss. Loss of this function contributes to the massive
fluid loss in burns.
5. Aesthetics
and communication: others see our skin and can assess our
mood, physical state and attractiveness.
6. Storage
and synthesis: acts as a storage center for lipids and water, as well
as a means of synthesis of vitamin D by action of UV on
certain parts of the skin.
7. Excretion: sweat contains urea, however its
concentration is 1/130th that of urine, hence excretion by
sweating is at most a secondary function to temperature regulation.
8. Absorption:
the cells comprising the outermost 0.25–0.40 mm of the skin are
"almost exclusively supplied by external oxygen", although the
"contribution to total respiration is negligible". In addition,
medicine can be administered through the skin, by ointments or by means of
adhesive patch, such as the nicotine
patch or iontophoresis. The skin is an important site of transport in
many other organisms.
9. Water
resistance:
The skin acts as a water resistant barrier so essential nutrients aren't washed
out of the body.
PIGMENTS:
There
are at least five different pigments that determine the color of the
skin. These pigments are present at different levels and places.
·
Melanin: It is brown in color and present in
the germinative zone of the epidermis.
·
Melanoid: It resembles melanin but is present
diffusely throughout the epidermis.
·
Keratin: This pigment is yellow to orange in
color. It is present in the stratum corneum and fat cells of dermis and
superficial fascia.
·
Hemoglobin (also spelled haemoglobin):
It is found in blood and is not a pigment of the skin but develops a purple
color.
·
Oxyhemoglobin: It is also found in blood and
is not a pigment of the skin. It develops a red color.
DISEASES OF THE SKIN:
PRIMARY LESIONS
·
Macule – A macule is a
change in surface color, without elevation or depression and, therefore,
nonpalpable, well or ill-defined, variously
sized, but generally considered less than either 5 or 10 mm in
diameter at the widest point.
·
Patch – A patch is a large
macule equal to or greater than either 5 or 10 mm, across depending
on one's definition of a macule. Patches may have some subtle surface
change, such as a fine scale or wrinkling, but although the consistency of the
surface is changed, the lesion itself is not palpable.
·
Papule – A papule is a
circumscribed, solid elevation of skin with no visible fluid, varying in size
from a pinhead to less than either 5 or 10 mm in diameter at the
widest point.
·
Plaque – A plaque has been
described as a broad papule, or confluence of papules equal to or greater than
1 cm, or alternatively as an elevated, plateau-like lesion that is
greater in its diameter than in its depth.[
·
Nodule – A nodule is
morphologically similar to a papule, but is greater than either 5 or
10 mm in both width and depth, and most frequently centered in the dermis
or subcutaneous fat.The depth of involvement is what differentiates a nodule
from a papule.
·
Vesicle – A vesicle is a
circumscribed, fluid-containing, epidermal elevation generally considered less
than either 5 or 10 mm in diameter at the widest point.
·
Bulla – A bulla is a large
vesicle described as a rounded or irregularly shaped blister
containing serous or seropurulent fluid, equal to or
greater than either 5 or 10 mm, depending on one's definition of
a vesicle.
·
Pustule – A pustule is a
small elevation of the skin containing cloudy or purulent material usually
consisting of necrotic inflammatory cells.These can be either white or red.
·
Cyst – A cyst is an
epithelial-lined cavity containing liquid, semi-solid, or solid material.
·
Erosion – An erosion is a
discontinuity of the skin exhibiting incomplete loss of the epidermis,a
lesion that is moist, circumscribed, and usually depressed.
·
Ulcer – An ulcer is a
discontinuity of the skin exhibiting complete loss of the epidermis and often
portions of the dermis and even subcutaneous fat.
·
Fissure – A fissure is a
crack in the skin that is usually narrow but deep.
·
Wheal – A wheal is a
rounded or flat-topped, pale red papule or plaque that is
characteristically evanescent, disappearing within 24 to 48 hours.
·
Telangiectasia – A telangiectasia
represents an enlargement of superficial blood vessels to the point of being
visible.
·
Burrow – A burrow appears as
a slightly elevated, grayish, tortuous line in the skin, and is caused by
burrowing organisms.
SECONDARY LESIONS
·
Scale – dry or greasy
laminated masses of keratin that represent thickened stratum corneum.
·
Crust – dried serum, pus,
or blood usually mixed with epithelial and sometimes bacterial debris.
·
Lichenification – epidermal
thickening characterized by visible and palpable thickening of the skin with
accentuated skin markings.
·
Excoriation – a punctate or
linear abrasion produced by mechanical means (often scratching),
usually involving only the epidermis, but commonly reaching the papillary
dermis.
·
Induration – dermal thickening
causing the cutaneous surface to feel thicker and firmer.
·
Atrophy – refers to a loss of
tissue, and can be epidermal, dermal, or subcutaneous. With epidermal
atrophy, the skin appears thin, translucent, and wrinkled. Dermal or
subcutaneous atrophy is represented by depression of the skin.
·
Maceration – softening and
turning white of the skin due to being consistently wet.
·
Umbilication – formation of
a depression at the top of a papule, vesicle, or pustule.
Chronic Skin Conditions
Chronic skin conditions
typically aren’t curable, but they can be managed using drugs and by paying
close attention to your lifestyle. Learn more about symptoms, treatments, and
ways to feel better.
Eczema
Eczema is term for a group of medical
conditions that cause the skin to become inflamed or irritated.
Psoriasis
Psoriasis is a common skin disorder that
produces thick red plaques covered with silvery scales.
Acne
Although acne remains largely a curse of
adolescence, about 20% of all cases occur in adults.
Rosacea
Rosacea is a common disorder that mainly
affects skin on the face. It causes redness on the nose, chin, cheeks, and
forehead.
ECZEMA
Definition:
Dermatitis and eczema is non-contagious inflammation
of the skin, characterized by erythema, scaling, oedema, vesiculation and
oozing. Herba says, “ Eczema is what looks like eczema”. Dermatitis literally
means inflammation of the skin and as such can include all inflammations of the
skin except by specific infections.
Introduction:
The
term eczema is broadly applied to a range of persistent skin
conditions. These include dryness and recurring skin rashes that are characterized
by one or more of these symptoms: redness, skin edema (swelling),
itching and dryness, crusting, flaking, blistering, cracking, oozing, or
bleeding. Areas of temporary skin discoloration may appear and are sometimes
due to healed injuries. Scratching open a healing lesion may
result in scarring and may enlarge the rash.
The
word eczema comes from Greek, meaning "to boil
over". Dermatitis comes from the Greek word for skin – and both terms
refer to the same skin condition. In some languages, dermatitis and
eczema are synonymous, while in other languages dermatitis implies an acute condition and "eczema" a chronic one. The two conditions are often classified
together.
Classifications:
The term eczema refers to a set of clinical characteristics.
Classification of the underlying diseases has been haphazard and unsystematic,
with many synonyms used
to describe the same condition. A type of eczema may be described by location
(e.g., hand eczema), by specific appearance (eczema craquele or discoid), or by possible
cause (varicose eczema).
The classifications below is ordered by incidence
frequency.
Common
·
Atopic eczema (aka infantile e., flexural e., atopic dermatitis) is an allergic
disease believed to have a hereditary component and often runs in families
whose members also have asthma. Itchy rash is particularly noticeable on head and scalp, neck, inside
of elbows, behind knees, and buttocks. Experts are urging doctors to
be more vigilant in weeding out cases that are, in actuality, irritant contact dermatitis. It is very common in developed countries, and rising.
·
Contact dermatitis is of two types: allergic (resulting from a delayed reaction to
some allergen, such as poison
ivy or nickel), and irritant (resulting from direct reaction to a detergent,
such as sodium lauryl
sulfate, for example). Some substances act both as
allergen and irritant (wet cement, for example). Other substances cause a
problem after sunlight exposure, bringing on phototoxic dermatitis. About three
quarters of cases of contact eczema are of the irritant type, which is the most
common occupational skin disease. Contact eczema is curable, provided the
offending substance can be avoided and its traces removed from one's environment.
·
Xerotic eczema (aka asteatotic e., e. craquele or craquelatum, winter itch,
pruritus hiemalis) is dry skin that becomes so serious it turns into eczema. It
worsens in dry winter weather, and limbs and trunk are most often affected. The
itchy, tender skin resembles a dry, cracked, river bed. This disorder is very
common among the older population. Ichthyosis is a related disorder.
·
Seborrhoeic dermatitis or Seborrheic
dermatitis ("cradle
cap" in infants) is a condition sometimes
classified as a form of eczema that is closely related to dandruff. It causes dry or greasy peeling of the scalp, eyebrows, and face, and
sometimes trunk. The condition is harmless except in severe cases of cradle
cap. In newborns it causes a thick, yellow crusty scalp rash called cradle cap,
which seems related to lack of biotin and is often curable.
Less common
·
Dyshidrosis (aka dyshidrotic e., pompholyx, vesicular palmoplantar dermatitis,
housewife's eczema) only occurs on palms, soles, and sides of fingers and toes.
Tiny opaque bumps called vesicles, thickening,
and cracks are accompanied by itching, which gets worse at night. A common type
of hand eczema, it worsens in warm weather.
·
Discoid eczema (aka nummular e., exudative e., microbial e.) is characterized by
round spots of oozing or dry rash, with clear boundaries, often on lower legs.
It is usually worse in winter. Cause is unknown, and the condition tends to
come and go.
·
Venous eczema (aka gravitational e., stasis dermatitis, varicose e.) occurs in
people with impaired circulation, varicose veins and edema, and is particularly
common in the ankle area of people over 50. There is redness, scaling,
darkening of the skin and itching. The disorder predisposes to leg ulcers.
·
Dermatitis herpetiformis (aka Duhring's Disease) causes intensely itchy and typically
symmetrical rash on arms, thighs, knees, and back. It is directly related to celiac disease, can often be put into remission with appropriate diet,
and tends to get worse at night.
·
Neurodermatitis (aka lichen
simplex chronicus, localized scratch dermatitis) is
an itchy area of thickened, pigmented eczema patch that results from habitual rubbing and scratching. Usually there is only one spot.
Often curable through behavior modification and anti-inflammatory medication. Prurigo nodularis is a related disorder showing multiple lumps.
·
Autoeczematization (aka id reaction, autosensitization) is an eczematous reaction to
an infection with parasites, fungi, bacteria or viruses. It is completely
curable with the clearance of the original infection that caused it. The
appearance varies depending on the cause. It always occurs some distance away
from the original infection.
·
There are also eczemas
overlaid by viral infections (e. herpeticum, e.vaccinatum), and eczemas resulting from underlying disease (e.g. lymphoma). Eczemas originating from ingestion of medications, foods, and
chemicals, have not yet been clearly systematized. Other rare eczematous
disorders exist in addition to those listed here.
Causes:
The
cause of eczema is unknown but is presumed to be a combination of genetic and
environmental factors.
The hygiene
hypothesis postulates
that the cause of asthma,
eczema, and other allergic diseases is an unusually clean environment. It is
supported by epidemiologic studies for asthma. The
hypothesis states that exposure to bacteria and other immune system modulators
is important during development, and missing out on this exposure increases
risk for asthma and allergy.
While
it has been suggested that eczema may sometimes be an allergic reaction to the excrement from house
dust mites, with
up to 5% of people showing antibodies to the mites, the
overall role this plays awaits further corroboration.
Researchers
have compared the prevalence of eczema in people who also suffer from celiac disease
to eczema prevalence in control subjects, and have found that eczema occurs
about three times more frequently in celiac disease patients and about two
times more frequently in relatives of celiac patients, potentially indicating a genetic link
between the two conditions.
Clinical Features:
Diagnosis:
Diagnosis of eczema is
based mostly on history and physical examination. However, in uncertain cases,
skin biopsy may be useful.
Management:
- Avoiding dry skin
- Moisturizing
- Eczema can be
exacerbated by dryness of the skin. Moisturizing is one of the most
important self-care treatments for sufferers of eczema. Keeping the
affected area moistened can promote skin healing and relief of symptoms.
Environmental
measures
While
it has been suggested that eczema may sometimes be an allergic reaction to the
excrement from house dust mites, with up to 5% of people showing antibodies to
the mites, the overall role this plays awaits further corroboration.
Various
measures may reduce the amount of mite antigens, in particular swapping carpets
for hard surfaces.
Diet
and nutrition
Dietary
elements that have been reported to trigger eczema include dairy products and
coffee (both caffeinated and decaffeinated), soybean products, eggs, nuts,
wheat and maize (sweet corn), though food allergies may vary from person to
person.
Homoeopathic Management of Eczema:
The
core wisdom of the body is to push illness from a more vital to less important
tissue. Thus, though eczema is a completely curable condition, this often
requires professional, constitutional prescribing. Simultaneously clearing up
associated allergies or overall immune weakness, If eczema co-exists or
alternates with asthma or hay fever, merely treating the skin will not resolve
the whole syndrome, Nonetheless, the remedies listed here can give considerable
relief, and in fact are the ones most commonly used to cure eczema on the
deepest level. Sulphur is often indicated if there has
been suppression by various ointments. Sulphur and
other remedies can also cause skin “aggravations”- the condition gets worst
first as part of the cure.Calendula is the best and usually
only medicine that should be used to soothe itchy, chaffed or broken skin.
Homoeopathic
Approach:
SKIN
- ERUPTIONS - eczema
SKIN - ERUPTIONS - eczema - alternating with
SKIN - ERUPTIONS - eczema - dishydrotic
SKIN - ERUPTIONS - eczema - itching; not
SKIN - ERUPTIONS - eczema - menses agg.
SKIN - ERUPTIONS - eczema - seaside; at the
SKIN - ERUPTIONS - vesicular - sudamina
SKIN - ERUPTIONS - eczema - alternating with
SKIN - ERUPTIONS - eczema - dishydrotic
SKIN - ERUPTIONS - eczema - itching; not
SKIN - ERUPTIONS - eczema - menses agg.
SKIN - ERUPTIONS - eczema - seaside; at the
SKIN - ERUPTIONS - vesicular - sudamina
HEAD
- ERUPTIONS - eczema
EAR - DISCHARGES - purulent - eczema; with
EAR - ERUPTIONS - eczema
EAR - ERUPTIONS - Behind the ears - eczema
EAR - ERUPTIONS - Meatus, in - eczema
HEARING - IMPAIRED - eczema; after a suppressed
EAR - DISCHARGES - purulent - eczema; with
EAR - ERUPTIONS - eczema
EAR - ERUPTIONS - Behind the ears - eczema
EAR - ERUPTIONS - Meatus, in - eczema
HEARING - IMPAIRED - eczema; after a suppressed
FACE
- ERUPTIONS - eczema
ABDOMEN - ERUPTIONS - eczema round navel
RECTUM - ERUPTIONS - about anus - eczema
MALE GENITALIA/SEX - ERUPTIONS - eczema
MALE GENITALIA/SEX - ERUPTIONS - Scrotum - eczema
FEMALE GENITALIA/SEX - ERUPTIONS - eczema
CHEST - ERUPTIONS - eczema
CHEST - ERUPTIONS - Axilla - eczema
CHEST - ERUPTIONS - Mammae - eczema
CHEST - ERUPTIONS - Mammae - nipples - eczema
BACK - ERUPTIONS - eczema
EXTREMITIES - ERUPTIONS - eczema
EXTREMITIES - ERUPTIONS - Joints - eczema
EXTREMITIES - ERUPTIONS - Joints - bends of - eczema
EXTREMITIES - ERUPTIONS - Upper limbs - eczema
EXTREMITIES - ERUPTIONS - Shoulder - eczema
EXTREMITIES - ERUPTIONS - Elbow - eczema
EXTREMITIES - ERUPTIONS - Elbow - bend of - eczema
EXTREMITIES - ERUPTIONS - Forearm - eczema
EXTREMITIES - ERUPTIONS - Wrist - eczema
EXTREMITIES - ERUPTIONS - Hand - eczema
EXTREMITIES - ERUPTIONS - Hand - back of - eczema
EXTREMITIES - ERUPTIONS - Fingers - eczema
EXTREMITIES - ERUPTIONS - Lower limbs - eczema
EXTREMITIES - ERUPTIONS - Thigh - eczema
EXTREMITIES - ERUPTIONS - Knee - eczema rubrum
EXTREMITIES - ERUPTIONS - Knee - hollow of - eczema
EXTREMITIES - ERUPTIONS - Leg - eczema
EXTREMITIES - ERUPTIONS - Leg - calf - eczema
EXTREMITIES - ERUPTIONS - Ankle - eczema
EXTREMITIES - ERUPTIONS - Foot - back of - eczema
EXTREMITIES - PAIN - burning - Hand - eczema, in
EXTREMITIES - SWELLING - Hand - eczema, with
ABDOMEN - ERUPTIONS - eczema round navel
RECTUM - ERUPTIONS - about anus - eczema
MALE GENITALIA/SEX - ERUPTIONS - eczema
MALE GENITALIA/SEX - ERUPTIONS - Scrotum - eczema
FEMALE GENITALIA/SEX - ERUPTIONS - eczema
CHEST - ERUPTIONS - eczema
CHEST - ERUPTIONS - Axilla - eczema
CHEST - ERUPTIONS - Mammae - eczema
CHEST - ERUPTIONS - Mammae - nipples - eczema
BACK - ERUPTIONS - eczema
EXTREMITIES - ERUPTIONS - eczema
EXTREMITIES - ERUPTIONS - Joints - eczema
EXTREMITIES - ERUPTIONS - Joints - bends of - eczema
EXTREMITIES - ERUPTIONS - Upper limbs - eczema
EXTREMITIES - ERUPTIONS - Shoulder - eczema
EXTREMITIES - ERUPTIONS - Elbow - eczema
EXTREMITIES - ERUPTIONS - Elbow - bend of - eczema
EXTREMITIES - ERUPTIONS - Forearm - eczema
EXTREMITIES - ERUPTIONS - Wrist - eczema
EXTREMITIES - ERUPTIONS - Hand - eczema
EXTREMITIES - ERUPTIONS - Hand - back of - eczema
EXTREMITIES - ERUPTIONS - Fingers - eczema
EXTREMITIES - ERUPTIONS - Lower limbs - eczema
EXTREMITIES - ERUPTIONS - Thigh - eczema
EXTREMITIES - ERUPTIONS - Knee - eczema rubrum
EXTREMITIES - ERUPTIONS - Knee - hollow of - eczema
EXTREMITIES - ERUPTIONS - Leg - eczema
EXTREMITIES - ERUPTIONS - Leg - calf - eczema
EXTREMITIES - ERUPTIONS - Ankle - eczema
EXTREMITIES - ERUPTIONS - Foot - back of - eczema
EXTREMITIES - PAIN - burning - Hand - eczema, in
EXTREMITIES - SWELLING - Hand - eczema, with
Following remedies are important in the path of
homeopathic treatment of eczema
Arsenicum
·
Intense itching. Turns to burning when scratches
till raw; when burning stops, itching returns. Skin dry as paper.
Flaking. Pussy. Small vesicles.
·
Eczema worst on uncovered parts or areas.
Chilly, weakness. Sips cold water.
·
Restless. Anxious, worried about health, death,
security, picky, miserly.
·
Worse: after midnight, cold air or bath, wet;
better: hot bathing, warm room.
Graphites
·
Red itching pimples; oozing of honey like
liquid, which crusts over.
·
Infects and scars easily, heals slowly.
Overweight, sweaty, constipated.
·
Scalp. Hairline, behind ears, genitals, back of
hands, palms, skin folds.
·
Thickened skin. Deep cracks in fingers, heels,
etc. nails thick. Grooved.
·
Worse: night, menses, heat (though chilly).
Better: cold application.
Mezerium
·
Violent itching; smarting, crawling, but parts
feels cold, as if cool breeze.
·
Acrid oozing, forms hard, thick crusts with pus
under them or white scabs, matting the hair. Intense burning after scratching.
Eczema after vaccines.
·
Scalp, margins of hair, face, lids, eyebrows,
hands and feet, cracked lips.
·
Worse: night, heat of bed or bath, drafts, damp,
touch. Better: open air.
Nat Mur
·
Small itchy blisters with corrosive fluid; skin
becomes red, raw, inflamed.
·
Margins of hair; bends of joints, behind ears.
Dry flaky crusts form after.
·
Craves salt, thirsty. Greasy, oily hair. Dry
skin in general. Underweight.
·
Eczema from suppressed emotion, inner grief.
Avoids consolation, fuss.
·
Worse: warmth, salt, seashore, And menses,
better: cool weather or bathing.
Petroleum
·
Red, raw, moist surface: burning and itching:
oozing after scratching.
·
Deep cracks in folds, fingers. Bleed easily,
become infected. Ulcerations.
·
Eruption of the palms, fingerprints, bends of
joints, behind ears, genitals.
·
Itching, scratches until it bleed; the part
becomes cold after scratching.
·
Worse: winter, cold air, moving vehicles, night.
Better: warm air, dryness.
Sulphur
·
Moist, weeping eruptions, foul odor. Intensely
itchy; scratches till it bleeds, causing burning. Skin bleeds easily. Dry,
scaly, cracked areas.
·
Unhealthy skin, pimples, easily infected.
Burning hot feet at night.
·
Hair margins, face, areas of perspiration, feet,
bends of elbows, knee.
·
Intellectual dreamer. Lethargic, unmotivated.
Tired and always hungry
·
Worse: night, warmth of bed, heat, bathing,
wool. Better: dry, cool bathing.
Hydrocotyle
·
Erysipelatous redness.
·
Three spots almost
completely circular, with slightly raised scaly edges.
·
Yellowish spots on both
legs.
·
Papular eruption on the
face.
·
Pustules on the chest.
·
Pricking on different
parts.
·
Intolerable itching in
several places.
Dr. D. Kumaresan
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