Eczema with homoeopathic approach with case example.

Eczema (Atopic Dermatitis) – Overview

What is Eczema?

Eczema is a chronic inflammatory skin condition characterized by redness, itching, dryness, and sometimes oozing or crusting. It tends to flare up periodically and can affect any age group but is more common in children.

Types of Eczema

  1. Atopic Dermatitis – Most common form; associated with allergies or asthma.
  2. Contact Dermatitis – Triggered by allergens or irritants (e.g., detergents, chemicals).
  3. Dyshidrotic Eczema – Small, itchy blisters on hands and feet.
  4. Nummular Eczema – Coin-shaped patches of irritated skin.
  5. Seborrheic Dermatitis – Often affects scalp, face, and oily areas.
  6. Stasis Dermatitis – Related to poor blood circulation in the lower legs.

Symptoms

  • Intense itching
  • Dry, cracked, or scaly skin
  • Red or inflamed patches
  • Thickened skin in chronic cases
  • Blisters or oozing in severe flare-ups

Common Triggers

  • Harsh soaps, detergents, and perfumes
  • Stress and emotional factors
  • Allergens (dust, pollen, pet dander)
  • Weather changes (especially dry, cold air)
  • Certain foods (dairy, nuts, wheat in some cases)

Management & Care

  • Moisturize regularly with fragrance-free creams.
  • Avoid triggers like harsh soaps and allergens.
  • Use mild cleansers and lukewarm water for bathing.
  • Wear cotton clothing; avoid wool and synthetic fabrics.
  • Manage stress to prevent flare-ups.

Homeopathic Remedies for Eczema

Homeopathic treatment is individualized, but commonly used remedies include:

  1. Graphites – Thick, sticky discharge; skin cracks; worse in winter.
  2. Sulphur – Intense itching, burning, scratching makes it worse; worse from heat.
  3. Rhus toxicodendron – Red, swollen skin with blister-like eruptions; itching worse at night.
  4. Mezereum – Eczema with thick crusts and sticky discharge; intolerable itching.
  5. Natrum muriaticum – Dry eczema with fissures; worse from heat and emotional stress.

Note: Remedy selection should be based on totality of symptoms, not only the skin complaint. Consultation with a qualified homeopath is recommended.

Case Example – Eczema (Atopic Dermatitis)

Patient Details

  • Name: Ms. R
  • Age: 28 years
  • Gender: Female
  • Occupation: Teacher
  • Chief Complaint: Itching, redness, and dryness of skin for 3 years, worsening during winter.

Case History

  • Onset: Gradual, started with small red patches on the elbows and behind the knees.
  • Progression: Spread to hands and neck over time.
  • Current Symptoms:
    • Intense itching, especially at night.
    • Burning sensation after scratching.
    • Thickened, dry, scaly patches.
    • Aggravation from heat and wool clothing.
    • Temporary relief from cool applications.

Past History

  • Recurrent allergic rhinitis in childhood.
  • No major illnesses or hospitalizations.

Family History

  • Mother has asthma.
  • Younger brother suffers from allergic rhinitis.

Physical Examination

  • Skin: Dry, thickened patches with mild scaling on flexural areas.
  • No oozing or secondary infection noted.
  • Nails & hair: Normal.
  • Systemic Examination: Normal.

General Symptoms

  • Craving for sweets.
  • Perspiration on head during sleep.
  • Sleeps on abdomen.

Miasmatic Background

  • Psoro-syphilitic.

Repertorization (Key Rubrics)

  1. Skin – Eruptions – Eczema – Flexures of joints
  2. Skin – Itching – Night – Aggravates
  3. Skin – Dry – Scaly
  4. Generalities – Heat – Aggravates
  5. Mind – Irritability – Itching – During

Remedy Selected: Sulphur 200C

  • Chosen for intense itching, burning after scratching, aggravation from heat, and strong psoric background.

Prescription

  • Sulphur 200C – One dose, followed by placebo for 15 days.
  • Follow-up:
    • After 2 weeks: Itching reduced by 50%; no new lesions.
    • After 6 weeks: Skin dryness improved, patches fading.
    • Continued with constitutional treatment for long-term cure.


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