Psoriasis

Clinic

• Psoriasis is a long-lasting, noncontagious autoimmune disease characterized by Skin plaques.
• These plaques are red, or purple maybe darker, dry, itchy, and scaly.
• Psoriasis varies in severity from small, localized patches to complete body coverage.
• Trauma can trigger psoriatic skin changes at that spot, which is known as the Koebner phenomenon.

Five main types	Points	Related disease
Plaque: Also known as psoriasis vulgaris, Prevalence: 90% of cases. It typically presents as red patches with white scales on top. Areas of the body most commonly affected are the back of the forearms, shins, navel area, and scalp. Guttate: It has drop-shaped lesions. Sign/ Symptoms are Dryness, Scaling and Itching of the skin. Inverse: It forms red patches in skin folds. Pustular: It presents as small, noninfectious, pus-filled blisters. Erythrodermic: It occurs when the rash becomes very widespread, and can develop from any of the other types. Fingernails and toenails are affected in most people with psoriasis at some point in time. This may include pits in the nails or changes in nail color.	Psoriasis is a Genetic / Immunologic disease that is triggered by environmental factors. Symptoms often worsen during winter and with certain medications, such as NSAIDs. Infections and psychological stress can also play a role. Diagnosis is typically based on the signs and symptoms. There is no known cure for psoriasis The disease affects 2–4% of the population.	Psoriatic arthritis: It affects up to 30% of individuals with psoriasis Lymphomas, Cardiovascular disease, Crohn's disease Depression.

Guttate Psoriasis Remedies

			Generalities / Modalities
Guttate Scalp	Nat-m	Dry psoriatic patches/ Skin peels easily. Mostly in the scalp, hairy margin, behind the ears, bends of joints Most of the exposed areas of skin. Hair fall Psoriatic lesions of scalp extend to the nape and behind ears. The scalp is covered with white scales. The scalp is also very raw, sore and red. Itching appears in the psoriatic patches.	Unusual craving for salt and salty things. This usually aggravates the itching. Hot, humid climate agg
Guttate Scalp Large scales Scales	Ars-i	Extremely dry skin which peels off easily. As the skin peels, there is a thin watery discharge and raw skin behind. Skin is covered with inflamed patches + Excessive scaling Marked Inflammation/ Scale of the scalp	Thin, emaciated and easily fatigued. Profuse sweating at night. The patient may be very weak. Respiratory complaints.
Guttate Psoriasis Large Oval Lesions Scalp Menopausal phase	Sep	Uncontrollable desire to scratch due to excessive itching. She does not get any relief and continued scratching ends in sore, burning sensation Isolated reddish papules Shiny/ Shitish / Adhesive scales present on papules. Face, chest, back, arms and legs. Extensor surfaces are mostly involved. Red, large oval spots on the scalp that are covered with shining white adhesive scales. Scalp lesions are dry and tend to extend behind the ears	Apathetic feelings or emotions towards their family members, have lost all interest in their profession and take umbrage easily. The patient may cry at every little thing and is extremely moody and irritable. Extremely bad smell emanating from the skin.
Guttate Psoriasis	Sil	Lesions that are tiny and look rosy red in color. As the lesions become old, the color changes to dark brown and then form into dry and white scales. The skin lesions may itch only in the day time and the patients feel better in the evening and night.	Offensive foot sweat. They feel extremely cold and cannot tolerate even the mildest form of cold.
Guttate Psoriasis Cracked Skin Scalp Psoriasis Nail Psoriasis	Graph	Skin is rough and hard. Guttate psoriasis with lesions spreads all over the body. Patches of sore, dry, rough skin with scales. A Cracks on the surface (Maybe) Following scratching, stickiness on the skin may appear. Eruptions with scales appear on the scalp Scalp may be sore to touch, with distressing itching. Burning sensation on the top of the head.   Eruptions on the scalp can also spread behind the ears. Crippled/ Rough/ Thick / Deformed nails that break easily Cracks around the finger tips. Marked dryness and roughness of the scalp. Thick-crusted plaques on the scalp are present Psoriatic spots are also sore and very painful to touch. The hair may be matted together and tends to fall out.	Patients who are shy, timid and indecisive. Esp in patients who may have a tendency to take cold easily.
Guttate Silver Scales Scalp	Ars	Dry, rough, red papular eruptions + Scales Most parts of the body, except face and hands. Eruptions spread rapidly and are accompanied by itching. Pain / Bleeding spots after scratching the eruptions. Dry eruptions on the scalp covered with scales. The scales are abundant that fall off continually from the scalp. The lesions may extend from the scalp to forehead, neck and the ears in most cases. After scratching the scalp becomes painful and sometimes bleeding appears from the psoriatic patches.	Restlessness Marked anxiety+ Itchy eruptions Small rose colored spots + Scales Cold agg the itching, while warmth amel The scalp is also sensitive. An associated hair loss
Intense Itching and Burning Scalp	Sul	He goes on scratching the skin until it bleeds. A burning sensation follows scratching. The itching is wandering, and changes place frequently. The skin is rough, scaly and gets painful after rubbing as if denuded. It tends to get worse in the evening and at night, when in bed. Sleep is disturbed because of Itching / Burning sensation. Other accompanying symptoms are pricking, biting and sticking sensation in the eruptions Itching is harsh and very violent in nature. Along with itching, burning in the lesions is also present in a marked degree. Scratching mostly result in extreme burning sensation on the scalp. The scalp is dry, unhealthy with red scaly blotches.	A history of excessive use of ointments in the past. Itching gets worse in the evening and at the night time Washing also worsens the itching
Deep Cracks Scalp	Petr	Burning sensation and intolerable itching on the affected skin. Bleeding may also be present in the cracks. The skin is intensely sore, painful, hard, fissured and slow to heal. A crawling sensation on the skin may also attend over and above the given symptoms. Scalp is rough, dry, and dirty and is covered with thick scaly crusty psoriatic lesions.  Scalp is raw, red and inflammed. On scratching the eruptions tend to bleed often. The eruptions are itchy and scalp is sensitive to touch. Soreness and pain follow scratching.
Scalp Psoriasis	Merc	Scalp is covered with abundant white scales. The base underneath the scales is raw. Scales shed rapidly, re-form again and again. Intense itching is worse at night. Scalp skin is also sensitive to touch. An excessive sweat, which may be sour smelling Hair falling

Other Remedies

			Modalities
Agg in Cold Weather	Psor	For Psoriasis that worsens in winters, Fine, red eruptions covered with white scales Itching / Stinging sensation appears, and scratching brings temporary relief. Skin looks dirty and greasy
Discoloration on the Skin	Kali-ars	Abundant scales fall off from the skin and leave behind a discolored red skin. The psoriatic patches are numerous and mainly located on the back, arms, and legs. Intolerable itching which tends to get worse on undressing. The person scratches the skin until an ichorous fluid oozes out.
Psoriasis Universalis	Thuj	Dry patches on the skin, covered with white scales. Skin surface gives a dirty look. (Psor) Itching and burning arise in the patches. Needle-pricking / Biting sensation (Maybe)	Cold water application agg the burning sensation
Nails Psoriasis	Ant-c	Distorted and out of shape nails with discoloration, pitting or ridges on the nails. Nails are brittle and tend to break often. The skin underneath the nails is also painful and very sensitive
Knees / Elbows	Phos	Dry, scaly eruptions. Itching appears in the eruptions, which agg in heat. Burning and stinging sensation in the eruptions Formication on the area affected
Hands / Fingers	Lyc	Eruptions are reddish with Dandruf looks. Bleeding often arises in eruptions, usually accompanied by a sensation of heat in the hands. Palms are excessively dry and fissures may appear on the hands. Burning in the lesions is well marked.
Joint Pain	Rhus-t	Rhus Tox works well where joints are involved. Any of the joints may be affected. The affected joints are very painful and stiff. The pain is worse when at rest and after periods of inactivity, and better after movement. The pain and stiffness are, therefore, worse in the morning. Exposure to cold air also makes the pain worse. Some patients get relief from warm fomentation. Massaging the affected joint also soothes the pain in some cases.

• Clem
• Staph
• Calc
• Kali-bi
• Kali-s

Tissue Salt Remedies

KS