Eczema

Clinic

• Many authors use the terms dermatitis and eczema synonymously
• Atopic dermatitis is also known as atopic eczema
• Dermatitis is inflammation of the skin typically characterized by itchiness
• Sign / Symptoms:
  • Redness of skin and a rash
  • Swelling, itching
  • Skin lesions with sometimes oozing and scarring
  • May be small blisters, which may end in skin thickness.

Types

• Atopic dermatitis: Dry, itchy, red skin
• Contact dermatitis
• Stasis dermatitis
• Dermatitis herpetiformis: Itching, Stinging , Burning sensation. Papules / Vesicles. Small red bumps are usually about 1 cm in size, red in color and may be found symmetrically grouped or distributed
• Seborrhoeic dermatitis: Appear gradually, from dry or greasy scaling of the scalp (dandruff) to scaling of facial areas. Sometimes itching, but without hair loss. In newborns, the condition causes a thick and yellowish scalp rash, often accompanied by a diaper rash. In severe cases, symptoms may appear along the hairline, behind the ears, on the eyebrows, on the bridge of the nose, around the nose, on the chest, and on the upper back
• Drug-induced dermatitis

Repertory

Accompanies by	Quality	Locality
Internal maladies: Graph	Clusters of grapes, like: Calc Desquamative: Merc, Nit-ac, Rhus-t, Sep, Sul Flat skin lesions: Bell, Lach Gard eczema: Ant-c. Ran-b Offensive: Psor, Sul Raised skin lesions: Bry, Crot-h, Cupr-ac, Tarax Rough eczema: Hep	Hair skin eczema: Merc, Nat-m, Rhus-t Scalp eczema: Mez, Borx, Astacus fluviatilis

First class remedies

8. Galph imia Glauca And Hist aminum – For Atopic Dermatitis With Allergic Nasal Symptoms

Both natural homeopathic medicines Galphimia Glauca and Histaminum are very beneficial in the treatment of Atopic Dermatitis where hay fever/allergic rhinitis is associated with it. These natural medicines effectively treat allergy complaints like eczemas, hay fever and asthma.

	Character	Modalities	Rubrics/ Location
Graph	Dry/ Rough skin. It may have cracks as well. Vesicular / Herpetic / Exudating eruption which leads to Eczema Small, crusty, dry and scaly rashes (Graph ₳ Petr) Oozing rashes: Clear,Watery /Gluey / Sticky secretions that scab over the rash Unhealthy/sensitive skin that easily infects with any trauma (Hep, Merc)	Keeping aside dryness, it is equally effective for cases where skin vesicles (fluid-filled bumps) occur that . Graphites also brings good results in	Abscess and opening of old breast wounds Eyelids Eczema: Cracked but moist rashes The edge of the eyelids is red and covered with dandruff and crust Eczema on face, nose, chin, Hands and palms Most prominently on bends of Elbows/ Knees, neck and behind the ear.
Nat-m	Dry or ooze eruptions fluid. Eruptions are dry with rawness of skin along the margin of scalp. Crusting may also occur along the hairline. Nasal allergy + Marked sneezing, runny nose along with dermatitis complaint.	Warmth and heat worsen the condition Taking salt worsens the condition.	Bends of limbs that include crease of elbow and back of knee. Eruptions occur specifically at the margins of scalp.
Sil
Sul	Sul is a first line most frequently used in Atopic Dermatitis. Main complaint for which it is used is intolerable skin itching. The skin is excessively dry with scales and intolerable itching. Scratching is followed by a burning sensation on skin. Dermatitis that is being suppressed by use of local medications	In majority of cases, itching is at its peak at night or when the person’s body gets warm in bed. Relapse of dermatitis in the spring season or in damp weather
Ars	Dry, rough scaly eruptions Intense Itching / Burning in eruptions.	It is worse at night in most cases requiring it. The affected skin is oversensitive to touch.	In most cases, eczema is marked on the face.
Dulc	Crusted Moist herpetic rash Yellow-brown with a red border Dry, coarse scabby Bleeds when scratched Rash may spread all over the body (Dulc ₳ Psor) Herpetic / Vesicular /Moist /Exudating rashes which leads to eczema	Sensitive to touch (Scratching agg)	SKIN - ERUPTIONS - herpetic - Body; all over sweet. Psor. Ran-b SKIN - ERUPTIONS - crusty SKIN - ERUPTIONS - herpetic - moist SKIN - ERUPTIONS - vesicular SKIN - ERUPTIONS - vesicular - yellow SKIN - ERUPTIONS - herpetic - glands; Covered with sweet. graph. SKIN - ERUPTIONS - vesicular - burning
Thuj
Med
Petr	Skin gets dry and cracked. Bleeding occurs from the cracks. The lesions with time get thickened and covered with crusts. Marked burning and itching also accompany the cracks. .	Flare of Atopic Dermatitis with dry, cracked skin in winter is highly characteristic to use Petroleum
Calc	Mild eczema
Nit-ac	Hands and palms eczema
Rhus-t	Contact Dermatitis: Burning, itching and vesicular rashes. Atopic Dermatitis+ Eruptions covered with thick crusts that ooze fluid. Skin becomes red with excessive itching, or fluid-filled vesicular bumps appear on the skin. Marked burning and intense itching	Scratching makes the itching worse. Scaling of skin may also appear.
Mez	Atopic Dermatitis with eruptions oozing fluid. The fluid is very sticky. Thick scabs form on the skin with pus under it indicating infection. The eruptions are attended with marked itching.	Agg from bathing with warm water. At times blood may ooze out on touching crusty eruptions.

Second class remedies

• Tarent is the Remedy of choice for dry eczema that has not responded to Sul, Ars

Banerji protocol

	Eczema	Drug-induced / Contact Dermatitis
First line	Hep C200 one dose every two days Ars C200 BD, Can be increased in itching. Coff C200, in sever itching prevent sleep	Camph C200 + Ant-c C6 one dose every 3 hours alternately till relief
Second line	Graph C200 one dose every third days Ars C200 BD	Rhus-v C30 TDS, esp in Red rashes
Third line	Psor C1000 one dose every 15 days in acute infectious ulceration NS 6X BD	Nux-v C30 + Rhus-v C30 one dose every 3 hours alternately Ant-c C6 BD is rash
Constitutional Remedies	Psor C200 Or Tub C200

Miasms

• HSV-1, SHBV
• GABHS
• CXA, CXB, ECHO,HHV-8, HSV-2, HTLV-1

Related disease

• Herpetic eruptions
• Dandruff
• Psoriasis
• Alopecia