Psoriasis: Difference between revisions

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* Trauma can trigger psoriatic skin changes at that spot, which is known as the Koebner phenomenon.
* Trauma can trigger psoriatic skin changes at that spot, which is known as the Koebner phenomenon.


 
{| class="wikitable"
 
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=== Five main types ===
=== Five main types ===
* '''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.  
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=== Points ===
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=== Related disease ===
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*'''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.
* '''Guttate''': It has drop-shaped lesions. Sign/ Symptoms are Dryness, Scaling and Itching of the skin.
* '''Inverse''': It forms red patches in skin folds.  
* '''Inverse''': It forms red patches in skin folds.
* '''Pustular''': It presents as small, noninfectious, pus-filled blisters.  
* '''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.
* '''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.
 
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*Psoriasis is a Genetic / Immunologic disease that is triggered by environmental factors.
=== Points ===
 
* Psoriasis is a Genetic / Immunologic disease that is triggered by environmental factors.
* Symptoms often worsen during winter and with certain medications, such as NSAIDs.
* Symptoms often worsen during winter and with certain medications, such as NSAIDs.
* Infections and psychological stress can also play a role.  
* Infections and psychological stress can also play a role.
* Diagnosis is typically based on the signs and symptoms.
* Diagnosis is typically based on the signs and symptoms.
* There is no known cure for psoriasis
* There is no known cure for psoriasis
* The disease affects 2–4% of the population.  
* The disease affects 2–4% of the population.
 
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*Psoriatic [[arthritis]]: It affects up to 30% of individuals with psoriasis
=== Related disease ===
*[[Lymphoma|Lymphomas]],
 
*Cardiovascular disease,
* Psoriasis is associated with an increased risk of psoriatic [[arthritis]], [[Lymphoma|lymphomas]], cardiovascular disease, [[Crohn's disease]], and [[depression]].  
*[[IBD, Inflammatory bowel disease|Crohn's disease]]  
* Psoriatic arthritis affects up to 30% of individuals with psoriasis.
*[[Depression]].  
 
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=== Remedies ===
=== Remedies ===
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|'''Guttate Psoriasis'''  
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* '''<big>Guttate</big>'''
* '''<big>Scalp</big>'''
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=== [[Nat-m, Natrium muriaticum|Nat-m]] ===
=== [[Nat-m, Natrium muriaticum|Nat-m]] ===
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* Dry psoriatic patches  
* Dry psoriatic patches/ Skin peels easily.
* Mostly in the scalp, hairy margin, behind the ears, bends of joints and
* Mostly in the scalp, hairy margin, behind the ears, bends of joints  
* Most of the exposed areas of skin.  
* Most of the exposed areas of skin.  
* Lesions are dry and the skin peels easily.  
* [[Hair disease|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.  
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* Unusual craving for salt and salty things.  
* Unusual craving for salt and salty things.  
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* '''Guttate Psoriasis'''
* '''<big>Guttate</big>'''
* Shedding of Large Scales  
* '''<big>Scalp</big>'''
* '''<big>Shedding of Large Scales</big>'''
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=== [[Ars-i, Arsenicum iodatum|Ars-i]] ===
=== [[Ars-i, Arsenicum iodatum|Ars-i]] ===
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* Extremely dry skin which peels off easily.  
* Extremely dry skin which peels off easily.  
* As the skin peels, the underlying skin is exposed, there is a thin watery discharge and  raw skin behind.
* As the skin peels, there is a thin watery discharge and  raw skin behind.
* ''L''arge scales from the skin eruptions.
* ''L''arge scales
* The skin is covered with inflamed patches with Excessive scaling  
* Skin is covered with inflamed patches + Excessive scaling
* Marked inflammation of the scalp
* Excessive scaliness of scalp
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* Thin, emaciated and easily fatigued.  
* Thin, emaciated and easily fatigued.  
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* '''Guttate Psoriasis'''  
* '''<big>Guttate Psoriasis</big>'''
* Large Oval Lesions
* '''<big>Large Oval Lesions</big>'''
* '''<big>Scalp</big>'''
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=== [[Sep, Sepia|Sep]] ===
=== [[Sep, Sepia|Sep]] ===
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* Esp in females in who are in the [[Menopause|menopausal]] phase.  
* Esp in females in [[Menopause|menopausal]] phase.  
* Uncontrollable desire to scratch as there is an excessive itching.  
* Uncontrollable desire to scratch due to excessive itching.
* She does not get any relief and continued scratching ends in sore, burning sensation in the affected part.
* She does not get any relief and continued scratching ends in sore, burning sensation
* Extremely bad smell emanating from the skin.
* ''L''esions are reddish papules and are isolated.
* ''L''esions are reddish papules and are isolated.  
* There are shiny, whitish and adhesive scales present on the papules.  
* There are shiny, whitish and adhesive scales present on the papules.  
* The eruptions are present over the face, chest, back, arms and legs.  
* The eruptions are present over the face, chest, back, arms and legs.  
* In the case of limbs, the extensor surfaces are mostly involved.
* 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
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* Apathetic feelings or emotions towards their family members, have lost all interest in their profession and take umbrage easily.  
* 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.
* The patient may cry at every little thing and is extremely moody and irritable.
* Extremely bad smell emanating from the skin.
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|'''Guttate Psoriasis'''  
|'''<big>Guttate Psoriasis</big>'''
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=== [[Sil, Silicea|Sil]] ===
=== [[Sil, Silicea|Sil]] ===
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* '''Guttate Psoriasis'''  
* '''<big>Guttate Psoriasis</big>'''
* Cracked Skin
* '''<big>Cracked Skin</big>'''
* Scalp Psoriasis
* '''<big>Scalp Psoriasis</big>'''
* Nail Psoriasis
* '''<big>Nail Psoriasis</big>'''
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=== [[Graph, Graphites|Graph]] ===
=== [[Graph, Graphites|Graph]] ===
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* Esp in patients who may have a tendency to take cold easily.
* Skin is rough and hard.
* The skin is rough and hard.  
* Guttate psoriasis with lesions spreads all over the body.
* Guttate psoriasis with lesions spreads all over the body.
* Cases where Graphites Naturalis works well tend to have patches of sore, dry, rough skin with scales. An inclination to develop cracks on the surface may also be there. Following scratching, stickiness on the skin may appear.
* 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
* Eruptions with scales appear on the scalp
* Scalp may be sore to touch, with distressing itching.  
* Scalp may be sore to touch, with distressing itching.  
* Burning sensation on the top of the head.  
* Burning sensation on the top of the head.  
* Eruptions on the scalp can also spread behind the ears.  
* Eruptions on the scalp can also spread behind the ears.  
* Nail Psoriasis: Crippled/ Rough/ Thick / Deformed nails that break easily
* Crippled/ Rough/ Thick / Deformed nails that break easily
* Cracks around the finger tips.
* 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.
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* Patients who are shy, timid and indecisive.  
* Patients who are shy, timid and indecisive.  
* Esp in patients who may have a tendency to take cold easily.
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|Guttate Psoriasis
Silver Scales
|Ars
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* Dry, rough, red papular eruptions with scales
* '''<big>Guttate</big>'''
* '''<big>Silver Scales</big>'''
* '''<big>Scalp</big>'''
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=== [[Ars, Arsenicum Album|Ars]] ===
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* Dry, rough, red papular eruptions + Scales
* The eruptions cover most parts of the body, except face and hands.
* The eruptions cover most parts of the body, except face and hands.
* The eruptions spread rapidly and are accompanied by itching.  
* Eruptions spread rapidly and are accompanied by itching.
* Cold agg the itching, while warmth amel
* Pain on the affected skin arises after scratching the eruptions.
* Pain on the affected skin arises after scratching the eruptions.  
* Bleeding spots on skin following scratching.
* Bleeding spots on skin following scratching.
* 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.


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* Small rose colored spots + Scales
* Small rose colored spots + Scales
* Cold agg the itching, while warmth amel
* The scalp is also sensitive.
* An associated [[Hair disease|hair loss]]
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|Intense Itching and Burning
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|Sul
* '''<big>Intense Itching and Burning</big>'''
* '''<big>Scalp</big>'''
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=== [[Sul , Sulphur|Sul]] ===
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* ''He'' goes on scratching the skin until it bleeds.  
* ''He'' goes on scratching the skin until it bleeds.  
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* Sleep is disturbed because of Itching / Burning sensation.  
* Sleep is disturbed because of Itching / Burning sensation.  
* Other accompanying symptoms are pricking, biting and sticking sensation in the eruptions
* 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.
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* A history of excessive use of ointments in the past.
* 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
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|Deep Cracks
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|Petr
* <big>'''Deep Cracks'''</big>
* '''<big>Scalp</big>'''
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=== [[Petr, Petroleum|Petr]] ===
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* ''B''urning sensation and intolerable itching on the affected skin.  
* ''B''urning sensation and intolerable itching on the affected skin.  
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* The skin is intensely sore, painful, hard, fissured and slow to heal.  
* 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.
* 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.
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|Scalp Psoriasis
|<big>'''Scalp Psoriasis'''</big>
|Merc
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=== [[Merc, Mercurius Solubilis|Merc]] ===
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* ''S''calp is covered with abundant white scales.  
* ''S''calp is covered with abundant white scales.  
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* An excessive sweat, which may be sour smelling
* An excessive sweat, which may be sour smelling
* [[Hair disease|Hair falling]]
* [[Hair disease|Hair falling]]
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Scalp psoriasis remedies
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|Ars
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|Ars-i
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|Graph
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=== 1. Arsenic Album – Top Grade Medicine for Scalp Psoriasis  ===
=== 2. Arsenic Iodatum – For Scalp Psoriasis with Large Scales ===


=== 1. ===
=== 3. Graphites – For Scalp Psoriasis with Marked Dryness and Roughness ===


.
=== 4. Sepia – For Shiny White Adhesive Scales ===


=== 5. Phosphorus – For ===
=== 5. Natrum Mur – For Managing Hair Fall in Scalp Psoriasis ===


=== 6. Lycopodium Clavatum – For the ===
=== 6. Sulphur – For Scalp Psoriasis with Itching and Burning on Scalp ===


=== 7. Rhus Tox – For ===
=== 7. Petroleum – For Scalp Psoriasis that Worsens in Winter ===


=== [[Tissue Salt Remedies]] ===
=== [[Tissue Salt Remedies]] ===
[[KS, Tissue Salt Remedy|KS]]
[[KS, Tissue Salt Remedy|KS]]

Revision as of 10:37, 21 January 2024

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.

Remedies

Guttate Psoriasis Remedies

  • 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.
  • Increase in the symptoms when they go to a hot, humid climate
  • Guttate
  • Scalp
  • Shedding of Large Scales

Ars-i

  • Extremely dry skin which peels off easily.
  • As the skin peels, there is a thin watery discharge and raw skin behind.
  • Large scales
  • Skin is covered with inflamed patches + Excessive scaling
  • Marked inflammation of the scalp
  • Excessive scaliness of scalp
  • Thin, emaciated and easily fatigued.
  • Profuse sweating at night.
  • The patient may be very weak.
  • Respiratory complaints.
  • Guttate Psoriasis
  • Large Oval Lesions
  • Scalp

Sep

  • Esp in females in menopausal phase.
  • Uncontrollable desire to scratch due to excessive itching.
  • She does not get any relief and continued scratching ends in sore, burning sensation
  • Lesions are reddish papules and are isolated.
  • There are shiny, whitish and adhesive scales present on the papules.
  • The eruptions are present over the 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
  • The eruptions cover most parts of the body, except face and hands.
  • Eruptions spread rapidly and are accompanied by itching.
  • Pain on the affected skin arises after scratching the eruptions.
  • Bleeding spots on skin following scratching.
  • 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

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.
  • Cold water application tends to worsen the burning sensation in the lesions.
  • Some patients may have a Needle-pricking / Biting sensation.
Nails Psoriasis Ant-c
  • Ddistorted 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 and 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.

Scalp psoriasis remedies

Ars
Ars-i
Graph

1. Arsenic Album – Top Grade Medicine for Scalp Psoriasis

2. Arsenic Iodatum – For Scalp Psoriasis with Large Scales

3. Graphites – For Scalp Psoriasis with Marked Dryness and Roughness

4. Sepia – For Shiny White Adhesive Scales

5. Natrum Mur – For Managing Hair Fall in Scalp Psoriasis

6. Sulphur – For Scalp Psoriasis with Itching and Burning on Scalp

7. Petroleum – For Scalp Psoriasis that Worsens in Winter

Tissue Salt Remedies

KS