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

2. Petroleum – For Dry, Cracked Skin

Petroleum is an ideal medicine when the 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. The flare of Atopic Dermatitis with dry, cracked skin in winter is highly characteristic to use Petroleum.

3. Sulphur – To Manage Skin Itching

Sulphur is a leading medicine most frequently used in treating Atopic Dermatitis. The main complaint for which it is used is intolerable skin itching. The skin is excessively dry with scales and intolerable itching. In majority of cases, the itching is at its peak at night or when the person’s body gets warm in bed. Scratching is followed by a burning sensation on skin. Relapse of dermatitis in the spring season or in damp weather is also effectively dealt with this medicine. Homeopathic remedy Sulphur must always be considered as the first line of treatment for Atopic Dermatitis that is being suppressed by use of local medications like ointments or any other form of external medication.

4. Natrum Mur – For Rash / Eruptions In Bends Of Limbs And Scalp Margin

Natrum Mur is beneficial for rash/eruptions appearing in bends of limbs that include crease of elbow and back of knee. The eruptions may be dry or ooze fluid. Warmth and heat worsen the condition for using Natrum Mur. Additionally, the eruptions occur specifically at the margins of scalp. The eruptions are dry with rawness of skin along the margin of scalp. Crusting may also occur along the hairline. Taking salt worsens the condition. Persons needing it may also suffer nasal allergy with marked sneezing, runny nose along with dermatitis complaint.

5. Rhus Tox – For Eruptions With Thick Crusts That Ooze Fluid

Rhus Tox is of great help for Atopic Dermatitis with eruptions covered with thick crusts that ooze fluid. The skin becomes red with excessive itching, or fluid-filled vesicular bumps appear on the skin. Marked burning and intense itching are felt.  Scratching makes the itching worse. Scaling of skin may also appear.

6. Arsenic Album – For Dry Scaly Eruptions

This medicine works well for cases having dry, rough scaly eruptions. In most cases, eczema is marked on the face. There occurs intense itching and burning in the eruptions. It is worse at night in most cases requiring it. The affected skin can be oversensitive to touch.

7. Mezereum – For Eruptions That Discharge Sticky Fluid

Mezereum is very beneficial for Atopic Dermatitis with eruptions oozing fluid. The fluid is very sticky. It is also indicated when thick scabs form on the skin with pus under it indicating infection. At times blood may ooze out on touching crusty eruptions. The eruptions are attended with marked itching. It gets worse from bathing with warm water.

8. Galphimia Glauca And Histaminum – 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
Sil
Sul
Ars
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
Calc	Mild eczema
Nit-ac	Hands and palms eczema
Rhus-t	Contact Dermatitis: Burning, itching and vesicular rashes.

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