A case of stasis eczema with dyshidrosis.

© Dr. Rajneesh Kumar Sharma MD (Homoeopathy)
Dr. (Km) Ruchi Rajput BHMS

Mrs. NA, Female- 45 years, Date of consultation- 02-05-2011

Presenting Complaints

This lady presented with marked swelling, redness and severe burning pain in both the legs and feet for a week. There was cellulitis with deep cracks and scaling in pedal region. These all were accompanied by violent itching felt in depth of the skin, high fever and chills.

Clinical history

She was much restless, thirsty for large quantities of cold water at large intervals, constipated with no urging for three days, hard, dry stool, having high grade fever with chills, with no desire to cover the legs. She was multiparous, normotensive, non diabetic, cheerful, talkative and postmenopausal lady. Preferred to be in company and fearful of touching the feet with anybody as if it were break into pieces. This was the marked and peculiar symptom noted.

Past History

She was having recurrent history of swelling of feet and legs for last three years. This was worse on standing and sitting for an hour or more. Swellings accompanied with itching with pitting oedema. Has had chicken pox in childhood, typhoid 10 years back and developed tiny warts on neck for a year.

Clinical diagnosis

Stasis eczema with dyshidrosis with cellulitis suppurativa

Clinical analysis

Based on history of warts and peculiar symptom of sensation of brittleness of legs, Thuja seems to be the remedy of choice.

Prescription

Thuja 200 one dose stat followed by placebo thrice daily.
Advise to keep the feet elevated and to cleanse with calendula mother tincture twice daily.

Result

Complete cure with a single dose within a week.

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5 responses to “A case of stasis eczema with dyshidrosis.

  1. I can’t argue with the results of the remedy given, except it looks to me like there is a way to go before you could claim a complete cure judging from the photographs.

    I can’t find the sx that clinched the choice of Thuja for them. The feeling that the limbs are fragile, made of glass or wood, is not in the proving in MMP or in the TPB.
    Where did that sx come from? Its supposed to be a keynote of Thuja, but isn’t in the proving? Warts are the province of many remedies. So if you leave out the glass sx what do you get?

    I used rubrics:

    1886,1342,276,410,2143

    The top remedies to consider then are Calc, Sep, Sulph and Rhus t.

    What are the modalites and details of the fever? That would have helped to narrow the choice. As it is stated Heat with shuddering(chills). Would you use desire to uncover?

    it seems to me that the Drs. heard the sx: fear that the limbs might break like glass, added the Warts and settled on Thuja, without considering any of the other sxs. Thuja isn’t in cracks and rhagades for instance. What about the fever sxs? The constipation from hard feces? The thirst? Thuja had an action, but it seems like it was just luck that it did. Would Sep. or Rhus t have acted as well? I think so. And they would have been chosen according to the rules Hahnemann set down in the Organon and the proper use of the TPB to find the most likely remedies.

    So, why question a case with a reaction like they had? What if another patient comes along and has the same “keynote” symptom and Thuja didn’t do anything? What would they do then? That’s the weakness of the keynote, Kentian approach. If you follow Hahnemann’s tried and true method you come from a place of certainty. You have a procedure to fall back on that can be replicated. You consider the relevant characteristic sxs of the disease being treated and match the remedy’s characteristic sxs from the provings in the MMP ad CD as closely as possible.

    A medicine’s similarity is a question of degree. You are looking for the most similar, but several remedies could have an effect, its a question of degree of similarity. Its most important to have method that is consistent and repeatable and that is what Hahnemann gave us, if only we would DO IT THE WAY HE SAID TO DO IT!

  2. Pingback: ONE RESPONSE TO “A CASE OF STASIS ECZEMA WITH DYSHIDROSIS.” | I.H.M.

  3. I have also wondered about where the “fragility” of Thuja came from, but there is actually a symptom in the MMP which looks relevant to the sensation:

    Symptom no. 555: Illusion of sensation, as if the whole body were very thin and tender and must yield to every touch, just as though the cohesion of the body were very much exposed to the danger of disruption, and such dissolution was to be feared.

    The language is a bit obscure but it seems like a sense of fragility is being expressed.

  4. Thanks Vera. I guess the fragile like glass and wood sensation was added from clinical sxs by later practitioners.

  5. institutodemedicinahomoeopatica

    In addition to Vera´s contribution.
    I would like to specify that the only rubric which has correlation to Symptom number 555 in MMP for Thuja is the following:
    881: Sensations and Complaints, Generalities, Sensory Perceptions (Touch), Illusions of

    P&W Rubric footnote says:
    “Gefühlstäuschung: beim Gehen ist’s ihm, als hemmte etwas seine Schritte, und dennoch ging er sehr schnell. [Conium Maculatum, 219]
    Illusion of sensation: when walking he feels as of something opposed his steps, and yet he walked very quickly.
    Quelle: Samuel Hahnemann: Reine Arzneimittellehre. Bd. 4, Dresden, Leipzig
    [1] Illusions (delusions) here do not refer to the illusions of vision (those are under vision), nor to the illusions of smell (see under smell), nor to the illusions of the mind (see under mind), nor to hearing (see hearing) or taste (see taste). The only other sensory faculty is touch. Therefore, the illusions here probably refer to delusions of touch (delusions felt by the body as a whole).”

    Anyway, remedies contained on that rubric seem to match other choices for the case and not thuja.

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