Dermatology Part 1

From the desk of: Dr.
Saptarshi Banerjea
© GOLD MEDALIST
DERMATOLOGY: MIASMATIC
APPROACH OF PRESCRIBING
TO OPEN DRUG DEPENDENT CASES
CHAPTER-1
DESCRIPTION OF SKIN LESIONS
This information has been provided by: Dr. Sandra Charles Holmes, Consultant Dermatologist
Macule
Circumscribed alteration in colour of skin without change in
(if more than 1 cm 
texture or palpable thickening
Patch)
Circumscribed PALPABLE elevation less than 1 cm in diameter
Papule
(by convention)
Circumscribed palpable mass, larger than 1 cm involving

Nodule
epidermis, dermis and subcutis or subcutis alone
Disc- shaped lesion

Plaque
(coalescence of papules or nodules)
Dermal oedema, white, compressible. Characteristic lesion of
Weal
Urticaria
Vesicle  Bullae Visible collection of fluid
Pustule Visible accumulation of free pus
More or less circumscribed loss of tissue from superficial
Ulcer
erosion to massive defect of whole skin +/- underlying tissues
Scales are formed by
excess normal or abnormal keratin
Scales scales will accumulate if shedding prevented eg occlusive
dressings
also seen in Ichthyosis
Crusts Crusts consist of dried serum and other exudates
Pigmentary changes Hyper and hypopigmentation
Hypo & Hyper trichosis Decreased and increased growth of hair
Atrophy Characterized by the loss of normal skin markings

Diffuse or circumscribed induration of the sub cutis +/- dermis
Sclerosis and overlying epidermis may be atrophic (Scleroderma/
Morphoea)
Lichenification Increase in the normal skin markings
Excoriations Scratch that removes the epidermis and causes bleeding
FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

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From the desk of: Dr. Saptarshi Banerjea
© GOLD MEDALIST
CHAPTER-2
THERAPEUTICS OF ECZEMA
I. MIASMATIC INTERPRETATION OF ECZEMA:
(1) Psoric Eczema : (i) Eczema is not psoric but the results of Psora; (ii) Psoric eczema is dry
with dirty harsh skin; (iii) Itching without pus or any discharge; (iv) Sensation of burning with
scaly eruptions and tendency of recurring cold; (2) Sycotic Eczema : (i) Sycotic eczema’s
are exfoliating in nature and only occurs in circumscribed spots. (ii) They are small, reddish,
flat, vascular eruptions. (3) Syphilitic Eczema : (i) Syphilitic skin shows all sorts of ulcers, boils,
which do not heal fast with discharge of fluid, & pus, which is offensive. (ii) Ulcers are devoid of
pain & itching < at night & warmth of bed. (4) Tubercular Eczema : (i) Tubercular skin
produces eczema & ringworm : mostly busy and important areas are affected. (ii) History of
ringworm & suppression of ringworm and eczema  causes respiratory diseases.
II. PICTORIAL DISCUSSION ON ECZEMA:
SLIDE-1 – BABYS FACE (Slide Ref. No.3)
Slide 1 Babys Face.

Look – what do you see?
1) Redness.
2) Dryness.
3) Vesicles.
Medicine:
Sulphur redness covered.
Rhus Tox, Rhus V.
Merc. Sol.
Go to Boericke – look for vesicular eruptions.
Skin – eruptions – pustular.
COMPARATIVE MATERIA MEDICA:
Merc. Sol. Rhus Tox / Rhus Ven Sulphur

1) Aetiology: (i) Bad effect of 1) (i) Aetiology: Bathing in salt 1) Aetiology: Past history of
mercury. (ii) Suppressed foot water. (ii) Can think of  skin suppression of skin disease
sweat. (iii) Suppressed eruptions as a result of either in mother or in children.
Gonorrhoea. chemical detergents.
2) Moist appearance of skin 2) Vesicular +++, scaly++. 2) Scratching  itching 

(dry skin contraindicates). redness (bright red) – burning
Discharge offensive. (goes in cycle).
3) Suppurating (ulcer). 3) Itching  burning  3) Heat & burning.
restless  (physical
restlessness) tossing &
turning
4) < night. < warmth of bed. 4) Dark red. 4) Pustular  Suppurating.
5) Accompanying symptom: 5) Modalities: < evening, < 5) < warmth & warmth of bed
offensive sativa. humid weather, < night, cold < washing.
water> hot water, hot bath.
6) Redness with intense
itching.

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Merc. Sol. Rhus Tox / Rhus Ven Sulphur

7) Tendency to scale
formation.
8) Better by rubbing & warm
application
9) Around genitals & Scalp,
(like Croton but more in
Croton).
10) Not hypersensitive like
Croton.
11) Burning+++ (-- In
Croton+).
12) Rubbing aggravates, (-
Rev. Croton). If he touches
the eruption, itching
aggravates.
13) For burning & itching,
Rhus Tox is in distress, more
he scratch more the itch. (-
Croton cannot scratch for
excessive painful soreness 
so in distress).
SLIDE-2 – BABYS FACE, LEFT SIDE (Slide Ref. No. 4)
1) Red erythema.
2) Pustules.
3) Pus points (Suppurating)
Boericke: (Red) Erythema
Meidicine from the appearance:

1) Sulphur
2) Fagopyrum
3) Vespa
4) Vinca
Fagopyrum Oleander Sulphur Vespa (wasp) Vinca

1) Pustular, 1) Sensitive+++. Discussed in 1) Erythema with 1) Sensitiveness
vesicular and Page – 4. intense itching.
redness
2) Red 2) Itching  bleeding 2) Burning  2) Redness &
blotches.  soreness. stinging  soreness.
soreness.
3) Sore & 3) < undressing and 3) Swelling (wheal). 3) < rubbing.
swollen. rest. > bathing with
vinegar water.
4) < scratching. 4) Likes oranges  4) < from
< touch. which aggravates scractching 
> cold washing. skin condition. spots.

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Polychrest? Eczema face red:

- Sulphur.
- Psorinum.
- Hepar Sulph.
Clematis Erecta Hepar Sulph Psorinum

1) Syphilitic. Chilly. 1) Aetiology: Suppressed 1) Aetiology: Suppression of
eruption, bad effects of skin eruption. Suppressed
mercury. emotion.
2) Red 2) Papules: Sore & 2) Dry, lustreless
Sensitive+++  Suppurative 
Ulcers  bloody 
Suppuration  Smells old
cheese.
3) Vesicular  scales  3) Sensitive to touch+++ 3) Itching+++  ulceration 
scabs. suppuration  Crust formation
(Scab)
4) Associated glands 4) Chilly > warm cover. 4) Chilly, but skin < summer;
inflamed (swelling) (Inguinal better in winter.
glands)
5) Itching < cold washing, < 5) Eczema surrounded by little 5) Itching < warmth of bed.
heat of bed. pimples.
6) Moist poultices <. 6) Intolerable itching,
aggravation from warmth of
bed
7) Ulcerative
8) Lack of reaction (well
selected remedy falls)
SLIDE-3 – ECZEMA OF KNEES (Slide Ref. No.5)
Very classical picture.

What do you see?
1) Dryness
2) Scab Combine the 3 points in the repertory.
3) Flaky
Eruptions, scabs – Sulph, Psorinum, Arsenic, Acid Chryso, Lyc, Petr. Viola
Eruptions, dryness,
Eruptions, scaly Kali ars, Puls, Psor, Merc. Sol?
(which Polychrests?)
1) Sulphur
2) Psorinum
3) Sepia

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Group-1:
Arsenic Petroleum Lycopodium

1) Aetiology: (i) Suppression 1) Aetiology: Suppressed 1) Aetiology: Suppressed
of skin eruption, (ii) Effect of vexation. anger, vexation, fear.
tobacco, (iii) Sea bathing.
2) Itching++  burning 2) Eruptions & cracks. < 2) Chronic eczema with
> warmth. < cold. winter. gastric or urinary complaints.
3) Dry, rough, scaly  3) Dry+++  Sensitive+++  3) Dry  thickened  itching
scratching  restless Itching < night  redness  < warm application  cracks.
(mentally & physically) raw  bleeding.
4) Ulcerous  discharge. < 4) Cracked and leathery 4) Tendency to have more
cold, wet weather. < night appearance of the skin. right, then left.
(mid night).
5) Crust (thick)  burning &
itching. > warmth.
Group-2:
Acid Chryso Kali Ars. Viola Tri

1) Violent itching. 1) Weakness & anemia of Kali 1) Aetiology: Suppressed milk
+ restless and nervous of crust.
Arsenic.
2) Dry  scaly  scab 2) Itching (+++)  2) Eczema in children <
formation (+++)  Foul < undressing  winter.
smelling discharge  oozing < warmth 
pus. < motion
3) Thickened crust.  3) Dry, scaly 3) Itching +++  burning  <
Offensive discharge night.
(Syphylitic medicine).
4) Scabs (thick)  Cracks 
discharge of yellow pus.
5) Wonderful for eczema of
face.
SLIDE-4 – ECZEMA BEHIND THE KNEES (Slide Ref. No.6)
Red. Erythema
Thickening of the skin
Oozing (moisture)
Graphites
Nat Mur
Sepia
Selenium
Tuberculinum

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Graphites Nat Mur Sepia

1) Aetiology: Grief, fear. 1) Disappointment, fit of 1) Aetiology: Anger and
passion, bad effect of quinine, vexation, laundry work, fat
lunar caustic, bread, fat, salt, pork
acidic food and wine.
2) Chilly, fatty, constipated but 2) Dry eruptions in bends (but 2) Chilly, sycotic.
skin aggravation from warmth. greasy, oily in remaining
areas).
3) Eruptions  oozes clear, 3) Itching++  crust (bends of 3) Itching  not relieved by
but honey – like, sticky limbs). scratching.
discharge.
4) Persistent dryness of 4) Raw  red  inframed. < 4) Eruptions in bends of
portions of the skin sea shore, warm room, heat. joints. < washing, after sweat,
surrounding, the eczema > open air, cold bathing. > cold bathing.
eruption.
5) Rawness  in flexor 5) Associated feature: Closed, 5) Associated feature: Yellow
surfaces  ulcerates  resentment. appearance: (possible) and
Suppurates  Sticky offensive odor.
discharge.
6) Cracks. Blackening of the
affected area (as prepared
from black lead: Doctrine of
signature)
7) Parchment dryness of the
area unaffected by eczema.
8) Ulcerative.
Skin Problems:
Selenium Tuberculinum
1) Aetiology: Alchohol, tea, 1) Suppressed anger.
sugar and salt.
2) Dry  Itchy  Scaly. 2) Choudhury says: “Itching in joints makes him an unsightly
object;
3) Eruption in folds of skin. 3) Chronic eczema  intense itching  < night. Redness.
4) Vesicular  Scabs. 4) Chilly > open air.
5) < hot weather 5) Impatient. Stubborn. Temper tantrums.
Bacillinum:
1) Ringworm or eruptions  redness & congestion surrounding the eruption  local
venous plethora.
2) Brownish blotches.
3) Eruptions dry or pustular: Obstinate & recurrent.
4) Whining and complaining children who catch cold easily and suffer from chronic cough
and clammy hands.

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SLIDE-5 – BABY LOWER PART – BACK PORTION (BOTTOM & LEGS) (Slide Ref. No. 7)
Red, measly rash. Some parts are unaffected (sparing).

Dry
Repertory `Eruption, Rash’
See Eruption, Granular (measly appearance)
Eruptions looks like measles.
Medicine:
Antim Crud
Belladonna
Phos.
Jug. C.
Sulph.
Puls.
Antim Crud Belladonna Phos.

1) Aetiology: Hot weather, 1) Aetiology: Sun, sausage. 1) Aetiology: (i) Mental
suppressed eruption. exertion, (ii) exposure to
drenching rain, (iii) strong
odours & gas
2) Thickened skin  hard 2) Dry and hot. 2) Tall, slender, lanky,
scabs. sensitive constitution.
3) Vesicles and Pustules. 3) Sensitive (+++)  < touch. 3) Eruptions  bleed easily
Swollen  Scarlet red  from scratching 
smooth. haemorrhagic.
4) Dry skin  itching < 4) Surrounding glands swollen 4) Ulcerative.
warmth bed  scaly  and tender  red.
burning < night.
5) White coating of the 5) Redness and paleness 5) Fungus infection.
tongue: gastric symptoms alternate.
associated.
6) Suppurative. 6) < Touch. > cold, open air.
> cold washing.
Juglans Cine Pulsatilla

1) Itching  pricking  < when body is 1) Aetiology: Fat, pork, ice-cream.
heated by over exertion.
2) Red  Flushed (scarlet redness). 2) Measly rash.
3) Erythema  red scabs. 3) < rich & fatty food, cream.
4) Itching in spots  changeable in site. 4) Itching < undressing.
5) < getting heated. < exercise. < scratching. 5) Worse heat, warm room, better open air,
cold application.
6) Eruptions resembling Eczema simplex on 6) < from woolen garments.
lower part with itching, pricking when body is
heated by over exertion.

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SLIDE-6 – ERUPTIONS IN AXILLA (Slide Ref. No.8)
Swelling (Oedema), hydro-pigmentation, Raw skin.

Moist
Pinkish
Medicines:
Rhus Tox
Oleander
Merc. Sol (Shiny appearance)
Pinkish eruptions: Belladonna, Cubeba, Apis
Medicines:
Alumina
Antim Cr. (Discussed in page no.8, 18)
Graphites (Discussed in page no.7, 18, 22)
Mezereum
Nit. Ac.
Sarsaparilla
Alumina Mezereum Nit. Ac.

1) Aetiology: Bodily exertion. 1) Aetiology: Bad effect of 1) Chilly Tri-Miasmatic.
mercury, vaccination.
2) Chilly constipated. 2) Chilly, syphilitic. 2) Ulcerative  Suppurative.
Irregular edges base looks
like raw flesk.
3) Dry, tettery eruptions  3) Intolerable. Itching+++.  3) Bleeds easily from cracks
rough  scratch  bleeds  Chilliness  < in bed. and fissures.
painful.
4) Itching  < warmth of bed. 4) Eruptions  Ulcerate  4) Splinter – like pain.
form thick scab  purulent
exudation.
5) Cracks, eruptions worse 5) < cold air. < night . Chilly, 5) < night. < hot weather.
periodically. > open air. > cold but > open air.
washing.
Cistus Sarsaparilla
1) Painful pmples  itching. 1) Aetilogy: Abuse of mercury.
2) Surrounding glands informed. 2) Cracks in Summers.
3) Dry  hard  thick  deep cracks. 3) Eruptions in hot weather and after
vacinnation.
4) < cold air. 4) Rash  from exposure to open air  dry
and itchy  < Spring.
5) Vesicular erysipelas. 5) Cracks  Crusty  Suppurative.
6) Itching specially in the evening, in bed.

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SLIDE-7 – ERUPTION BEHIND THE EARS (Slide Ref. No. 9)
Red, Cracks, Moist.

Cicuta virosa
Graphites (Discussed in page no. 7, 18, 22)

Jugulans R.
Nit. Ac. (Discussed in page no. 9, 22)
Oleander (Discussed in page no. 5)
Scrophularia Nodosa
Sulphur (Discussed in page no. 4)
Sanicula
Petroleum (Discussed in page no. 6)
Others for eruptions behind ears: Baryta Carb, Calc. Carb., Caust., Lycopodium, Psora,
Silicea, Staphysagria.
Cicuta Virosa Jug Reg.

1) Eczema  Exudation  hard  lemon 1) Eruption  itching  red pustules.
coloured crust
2) Eruptions  Elevated  Looks like large 2) Sore++  Crusts.
peas.
3) < touch. 3) Redness.
4) Itching without eruption. 4) Suppuration.
5) > scratching.
Scrophularia Nodosa Sanicula

1) Eczema behind ears. 1) Fissures behind ears, soreness++.
2) Scrofulos swelling. 2) Greasy face.
3) Itching  prickling. 3) Wrinkled face. Emaciated, constipated
childredn who suffers from bed wetting with
profuse sweat in the upper part of the head.
4) Enlarged glands around.
SLIDE-8 – DRY ERUPTION ON SCALP (Slide Ref. No. 10)
Can see: Yellow, white, crust, flakes.

Selenium (Discussed in page no. 8)
Vinca
Calcarea
SLIDE-9 – ECZEMA: BEHIND THE KNEES (Slide Ref. No. 11)
Can see: Pimple, shiny, diffused. Thickened skin.

Shiny + purplish appearance: Lach, Secale Cor

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Graphites.
Hepar Sulph.
Kali Ars.
Nat. Mur
Sepia
Sulphur
SLIDE-10 – BABY WITH ECZEMA LEFT ARM (Slide Ref. No. 12)
Can see: Swollen and moist, coppery red, scaling (some)

Skin eruptions, copper: Carbo An.
Aethiops
Bovista
Clematis (Discussed in page no. 5)
Croton
Mercury
Psorinum (Discussed in page no. 5)
Rhus Tox (Discussed in page no. 4)
Aethiops Bovista Carbo An. Croton Tig

1) Aetiology: 1) Moist eczema  1) Spongy ulcers. 1) Itching+++  smarting
Eruption from fright. thick crust.  hypersensitive 
cannot touch  cannot
scratch  restless.
2) Painful irritating 2) Blunt instrument 2) Bluish 2) Gentle rubbing
eruptions  Scaby. produces deep marks. extremities ameliorates < cold
washing.
3) Eruptions: 3) Urticarial swelling 3) Moist eruptions 3) Pustular eruptions 
herpetic & from excitement. vesicular.
eczematous.
4) Scrofulos (+++) 4) Pimples with miliary 4) Copper 4) Sensitive skin  burning
rash with burning and coloured eruptions. & throbbing  reddish.
itching.
5) Moist  Sticky, 5) Itching on getting
oozing. warm.
6) Painful, irritating,
scabby eruptions of
face.
SLIDE-11 – ERUPTIONS ON THE BACK (SPOTS) (Slide Ref. No. 13)
Rounded Shape (Discoid eczema)

Hyperpigmentation of darkish-red discolouration or erythematous (red).
Pustular.
Crust.

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Medicines:

Gunpowder
Lachesis
Lycopodium (Discussed in page no. 6)
Merc Dulcis
Nit Ac. (Discussed in page no. 9, 22)
Ustilago.
Gunpowder Lachesis Merc Dulcis Ustilago

1) Wound poison  1) Blue & purplish 1) Copper-coloured 1) Dry skin.
spepic suppuration. appearance. eruptions.
2) Bites, prickly heats, 2) Dark blisters  2) Surrounding glands 2) Copper-coloured
eczema  constantly blue-black swelling. inflamed  swelling. eruption.
spread  non-
healing.
3) Blackish or purplish 3) Ulcerative  3) Persons who suffer 3) Small boils.
disclouration. haemorrhagic from middle ear
infections and
constipation.
4) Suppurative  4) Freckles in face. 4) Sun burn.
swelling.
5) Dermatitis,
eczema, boils,
carbuncles whether
septic or not.
Discolouration with
swelling of affected
abscessed parts
which gets purple or
black-tint.
SLIDE-12 – LEG ERUPTION (ELEVATED) (Slide Ref. No. 14)
Redish purple.
Dry
Elevated (Thickened skin), Lichenification (increased skin marks)
Scaling.
Thickening skin: Rhus Tox, Graphites, Kali B., Raun Bulb.
Medicines:

Antim Crud (Discussed in page no. 8, 18)
Causticum
Viper Met

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Causticum Piper Methysticum

1) Aetiology: Suppression of eruption, ulcer 1) Scaling  leaves white spots  ulcerates.
maltreated with lead. Bad effect of burns and
scalds.
2) Soreness in folds. 2) Better when not thinking about it.
3) Cicatrices or scar tissue open up and 3) Ichthyosis.
ulcerates  suppurate.
4) Rawness & soreness.
SLIDE-13 – BABY WITH ERUPTION IN LOWER ABDOMEN (Slide Ref. No. 15)
Redness
Erythema, Mez, Rhus Tox, Merc Sol, Tereb.
Yellow spots (Crust): Ant. Cr., Calc., Calc. S., Cicuta, Kali Bi, Merc., Mez, Petrol, Psor, Viola Tri
Elevation
Papules
Medicines:
Combining Redness + Yellow: Merc, Mez.
Belladonna (Discussed in page no. 8)
Euphorbinum
Mercurry
Rhus Tox (Discussed in page no. 4)
Jug, Reg (Discussed in page no. 10, 25)
Sepia (Discussed in page no. 7) (Cancer Pains)
Cantharides Euphorbinum Terebinth

1) Vesicular  Restless. 1) Red, swollen  bitting and 1) Erythema, redness.
stinging.
2) Burning++ & Itching++. 2) Ulcerative Carcinoma. 2) Vesicular eruption.
3) Sun burn. 3) Vesicular eruptions. 3) Itching  pustular.
4) Burning++. 4) Bleeding mucus surfaces.
5) Eruption  like scarlatina
 elevated blotches.
SLIDE-14 – IRRITANT DERMATITIS (SOLE OF FOOT) (Slide Ref. No. 17)
Scaling
Cracks: Calc Carb., Graphites, Petro, Pulsatilla, Sarsaparilla, Sepia, Sulph.
Dry
Shiny glazed.
Medicines:
Alumina
Graphites
Jug R.
Lycopodium
Merc. Sol.
Oleander
Psorinum
Petroleum
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Kali Ars.
Sarsaparilla
Sulphur
Alumina X-Ray
1) Skin: dry & rough. 1) Dry, itching
2) Intolerable itching, aggravation warmth of 2) Skin  wrinkled.
bed
3) Scratch  bleeds  painful 3) Deep cracks with thickened skin around.
4) < in bed.
SLIDE-15 – FINGERS CHAFING (Slide Ref. No. 18)
Dryness
Exfoliation
Chaffing
Distorted thickened nails.
Yellowish
Medicines:
Cistus (Done)
Condurango
Graphites (Done)
Lycopodium (Done)
Malandrinum
Nat. Mur.
Petroleum (Done)
Sarsaparilla
Silicea
Dry finger lips: Ant. Tart, Hamamalis Ver, Silicea

Skin, yellowness, finger: Cheli, Coni, Merc, Nit. Ac., Nux. Vom., Speia, Sil.
Ant. Tart Condurango Malandrinum Silicea

1) Itching++ 1) Cracks and 1) Dry  itching  1) Aetiology: Bad effect
fissures. scaling. of vaccination, loss of
fluid.
2) Eruptions  2) Ulcerative. 2) Rhagades in hands 2) Ulcerative 
pustules  Large and feet  < cold suppurative.
peas. weather, < washing.
3) Red areola  3) Fissures  3) Itch  burning. 3) Cracks  long
Crust. special affinity for lasting suppuration 
muco-cutaneous offensive pus.
junctions.
4) Finger ends: dry 4) Skin Cancer  4) Dry finger tips.
 hard  yellow. Ulceration and
fissures.
5) < washing.
> warmth.
> summer.

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SLIDE-16 – CRACKS ON TIP OF FINGERS (Slide Ref. No. 19)
The crack medicines as discussed above.
SLIDE-17 – ERUPTION AROUND EYE CONTACT DERMATITIS (Slide Ref. No. 21)
Redness (erythema)  pinkish.

Oedema  swelling.
Shiny.
Medicines:
Apis
Hepar Sulph
Nit Ac.
Urtica Urens
Apis Urtica Urens

1) Aetiology: Suppressed eruptions, vexation 1) Aetiology: Suppressed nettle rash, bad
and jealousy. effect of bee-sting.
2) Sore+++, Sensitive++, Stinging. 2) Itching blotches  burning heat 
formication.
3) Rosy hue appearance. 3) Erythema with burning and stinging.
4) Swelling, burning. 4) Urticaria.
5) < heat, < touch, > open air.
SLIDE-18 – EXFOLIATING CHAFING OF SOLE OF THE FEET - CHAPS & CRACKS

(Slide Ref. No. 23)
Yellow
Scaling
Exfoliating, cracks  bleeding.
Dryness
Toe nail  thickened
Dryness + Exfoliation = Mez, Sep, Ars, Graph, Kali Ars., Merc, Petrol, Phos Ac, Phos, Psor,
Rhus Tox, Sepia, Silicea, Staphysagria, Sulph.
Medicines:
Graphites
Jug. Reg.
Lycopodium
Oleander
Petr.
Psor.
Sulph
Kali Ars.
SLIDE-19 – LIP LICKNG DERMATITIS (Slide Ref. No. 29)
Eczema around mouth: Ant. C, Kali Sulph, Nat. Mur., Mur. Ac., Mez.
Eczema around lips: Ant. C., Mez, Rhus Ven., Graphites, Bov.

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SLIDE-20 – POMPHOLYX (BLISTERS ON TOP OF FOOT) (Slide Ref. No. 30)
Blister (Vesicular eruption).

Red, erythema
Snake skin discolouration
SLIDE-21 – DISCOID ECZEMA (Slide Ref. No. 32 & 33)

Circular eruptions.
Redish brown.
Papular.
Dry & scaly
Bacillinum:
Skin: (i) Body lice. (ii) Indolent pimples, will not heal (Burnett). (iii) Dusky tawny skin, tans easily
without going red. (iv) Ringworm. (v) “Bat-wing” discoloration to nose/cheek junction. (vi) Acne
symbolises the “dash” of Tb that larks behind (- if pustular or scarring, use Vaccininum or
Variolinum). (vi) Indolent pimples – will not heal. (vii) Eczematous condition of the margins of
the eyelids.
Skin Triangle:
Bat-wing discolouration & Brownish blotches; easy tanning.
Ringworm with local Pimples (obstinate

venous plethora. & recurrent)
Medicines:
Coatharides
Apis
Rhus Tox
Secale Cor
Cantharides Mancinella Ranunculus Scleratus

1) Blisters  bleb formation. 1) Erythema. 1) Large blister.
2) After excessive 2) Fungal infection. 2) Acrid exudation 
perspiration. surrounding part sore.
3) Sun burn > cold 3) Erysipelas. 3) Boring  gnawing pain.
application.
4) Erysipelas  great 4) Large blisters  oozing
restlessness. sticky. Pserum  Crust.
5) Tendency to gangrene. 5) Around change of life 
esp. menopause associated
with depression.
6) Burning + itching.
7) Burning of soles of feet <
night.
8) Toe nails = Yellow.

15
© GOLD MEDALIST
SLIDE-22 – HANDS (Slide Ref. No. 35)
INFECTED ECZEMA
Echinacea Merc. Sol. Silicea

1) Auto-infection, foul ulcers 1) Constantly moist 1) Suppurative
2) Anti-septic 2) Odourous Night < 2) > Warmth
3) Pain, Debility, Foul odour 3) Ulcers : irregular, edges 3) Sanious
undefined
SLIDE-23 – VARICOSE ECZEMA (Slide Ref. No. 37)
Rhus Ven
Secale Cor
Vipera
Lachesis
III. LESSER-KNOWN REMEDIES:
1) GUN POWDER:
Non-healing of wounds (that constantly
spreads, detaching the epidermis),
mosquito bites, prickly heats, eczema.
Dermatitis, eczema, boils, carbuncles "Wound poison" (wounds that have

whether septic or not. Discolouration become poisoned with germs of
with swelling of affected abscessed purifications) with septic suppuration.
parts which gets purple or black-tint. 'Gun powder' for gunners" the
homoeopathic antiseptic.
Miasmatics : Psora-Syco(++)-Syphiltic (+++).
Potency of Choice :- 30 C ; 1M.
2) OLENDER:
Sensitive skin, slightest friction causes soreness
Itching  bleeding  oozing Aggravation from undressing
3) PSORINUM:
Dry lustreless, eczema, worse in summer, better in winter
Intolerable itching, aggravation Suppurative

from warmth of bed
Ulcerative Lack of reaction

(well selected remedy
falls)

16
© GOLD MEDALIST
4) SEPIA:
Eruptions :in bends of joints.
Amel. from hot applications.
Scratching does not > itching. Eruptions on lips, around mouth.
Miasmatics : Psora-Syco(+++)-Syphilo-Tubercular.
Potency of Choice :- 30 C; 1M.
IV. ACUTE ITCHING (ACUTE EXACERBATION):
1) AMBRA G.: Itching + soreness specially around genitals. Aggravation warm room better
open air. 30C.
2) ANTRAKAKOLI: Papular + vesicular eruption. Itching aggravated night, better during

day. Thirst ++. 6x tri.
3) ANTIPYRINE.: Itching+++ specially from chemicals and detergent. Darkening of the

skin. Sometimes associated with oedema.
4) BOVISTA: Moist eczema  thick crust. Blunt instrument produces deep marks.
Urticarial swelling from excitement. Pimples with miliary rash with burning and itching.
Itching on getting warm.
5) CROTON TIG:
Burning, smarting (throbbing), sensitive
skin eruption on redish base.
Severe itching  Smarting  but due Skin eruptions alternates with

to hypersensitiveness  patient other problems, viz., diarr-
cannot touch the area  hoea (esp. in children);
cannot scratch  restless. Bronchospasm (in adults).
Pustular eruption on face &

Location : Children : Scalp, genitals. Eruptions are
Adult : Around Genitals. generally vesicular.
In less severe cases  gentle rubbing ameliorates.

Aggravated from cold washing, Ameliorated from
luke warm water washing.
6) DOLICHOS: Itching+++ without eruption. Aggravation at night. Scratching aggravates.
7) FAGOPYRUM: Pustular, vesicular and redness. Red blotches. Sore & swollen. <
scratching. < touch. > cold washing.
8) JUGLANS CINE:
Eruptions resembling eczema simplex
on lower part with itching, pricking
when body is heated by over exertion.
Itching in spots now here, now there. Skin red like flush of scarlatina.

17
© GOLD MEDALIST
9) KALI ARS: Weakness & anemia of Kali + restless and nervous of Arsenic. Itching (+++)
 < undressing  < warmth  < motion. Dry, scaly.
10) OLEANDER: Sensitive+++. Itching  bleeding  soreness. < undressing and rest.
Likes oranges  which aggravates skin condition.
11) OSMIUM :
Eczema with pruritus
Sweat in axilla smelling like Irritation of skin

garlic, worse evening and night
12) RHUS VEN: Aetiology: Bathing in salt water. Can think of  skin eruptions as a result of
chemical detergents. Vesicular +++, scaly++. Itching  burning  restless  (physical
restlessness) tossing & turning. Dark red. Modalities: < evening, < humid weather, <
night, cold water, hot water, hot bath. Redness with intense itching. Tendency to scale
formation. Better by rubbing & warm application. Around genitals & Scalp, (like Croton
but more in Croton). Not hypersensitive like Croton. Burning+++ (-- In Croton+). Rubbing
aggravates, (-Rev. Croton). If he touches the eruption, itching aggravates. For burning &
itching, Rhus Tox is in distress, more he scratch more the itch. (- Croton cannot scratch
for excessive painful soreness  so in distress).
13) SELENIUM: Aetiology: Alchohol, tea, sugar and salt. Dry  Itchy  Scaly. Eruption in
folds of skin. Vesicular  Scabs. < hot weather.
14) SKOOKUM CHUCK :
Eczema after vaccination.
Eczema plantaris, fissured exuding Anti-psoric medicine.

an acrid secretion with soreness.
Miasmatics : Psora-Syco(++).
Potency of Choice :- 30 C ; 1M.
15) VIOLA TRI.: Aetiology: Suppressed milk crust. Eczema in children < winter. Itching +++
 burning  < night. Scabs (thick)  Cracks  discharge of yellow pus. Wonderful for
eczema of face.
V. ACUTE DRYNESS (ACUTE EXACERBATION):
1) ALUMINA:
Skin: dry & rough
Intolerable itching, aggravation Scratch  bleeds  painful

warmth of bed
2) ANTIM CR.: Aetiology: Hot weather, suppressed eruption. Thickened skin  hard
scabs. Vesicles and Pustules. Dry skin  itching < warmth bed  scaly  burning <
night. White coating of the tongue: gastric symptoms associated.

18
© GOLD MEDALIST
3) CLEMATIS ERECTA:
Accompanying glands swell.
Cold water <. Terribly itchy.

Moist poultices <. Lying in bed’s warmth <.
Miasmatics : Psora-Syco(++)-Syphilo- Tubercular.

Potency of Choice :- 30 C ; 200 C.
4) GRAPHITES:
Parchment dryness of the area unaffected by eczema
Eruptions, oozes clear Suppurative

but sticky discharge
Cracks Ulcerative
5) JABORANDI:
Hot flash
Nausea & salivation Profuse, abnormal perspiration
Persistent dryness of scalp Left sided sweating with right sided dryness
6) KALI MUR:
Intake of rich, fatty foods <.
Acne with vesicles, containing Like flour – dry scabs.

thick white contents.
Miasmatics : Psora (++)-Sycotic(++).

Potency of Choice :- 30 C.
7) SKOOKUM CHUCK: See above.
VI. ECZEMA—ACUTE EXACERBATION :
RHUS TOX :
Around genitals & Scalp,
(like Croton but more in Croton).
Not hypersensitive like Croton. Burning+++ (-- In Croton+).
Rubbing aggravates, (-Rev. < cold water & > warm

Croton). If he touches water washing.
the eruption, itching aggravates.
For burning & itching, R.T. is in distress, more he

scratch more the itch. (-- Croton cannot scratch
for excessive painful soreness  so in distress).

19
© GOLD MEDALIST
Redness with intense itching
Tendency to scale formation Better by rubbing & warm

application
VII. ECZEMA : CLINICAL TIPS :
CALC OST : Eczema capitis or milk crusts in children. CICUTA : Capitis - long standing in a
young woman covered the whole scalp like a cap. CLEMATIS : Wet eruption during light
fortnight, dry on dark fortnight. CROTON TIG : Especially of the scrotum, very sensitive to
touch. FORMALIN : Eczema in neighbourhood of wound. JUGLANS CINE : Eczema or hands
and wrists. KALI MUR : Eczema after vaccination. OSMIUM : Eczema with pruritus. Irritated
skin. Itching pimples. Sweat in axilla smelling like garlic, worse evening and night.
PETROLEUM : On scalp, behinds ears, scrotum, anus, hands, feet, legs, hands chap and
bleed; all increase in winter gets better in summer. PILOCARPUS : Persistent dryness of skin.
Dry eczema. Semi lateral sweats. Chilliness with sweat. PSORIUM : Eczema better in
summer, aggravation on winter. SEPIA : Eruption at the time of breast-feeding or during
pregnancy.
Eczema behind ears : Tell. Eczema with crawling as of insects : Secales. Eczema > by cold
breeze blowing on eczema : Secale. Honey coloured scabs : Mez. (about mouth, checks,
scalp). Yellow crusted eruptions, which are painful to touch & easily detached : Ante.
SPOTS IN THE FACE & BODY : (Dermat) : (1) Brown Spots :- Lach, Caulo Sep, Phos, Nat,
Hyposulph. (2) Bronzed app : Antc, Nit Ac, Staph, Carbo An. (3) Blotches : Berb Aq, Euphor,
Kali C, Oevanthe.
INFECTED SKIN
Merc. Sol. :
Constantly moist
Odourous Night < Ulcers : irregular, edges undefined

Silicea :
Suppurative
> Warmth Sanious

Echinacea :
Auto-infection, foul ulcers
Anti-septic Pain
Debility Foul odour

20

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From the desk of: Dr.

Circumscribed palpable mass, larger than 1 cm involving

Disc- shaped lesion

Atrophy Characterized by the loss of normal skin markings

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

II. PICTORIAL DISCUSSION ON ECZEMA:

SLIDE-1 – BABYS FACE (Slide Ref. No.3)

Slide 1 Babys Face.

COMPARATIVE MATERIA MEDICA:

Merc. Sol. Rhus Tox / Rhus Ven Sulphur

2) Moist appearance of skin 2) Vesicular +++, scaly++. 2) Scratching  itching 

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

Merc. Sol. Rhus Tox / Rhus Ven Sulphur

SLIDE-2 – BABYS FACE, LEFT SIDE (Slide Ref. No. 4)

Boericke: (Red) Erythema

Meidicine from the appearance:

COMPARATIVE MATERIA MEDICA:

Fagopyrum Oleander Sulphur Vespa (wasp) Vinca

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

Polychrest? Eczema face red:

COMPARATIVE MATERIA MEDICA:

Clematis Erecta Hepar Sulph Psorinum

SLIDE-3 – ECZEMA OF KNEES (Slide Ref. No.5)

Very classical picture.

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

COMPARATIVE MATERIA MEDICA:

Arsenic Petroleum Lycopodium

COMPARATIVE MATERIA MEDICA:

Acid Chryso Kali Ars. Viola Tri

SLIDE-4 – ECZEMA BEHIND THE KNEES (Slide Ref. No.6)

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

COMPARATIVE MATERIA MEDICA:

Graphites Nat Mur Sepia

COMPARATIVE MATERIA MEDICA:

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

Red, measly rash. Some parts are unaffected (sparing).

COMPARATIVE MATERIA MEDICA:

Antim Crud Belladonna Phos.

COMPARATIVE MATERIA MEDICA:

Juglans Cine Pulsatilla

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

SLIDE-6 – ERUPTIONS IN AXILLA (Slide Ref. No.8)

Swelling (Oedema), hydro-pigmentation, Raw skin.

COMPARATIVE MATERIA MEDICA:

Alumina Mezereum Nit. Ac.

COMPARATIVE MATERIA MEDICA:

FILE : E:\POST GRADUATE COURSE\PG-NEW HANDOUT-2010\SESSION-9-DAY-1-DERMATOLOGY-PART-1.DOC

SLIDE-7 – ERUPTION BEHIND THE EARS (Slide Ref. No. 9)

Red, Cracks, Moist.

Graphites (Discussed in page no. 7, 18, 22)

COMPARATIVE MATERIA MEDICA:

Cicuta Virosa Jug Reg.

COMPARATIVE MATERIA MEDICA:

Scrophularia Nodosa Sanicula

SLIDE-8 – DRY ERUPTION ON SCALP (Slide Ref. No. 10)

Can see: Yellow, white, crust, flakes.

Oleander (Discussed in page no. 5)

SLIDE-9 – ECZEMA: BEHIND THE KNEES (Slide Ref. No. 11)

Can see: Pimple, shiny, diffused. Thickened skin.