A male aged 46
years old had itching eruptions with black discoloration on both
legs since 6 months.
History of presenting complaints
eruptions with black discoloration on both legs started since
6 months. Calf region was mainly affected. The discoloration was
not uniform, but scattered in spots. There was severe itching
in the affected parts with burning as if warm air coming out.
The skin in the affected area was hard, almost like elephant skin,
with occasional peeling of scales after scratching.
of accident before 1 year without any damage to the deep structures.
is having heart disease. Mother died after brain hemorrhage.
a dermatologist who prescribed some steroid creams and tablets.
Itching was controlled after that, but the lesions were same.
especially when questioned. He does not like even his superiors
to question him.
Appetite – Normal
Thirst – Large quantities for
Aversion – Meat.
Addictions – Alcohol
Bowels – Regular
Urine – Normal.
Sexual – Violent desires and thoughts with frequent erections.
Also prefer extramarital relations.
Climate – Prefers cold climate since general aggravation
General physical examination
abnormally detected except bluish discoloration of tongue (since
signs: all vital signs were within the physiological limit.
Life space investigation
self made man who started his life with a big zero. His family
was very poor, so he had to discontinue his studies when he joined
a shop as sales man. Later, he completed his graduation while
doing part time job. Now living with wife and two children. The
present financial situation is also stable after he joined a reputed
Mind- Irritability- Questioned when.
Generlities- Warmth, agg.
Genralities- Food and drinks – Meat aversion.
Stomach- Thirst- Large quantities for.
Skin- Eruptions- Blackish.
Extremeties – Eruptions- Leg- Itching.
Skin- Burning – Vapor were emitted from pores, as if.
Male genitalia- Sexual desire- Violent.
Male genitalia- Erections- Violent.
Repertorisation result (Sum of symptoms)
Arn, Chin, Nat.m, Sil, Rhtx, Calc, Fl ac, Graph, Nit ac, Nux v,
Disease diagnosis: Lichen Simplex Chronicus.
Remedial diagnosis: Flouric Acid
Acid 200, one dose every week, with placebo.
1. Stop scratching the lesions.
2. Avoid non-veg food items
3. Avoid use of ointments and creams
4. Use glycerin soaps
5. Stop extramarital relations
Consulted after 15 days. There was much improvement of the lesions.
The same medicine continued along with placebo.
Consulted after 30 days. The lesions and
itching disappeared completely. The patient occasionally comes
for routine checkups, and is fine till date.
Acid was selected since the patient covered the mental generals,
physical generals, and the particulars. Even the sensation of
warm air from the skin is found in the same remedy. Also it is
indicated for the dark pigmented lesions in the body.