Published Paper Details:

ABSTRACT Background: Eczema is a chronic inflammatory skin disorder marked by erythema, exudation, scaling, lichenification, and pruritus. Conventional therapies provide palliation but not lasting cure. In homoeopathy, skin manifestations are seen as external expressions of internal imbalance, requiring constitutional treatment with the similimum. Frequent repetition of partial similimum remedies may offer temporary relief but risks suppression or aggravation. Case: A 52-year-old female presented with chronic eczema on the posterior ankles for seven years, with itching, burning in the evening, and purulent discharge after scratching. The complaint followed marital discord, leading to grudge toward her husband. Initial prescriptions of Natrum muriaticum, Sulphur, and Natrum sulphuricum produced only transient improvement. On revisiting the case, the mental symptom of "grudge" guided the prescription of Ammonium muriaticum. Intervention & outcome: Ammonium muriaticum 200C was prescribed, resulting in significant improvement: itching subsided, cracks healed, and the patient reported mental relief and overall well-being. Sustained remission was observed in follow-ups. Discussion: This case illustrates the limitations of repeated partial similimum prescriptions, in contrast to the lasting results of the true similimum, correspond with Hahnemann's Organon and Kent's philosophy of cure. Conclusion: case analysis, precise interpretation of rubrics and prescription of the similimum based on the totality of symptoms are essential for lasting cure, whereas reliance on partial similimum only palliates.