Stasis dermatitis managed with homeopathic treatment

Swetha¹ ,Vijayakrishna.v²

^ABSTRACT
Lymphedema is the accumulation of lymph in interstitial tissue caused by an imbalance in lymph formation and transport This functional overload of the lymphatic system may result from the maldevelopment or dysfunction of lymphatic vessels, lymph node obstruction, or venous stasis Although lymphology has evolved over the last 25 years as a subspecialty of surgery, physiology, and radiology¹. The patient of Stasis dermatitis in a 60 years old man who was treated with individualized homeopathy for over past 10months with improvement in clinical signs and symptoms with reappe aring of older symptoms with milder intensity .

INTRODUCTION
Chronic venous disease (CVD) is a common venous disorder characterized by dilation of the veins of the lower extremities and often varicose veins (VVs)⁹. If not treated in a timely fashion, Varicose vein could progress to chronic venous insufficiency (CVI) and lead to skin chages and venous leg ulcer (VLU). VVs could also be associated with other venous conditions such as thrombophlebitis and deep venous thrombosis (DVT). Investigating the risk factors and mechanisms underlying CVD should help to develop effective treatment strategies.

Family history and several genetic factors have been implicated in VVs. Environment

Combined Lymphovenous Anastomosis and Great Saphenous Vein Stripping for Comorbid Lymphedema and Varicose Veins, stripping surgery does not cause lymphatic impairment, at least to the extent that would impede the success of an LVA procedure. Comorbid varicose veins and lymphedema can be treated surgically by a combination of LVA and GSVS.

HOMEOPATHIC CONSULTATION
Patient came with complaints swelling and skin discoloration with eczema on the right leg since 10 years taken conventional treatment and operated twice for varicosity on thigh 13 years back .Diabetic since 8 years on conventional medication.The patient sought a homeopathic consultation 1/04/2023 presented with symptoms of stiffness with swelling on right leg with itching and discharge which was serous consistency and  constant , non- offensive, bloody discharge on itching , sleeplessness midnight until 3-5am , retrosternal burning eating after better after cold water.

Which used to aggravate on standing afternoon he used to feel better when elevation of leg -characteristic—walking for miles.

Mental and emotional state- he describes earlier patient was feeling sad , now days he doesn’t feel the sadness , wants to be alone even doesn’t like to talk to his wife .

This are the characteristic and change with pathology progression with change with mental state, indicating sepia 30/bd/3days. After the remedy swelling reduced gradually the active inflammation of skin with discharge ,itching ,retrosternal burning, sleeplessness ,stiffness of leg with mild aggravation with subsided gradually without medication

Appearance of older complaint after 10 months abscess on joints, recurrent abscess with pain in the right forearm with no change in acute but his varicose eczema, swelling  was better

Characteristic symptom –abscess  in general wants to cover ears , thermal changed to hot to chilly – silicea 200 one dose

Within 2months – the main pathology varicose eczema,with active inflammation, serous discharge  is resolved with general well being of the patient.

PAST HISTORY

• H/o typhoid 30 years back
• H/o abscess right lateral malleolus in 2021—post injury.
• H/o lipoma , in 2018
• H/o hernia 2009.

FAMILY HISTORY

• Father – stroke,
• Mother- apparently healthy
• Siblings- diabetic

ANALYSIS OF SYMPTOMS:

Common symptoms ;

Pain in right lower limb

• Discoloration blackish with slight itching when it dries up
• Uncommon symptoms
• Sensation as if log in the affected limb
• Better by walking
• Aggravation Standing
• Discharge:Watery only on Standing
• Non offensive discharge .

TOTALITY OF SYMPTOMS

• Mind _indifference
• Mind _company Aversion to amelioration when alone
• Generalities_
•  Exertion physical amelioration
• Skin eruption discharge moist white .

SCHOOL OF PHILOSOPHY: Kentian philosophy

Evaluation of symptoms

Mental Generals;

• Mind :indifference
• Mind :wants to alone
• Mind exertion walking amel

Physical Generals;

• Thirstless
• Desire :pickles and sugar
• Particulars
• Sensation of Tightness of the affected limb with swelling
• Discharge moist on Standing <<

REPERTORIAL RESULT

• LACHESIS 5/5
• SEPIA 4/6
• PHOSPHORIC ACID 3/6

PRESCRIPTION

Sepia 30C/bd/3days

DISCUSSION AND CONCLUSION
In this case depending on totality of symptom  the medicine was prescribed as Individualized Homeopathic medicine with remarkable improvement in statis dermatitis with aggravating symptoms managed only limitation here was the inability to demonstrate any pharmacological effect of the remedy because homeopathy does not act on matter but on energy fields of the organism needs further studies.

REFERENCES

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Swetha¹ ,Vijayakrishna.v²
1Post graduate scholar, Dept of homoeopathic materia medica , GHMC and H, Bengaluru 560079.
2.BHMS, MD Prof and Pg guide ,Department of Materia Medica GHMC and H, Bengaluru 560079.

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