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"Individualized Homoeopathic Approach in the Treatment of Plaque
Psoriasis: An Evidence-Based Case Report"
Dr. Pallavi Shinde
Assistant Professor Department of Gynaecology and Obstetrics. Dr D.Y. Patil Homoeopathic Medical
College & Research Centre, Pimpri, Dr D.Y. Patil Vidyapeeth, Pune, Maharashtra, India.
DOI: https://dx.doi.org/10.51584/IJRIAS.2025.101100034
Received: 22 November 2025; Accepted: 28 November 2025; Published: 08 December 2025
ABSTRACT
Psoriasis is a prevalent multisystem autoimmune condition characterized by round, red plaques covered with
thick white scales that may appear across the back, chest scalp. In addition to its physical manifestations, the
disorder has significant emotional and psychological effects, often contributing to diminished self-esteem, social
stigma, and heightened stress. These psychosocial challenges can further interfere with daily interactions and
personal relationships. To assess treatment progress, before-and-after photographs were used to document
visible changes. This evidence-based case illustrates the potential role of individualized homeopathic
management in plaque psoriasis and may provide a basis for future research in this field.
Case Summary
A 61-year-old male presented to the OPD of Dr D Y Patil Homoeopathic Medical College and Research Centre,
Pune, Maharashtra with complaints of persistent, thick, coppery-red eruptions on the ear pinnae, scalp, back, and
chest, lasting for two years. Following 1 year and 8 months of continuous treatment with individualized
homeopathic medicine, the condition was completely resolved, with no reported side effects. Photographic
documentation before and after treatment was used to evaluate the improvement. This evidence-based case may
serve as a foundation for further research into the use of individualized homeopathy in the management of plaque
psoriasis.
Keywords: Arsenic album, autoimmune disorder, Homoeopathy, Psoriasis
INTRODUCTION
Psoriasis is a chronic, autoimmune, inflammatory skin condition characterized by well-demarcated, red plaques
covered with silvery scales, often on extensor surfaces like elbows and knees, and the scalp.¹ Although the
exact cause remains unknown, the inflammation appears to result from immune system dysfunction and is often
linked to psychological stress. Psoriasis typically manifests as well-defined, erythematous plaques with scaly
lesions, commonly found on the extensor surfaces and the scalp.² Psoriasis is known for its recurrent nature, and
the appearance of lesions can vary among individuals, influenced by factors such as skin type. In India, the
prevalence of psoriasis is estimated to range between 0.44% and 2.8% of the population, while globally it affects
approximately 1.5% to 3%. The condition affects both males and females equally; however, it is often observed
that females tend to develop symptoms at a younger age.³Psoriasis can involve multiple tissues and organ
systems, and up to one-third of individuals with psoriasis may go on to develop psoriatic arthritis.⁴ Chronic
plaque-type psoriasis represents approximately 90% of all psoriasis cases. It is clinically characterized by sharply
demarcated, erythematous, and pruritic plaques covered with silvery scales. When lesions coalesce, they can
cover extensive areas of the skin. Commonly affected sites include the scalp, extensor surfaces of the limbs, and
the trunk. Several studies have investigated the effectiveness of homeopathic treatment in managing psoriasis.
A prospective, multicentre observational study evaluating psoriasis patients undergoing standard medical care
alongside homeopathy reported significant improvements in both diagnosis and symptom severity, with a large
effect size observed. Additionally, patient experienced notable enhancements in quality of life, along with a
substantial reduction in the use of conventional treatment and overall healthcare service utilization. A case report
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highlights the potential effectiveness of classical homeopathy in managing psoriasis and its associated outcomes.
Patient received individualized homeopathic treatment, resulting in improvements in overall health as well as
reduction in their Psoriasis Area and Severity Index (PASI) scores in the same case report patient showed
improvement in their Psoriasis Area and Severity Index (PASI) scores following individualized homeopathic
treatment. Another report demonstrated that regular homeopathic care led to a significant reduction in psoriasis
severity and enhanced quality of life. Several other studies also support the effectiveness of homeopathy in
managing various forms of psoriasis, consistently reporting positive outcomes without adverse effects.⁵
Patient Information
Patient information Chief complaint: 61 years old male patient was suffering with, raised, scaly lesions persisting
for 2 years, predominantly affecting her back, chest and legs that bleed upon scratching. The lesions were red
with marked scaling and intolerable itching and burning. His itching was aggravated by cold air, washing the
affected part, warmth of the bed and while undressing. Crust formation was also there on the affected part.
Itching and burning was increased after scratching but the patient had continuous desire to scratch. Scratching
was sometimes followed by bleeding, he was not able to do his daily work and if he tried, his skin used to get
crack due to excessive dryness and used to bleed sometimes.
Clinical finding - The lesions initially appeared on her back, chest and hands spreading centripetally. Well-
demarcated erythematous plaques of varying sizes, covered with red scales on thick, dry skin, were observed.
The scales were symmetrically distributed, appearing bilaterally and scattered across the affected sites on the
body. Additionally, her skin felt icy cold to the touch, a finding that was confirmed during examination.
Mental symptoms: He remembered about his son and did not like to share anything with anyone regarding that
particular thing only. His nature was very mild. He cared about all his relatives. He talked so much and jumped
from one topic to another while talking. He was very religious as liked to talk about the spirituality, practiced
meditation especially during anger, as he believed that meditation is a good remedy for everything. Patient was
anxious regarding the other people, as he cannot see anyone suffering and tried to help them. He had persistent
thoughts going on in his mind. The patient also mentioned that he was alone, as his son lived separately with his
wife and grandson. He was very close to his grandson and began to cry. He had lost hope in life. Fastidious
wants to wash his hand face and legs anxiety about health, restlessness.
Physical generals: Patient include that he had desire for sweet and spicy food specifically. Thirst as mentioned
by the patient is of large quantities at large interval duration. Desire for cold milk, constipation
Thermally patient was chilly wants to cover all the parts of body. Past H/O: He took some allopathic treatment
in sept 2021 for same complaint but that did not help much. Even he is not having any such family history
Diagnosticassessment
On examination, the Auspitz sign tested positive. Considering the clinical presentation and patient history, a
diagnosis of plaque psoriasis was confirmed.
Totality of Symptoms
After analysis and evaluation of the symptoms, the totality was constructed based on the following symptoms:
1. Despair
2. Fastidious frequent washing face hands and legs
3. Fears being alone
4. Anxiety at night
5. Religious
6. Anxious
7. Changeable mood -capriciousness
8. Sleeplessness
9. Thirst is decreased
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10. Desire for cold milk
11. Constipation
12. Extremely chilly wants to cover all the parts of body
13. Eczematous eruptions with severe itching chest, back, hands and legs
14. Psoriasis intolerable itching
Figure 1: Repertorisation chart
Diagnosis-Plaque Psoriasis
Software used: Zomeo Software
Rubrics considered from synthesis repertory - with Kentian Approach
Therapeutic intervention
After repertorisation Arsenicum album, Sulphur,Lachesis are the higher marked remedies in repertorisation.
Chilly patient as potential differentiating field Arsenicum album was finally selected, conforming to Materia
medica, and covered all the symptoms. ⁷ Repertorisation was done with Zomeo software synthesis repertory
Treatment –
As in this case, patient is chilly and based on symptom similarity the Arsenicum album 200 was prescribed. Sac
lac was given for mental satisfaction of the patient that he is going to get better because he is taking medication
the potency and dosage were determined based on the susceptibility as per the patient’s age, pathology and the
disease’s nature. All the medicines were administered orally.
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Figure 2-Before treatment
Figure 3 -After treatment
Table 1. Follow-up
Date
Symptom
Treatment
6April 2023
Psoriatic lesions with intolerable itching,
bloody discharge while scratching, red lesions
with marked scaling, aggravation by cold air,
washing, warmth of bed and while undressing.
Arsenicum album 200 stat 4 pills / 1
dose
Placebo 4 pills twice day for 1month
8May 2023
Constipation reduced General symptoms better
Psoriasis symptoms better 20 %
Placebo 4 pills 1 month No medicine
prescribed improvement continued
5 June 2023
Psoriasis symptoms better 40 % Itching reduced
No blood discharge from psoriasis parts
Arsenicum album 200 stat 4 pills / 1
dose Placebo 4 pills twice day for
1month
INTERNATIONAL JOURNAL OF RESEARCH AND INNOVATION IN APPLIED SCIENCE (IJRIAS)
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3 July 2023
General symptoms better eruption also reduced
60%
Placebo 4 pills 1 month No medicine
prescribed improvement continued
14August 2023
General symptoms better eruption also reduced
90%
Placebo for 2 month 4 pills twice day
No medicine prescribed
9 October 2023
Psoriasis symptoms better 50%
Arsenicum album 200 C 4 pills stat
Placebo 4 pills for 2 months
11December 2023
Complaints better
Placebo 4 pills twice for 2 months
5 February 2024
He felt better in all aspects mentally However,
he is continuous changing the place, her
appetite and thirst normal.
Arsenicum album 200 stat 4 pills / 1
dose Placebo 4 pills twice for 3
months
Table 2: Before treatment PASI Scale
Table -3 After treatment PASI Scale
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Table 4 -Naranjo Criteria
Sr. No.
Yes
No
Not Sure or N/A
1
+2
-
-
2
+1
-
-
3
-
0
-
4
+1
-
-
5
+1
6(A)
-
0
-
6(B)
-
0
-
7
-
0
-
8
+1
-
-
9
+2
-
-
10
+1
-
-
9
DISCUSSION
The patient initially visited the outpatient department on March 6, 2023. He was given individualized
homeopathic treatment, including Arsenicum album 200C, which resulted in a marked improvement in his skin
condition. Over the past eight months, there has been no recurrence of symptoms or emergence of new
complaints. Homeopathy adopts a holistic approach, where the prescription is based not only on specific
symptoms but also on the overall physical and mental general symptoms of the individual. These general
symptoms play a crucial role in individualizing treatment. According to Dr. Kent, illness arises when a person's
vital force is disturbed. Both acute and chronic diseases result from mental, emotional, or physical shocks caused
by external factors. ⁸ Disease or symptoms always have an underlying cause; nothing occurs without reason.in
this case after forming the totality on basis of mental general symptoms, physical general and particular
symptoms the homoeopathic medicine cure not only skin complaints but also the all-general symptoms ⁹
CONCLUSION
As previously mentioned, Plaque Psoriasis significantly affects a person’s daily life. This case demonstrates that
homeopathy can not only promote overall health restoration but also provide relief from clinical symptoms. The
case highlights two key points: the potential for homeopathy to be particularly beneficial in managing chronic
diseases through thorough case taking. However, larger studies involving more patients are needed to further
validate these findings.
INFORMED CONSENT
Patient permission papers are acquired with the patient’s assent and include the necessary clinical data to be
reported in the journals; the patient understands that her name will not be published and the proper steps to be
taken to protect her identity.
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FINANCIAL SUPPORT AND SPONSORSHIP- No funding received from any organization.
CONFLICTS OF INTEREST- No conflicts of interest are declared by any of the authors
ACKNOWLEDGEMENT
I would like to extend gratitude towards my college, Dr D Y Patil Homoeopathic Medical College and Hospital,
Principal Dr D.B. Sharma and Dr D Y Patil Vidyapeeth Deemed to be University, Pimpri for their support and
cooperation in the accomplishment of this article.
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