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7 Best Homeopathic Medicines for Psoriasis

Homeopathic Treatment of Psoriasis

homeopathic medicines for psoriasis

Homeopathic Medicines For Psoriasis

Homeopathy is a safe and reliable method of treatment for Psoriasis. In homeopathy, natural medicines, which are free from side-effects, are used to treat Psoriasis. The majority of cases can be treated with these remedies. Homeopathic medicines are helpful for treatment of Psoriasis among people of all age groups. They work by moderating the over-active immune system. The initial aim is to manage the itching and burning sensation in the eruptions. In addition, the healing the current eruptions takes place along with prevention of further spread of eruptions. Homeopathic medicines also are very beneficial for treating joint pains that are linked with Psoriasis (psoriatic arthritis).

Psoriasis and its Causes

Psoriasis is among the common skin ailments seen in clinical practice. Red, inflamed patches on the skin, covered by silvery white scales, are the characteristic features of Psoriasis. The reason behind Psoriasis is yet not clear. However, it is thought to be an autoimmune disease.

Autoimmune disease refers to a group of diseases where the immune system of a person starts to destroy its healthy body tissues out of a misdirected immune response.

In Psoriasis, the body’s immune cells target the skin leading to scaly eruptions. A positive family history of Psoriasis puts a person at high risk of developing the same condition. A few of the well-known triggers for Psoriasis are stress, obesity, smoking and infection including strep throat. These triggering factors also worsen the symptoms of existing Psoriasis.

Symptoms of Psoriasis

The major symptom of Psoriasis is patches of red, inflamed papular eruptions on the skin surface with adhesive silvery white scales covering them. The spots have well-defined borders. In some cases cracks that bleed often, appear on the skin. An itching and burning sensation accompanies the eruptions, the intensity of which varies from case to case. Psoriasis often runs a relapsing and remitting course. A few of the complications of Psoriasis are Psoriatic Arthritis, Uveitis, Conjunctivitis, Type-II Diabetes and kidney problems.

Homeopathic Medicines for Psoriasis

Homeopathic medicines that top the list of therapeutics for Psoriasis are Arsenic Album, Graphites Naturalis, and Arsenic Iodatum. The main indicating features for these homeopathic medicines are as follows

1.Arsenic Album –Homeopathic Medicine for Psoriasis with Silver Scales

Arsenic Album is an excellent homeopathic medicine for Psoriasis treatment. The chief indicator for using Arsenic Album is the presence of dry, rough, red papular eruptions with scales on it. The scales are silver coloured. The eruptions cover most parts of the body, except face and hands.

The eruptions spread rapidly and are accompanied by itching. Cold worsens the itching in most cases, while warmth seems to relieve it. Pain on the affected skin arises after scratching the eruptions. Bleeding spots also appear on the skin following scratching.

Restlessness is another symptom that may be present. Yet another symptom is marked anxiety that accompanies itchy eruptions.

Arsenic Album is also a homeopathic remedy of immense help in guttate Psoriasis. In guttate Psoriasis, small rose coloured spots with scales appear.

 3. Graphites Naturalis – An excellent homeopathic medicine for Psoriasis with cracked skin 

Graphites Naturalis is another useful homeopathic medicine for Psoriasis. Graphites Naturalis is helpful for Psoriasis on any body part including nails. In such cases there are patches of sore, dry, rough skin with scales. An inclination to cracks on the surface may also be there. Following scratching, stickiness on the skin may appear.

Graphites Naturalis is also a wonderful homeopathic remedy for scalp Psoriasis. In such cases, eruptions with scales appear on the scalp. The scalp may be sore to touch, with distressing itching. One may also feel a burning sensation on the top of the head.  Eruptions on the scalp can also spread behind the ears. In cases of nail Psoriasis, the characteristic features are rough, thick and deformed nails.

3. Arsenic Iodatum – Beneficial homeopathic medicine for Psoriasis with shedding of large scales

Arsenic Iodatum is another suitable homeopathic medicine for Psoriasis. Its use is applicable when there is shedding of large scales from the skin eruptions. The skin is covered with inflamed patches with scales on them. There is persistent itching in the patches and the shedding of the scales leaves raw skin behind.

Other Significant Homeopathic Medicines for Psoriasis

Apart from the above three medicines, some of other prominent homeopathic remedies that are helpful for treating Psoriasis are as below:

 

  1. Sulphur – Homeopathic medicine for Psoriasis with intense itching and burning

Sulphur helps in cases with severe itching and burning in the psoriatic skin lesions. A violent itching attends, and the person goes on scratching the skin until it bleeds. A burning sensation follows scratching. The itching is wandering, and changes place frequently. The skin is rough, scaly and gets painful after rubbing as if denuded. The symptoms tend to get worse in the evening and at night, when in bed. Sleep is disturbed because of the itching and burning sensation. Other accompanying symptoms are pricking, biting and sticking sensation in the eruptions. Sulphur is also a homeopathic remedy for skin ailments with a history of excessive use of ointments in the past.

Petroleum Oleum – An efficient homeopathic medicine for Psoriasis with deep cracks

Petroleum Oleum is a very suitable homeopathic medicine for Psoriasis where deep cracks appear on the skin. There is a burning sensation and intolerable itching on the affected skin. Bleeding may also be present in the cracks. The skin is intensely sore, painful, hard, fissured and slow to heal. A crawling sensation on the skin may also attend over and above the given symptoms.

Sepia Succus – Homeopathic medicine for Psoriasis with large oval lesions

Sepia Succus is a beneficial homeopathic medicine for Psoriasis characterised by the presence of big oval lesions on the skin. The lesions are reddish papules and are isolated. There are shiny, whitish and adhesive scales present on the papules. Itching arises in the eruptions. On scratching, a burning sensation on the skin follows. The eruptions are present over the face, chest, back, arms and legs. In the case of limbs, the extensor surfaces are mostly involved.

Merc Sol – Well indicated Homeopathic medicine for Psoriasis of scalp

Merc Sol is a homeopathic medicine for Psoriasis of the scalp. In typical cases, the scalp is covered with abundant white scales. The base underneath the scales is raw. The scales, which shed rapidly, re-form again and again. An intense itching, which is worse at night, accompanies. The skin of the scalp is also sensitive to touch. An excessive sweat (which may be sour smelling) may also be present on the scalp. Hairfall may also appear in few cases along with above symptoms.

Psorinum – Homeopathic medicine for Psoriasis which worsens in cold weather

For Psoriasis that worsens in winters, homeopathic medicine Psorinum proves very helpful. The indicators for using Psorinum are fine, red eruptions covered with white scales, which worsen in cold weather. Itching appears, and scratching brings temporary relief. At the same time a stinging sensation appears. The skin looks dirty and greasy due to the above symptoms.

Kali Ars – Homeopathic medicine for Psoriasis that leaves discoloration on the skin

Kali Ars is an indicated homeopathic medicine for Psoriasis where eruptions leave a discoloration on the skin. In individuals needing Kali Ars abundant scales fall off from the skin and leave behind a discoloured red skin. The psoriatic patches are numerous and mainly located on the back, arms, and legs. Intolerable itching is also present. Itching tends to get worse on undressing. The person scratches the skin until an ichorous fluid oozes out.

Thuja Occidentalis – Homeopathic medicine for Psoriasis Universalis

Thuja Occidentalis is a highly appropriate homeopathic medicine for Psoriasis Universalis. In such cases, psoriatic lesions cover almost the entire skin surface. The key indicator for using homeopathic medicine Thuja Occidentalis is dry patches on the skin, covered with white scales. The skin surface gives a dirty look. Itching and burning arise in the patches. Cold water application tends to worsen the burning sensation in the lesions. Some patients may have a needle-pricking sensation and/or a biting sensation in the eruptions.

Antimonium Crudum – A suitable homeopathic medicine for Psoriasis of the nails

Antimonium Crudum is an important homeopathic medicine for Psoriasis that affects the nails. Characteristic features are distorted and out of shape nails with discolouration, pitting or ridges on the nails. The nails are brittle and tend to break often. The skin underneath the nails is also painful and very sensitive.

Phosphorus – Homeopathic medicine for Psoriasis of knees and elbows

Phosphorus is another useful homeopathic medicine for Psoriasis. This remedy works wonders in cases of Psoriasis that affects knees and elbows. The skin of elbows and knees is covered with dry, scaly eruptions. Itching appears in the eruptions. In the majority of cases, the itching is worse in heat. Other accompanying features are a burning and stinging sensation in the eruptions. In a few cases a formication on the area affected is present.

Lycopodium Clavatum – Homeopathic medicine for Psoriasis of the hands

Lycopodium Clavatum is a valuable homeopathic medicine for Psoriasis that affects the hands (including fingers). The eruptions are reddish with furfuraceous looks. Bleeding often arises in eruptions, usually accompanied by a sensation of heat in the hands. Palms are excessively dry and fissures may appear on the hands. Burning in the lesions is well marked.

Rhus Tox – Prominently indicated homeopathic medicine for Psoriasis with accompanying joint pain

Rhus Tox is a beneficial homeopathic medicine for Psoriasis where joints are involved. Any of the joints may be affected. The affected joints are very painful and stiff. The pain is worse when at rest and after periods of inactivity, and better after movement. The pain and stiffness is, therefore, worse in the morning. Exposure to cold air also makes the pain worse. Some patients get relief from warm fomentation. Massaging the affected joint also soothes the pain in some cases.

Frequently Asked Questions on Psoriasis and Homeopathy

Which Homeopathic medicines psoriasis would you rate as the best ?

Among the majorly indicated Homeopathic medicines for psoriasis, Arsenic Album and Graphites are an excellent choice. Arsenic Album is very effective homeopathic medicine for psoriasis. Graphites  works wonders for treating skin as well as nail psoriasis.

I have psoriasis with excessive itching, which Homeopathic medicine should I take?

Homeopathic medicine Sulphur remains highly successful in treating psoriasis attended with intense itching. Extreme burning may also arise in such cases. Do consult a Homeopathic practitioner before you take any medicine.

Please advise a Homeopathic medicine for psoriasis with abundant scale exfoliation?

Homeopathy offers a vast range of medicines for treating psoriasis with excessive scale exfoliation. However, in my clinical practice, Homeopathic medicine Arsenic Iodatum has shown the most wonderful recoveries in such cases. The exfoliation leaves behind a raw, red surface on the skin.

For psoriasis of scalp, which Homeopathic medicine should I take?

The list is long, but I have found Homeopathic medicine Graphites Naturalis to be extremely useful in treating psoriasis of the scalp. A scalp covered in excessive scales, with itching and in some cases burning, will respond well to Graphites Naturalis.

What is the Homeopathic medicine for psoriasis of Nails ?

Graphites Naturalis and Antimonium Crudum are well recognised Homeopathic medicines for nail psoriasis. A person with this condition has discoloured, crumbling, brittle, painful nails.

In psoriasis that worsens in winters, which Homeopathic medicine would help?

Topmost on the list of most effective Homeopathic medicines for treating psoriasis cases that worsen during the winter is Petroleum. This Homeopathic medicine has amazing properties and will calm a flare-up and provide relief to the patient.

I have had psoriasis for a long time and now, my joints are inflamed and in pain. Please suggest a Homeopathic medicine.

Inflamed and painful joints in a person suffering from psoriasis refer to a condition called psoriatic arthritis. Homeopathy can definitely treat this condition. In my clinical practice, Rhus Tox has shown great results in cases of psoriatic arthritis. Highly inflamed, painful, swollen and stiff joints in psoriasis are all guiding symptoms for use of Homeopathic medicine Rhus Tox.

 What is psoriasis?

Psoriasis is a skin disease characterised by well defined red patches covered in silvery white scales. Skin cells normally grow and are shed every 28 to 30 days. In psoriasis, the skin cells start to grow more rapidly, every 3 to 5 days. The skin cannot shed the excessive cells as quickly as they appear on its surface. The result is a build-up of cells on the skin referred to as plaque. The skin lesions in psoriasis may be attended with itching and burning, the intensity varying from case to case. Pain may be present along with itching and burning in psoriatic eruptions. Psoriasis is a disease that runs a remitting and relapsing course, that is to say that there is a phase when the psoriasis gets better, termed as the remitting phase, followed by an active phase, when the psoriasis flares up, termed as the relapsing phase.

How do I know I have psoriasis?

Psoriatic lesions have characteristic in appearance and are easily diagnosed. The presence of dry, red skin lesions with sharply defined borders covered in silvery white scales are well indicative of psoriasis. In case of nail psoriasis, the nails get discolored, deformed, brittle, crippled and may fall out. In a few cases of psoriasis, the joints may get inflamed and become painful. A few skin conditions like ringworm and eczema may look like psoriasis. However, the site of skin lesions, presence of possible triggers and positive family history of psoriasis support diagnosis. In rare cases, skin biopsy is required.

Why does psoriasis occur?

The clear cause of psoriasis is not yet known. However psoriasis is thought to be a disorder of autoimmune origin. Persons with psoriasis suffer an overactive immune system. The overactive immune cells, majorly T cells, cause skin inflammation and trigger the rapid skin cell growth. Psoriasis has a strong hereditary component. A person having a positive family history of psoriasis is at a high risk of suffering the condition.

How is psoriasis diagnosed?

Psoriasis can be easily diagnosed based on the presentation of the skin lesions. In rare cases, a skin biopsy is needed to rule out the type of psoriasis.

Is there only one kind of psoriasis?

No, psoriasis has various types. These are – plaque psoriasis, guttate psoriasis, inverse psoriasis, scalp psoriasis, nail psoriasis and pustular psoriasis. In plaque psoriasis, the skin gets covered in dry spots with a large number of silvery white scales. The major sites for plaque psoriasis are scalp, back, knees and elbows. Guttate psoriasis is characterised by the appearance of small, water droplet-like skin lesions covered in fine scales. Guttate psoriasis is often triggered after a bacterial infection, mainly strep throat infection. The lesions are mainly found on the legs, arms and trunk. Psoriasis lesions that appear in folds of skin – under the breasts, in groin area, armpits for example – are referred to as inverse psoriasis. The skin lesions in inverse psoriasis are in the form of smooth, red inflamed patches. In scalp psoriasis, red, inflamed, itchy lesions covered in thick white scales appear on the scalp. In nail psoriasis, psoriatic lesions arise in the nails, of the fingers or toes. The nail may get discolored, thickening of skin under the nail may arise, pitting on nails may be present and in extreme cases, the nail may crumble and fall out. In pustular psoriasis, pus-filled eruptions arise on the skin that is surrounded by redness and tenderness.

What are the factors that trigger psoriasis?

The various factors that can trigger psoriasis are stress, smoking, alcohol, caffeine, skin trauma and cold weather.

Apart from skin, what are the other sites for psoriasis lesions?

In addition to skin lesions, psoriasis may affect the nails and can lead to inflamed joints. Cases where joints get inflamed are referred to as psoriatic arthritis.

Is psoriasis contagious, can it spread from by touch or other means?

No, psoriasis is not a contagious disease and hence, does not spread from person-to-person contact.

Can stress cause psoriasis?

Stress and psoriasis are interlinked, but stress does not cause psoriasis. Stress plays an important role in triggering a flare-up of psoriasis.

I have had psoriasis for a long time. Now, my joints have started to hurt, why?

If you have had psoriasis for a long time and now your joints are in pain, then there is a good chance you have developed psoriatic arthritis. In approximately 30% of the psoriasis patients, joints may get inflamed and become painful. In psoriatic arthritis, the immune cells start to destroy and inflame the joints due to a misdirected immune response besides the usual rapid cell growth symptoms of the disease. Genetic and environmental factors play an important role in causing psoriatic arthritis.

Can ointments alone treat psoriasis?

Applying ointments may control symptoms like itching and burning in psoriatic lesions, but ointments merely suppress the skin complaint. They will not treat the condition. A curative approach in psoriasis will need to follow proper treatment that aims at moderating the immune system.

Is there a link between psoriasis and vitamin D?

Yes, there is a link between psoriasis and vitamin D. Improving vitamin D levels in psoriasis seems to decrease the severity of psoriasis condition. Vitamin D plays a role in decreasing excessive cell production, and therefore helps treat psoriasis.

rease the severity of psoriasis condition. Vitamin D plays a role in decreasing excessive cell production, and therefore helps treat psoriasis.

Will exposure to sunlight be of help to psoriasis patients?

Yes, evidence suggests that sun exposure helps heal psoriasis, though to a mild degree.

Lifestyle changes can help manage psoriasis better

  • Small changes in lifestyle can help manage psoriasis to a large extent. These measures include:
  • Use mild soap while bathing
  • Avoid bathing with warm water
  • For excessively dry skin, apply coconut oil
  • Quite smoking and alcohol
  • Some sun exposure may help psoriasis while excessive exposure will worsen symptoms
  • Stress management will reduce psoriasis flare-ups

 

Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873.Patients From rest of the world and India call+91-9815299965

5 Best Homeopathic Medicines for Vitiligo

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Vitiligo (often called as leucoderma) is a disorder where the skin loses its color in patches of irregular shapes and sizes. This is a pigmentation disorder which means that melanocytes (the pigment producing cells) in the skin get destroyed. This results in development of white patches on the skin.

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The hairs which are growing in that area may loose their color and turn gray. This disorder also leads to psychological issues relating to appearances and at times in certain individuals (mainly the adolescents and the young) this stress can take enormous proportions particularly if Vitiligo develops on visible areas of the body, such as the face, hands, arms, feet, or on the genitals. They develop very strong emotions of being embarrassed, depressed, or worried about how others will react.

What causes Vitiligo?

The cause for Vitiligo is not very clear but doctors and researchers are beginning to believe that Vitiligo resembles an autoimmune disorder. Which means that the pigment (the matter that gives colour to our skin) producing cells of the skin are destroyed by the body’s own antibodies (defense cells).

In some cases it has been observed that the onset of Vitiligo is related to a psychologically stressful event in the patient’s life. People with a family history of Vitiligo are more prone to develop these white patches. Ninety five percent of all those who develop Vitiligo, start developing symptoms before their 40th year of their life.

Other factors that have been found to be more common with those suffering from Vitiligo are presence of other autoimmune disorders, history of sunburns, rashes and other skin disorders and hair turning grey before the age of thirty five.

What are the symptoms and how does it spread?

People with Vitiligo develop white patches on their skin of irregular shapes and sizes. Vitiligo is more common on the exposed areas for example hands face, neck and arms. It also occurs on covered areas too: – like genitals, breast and legs. In some patients the hair may also turn grey early and in the inside of the mouth, white discoloration may also occur.

The spread of Vitiligo cannot be determined. It may stop completely after the first patch but often these patches do spread. For some patients further development may takes years and for others the large areas can be covered in months. In some patients mental stress has been seen to increase the growth of these white patches.

Can Homeopathy cure Vitiligo?

Homoeopathy is able to give wonderful and miraculous cures in many cases of Vitiligo. This is due to the fact that homoeopathic treatment enhances the natural production of pigments. According to homoeopathic philosophy Vitiligo not a disease in itself but an expression of an inner disturbed state of the body. Thus, the cure should occur at a level where things have gone wrong. In order to archive this, the patient is analyzed on various aspects of mental and physical and familial attributes and also a complete study is done on the psychological-environment that the patient has gone through in his life. The prescription is then based at the deepest level of understanding of the patient?s disturbed inner force. Although many homoeopathic medicines Arsenic Sulph Falvus, Arsenic Album , Baryta Mur and Baryta Carb are known to give good results in Vitiligo; I would again reiterate the fact that real cure of Vitiligo occurs when the prescription is made according to the true principles of homoeopathic philosophy i.e. treating that deep causative factor  which caused this inner disturbance. Also remember that Vitiligo is a chronic disorder and can take considerable time even with the best of the homoeopathic treatment, for it to be completely cured.

Homeopathic Medicines for Vitiligo

Calcarea Carb – One of the best Homeopathic medicines for Vitiligo with milky white spots on the skin:

Calcarea Carb is a top grade constitutional homeopathic medicine for Vitiligo. It is prescribed to patients of Vitiligo with milky white spots on skin. These white spots can appear anywhere on the body. In Homeopathy constitutional symptoms are given extreme importance in while selecting medicine in any given case. These ar unique constitutional symptoms that guide in the selection of Calcarea Carb . The first among these is tendency to free perspiration over the head, neck and chest. Next is intolerance to cold weather. Certain peculiar cravings may be present are – eggs, lime, pencils. Person needing Calcarea Carb may show tendency to catch cold easily. Weakness of bone may also be found. Easily fatigued by exertion . Tendency to chronic constipation and obesity also guides the selection of Calcarea Carb in vitiligo. On mental sphere the person may shows a number of fears. The prominent fears among them are fear of misfortune, of contagious disease, of losing reason and of insanity.

 Arsenic Album – Homeopathic medicine for vitiligo in anxious personalities:

Homeopathic medicine Arsenic Album is yet another useful remedy for vitiligo in persons prone to dry, rough skin. The skin shows whitish spots and skin is dry, dirty and rough. The skin complaint alternating with respiratory complaints like asthma is a strong pointer for using homeopathic medicine Arsenic Album. In general sphere warmth is a relieving factor for persons needing Arsenic album. Warm applications over skin and warm drinks are highly desirable. Burning sensations in varying body parts may also be noticed. Extreme exhaustion may also be present. There are peculiar constitutional symptoms that allow us to select Arsenic Album in vitiligo treatment. The most prominent out of these are fears and anxieties. This remedy is often indicated in persons who have fears including that of death,  disease,  germs and of catching infection. Patients requiring Arsenic Album are highly anxious personalities. They may show anxieties  about health,  trifles and anxiety about others. Marked restlessness is often seen on both mental and physical planes in persons needing Arsenic Album. Next distinctive feature for selecting Arsenic Album in vitiligo is fastidiousness. Person demanding extreme neatness and order in everything are yet another suitable subjects requiring Arsenic Album.

 Sepia – Homeopathic medicine for vitiligo in persons showing indifferent attitude towards family and life:

Homeopathic medicine Sepia is another important homeopathic remedy in the list that is selected constitutionally in vitiligo treatment. If the constitutional picture of Sepia matches with that of a person suffering with vitiligo, it possess a great ability to completely eradicate the disease.  constitutional symptoms that indicate the use of  sepia are – having an indifferent approach towards life and family. They show aversion towards family members and friends who were once loved with great affection. They lack interest in doing any work. Tendency to avoid both Physical or mental labor is present . They are constantly depressed with marked irritability, weeping tendency, desire to be alone and an aversion to consolation or sympathy. The use of Sepia must also be thought in women with menstrual irregularities or those around menopausal age with tendency to hot flushes.

 Silicea – A prominent Constitutional Homeopathic medicine for vitiligo:

Homeopathic medicine Silicea carries a good scope to treat vitiligo when selected as per the constitutional makeup of the person. The set of symptoms that indicate the use of  Silicea are –   pale and waxy skin; tendency to excessive perspiration on hands and feet; tendency to eruptions with pus formation in various body parts; tendency to catch cold on frequent basis; lean, thin physical makeup . There are few characteristic mind symptoms that need attention when selecting Silicea. The main mind symptom are timidity and an under-confident nature. Silicea may be thought of in people who seem under-confident, fear public speaking, are timid and bashful. Obstinate behavior and stubbornness may also indicate its use .

 Sulphur – One of the best Homeopathic medicines for Vitiligo treatment:

Although Homeopathic medicine Sulphur is mentioned quite low down in the list for treating vitiligo but its worth is equivalent to above narrated medicines. . Sulphur is a deep acting homeopathic medicine used frequently in treatment of varying skin diseases including vitiligo. It goes deep inside the basic root cause to annihilate the disease in its complete extent. The persons requiring homeopathic medicine Sulphur usually show a philosophical mindset. They are popularly referred as ‘ragged philosophers’. Their mind is constantly occupied with various theories and plans. As a result they suffer from mental fatigue and absent mindedness. They take little or no care for their physical appearance and even show aversion to bathing. Persons who have suffered a lot from skin troubles, itchy skin with long term use of ointments are also likely to be benefited from use of homeopathic medicine Sulphur. Apart from all above said symptoms burning sensations in various body parts may be present along with white spots on skin.  An extra ordinary craving for sweets may also be shown as a constitutional symptom.

Call Dr. Sharma's Clinic - From United States and Canada call 703-659-0873.Patients From rest of the world and India call+91-9815299965

Homeopathy for skin problems

Homeopathy for skin

Homeopathy for skin …by Dr. Vikas Sharma

Of the little that we know about imagethe human body’s vast innate healing responses, Hahnemann’s views make the most it. One of his most important teachings concerns the danger of Suppressing the visible symptoms of an illness. Hahnemann used the example of an itching red rash on the skin. Better to have the disease on the surface of the body, He taught, because from the surface it can exit outwards. Suppressive measures may drive a disease process inward towards a more vital organ. The itching rash may disappear but worse trouble may appear down the road, trouble that may resist the strongest suppressive treatment.

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