Individualized Homoeopathic Management of Acute Spontaneous Urticaria Based on Keynote Prescription: A Case Report
DOI:
https://doi.org/10.5281/zenodo.19980827Keywords:
Array, Array, Array, Array, Array, ArrayAbstract
Abstract
Introduction: Urticaria also known as stinging nettle[1], hives. It is a vascular reaction of skin characterized by appearance of wheals, generally surrounded by red halo or flare and associated with sever itching, stinging, or pricking sensation.[2] As per ICD 11 it is included in urticaria, angioedema and other urticarial disorders (EB00-EB0Y). A spontaneous urticaria lasting less than 6 weeks considered as acute spontaneous urticaria (EB00.0).[3] Urticaria is common condition with life time prevalence rate of up to 13.9%.[4] In every clinical practice there is huge rush of patients and certain clinical conditions with few symptoms so time saving and based on few peculiar, uncommon symptoms come for the rescue of physician and those are called Keynote Symptoms.[5]
Case significance
A 66 years old female patient came to OPD of institution with complaint of sever itchy rash over right upper thigh for 1 day. On examination reddish discoloration without any oedematous changes seen. No history of any insect bite, use of cosmetic product, no medication or any unusual food eating noted since last 1 -2 weeks. Patient had history of similar complaints 3 months back for that taken conventional treatment and got relief, but as her complaints reappeared, she approached homoeopathic OPD for permanent relief of her complaints. She has been treated with Natrum Muraticum based on keynote prescription with higher potency 0/1 with frequent repetition. Her major complaint of sever itching reduced within 3 to 4 hrs. after initiation of treatment and rash much reduced within 3 days. The initial urticaria activity score was 4 (itching3, wheals 1) which was reduced to 1(itching 0, wheals 1) after 3 days.
Learning points: The case highlights how individualized symptom totality and peculiar characteristic symptoms form the successful homoeopathic prescription by selecting a remedy based on keynotes, which can give rapid and complete relief in acute manifestations which demonstrating practical applicability of keynote prescription.
Conclusion: This case demonstrates that individualized homoeopathic management based on keynote prescription can provide rapid, gentle and complete recover in acute urticaria. Accurate remedy selection through characteristic symptoms along with regular follow ups, helps effective and lasting results without suppression of disease.
Key message: Effective management of urticaria through IHM based on accurate keynote prescription along with skillful homoeopathic case taking and meticulous observation can cure patient in more rapid and gentle way.
References
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Statistics, Diseases of Skin,Skin disorders involving specific cutaneous structures,Disorders of the epidermis and epidermal appendages, Acne and related disorder Available from: https://icd.who.int/browse/202501/mms/en#1946783676
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8. Grattan C. The urticarias: pathophysiology and management. Clin Med (Lond). 2012 Apr;12(2):164-7. doi: 10.7861/clinmedicine.12-2-164. PMID: 22586795; PMCID: PMC4954105.
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