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Old 24th August 2004, 11:55 PM
Rana Ranjit Singh Riat
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Default Request Advice : Case of darkened smelly crotch

Dear List Members,

I have been treating a patient for the last three months, the chief symptoms of whom are as follows :-

1. The area of the skin in the fold of the thigh and the scrotum has darkened and is dark brown/purplish/reddish in colour. Initially the darkening took place only in the front but has now progressed all around the fold of the thigh ....right up to the anal region.

2. The smell of the skin in this area is very very offensive....something like decaying flesh/ something dead. In fact a finger rubbed in the area just cannot be smelt......it is that offensive.

3. After a bath/ shower the skin gets tender and can be rubbed with a finger and .....it peels off easily uncovering a shining inelastic skin underneath.

4. Perspiration seems to aggravate.....and the patient gets a slimy feeling in the area between the thighs and the scrotum.

The treatment was PSORINUM 200 ..given as four split doses in water over two days.
The area seemed to dry up and the smell slightly less. After waiting for a period of nearly one and a half .....the patient was given PSORINUM 1M ....given as two split doses in water over two days. There was no reaction..It has been nearly a month and a half since the last dose.

The problem remains nearly the same and there has been no improvement.
Thanking in advance ....
RRS Riat

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Old 25th August 2004, 03:25 AM
David Hartley
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Default RE: Request Advice : Case of darkened smelly crotch

Hello,

Apparently Psor. was only very slightly effective in palliating - so not
at all even close to a partial simillimum.

Have you taken a full case, as opposed to only focussing on the local
lesions ?

About 11 remedies in the rubric below are also known for fetid odor.

SKIN - ERUPTIONS - desquamating
acet-ac.;1 acon.;1 agar.;1 agar.;1 am-c.;3 am-c.;3 am-c.;3 am-m.;2
am-m.;2 anac.;1 ant-t.;1 ant-t.;1 apis;1 ars.;2 ars.;2 ars-i.;2
ars-s-f.;1 arum-t.;2 aur.;2 aur.;2 bar-c.;1 bar-c.;1 bell.;3 bell.;3
borx.;1 bov.;2 bov.;2 bufo;1 calc.;1 calc.;1 calc-s.;1 calc-sil.;1
canth.;1 canth.;1 caps.;1 caps.;1 carb-an.;1 carb-an.;1 caust.;1
caust.;1 cham.;1 cham.;1 clem.;2 clem.;2 coloc.;2 coloc.;2 com.;1 con.;1
con.;1 crot-h.;1 crot-t.;1 cupr.;1 dig.;1 dig.;1 dulc.;2 dulc.;2 elaps;1
euph.;1 euph.;1 ferr.;1 ferr.;1 ferr-p.;1 fl-ac.;1 ger-i.;1 graph.;2
graph.;2 hell.;2 hell.;2 hell-f.;1 iod.;1 iod.;1 kali-ar.;2 kali-c.;2
kali-c.;2 kali-s.;3 kali-s.;3 kali-sil.;1 kreos.;1 lach.;1 laur.;2
laur.;2 led.;2 mag-c.;2 mag-c.;2 manc.;1 medus.;1 merc.;2 merc.;2
merc-c.;1 mez.;3 mez.;3 mosch.;1 mosch.;1 nat-ar.;2 nat-c.;1 nat-c.;1
nat-m.;1 nat-m.;1 nat-p.;1 olnd.;3 olnd.;3 op.;1 op.;1 par.;1 par.;1
petr.;1 ph-ac.;2 ph-ac.;2 phos.;2 phos.;2 pip-n.;1 pix;1 plat.;1 plat.;1
plb.;1 plb.;1 psor.;3 ptel.;1 puls.;2 puls.;2 ran-b.;1 ran-s.;1 ran-s.;1
retin-ac.;1 rhus-t.;2 rhus-t.;2 rhus-v.;2 sabad.;1 sabad.;1 sec.;2
sec.;2 sel.;1 sel.;1 sep.;3 sep.;3 sil.;2 sil.;2 spig.;1 spig.;1
staph.;2 staph.;2 sul-ac.;1 sul-ac.;1 sul-i.;1 sulph.;2 sulph.;2
tarax.;1 tarax.;1 teucr.;1 thuj.;1 thuj.;1 urt-u.;1 verat.;1 verat.;1


David Hartley www.holistiq.com
San Francisco EastBay
---------------------

Last edited by jonh; 25th August 2004 at 10:19 AM.
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Old 25th August 2004, 05:13 AM
dr manish agarwala's Avatar
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Psor (the nosode) in such a case will aggravate.
One doctor here in calcutta gave psorinum 1M to a leg ulcer case. The case was actually lyco. the case developed gangrene and died a bad death.

As far as the particular case in concerned, i have found similar symptoms in carc, lac caninum, merc. please note that you need to repertorize and take the full case.

Please don't make a hasty prescription based on my suggestion.

dr manish agarwala

Last edited by jonh; 25th August 2004 at 10:19 AM.
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Old 25th August 2004, 05:14 AM
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Please have that patient examined by a allopathic doctor to diagnose what the problem is. It might be an infection of fungal origin as I know of a couple of cases of this nature and they turned out to be fungal infections.
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Old 25th August 2004, 11:25 AM
J.VENKATA SUBRAMANIAN
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Default Re: Request Advice : Case of darkened smelly crotch

Dear Rana,
Boger's rep:
pg 1152 agg and amel:
wet getting amel: while sweating agg:4 aco,2
antc,3ars,4bellisp,4 bry,3calc ,4clem,5
colch,2con,4dul,2 natc,2 nat s,5 rhus t,4 sep.

odor of body :bad, offensive etc: (pg 911, sensations
and complaints)
2 ars,5 bap, 3 graph, 4 hep,2 kali io, 4 merc, 5 psor,
4 rhus t, 2 sep, 2 sul, 2 thu

pg 949, skin: desquamating: a long list
--do- over affected parts: rhus tox.

I do not know whether the pt is male or female. These may also count in the final analysis. But imo Rhus t is a sound possibility. If no mental symptoms are present to contra indicate Rhus t can be considered.

This method of case analysis is Boenninghaussen's and has a proven record of success for 150 years and suited especially for such cases. recently VT Yekkirala posted a case from George Dimitriadis ( who has given his time and energy for releasing yet another corrected volume of Boenn..'s repertory.) With similar modalities but with different sensations. the indicated remedy just worked fine.

Regards
venkat

Last edited by jonh; 25th August 2004 at 03:56 PM.
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Old 25th August 2004, 12:55 PM
J.VENKATA SUBRAMANIAN
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Default Re: Re: Request Advice : Case of darkened smelly crotch

If it is fungal, what is the specific fungicide do you have in mind for this case ? The freedom from names is what has allowed homeopathy treat and cure miraculously. A fungus is a cause - only in case the right soil is found to thrive. This also will be just speculation since based on this no medicine is possible in Homeopathy. The external manifestations of the internal malady is what counts:-)

Reg
Venkat

Last edited by jonh; 25th August 2004 at 03:56 PM.
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Old 25th August 2004, 01:32 PM
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dear rana
i looked at the synthesis rep and tried to recollect from my experience
i think you may look at these remedies:-
lach, dulc, graph, hep, merc, cinnb, lyc, nat-c, nat-m, nit-ac, petr, rhus-t, sars, sil, sulph, lac can.
i have noticed something similar in a lac can patient. (check clarke mm.) all remedies had failed and lac can had worked.
merc / cinnb can have it and also rhus t.
does the patient have aversion to washing / dirty hygiene ? you may think of sulph then. bad odor is psorinum. i have seen sweet (but offensive) odor of the the sweat in those parts in thuja. i have seen thuja and other sycotics to have a tendency to rub those parts and to smell the finger.
hope this helps the patient.
dr manish agarwala
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Old 25th August 2004, 01:45 PM
Joy Lucas
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Default Re: Request Advice : Case of darkened smelly crotch

With the darkening skin which peels, has a decaying smell, this sounds more like Lachesis or Arsenicum, maybe even Pyrogen but there is scanty information to confirm either rx.

If the <<< washing is indeed that high ranking then even Sulphur could fit the case.

There is a rubric male, excoriation between thighs and scrotum, but I would also cross reference with the relevant rubrics for skin discolouration, peeling skin and perspiration odour.

Is it perspiration that is causing this problem or are there other factors to the case?

Best, Joy

www.homeopathicmateriamedica.com

Last edited by jonh; 25th August 2004 at 03:55 PM.
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Old 25th August 2004, 06:34 PM
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baity
Default Reproducing material medica

i am sure u must be having headache by now as every one is so good at reproducing materia medica feeling perhaps this is a sign of wisdom
i have always shouted at this attitude as it is a reflection of very stereotype knowledge
any way
i believe no Homeopathic Medicine go without action and it does bring some benefit
in my humble opinion u can use the following prescription for good response though it not a classical one but tested and tried

thuja 30 thrice a day
gunpowder 3X four hourly
locally thuja cream
use it and find the response
love and regards
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Old 25th August 2004, 07:55 PM
allen coniglio
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Default Re: Re: Request Advice : Case of darkened smelly crotch

This sounds like what every male who has played high school or college sports has had to deal with at one time or another in his life - the dreaded "crotch rot". It is associated with a fungus, the same one apparently that is associated with athlete's foot and is treated/suppressed allopathically with any of a number of over the counter anti-fungal preparations. Although these preparations do relieve the symptoms, the underlying susceptibility remains and the symptoms will often reappear or move to another level such as bladder infection, swelling of the inguinal glands, joint problems, etc.. Cleaning the area with alcohol, although painful, will kill the fungus but, may cause the same problems as other suppressive methodologies. Hydrogen peroxide may be less inflammatory but, may also act suppressively.

Allen

Last edited by jonh; 25th August 2004 at 08:45 PM.
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