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Medicinal management
In Constantine Herring’s ‘The guiding symptoms of our materia medica .’ medicines and its indication are 19

1) Graphites
I I Skin of hands hard & cracked
I Constant chafed soreness between fingers
I Raw and moist places between fingers
I Violent itching and burning

2) Nitric acid
I I Rhagades deep, bleeding
I Eczema on inner sides of 1 hand

3) Petroleum
I I Tips of fingers rough, cracked, fissured, sticking, cutting pain
I Skin of hands cracked and rough
I Deep bloody rhagades on hands, thick crust worse during winter
I Burning in palms of hands

4) Psorinum
I I Itch in hands, finger joints
I Itching between fingers, vesicle
I Pustules on hands

5) Sepia
I Burning of palms and hand
I Skin on palms peels off
I Itch and scabs on hands
I I Hand sweats profusely

6) Sarsaparilla
I Fingers burning under nails with itching
I Deep rhagades on fingers with burning pains
I I Sides of fingers burning
I Tips of fingers feel bruised and sore

7) Silica
I I Cracking of skin on arms & head
I I Burning itching with forefinger
I Burning in finger tips

8) Calc carb
I Severe itching on inner part of forearm. Small water blisters from scratching
Π Vesicles on fingers
I Burning sensation on back of hands

9) Natrum.mur
I I Skin of hands especially around nails, dry cracked
I I Small red vesicles on arms
I I Blistering tester in finger, containing watery fluid

10) Sulphur
θ Eczema
I I irritating rash on arms for two months.
I I Burning of hands
I I Rhagades in hands especially between fingers, on finger joints and in palms

New drugs for chapping48
A.C.T.H or Corticotrophine
Fine powdery desquamation of skin . Cracks in the right thumb , dryness of palm , pruritis of hands < heat of bed .

Alloxane :Hands dry , cracked . Skin unhealthy , eruptions papulous and pruriginous .
Molybdenum metallicum :Dry dkin , dry eruptions squamous eruptions with itching
Paloondo :Redness with sensation of heat , dryness of skin with pruritis .

Pnenobarbital ( phenylethylmalonylurea)
Heat of fine parts of skin. Pruritis with stinging and burning with little amelioration by heat and cold . Smarting pain and discharge . Erythema more or less intense Vesicles upto dishydrosis Skin dry or weep by scratching .

Rubrics with medicines
1)In the Kents ‘Repertory of Homoeopathic Materia Medica’ rubrics are given in the chapter ‘Extrimities’6

CHAPPED hands
Calc, Calend, Graph, Hep, Petr, Rhus-t. Sars, Sep, Sulp
Alum, aesc, ana, arn, kalic-c, lyco, mag-c,merc,nat-c, nat-m, sil, zinc
apis, am-c, aur, carb-ac, ham, hydr, kreos, puls.

Working in water: Calc Sulph
Rhust, sep
Alum, ant-c, cham, hep, merc, sars.

CRACKS
Hands : Alum, Calc, Grap, Petr, Nitac, Sars,
Sil, Sulph, Zinc
Aesc, am-c,aur, aur-m, carb-s, cist, hep, lach,Lyc, merc, nat-c, nat-m, psor, puls, rhust, sep.
anan, ant-c, arn, bar-c, cench, cycl, kali-c,kali-s, kreos, maland, phos, rhus-v, ruta, sanic, sec.

Burning: petr,
sars, zinc
Cold from - sanic, zinc
deep and bleeding – Nit.ac Petr.
merc
Alum, sanic
Itching – merc, petr
Wetting from calc, sep, sulph
Cist, puls, rhust
alum, ant-c, kali-c, nita, sars, zinc

Winter in Calc, petr, sep, sulph
Cist, merc, psor, sanic,
alum

Rubrics are also found in chapter skin.
Chapping:
Calc, Graph, Hep, Puls, Rhus-t,Sars, Sep, Sulph
aesc, cycl, lach,
alum, ant-c, arn, aur, bry, cham, kreos, lyc, mag-c, mang,merc, nat-c, nat-m, nit-ac, petr, ruta,sil, viol-t, zinc.

Cracks : Calc, Carb-s, Graph, Petr, Puls, Sars, Sep, Sulph
Aesc, ant-c, arn, aur, bad, carb-an,cham, cycl, hep, kali-s, kreos, lach,lyc, mang, merc, nat-c, nat-m,nit-ac, paeon, psor,rhust, sil, zinc.

Alum, aloe, am-c, bor-c, bry, calc-c, carb-r, con, hydrastis,kali-c, mag-c, olnd, osm, phos, ruta, teucr, viol-t.

2) In synthesis ‘Repertorium Homoeopathicum Syntheticum’ by Dr.Fredrck Schroyens’ the Rubric chapped hands has medicines.7
Calc, Calen, Graph, Hep, Petr,Rhust, Sars, Sep, Sulph
Aes, Alum, Arn, Ana, Kalic-c,Lyco, Mag-c, Merc, Nat-co, Nat-m, Zn.
am-c, alum-sil, apis, aur, calc-sil, carb-ac, cench, sil, ham, hydr, kali-s, kreos, prim-o, psor, puls.
Working in water
-calc
-rhust, sep.
-alum, ant-c, cham, hep, merc, sars

Fingers – Nat-m
Nails about the – Nat-m
Tip – bar-c
Cracked hands -
Wetting from
-Calc, sep, Sulph
-Cist, puls, rhust
-Alum, ant-c, calc-c, kalic-c, nit-a, petr, rhus-v, Sars,zn

Deep and bleeding
-Nit-a, petr
-Merc, sars
-Sanicula
Winter in
-Calc, sep, sulph
-Cist, Merc, psor, Sanic
-Alum, Calc-s
Palms of
-Cist, Merc- i.r, Petr, Sulph

3) In the ‘The concordance repertory of the material medica by William.D.Gentry’ rubrics are found in the chapter ‘The skin’8
Chapped-
Inflamed eruptions forming crusts, which become detached in open air and adjoining skin is c, sars
Cracked – skin becomes dry, chafed, rough and c. in places-Natr.c
Skin of hand is hard and c. in many places – Graph
Cracks – Rhagades, deep c and fissures causing great pain, bleeding and suppurating – petr.


4) In Dr.Boger Boeninghansen’s characteristics and repertory 23 remedies are given9
Upper Extremities –chaps
Hands and f.on
SUL
Alu, Aur, Calc, Caust, Cist, Cyc, Grap, Hep, Nat-m, Nitac, Rut, Zn.
Kre, merc, natc, rhust
arn, bar-c, mag-c, sars.
H . palms
– Alu, cist, graph, kre
merc-i-r,petr.

F.tips
– Petr, Graph
Sars
Alum, aur, bar-c, bell, merc, sil

Skin and exterior body
Eruptions
Chapped ,cracked ,etc
PULS, SEP, SUL.,
Calc-c, Cyc, Hep, Lach, Rhus-t
Alu, arn, aur, cham, kre, lyc, mang, nat-m, nit-ac, petr, sars, vio-t, zin
Ant-c , bry, grap, kali-c, merc, nat-c, rut, sil,.
Cracks,
after washing
CALC-C
Ant-c, Puls
bry, cham, rhustox
Kali-c, lyco, nit -a, Zin

5) According to Repertory to the more characteristic symptoms of the material medica by Constantine Lippe, the medicines indicated are 10
Upper extremities
Rhagades-
Hands- Alum, Aur, calc, Hep, Ntr-m, Petr,Rhus, Sulph, Zn
Arn, Bar-c , Creos , Cycl,Graph,Kalic, Lach, Mgn-c , Merc, Ntr-c, Ruta, Sil
--deep and bleeding Merc
Petr,Sars

Skin Rhagades
Calc, Hep, Lyco, Puls, Sars, Sep.
Aloe, alum arn, aur, cham, creas, cycl, lach,
Mang, Merc, Nitr-a, Nux, Petr, Phosp, Rhust, Zn.


6) In Boeninghausen’s therapeutic pocket book rubrics are found in the chapter skin.11
Eruptions -
Chapping- PULS, SEP , SUL,.
Calc-c, Hep, Lach, Rhus,
Alum, Arn, Aur, Cham, Kre, Lyc, Mang,Nat-m,Nit-ac,Petrol ,Sars, Viol-t, Zinc.
Ant.cr, Bry, Graph, K.carb, Mag.c,Merc, Nat.c, Ruta, Sil.

Cracks.
-After Washing-
CALC-C, SEP, SULP
Bry, Cham, Rhus, Sars
Ant-cr, puls,Nit-ac, Zinc
-Deep, Bloody –
Merc, Sars
Petro, sulp
Puls

7) In the Repertory part of Boerickes’ ‘Pocket manuel of homoeopathic ‘materia medica’ rubrics are in the chapter Locomotor system.12
Hands
Chapping Calc-c, Graph, Petrol, Nat-c
Alum, Castor, Cistus,. Lyc, Mag-c,
Nat-ars, Sars, Sulphurous-ac

Palms
Chapping, fissuring – Ran b, Calc fl.

8) In J.H.Clarkes “A clinical repertory to the Dictionary of ‘materia medica’ ‘ the medicines given under chapped hands are 13
chaps
3.Lyc, Natr-c, Petr, Prim-o, Sars, Sul-ac
2.graph, puls

9) In Knerr’s ‘ Repertory of Herring’s guiding symptoms of our materia medica’ in the chapter skin rubrics given are14
Rhagades
I I CALC, GRAPH, PETR, SULPH
I Aesc, Bad, Carb an , Hep, Kal-s, Lyc, Merc, Nat-c,Nat-m, Nit-ac, Paeon, Rhust, Sep, Sil
I I Phos
I Alum, Am-c, Arn, Ars-s-f, Aur, cham, cycl, hydr,Lach, Mag-c, Mang, Olnd, Puls, Sars, Zinc

10) In Phataks ‘A concise repertory of homoeopathic medicines’, the rubric given is15
Cracks, fissures, chaps
Ferr, graph, ign, Merc, sep, sil, sulph
Ant-c, Ant-t, Calc, Calc f, Cist, Flac, Hep,
Lyc, Merc-c, Mez, Mur-ac, Nat-m, Phos,
Puls Rat, Rhust, Sars

11) The outlines of materia medica by Buck Henry the clinical dictionary part gives medicines for chapping 16
Chaps on the skin – ALUM , HEP , MERC, PETRO, ZINC.
Ant c , Calc, Cham, Clem , Dulc,Graph, Nit a, Rhus , Sass, Sep,
Sulp

12) ‘ A textbook of materia medica and therapeutics , characteristic, analytical & comparative ‘ by A.C .Cowperthwaite in its clinical index part medicines given 17 are –
Rhagades ,
Graph.
Calc carb, Flour. ac, Hep.s, Merc, Nitr ac, Petrol,Sars, Sil , Sulph.

13 ) A pocket manual or repertory of homoeopathic medicine by J.Byrant18
CHAPS, cracks, fissure, rhagades. Remedies in general
CALC, HEP, MERC, PETR,SEP, SULPH
alum, ant, graph, lyc, mang,nitracid, puls, sass
arn, aur, carbon, natr-m, rhus, sil, zinc.
Deep and Bleeding
MERC, CALC, SIL
Cham, Petr
Calc, puls, sulph
Finger (in the)
MERC, PETR,
Sass
Finger Joints (in the)
Mang, Phos
Hands (in the)
HEP, PETR
Alum, merc, sass, sulph, zn
Ant, graph, nita, rhus.
Water (from working in the)
CALC
Ant-t, sass
Hep, puls, sep, sulp

14) In ‘Homoeopathic Medical Repertory’ by Robin Murphy the rubrics given are
Skin26
Chapping
GRAPH, HEP, PULS , RHUS-T,SARS, SEP, SULPH
Aesc , cycl, lach, kali c
Alum, alumn, ant-c, arn, aur, bry, cham, kreos,lyc, mag-c, mang, merc, nat-c ,
Nat-m, nit-ac, olnd, petr, ruta, sil, viol-t, zinc.
Cracks in
Washing after
CALC, SEP, SULPH,
Ant-c ,calc-s , puls
Alum, cham, bry, kali-c , lyco, nita,

Therapeutics
In John.R.Kippax in ‘A handbook of diseases of the skin’ says “Washerwoman’s itch is an inflammation of the skin occurring on the hands in washerwomen. He defines such eczema as caused by excessive use of strong potash soap and other irritating agents as artificial eczema. 33

Special pathology and diagnostics with therapeutic hints by C.G.Raue, eczema is defined as which consists of diffuse, superficial dermatitis, which causes numerous little vesicles upon on inflamed, irregular surface, sometimes these vesicles are intermingled with pustules, at that other times exudation may not be abundant enough to raise the epidermis into vesicles, but only loosens it, so that it dies off and forms a scaly surface or the epidermis is actually thrown off, leaving a raw moist surface behind which in some cases, becomes covered with a thin scurf, is others with a thick crust. One of the causes of eczema are direct irritation of the skin by irritating substances. In the bends of the extremities there is scanty exudates, which dries with the loosened epidermis with cracks in different direction. On the palms of the hands it scarcely ever occasions a vesicle..30

In ‘Diseases of the skin their constitutional nature and cure’ – J.C.Burnett says ‘The treatment of skin diseases as merely local affairs concerning the skin only, as is now current with nearly all medical men of all schools – all over the world, is in my opinion, nothing less than a crime against humanity and eminently characteristic of the cultured shallowness of the medical profession of today.’32

Quick bed-side prescriber by J.N.Shingal gives therapeutic indications27 -
Chapped hands and cracks in finger tips- 1) cracks at the ends of fingers and on the back of hands often much itching, skin rough and bleeding (Petr). 2) Dryness and cracking about fingernails, palms hot and perspiring (Nat mur).
Eczema – on hands, fingers – on hands and fingers (carbon.v, Merc-s, sulph and sep).
Eczema – hands and weeping eczema – fluid comes out on scratching, give Graphites 200 & 1000 in chronic cases and lower dilution in acute cases.
Finger – cracks – cracks at the ends of fingers and on the back of hands skin rough or bleeding often much itching (petroleum).

A Manual of Materia medica, Therapeutics and Pharmacology with clinical index by Alexander.L.Blackwood in Clinical index part therapeutic indications are given
Rhagades – Graphites. It is of service in eczema, rhagades, excoriations and ulcers of skin that are characterized by a stick glutinous discharge that is oozing out all the time.28

Clinical therapeutics by Hoyne Temple.S says sepia is one of our most important remedies for deep cracks and rhagades worse form washing in the water, itching eruptions burning after scratching.
Silecea benefits in eczema when dry crusts are formed. Narrates on case with large warts on hands with deep rhagades always bleeding – frequent haemorrhage tested with Nitric acid 30 every 4 days for 20 days, then Nitric acid 200 followed by Nitric acid 1000 cured. (Dr.Gaillard)29

Dr. J.H.Clarke in his ‘A dictionary of domestic medicine and homoeopathic treatment says for chapped hands the best treatment for chapped is to rub them well every night with glycerin or glycerin jelly. More pleasant, but not always so effective is “Landine cold cream”.25

Richard Hughes in ‘The principles & practice of Homoeopathy’ says ‘In simple recent Eczema you will very rarely have occasion to use any medicine but Rhus.
In Chronic Eczema – when the original vesicles have become transformed into Crusts, Rhagades and Thickenings – Arsenic is again an excellent remedy; but Homoeopathy has discovered another in Graphite’s, with which, as a rule, you will do well to commence the treatment.51

In Otto Lesser Text Book of Homoeopathic materia medica46
Rhagades – Acid nit, Anti crud, Graph
In Homoeopathic Therapeutics – Samuel Lilenthal47
Principle remedies –
1.Alum calc, Hep, Hydrast, Lyco, Merc, Petro, Puls Rhus, Sep, Sulph
2.Arn, Aur, Cham, Cycl, Lach, Magn, Natr m, Nitr. Ac, Sass, Sil, Zinc

RHAGADES OF THE HANDS
From working in water
1. Calc, Hep, Sep, Sulph
2. Alum, Ant, Cham, Merc, Rhus, Sass

In Materia Medica of nosodes with repertory – by O A Julian48
Medicines for Cracked/Fissured/Chapped
B.Morg, B.Gaert, Baci – 7, Dys-co, Morg G, Malan, Prot, Psor, Pyro, Syph, Tub

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