International Journal of Homoeopathic Sciences

Background: Psoriasis is a chronic, immune-mediated skin disorder marked by erythematous, scaly plaques that adversely affect quality of life. Its management remains challenging due to relapses and side effects of conventional therapies. Homeopathy offers an individualized approach based on symptom totality and Miasmatic background.

Case presentation: A 46-year-old female presented with chronic plaque psoriasis of 5 years’ duration. Symptoms included severe itching, burning, scaling, constipation, offensive perspiration, craving for sweets, and aversion to milk. Mentally, she was sensitive, embarrassed by her condition, and prone to ruminating over past insults. PASI score on first visit was 27.7. Based on the totality of characteristic symptoms and Miasmatic analysis, Sulphur 200 CH was prescribed.

Outcome: The patient’s PASI score reduced progressively from 27.7 → 3 within two months. Significant improvement in itching, scaling, sleep, bowel function, and emotional well-being was observed.

Conclusion: This case demonstrates the holistic efficacy of individualized homeopathic prescription with Sulphur in chronic plaque psoriasis. Miasmatic and constitutional prescribing not only improved skin lesions but also enhanced general health, suggesting the importance of individualized treatment in chronic autoimmune disorders.