International Journal of Homoeopathic Sciences

Background: Major Aphthous Stomatitis (MAS), or Sutton’s disease, is a severe clinical variant of recurrent aphthous stomatitis characterized by large, painful, and deep ulcers that often result in scarring. Conventional treatments often focus on symptomatic relief but frequently struggle with high recurrence rates and side effects. Case Summary: A 34-year-old male presented with a three week history of a large (1.5 cm), deep, necrotic ulcer on the tongue. The patient exhibited profound mental exhaustion, taciturnity, and a history of emotional stress. Based on the totality of symptoms, specifically the “acid” theme of burnout and deep tissue destruction, Muriaticum acidum 200C was prescribed.

Results: Significant pain reduction was noted within one week, with complete epithelialization achieved by week three. A six month follow-up showed no recurrence of major ulcers and a marked improvement in the patient’s psychological resilience.

Conclusion: This case highlights the efficacy of individualized homoeopathic constitutional prescribing in managing severe MAS by addressing both the local pathology and the underlying emotional and mental state of the patient.