ring like lesion . tinea corporis . give luliconazole ointment for local application . tropical antifungal are best . hydroxyzine for itching n cold . syp kufril ls for cough . add zinc orally . no steroids .
Severe Tenia infection , can be confirmed by KOH test Probably a case of respiratory allergy / atopy . Suggested Clotrimazole oint for 2 months Antihistamines syrup Hydroxyzine syrup Avoid steroid ointments
Usually diaper rash with secondary infection present like this.
? TENIA.. ? CANDIDAL INTERTRIGO.. ? TC.. NEED'S.. CANDID OINTMENT.. KETOCONAZOLE SOAP.. LEVOCETIRIZINE.. GOOD HEALTH AND HYGIENE..
Tinea corporis. Orally antifungal Antihistamic like hydroxyzine Luliconazole oint.. locally Multivitamin And advice to parent for cut the thread around waist ..
Apparently fungal infection Tinea Tab Fluconazole50mg 1weekly Oint lulliconazole locally
Times Corporis. Ketaconazole shampoo. Micanazole.+ Clobetesol + Salicylic acid. Fexafenedine 180.mg 1 tab OD.x 10 days. It's console.200 mg. 1 tab OD.x 3 weeks
These are tinea lesion. KZ cream for local application. Tb Fluconazole 150 mg weekly. For cough, do sputum for CBNAAT and c/s . Covid testing
Eczema with respiratory allergy. Steroid oint, fluticazone nasal spray. A koh preparation can be done to rule out fungal infection.
Tinea corporis inf
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Friends today I am discussing about a common problem for sensitive persons known as Allergic rhinitis. What is allergic rhinitis? An allergen is an otherwise harmless substance that causes an allergic reaction. Allergic rhinitis, or hay fever, is an allergic response to specific allergens. Pollen is the most common allergen in seasonal allergic rhinitis. These are allergy symptoms that occur with the change of seasons. Nearly 8 percent of adults in the United States experience allergic rhinitis of some kind, according to the American Academy of Allergy, Asthma & Immunology (AAAAI). Between 10 and 30 percent of the worldwide population may also have allergic rhinitis. Symptoms of allergic rhinitis Common symptoms of allergic rhinitis include: sneezing a runny nose a stuffy nose an itchy nose coughing a sore or scratchy throat itchy eyes watery eyes dark circles under the eyes frequent headaches eczema-type symptoms, such as having extremely dry, itchy skin that can blister and weep hives excessive fatigue You’ll usually feel one or more of these symptoms immediately after coming into contact with an allergen. Some symptoms, such as recurrent headaches and fatigue, may only happen after long-term exposure to allergens. Fever isn’t a symptom of hay fever. Some people experience symptoms only rarely. This likely occurs when you’re exposed to allergens in large quantities. Other people experience symptoms all year long. Talk to your doctor about possible allergies if your symptoms last for more than a few weeks and don’t seem to be improving. What causes allergic rhinitis? When your body comes into contact with an allergen, it releases histamine, which is a natural chemical that defends your body from the allergen. This chemical can cause allergic rhinitis and its symptoms, including a runny nose, sneezing, and itchy eyes. In addition to tree pollen, other common allergens include: grass pollen dust mites animal dander, which is old skin cat saliva mold During certain times of the year, pollen can be especially problematic. Tree and flower pollens are more common in the spring. Grasses and weeds produce more pollen in the summer and fall. What are the types of allergic rhinitis The two types of allergic rhinitis are seasonal and perennial. Seasonal allergies usually occur during the spring and fall season and are typically in response to outdoor allergens like pollen. Perennial allergies can occur year round, or at any time during the year in response to indoor substances, like dust mites and pet dander. Risk factors for allergic rhinitis Allergies can affect anyone, but you’re more likely to develop allergic rhinitis if there is a history of allergies in your family. Having asthma or atopic eczema can also increase your risk of allergic rhinitis. Some external factors can trigger or worsen this condition, including: cigarette smoke chemicals cold temperatures humidity wind air pollution hairspray perfumes colognes wood smoke fumes How is allergic rhinitis diagnosed? If you have minor allergies, you’ll probably only need a physical exam. However, your doctor may perform certain tests to figure out the best treatment and prevention plan for you. A skin prick test is one of the most common. Your doctor places several substances onto your skin to see how your body reacts to each one. Usually, a small red bump appears if you’re allergic to a substance. A blood test, or radioallergosorbent test (RAST), is also common. The RAST measures the amount of immunoglobulin E antibodies to particular allergens in your blood. Treatments for allergic rhinitis You can treat your allergic rhinitis in several ways. These include medications, as well as home remedies and possibly alternative medicines. Talk to your doctor before trying any new treatment measure for allergic rhinitis. Antihistamines You can take antihistamines to treat allergies. They work by stopping your body from making histamine. Some popular over-the-counter (OTC) antihistamines include: fexofenadine (Allegra) diphenhydramine (Benadryl) desloratadine (Clarinex) loratadine (Claritin) levocetirizine (Xyzal) cetirizine (Zyrtec) Shop for OTC antihistamines. Talk to your doctor before starting a new medication. Make sure that a new allergy medication won’t interfere with other medications or medical conditions. Decongestants You can use decongestants over a short period, usually no longer than three days, to relieve a stuffy nose and sinus pressure. Using them for a longer time can cause a rebound effect, meaning once you stop your symptoms will actually get worse. Popular OTC decongestants include: oxymetazoline (Afrin nasal spray) pseudoephedrine (Sudafed) phenylephrine (Sudafed PE) cetirizine with pseudoephedrine (Zyrtec-D) If you have an abnormal heart rhythm, heart disease, history of stroke, anxiety, a sleep disorder, high blood pressure, or bladder issues, speak with your doctor before using a decongestant. Shop for decongestants. Eye drops and nasal sprays Eye drops and nasal sprays can help relieve itchiness and other allergy-related symptoms for a short time. However, depending on the product, you may need to avoid long-term use. Like decongestants, overusing certain eye drops and nose drops can also cause a rebound effect. Corticosteroids can help with inflammation and immune responses. These do not cause a rebound effect. Steroid nasal sprays are commonly recommended as a long-term, useful way to manage allergy symptoms. They are available both over the counter and by prescription. Talk to your doctor before starting a regimen of any allergy treatment to make sure you are taking the best medications for your symptoms. You doctor can also help you determine which products are made for short-term use and which are designed for long-term management. Immunotherapy Your doctor may recommend immunotherapy, or allergy shots, if you have severe allergies. You can use this treatment plan in conjunction with medications to control your symptoms. These shots decrease your immune response to particular allergens over time. They do require a long-term commitment to a treatment plan. An allergy shot regimen begins with a buildup phase. During this phase, you’ll go to your allergist for a shot one to three times per week for about three to six months to let your body get used to the allergen in the shot. During the maintenance phase, you will likely need to see your allergist for shots every two to four weeks over the course of three to five years. You may not notice a change until over a year after the maintenance phase begins. Once you reach this point, it’s possible that your allergy symptoms will fade or disappear altogether. Some people can experience severe allergic reactions to an allergen in their shot. Many allergists ask you to wait in the office for 30 to 45 minutes after a shot to ensure that you don’t have an intense or life-threatening response to it. Sublingual immunotherapy (SLIT) SLIT involves placing a tablet containing a mixture of several allergens under your tongue. It works similarly to allergy shots but without an injection. Currently, it is effective for treating rhinitis and asthma allergies caused by grass, tree pollen, cat dander, dust mites, and ragweed. You can take SLIT treatments, such as Oralair for certain grass allergies, at home after an initial consultation with your doctor. Your first dose of any SLIT will take place in your doctor’s office. Like allergy shots, the medication is taken frequently over a period of time determined by your doctor. Possible side effects include itching in the mouth or ear and throat irritation. In rare cases, SLIT treatments can cause anaphylaxis. Talk to your doctor about SLIT to see if your allergies will respond to this treatment. Your doctor will need to direct your treatment with this method. Home remedies Home remedies will depend on your allergens. If you have seasonal or pollen allergies, you can try using an air conditioner instead of opening your windows. If possible, add a filter designed for allergies. Using a dehumidifier or a high-efficiency particulate air (HEPA) filter can help you control your allergies while indoors. If you’re allergic to dust mites, wash your sheets and blankets in hot water that’s above 130°F (54.4°C). Adding a HEPA filter to your vacuum and vacuuming weekly may also help. Limiting carpet in your home can also be useful. Alternative and complementary medicine Due to concerns over possible side effects, more people with allergies are looking at ways to address hay fever symptoms “naturally.” However, it is important to remember that any medication can have side effects, even if it’s considered natural. Aside from home remedies, options can also include alternative and complimentary medicine. The downside to these treatments can be that there’s little supporting evidence to prove that they’re safe or effective. The correct dosing may also be difficult to determine or achieve. acupuncture nasal saline irrigation butterbur supplements honey (choose raw, organic varieties) probiotics Although these alternative treatments are derived from plants and other natural substances, they can possibly interact with medications, as well as cause reactions. Try these with caution, and ask your doctor before use. Complications of allergic rhinitis Unfortunately, allergic rhinitis itself can’t be prevented. Treatment and management are keys to achieving a good quality of life with allergies. Some complications that can arise from hay fever include: inability to sleep from symptoms keeping you up at night development or worsening of asthma symptoms frequent ear infections sinusitis or frequent sinus infections absences from school or work because of reduced productivity frequent headaches Complications can also arise from antihistamine side effects. Most commonly, drowsiness can occur. Other side effects include headache, anxiety, and insomnia. In rare cases, antihistamines can cause gastrointestinal, urinary, and circulatory effects. Allergic rhinitis in children Children can develop allergic rhinitis too, and it typically appears before the age of 10. If you notice that your child develops cold-like symptoms at the same time each year, they probably have seasonal allergic rhinitis. The symptoms in children are similar to those in adults. Children usually develop watery, bloodshot eyes, which is called allergic conjunctivitis. If you notice wheezing or shortness of breath in addition to other symptoms, your child may have also developed asthma. If you believe your child has allergies, see your doctor. It’s important to receive the correct diagnosis and treatment. If your child does have significant seasonal allergies, limit your child’s exposure to allergens by keeping them inside when pollen counts are high. Washing their clothes and sheets frequently during allergy season and vacuuming regularly may also be useful. Many different treatments are available to help your child’s allergies. However, some medications can cause side effects, even in small doses. Always talk to your doctor before treating your child with any over-the-counter allergy medication. Outlook The outcome of treatment depends on your condition. Seasonal allergic rhinitis usually isn’t severe, and you can manage it well with medications. However, severe forms of this condition will likely require long-term treatment. Preventing allergies The best way to prevent allergy symptoms is to manage your allergies before your body has a chance to respond to substances adversely. Consider the following preventive measures for the particular allergens you’re sensitive to: Pollen The AAAAI recommends starting medications before seasonal allergy attacks. For example, if you’re sensitive to tree pollen in the spring, you may want to start taking antihistamines before an allergic reaction has the chance to occur. Stay indoors during peak pollen hours, and take a shower immediately after being outside. You’ll also want to keep your windows closed during allergy season and avoid line-drying any laundry. Dust mites To reduce dust mite exposure, you can take measures to make sure your home is not a friendly environment for dust mite development. Wet mop hard floors, rather than sweeping. If you have carpet, use a vacuum with a HEPA filter. You’ll also want to dust hard surfaces often, and wash your bedding weekly in hot water. Use allergen-blocking pillows and cases to decrease dust mite exposure while you’re sleeping. Pet dander Ideally, you’ll want to limit exposure to any animals that you’re allergic to. If this isn’t possible, make sure you clean all surfaces often. Wash your hands immediately after touching pets, and make sure your furry friends stay off your bed. You’ll also want to wash your clothes after visiting homes that have pets. Tips to prevent allergies Stay indoors when pollen counts are high. Avoid exercising outdoors early in the morning. Take showers immediately after being outside. Keep your windows and doors shut as frequently as possible during allergy season. Keep your mouth and nose covered while performing yard work. Try not to rake leaves or mow the lawn. Bathe your dog at least twice per week to minimize dander. Remove carpeting from your bedroom if you’re concerned about dust mites. HOMEOPATHIC MEDICINES FOR ALLERGY Arsenic alb - There is thin watery discharge from the nose with burning sensation, recurrent sneezing one after another with runny nose. Burning and tearing of eyes . There is puffiness around eyes, stuffy nose. The person has an asthmatic tendency with breathing difficulties, and oppression of chest which is generally worse when he lies down. On sitting with a forward bending posture makes the patient little comfort from his asthmatic problem. There is marked wheezing sound during asthmatic affection. The asthma is worse in wet cold weather. Besides that the constitutional symptoms of arsenic alb are anxiety, restlessness, prostration, burning sensation. The anxiety that is found in Arsenic alb is intermingled with fear. The other prominent symptoms are debility, exhaustion, restlessness, with nightly aggravation. Great exhaustion after a slightest exertion. Sulphur – There is itching with redness of eyes in allergic condition. The itching is followed by burning sensation and relieved by cold application. sulphur patient is always irritable, depressed, thin and weak, but good vappetite. He is having forgetful nature, difficulties in thinking. He has many good ideas but cannot implement it. Selfish type person, no regards for others. very lazy person, not cleanness, never look after about his dressing and clothing. Don’t like to take bath. Having of skin diseases always. The skin rashes itch a lot generally in night and warm atmosphere. The person has a feeling congestion or oppression of chest in asthmatic condition. Natrum mur – Natrum mur is generally well indicated in case of allergic condition which gives the symptoms of more itching of nose, throat, ear with recurrent sneezing one after another. The characteristic discharge from the mucous membranes is watery or thick whitish, like the white of an egg. Natrum mur patient is very sensitive in nature. Every thing he/she takes into the heart. The person is irritable in nature and when in upset does not like any body’s present or giving of any consolation. Consolation aggravated the state of the mind - the melancholy, the tearfulness, sometimes brings on anger. The Natrum mur patient is extremely emotional. The whole nervous economy is in a state of fret (visible anxious like scratching finger on her skin in worry). Completely or desperately in love brings on complaints. The natrum mur patient desire to take extra salt in his diet. Sabadilla- it has good action on mucous membrane of the nose and the lachrymal glands, producing coryza and symptoms like hay-fever. There is spasmodic sneezing one after another. symptoms of hay-fever or allergic rhinitis with itchy nose and fluent coryza. Either nostril stuffed up, inspiration through nose labored, snoring. Violent sneezing is occurred from time to time, shaking abdomen followed by lachrymation. There is runny nose with severe frontal headache and redness of eyelids. Allium cepa: Allium Cepa is one of the most commonly used Homeopathic medicines for Allergic Rhinitis or Hay Fever. It is generally used in the symptoms of severe runny nose that drips from the tip of nose with watery eyes. There is burning of nose due to over secretion mucous. Along with the watery nasal discharge there is watery eye. There is profuse sneezing associated with runny nose and watery eyes. Tuberculinum- The patient is very susceptible to catch cold. The physical constitution is lean and thin like natrum mur, but not obese like calcarea carb. If there is family history of tuberculosis or bronchial asthma then is more suitable to give this medicines in any allergic or asthma condition. The person is very depressed, melancholic, taciturn sulky nature.Dr. Rajesh Gupta11 Likes20 Answers
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as patient having red rash below right eye and left eye had lil rash gett da diagnosis and treatment plan,Dr. Amol Chaudhari0 Like22 Answers
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10 months female baby having skin rashes since 7 days , fever one month bac developed same rash and improved and again rash developed since 7 days no fever now sir / madam pleaseDr. Allu Rao1 Like23 Answers
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9 yrs old girl is having rashes on both hand and finger since 4 months ...They consulted...And took medicine. It was cure till giving medicine...After that ...h/o recurrent patches on both hand and finger.....plz suggest treatment and diagnosis....|Dr. Aaref Khan8 Likes24 Answers
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Friends today I am discussing about a common skin problem known as fungal infections. Fungal infections are common throughout much of the natural world. In humans, fungal infections occur when an invading fungus takes over an area of the body and is too much for the immune system to handle. Fungi can live in the air, soil, water, and plants. There are also some fungi that live naturally in the human body. Like many microbes, there are helpful fungi and harmful fungi. When harmful fungi invade the body, they can be difficult to kill, as they can survive in the environment and re-infect the person trying to get better. Symptoms Redness and itching are common symptoms Skin changes, redness, and itching are common symptoms of many fungal infections. The symptoms of a fungal infection will depend on the type, but common symptoms include the following: skin changes, including red and possibly cracking or peeling skin itching Read on to find out more about some common types of fungal infection, their symptoms, and the treatment options. Types The following conditions are all common types of fungal infections. Athlete's foot Tinea pedis or athlete's foot is a common fungal infection that affects the foot. Athlete's foot is commonly associated with sports and athletes because the fungus grows perfectly in warm, moist environments, such as socks and shoes, sports equipment, and locker rooms. In reality, anyone may be affected by athlete's foot. It is most common in warmer climates and summer months, where it can quickly multiply. athletes foot Athlete's foot is a common infection where the fungus grows in warm and moist environments. The symptoms of athlete's foot may vary slightly from person to person. Classic symptoms include: redness or blisters on the affected area the infected skin may be soft, or layers may start to break down peeling or cracking skin the skin may scale and peel away itching, stinging, or burning sensations in the infected area Diagnosis, treatment, and prevention Not all itchy feet are the result athlete's foot. Doctors usually diagnose the infection by scraping scaling skin off of a person and inspecting it under a microscope for evidence of any fungus. There are a few different fungi that can cause athlete's foot. The infection may behave differently depending on the specific fungus that is infecting the skin. Athlete's foot is often treated with topical antifungal ointments, which are available to purchase over-the-counter or online. Severe infections can require additional oral medications as well. The feet will also need to be cared for and kept dry to help kill the fungus. Prevention methods include allowing the feet plenty of air to breathe and keeping them clean and dry. It is a good idea to wear sandals in public showers or locker rooms. Yeast infection Vaginal yeast infections are a common form of Candida overgrowth in women, usually caused by Candida albicans. An overgrowth of Candida disrupts the normal balance of the bacteria and yeast in the vagina. This imbalance of bacteria may be due to antibiotics, stress, and hormone imbalances, or poor eating habits, among other things. Candida infections can also commonly cause fungal toenail infections and diaper rash. Symptoms toenail fungus A yeast infection may commonly cause fungal toenail infections. Symptoms of a yeast infection include: itching and swelling around the vagina burning sensations or pain during urination or intercourse redness and soreness on and surrounding the vagina unusual vaginal discharge, such as gray clumps that resemble cottage cheese or a very watery discharge A rash may develop over time in some cases. Yeast infections should be treated quickly, as the symptoms may become severe if left untreated. The classic symptoms of a yeast infection make them easy to diagnose. Doctors may ask about the person's medical history, such as any previous yeast infections or sexually transmitted infections (STIs). They may also ask whether the person was recently taking antibiotics. Doctors will then examine the vaginal walls and cervix for signs of infection, taking cells from the vagina if necessary for proper diagnosis. Treatment of yeast infections depends on their severity. Standard treatments include creams, tablets, or suppositories, which are available via prescription, or over-the-counter or online. Complicated infections may require complex treatments. Avoiding yeast infections begins with a balanced diet and proper hygiene. Wearing loose-fitting clothing made from natural fibers may also help prevent infection. Washing underwear in very hot water and changing feminine products often can also help prevent fungal growth. Jock itch Tinea cruris, commonly known as jock itch, is another common fungal skin infection. These fungi love warm and damp environments and thrive in moist areas of the body, such as the groin, buttocks, and inner thighs. Jock itch may be more common in summer or in warm, humid areas of the world. Jock itch is mildly contagious and is often spread through direct contact with an infected person or an object that is carrying the fungus. Symptoms Thrush can affect the genital area in men as well as women. Thrush can affect the genital area in men as well as women. Jock itch appears on the body as an itchy, red rash that often has a circular shape to it. Symptoms include: redness in the groin, buttocks, or thighs chafing, irritation, itching, or burning in the infected area a red rash with a circular shape and raised edges cracking, flaking, or dry peeling of the skin in the infected area Jock itch is not the only type of fungal infection that can affect a man. Find out more about Candida in men. Jock itch has a very particular look and can usually be identified based on its appearance. If doctors are uncertain, they may take a skin sample to inspect and confirm their diagnosis. Treating jock itch usually involves topical antifungal ointments and proper hygiene. Many cases of jock itch are improved by over-the-counter medications, though some require prescription medications. Cleaning the affected area and keeping it dry can also help kill the fungus. Jock itch can be prevented by wearing loose-fitting natural fibers, such as cotton underwear which is available to buy online. Avoiding contact with others who have the infection is also important. Avoiding shared items, such as towels and sporting equipment may also help. Ringworm Tinea corporis or ringworm is a skin infection caused by a fungus that lives on dead tissues, such as the skin, hair, and nails. Ringworm is the fungus that causes both jock itch and athlete's foot. When it appears anywhere else on the body, the infection is just called ringworm. Symptoms Ringworm Ringworm is a skin infection that causes jock itch and athlete's foot. Ringworm is usually easy to notice because of its shape. A red patch that may itch or be scaly will often turn into a raised, ring-shaped patch of skin over time. It may even spread out into several rings. The outside of this ring is red and may appear raised or bumpy, while the inside of the ring will remain clear or become scaly. Ringworm is highly contagious, and it can be transmitted by skin-to-skin contact, or from contact with pets, such as dogs. The fungus may also survive on objects, such as towels, clothes, and brushes. The ringworm fungus also infects soil and mud, so people who play or work in infected dirt may catch ringworm as well. Diagnosis, treatment, and prevention Other skin conditions may look like ringworm, so doctors will usually want to take a skin sample to inspect for the fungus. After confirming a diagnosis, doctors will recommend a treatment, depending on how severe the symptoms are. Creams and medicated ointments are often sufficient to treat many cases of ringworm, and may be purchased over-the-counter or online. Ringworm of the scalp or severe ringworm may require a prescription. Basic hygiene can help treat and prevent ringworm as well. Keeping the skin clean and dry can help avoid infection. Safety in public includes wearing sandals into public showers or locker rooms and avoiding shared items and towels. Risk factors Fungal infections are common in humans and are usually not very serious if they are treated quickly and correctly. Anyone with a weakened immune system may be more likely to contract a fungal infection, as well as anyone who is taking antibiotics. Cancer treatment and diabetes may also make a person more prone to fungal infections. Remedies for Fungal Infection 1- Bacillinum It is very useful remedy for any skin disease especially in ringworm. It is associated with eczema of eyelids. Glands of neck enlarged and tender. It can be given successfully in the treatment of tuberculosis. It is especially indicated for old people, with disease of lungs. All the complaints are worse, in night early morning, and cold air. Potency Dosage: 30 potency, given 3 times a day, for a week. 2- Natrum Mur Skin in this remedy is often greasy, oily, especially on hairy parts. Patient has dry eruptions, especially on the margin of the hairy scalp and bends of joints. It is important remedy for urticaria where there is intense and burn. Eruptions in the bends of limbs, margin of scalp, behind ears. It is also helpful in treatment of eczema, where lesions are raw, red and inflamed. Worse by eating salt. This remedy mainly affects hair follicles. Worse by warm room, lying down, around 10a.m, mental exertion, heat talking. Better by open air, clod bathing, going without regular meals. Potency Dosage – 30 three doses a day for three days 3- Phytolacca Skin in this remedy itches, becomes dry, shrunken and pale. There is pus filled lesions. It is very useful in early stages of skin disease. This remedy has tendency for boils. There is swelling of glands. There is redness in lesions. Patient has a tendency of warts and moles. Worse from getting wet, when it rains, exposure to damp, cold weather, night, exposure, motion, right side. Better by warmth, dry weather, rest. Potency Dosage – 30 two doses a day for three days. 4- Sepia There is itching, which is not relieved by scratching, worse in bends of elbows and knees. It is good remedy for herpetic eruption on lips, around the mouth and nose. Ringworm like eruption every spring. Urticaria ongoing in open air, better in a warm room. Foots sweat, worse on toes, intolerable odour. There is offensive odour of skin. Worse by forenoons, and evenings, washing, laundry work, dampness, left side, after sweat, cold air, before a thunderstorm. Better by exercise, pressure, warmth of bed, hot applications, drawing limbs up, after bathing, after sleep. Potency Dosage – 200 three doses a day for five days 5- Tellurium This remedy is associated with itching of hands and feet. There is ringworm like eruptions in body. There is offensive odours from affected part. Stinging in the skin. Fetid exhalations, There is offensive foot sweat. Eczema, behind the ears. There is circular patches of eczema. Worse, while at rest at night, cold weather, from friction, coughing, laughing, lying on painful side, touch. Potency Dosage – 30 three doses a day for two days 6- Thuja Skin is very healthy. There is all type polyp, tubercles, warts on skin. Freckles and blotches. There is perspiration which is sweetish and strong. Dry skin with brown spots. There is tearing pain in glands. There is glandular enlargement. Nails cripples, brittle and soft. Eruption only on covered parts. Worse after scratching. Very sensitive to touch. There is coldness of one side. There is brown spots on hands and arms. Worse – at night, from heat of bed, at 3a.m and 3 p.m., from cold air, damp air, after breakfast, fat, coffee, after vaccination. Better left side, while drawing up a limb. Potency Dosage – 200 three doses a day for two days.Dr. Rajesh Gupta33 Likes35 Answers