Leucoderma-Vitiligo
NATIONAL JOURNAL OF HOMOEOPATHY 2003 May / Jun VOL V NO 3.
Dr Mukesh Patel
Definition: It is an acquired pigmentary disorder
manifested by depigmented patches.
Etiology: It is believed to be an autoimmune disorder
according to neural theory neurochemical mediator destroy melanocyte or inhibit
melanin pigmentation.
PRECIPITATING FACTORS:
1 Family history
2 Injury; boil; abscess; burns - may lead to
pigmentary defect.
3 Systemic disorder- diabetes, thyroid dysfunction,
pernicious anemia, Addison disease.
4 chemical exposure-contact with rubber and plastic
articles eg gloves, condoms, certain germicidal agents may cause
depigmentation.
5 Worm infestation-esp in children
6 Improper food-alcohol + non veg;; milk + fruits;
salty-spicy foods.
7 Mental stress: anxiety, irritability, quarrelsome nature.
CLINICAL PICTURE:
1-White Macules: mm to cm diameter; round or oval shape with
hyperpigmented border.
INVESTIGATION: CBC, RBS, PPBS Thyroid function Test
PROGNOSIS: Poor when strong family history, elder pt,
leucoderma on the-non-hairy parts of the body-bony prominence; lips; finger nail
and genitalia.
HOMOEOPATHIC TREATMENT
1. Constitutional Remedies.
2. Specific Remedies
3. Miasmatic Remedies.
Constitutional Remedy: Selected on totality of symptoms
but some of the medicines which are frequently used for leucoderma with their
guideline related with leucoderma..
1-Silicea - A.F.-anticipation; fright; mortification.
Leucoderma after boil ,abscess injury, vaccination after; due
to deficient nutrition. Leucoderma start from finger nails.
2- Merc-Sol: A.F oversensitiveness; fright. vitiligo
on the genitalis; white hair in leucoderma spot; h/o chronic digestive problems.
3- Nat-mur: AF grief, mortification, excess use of
salt. vitiligo on face and nose, h/o chronic rhinitis; thyroid dysfunction.
4-Nitric-acid AF grief, long lasting anxiety, vitiligo
at muco-cutaneous junction, h/o chronic gastric c/o and anemia with bleeding
tendency.
5- Kali-carb AF disturbances at work or from family
problems. vitiligo-deadly white milky skin without shining, h/o chronic gastric
c/o; h/o asthma.
6- Mang-acet AF dissatisfaction, h/o domination by
others, vitiligo begins during menopause, from chemical burns, with chronic
disease-anemia, kidney disorder, tuberculosis.
7- Argent-nit AF grief, apprehensive anxiety, fear.
vitiligo-brown irregular white patches, with gastric c/o, diabetes.
8- Cina vitiligo in children with h/o worm
infestation, gastric c/o.
9- Borax AF.fear. AF Vitiligo-red spots are present
between white spot.
10- Drosera AF fear with dependency. vitiligo with
asthma or tuberculosis.
11- Apis-mel Vitiligo with milky white, bright shiny
skin, patches have a surrounding redness.
12- Luticum congenital vitiligo or vitiligo on the
genitalia.
SPECIFIC MEDICINES:
If I am unable to get a constitutional remedy. Then in some
cases I use the following specific medicine with good results.
1-Ars-sulf-flav -3X in luke warm water
2-Hydrocotyle-A -Q in luke warm water- 5 drops -15-ml
of water
ANTI-MIASMATIC MEDICINES:
Selection of anti-miasmatic medicine according to dominant
miasm in the case.
My experience for leucoderma: most common anti-miasmatic medicines are Sulphur,
Psorinum and Tuberculinum.
