Homoeopathic management of chronic urticaria associated with emotional stress: A case report

Background: Chronic urticaria is a recurrent vascular reaction of the skin characterised by transient erythematous wheals with itching and burning. Emotional stress is a known precipitating factor. Homoeopathy treats chronic disease through individualisation and miasmatic understanding, aiming at the removal of the underlying susceptibility and prevention of recurrence. Case summary: A 28-year-old unmarried female presented with complaints of recurrent urticarial rashes over the face, hands, legs, and back for five months. The eruptions appeared suddenly with itching and burning. Based on detailed case-taking, evaluation of mental and physical generals, miasmatic assessment, repertorial analysis using Kent’s repertory, and consultation of Materia Medica, Natrum muriaticum 200C, one dose, followed by a placebo, was prescribed as the similimum. During subsequent follow-ups, with marked improvement in urticarial eruptions and emotional state, the remedy was continued in higher potency when indicated. Later, considering the predominant psoric miasmatic background and to prevent recurrence after a mild relapse, Sulphur 1M was prescribed. Gradual and sustained improvement was observed in the frequency and intensity of urticaria, associated itching and burning, appetite, sleep, and overall mental well-being during an 11-month follow-up. Conclusion: This case demonstrates the importance of individualised homoeopathic prescribing in chronic urticaria triggered by emotional stress and highlights the role of anti-miasmatic remedies in preventing recurrence. Larger clinical studies are needed to validate these observations.