Homoeopathic Management of Chronic Plantar Psoriasis Using Sepia: An Evidence-Based Case Report

Abstract

Background: Plantar psoriasis is a chronic inflammatory dermatological condition characterized by hyperkeratosis, fissuring, scaling, itching, and discomfort involving the soles of the feet, often leading to impairment in daily activities and reduced quality of life. Conventional treatment approaches may provide temporary symptomatic relief; however, recurrence and adverse effects remain significant therapeutic challenges.
Case Presentation: A 36-year-old female presented with chronic thick scaly eruptions on the left sole for six years, associated with severe itching, fissures, occasional bleeding, and aggravation from cold weather, wet feet, and before menstruation. The patient also exhibited characteristic constitutional and mental symptoms, including chilly disposition, desire for sour food, aversion to fatty food, perspiration of feet, indifference toward family members, emotional sensitivity, and aversion to sympathy. Based on individualized case analysis, totality of symptoms, and repertorial evaluation, Sepia 1M was prescribed as a constitutional remedy.
Outcome: Progressive clinical improvement was observed during an eight-month follow-up period, including reduction in itching, fissuring, bleeding, and hyperkeratotic plaques, with improvement in emotional well-being and overall quality of life. A mild relapse following wet foot exposure responded favorably to repetition of the indicated remedy.
Conclusion: This case highlights the potential role of individualized homoeopathic treatment in the management of chronic plantar psoriasis. The observed improvement suggests that constitutional homoeopathic prescribing may serve as a supportive therapeutic option in selected cases; however, larger clinical studies are warranted to establish effectiveness and reproducibility.