This case involves a 27-year-old female patient presenting with acne vulgaris for 5-6 years. On examination, red maculopapular eruptions, nodules and pustules were observed on her face, forehead, shoulders and back. The patient experienced anxiety, fear, despair and disturbed sleep due to itching. Previous allopathic treatment provided temporary relief. Based on her mental and physical symptoms, including aggravation from sour foods and milk, Psorinum 200 was prescribed in a single dose along with placebo pills. The patient showed marked improvement in her acne and mental state over subsequent follow-ups with increased potencies of Psorinum and placebo maintenance treatment.

1. Case of Acne Vulgaris by
Kentian method
Name – Dr.Sayali Payelkar
MD Hom (Sch)

2. Preliminary Data :
• Date: 7/7/2022
• Name: Miss APA
• Age: 27 years
• Sex: Female
• Religion: Hindu
• Education: B.Com
• Occupation: Working in a BPO
• Marital Status: Unmarried
• Address: panvel.

3. Chief Complaints-The patient presented with reddish eruptions on her face, back and shoulders.
These were observed to be maculo-papular eruptions, a few nodules and pustules on face, forehead,
shoulders and upper back.
Location Sensation Modalities Concomitants
Acne on face,
forehead, shoulders
and back since 5-6
years, most
prominent on both
the cheeks, along
with redness
Itching3+
Redness
Burning2+sensation
on affected parts
< from eating sour
fruits
< from drinking milk
< even from slight
emotions
> by Eryacne gel
(Erythromycin Topical)
local application
Anxiety
Fear and despair

4. • Past Treatment History
• The patient had taken allopathic treatment for this complaint
two years before. The treatment included the local
application of Eryacne Gel (Erythromycin Topical) and Acnil
soap, which was discontinued by the patient on her own, as
this used to give only temporary relief and later on led to
marked dryness and exfoliation of skin and irritation.
• Past History
No other major illness in the past.
• Family History
Nothing significant.
• Personal History
Diet: Both Vegetarian and Non-vegetarian
• General Examination
• Pulse- 72/min
• BP- 110/70 mm of hg
• Temperature- afebrile
• Weight- 47 kg
• Clinical signs like pallor, oedema, lymphadenopathy,
icterus and cyanosis were not present.
• Physical Generals
• Appetite- good
• Thirst- Normal
• Craving- Tea and coffee
• Aversion- Sweets; milk disagreed
• Sleep- Disturbed due to itching
• Dreams- Nothing specific
• Bowels- Twice a day, satisfactory
• Urine- Normal
• Menses- No complaints, regular cycle
• Thermal Reaction- Chill

5. • Systemic Examination
• There was no significant abnormal finding on examination of her nervous system, cardio vascular
system, respiratory system and the abdomen.
• Local Examination
• Red maculopapular eruptions, nodules on the face, back and shoulders were observed.
• Life space Investigation
• Miss APA, a 27 year old female, a BPO employee, stayed with her mother, father and younger
sister. Her mother was a housewife and her father was a school teacher. Her younger sister was a
college student. The patient shared good relation with her parents and her sibling.

6. • Her childhood days were typically like that of the ‘middle class family’, where there were a lot of financial
restrictions. Now, the family’s financial condition had been better yet this patient had a fear of poverty. She was an
average performer in her education and career. Now she had a job in a BPO Company yet there was a constant
fear of failure as she said that this was very hard earned.
• Her parents had been searching for a suitable life partner for her; however, she was quite anxious about her looks
due to oily, greasy skin full of acne. When, in the family, the topic of her marriage used to come up, she would get
disturbed. Even the slight emotions affected her. She was very close to her family, yet she preferred to be alone.
• She had taken allopathic medicines and had tried many local ointments in the past. It gave her a temporary relief
but the situation reverted back. Now she had given up hope of recovery from acne problem.

7. Case Processing
Classification of disease– Chronic disease
Disease diagnosis- Acne Vulgaris
RUBRIC ANALYSIS OF SYMPTOM
Mind, Sadness Mental Characteristic, Emotional Symptom
Mind, Fear, Poverty of Mental Characteristic, Emotional Symptom
Mind, Desire to be alone/Company aversion
to
Mental Characteristic, Emotional, Behavioral Symptom
Mind, Fear, Failure of Mental Characteristic, Emotional Symptom
Mind, Despair, Recovery of Mental Characteristic, Emotional Symptom
Mind, Anxiety Mental Characteristic, Emotional Symptom
Generalities, Cold in general aggravation Physical general characteristic aggravating symptom.
Generalities, Food, Fruit, Sour Physical general characteristic aggravating symptom.
Generalities, Food, Milk, aggravation Physical general characteristic aggravating symptom
Face, eruptions Acne, itching Physical particular symptom

8. • Selection of Repertory
• After building the totality of symptoms for a case ( See Table 2), the most important criteria in the
selection of repertory is the reliability of the information found in the repertory. In this case, Kent’s
Repertory was selected as it is the most reliable and authentic source and contains
symptoms and drugs that have been frequently confirmed and verified clinically.
• Kentian method of repertorisation has been adopted as it is based on the philosophy of deductive
logic i.e. from generals to particulars. This case contains mental general characteristics, physical
general characteristics and particular symptoms and hence Kent’s Repertory is best repertory to
be used for this c
• Repertorisation - On repertorisation using Kent’s Repertory, with the following rubrics, Psorinum
came up to be the most prominent remedy.

10. REMEDY MARKS OBTAINED THERMALLY
Psor 25/11 Chilly
Sep 23/9 Chilly
Calc-c 23/9 Chilly
Nux V 20/9 Chilly
Sulph 19/8 Hot
• Remedy Selection and Prescription
• On repertorisation, the closely coming remedies are Psorinum, Sepia, Calcarea Carb, Nux Vomica
and Sulphur. The patient is chilly, therefore Sulphur is eliminated. Fear of failure and aggravation
from sour food are the prominent symptoms of the patient. Sepia, Calc Carb and Nux Vomica lack
these symptoms hence are eliminated, which is promptly covered by Psorinum.
• Acne has made this patient not only look ugly, but also feel ugly. It has hit right on her self-
confidence. Due to chronicity of the complaint, she has given up the hope of recovery which is aptly
covered by Psorinum.
• Considering the mentals and the physical generals, the final drug of choice is Psorinum.

11. • First Prescription: Psorinum 200
• The factors taken into consideration for selection of ‘200’ potency are:
• Age: Young adult with greater susceptibility
• Occupation: Working in BPO, Hence night shifts and irregular sleeping habits
• Chronic Disease: Duration of disease is since 5 to 6 years, so cannot start the treatment with
higher potency like 1M or 10 M, to avoid the rigorous homeopathic aggravation.
• Also, as per Dr Kent’s Doctrine of ‘Series in Degrees’, one must begin with lower potency and
gradually increase the potency with patient’s response to the treatment. So the treatment was
started with 200th potency.

12. Date Anxiety level
Fear and
despair
Appetite /
Thirst
Acne and
itching
Action
6/8/2022 Same
Slightly
improved
Improved
Slightly
improved
Psorinum 200
single dose.
S.L. 4 pills BD X 15
days
27/8/2022 Improved Improved Improved
Marked
Improvement
SL 6 pills BD X 15
days
13/9/2022
Patient came
with Marriage
invitation card.
Had slight
anxiety
Slight No change
Slight acne on
Forehead and
cheeks
Psorinum 1M
Single dose.
SL 6 pills BD X 15
days
2/10/2023 No Complaints No Complaints
No
Complaints
Absent
SL 6 pills BD X 1
month

13. Conclusion
• Overall improvement in the patient was noted with Psorinum. Hence
she was kept on placebo and she was advised to report only if
symptoms recurred.
• It is observed that the cases of acne do not get cured with
superficially acting homeopathic remedies. Instead, deep acting
constitutional remedies that are chosen and given judiciously bring
about complete relief in the symptoms and the skin lesions resolve
permanently. When a remedy is selected on the basis on generals
(mental and physical), the particulars fall in line and the patient gets
complete relief. This case demonstrates the efficacy of ‘Kentian
method’ of repertorization in a case that has such general symptoms.

14. THANK YOU !