Psoriasis

1. Age,sex,weight,body and face appearance, country, occupation.
ANS. My age is 47 years (05-04-1967), I am male Name : NC Mishra, My face is round and it looks different in colours from other part of the body, it looks dark and other parts are whitish. Earlier it was not like this it was matching with the other parts of the body. My country is India and I am working in Defence Services of India. I am a clerk at there. Not paid much. My body is well built and I can say it is filthy. I am married and my wife is normal housewife. I have got two children one male and one female. Male child is studying in B Tech and female child is pursuing matriculation. In the year 1991 I was suffering from Bronchal Asthma which was successfully treated by some homeopathy doctor in the year 1996 and I became alright. I donot know what medicine he has given and the same doctor is now no more.

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands, legs etc; duration of trouble.
ANS. In the full scalp, both elbow, on penis, on both side of the genital balls, fingers of the Foot, in the middle of chest, novel, on the eyebrows, on mustache, on the ear skin and inside the ears also, some spots on checks and chin. Feeling too much itching on each part of the body. Itching subsides when the place bounded and blood will arrive then it felt hot there.
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS. Sensation as the insects are crawling on the effected area. No pain. It is burning after itching a lot.
c)What are the factors that causes this trouble according to you.
ANS. I think it may be due to sudden mental shock. My father has died in year 2002 at the age of 58 yrs whom I was not expecting to be dead which has given me a sudden shock in mind and after 6 month of his death I got this problem.
d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. I feel it is worst during winter and slightly better in summer. When I wear a cloth and cover the area on uncovering I get the immediate itching sensation. I normally like hot tea or coffee and hot food. When I will be busy on work I may not get the irritation for a long time. But when thinking is involved I may get irritation frequently. Resting position gives me slightly relief.
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. During winter it increases and during summer it decreases. I life walking and standing position I think it is not aggravating during that time. But when thinking at any place any time it will aggravate immediately.
f)Any other complaint any where in the body.
ANS. Yes, I normally had constipation and use to have trifla churn an aurvedic medicine for in evening after meal and I am having trimmer problem in the hand since 1991. I am not taking or taken any medicine for that.

g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS. Trimmer problem is I think genetic as my great father was also suffering from the same. But since I have taken so many storiod drugs for Asthma and psoriasis that have increased the trimmering problem. As I have stated that I was suffering from bronchial Asthma in 1991 after exact diagnosis I have taken homeopathy and been cured in year 1996-97. After that this disease has been started in 2002. It has started from scalp having too much itching and looking a formation of dandruff and falling down from the soldiers. Then I have taken allopathic medicine which has suppressed the disease but again after one year it came on scalp and allover the body. Allopathic has given medicine but told that it will not be cured completely. I have shift in year 2004 to aurvedic medicine which has cured me fully for 2-3 year but again it has started in 2007 and its always start from scalp then subsequently in whole of the body. Then again gone for treatment to homeopathy for six month with a good reputated doctors clinic (Dr. Batra) but no relief has been given by him in six month treatement. 2009 I left and having no option to go for aurvedic treatment again and got again some relief. Then again my transfer I have shifted to Delhi and here I was aurvedic treatment till 2013. In 2014 again transferred and the disease has been triggered up and gone for alopathatic medicine and was admitted in hospital for 2 months on tablets Methoxtriate and livo citrigine. Now, I am on your side.
h)Treatment method adopted and its result.
ANS. As written above full.

3. History of diseases in family.
ANS. My father has died with brain stroke, my great father has also died with brain stroke and my uncle is suffering from brain disease. There is no skin disease in my entire family. There may be females are suffering from blood sugar problems.

4. Personal History.
a) About childhood.
ANS. I was a slow learner in childhood having lot of ambitions. A self confident man with strong desire. But some times I am getting afraid regarding my career. I am not able to speak in spite of my will also in front of my senior. I am shy and I am not able to tell about my problems verbally to anyone. Yes I can write to any one. I am loosing my temper every now and then. I am not listening to any one which is not giving me benefit. I always think about myself and my family.
b)Academic performance.
ANS. I have done post graduation in Litrature.
c)Any major incidents in life and the effect of it on life.
ANS. As stated above regarding my father demise.
d)How you are satisfied with your sex life, friends, family members, company etc.
ANS. I have a strong desire for sex. I like the sex. Every day doing intercourse with my wife. Not contacted with anyone in this regard. But If I get the chance I would like to sex with other ladies also which I have not done so far. I use to watch pornographic films generally.

5. Habits/Addiction. I am in habit of chewing tobacco almost 25 years. I consumed near 50 gms tobacco in a day. I feel when I take the tobacco my irritation start immediately. I like to be engaged on internet watching pron films.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. No other intoxication.
b)Masturbation and frequency.
ANS. Sometimes weekly or may be twice in a week.

6. How is your Appetite and Thirst.
ANS. Appetite is normal, I am not having thirst.

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
ANS. No alcohol, normally taking bread and butter and like very much, not liking much salt, like to much sweet, donot like milk, fully veg food like egg that to boiled. Like warm food, Cold drinks, ice cream, chocolates, tea and not liking too much coffee.
b)Anything else about like and dislike of any activity with you or surrounding.
ANS. I don’t like loud music, sound, or crowd. I like to live alone with busy in my job or on internet as I stated above. Out door I like to jogging, walking and sometime running alone.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS. Stool is normal yellow, but stated that I am having constipation every day. It looks that I am not satisfying my self going for stool without medicine. I feel I am not fresh. I use to go normal once for stool that is morning and stool is not thick.
b)Any discomforts associated with stool.
ANS. Constipation.

9. Urine. Very few times
a)Frequency, nature, volume.
ANS. Very few normally five times a day. Normal white. The intake of water I have taken.
b)Any discomfort before, during or after urination/odour
ANS. Yes, I think that some urine is lying in my penis and it leaks one or two drop after passing the each urine.

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS. Yes, erection have not problem but ejaculation is slightly early.
b)Any other trouble in sex.
ANS. I am not completely satisfied with one intercourse.

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
ANS.
b)Duration of menses.
ANS.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
ANS. I normally get sleep nearly 1030 pm or so. But some times one or two days in a week I may not get sleep upto 0200 am. When slept means completely slept. Waking nearly 0530 hrs as per my job requirements. Normally cover my head while sleeping and fully body covered only feets are to be opened. I use to prefer right side sleeping. Window and doors closeness having no relations for my sleep. No dreaming normally. Some fiss sound being produced during sleep as per my wife. I am sleeping normally on the sides not straight.

13. Sweat
a)How much, what parts, staining, Odour.
ANS. I like all kinds of sweet. Raw sweat, sweat dishes and any amount of the sweet.

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS. I can not tolerate much cold or heat. I donot like humid weather, frequent changing of weather is also not liked by me. I like closed room. Foggy weather also not suiting me.

15. Mental Status
a) The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
ANS. My father is not available, only mother is available and my relation with her is not normal. My friend are very satisfied with me. However, I am not having much friends. I am lazy man donot want to go any where without much sufficient cause. My wife donot like me regarding this habit and she use to get upset due to my this habit.
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
ANS. Yah, I am living separate from my family since 3-4 month this gives me more grief. And naturally it creates financial loss to me. Maintaining two establishment and children are in higher studies. I am always behind financial crises.
c)Memory,ability to concentrate/comprehend.
ANS. My memory is not any issue, because normally I use to remember everything. I donot concentrate on the subject for long time.
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS. I am always fearful to my seniors I take every thing in very deep. And think everything till it ends. I think this problem is very important for me but after few days I use to realize that it is very common problem. During that period I may be mentally upset me a lot.
e)Are you anxious about anything: if yes, give details.
ANS. No, normally not. But very anxious for sex.
f)Are you impatient.
ANS. Yes
g)Are you doubtful or suspicious.
ANS. Always doubtful and suspicious
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS. Yes
i)Does your pride get hurt easily.
ANS. Yes
j)Are you depressed, if so, reason/circumstances.
ANS. Sometimes, when I been insulted by my seniors and my family.
k)Do you like to share your problems.
ANS. No
l)Effect of consolation.
ANS. NIL
m)Do you ever become suicidal when? How.
ANS. In childhood. I was the eldest son of my family and I feel that I been neglected by my parents in comparison with my co-brothers and sisters.
n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
ANS. NO
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS. Yes, But not showing others. It makes me better.
p)Are you easily irritated. What makes you angry, how do you express it.
ANS. I feel irritated when some body is not following my instructions or orders. I become violent.
q)Are you destructive.
ANS. No
r)How good are you in making decisions.
ANS. Very quick decision taking.
s)Do you like company or like to remain alone.
ANS. I like remain alone.
t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS. I donot bother about cleaning.
u)How does failure appear to you?
ANS. Very bad to me.
v)Are there any matters that you deeply dislike?
ANS. I donot like when people oppose me.
w)What activities you deeply like? How does it affect your mood?
ANS. If a person praise me I like it and it will feel me happy.
x)Are you affectionate? How does others sorrow affect you?
ANS. I love my family and children to much. I do not think about anybody else.
y)Any present fears in your life or future.
ANS. I fear that whether I am able to achieve my dream true that is building of my son, building of my daughter, building of my home, want to have a suv etc.
z)Any present life or future life desires.
ANS. I want that my son and daughter both become officers in defence services. I should make my own house. I should have a good SUV Car. I must have plenty of wealth.

Dear Sir,
The above informations are correct as per my knowledge. As I have already informed that I have taken sulfur 30 one drop thrice a week which has given me no relief. Kindly consider my case and suggest me the medicine. Which I have to use. If any other information is required please mail me.