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Dyshidrotic Eczema (Pompholyx)

What is Dyshidrotic Eczema (Pompholyx)

Dyshidrotic eczema is a chronic skin condition characterized by small, itchy blisters on the hands and feet, especially the sides of fingers, palms, and soles.
From a homeopathic perspective, dyshidrotic eczema reflects an internal constitutional imbalance where the vital force manifests as localized skin eruptions, often triggered by stress, allergies, or internal susceptibility. Homeopathy focuses on treating both the external symptoms and the underlying internal imbalance.

Causes

  • Allergic tendencies (family or personal history of eczema, asthma, or hay fever)
  • Stress or emotional strain
  • Sweating or excessive moisture on hands and feet
  • Exposure to irritants such as detergents, chemicals, or metals
  • Genetic predisposition
  • Immune system hyper-reactivity

Symptoms

  • Small, fluid-filled blisters (vesicles) on fingers, palms, and soles
  • Severe itching and burning, often worsening at night
  • Redness and inflammation around the blisters
  • Cracking, scaling, or peeling of the skin after blisters dry
  • Flare-ups are recurrent, often triggered by stress, allergens, or moisture
  • In chronic cases, skin may become thickened or tough

Homeopathic Understanding

Dyshidrotic eczema is a constitutional skin manifestation, not just a superficial problem.

Homeopathy works to balance the body internally, improving the immune response and skin resilience.

Remedies are chosen based on blister type, itching pattern, aggravating and relieving factors, and overall constitution.

Local homeopathic ointments or applications may soothe itching and inflammation, while constitutional treatment prevents recurrence.

Homeopathic Remedies

  1.  Rhus toxicodendron:
  • Acute itching and vesicular eruptions
  • Better with warmth and movement
  • Often for flare-ups triggered by stress or dampness

2. Graphites:

  • Chronic, oozing or cracked lesions
  • Thickened skin with recurring eczema

3. Arsenicum album:

  • Burning, dry, itchy blisters, sensitive to touch
  • Restless or anxious patients prone to flare-ups

4.  Mezereum:

  • Deep-seated vesicles, worse from cold and damp conditions
  • Painful itching with tendency to scratch

5. Sulphur:

  • Burning, itching, red patches
  • Chronic flare-ups, especially in warm weather

6.  Causticum:

  • Vesicles with cracks and fissures on hands and fingers
  • Chronic recurrence

Precautions

  • Keep hands and feet clean, dry, and ventilated
  • Avoid harsh soaps, detergents, and chemical irritants
  • Do not scratch, as it can lead to infection
  • Reduce stress and avoid prolonged moisture exposure
  • Use mild, natural moisturizers or homeopathic creams
  • Constitutional homeopathy strengthens the vital force, reducing flare-ups and recurrence

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