Chief Complaints
- 1. Psoriatic skin eruptions
- 2. Started from scalp, gradually spread to whole body
- 3. Associated with intense itching
- 4. Aggravation: summer season, warm rooms
- 5. Amelioration: exposure to cold air
- Right ureteric calculus (8.5 mm)
- 6. Burning during urination
- 7. Obstructed urinary flow
History of Present Illness
- Skin eruptions progressively worsened over time, disturbing sleep and daily routine.
- Urinary complaints developed alongside, with pain and burning sensation.
Past Medical History
- No major systemic illnesses reported apart from urinary calculus.
Generalities
- Sleep: disturbed due to heat
- Dreams: present
- Appetite: normal
- Thirst: moderate
- Perspiration: scanty
- Stool: regular
Mental State
- Indisposed to talk, reserved demeanor
Prescription & Progress
- 20/09/2017: Kalium bichromicum 1M prescribed
- Supportive remedies given during follow-up: Seclec 30, Berberis vulgaris Q, Sulphur 200, Rubrum 30
- Progress: Gradual improvement in itching, scaling, and urinary symptoms noted over subsequent months
- By mid-2018, marked subsidence of psoriatic lesions and relief in urinary complaints
Conclusion
This case highlights the individualized prescription of Kalium bichromicum 1M, which resulted in significant improvement in a chronic case of psoriasis with associated urinary calculus. Careful case-taking and remedy selection were pivotal in achieving long-term relief. it is about 10 years, the case not returned yet.

