Homeopathic Medicines for Scabies

1. Sulphur – Itching Worse at Night, Burning Eruptions

• Best for: Severe itching, especially at night and from warmth and warmth of bed;  itching changes location after scratching.
• Skin: Dirty, unhealthy, dry, and rough; eruptions burn and itch intensely.
• Modalities: Worse at night, warmth, bathing. Better in open air.
• Constitution: Hot patient, offensive sweat, aversion to covering.

2. Psorinum – Filthy, Offensive Eruptions with Extreme Itching

• Best for: Suppressed eruptions, Extremely offensive, foul-smelling discharges, chronic cases.
• Skin: Dirty, greasy, unhealthy-looking, with foul odor.
• Modalities:
  • Worse: Warmth, in bed, during winter.
  • Better: Open air, after eating, warmth of clothing.
• Constitution: Extremely chilly, wants to wear warm clothes even in summer. Profuse foul-smelling sweat, aversion to bathing, history of suppressed eruptions.

3. Arsenicum Album – Burning Itching, Restlessness, Anxiety

• Best for: Intense burning pain, relieved by warmth; anxious, chilly patients.
• Skin: Red vesicles, scaly eruptions, excoriation from scratching.
• Modalities:
  • Worse: Cold air, at midnight, scratching.
  • Better: Warmth, hot drinks, covering the body.
• Constitution: Restlessness, fear of death, thirst for small sips of water, chilly and anxious patient, weakness from slightest exertion.

4. Hepar Sulphuris Calcareum – Sensitive Skin, Pustular Eruptions

• Best for: Painful pustules, extreme sensitivity, offensive pus formation.
• Skin: Suppurating, tender to touch, prone to abscesses. crusty pustules develop on the hands, folds of the skin, and the feet. The skin becomes sensitive to cold weather and the pustules have a cheese-like discharge.
• Modalities:
  • Worse: Cold air, touch, exposure to cold.
  • Better: Warm covering, damp weather.
• Constitution: Irritable, chilly, sensitive to slightest cold exposure, profuse offensive perspiration, tendency for boils.

5. Mezereum – Thick Crusts with Pus, Intense Night Itching

• Best for: Yellowish crusts with underlying pus, intolerable itching at night.
• Skin: Dry, rough, burning; eruptions with thick scabs.
• Modalities:
  • Worse: Night, undressing, warmth of bed.
  • Better: Cold applications, open air.
• Constitution: Hypersensitive to touch, feels cold in spots.

6. Staphysagria – Crawling Sensation, Itching from Suppressed Emotions

• Best for: Small vesicles, constant itching, worsens when thinking about it. Violent itching, worse from scratching, fine small vesicles with great irritation, scabies from suppressed emotions or anger.
• Skin: Scratching leads to raw, bleeding skin, eruptions mostly on covered parts.
• Modalities:
  • Worse: Touch, excitement, emotional stress.
  • Better: Rest, warmth, gentle rubbing.
• Constitution: Sensitive, irritable, history of emotional suppression, itching worsens when thinking about it.

7. Causticum – Raw, Sore Skin, Slow Healing

• Best for: Deep cracks in skin folds, between the thighs, in the finger webs, slow-healing lesions.
• Skin: Sore, burning, itching worse in cold air.
• Modalities:
  • Worse: from cold, bathing.
  • Better: from warmth, damp weather.
• Constitution: Weakness, tendency to paralysis, progressive diseases. Coughing and sneezing can lead to involuntary urination.

8. Graphites – Oozing, Sticky Eruptions, Thickened Skin

• Best for: Moist eruptions with honey-like discharge, skin cracks easily.
• Skin: Thick, rough, cracked, sticky discharge.
• Modalities:
  • Worse: at night, warmth of bed, washing.
  • Better: from cold applications.
• Constitution: Obese, tendency for eczema, dry and scaly skin.

9. Sepia – Scabies with Ring-Shaped Eruptions, Indifferent Nature

• Best for: Scabies with brownish, ring-shaped eruptions and severe itching.
• Skin: Dry, rough, cracked; eruptions mostly in bends of joints.
• Modalities:
  • Worse: from cold air, washing, evening.
  • Better: from warmth, vigorous exercise.
• Constitution: Indifferent, irritable, chilly, hormonal imbalances (especially in women).

10. Kali Sulphuricum – Scabies with Yellow, Scaling Eruptions

• Best for: Itchy, scaly eruptions with yellowish crusts, worse in warm rooms.
• Skin: Scaling, moist, peeling off in flakes, with a sticky discharge.
• Modalities:
  • Worse: in warm rooms, at night.
  • Better: in cool open air.
• Constitution: Warm-blooded, dislikes heat, chronic skin conditions with discharge.

11. Mercurius Solubilis (Merc.) – Scabies with Profuse Perspiration & Offensive Odor

• Best for: Moist, ulcerated eruptions with foul-smelling discharge and excessive sweating.
• Skin: Skin is tender, pus-filled vesicles, unhealthy and slow to heal.
• Modalities:
  • Worse: from warmth of bed, damp weather, night.
  • Better: from moderate temperature.
• Constitution: Excessive salivation, offensive sweat, swollen glands, easily affected by cold.

12. Selenium (Sel.) – Scabies with Itching Worse from Scratching

• Best for: Intolerable itching, worsens after scratching and from sweating.
• Skin: Eruptions dry up and reappear, skin feels thin, wrinkled, and unhealthy.
• Modalities:
  • Worse: from heat, sweating, after scratching.
  • Better: from cold air, sleep.
• Constitution: Weak, exhausted, sexually weak, hair loss with skin affections.

13. Silicea (Sil.) – Scabies with Deep-Seated Abscesses & Suppuration

• Best for: Scabies with pus formation, slow healing, extreme sensitivity to cold.
• Skin: Deep-seated abscesses, eruptions suppurate and form ulcers, unhealthy skin.
• Modalities:
  • Worse: from cold, dampness, night.
  • Better: from warmth, wrapping up.
• Constitution: Weak, chilly, prone to infections, sweats on head, lack of stamina.

Lycopodium:  scabies that occur on the genitals, scalp, and the abdomen. Exposure to anything warm can aggravate the condition and intensify the itching. The pustules are moist and yellowish-brown in color. The itching usually subsides if the skin comes in contact with anything cold.

Carbo-veg:  effective when you experience dry abrupt eruptions on the body. Symptoms of itching tend to aggravate at night, especially during undressing. There is usually a smelly discharge from the infected areas.

Guidelines for Prescription

• Itching at Night, Burning, Dirty Skin → Sulphur
• Foul Odor, Chronic, Suppressed Eruptions, intense itching, very chilly. → Psorinum
• Burning Pain, Restless, Anxious, thirst for small sips. → Arsenicum Album
• Painful Pustules, Extreme Sensitivity, offensive discharge. → Hepar Sulph
• Yellow Thick Crusts, Underlying Pus, Severe Itching, itching worse at night. → Mezereum
• Crawling Sensation, Emotional Suppression, violent itching. → Staphysagria
• Raw, Cracked Skin, Slow Healing, sore skin, itching worse in cold air. → Causticum
• Moist eruptions with honey-like discharge, Thickened Skin. → Graphites
• Ring-shaped eruptions, indifference, hormonal issues → Sepia
• Yellow, scaling eruptions, better in open air → Kali Sulphuricum
• Moist, ulcerated eruptions, foul sweat → Mercurius Solubilis
• Itching worse after scratching, exhaustion → Selenium
• Pus formation, abscesses, slow healing → Silicea

Comparative Analysis of Homeopathic Medicines for Scabies

How to Use the Table for Individualization?

• Identify main skin features (dry, moist, ulcerated, scaly, abscesses).
• Note the itching pattern (worse at night, warmth, scratching, etc.).
• Consider discharges (pus, sticky, foul-smelling, or none).
• Match the patient’s constitution to the closest remedy.