15 years old boy comes with complaints of generalized eruptions on skin with intense itching. Eruptions were red patches all over. Itching is followed by burning sensation. According to patient eruptions started after eating, not sure eating what may be cottage cheese. Also he had throat pain which was worse eating food.

When he came to me, it was second day of his eruptions and was already taking high doses of anti-allergens with steroids without relief of his eruptions and agony.

He has been having such episodes of Urticaria eruptions since 2 to 3 years, on and off.

The boy says his eruptions appear mainly after eating lentils, but surely after taking milk and milk products.

On examination boy was having Urticaria like eruptions with swelling around eyes and redness of conjunctiva of eyes.

History of Asthma since childhood.

Family history: Father having hyperlipidemia and paternal grandfather having asthma.

Physical appearance: Lean thin

Physical generals:

Craving: Pungent things⁺²

Aggravation: Milk and milk products⁺², dal (lentils)

Perspiration: Scanty

Sleep: late at 2-3 am due to upcoming board exam, sleeps on back more, sleep is occasionally disturbed by asthma episodes.

Dream: Something is falling.

Thermal: Chilly, Asthma aggravated in winters.

Mind:

According to father, the boy gets angry easily. He cannot tolerate if anyone teases him. He says he is afraid of night as he gets dreams of something is falling. The boy did not spoke much about himself more. He also says that he lacks confidence in school and among friends. Does not remember things well. He does not know what he is going to do in future. When asked about his relationship with his parents and 1 elder brother of 18 years, he said that he does not interact with them much.

Repertorial totality of symptoms taken:

1. Anger easily.
2. Want of self-confidence.
3. Indifference to his family.
4. Eyes swelling of lids.
5. Asthma worse night.
6. Sleeps on back.
7. Dreams of falling.
8. Scanty sweat.
9. Eruptions itching, red.
10. Eruptions urticarial.
11. Worse from lentils.
12. Worse from milk.
13. Desires pungent things.
14. Lack of vital heat.
15. Lean people.

After taking this reportorial totality remedies that were most similar to these symptoms were Sepia, Phosphorus and Nux vomica.

For me the most important characteristic symptoms were Aggravation from milk and his indifferent behavior towards his loved ones.

So, Sepia 30 in deviated doses were given daily twice a day for 2 weeks.

Initial 2 days there was slight aggravation of his urticaria, followed by continuous amelioration.

His asthma also disappeared and there was no need for him to take bronchodilators.

Now, he is without any episode of urticaria and asthma. He is still under my supervision and has been seen on fortnightly follow-ups.

Sepia has definitely helped the boy in urticaria and relieving his asthma.