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Psoriasis

Psoriasis is a long-term immune condition that speeds up skin-cell growth, causing scaly patches. It is not contagious, it can be controlled well, and it deserves attention beyond the skin.

About 2 in 100 people Not contagious Check joints, heart and mood too

Reviewed September 2026 · For information, not diagnosis

Homeopathic remedy bottles beside fresh botanicals
On this page Urgent warning signs What is psoriasis? Types of psoriasis Beyond the skin Triggers Treatment that works Everyday care The homeopathic approach What the research says Remedies discussed Find a homeopath Sources

๐Ÿšจ Get medical help now if

  • Red, inflamed skin spreads over most of the body, and you feel shivery, hot or unwell — erythrodermic psoriasis needs hospital care
  • Sudden widespread pus-filled spots on red skin with fever — pustular psoriasis
  • A major flare after stopping steroid tablets or injections
  • See a doctor soon for joint pain or swelling, swollen “sausage” fingers or toes, heel pain or morning back stiffness

In India call 112 for emergencies or 108 for an ambulance, or go to the nearest hospital emergency department. Do not wait to see whether a remedy works.

What is psoriasis?

In psoriasis, an over-active immune response makes skin cells multiply and move to the surface in a few days instead of about four weeks. They pile up as raised, well-defined patches (plaques) covered in silvery-white scale. On lighter skin plaques look pink or red; on brown skin they often look purple, grey or dark brown and can leave dark marks after they clear.

Plaques are most common on the elbows, knees, scalp and lower back, and may itch or crack. Nails can develop pits, ridges, discoloration or lift away from the nail bed. Psoriasis tends to run in families, comes and goes in flares, and affects roughly 2 in every 100 people. It is not infectious and cannot be caught by touch.

Types of psoriasis

Types of psoriasis
TypeWhat it looks like
Plaque psoriasisThe most common: raised scaly patches on elbows, knees, scalp, back.
Scalp psoriasisThick, stuck-on scale that may extend beyond the hairline. Thicker and more defined than dandruff.
Guttate psoriasisMany small drop-shaped spots over the trunk, often 2–3 weeks after a strep throat, in children and young adults.
Inverse (flexural) psoriasisSmooth, red or dark patches without scale in skin folds: groin, armpits, under the breasts.
Palmoplantar pustulosisSterile pus spots on the palms and soles; strongly linked to smoking.
Nail psoriasisPitting, yellow-brown “oil drop” patches, thickening; often goes with psoriatic arthritis.
Erythrodermic and generalised pustularRare, severe forms covering large areas — medical emergencies.

Beyond the skin

  • Psoriatic arthritis develops in up to about one in three people with psoriasis, often years after the skin. Early treatment prevents permanent joint damage.
  • Psoriasis, especially when severe, is linked with heart disease, diabetes, high blood pressure, fatty liver and obesity. Regular checks of blood pressure, sugar and cholesterol are worthwhile.
  • Low mood and anxiety are common, and stigma is real. Talking about it helps; so does treatment that clears visible areas.

Triggers

  • Stress
  • Infections, especially strep throat
  • Skin injury — cuts, scratches, tattoos, sunburn (new plaques can appear at injured sites)
  • Smoking and heavy drinking
  • Some medicines: lithium, beta-blockers, antimalarials such as chloroquine, and stopping steroid tablets
  • Cold, dry weather

Treatment that works

Psoriasis treatment options
StepOptions
Creams and ointmentsEmollients; vitamin D creams (calcipotriol), often combined with a steroid; salicylic acid to lift scale; coal tar; medicated scalp shampoos and lotions.
Light therapyNarrow-band UVB, two to three sessions a week in a clinic, for widespread psoriasis.
TabletsMethotrexate (once weekly), ciclosporin, acitretin, apremilast — with regular blood tests. Acitretin and methotrexate harm unborn babies, so contraception is essential.
Biologic injectionsFor severe psoriasis or psoriatic arthritis not controlled by other treatment. Very effective.

Avoid steroid tablets and injections for psoriasis. They clear the skin briefly, but stopping them can trigger a severe, widespread flare, including pustular psoriasis.

Everyday care

  • Moisturise every day, especially after bathing; soften thick scale before applying treatment.
  • Do not pick or scratch off scales.
  • Stop smoking and keep alcohol low — both worsen psoriasis and reduce treatment response.
  • If you are overweight, losing weight often improves psoriasis and helps treatments work.
  • Short periods of sun can help, but avoid sunburn, which can trigger new plaques.
  • Tell doctors you have psoriasis before starting new medicines.

The homeopathic approach

A homeopath considers the character of the plaques, itching and scaling, triggers, seasonal pattern, and the person’s constitution, and chooses a remedy.

Using homeopathy safely with psoriasis

  • Do not stop methotrexate, biologics or other systemic treatment without your dermatologist or rheumatologist.
  • Joint pain or swelling needs a rheumatologist, whatever the skin is doing.
  • Psoriasis naturally flares and settles, so a quiet spell during treatment is hard to credit to any one remedy.

What the research says

There are no good-quality controlled trials showing that homeopathic remedies clear psoriasis or prevent psoriatic arthritis.

More broadly, the largest independent assessment — the Australian National Health and Medical Research Council’s 2015 review of 176 studies — found no reliable evidence that homeopathy is effective for any health condition, and advised against using it for conditions that are chronic, serious or could become serious. People often do feel better after a long, unhurried homeopathic consultation; in one controlled trial in rheumatoid arthritis, the benefit came from the consultation rather than the remedy.

In practice: if you choose homeopathy, use it alongside the care described on this page, not instead of it — and tell each practitioner what the other has prescribed. More on the research →

Remedies a homeopath may discuss

These are the traditional descriptions (“keynotes”) from the homeopathic materia medica, listed so you recognise names a practitioner may mention. They are not evidence that a remedy works and not a guide to self-treatment. Homeopaths choose one remedy for the whole person rather than by diagnosis.

Arsenicum Album
Arsenic trioxide, diluted

Described for dry, scaly patches with burning eased by warmth, in anxious, restless people.

Sulphur
Sulphur

Described for itchy, burning plaques worse from warmth and washing.

Graphites
Graphite

Described for thick, cracked skin in folds and behind the ears, with sticky discharge.

Petroleum
Rock oil

Described for deep cracks on hands and heels, worse in winter.

Kali Arsenicosum
Potassium arsenite, diluted

Described for dry, scaly plaques with itching worse from warmth.

Sepia
Cuttlefish ink

Described for ring-shaped scaly patches, in tired, chilly people.

Mezereum
Spurge olive bark

Described for thick scalp crusts with intense itch.

Psorinum
Scabies-crust preparation (nosode)

Described for dry, unhealthy-looking skin in very chilly people.

Find a homeopath

If you would like to try homeopathy, see a registered homeopathic doctor (BHMS or MD (Hom)) who will take a full history, knows your other treatment and will tell you when you need a medical specialist. Take your prescriptions and recent test reports with you.

Search all homeopaths → Are you a homeopathic doctor? Create your profile.

Sources

  1. Psoriasis — NHS
  2. Psoriatic arthritis — NHS
  3. Homeopathy (includes the NHMRC 2015 findings: 57 systematic reviews, 176 studies) — US National Center for Complementary and Integrative Health
  4. Homeopathy (summarises the NHMRC 2015 review and its advice) — Better Health Channel, Victoria State Government
  5. Brien S et al. Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy. Rheumatology 2011 — PubMed 21076131

This page is general information, reviewed September 2026. It is not a diagnosis and does not replace a consultation. Do not stop or change a prescribed medicine without talking to the doctor who prescribed it. In an emergency in India call 112 (ambulance 108).