A patient suffering from rheumatoid arthritis accompanied by psoriasis was prescribed Sulphur in 200C potency. When this had little effect, Tuberculinum 10M was prescribed and a general but slight improvement followed. However new symptoms appeared and from then on a number of remedies were prescribed including Zinc, Rhus tox, Graphites, Mezereum, Sulphur, Staphysagria, Croton tiglium and Natrum mur., all of which had limited success. Psorinum was then prescribed and started a general improvement. When the eruption flared up again, Petroleum 10M was prescribed which brought about rapid improvement and an almost total clearing of the eruption.

A case in related of a woman aged 33 with a diagnosis of psoriatic arthritis since age 20. She had a lot of dandruff and flaking of her scalp which developed into psoraisis. The eruption was worse on the occiput and the right side of her forehead as well as along her hairline extending to the back of her right ear. Nux vomica-200c one dose was prescribed than the case has been followed up 5 weeks later.

The author presented this case not because the remedy is unusual, but because it illustrated nicely the following two points: Hering's law of cure and the importance of waiting through all the changes that may occur after a remedy has begun to act, to allow the full action of the remedy to take place. This scenario means that the remedy gave is still acting and that waiting to see the full outcome of the remedy is the best plan.

Since it become more and more clear that psoriasis is rather a inetabolic disorder, a thorough change of orientation is indicated. The etiology remains in the dalk with a completely new therapeutical method however there is hope to clear the problem fumaric acid compounds are highly actic against all forms of Psoriasis even including joint affections. A success rate of more than 90% indicates a coherence between Fumaric acid substitution and Psoriatic activity. Constinuation of substitution of Fumaric acid compounds lead after clearance to freedom of recidivation the actual crux of conventional forms of therapy. combined with treatment is a nutritional regime which prevents exacerbation and provocations. Reacting sequences in the intermediate metabolism are obviously affected. Side effect are easily kept under control. A mixture of lipid soluble fumaric acid compounds is of advantage in comparison to monosubstances. Psoriasis is dratically reduced with this therapy. Fumaric acid as pharmacological principle has up till now been completely overlooked.

This paper refers a questionnaire based study of 614 patients who had been treated with fumaric acid for up to 5 years. This study was conducted to collect data to enable the evalation of the effectivity of the clinique bean Revil's therapeutics concept. The study revealed that a surprisingly large number of patients experienced considerable improvement in their condition. The long term substitution of Fumaric acid apprarently leads to a further stabilization of the skin and joint condition. It seems significant that the learned nutritional behavior plays an important role in the retention of a healthy dermatological condition. In this context It is important that the certain etherel oils which are to be found in spices but also occasionally in nuts the rind of citrus fruits as well as in wine and products made from grape wine. After nutritional mistake were made and the skin condition flared up again, their motivation to continue following the guidelines increasing.