Sulphur
Is perhaps the remedy most often indicated in this affection, especially if chronic. The skin is rough and hard and the acne is associated with comedones and constipation; great aggravation from water is the characteristic leading to Sulphur in skin affections. The acne punctata is the variety corresponding most nearly to Sulphur. Simple forms yield to Belladonna or Pulsatilla.
Acne rosacea yields to Arsenicum iodatum or Sulphur iodide.
Sanguinaria
Is another useful remedy in acne, especially in women with scanty menses and irregular circulation of blood. Other remedies for acne dependent on sexual disturbances of women are Calcarea carbonica and Aurum muriaticum natronatrum.
Kali bromatum
Produces an acne on the face, neck and shoulders. We frequently find an acne in Epileptics who have been maltreated by bromides. This remedy is especially adapted to the acne simplex and the acne indurata, especially in hyperaesthetic, nervous females. Kali bromatum has been found a useful remedy in sexual excesses it will be especially a remedy in acne due to that cause.
Dr. J.H.Clarke says, “I know of no remedy of such universal usefulness in cases of simple acne as Kali bromatum 30,” and the late Dr.A.M. Cushing recommended Arsenicum bromatum 4x as very efficacious.
Thuja is one of our best remedies for acne facialis.
Calcarea picrata is also a useful remedy for acne; clinically it has been found one of the good remedies.
Calcarea sulphurica is indicated where the pimples suppurate.
Antimonium crudum
Small red pimples on face, acne in drunkards with gastric derangements,thirst and white-coated tongue. Antimonium tartaricum. Obstinate cases, with tendency to pustulation, are curable with this remedy. Berberis aquifolium is useful where the skin is rough and the acne persistent. Natrum muriaticum acts especially on thesebaceous glands, and is a very helpful remedy in acne.In this affection attention must be directed especially to the patient’s type, temperament and tendencies and the general symptoms are far mores important than the local ones.