ROLE OF HOMOEOPATHY IN A CASE OF VERRUCAE

ABSTRACT:

         Verrucae (or) warts is one of the commonest skin infection and it can affect people of any age group and sex. Homoeopathic treatment can surely cure any type of warts on the basis of individual symptomatology and allied factors. Homoeopathy helps in the restoration of the health of the patient.

KEYWORDS: VERRUCAE; HOMOEOPATHY; IGNATIA AMARA AND THUJA OCCIDENTALIS

INTRODUCTION:

Warts are small, fleshy bumps on the skin and the mucous membrane. It is a common benign epithelial hyperplastic growth caused due to the infection with Human Papilloma Virus (HPV). It can either spread from one location on the body to another or from person to person by coming in contact with warts.

TYPES OF WARTS

CONTENT	COMMON WARTS	VERRUCA PLANA	PLANTAR WARTS	GENITAL WARTS
TYPE	HPV-2	HPV-3 & 10	HPV-1	HPV-6 & 11
SHAPE AND STRUCTURE	Dome shaped papules with verrucous formation	Smooth flat topped papules often multiple in number	Multiple small black dots at the surface which are actually tiny blood vessels	Small or cauliflower- like  large fleshy and raised growth
AFFECTED AREAS	Commonly hands, feet but it can affect any site	Face and dorsum of the hands	Soles of feet and toes	Male-penis. Female-vulva, vagina, perineum. Homosexual Males-perianal region
CLASSICAL FEATURES	Filiform with finger like projection	Koebner’s phenomena(warts on trauma site)	Multiple warts coalesce to form a mosaic wart	Like condylomata accuminata

CASE DETAILS:

PRESENTING COMPLAINT:

LOCATION AND DURATION	SENSATION AND COMPLAINT	MODALITIES A\F=	CONCOMITANT
SKIN: Right index finger since 4 years	Single large warts finger-like projection Usually painless but sometimes he feels pricking type of pain	A\f= grief <Exposure to cold water and things <From smoking cigarettes <Drinking coffee <holding things	_

HISTORY OF PRESENTING ILLNESS:

The patient was apparently well 4 years back when he gradually noticed a tiny papule on his right index finger. It slowly increased in size and he started feeling uncomfortable while holding and gripping things. He took allopathic treatment (cryotherapy) for the same but got no relief. It is then when he switched to homoeopathic treatment.

HISTORY  OF PAST ILLNESS:

• At the age of 12 – Chickenpox- traditional treatment – relieved
• At the age of 20 – Typhoid – allopathic treatment – relieved

FAMILY HISTORY:

• Father- Tuberculosis
• Mother and sister- Diabetes Mellitus

LIFE SPACE INVESTIGATION:

• Grief towards his nephew’s death (suicide by hanging in his house at the age of 12)
• After that incident, his warts complaint got worsened and he was constantly worried about it.
• After he heard the news of his nephew’s death, he went to that spot, removed the knot and carried the boy on his shoulders.
• Since that incident, he wants to be alone and doesn’t want to talk to anyone. But if any close relative consoled him, he felt much better.
• Whenever he took cryotherapy, the complaint was better for some time but as soon as he thought about his nephew’s death the complaint recurred.
• While holding anything with his hands he felt a sudden pricking pain in his right index finger which lead him to eventually drop that object.
• Even after taking the allopathic medication continuously for 3 years he didn’t feel better and therefore shifted to homoeopathic medication.

PHYSICAL GENERALS:

• Appetite – Adequate (3-4 times\day)
• Thirst      – Adequate(cold water -2-2.5liters\day)
• Sleep       – Refreshing(7-8 hours per day)
• Sweat      – Increased(Especially over face)
• Stool        – Satisfactory(1-2times per day)
• Urine       – Satisfactory
• Dreams   – Nothing significant
• Thermal Reaction– Hot patient
• Habit – Coffee-5 cups/day; Smoking- 3-4 cigarettes/day

REACTIONS TO:

• Desire to rainy season
• Desire cold drinks
• Desire fanning
• Desire covering
• Intolerance to hot summer weather
• Desire non veg (especially chicken and beef)
• Desire spicy foods
• Everythings he desire cold things but it aggravates the warts complaint
• Aversion to vegetables (ladies finger and cabbage)

MENTAL GENERALS:

• Long-lasting grief about his nephew’s death
• Worried about his complaint
• Desire solitude especially when thinking about his nephew’s death
• Cooperative and patient
• Doesn’t get angry easily
• If any close relatives consoled him, he felt much better.

EXAMINATION:

• PHYSICAL EXAMINATION:                         
  • Conscious                                 
  • Complexion- Pale                
  • Built- Moderate                      
  • Anemia – Pallor(+)          
  • Icterus- Absent
  •  Cyanosis- Absent
  • Edema- Absent
  • Clubbing- Absent
  • Lymphadenopathy- Absent
  • Pulse -79 beats/min
  • Blood Pressure – 126/88 mm of Hg
  • Respiratory rate – 18/min
  • Temperature -98.6*F

• SYSTEMIC EXAMINATION:
  • SKIN: RIGHT INDEX FINGER
    • INSPECTION- Single large wart is present, brownish finger like projection, no discharge.
    • Palpation– Tenderness is present; wart is hard, rough and stony hardness, warmth is slightly present.

DIAGNOSIS:

COMMON WARTS (FILIFORM WARTS) ON RIGHT INDEX FINGER

ANALYSIS:

CHRONIC REPERTORIAL TOTALITY: (SYNTHESIS REPERTORY)

REPERTORIAL TOTALITY	REPERTORIAL RESULT
MIND- AILMENT FROM- grief	Nux-v. – 16\6
MIND-COMPANY-aversion to	Ign.      – 12\6
FACE –PERSPIRATION-only face	Phos.   – 10\6
STOMACH-COFFEE- agg.	Staph. – 10\6
STOMACH-COLD-drinks- agg.	Sep.     – 12\5
STOMACH-SMOKING- agg.	Caust.  – 10\5
SKIN-WARTS-brown	Puls.     – 10\5
SKIN-WARTS-filiform	Thuj.    – 10\5
SKIN-WARST-large
GENERALS-COLD- agg

• MEDICINE: (17-06-2020)
  • IGNATIA AMARA 200 (2 Doses, Weekly once)
  • SG (2globules-BD – 14  days)

FOLLOW UP:

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RESULT:

DISCUSSION AND CONCLUSION:

The patient responded well with IGNATIA AMARA 200. He continued the treatment after 17-06-2020. He had much improvement and also feels better in his mental symptoms. On 20-07-2020 –IGNATIA AMARA 1M-1 dose was prescribed, he felt absolutely fine in the mental ailments. Then he visited on  28-08-2020, according to the totality of the symptoms, THUJA 200-3doses weekly once was prescribed, the first dose given on 24-08-2020. After one month, he felt better but granulations with reddish colour around the warts were seen. THUJA OCCIDENTALIS -0/1-2 doses were prescribed.

On 29-10-2020 the wart completely fell off. Even after 4 months, there was no recurrence of warts and the patient was completely cured.

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ABOUT THE AUTHOR

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