"A PARALLEL ARM COMPARATIVE CLINICAL TRIAL TO

ASSESS THE EFFECTIVENESS OF HOMEOPATHIC MEDICINES

RHUS TOXICODENDRON AND ARANEA DIADENA IN THE
MANAGEMENT OF FIBROMYALGIA "
A DISSERTATION

TO BE SUBMITTED AS A PARTIAL FULFILMENT OF THE

REQUIREMENT FOR THE AWARD OF THE DEGREE OF
BACHELOR OF HOMOEOPATHIC MEDICINE AND SURGERY
(B.H.M.S.)
TO RAJKOT HOMOEOPATHIC MEDICAL COLLEGE
PARUL UNIVERSITY
BY
PANKAJ CHHANGA
UNDER THE GUIDANCE AND SUPERVISION OF DR. A. K. DAS
MD (HOM.) HOD OF DEPARTMENT OF COMMUNITY

MEDICINE (UG)
RAJKOT HOMOEOPATHIC MEDICAL COLLEGE
PARUL UNIVERSITY
 CERTIFICATE

This is to certify that the dissertation entitled “A Parallel Arm Comparative

Clinical Trial to Assess The Effectiveness of Homeopathic Medicine

RhusToxicodendron and Aranea Diadema in The Management Of Fibromyalgia” is a

bonafide work of PANKAJ CHHANGA during the academic year 2023-2024

All the work has been carried out under my guidance and supervision. His

approach to the subject has been sincere, scientific and analytic. This work is

recommended for the award of Bachelor degree in homoeopathy (B.H.M.S.) from

Rajkot Homoeopathic Medical College, Parul University.

Signature of Principal Signature of Guide

Dr. Hitarth Mehta MD (HOM.) Dr. Anup Kumar Das MD (HOM.)

Principal HOD of Department of Community Medicine

Rajkot Homoeopathic Medical College. Rajkot Homeopathic Medical College

Parul University. Parul University

 ACKNOWLEDGEMENT

I would like to express my deepest gratitude to my guide, Dr. Anup

Kumar Das sir , without whom this work would not have been came into
existence. I would also like to express my gratitude to all my respected
faculties, Head of Departments, Teaching Staff & Hospital Staff who have
never failed to add something in my knowledge through their experience and
expertise during my under-graduation.

I'm deeply indebted to my parents, My support system who have always

encouraged and motivated me to become better version of myself.

Lastly, I would like to appreciate my companions who have made this

journey of my under-graduation memorable and joyful.

- Pankaj Chhanga

3
 DECLARATION

I, Pankaj Chhanga , hereby declare that the dissertation entitled as “A

parallel arm comparative clinical trial to assess the effe of homeopathic
medicine Rhus Tox and Aranea Diadena in the management of Fibromyalgia ”
has been prepared by myself under the guidance of Dr.A. K. DAS (MD –
Hom.) sir during the year 2023-2024 as a part of the partial fulfilment of one
year internship program at Rajkot Homoeopathic Medical College.

College: Rajkot Homoeopathic Medical College

Place: Rajkot
:

Signature
Pankaj Chhanga Intern
Sainath Homoeopathic Hospital
RHMC, PU
(2023-2024)

4
 INDEX

SR. NO. . CONTENT PAGE NO.

1 INTRODUCTION 5

2 LITERATURE 6

3 SYMPTOMS 8

4 PATHOPHYSIOLOGY 10

5 DIAGNOSIS 11

6 THE EFFICACY OF HOM. REMEDY 12

7 DISCUSSION ON OTHER REMEDIES 22

8 MATERIAL AND METHODOLOGIES 28

9 CASES 30

10 MASTER CHART 44

11 OBSERVATION AND RESULT 48

12 SUMMARY AND CONCLUSION 49

13 BIBLIOGRAPHY 50

5
 INTRODUCTION

Fibromyalgia is a commonly encountered disorder characterized by chronic widespread

musculoskeletal pain,
pain, stiffness, paresthesia,
disturbed sleep, and easy fatigability along with multiple painful tender points, which are
widely and symmetrically distributed.
o Fibromyalgia affects predominantly women in a ratio of 9:1 compared to men.
o Newly
o Newly defined as a disease complex or syndromes

PREVALENCE

Wolfe 1995 reported the prevalence of FMS (all ages) to be 2% (females 3.4%, males
0.5%).Prevalence increased with age

It affects an estimated 3.7 million people in the United States (1), and women (most
often ranging in age from the mid-thirties to the late fifties) account for more than 75%
of patients

6
THE AMERICAN COLLEGE OF RHEUMATOLOGY CRITERIA:

A history of widespread pain for at least 3 months.

Pain is considered widespread when all of the following are present:
o pain in the left and right side of the body
o Below and above the waist.
o In addition there should be axial pain (cervical spine or anterior
chest or thoracic spine or low back).

Pain in 11 of 18 tender point sites on digital pressure.

o Occiput: bilateral, at the suboccipital muscle insertion
o Trapezius: bilateral, at the midpoint of the upper border
o Low cervical: bilateral, at the anterior aspect of the intertransverse
spaces at C5-7
o Supraspinatus: bilateral, at the origin, above the scapular spine
near the medial border.
o Second rib: bilateral, at the second costochondral junction, just
lateral to the junction, junction on the upper surface
o Lateral epicondyle: bilateral, 2 cm distal to the epicondyle
o Gluteal: bilateral, in the upper outer quadrant of the buttock
o Greater trochanter: bilateral, posterior to the trochanteric
prominence
o Knee: bilateral, at the medial fat pad proximal to the joint line.

7
8
 SYMPTOMS OTHER THAN PAIN

• Headache
• Restless Legs
• Dysmenorrhoea
• Extreme Sensitivity To Cold
• Odd Patterns Of Numbness And Tingling
• Intolerance To Exercise
• Stiffness
• Paresthesia
• Easy Fatigability
• Palpitations
• Irritable Bladder
• Functional Bowel Disturbances
• Chronic Sleep Disturbances
• Impaired Concentration
• Problems With Memory
• Inability To Multi-Task
• Diminished Attention Span
• Anxiety And Depressive Symptoms

9
10
 PATHOPHYSIOLOGY

o Changes in neuroendocrine transmitters such as serotonin,

substance P, growth hormone and cortisol suggest that regulation
of the autonomic and neuro-endocrine system appears to be the
basis of the syndrome.
o Central sensitization, blunting of inhibitory pain pathways and
alterations in neurotransmitters lead to aberrant neuro-chemical
processing of sensory signals in the CNS, thus lowering the
threshold of pain and amplification of normal sensory signals
causing constant pain.
o The frequent co-morbidity of fibromyalgia with mood disorders
suggests a major role for the stress response and for
neuroendocrine abnormalities.
o stress adaptation response is disturbed.
o Can be triggered by physical, emotional or environmental stressors
such as car accidents, repetitive injuries and certain diseases
o Sleep deprivation with disruption of delta-wave sleep (non-REM
stage IV) is associated with daytime fatigue and fibromyalgia
syndrome.
o FMS could be a neuroendocrine disturbance, particularly involving
thyroid hormone imbalances and/or hypophyseal growth hormone
imbalances.

11
 DIAGNOSIS

o A diagnosis is made by evaluation of symptoms and presence of

tender points
o American College of Rheumatology Classification Criteria for
Fibromyalgia (1990)...... widespread pain for at least 3 months
and pain in 11 out of 18 tender point sites on digital palpation.
o Both criteria must be satisfied
History of widespread pain for more than 3 months, on both sides
of the body, above and below the waist, and axial skeleton
(cervical spine, anterior chest, thoracic pain, or low back)
Pain in 11 of 18 tender point sites on digital palpation with
approximate force of 4 kg.
o X-rays, blood tests, specialised scans such as nuclear medicine and
CT, muscle biopsies are all
normal
o ESR (erythrocyte sedimentation rate) is normal
o Fibromyalgia Impact Questionnaire

12
THE EFFICIENCY OF HOMEOPATHIC REMEDIES

13
 RHUS TOXICODENDRON

INTRODUCTION

• Rhus Tox is a top listed medicine for treating fibromyalgia. It is

indicated in cases where there is widespread pain in the body.
The pain is present in the muscles, tendons, and ligaments and
can be tearing, shooting, stitching in nature.

• A peculiarity of the plant is that it is more poisonous during the

night, and when bursting into leaf, or at any time in June or July
when the sun is not shining upon it. Absence of sunlight, together
with dampness, seems to favor the exhalation of Toxicodendric
acid.

• the severest symptoms and sufferings are excited when the body
or the limb is at rest, and kept as much as possible without
movement.

• It is seen to get worse with exertion and during the night. The
sleep gets disturbed, and there is marked stiffness in the body.
Back pain is very prominent, and it gets better with motion.

14
Key indications for using Rhus Tox for Fibromyalgia:

o Widespread pain in the body.

o Stiffness with body ache.

o Indicated for numbness and a prickling sensation in the limbs.

o Symptoms worsening from exertion.

PARTICULAR SYMPTOMS

• Rheumatic stiffness of nape and neck, with painful tension during

movement.─Painful swelling of axillary glands.─Rheumatic
tearing between scapulæ, not affected by movement, < by cold, >
by heat.─Tearing between shoulders, drawing together from both
sides.─Transient coldness in back.─Contusive pain in loins, esp.
on touching the parts, and during repose.─Pain in small of back
when sitting still or when lying; > when lying on something hard or
from exercise.─Bruised pain in sacrum when he lies still on it or
sits still; feels nothing of it when moving.─Painful rigidity in
loins.─Painful exostosis on sacrum.─Distortion of the vertebral
column.─Pains in loins, in back, and nape, as from lifting too

15
 great a weight.─Drawing and stitches in back, esp. when seated
and on stooping.─Opisthotonos.

• UPPER LIMB :

Burning shooting under l. axilla, on the arm.─Tearing and burning

sensation in shoulder, with paralysis of arm, esp. during the cold
season, during repose, and in heat of bed.─Coldness, paralysis,
and insensibility of arm.─R. arm weak; rheumatic
paralysis.─Exostosis in arm, with burning sensation and ulcers,
which discharge a sanious pus.─Erysipelatous swelling and
pustules, with burning itching in arms, hands, and fingers.─Red
spots on arms.─Violent stitches in r. upper arm from
without.─Jerks, shootings, and tearing in arms.─Tension in elbow-
joint.─Jerking tearing in elbows, wrists, and joints of
fingers.─Digging in bones of the forearm.─Weakness and rigidity
of forearm and fingers during movement, and trembling of those
parts after the least exertion.─Hot swelling of the hands in
evening.─Swollen veins on hands.─Vesicular eruption in clusters
on wrist.─Rhagades; smarting of back of hands.─Back of hand
covered with chaps and hot; skin hard, rough, and stiff.─Tearing
in all the finger-joints.─Warts on hands and
fingers.─Hangnails.─Swelling of fingers.─Jerking in
thumbs.─Contraction of fingers

16
• LOWER LIMB :

Eruption with sweat in cleft of nates.).─Aching pains in legs; must

change position every moment.─(Pains in l. lower limb, thigh
chiefly, from septic absorption in old abdominal disease, with
vesical irritation.─R. T. C.).─Shootings and tearings in hip-joint,
extending to ham, esp. when resting on foot; or with dull
drawings and burning sensation during repose, and painful
sensibility of joints on rising from a seat or on going up stairs (or
other over-exercise; involuntary limping).─Tension and stiffness
of the muscles and joints of hips, thighs, legs, knees, and
feet.─Paralysis of the lower extremities.─Cramp in calf after
midnight, when lying in bed, and when seated after walking; it
goes off on bending the knee.─Cramps in buttocks, thighs, and
calves, esp. at night, in bed, or when seated after
walking.─Spasmodic twitching of the limbs when stepping
out.─Tension in the knee as if the tendons were too
short.─Painful swelling above knee.─Drawing and jerking tearing
in the thighs and legs.─Lancinations in the thighs, legs, knees,
feet, and toes.─Heaviness in legs, esp. in hams and
calves.─Tingling pain in shafts of tibia at night when the legs are
crossed, with constant necessity to move, preventing
sleep.─Coldness in l. tibia.─Paralysis of legs and feet.─Shootings
and wrenching pain in anklebones when resting on
foot.─Inflammatory swelling of instep, sometimes with pustules
and miliary pimples on part affected.─Swollen round ankles after
sitting too long, particularly in travelling.─Erysipelatous swelling

17
of feet.─Swelling of feet in evening.─Numbness and paleness of
feet (feet dead).─Distortion of toes.─Corns on feet, with burning
sensation and pain as from excoriation

18
MODALITIES

Aggravation: Stiffness and pains are worse on initial motion. Complains

are brought about by over-lifting, over-work or over-exertion.

Amelioration: better by continuous motion

19
 ARANEA DIADEMA

INTRODUCTION

• Aranea diadena Is the Indicated remedy for fibromyalgia- Indicated for

Hydrogenoid Constitution, i.e, Abnormal sensitiveness to damp and
cold, inability to live near fresh water, lakes, rivers, etc, or in damp,
chilly places

• All symptoms of Aranea are characterized by periodicity, and coldness,

and great susceptibility to dampness.

• Patient feels cold to the very bones. Coldness not relieved by anything.
Feeling as if parts were enlarged and heavier. Wake up at night with
hands feeling twice their natural size.

• Bone-pains in extremities. Pain in os calcis. Sensation of swelling, and

of parts going to sleep.

UPPER LIMB

20
 • Numbness of parts supplied by ulnar nerve.─Dull, penetrating pains
in the bones and in all parts of the body, esp. in the humerus and the
forearm.─At night a sensation as if the hands and forearms were
larger and heavier.─Sensation on the ring and little fingers as if they
were asleep.

LOWER LIMB
• Boring and digging in the r. tibia and os calcis, continuing on moving
the foot, and disappearing by continuing the motion.─Ulcer on the l.
heel.

MODALITIES

AGGRAVATION .--damp weather; late in afternoon, and at midnight.

AMELIORATION -- smoking tobacco.

21
DIFFERENTIATION AND SIMILARITY

RHUS TOX ARANEA DIADEMA

Rhus tox is the medicine Aranea is the medicine

prepared from the Ivy prepared from papal – cross
poison spider poison

It is indicated for wide It is indicated for the

spread in the body periodicity , coldness

< from motion , cold < Periodicity , Coldness

> from continuousMotion > smoking and tobacco

22
OTHER INDICATED HOMEOPATHIC REMEDIES FOR FIBROMYALGIA

Arnica montana

• Arnica Montana is a natural medicine for fibromyalgia prepared from

the Leopard’s Bane plant. It belongs to the family Composite.
• It is primarily used in cases of fibromyalgia where there are sore,
bruised pains in the body.
• The body feels lame and sore as if beaten.
• It is sensitive to touch, and the person feels afraid to touch the
painful parts. Fatigue, numbness, and tingling of limbs may be
present.

KEY INDICATION :
- Sore, bruised pains.
- Fatigue with body aches.
- Numbness and tingling in limbs.

23
 KALI PHOS

• Kali Phos is a natural remedy for fibromyalgia used to treat marked

fatigue and sleep issues in cases of fibromyalgia.
• There is an intense weakness, tiredness and whole system feels
drained out.
• The affected person gets easily fatigued and has body aches.
Exertion worsens the condition.
• Sleeplessness is another major issue that is treated well with this
medicine.
• A prickling sensation in the hands and feet and fibromyalgia linked
with stress are also indicative of this remedy

KEY INDICATION :
- Intense fatigue, weakness, and tiredness.
- Sleeplessness with body aches.
- Fibromyalgia linked with stress.

BRYONIA ALBA

• Bryonia Alba is a natural medicine prepared from the plant Wild

24
 Hops. The natural order of this plant is Cucurbitaceae.
• Bryonia Alba is a very beneficial medicine for fibromyalgia
considered in cases where pains get worse from motion. Lying down
and absolute rest offers relief in pains.
• The type of pain varies from sharp, stitching, bursting, sore to
tearing in nature.
• Pressure causes pain on tender points founds on the lower back and
knee. Stiffness also attends the pain.

MAG PHOS

• Magnesia Phos is a well-indicated natural treatment for fibromyalgia

where warmth relieves the pains.
• The pains in the body are mostly shifting in nature, changing from
one place to other frequently.
• The character of the pain is mostly sharp and shooting. Light touch
tends to worsen the pain, and there is a pain in the neck, lower
back, and lower limbs.
• The pains also tend to radiate from the point of origin. Restlessness
and extreme weakness are present, and cold tends to worsen the
pains.

Ruta Graveolens
25
• Ruta Graveolens is a remedy for fibromyalgia prepared from the
fresh plant of Garden Rue of the family Rutaceae.
• It is indicated for pains in the body along with restlessness. Soreness
of tendons and pains are of deep, sharp, drawing, tearing in nature
are mainly present in the neck, shoulders, lower back, and knee.

ARSENICUM ALBUM

• Arsenic Album is a useful medicine for fibromyalgia with marked

fatigue.
• The key indications for using this medicine include sudden weakness,
excessive tiredness, exhaustion from slight exertion, burning pains
in the body in areas like the back and limbs.
• Use of this medicine is also considered in cases of fibromyalgia when
intense anxiety (particularly about health) and restlessness is
present.
• All the complaints are seen to get worse during the night.

26
 CIMICIFUGA RACEMOSA

• Cimicifuga Racemosa is indicated for fibromyalgia with marked pains

in the muscles of the neck and the lower back.
• A feeling of stiffness and contraction in the neck is also present.
• Dull, heavy aching in the lower back that is improved by rest, pains
in muscles worsening from motion and excessive muscular soreness
are other accompanying symptoms.

GELSEMIUM SEMPERVIRENS

• Gelsemium Sempervirens is prepared from the plant Yellow Jasmine.

• The natural order of this plant is Loganiaceae.
• Key indications for the use of this medicine include aching in
muscles and tiredness, deep-seated pains that are worse in the back,
hips, neck, and under the scapula.
• Exertions worsen the pain and headaches may also be present along
with the above symptoms.

27
 COFFEA CRUDA

• Coffea Cruda is a medicine used to treat sleep issues in fibromyalgia

• The person needing this medicine has severe insomnia (sleeplessness)
• It is indicated in cases of restlessness and disturbed sleep.
Hypersensitivity towards pain is another common feature.

28
 MATERIAL AND METHODOLOGY

1. STUDY SETTING:
Study was conducted on the cases selected from the O.P.D. of Sainath
homoeopathic hospital attached with the Rajkot homoeopathic college
affiliated with parul university.
2. DURATION: 6 months.
3. SAMPLE SIZE: 25
4. SELECTION OF SAMPLE: Randomly selected cases.
5. INCLUSION CRITERIA:
Cases were included irrespective of age, sex, caste and religion
6. EXCLUSION CRITERIA:
Patient who had not given written consent.
In the cases with severe pathological conditions.
7. INFORMED CONSENT:
Written consent was taken from the patient for the study.
8. STUDY DESIGN:
A prospective experimental clinical trial.
9. SELECTION OF TOOLS:
Standard case taking Proforma along with consent form was used.
10.DATA COLLECTION:
All data were kept in the form of hard and soft copy.
11.ETHICAL ISSUES:
Ethical clearance was taken from the ethical committee of the institute
prior to conducting the study

29
 CASES

CASE 1:
Preliminary data:

Name: Mukeshbhai padya

Age : 30 years
Sex : Male
Religion: Hindu
Diet : veg
Occupation: businesses-man
Address: Gondal road, Rajkot.

Presenting complaint:
Complaint with duration:
• Wide spread pain all over the body Since 15 days
• Shooting,teraing type of pain in Muscles,tendon and ligaments
• Stiffness of the body
• Numbness and pricking sensation in Limbs.
< exertion,initial motion.
> continuous motion.
Location:
• whole body
Sensation:

30
 • pricking
• Shooting
• Numbness
Modality:
• <initial motion
• >Continued motion

Personal history:
Appetite: 2 chapati/ meal
Thirst : increased
Stool. :1/0 D/N
Urine :4-5/0 D/N
Sleep : disturbed due to pain

Mental symptoms:
• Extreme restlessness with continued change of position
• Sensorium become cloudy.
• Great apprehension at night.can't remain in bed in one position.

General examination:
Appearance: fatigue look
Education :B.C.A
Height: 152 cm.
Weight: 62 kg.
Pulse :72/minute
Respiratory rate: 18 / minute

31
Systemic examination: Tenderness in joints,muscles,tendon and soft
tissues.

Totality of symptoms:
• Extreme restlessness , continued change of position.
• Wide spread pain all over body .
• Tearing pain in muscles,tendon and ligament.
• Stiffness all over body.
• Sleep disturbed due to pain.
• < Initial motion
> Continued motion.

Treatment
RHUS TOX 200 1 dose stat orally followed by SL 4×3× 15 days.

32
CASE -2

Preliminary data:

Name: Jyotasanaben Patel

Age : 32 years
Sex : Female
Religion: Hindu
Diet : veg
Occupation: Housewife
Address: Rajnagar chowk Rajkot.

Presenting complaint:

Complaint with duration:

• Wide spread pain all over the body Since 1 month
• Sore lame bruise type of pain in Muscles and ligaments
• Sensitive to touch and person is afraid of touching affected parts
• Numbness in both the lower Limbs.
Location:
• whole body
Sensation:
• Sore
• Bruise
• Numbness
33
Modality:
• < least Touch , motion , Rest , Wine , Damp
• > Lying down

Personal history:
Appetite: 2-3 chapati/ meal
Thirst : Normal
Stool. :1/0 D/N- Hard
Urine :4-5/0 D/N
Sleep : disturbed due to pain

Mental symptoms:
• Fears touch
• Nervous- can't tolerate pain
• Inability to perform an active work

General examination:
Appearance: fatigue look
Education : S.S.C.
Height: 152 cm.
Weight: 62 kg.
Pulse :89/minute
Respiratory rate: 16/ minute

Systemic examination: Tenderness in joints (knee joints)

34
Totality of symptoms:
❖ Wide spread pain all over the body Since 1 month
❖ Sore lame bruise type of pain in Muscles and ligaments
❖ Sensitive to touch and person is afraid of touching affected parts
❖ Fears touch
❖ Nervous- can't tolerate pain
❖ Inability to perform an active work
❖ < least Touch , motion , Rest , Wine , Damp
> Lying down

Treatment
ARNICA MONTANA 200 1 dose stat orally followed by SL 4×3× 15 days.

35
CASE -3

Preliminary data:
Name: Jayeshbhai Jesani
Age : 38 years
Sex : Male
Religion: Hindu
Diet : veg
Occupation: Gov. Employee
Address: Raiya road, Rajkot.

Presenting complaint:
Complaint with duration:
• Pain in muscles of neck since 1 week
• back-pain - lower side
• Uneasy, restless feeling in limbs
Location:
• Locomotor system -- Back
Sensation:
• Dull
• aching pain

36
Modality:
• < Morning, Cold
• Warmth , eating

Personal history:
Appetite: 3-4 chapati/ meal
Thirst : Normal
Stool. :1-2 /0 D/N
Urine :7-8 /0 D/N
Sleep : Sleeplessness
Taste : Sour

Mental symptoms:
• Incessant talking. Visions of rats, mice,
• Great Depression

General examination:
Appearance: Healthy look
Education : Class -1 officer
Height: 166 cm.
Weight: 70 kg.
Pulse :103 /minutes
Bp : 130/70 mmHg
Tem. : Normal
Respiratory rate: 16/ minute
37
Systemic examination: Stiffness of muscle of nape of neck and back

Totality of symptoms:
❖ Pain in muscles of neck since 1 week
❖ back-pain - lower side
❖ Uneasy, restless feeling in limbs
❖ Incessant talking. Visions of rats, mice,
❖ Great Depression
❖ Sleeplessness
❖ < Morning, Cold
❖ > Warmth , eating

Treatment
CIMICIFUGA 200 1 dose stat orally followed by SL 4×3× 15 days

38
CASE – 4

Preliminary data:

Name: Kantibhai Parmar

Age : 43 years
Sex : Male
Religion: Hindu
Diet : veg
Occupation: Business
Address: Mavdi , Rajkot.

Presenting complaint:
Complaint with duration:
• Boring pain in the right tibia and calculus bone since 2 month
• Ulcers on the heel
• Pain is relieved by continuous motion

Location:
• Locomotor system -- Lower extremities
Sensation:
• Boring
• Digging pain

39
Modality:
• < Damp weather
• > Smoking

Personal history:
Appetite: 2-3 chapati/ meal
Thirst : Increased
Stool. :1/0 D/N
Urine :6-7 /1-2 D/N- Yellowish
Sleep : Disturbed
Taste : Sour

Mental symptoms:
• Despodent
• Loathing of life

General examination:
Appearance: Healthy look
Education : Graduate .
Height: 156 cm.
Weight: 68 kg.
Pulse :98 /minutes
Bp : 110/70 mmHg
Tem. : Normal

40
Respiratory rate: 16/ minute

Systemic examination: Tenderness in calf muscles of lower extremities

Totality of symptoms:
❖ Boring pain in the right tibia and calculus bone since 2 month
❖ Ulcers on the heel
❖ Pain is relieved by continous motion
❖ Despodent
❖ Loathing of life
❖ Sleep is disturbed
❖ < Damp weather
❖ > Smoking

Treatment
ARANEA 200 1 dose Stat orally followed by SL 4×3× 15 days

41
CASE – 5

Preliminary data:

Name: Sonalben Tank

Age : 45 years
Sex : Female
Religion: Hindu
Diet : Vegetarian
Occupation: Housewife
Address: Bapa sitaram chowk,Rajkot.

Presenting complaint:
Complaint with duration:
• Dull , Penetrating pains in the bones and in all parts of the body
especially in the humerus and the forearm
• At night sensation as if palms and forearms are enlarged and heavier

Location:
❖ Locomotor system – Upper extremities
Sensation:
• Numbness in both the palms

Modality:
• < Damp and cold weather
42
 • > Hard pressure

Personal history:
Appetite: 1 chapati/ meal
Thirst : Increased
Stool. :4-5/1 D/N frequency increased
Urine :6-7 /0 D/N
Sleep : Sound

General examination:
Appearance: Normal look
Education : 12th pass .
Height: 150 cm.
Weight: 65 kg.
Pulse :80 /minutes
Bp : 120/70 mmHg
Tem. : Normal
Respiratory rate: 16/ minute

Systemic examination: Tenderness in calf muscles of upper extremities

43
Totality of symptoms:
❖ Dull , Penetrating pains in the bones and in all parts of the body
especially in the humerus and the forearm
❖ At night sensation as if palms and forearms are enlarged and heavier
❖ Sleep is disturbed
❖ < Damp cold weather
❖ > Smoking

Treatment
ARANEA 200 1 dose Stat orally followed by SL 4×3× 15 days

44
 MASTER CHART

SR NAME AGE PRESENTING DIAGNOSIS MEDICINE %

NO. & COMPLAINTS IMP
SEX ROV
EME
NT
1. Yuvraj 50 Tiredness FIBROMYALGIA RHUS TOX 65%
Chauhan M Weakness
Head pain
Fatigue
Easily exhausted

2. Bharat 47 Extreme RHUS TOX 60%

Thakar M restlessness , FIBROMYALGIA
continued change
of position.
Wide spread pain
all over body .

3. Alka 35 Wide spread pain FIBROMYALGIA RHUS TOX 30%

Bajani F all over the body
Since 1 month
Sore lame bruise
type of pain in
Muscles and
ligaments
4. Payal 38 Dizziness FIBROMYALGIA RHUS TOX 5%
Rathod F Easily tired
Fatigue
Headache
< Initial Motion
>Continue Motion
5. Om 17 Easily Fatigue RHUS TOX 15%
Ladani M Wide spread in FIBROMYALGIA
all over body
Pain in all joints
of body

45
6. Bina 30 Dull pains in the ARANEA 0%
Parikh F bones and in all FIBROMYALGIA DIADEMA
parts of the body
7. Nidhi 17 Penetrating pain ARANEA 40%
Patel F in the all parts of FIBROMYALGIA DIADEMA
the body
especially in the
forearm

8. 30 Boring pain in the ARANEA 50%

Monika F right tibia and FIBROMYALGIA DIADEMA
Geller calculus bone

9. Sneha 24 Tenderness in ARANEA 45%

Dabhi F calf muscles of FIBROMYALGIA DIADEMA
upper
extremities

10. Arjun 35 At night sensation FIBROMYALGIA ARANEA 0%

Patel M as if palms and DIADEMA
forearms are
enlarged and
heavier
Sleep is
disturbed
< Damp cold
weather
> Smoking

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 OBSERVATION AND RESULT

From the above work and discussion-it has been observed and notified that
RHUS TOX AND ARANEA DIADEMA works its Best for not only Fibromyalgia but
also for other types of the myalgia
According to
age
15-30 7
31-45 5
46-60 2
14

DISTRIBUTION ACCORDING TO AGE

0%
14%

According to age
50% 15-30

36% 31-45
46-60

According to Gender
Male 4
Female 10
14

29%
MALE
71% FEMALE

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DISTRIBUTION ACCORDING TO
IMPROVEMENT

14%
29%
MARKED
MODERATE
21%
MILD
NO

36%

48
 SUMMARY AND CONCLUSION

SUMMARY

Based on that cases we find some effects of Rhus Toxicodendron and Arena
Diadena in cases of Fibromyalgia .

Based on the case series there are 29 % case with marked improvement, 36%
moderate , 21%mild and14% patient having no improvement after use of Rhus
Tox or Aranea Diadema in Fibromyelgia .

CONCLUSION

So, whenever it is not possible to find out exact similimum or any

constitutional remedies or absence of symptoms for fibromyalgia at that time
Rhus Tox and aranea diadema has been helpful.We need to do further
studies on this to find the Utility of Rhus tox and aranea diadema in cases of
fibromyalgia

In Homoeopathic Science-Is the sense in which we must learn to know out

Remedies & Persons, just as we do our Friends by their Personality-An Ever
Changing, Composite Effect, but always Reflecting the same.

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 BIBLIOGRAPHY

1) Medicine Prep Manual for Undergraduates by K George Mathew and

Praveen Aggarwal,6th edition
2) Park’s Textbook of Preventive and Social Medicine,25 th edition, Bhanot
publishers
3) Textbook Of Pathology by Harsh Mohan,8 th edition, Jaypee Brother’s
Medical Publishers (P) Ltd.
4) Golwalla’s Medicine for Students A Reference Book for Family
Physician,25th edition, Jaypee Brother’s Medical Publishers (P) Ltd.
5) Boericke’s New Manual of Homoeopathic Materia Medica with
Repertory,3RD Revised based on 9th edition, B Jain Publishers (P) Ltd.
6) https://www.niams.nih.gov/health-topics/fibromyalgia
7) https://www.ncbi.nlm.nih.gov/books/NBK540974/
8) https://www.mayoclinic.org/diseases-conditions/fibromyalgia/symptoms-
causes/syc-20354780

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