Complete HH July 2021

` 30.
00
Bringing Classical and Contemporary Homoeopathy Together

ISSN: 9070-6038 Vol. 47, No. 4, July 2021
Homoeopathy in female disorders

• Clinical case series of prospective study to evaluate the utility
of homoeopathic medicine in polycystic ovarian syndrome
using the concomitant symptoms during menstruation
• Long way from conception to completion-a case report of
endometriosis
• A case of endometrial polyp cured with homoeopathy
Bach Flower Remedies
for a Happy and Balanced Life
ANA KLIKOVAC
• The book contains many examples and overviews of similar remedies, with a clear
differentiation between them
• In today’s digital word, this book will provide you with a list of common situation
where you can recognize a certain remedy by seeing someone’s style of virtual
communication
• the writing style of the author will make you feel that she is talking to you, as if you
are sitting in one of her courses on Bach flower remedies.
• This book that will encourage you to start studying about Bach flower remedies,
and to start applying them for yourself, your family, your clients and patients. It
will prove equally beneficial for both a beginner as well as a senior practitioner.
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ISBN: 978-81-319-2155-5 | ` 395 | 300 pp

Talks on
CLASSICA L
HOMOEO PATHY
GEORGE VITHOULKAS
• This book has been compiled from the transcripts of the recordings of the Esalen Homeopathic Conference held
in California, USA, 1980.
• This book is written in a conversation style and is divided into three parts: Part I- Case Reports Part II- Materia
Medica Part III- Discussions
 Part I - This section presents 33 carefully selected clinical conditions (cases) for discussion out of collection
of 60,000 cases. Each chapter has been devoted to particular remedy and theme of the remedy on which
prescription is based.
 Part II - Different subject on homeopathy have been covered under this section.
 Part III - The last part has a question answer session on miscellaneous topics which answer many queries
which practitioners face in their practice. This part also has glimpse from George Vithoulkas’ life from the
period when he was first introduced to homeopathy
• It is an intended work for physicians to enjoy, appreciate, experience, and admire a great healing art.
ISBN: 978-81-319-0347-6 | ` 545 | 800 pp

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PHYSIOLOGICAL
MATERIA MEDICA
BY W. BURT
• The book offers extensive knowledge about physiological and pathological actions of more
than 200 drugs.
• Detailed description about the drug, its source, preparation of the medicine from the crude drug
substance, its action upon the human body, affinity towards certain organs, toxicological effects
and the characteristic therapeutics.
• Contains a detailed description about Classification of remedies on the basis of their sources, their
action on various tissues and organs of human body.
• A brief description about the pharmacology and highlights its importance is also given.
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ISBN 978-81-319-0356-8
ISBN: : 9788131903568 | `| `466
549| 992
| 992pp
pp
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Vol. 47, No. 4, July 2021, ` 30
Total No. of pages: 60
EDITOR
C O N TE N TS
Dr Yashika Arora Malhotra EDITORIAL SPECIAL COVID-19 SECTION
EDITORIAL BOARD
Dr Geeta Rani Arora Dr Yashika Arora Malhotra 9 Homoeopathy helps CRF patient suffering
Dr Yashika Arora Malhotra from COVID-19 47
hheditor@bjain.com By Dr Lubna Kamal, Dr Mohan Singh,
Language Editor Dr Vandana Mishra
Dayna Lynn Davis FROM THE EDITOR’S DESK
REVIEWERS Homoeopathy in female disorders 10
Dr Clare Relton
Dr Chaturbhuj Nayak
Dr Eswara Das
Francis Treuherz
CASE REPORT
Dr Meeta Gupta
Dr Queenita Fernandes SUBJECTIVE Chronic anal fissures with sentinel pile
Dr Raj Kumar Manchanda – a case report 57
Dr Robert Mathie
Dr Saurav Arora Lifestyle diseases and homoeopathy 12 By Dr Shweta B. Nanjannavar,
Dr Sandeep Sathye
By Dr Mahakas Mandal, Dr Samit Dey Dr Susmi S. Kunju
Prof Dr Anwar Amir
Dr Monika Kathuria Conium maculatum in female disorders: Dermoid cyst of ovary treated ARTICLE
Dr Yashveer
multitasker friend for women 43 with homoeopathy: a case
Dr Ashish Indani report 61
Dr Kamal Sethi By Dr Jaimin R. Chotaliya
Dr Yogesh Niturkar By Dr Purnima Suri, Dr Kundan Kant Chandra
Homoeopathic solution to the problem of
INTERNATIONAL ADVISORS lactation in mothers during breastfeeding 55
Subrata Kumar Banerjea
Grant Bentley
By Dr Neha Sahu
Miranda Castro RESEARCH PAPER
Tarkeshwar Jain
Ajit Kulkarni
A clinical case series of prospective study to
Robin Murphy
Uttareshwar R. Pachegaonkar CASE STUDY evaluate the utility of homoeopathic medicine
Roberto Petrucci in polycystic ovarian syndrome using the
Chaim Rosenthal Long way from conception to concomitant symptoms during
Todd Rowe menstruation 16
M.K. Sahani completion-a case ARTICLE
Luc De Schepper report of endometriosis 28 By Dr Fathima Shahunaj, Dr Winston Vargheese,

Jan Scholten Dr Santhi Serene Sylum
Frederik Schroyens By Dr T. Aarathi Reddy
Sanjay Sehgal A case of endometrial polyp A comparative study of the A.T.E.C. (autism
L.M. Khan treatment evaluation checklist) score in ASD
Yogesh Sehgal cured with homoeopathy ARTICLE 33
Jeremy Sherr
children under a placebo-controlled study 23
By Dr Shweta Singh
P. K. Sudhir By Dr Rukshin Master, MD (Hom), Dr Tarkeshwar
Praful Vijayakar
Torako Yui
Jain, MD (Hom)
Dr Kamlesh Mehta
Business Consultant CLINICAL
Manish Jain
manish@bjain.com A clinical study on effectiveness of REGULAR FEATURES
Advertisements homoeopathic management in primary
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July 2021 | The Homoeopathic Heritage | 7

NEW ARRIVALS/ REVISED
EDITION BOOKS
DICTIONARY and Help for Further Study of

ALLEN’s KEYNOTES Dr Subhas Singh
• Keeping into consideration, the difficulties faced by readers in reading and understanding the
vocabulary used in Allen’s Keynotes, the author has come up with this dictionary of Allen’s
Keynotes.
• The author has done his best to provide the word meanings to all the difficult terminologies and
nomenclature used in Allen’s Keynotes.
• the related symptoms of all medicines have been placed together. The Keynote symptoms have
been placed under different chapters and sub-chapters.
• word meanings to some of the selected words, terms, and nomenclatures used in Allen’s Key
Notes are given.
• the symptoms (Keynotes) are segregated according to the various chapters and sub-chapters.
• the unrelated but similar-sounding symptoms are clubbed at one place, to make comprehension
and learning of Allen’s keynote easier.
• Arrangement of relationship in different headings.
ISBN: 978-81-319-1381-9 | ` 499 | 440 pp
Selective Pointers through Allen’s Keynotes Dr Shyam Kumar Vaishnav
• This book is to provide an answer to the vexed question “How shall I get a remedy quickly
in a particular group of population & without much effort?”
• The book is divided into 2 sections in which, the most important symptoms are arranged
under 11 subsections, based on different phases of life, addictions, seasons along with the
Do’s and Don’ts.
• Its easy for comprehension and also quick for reference and prescription.
• The THUMB RULE section gives a different perspective of learning making the reader
ponder and go to the depth of Allen’s Keynotes.
• Emphasis had been on dividing age groups, gender groups& even on pediatric remedies,
a list of drugs has been incorporated for the convenience of students, PG scholars, and the
physicians.
ISBN: 978-81-319-1805-0 | ` 145 | 120pp
Case Analysis & Prescribing Techniques

By Robin Murphy
• The author has taken a point-by-point approach to case-taking, punctuated by general

discussions of the related topics.
• He has given invaluable tips, making it somewhat revolutionary compared to accepted
concepts disclosed and applied in the earlier case-taking guidelines.
• several cases are analyzed throughout the book with discussions and follow-up. This book
contains the transcripts of seven, 95 minute audiotapes. There is student-teacher dialogue
clearing queries.
• The book also guides about potency selection.
ISBN: 978-81-319-0249-3 | ` 299 | 296pp
8 | The Homoeopathic Heritage July 2021

EDITORIAL
Dear Readers, these roles and cope with one’s own needs sentinel pile – a case report by Dr Shweta
can be difficult which may eventually take B. Nanjannavar, Dr Susmi S. Kunju. A
Brigham Young has mentioned, “you
its toll on a women’s health. Homoeopathy wonderful research paper on a clinical
educate a man; you educate a man.
offers endless possibilities for women’s study on effectiveness of homoeopathic
You educate a woman; you educate a
health and that’s one of the reasons I just management in primary dysmenorrhea
generation.” When a woman reaches
love it and sharing my knowledge with among young women is authored by
the limits of modern medical expertise
others. Homoeopathy is beneficial for Dr Laxmi Mahto. The feather in cap
and experiences some of the harsh side
the full range of emotional, mental and of this issue is an excellent article on a
effects of modern medical practise, it is
physical problems that a woman is likely comparative study of the A.T.E.C. (autism
certainly understandable that they seek
to experience throughout her life. treatment evaluation checklist) score in
out alternative health methods such as
ASD children under a placebo-controlled
homoeopathy. Eliza Flagg Young, MD, a A female hormonal system, when become
study by Dr Rukshin Master. A special
19th century physician, once said, “every out of balance, the symptoms can cause
article for COVID-19 section was given
woman is born a doctor, men have to great distress both emotionally and
by Dr Lubna Kamal, Dr Mohan Singh, Dr
study to become one.” A woman is the physically. A homoeopathic physician
Vandana Mishra on homoeopathy helps
primary health care provider in most of the completely understands that menstruation
CRF patient suffering from COVID-19.
families and is responsible for watching in females does not induce uncontrollable
Subjective articles include homoeopathic
over the health needs of the children, and emotions, but simply lowers a woman’s
solution to the problem of lactation in
by their shopping and cooking, they are ability to repress genuine, often difficult
mothers during breastfeeding by Dr
responsible for fulfilling the nutritional emotions, which are already present.
Neha Sahu, Conium maculatum in female
needs of the family. Homoeopathy helps to regulate the
disorders: multitasker friend for women
dramatic fluctuations and associated
Talking about American women and by Dr Jaimin R. Chotaliya, and lifestyle
premenstrual symptoms, as well as
their interest in homoeopathy during diseases and homoeopathy by Dr Mahakas
heavy or absent periods, or difficulties in
nineteenth century, there were feminists Mandal, Dr Samit Dey.
conceiving.
who considered both women’s rights and
Homoeopathy has proved to be helpful
homoeopathic medicine to be important
A Quick Word on Issue Content: to cope up with the hormonal changes
ways to create a healthier society. Even
This issue of “The Homoeopathic of puberty and the emotional upheavals
many wives of conventional physicians
Heritage” is an attempt to describe the which frequently occur as they make the
in the 19th century sought the care of
scope of homoeopathy in genital diseases transition to womanhood. Homoeopathy
homoeopaths. At an 1883 meeting of
through different case studies and research offers a safe alternative to both mother and
the American Medical Association, a
papers. child through pregnancy, into childbirth
physician complained, “too many wives
and breastfeeding, infertility, and
of conventional physicians are going to The peer reviewed articles of this issue menopausal problems.
homoeopathic physicians. And to make include long way from conception to
matters worse, they are taking their children completion-a case report of endometriosis At last, once again, we are obliged all our
to homoeopaths too!” Michael Carlston, by Dr T. Aarathi Reddy, dermoid cyst of authors and readers for their contribution
MD, a homoeopath and Assistant Clinical ovary treated with homoeopathy: a case to the journal. Also, I look forward to
Professor at the University of California at report by Dr Purnima Suri, Dr Kundan hearing opinions and recommendations.
San Francisco School of Medicine, asserted Kant Chandra, and a clinical case series of You may also login to our website,
that homoeopathic medicines can be very prospective study to evaluate the utility www.homoeopathy360.com for more
helpful at the early and middle stages of of homoeopathic medicine in polycystic information and opportunities related to
endometriosis, though because of severe ovarian syndrome using the concomitant homoeopathy.
scarring during advanced stages of the symptoms during menstruation by Dr
disease, they are not very effective later on. Fathima Shahunaj, Dr Winston Vargheese,
Life for a woman today is definitely Dr Santhi Serene Sylum. The clinical case
challenging! The demands are many – a studies include a case of endometrial polyp
Dr Yashika Arora Malhotra
mother, a sister, a daughter and a lover. cured with homoeopathy by Dr Shweta
Finding the time and energy to fulfill all Singh, and chronic anal fissures with hheditor@bjain.com
Note: The Homoeopathic Heritage is now a peer reviewed journal since January 2013. All the articles are peer
reviewed by the in-house editorial team and selected articles from each issue are sent for peer review by an
external board of reviewers and those articles are distinctly marked with a stamp of ‘peer reviewed’. For inclusion
of articles in peer review section, kindly send your articles 3-4 months in advance of the said month. Send your
articles at hheditor@bjain.com.
Call for papers for the upcoming issues:
Unbolt Yourself
August 2021 Posology and homoeopathy June 15, 2021
September 2021 Homoeopathy in the management of RESPIRATORY disorders July 15, 2021

FROM THE EDITOR'S DESK
Homoeopathy in female disorders
Also, numerous issues related to her illness without any substantial

women’s overall health and wellness relief.
include violence against women,
women with disabilities and their Gynaecological history
unique challenges, osteoporosis,
bone health, and menopause. She used to suffer from constipation
during menses; she also had white
leucorrhoea with no modalities.
Case study
A woman aged 45years came Physical generals
diagnosed with acute depressive She loved chocolate and coffee She
Editor’s desk disorder (ADD) for the last 5 years. was also suffering from piles, hence
her stools were hard to expel. Her
Introduction Chief complaints sleep was very disturbing because
of frightful dreams; and she usually
W omen may experience a Her main complaint was excessive

used to wake up after midnight.
number of unique health weeping with a feeling of sadness.
issues and conditions, from puberty, She also suffered from bouts of
from menarche to pregnancy anxiety in different parts of her Life space investigations
and menopause, and thereafter, body, suddenly accompanied with She was a mother of a sixteen-year-
resulting in various gynaecological coldness of her body with increased old girl; her husband (aged 55 years)
conditions, such as uterine fibroids perspiration. left her six years back for a young
and pelvic floor disorders. girl aged 22 years and was staying
She used to feel that no one loved
in a live-in relationship. He did not
Gynaecological disorders affecting her, as her husband abandoned her
take divorce from the patient yet
women include menstrual forever, and left her all alone. She
stating the reason that he used to
irregularities, urinary incontinence, had a feeling of being discarded
love her as well, but ever since this
pelvic floor disorders, bacterial from his life like garbage.
incidence, she has started falling
vaginosis, vaginitis, uterine fibroids,
Many a times, in depression, she had sick. The husband came to meet
vulvodynia, etc.
suicidal thoughts. She used to sit her daily and looked after her daily
Pregnancy issues include pre- still always looking in one direction domestic needs and financially as
pregnancy care and prenatal care, for hours together. She became very well, but all she wanted from him
pregnancy loss (miscarriage and indifferent to her surroundings, and was true love and companionship,
stillbirth), preterm labour and didn’t find pleasure in anything. which he refused to give.
premature birth, sudden infant death
syndrome (SIDS), breastfeeding, She has learned not to express her
Rubrics
congenital disabilities, etc. anger towards her husband, because
it was of no use. She used to keep MIND - AILMENTS FROM - anger
Disorders related to infertility everything inside. - suppressed
include uterine fibroids, polycystic
MIND - AILMENTS FROM - grief -
ovary syndrome, endometriosis, Treatment history prolonged and unresolved
primary ovarian insufficiency, etc.
She was on selective serotonin MIND - AILMENTS FROM - love;
Other disorders and conditions that reuptake inhibitors (SSRIs), such disappointed
affect only women include turner’s as escitalopram oxalate (Lexapro)
syndrome, rett’s syndrome, ovarian and tricyclic antidepressant MIND - ANXIETY - sudden
and cervical cancers, etc. amitriptyline, since the beginning of MIND - DELUSIONS - alone, being

FROM THE EDITOR’S DESK
MIND - DELUSIONS - alone, being - stiff, quite menses - during - agg.

- world; alone in the
MIND - SITTING - inclination to sit RECTUM - HEMORRHOIDS
MIND - FORSAKEN feeling - still FEMALE GENITALIA/SEX -
MIND - INDIFFERENCE - MIND - SUICIDAL disposition LEUCORRHEA - white
surroundings, to the DREAMS - FRIGHTFUL
MIND - SUICIDAL disposition -
MIND - SITTING - inclination to sit sadness, from CHILL - ANXIETY, caused by
MIND - SITTING - inclination to sit RECTUM - CONSTIPATION - PERSPIRATION - ANXIETY, during
Repertorial analysis
Prescription a day for four days, followed by much better. She was continued
Aurum metallicum, Natrum placebo for 30 days. She was also same medicine in the same way for
muriaticum, Aurum muriaticum asked to reduce the anti-depressants the next 9 months, which resulted in
natronatum were used without much slowly and gradually. complete reduction of her allopathic
success, because of which she was medicines.
about to give up the treatment after
six months. Therefore, the case was
Follow up
taken again and she was prescribed The result was good, and her feeling
Aurum sulphuricum 30c/ three times of forsaken and indifference was 

SUBJECTIVE
Lifestyle diseases and homoeopathy

By Dr Mahakas Mandal, Dr Samit Dey
Abstract: Lifestyle diseases refers to diseases associated with modifiable risks from adjustment management, behavioural changes,
inactivity to non-modifiable factors like age, gender, genetic and environmental influences. Lifestyle diseases are emerging concept
in medicine and about 62% of total population affected by its fatal effect. Children, adult, elderly person all are vulnerable to the risk
factors related to lifestyle leading to non communicable disease burden that has impact on DALYs and physical quality life index.
The incidence of these diseases is rapidly increasing due to rapid unplanned urbanisation, globalisation and unhealthy lifestyle of
the population. Homoeopathy can be a unique mode of treatment in the management of lifestyle diseases as it involves perceiving
of each individual case of disease with a thorough consideration of obvious causes, accessory circumstances, constitution,
temperament, and underlying miasm.
Keywords: Lifestyle. Homoeopathy. Metabolic risk factors. Non communicable diseases.
ABBREVIATIONS: Disability adjusted life years(DALYs). Physical quality life index (PQLI). Diabetes mellitus(DM).
Chronic obstructive pulmonary disease (COPD). Polycystic ovary syndrome( PCOS), International Classification of
Diseases (ICD), ventricular septal defect (VSD), atrial septal defect(ASD), diabetes mellitus(DM), polycystic ovarian
syndrome(PCOS), chronic obstructive pulmonary disease(COPD), systemic lupus erythematosus (SLE).
Introduction modernisation, and social changes. A. Modifiable behavioural risk

The non communicable diseases factors,
T he lifestyle of a particular person

or group of people is the living
conditions, behaviour, and habits
accounts for 62% of total burden of
DALYs and 53% of total deaths4,5.
B. Non-modifiable
and
risk factors,
The physical quality life index

that are typical of them or are chosen C. Metabolic risk factors.
(PQLI) reflects the well-being of
by them. Basically, a particular a person, that measure the basic A. MODIFIABLE BEHAVIOURAL
lifestyle of person is a cumulative literacy rate, infant mortality rate, RISK FACTORS: Behavioural
product of his/her physical capacity and life expectancy but not the risk factors such as excessive use
co-ordinated with psychological of alcohol, bad food habits, eating
disease burden of the person.
functioning, displayed in the form and smoking tobacco, physical
of habits, behaviour, dietary and Lifestyle diseases are ailments that inactivity, wrong body posture and
living pattern based on his own are primarily based on the day to disturbed biological clock increase
training sought from childhood, the likelihood of lifestyle disorders.
day habits of people. Previously, the
and mimicries he gained from his The modern occupational setting
major non communicable diseases,
immediate companions including (desk jobs) and the stress related to
i.e. coronary heart diseases,
parents, siblings, peers, etc1,2,3.
hypertension, COPD, obesity, work is also being seen as a potent
In the era of evidence based medicine, diabetes mellitus, dyslipidaemia, risk factor for lifestyle disorders. As
the dictum of cause behind the cause and cancer were only regarded as per International Classification of
is also included in the classification life style disorders6. Recent decades Diseases, (ICD 10) problems related
of diseases. From the life in womb have revealed a transform and to lifestyle (Z72) includes tobacco
to the late phase, a man becomes massive increase in the incidence of use, lack of physical exercise,
the victim of improperly managed lifestyle disorders. in appropriate diet and eating
lifestyle. In this growing world habits, high risk sexual behaviour,
each and everyone is in a hurry Causes of lifestyle disorders can be gambling and betting, anti-social
to ride the train of urbanisation, divided into three broad categories: behaviour, sleep deprivation, etc7.

SUBJECTIVE
As per Z73 of ICD 10, there are taking over the counter medication, inactivity, obesity, too much
disease conditions where persons such as medicines for headache, alcohol, tobacco uses, family
are affected by the difficulty in life gastrointestinal upset, constipation, and genetic predisposition
management such burn out (state of sleeplessness, etc. Their injudicious ii. Obesity - It is a man-made
vital exhaustion), behaviour pattern use increases the burden of diseases disorder of modern era and
changes, lack of relaxation, stress, among the people. It is witnessed responsible for majority of
inadequate social skills, social role that some medicine taken during health hazards. Body mass index
conflict, limitation of activities the pregnancy directly relates to of more than 30 is regarded as
leading to disability, dual sensory the increased risk of childhood obesity. Increased mortality
impairments, etc7. asthma, childhood epilepsy, from obesity is primarily due
childhood obesity, major congenital to cardiovascular diseases,
Eating disorders in children and malformations, musculoskeletal hypertension, gallbladder
teen can develop anorexia, bulimia, system malformation, VSD, ASD, diseases, diabetes mellitus,
binge eating, etc. most of the causes etc. and thus making the foetus or polycystic ovary syndrome,
are witnessed among children of new born child a victim of lifestyle several types of cancer such as
low self esteem and deprivation of disorder8. cancer of oesophagus, colon,
parental care. If these conditions
gallbladder, bile duct, rectum
are not corrected in time it develops B. NON-MODIFIABLE RISK
pancreas, prostate, breast,
anxiety disorders, depression, and FACTORS: Risk factors that cannot
endometrium, cervix, ovaries,
substance abuse in young adult life. be controlled or modified by the
etc. obesity also associated with
application of an intervention can
Study reveals, incidence of PCOS is sleep apnoea, steatohepatitis,
be called non-modifiable risk factors
on a rise among 18 to 25 years girls gastro-esophageal reflux
and include:
due to faulty lifestyle. Sometimes diseases, osteoarthritis, gout,
teenagers and young adults develop • Age low back pain, skin infections,
life management problems without depression, hypogonadism etc.
• Race
any definitive causes resulting in Major risk factors: Obesity can
• Gender result from increased calorie
neuropsychoendocrinal disease such
as migraine, inflammatory bowel • Genetics intake, decreased energy
disease, ankylosing spondylitis, expenditure or a combination
irritable bowel diseases, allergic C. METABOLIC RISK FACTORS: of two. Excess accumulation of
rhinitis, rheumatoid arthritis, SLE, Metabolic risk factors lead to four body fat is also associated with
scleroderma, etc. These disease major changes in the metabolic sys- environmental, genetic, social
condition leads to low productivity, factors and economic condition.
tem that increase the possibility of
financial burden and the patient iii. Increased blood glucose levels
becomes more depressed resulting in lifestyle disorders:
or hyperglycaemia- Diabetes
cluster of psychological, behavioural mellitus comprises of a group
and cognitive phenomena, and i. Increased blood pressure
of metabolic disorders that
sometimes indulges in various (hypertension): chronic
shows the common features of
antisocial activities, addictions or elevation of blood pressure
hyperglycaemia.
substance abuse thus adding fuel to above the normal range.
Hypertension is the major Major risk factors: overweight,
the fire.
contributor to cardiovascular obesity, physical inactivity,
Now-a-days the selfie wrist and diseases and complications. saturated fat consumption,
cervical spondylitis, hardness of 13% of total global death is stress, PCOS, alcohol, tobacco
hearing from over using earphone, due to raised blood pressure. uses, family history of DM and
low back pain, high refractive errors Blood pressure of 130/90 mm risk factors for cardiovascular
all are the gifts of lifestyle that one of Hg as per American college diseases comprises the risk
can’t ignore. of cardiology and American factors for DM.
heart association defined as iv. Increased levels of fat in the
Bargain counter medication and hypertension. blood or hyperlipidaemia
iatrogenic disease Major risk factors: diabetes, resulting in coronary
Nowadays, it has become a routine of unhealthy diet, physical heart diseases.

SUBJECTIVE
Coronary heart diseases or to minimise the impact of lifestyle HYPERTENSION: Amyl nitrosum,
ischaemic heart diseases is diseases (inappropriately named Aurum metallicum, Crataegus
the impairment of the heart chronic diseases) on individuals and oxyacantha, Glonoinum, Lachesis
function due to inadequate flow society. Weight reduction, regular mutus, Natrum muriaticum, Nux
to the heart as compared to its exercise and yoga, behavioural vomica, Veratrum album, etc.
need, caused by the obstructive changes, stress reduction, smoking
changes in coronary circulation. cessation, cholesterol lowering, CORONARY INSUFFICIENCY:
It expresses itself as angina nutritious balanced diet, stopping Aurum metallicum, Digitalis purpurea,
with exertion or emotional the injudicious use of drugs and Crataegus oxyacantha, Viscum album,
upset, exertional dyspnoea. It other substances are the commonly etc.
may complicate as myocardial recommended lifestyle modification
infarction, irregularities of along with required treatment. CANCER: Arsenicum album, Asterias
heart, cardiac failure, sudden rubens, Bromium, Bufo rana, Cadmium
death. The treatment of lifestyle disorder sulphuricum, Carbo animalis, Conium
Major risk factors: cigarette starts with a meticulous case taking maculatum, Cundurango, Hydrastis
smoking, hypertension, or perceiving the case of disease. canadensis, Lapis alba, Lycopodium
hypercholesterolaemia, A proper investigation of the risk clavatum, etc.
diabetes mellitus, obesity and factors, obvious causes, accessory
family history of coronary circumstances, constitution, OBESITY: Calcarea carbonicum,
artery diseases before age of 55. temperament, and underlying miasm Capsicum annuum, Ferrum metallicum,
is essential for the management of Graphites, Phytolacca decandra, Kali
Homoeopathic management of these cases. Medicines should be
lifestyle disorders: carbonicum, Aurum metallicum, etc.
prescribed only after the removal
In this era, “a healthy person is one of the causa occasionalis (where it
who has not yet been thoroughly CHOLESTEROL INCREASED:
exists) and as per the totality of each
examined”. All persons around us Calcarea carbonicum, Cholesterinum,
individual case of disease. All these
are affected by some or other sort Cortison, Sulphur, Insulin, Lycopodium
conditions if managed properly not
of silent killer but not everyone is clavatum, etc.
only stop the progress of disease but
not suffering from the same fate. also cure it10.
If we consider the basic nature of ACID REFLUX, OESOPHAGUS:
psora, the patients are very anxious Arum triphyllum, Carbo vegetabilis,
Medicines like Aurum metallicum,
about their little ailments and takes China officinalis, Lac caninum,
Calcarea phosphoricum, Staphysagria,
medicines for everything. From the Natrum muriaticum, Sepia, Fluoricum Lycopodium clavatum, etc.
early 30s the man, his lifestyle and acidum, Nitricum acidum, Thuja
the internal miasm of the person occidentalis, Medorrhinum, etc. all In Synthesis Repertory, some mental
paves the way to the giant non having their own developmental rubrics may be helpful in regarding
communicable diseases. The psoric phase and related to the different causes to development of lifestyle
will be the victim of artificial chronic phases of life and their sufferings. and adjustment disorders14:
disease. The syco-syphilitic persons
will indulge the debauchery, From J.T. Kent’s Repertory of Mind- AILMENTS FROM: abused;
night watching, faulty sexual Homoeopathic Materia Medica, we after being: children / physically
behaviour, etc. and that will lead to can consider some rubrics from / sexually. Affection; lack of.
the complications of the diseases. “Generalities” chapter as: cancerous Alcohol. Anxiety. Business failure.
Susceptibility of an individual, affection, narcotics, obesity, onanism Contradiction. Debauchery.
mental, physical, social environment from, tobacco, tumors, wine, etc11. Embarrassment- poor job
(accessory circumstances), In O.E. Boericke’s Repertory in performance of. Father absence.
constitution, temperament, diathesis “Generalities” chapter: abuse of Financial loss. Homesickness.
and the predominant miasm play different substances and their effects Honour; wounded. Job having lost
a major role in the production of as: abuse of alcohol, coffee, drugs in his. Mental shock from. Money;
disease. Thus, a comprehensive general, narcotics, tobacco, etc12. from losing. Rejected; from being.
approach is essential that involves Responsibility- unusual. Sexual
all sectors including health, finance, Some useful rubrics from Robin abused. Sexual excess. Sexual
education, planning and others, Murphy’s Repertory13: humiliation. Unhappiness.

SUBJECTIVE
Conclusion 2016. 9th ed. New delhi: Bjain publishers; 2016.

6. Munjal Y. API textbook of medicine. 10th ed. 13. Murphy R. Homoeopathic medical repertory. 3rd
Homoeopathy, the holistic medicine, New Delhi: Jaypee Brothers medical publisher; revised ed. New delhi: Bjain publishers; 2014.
may be a unique and effective mode 2015. 14. Schroyens F. Augmented clinical synthesis. 9.1
of treatment in the management 7. World Health Organization. 2020. ICD-10 Online ed. New delhi: Bjain publishers; 2008.
Versions. [online] Available at: <https://www.
of the lifestyle diseases in its
primordial, primary, secondary,
who.int/classifications/icd/icdonlineversions/
en/> [Accessed 14 September 2020].
About the authors
and tertiary level. 8. Kline KL, Westberg SM. Over the counter Dr Mahakas Mandal, PGT. Dept of
medication use, perceived safety and decision Practice of medicine, The Calcutta
References making behaviours in pregnant women.
Homoeopathic Medical College and
1. Forhud DD. Impact of lifestyle on health. Iran J Innovations in pharmacy. 2011; 2(1) : 35.
Public health. 2015 Nov, 44(11): 1442-1444.
Hospital. Kolkata 700009.
9. Lynch MM, Squiers LB, Kosa KM, Dolinos, Read
2. Jameson JL, Fauci AS, Hauser SL, Longo DL, JG, Broussard CS et al. Making decision about
Loscalzo J. Harrison’s principles of internal Dr Samit Dey, Professor, Dept.
medication use during pregnancy: implications
medicine. 20th ed. New York: Mcgraw-Hill
for communication strategies. Maternal child
of Repertory, Mahesh Bhattacha-
Education; 2018.
health J. 2018; 22(1): 92-100. ryya Homoeopathic Medical Col-
3. Rolson SH, Penman ID, Strachan MWJ, Hobson
RP. Davidson’s principles and practice of 10. Hahnemann S. Organon of medicine. 5th and 6th lege & Hospital, Dumurjala, How-
medicine. 23rd ed. Edinburgh: elsevier; 2018. edition. New Delhi: Bjain publishers; 2011. rah
4. Park k. Park’s textbook of preventive and 11. Kent JT. Repertory of homoeopathic
social medicine. 25th ed. Jabalpur: M/s materiamedica. New delhi: Bjain publishers;
Banarsidasbhanot publishers; 2020. 2014.
5. Benjamin JJ. Andreoli and carpenter’s cecil 12. Boericke W, Boericke O. Boericke’s new manual
essentials of medicine. 9th ed. Haryana: Elsevier; of homoeopathic materiamedica with repertory. 
• This book is the result of the author’s rich clinical

experience. He went out of his way to describe the
condition of each child in as much detail as possible,
making it very easy for readers to understand and apply
this knowledge in their clinic.
• The narration of cases is presented with gestures and
mimicry that for us 'bring the patient to life'.
• The condition of each child is given in as much detail as
possible, making it very easy for readers to understand
and apply this knowledge in their clinical practice.
• All the rubrics are taken from Synthesis Repertory and
Complete Repertory.
ISBN: 978-81-319-1804-3 | ` 595 | 194 pp

ADVERTISEMENT

RESEARCH PAPER
A clinical case series of prospective study to evaluate the

utility of homoeopathic medicine in polycystic ovarian
syndrome using the concomitant symptoms
during menstruation
By Dr Fathima Shahunaj, Dr Winston Vargheese, Dr Santhi Serene Sylum
Abstract: Polycystic ovary syndrome (PCOS) is a common heterogeneous endocrine disorder characterized by irregular menses,
hyperandrogenism, and polycystic ovaries. Lifestyle modification is a first-line intervention. Existing information indicates a positive
role of homoeopathy but more rigorous studies are desirable. This prospective study shows that importance of homoeopathic
medicine in PCOS using the concomitant symptoms during menses. Boenninghausen was the first to realise the importance of
the concomitants in prescribing and constructed his repertory. Concomitant symptoms are based on the inherent constitutional
differences and tend to remain constant with a patient, irrespective of the nature of the disease. A sample of ten cases of PCOS
has been treated with concomitant symptoms covering constitutional homoeopathic medicine for a year with regular follow up.
Cases are collected from the OPD of Sarada Krishna Homoeopathic Medical College, Kulasekharam. This study is further focused
on psychological burden of individuals and how they evolved as psychosomatisation and personality adaptation in the development
of PCOS. The data is collected by the art of case taking.
Keywords: PCOS, concomitant, constitution, psychosomatisation, personality adaptation, and case taking.
Abbreviations: PCOS: polycystic ovarian syndrome; CVD: cardiovascular disease; C-S: co-ordinate systems;
OPD – outpatient department
Introduction disorders(3). Previous studies in • At the beginning of

Euro-American populations have menstruation.
P olycystic ovary syndrome

(PCOS) was first reported
in modern medical literature
shown that women with polycystic
ovarian syndrome (PCOS) have
•
•
During menstruation.
After menstruation.(6)
increased levels of “psychological
by Stein and Leventhal who, burden”(4).The diagnosis of PCOS is This study is to define the importance
in 1935(1). The disorder can be based on Rotterdam criteria. of concomitant symptoms during
morphological (polycystic ovaries) menstruation and their role in
or predominantly biochemical As a part of homoeopathic psychosomatisation, personality
(hyperandrogeneamia). Hyperan- management, this study is given adaptation, and covering the
drogenism, a clinical hallmark importance to concomitant covering constitutional remedies.
of PCOS, can cause inhibition of the constitution remedies. This
follicular development, micro study is given more importance to OBJECTIVES
cysts in the ovaries, anovulation, concomitant symptoms as proposed
and menstrual changes(2 )It is by Boenninghausen. Concomitant The main aim of the study was
now recognised as a common, symptoms are based on the inherent to understand the importance of
heterogeneous, in heritable disorder constitutional differences and tend concomitants during menstruation,
affecting women throughout to remain constant with a patient, psychosomatisation and personality
their lifetime(1). They may be adaptation
irrespective of the nature of the
at increased risk of multiple disease. (5) Among that, concomitant
morbidities, including obesity, symptoms of MENSTRUATION MATERIALS AND METHODS
insulin resistance, type II diabetes are given more importance such as Ten cases of PCOS have been treated
mellitus, cardiovascular disease with homoeopathic medicines had
(CVD), infertility, and psychological • Before menstruation taken up for the study. Cases are

RESEARCH PAPER
collected from the OPD from our improvement is assessed through 11-40 years were selected. The
Sarada Krishna Homoeopathic the concepts of palliation, cure, sup- high prevalence of PCOS is
Medical College. Female of 11-40 commonly seen in young females
pression and the prognosis of the
years of age are included in this study. who follow modern lifestyle. In
case has been obtained.
The remedies have been prescribed PCOS, stress plays the major role
on the basis of symptom similarity and effects of stress producing the
and on the basis of concomitant and RESULTS psychosomatisation, considering
constitutional totality. Collection • In this study age group between this the topic was selected and
of standardised case record data 11 to 40 years of female are also to find out the importance of
of 10 cured cases in which acute, considered among that, study concomitant during menstruation.
chronic, and intercurrent remedies showed 11 to 30 years of age
has been used for the treatment of Usually age of 15 to 32 years female
women had PCOS. Most of
PCOS. The case has been studied started to play various phases in
them are students, working
on the basis of case concept form. their life like responsible daughter,
women and house wives.
The problem of the patient has been friend, and wife. The peak age
Among this, study showed
defined by interview technique and of reproductive life too begins
the clinical features such
the data’s have been recorded in here. When they have emotional
as amenorrhoea, hirsutism,
clinical record. The collected data’s and behaviour disturbance, their
acanthosis nigricans, back pain,
have been organised, processed and hormones show mild to maximum
leucorrhoea, menorrhagia,
connected each other through: variation, as it is one of the triggering
itching and burning in genital,
or main causes of PCOS.
• Symptomatic classification and lump in breast, irregular
evaluation menses. All of them had mental In the western life style, students
• Clinico-pathological emotional state as well as undergoing many phases as
disposition. Most of the females mentioned in age, mechanical
• Psychological
had particular, mental, as well aided games, school, college, and
• Hahnemannian miasmatic as both mental and physical
pathology – current disappointment are some of the
as concomitants respectively. reason for increasing the stress.
interpretation Most of the cases developed Some of house wives had PCOS,
After that the data’s have been anal- psychosomatisation gradually because they were not engaged
ysed and synthesised through acute from childhood. Study on any other works other than
totalities, chronic totalities and in- reveals that, more intraperson household work. Housewives are
tercurrent totalities. Totalities have conflict and interpersonal mostly alone in home at daytime.so
been obtained through reportorial conflicts contributes to the they think about the previous bitter
development of PCOS. events. But according to modern
and non – repertorial techniques.
Constitutional remedies such lifestyle it has been changed.
All these obtained concepts are pre-
as NATRUM MURIATICUM,
sented totally as problem structur- LACHESIS MUTUS, In this study, Rotterdam criteria:
alisation; here several concepts will KALIUM CARBONICUM, include oligo-ovulation and/or
come into play. The structuralised PLATINUM METALLICUM, anovulation, Excess androgen
concepts help to resolve the prob- TUBERCULINUM, SEPIA and activity, polycystic ovaries (by
lem of a patient through remedial SILICEA TERRA was useful gynaecologic ultrasound)(7)which noted
as well as non – remedial such as to treat PCOS constitutionally the disorder as having 1
. This study suggests
and most of the case had given that most of the patient presented
general- individual, general- envi-
counselling to maintain proper with irregular menses with minimal
ronmental, mechanical measures
healing. functional level symptomatology
and ancillary measures. These total and pathology.
definition of the case helps to treat Discussion
the patient through specific ho- In homoeopathic disease evolution
In this study, all the ten cases are that Dr M.L. Dhawale has
moeopathic planning and program-
selected randomly from the OPD discussed, psora, the sympathetic,
ming. Concept of posology, remedy of Sarada Krishna Homoeopathic became overactive due that ovarian
response, and subsequent actions Medical College, Kulasekharam. imbalance leads to functional
are taken into consideration. The The females of age group between menstrual disorder. Acrid non-

RESEARCH PAPER
infective leucorrhoea with emotional Any phenomenon in nature evolves dragging the organism downward to
background is a psoric expression. in a field and expresses itself in self-destruction. The transcendence
When reduce sympathetic activity various co-ordinate systems (C-S). It of the soul is thus prevented by the
and over stimulation with resultant is possible for an external observer substance, and the conflict produced
slowing down of activity, processes, to single out any one of the many leads to anguish which is expressed
faculties and functions, accelerated C-S as the main one and analyse it peripherally as mental symptoms(11).
by increasing activity of the para from the sequential point of view
sympathetic. The system goes into (causation). The other C-S evolve For the peaceful life, person knows
a state of exhaustion. The psoric concomitantly with the main C-S but to follow the balance inter and intra
patient slips into sycosis(8). we are unable to detect a sequential personal relation, when in the inner
relationship between these. These core arises the conflict, the person
From this study, emotional therefore fall outside our concept has to suffer from the personality
symptom become more prominent, of causality. All the same, these can adaptation. It was expressed as
emotion plays major role for the be utilised by the external observer
development of psychosomatisation physical or body level in physical it
of the phenomenon as essential expressed as craving and aversion,
from suppressed and repressed identifying (as well as differential)
emotion. Mental symptoms are sexual sphere and in body level
characteristics of the phenomenon it was expressed as symptoms.
classified into mental emotion, in question. Concomitant co-
intelligent and behaviour emotion, PCOS is one of the psychosomatic
ordinate series thus give us another disorders with relation to inter and
and intelligent. equally important dimension of the intra personal relation.
Dr M.L. Dhawale explained about expression of time(10).
classification of mental symptoms, The concomitant bear no other This was explained by Dr Dhawale,
emotion plays a significant part in relationship to the chief complaint in evolution and expression of
the livers of most of the individuals, than this time association. The study mental symptoms, He says that
hence the mental state open with suggests that concomitant symptom a patient needs to examine the
this section. The primary emotions present in three forms mental, patient’s interpersonal relationships
of anger-sadness, love-hate and fear- physical and particular. from childhood onwards with
anxiety are given prominence. The reference to his wishes, ambitions
secondary emotion like suspicious, Psychosomatisation happens and vocations. He can then know
jealousy, etc. gets attached to those where the person emotion becomes the affections, hatreds, resentments,
dominant emotions where they imbalance and their inner core fails vexation, humiliation, indignation,
arise as an offshoot. Intellectual to express. Thus, the body express it fear, conscience, disillusion, etc.
state comprises of the complex of in the form of psychosomatisation. which the patient experienced.
primary faculties (consciousness, From this reveals PCOS is the His emotional nature must be
thinking, memory), the derivations psychosomatic disorder rather than
understood from the stand of point
(perception and decision making) mentioning it as disease.
of externalism, not only for the
and the resultants of the emotional
This was explained by Dr Dhawale, diagnosis of the simillimum, but
and the intellectual functioning
in “Evolution and Expression of also for the re-education which
(judgement, confidence, person,
mental symptoms” he mentioned is to similimum. This remedial
etc.), action (speech and behaviour)
that, the mental symptoms which action helps to restore the internal
and functioning (autonomic
forms the most important core of governance and balance of the
functions, sleep and systems
homoeopathic prescribing always system and aids it in realising the
functioning). There is also a final
are an expression of the continued “higher purpose of existence”
conclusion as to the nature of the
total result in terms of the balance conflict: the conflict that is between (Hahnemann) under the superior
achieved(9). higher and lower animal instincts; guidance of the physician who
between the higher values and the regards his life as a mission to
Dr M. L. Dhawale has also blind consummation of our desires; restore the sick to health(11).
mentioned about time -dimension between the spirit that guides the
concept and expression among that substance towards higher values, In modern life style, stress plays
included time-change, periodicity, images and ideas and infantile a major role, for that counselling
evolution, causation, concomitance, egoism and egotism that erode as was needed and it plays important
velocity, direction, and eternity. well as corrode all values, finally management along with medicine.

RESEARCH PAPER
Conclusion and Management of PCOS. [cited 2019 Feb

20]; Available from: https://www.monash.edu/
10. Dhawale ML. MD(BOM). ICR SYMPOSIUM
STANDARDIZATION PART1. 3RD ed. Dr.ML.
medicine/sphpm/mchri/pcos Dhawale MD(BOM), editor. DR ML DHAWALE
As per study, homoeopathic
MEMORIAL TRUST,MUMBAI; 2003. C5,6,7.
treatment is effective in treating 3. El Hayek S, Bitar L, Hamdar LH, Mirza FG,
Daoud G. Poly Cystic Ovarian Syndrome: An 11. Dhawale ML. MD(BOM). ICR SYMPOSIUM
PCOS cases. The totality covering STANARSIZATION PART1. 3RD ed. Dr.ML.
Updated Overview. Front Physiol [Internet].
concomitant and constitutional 2016 [cited 2019 Feb 20];7:124. Available from: Dhawale MD(BOM), editor. DR ML DHAWALE
remedy are more effective in http://www.ncbi.nlm.nih.gov/pubmed/27092084 MEMORIAL TRUST,MUMBAI; B44.45.
treating PCOS. Incidence of PCOS 4. Sulaiman MA, Al-Farsi YM, Al-Khaduri MM,
was highly prevalent among the Waly MI, Saleh J, Al-Adawi S. Psychological About the author
students, working women’s and burden among women with polycystic ovarian
Dr Fathima Shahunaj MD (Hom),
syndrome in Oman: a case-control study. Int J
house wife under the age group PG Scholar, Part 2, Department of
Womens Health [Internet]. 2017 [cited 2019 Feb
15-25 years. This is the age, were 20];9:897–904. Available from: http://www.ncbi. Homoeopathic Materia Medica,
females have more chances for nlm.nih.gov/pubmed/29276413
Sarada Krishna Homoeopathic
psychosomatisation from their 5. Dhawale ML. MD(BOM). Principal and Practice Medical College, Kulasekharam.
suppressed and repressed emotion of Homoeopathy part1. 2nd ed. Bombay:
due to the value system they hold. Institute of Clinical Research; 1967. 50,51.
From their value system, they have 6. Concomitant Symptom,Opinion of Stalwarts

Dr Winston Vargheese, MD (Hom)
to maintain healthy and balanced & Clinical Practice | Homeopathy Resource Professor Coordinator, Department
environment, when there is any by Homeobook.com [Internet]. [cited 2019 Feb of Homoeopathic Materia Medica,
imbalance occurred between intra-
21]. Available from: https://www.homeobook. Sarada Krishna Homoeopathic
com/concomitant-symptomopinion-of-
and inter-personal relation leads to stalwarts-clinical-practice/
Medical College, Kulasekharam.
personality adaptation. 7. Azziz R. Diagnosis of Polycystic Ovarian
Syndrome: The Rotterdam Criteria Are Dr Santhi Serene Sylum MD (Hom)
Premature. J Clin Endocrinol Metab [Internet]. Professor & HOD, Department Of
References 2006 Mar 1 [cited 2021 May 2];91(3):781–5.
Obstetrics & Gynaecology, Sarada
Available from: https://academic.oup.com/jcem/
1. Sirmans SM, Pate KA. Epidemiology, diagnosis,
article-lookup/doi/10.1210/jc.2005-2153
Krishna Homoeopathic Medical
and management of polycystic ovary syndrome. College, Kulasekharam.
Clin Epidemiol [Internet]. 2013 Dec 18 [cited 8. Dhawale ML. MD(BOM). ICR SYMPOSIUM
2019 Feb 20];6:1–13. Available from: http://www. STANDARDIZATION PART 1. 3rd ed. Dr.ML.
ncbi.nlm.nih.gov/pubmed/24379699 Dhawale MD(BOM), editor. DR ML DHAWALE
MEMORIAL TRUST,MUMBAI; C.22 ,23.
2. Peña A, Witchel S, Hoeger K, Oberfield S, Misso
M, Vogiatzi M, et al. Pharmacological treatment 9. Dhawale ML. MD(BOM). ICR OPERATIONAL
of adolescent Polycystic Ovary Syndrome MANUAL. 3RD ed. Kapse DAR, editor. DR ML
(PCOS) according to the 2018 International DHAWALE MEMORIAL TRUST,MUMBAI;
Evidence-Based Guidelines for the Assessment 1980. 79,80. 
REVERSE REPERTORY
OF THE MIND
Words to Mental Rubrics
Practical and Easy Way to Select 409 Mental Rubrics
• Dr Muhammed Rafeeque • Dr J. P. Salini
• The book clearly explains how to convert the patient’s symptoms into rubrics
given in the repertory.
• 409 mental rubrics from Kent’s Repertory and Synthesis Repertory are
wonderfully explained starting from “Abandoned” to “Zealous”, including
the meaning of the rubric, clinical situation, patient’s and attendant’s
narration, the observation of physician, followed by important remedies
given in the rubric.
• The language of the book is kept very simple and comprehensible language
keeping in view the need of the student making it a handy reference.
ISBN: 978-81-319-1802-9| ` 245 | 272 pp

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CLINICAL
A clinical study on effectiveness of homoeopathic

management in primary dysmenorrhoea
among young women
By Dr Laxmi Mahto
Abstract:
Introduction: Primary dysmenorrhoea is a type of cyclical chronic pelvic pain among adolescent and young women which is
be due to excessive prostaglandin, leukotriene, and vasopressin production, as well as myometrial ischaemia or due to uterine
malformation.
Material and methods: a prospective, observational, open-labelled study having 30 diagnosed cases of primary dysmenorrhoea,
selected according to inclusion and exclusion criteria, case taking was done on the basis of the principles of homoeopathy,
prescription was based on totality of symptoms, repertorial totality and analysis and finally referring to materia medica. Follow up
was evaluated by changes in clinical presentation, changes in score of WaLIDD monthly and lastly statistical analysis of data was
done using MS-excel.
Results: This study result shows significant reduction in the disease intensity scores after the homoeopathic treatment.
Conclusion: This study result suggests a positive role of homoeopathic treatment as an alternative medicine in cases of primary
dysmenorrhoea.
Keywords: gynaecology, homoeopathy, individualisation, primary dysmenorrhoea, WaLIDD.
Abbreviations: working ability, location, intensity, days of pain, dysmenorrhoea score (WaLIDD), prostaglandin
factor (PGF), non-steroidal anti-inflammatory drugs (NSAIDs), outpatient department (OPD), in-patient depart-
ment (IPD).
Introduction true incidence and prevalence are with or few hours before the onset
not clearly established in India.1,3 of menses. The severity of pain
P ain, in itself, speaks a language

which if it cannot be shared,
becomes more insurmountable
due to cultural reasons menstrual
problems often get unreported5 but
some studies has mentioned it in
usually lasts for few hours, may
extend to 24 hours but seldom
persists beyond 48 hours.2 Further
from the rest. Menstrual pain or range of 50% to 87.8%.3 and found to investigations are rarely warranted
dysmenorrhoea is most prevalent be the leading cause of school/work if the history and examination
yet most neglected disorder faced absenteeism.6 It is been broadly findings are suggestive of primary
by a woman thinking it to be a categorised into two types: primary dysmenorrhoea.7 Women usually
normal physiological process, due to absence of any underlying seek medical advice when self-help
for at least once while attaining uterine condition and secondary measures such as heat and over the
where pelvic pathology is present.2 counter drugs fail to relieve. The
their womanhood. It is chronic,
Aetiology can be summarised in mainstays of conventional therapies
cyclical, lower abdominal or pelvic
psychosomatic factors, abnormal are NSAIDs, contraceptive pills8 and
pain which may radiate to the
anatomical and functional aspect in cases where formers don’t help
back or to the thighs, occurring invasive and surgical intervention
of myometrium like irregular
during menstruation.1 of sufficient thickening, dysperistalsis, etc, is opted. But several times, these
magnitude making incapacitate imbalance in the autonomic conventional therapies are not better
the patient in day-to-day activities2 nervous control of uterine muscle, tolerated by some females9 and have
where they may experience role of prostaglandins especially also been seen to have adverse effects
associated physical and emotional PGF2α, vasopressin, endothelins, associated with it.10 So many women
symptoms,3 interrupting their leukotrienes and platelet activating prefer to seek complementary and
educational and social life4. The factors. The pain mostly starts alternative therapies to cope with

CLINICAL
the conditions.11 Homoeopathy every case having primary two-tail value is 2.93 which is
is seen to be an effective and safe dysmenorrhoea. greater than the table at 5% (p<0.05).
alternative to synthetic hormones a. Relevant clinical examina- This study provides evidence to say
without placing the patient at tions and lab oratory that, this is significant reduction in
risk.12 Disease severity and quality investigations, if required. the disease intensity scores after the
of life demonstrated marked and Homoeopathic treatment.
sustained improvements following b. Evaluation of symptoms
as per homoeopathic
homoeopathic treatment period.13
principles and framing the
Discussion
The best part of the homoeopathic
medicine is that it not only relieves totality. In this study, 35 cases of Primary
pain, but also cures the tendency to c. Analysis, evaluation and Dysmenorrhoea of age group 11 to
have menstrual cramps. This means repertorisation of the 25 years were enrolled from general
that after some time of treatment, totality of symptoms taking screening of patients out of which
the problem is completely cured and help of Computer-aided 5 cases were dropped out rest 30
one is able to get rid of the problem (digital) RADAR repertory. cases completed the study with
permanently.14 The treatment should regular follow ups( n= 30). Before
d. Final selection of medicine
be continued until the patient enrolling in the study population,
by miasmatic inference and
menstruates normally or nearly so. every patient was evaluated and
consulting homoeopathic
Prescriptions made during the inter- diagnosed on the basis of clinical
materia medica.
menstrual period are seen to be most history, clinical examination
e. On the basis of and WaLIDD scoring which is
efficacious, as latent expression is
susceptibility, potency, dedicatedly used for diagnosis of
shown more clearly and the acute
dose and repetition was primary dysmenorrhoea. Proper
expression has quieted down, so it is
decided following strict case taking is been done with
better to base prescription upon this
homoeopathic principles. proper evaluation and analysis of
symptomatology.15
f. General management case making totality of symptoms
includes proper diet and to prescribe. The patients are been
Methodology regimen, hygiene and rest. prescribed indicated medicine
Sources of data – OPD and IPD of and doses as per the totality of
g. Timely review of
Govt. Homoeopathic Medical Col- homoeopathic prescription symptoms and requirement in every
lege & Hospital, Bhopal, on the basis of patient’s individual case. The analysis of the
response. sample size of the 30 cases depicted
• Number of cases – 30 cases highest preponderance of the
excluding dropouts • Statistical methods primary dysmenorrhoea disorder
• Definitions used for study Assessments of cases were done in age group 14 to 16 years. The
purpose - with the help of WaLIDD Score and age incidence depicts the disease
changes in values at the baseline start and reporting in clinic or to
 Selection of medicine – was
visit and last follow up visit. Final physician by the patients. Among
based on individualisation
calculation was done to find out the the sample size population it is been
after proper analysis,
p-value with the help of paired t- test noted that the majority of cases are
evaluation and miasmatic
for two variables in Microsoft Office which are affected had the onset
analysis of the case as per
Excel 2007. of menstrual period or menarche
homoeopathic principles.
before or at the age of 13 years
 Follow up- cases were Observation and result: In total comprising the data as suggesting
followed up properly on no. of cases (n=30) the critical ratio, the relation of early menarche.
one month interval and paired-t follows a distribution on The study expresses that the role
results was assessed on the with n-1 degree of freedom. The of family history is more or less
basis of clinical symptoms 0.1% level is 3.659, 1% level is 2.756 related to the disorder. The miasm
and changes in WaLIDD and 5% level is 2.045 for 29 degree is an important aspect to be taken
scores of freedom. WaLIDD score table into account while prescribing in
• Methods of tests/procedures- which is the summation of the entire homoeopathic system of medicine.
Detailed and thorough variables, on analysing the “t” value The effect of miasm cannot be
case taking of each and through microsoft excel, P(T<=t) overlooked while treating any case.

CLINICAL
In study’s sample size, population majority of cases, but continuous Dysmenorrhoea Among Nursing Students.
Journal of Health and Allied Sciences NU. 2019
depicted that the disorder covered improvement cannot be assured, Apr;9(02):64-75.
more of pseudo-psora miasm and and to see the curability of the 7. Wallace S, Keightley A, Gie C. Dysmenorrhoea.
The Obstetrician & Gynaecologist. 2010 Jul
sycotic miasm. Homoeopathy is a disease it demands more time. 1;12(3):149-54.
science of individualisation in which 8. Edmonds DK, Lees C, Bourne TH, editors.
each and every case is different and Dewhurst’s textbook of obstetrics &
it should be dealt differently on basis Conclusion gynaecology. Blackwell Pub.; 2007 Sep 20.
9. Marjoribanks J, Proctor M, Farquhar C,
of symptom similarity and totality The statistical demonstration of the Sangkomkamhang US, Derks RS. Nonsteroidal
of symptoms. The medicine should anti‐inflammatory drugs for primary
study implicates the effectiveness dysmenorrhoea. Cochrane Database of
be based on strict homoeopathic of homoeopathic treatment in cases Systematic Reviews. 2003(4)
principle then only it would bring out of primary dysmenorrhoea as it 10. Wong CL, Farquhar C, Roberts H, Proctor M.
Oral contraceptive pill as treatment for primary
the true miraculous results. In this reduces the severity of complaints dysmenorrhoea. Cochrane Database Syst Rev
study all patients were prescribed with other associated complaints as 2009;
on the basis of individualisation well.

11. Singh N, Rai S. Primary dysmenorrhoea. Indian
Obstetrics and Gynaecology. 2017 Sep 30;7(2).
and totality of symptom following 12. Biglu mh, Yousefi rk, Biglu S, Seratinouri H. A
homoeopathic principles. It was seen homoeopathic perspective on obstetrics and
that the remedy, Pulsatilla nigricans, References gynecology research.2014; 329-332
13. Witt CM, Lüdtke R, Baur R, Willich SN.
relieved and brought about positive 1. Abbasi A, Sreenidhi S. Prevalence of
Homoeopathic medical practice: long-term
Dysmenorrhoea in female medical students
changes in majority of cases. Other at saveetha medical college and hospital.
results of a cohort study with 3981 patients.
BMC public health. 2005 Dec;5(1):115.
medicines seen emerging in such International Journal of Scientific Research. 2020
Jan 22;8(12) 14. Gupta Y, Shreemal P. Primary Dysmenorrhoea
cases were from Natrum group, 2. Konar H. DC Dutta’s textbook of gynecology. JP
& its homoeopathic therapeutics
Silicea terra, Phosphorus, Calcarea Medical Ltd; 2016 Jun 30. 15. Allen JH, the Chronic Miasms Psora and
Pseudo-Psora. Reprinted Edition. Vol. I and II.
phosphoricum, Lachesis mutus, etc. To 3. Agarwal AK, Agarwal A. A study of
New Delhi: B Jain Publishers Pvt. Ltd.; 2002. p.
Dysmenorrhoea during menstruation in
analyse and evaluate the effect of adolescent girls. Indian journal of community
239-41
prescribed medicine, the WaLIDD medicine: official publication of Indian 16. Teherán AA, Piñeros LG, Pulido F, Guatibonza
Association of Preventive & Social Medicine. MC. WaLIDD score, a new tool to diagnose
score itself is been used.16 Analysis 2010 Jan;35(1):159 Dysmenorrhoea and predict medical leave in
of WaLIDD score which is the university students. International journal of
4. Dawn CS. Textbook of Gynaecology and
women’s health
integrated tool having the entire Contraception. 10th ed. Calcutta: Dawn Books;
1990.
variable showed marked changes 5. Hay SI, Abajobir AA, Abate KH, Abbafati C, About the author
suggesting the positive effect of Abbas KM, Abd-Allah F, Abdulkader RS,
homoeopathic remedies on Primary
Abdulle AM, Abebo TA, Abera SF, Aboyans Dr Laxmi Mahto (MD scholar)
V. Global, regional, and national disability-
dysmenorrhoea disorder. The adjusted life-years (DALYs) for 333 diseases and Under Guidance - Prof (Dr.)
injuries and healthy life expectancy (HALE)
period of this clinical study was for 195 countries and territories, 1990–2016:
Praveen Jaiswal, Dept. of Practice of
too short to assess the curability for a systematic analysis for the Global Burden Medicine G.H.M.C. & H, Bhopal
of Disease Study 2016. The Lancet. 2017 Sep
primary dysmenorrhoea. Although 16;390(10100):1260-344.
there was good improvement in 6. Crasta S, Fernandes P, Paul S. Ginger Tea on 
SWEET PILLS
Dr Mayuresh S Mahajan
• The author has compiled his experience and knowledge with reference to the pain of
the patients in context with their psyche or the emotional understanding.
• The book is meant to help with recognizing pain in its diversity and the process of
reaching the similimum based on the symptom of pain.
• In this book, the author has tried to decipher and direct prescribing remedies based
on differentiation of pain among the different remedies stated in Materia Medica.
• The author has explained the various types of pain, be it physical or mental along
with its causative factors which gives a better insight to the physician about the
patient and further helps with the prescription.
ISBN: 978-81-319-1960-6 | ` 595 | 200 pp

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RESEARCH PAPER
A comparative study of the A.T.E.C. (autism treatment

evaluation checklist) score in ASD children under
a placebo-controlled study
By Dr Rukshin Master, MD (Hom), Dr Tarkeshwar Jain, MD (Hom)
Abstract: The study was conducted at Bai Jerbai Wadia Hospital for Children, Acharya Donde Marg, Parel East, Parel, Mumbai.
Prior ethical clearance was taken from the Ethics Committee of the hospital to undertake the trial. The protocol adhered to Good
Clinical Practices of India.
Cases were enrolled from 2018 to 2019 and were observed every month for a period of 1 year.
Study design: prospective randomised placebo control single blind clinical trial – parallel design.
Patients who visit the neurology OPD at Bai Jerbai Wadia Hospital who have been diagnosed as purely autistic (without any co
morbidity) by the Neurological team were enrolled for the study. The cases were then screened using the inclusion exclusion
criteria. The psychologist diagnosed all the patients based on childhood autism rating scale 2(CARS).
92 patients were taken for this study of which after a few dropouts we had 84 children who were studied in detail. In this study,
patients were randomly selected based on the randomisation table to receive placebo or homoeopathic medicines.
Half of the study group received homoeopathic medicines along with occupational therapy and the other half received placebo
along with O.T.
Occupational therapy was on for a minimum period of 6 months before the start of the study to understand any effects it had had
on the child.
If any allopathic medication were on during the period of study, we waited for 3 months before we enroll the patient for the study
and introduce homoeopathic medicines to allow the allopathic medicines to elicit their effect.
All the allopathic medicines will be unaltered through the course of the therapy.
Keywords: Autism, developmental disorders.
Inclusion criteria: Homoeopathic group i.e. susceptibility. The potency

• Child should be diagnosed by of the same drug was enhanced
Selection of medicine: when no further improvement was
a neurologist as having autism
using standardised diagnostic In this group, as mentioned noticed and there was no change
in prescribing totality. Any change
criteria like childhood autism above, after case taking, the case
(improvement/deterioration)
rating scale (C.A.R.S.) was repertorised using Synthesis
triggered administration of placebo
• Age – 2- 10 years Repertory by Dr Frederick Schroyens
or change in potency (from 30C
as per homoeopathic principles, and
• Both gender to 200C or 1M) or change in
the physician identified a group of
remedy following the guidelines in
Exclusion Criteria: similar medicines, however final
homoeopathy. There was no change
selection of medicine was done after
• Child should not have any in prescribing totality if the patient
referring the homoeopathic materia developed any acute problem like
other co-morbidity like tumors,
medica. cold, fever, etc.
cerebral palsy, hormonal
disorders, chronic infective
Selection of dose and potency: The medicine was administered us-
pathologies like tuberculosis,
ing the 5 cup method. The method
etc., or any organic disease. Only a single drug was used consisted of 1 large sized pill be-
• Individual who cannot adhere at a time. Potency was selected ing stirred in a cup and the spoon
to the follow up schedule according to the nature of the case, used is stirred again through 4 more

RESEARCH PAPER
cups of equal quantity of water. Fi- Control group histograms, normal Q – Q plots
nally the patient is asked to take the and box plot showed that the ATEC
medicine from this 5th cup as 1 tsp as Selection of medicine: scores were distributed with the
many times a day as advised. In this group as mentioned above, skewness of 0.227 (SE = 0.263) and a
patients were prescribed identical kurtosis of -1.363 (SE = 0.520).
placebo which was dispensed by us.
Analysis of the cases: This inference that the data is non
Cases were analysed based on the Follow up: parametric. Hence the non – para-
Follow up was done every month. metric statistics was used to analyse
A.T.E.C. score at 0 weeks, 12 weeks,
the data:
36 weeks & 52 weeks
OBSERVATION AND RESULTS
The changes were observed in the 1. Within the study group
A total of 92 autistic patients were
following areas: and placebo group: ATEC
screened and 84 were enrolled
score were having repeated
after fulfilling the inclusion criteria.
• Social relationship will be measurements hence Friedman
These patients were randomised to
measured using ATEC (Score II) test was used as inferential
either receive homoeopathy (n=42)
statistics. The post Hoc analysis
• Sensory and motor skills will be or placebo (n=42).
was done using the Wilcoxon
measured using ATEC (Score The data of the 84 autistic children signed rank test.
III, IV) were analyzed using the SPSS 2. Between the study group and
• Communication skills will be version 24.0 placebo group: ATEC score was
measured using ATEC (Score I) analysed using the Krushkal
A Shapiro – Wilk’s test (p ≤ 0.05)
• Progress in schooling and a visual inspection of their Wall’s test.
Table 1: Table representing the ATEC score in the study group:
Standard Percentiles
Mean
deviation 25th 50th (Median) 75th
ATEC 0 83.17 33.988 54.00 81.50 113.50
ATEC 3 81.07 33.348 53.00 80.50 110.50
ATEC 6 78.79 32.738 51.50 79.00 107.75
ATEC 9 74.83 32.458 48.75 75.00 103.00
ATEC 12 71.52 31.915 44.50 71.50 99.25
86.00
83.17
84.00
81.07
82.00
ATEC TOTAL SCORE
80.00 78.79
78.00
76.00 74.83
74.00 71.52
72.00
70.00
68.00
66.00
64.00
0 Months 3 Months 6 Months 9 Months 12 Months
TIME DURATION
Figure 1: Graph - line diagram representing the ATEC score improvement after the homoeopathic treatment

RESEARCH PAPER
Table 2: Tabular representation of the inferential statistics and clinical effect statistics
in the study group of ATEC score:
N 42
Chi-Square 121.749a
Df 4
Statistical Result
Asymptomatic Sig. 0.000
Cohen’s Delta 0.37 (Small Effect)

Clinical Effect Size result
NNT 4.845
a. Friedman Test
Post – Hoc Test:

Table 3: Tabular representation of the Post Hoc statistical analysis:
ATEC ATEC ATEC ATEC ATEC

ATEC 3 ATEC ATEC 6
6- ATEC 9 - 9- ATEC 12 - 9- 12 - 12 -
- ATEC 12 - - ATEC
ATEC ATEC 0 ATEC ATEC 3 ATEC ATEC ATEC
0 ATEC 0 3
0 3 6 6 9
Z -4.812b -4.855b -4.998b -5.132b -4.509b -4.894b -5.170b -4.882b -5.305b -5.181b
Asymp.
Sig. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
(2-tailed)
a. Wilcoxon Signed Ranks Test
b. Based on positive ranks.
Statistical interpretation: Median (IQR) at the beginning of the Cohen’s delta elicits the small effect
There was a statistically significant treatment was 81.50, at the end of 3 which is consistent and reliable effect
difference in the autism evaluation months 80.50, at the end of 6 months after the homoeopathic treatment
checklist after the homoeopathic 79.00, at the end of 9 months 75.00 along with the occupational therapy.
and occupational therapies, χ2 (4) = and at the end of one year 71.50. The number needed to treat is 4.854;
121.75, p = 0.000. Post Hoc analysis There was statistically significant which means 100 autistic patients
with Wilcoxon signed – rank test reduction observed between and take the homoeopathic treatment
was conducted with a Bonferroni within the groups. along with the occupational therapy
correction applied, resulting in a for one year, 21% will have the
significance level set at p < 0.017. Clinical effect interpretation: The favorable outcome on ATEC scale.
72.00
70.95
71.00
70.14
70.00 69.36
ATEC SCORE
69.00
68.12
68.00 67.31
67.00
66.00
65.00
0 Months 3 Months 6 Months 9 Months 12 Months
TIME DURATION
Figure 2: Graph - line diagram representing the ATEC score improvement after the
placebo and occupational therapy:

RESEARCH PAPER
Table 3: Tabular representation of the inferential statistics and clinical effect statistics
in the placebo group of ATEC score:
N 42
Chi-Square 38.034a
Df 4
Statistical Result
Asymptomatic Sig. 0.000
Cohen’s Delta 0.117 (No Effect)

Clinical Effect Size result
NNT 15.16
a. Friedman Test
Post – Hoc Test:

Table 4: Tabular representation of the Post Hoc statistical analysis:
ATEC ATEC ATEC ATEC ATEC ATEC ATEC

ATEC 6
3- 6- ATEC 9 - 12 - 9- ATEC 12 - 9- 12 - 12 -
- ATEC
ATEC ATEC ATEC 0 ATEC ATEC ATEC 3 ATEC ATEC ATEC
3
0 0 0 3 6 6 9
Z -3.450b -2.777b -3.317b -3.083b -1.710b -2.928b -2.744b -2.974b -2.708b -1.909b
Asymp.
Sig. 0.001 0.005 0.001 0.002 0.087 0.003 0.006 0.003 0.007 0.056
(2-tailed)
a. Wilcoxon Signed Ranks Test
b. Based on positive ranks.
Statistical Interpretations: Cohen’s delta elicits the no effect. take the homoeopathic treatment
after the occupational therapy. The along with the occupational therapy
There was a statistically significant
number needed to treat is 15.16; for one year, 7% will have the favor-
difference in the autism evaluation
which means 100 Autistic patients able outcome on ATEC scale.
checklist after the placebo and
occupational therapies, χ2 (4) = DIFFERENCE BETWEEN THE STUDY AND PLACEBO GROUP:
121.75, p = 0.000. Post Hoc analysis
with Wilcoxon signed – rank test Study Group Placebo Group
was conducted with a Bonferroni
85.00 83.17
correction applied, resulting in a 83.00 81.07
significance level set at p < 0.017. 81.00 78.79
Median (IQR) at the beginning of the 79.00
ATEC SCORE
77.00 74.83
treatment was 70.95, at the end of 3 75.00
months 70.14, at the end of 6 months 73.00 70.95 71.52
70.14 69.36
69.36, at the end of 9 months 68.12 71.00
68.12
69.00 67.31
and at the end of one year 67.31. 67.00
There was statistically significant 65.00
reduction observed overall. 0 Months 3 Months 6 Months 9 Months 12 Months
However, there is no statistically TIME DURATION
significant difference observed

between 3 months to 6 months. Rest Figure 3: Graph - Comparative line graph representing the ATEC scores
within the groups have shown the between the study and placebo group
statistically significant difference. *Leven’s test was applied; p value is 0.103 representing that both the groups
Clinical effect interpretation: The are drawn from the same population.

RESEARCH PAPER
Table 5: Tabular representation of the statistical results between the Conclusion

study group and placebo group on ATEC score:
Even though the study was a small
done, done with a few children over
ATEC 0 ATEC 3 ATEC 6 ATEC 9 ATEC 12
a short period of time, we were able
Chi- to show that with homoeopathy, we
2.844 2.180 1.838 0.883 0.288
Square could bring the mean ATEC score
df 1 1 1 1 1 from 83.17 to 71.52 within just 12
Asymp. months (whereas in the placebo
0.092 0.140 0.175 0.347 0.591 group it went from 70.95 to 67.31 in
Sig.
12 months).
a. Kruskal Wallis Test
The study had quite a few limitations
b. Grouping Variable: GROUPS but it serves as a sample for future
studies to take place in this field of
Statistical interpretation: Kruskal – Wallis H test showed that there is no autism that has a tremendous scope
statistically significant difference observed at the end of 3 months, 6 months, to be treated using homoeopathy.
9 months and 12 months.
Further a multicenter trial enrolling
REMEDIES PRESCRIBED: improvement and 2 showed larger number of participants,
mild improvement from different homoeopathic
In the homoeopathy group, amongst
7. Baryta carbonicum was research centers, shall increase the
42 patients, the following remedies
were used. prescribed to 2 patients who generalisability of the results.
showed marked improvement. We also hope for a double-blind
1. Carcinosinum was prescribed in 8. Pulsatilla nigricans was clinical study with the option of
8 patients of which 3 showed prescribed to 1`patient who switching remedies through the
marked improvement, 4 showed mild improvement study with a long term follow up
showed, mild improvement period of at least 5 years to be able to
and 1 showed no improvement. 9. Sulphur was prescribed to 1
patient who showed marked verify the results of this study.
2. Tuberculinum bovinum was
improvement
prescribed in 8 patients in About the author
which 6 showed marked Discussion
improvement and 2 patients Homoeopathic Practitioner
The entire experience demonstrated
showed mild improvement
a significant reduction in the autistic
3. Medorrhinum was prescribed to features of the children.
7 patients of which 5 showed
Mean change in ATEC 15.12 and
marked improvement, 1
showed mild improvement and ATEC mean percent change 19.72, p
1 showed no improvement. value<0.05) was observed.
4. Natrum muriaticum was Homeopathic intervention brought
prescribed to 7 patients of which about modification in the behaviour
4 patients showed marked quite rapidly followed by changes Dr Rukshin Master M.D. (Hom)
improvement, 2 patients in other aspects. Children who were
showed mild improvement gradually regressing and showing a
and 1 patient showed and no trend towards deterioration showed
improvement. marked reversal in the autistic
5. Phosphorus was prescribed to features.
5 patients of which 2 patients There was sharp decrease in
showed marked improvement the ATEC score after starting
and 3 patients showed mild homeopathic treatment. When
improvement. we examine mean scores, there
Dr Tarkeshwar Jain, MD (Hom)
6. Cuprum metallicum was also we can see that almost 34%
prescribed to 3 patients of improvement take place in the first 
which 1 showed exceptional quarter, and 60% by six months.

CASE STUDY ARTICLE
Long way from conception to completion-a case

report of endometriosis
By Dr T. Aarathi Reddy
Abstract: A female came with the complaint of pain in right lower limb during her periods. Pain is severe in nature due to which
there is no sleep. Heavy bleeding associated with severe pain in abdomen, backache, and she was diagnosed with endometriosis.
Patient was eager to conceive. After analysing the totality of symptoms and by considering the mental symptoms, Sepia officinalis
200C was prescribed, which proved to be effective in treating the endometriosis and most fortunately she conceived.
Keywords: endometriosis, right lower limb pain, totality of symptoms, Sepia officinalis.
Abbreviations: AUS- abdominal ultrasound, MRI- magnetic resonance of imaging, CA 125 cancer antigen, Rt-right,
LL-lower limb, HPT – home pregnancy test, LMP – last menstrual period.
Introduction disease. 3 Adolescent endometriosis is an

underestimated health problem
P resence of functioning
endometrium in sites other
than uterine mucosa is called
Adolescents with the disease
are more likely to experience a
variety of symptoms which can be
particularly in developing countries.
Many reasons contribute to this
undeniable difficulty in diagnosis.
endometriosis. Ectopic endometrial safely improved or alleviated by Of these; difficult visiting of
tissues are found at sites other than appropriate menstrual management gynaecologists by young girls, the
uterus and are called endometriosis or suppression.4However; infeasibility of local examinations,
externa. Endometriosis is an sometimes cycle pains respond trans-vaginal ultrasound and
aggressive, progressive and invasive poorly to anti prostaglandins and diagnostic surgical procedures.
disease. Prevalence is about 10-15%. contraceptive pills and this may This study aimed to investigate
Sites of endometriosis: abdominal, be attributed to internal scarring, the prevalence of adolescence
extra abdominal, remote. adhesions, pelvic cysts, chocolate endometriosis among school girls
ovarian cysts, bowel obstruction and with severe dysmenorrhea.6
Risk factors peritonitis.5
1. Low parity Clinical features
The diagnosis of adolescents’
2. Delayed child bearing endometriosis is sometimes 1. dysmenorrhoea
3. Family history of endometriosis enigmatic; however, history and 2. abnormal uterine bleeding
4. Genital tract obstruction clinical examination usually lead the 3. Infertility
physician to suspect it.6 The use of
5. Environmental toxins 4. Dyspareunia
AUS and MRI remain an important
6. Peritoneal fluid abnormalities.1 addition to the non-invasive 5. Chronic pelvic pain
Many theories have been proposed diagnosis and should be performed 6. Abdominal pain
to explain the occurrence of before treatment, especially surgical
endometriosis but genetic one.7 On the other hand some Case study
predisposition is now evolving and biological markers may be used for
A 25 years old, hindu lady reported
focus has been given on alterations prediction and treatment follow
on 12.10.20 with a complaint of
or genetic mutations that may up in endometriosis, commonly
pain in right lower limb during
start in-utero or in adolescents and CA125.8 It goes without saying that
menses since menarche was eager
young adults.2 Immune system is laparoscopy with biopsy of the
to conceive. History of married life
postulated by many to have a role suspicious lesions remains the gold
with a duration of 3 years.
in determining who can develop standard for diagnosis as well as
endometriosis, as well as the extent management intervention in severe History of presenting complaints
and clinical manifestation of the cases. 9 and treatment history

ARTICLE
CASE STUDY
Patient has a history of pain in right Menstrual history is a teacher by profession, where
lower limb during menses since 28 days cycle with 3-4days duration, she is unable to remember and
menarche. She took analgesics for normal flow. Married life of 3 years concentrate due to the fear that she
her temporary relief, while the duration. will never have child for the reason
symptoms started reappearing. of her endometriosis. She used to
Physical generals: There was pain
In view of eager to conceive, the spend 10000 rupees for a weekdays
in right lower limb during menses,
patient approached a gynaecologist medicine which was increasing her
severe in nature associated with
which accidentally revealed anxiety, stress regarding the financial
pain in right thigh extending from
Endometriosis. crisis. She became very irritable
hip to thigh only during menses.
since she had been diagnosed with
Past history: Known case of Aggravation by slight exertion.
endometriosis. She weeps without
hypothyroidism since 2 years on Ameliorated by pressure and
any cause. She dislikes consolation.
treatment drawing of limbs. Decreased sleep,
Quarrelling tendency, feels better by
pain during intercourse. Dryness of
crying. Palpitation for thunderstorm,
Family history All members in the vagina. Decreased sexual desire, hot
sudden noises.
family are healthy and alive with no flushes, desire for eating all the time.
significant medical history. She had craving for spicy food.
Provisional diagnosis:
Obstetrical and gynaecological Mental generals: Patient is sad, endometriosis with primary
history: Gravida - 1. difficulty in concentration. She infertility1
Analysis and evaluation of symptoms 12:
S. No Category Symptoms Common/uncommon Intensity
1 mental generals weeping-causeless Uncommon ++
2 mental generals weeping- ameliorating condition Common ++
3 mental generals concentration difficulty Uncommon ++
4 mental generals fear thunderstorm Uncommon ++
5 mental generals sensitive to slight noise Uncommon ++
6 physical generals heat flushes of Common +
7 physical generals desires spicy food Uncommon ++
8 physical generals sleep restless Common +
pain in right thigh during menses

physical
9 Uncommon +++
particulars <slight exertion>pressure, drawing
limbs
Totality of symptoms 5. Sensitive to slight noise 10. Decreased sexual desire

1. Weeps without any reason 6. Hot flushes all over the body. 11. Aggravation by slight exertion,
2. Feels better by crying 7. Desire for spicy food amelioration by pressure and
drawing of limbs.
3. Difficulty in thinking and 8. Pain in right thigh during
concentration menses 12. Decreased sleep.
4. Fear of thunderstorm 9. Pain during intercourse

CASE STUDY ARTICLE
Figure 1: Repertorisation 10 of pain < slight exertion, weak

memory, uterine disorders with
menstrual irregularities, aversion
to sex, heat flushes. Sepia officinalis
is having more efficacy in treating
the infertility with endometriosis.
The remedy was chosen according
to the principles and practices of
homoeopathy and given on the
basis of constitutional totality after
detailed case taking, recording,
interpretation, and evaluation of
symptoms, and repertorisation,
whenever required. Hence,
Sepia officinalis was chosen as the
prescribing remedy.
Justification of remedy: First prescription: Sepia officinalis

concentration, fear of thunderstorm, 200+ was prescribed, three doses was
Profound melancholy, weeping sensitive to noise13, depressed advised, for 3 consecutive mornings,
without cause, difficulty in mood, pain in rightll, drawing type and placebo 15 days.
Table 1: Follow up with prescription
Date Symptoms Prescription
(1st visit ) Pain in right lower limb during menses since menarche. 1. Sepia officinalis 200 potency of wa-
She took analgesics for her temporary relief, while the ter dose for 3 consecutive days
12/10/20 symptoms started reappearing. In view of eager to con-
ceive, the patient approached a gynaecologist which ac- 2. Placebo once a day before going
cidentally revealed endometriosis in ultrasonography to bed for 15 days duration
of abdomen and pelvis. Hence, she was under the treat-
ment for endometriosis, but there was no improvement
with allopathic treatment, hence approached with the
complaints of eager to conceive. Detailed history was
obtained.
05/11/20 Eager to conceive. Placebo 4 pills daily once to night
History of pain in right thigh during menses - much bet-

ter for the last menstrual cycle. Intensity of pain - much
better when compared to previous analgesics. History of
sleep improved. LMP:1/11/20.
17/12/20 Had not yet attained menses, advised HPT ,which re- Placebo 4 pills 1 month
vealed HPT=+ve, ultrasonography (abdomen and pel-
vis) showed single intrauterine gestational sac at 5
weeks and 3 days.

ARTICLE
CASE STUDY
Figure 2 Figure 3
Figure 4 Figure 5

CASE STUDY ARTICLE
Conclusion 4. Altshuler AL, Hillard PJ. Menstrual suppression

for adolescents. Top of Form Curr Opin Obstet
Gynecologists. Management of endometriosis.
ACOG Practice Bulletin No. 114. Obstetrics and
Gynecol. 2014 Oct;26(5):323–31. doi: 10.1097/ Gynecology. 2010;116(1):225–236.[Cited 2021
Thus, it is the responsibility of the GCO.0000000000000098. [Cited 2021 April 26] Ma5th.Available from https://www.ncbi.nlm.
Available from https://journals.lww.com/co- nih.gov/pmc/arighticles/PMC4461025
homoeopathic fraternity to make obgyn/Abstract/2014/10000
10. RADAR (computer program).Version
people aware about the scope of 5. Kapok Dharmesh, Davila Willy, Laufer MR, 10.Belgium: Archibel Software:2010.
homoeopathy for infertility. The et al. Prevalence of endometriosis in adolescent
11. Clarke JH.A Dictionary of Practical Materia
girls with chronic pelvic pain not responding
dynamic homoeopathic remedies to conventional therapy. J Pediatr Adolescent
Medica.New Delhi;B.Jain Publishers Pvt.
Ltd.;2014
are not only effective but can do Gynecology. 1997;10:199–202. [Cited 2021 April
26] Available from https://pubmed.ncbi.nlm.nih. 12. Kent JT ,Lectures on Homoeopathic Materia
wonders in treating infertility with gov/9391902 Medica,New Delhi:B.Jain Publishers(P)Ltd;2013
the most efficient and gentle form. 6. Osayande Amimi s, suarna mehulic Diagnosis 13. Allen HC.Keynotes and characteristics with
and Initial Management of Dysmenorrhea. Am Fam comparisons of some of the leading remedies
Physician. 2014 Mar 1;89(5):341–346. [Cied 2021 of Materia Medica with Bowel Nosodes.B.Jain
References April 28]Available from https://pubmed.ncbi. Publishers:2002
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1. D C Dutta’s Textbook of Gynaecology,8th
edition,New Delhi:B.Jain Publishers(P)Ltd;2020 7. Bekiesińska-Figatowska M. Magnetic resonance About the author
imaging as a non-invasive detection tool for
2. Gargett CE, Schwab KE, Brosens JJ, et al.
Potential role of endometrial stem/progenitor cells
extraovarian endometriosis--own experience. Ginekol Dr Tummala Aarathi Reddy
Pol. 2014 Sep;85(9):658–64.[Cited 2021 May 1st.
in the pathogenesis of early-onset endometriosis. Mol
Available from https://pubmed.ncbi.nlm.nih.
Assistant Professor, Department of
Hum Reprod. 2014 Jul;20(7):591–8.[ Cited 2021
April 3rd] Available from https://pubmed.ncbi.
gov/25322536 OBG, MNR Homoeopathic Medical
nlm.nih.gov/24674992 8. Pittaway Donald E. The use of serial CA125 College, Sangareddy, Telangana
concentrations to monitor endometriosis in
3. Doyle JO, Missmer SA, Laufer MR. The effect
inferightile women. American Journal of Obstetrics State
of combined surgical-medical intervention on the
and Gynecology. 1990 Sep;163(3):1032–103. [Cited
progression of endometriosis in an adolescent and
2021 May 5th Available from http://dx.doi.
young adult population. J Pediatr Adolesc Gynecol. 
org/10.1016/0002-9378(90)91119-W.
2009;22:257.[Cited 2021 April 25] Available from
https://pubmed.ncbi.nlm.nih.gov/19646673 9. American College of Obstetricians and
Clinical Tips of Jtalwarts

THE HOMOEOPATHIC
PHYSICIAN’S QUICK PRESCRIBER
DR. K.D. KANODIA
• This work is almost the first of its kind to assist the profession in
learning from the experiences of stalwarts. It is a comprehensive
book for students and professionals of Homeopathy.
• It is the consolidation of unfailing experiences of our physician’s
world. It consists of therapeutic experiences of pioneers of
homeopathy medicine.
• Materia Medica has been arranged in a way to make it more
convenient & useful.
• In therapeutics, the experiences of those who have achieved
higher results are highlighted.
• The book also contains diagnostic tips from eminent physicians.
ISBN:ISBN
978-81-319-0039-0
: 9788131900390 | ` 208 || 324
` 245
pp | 324 pp
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ARTICLE
CASE STUDY
A case of endometrial polyp cured with homoeopathy

By Dr Shweta Singh
Abstract: Endometrial polyps or uterine polyps are abnormal growths of endometrial glands which typically protrudes into the
uterine cavity. Endometrial polyps are relatively common and usually benign in nature, may affect women of reproductive age
groups as well as post-menopausal women. In modern medicine, surgical intervention is the only treatment but as per my little
experience, most of the female gynaecological diseases can be cured effectively by a well selected homoeopathic simillimum. The
constitutional approach always yields wonderful results.
Keywords: Endometrial uterine polyp, homoeopathy, intermenstrual bleeding, Natrum muriaticum, Sepia officinalis.
Abbreviations: Ultrasonography (USG), hormonal replacement therapy (HRT), last menstrual period (LMP),
aggravation (>), amelioration (>)
Introduction It would appear that these c. Heavy bleeding

endometrial polyps are relatively d. Vaginal bleeding after
E ndometrial polyps, also called

uterine polyps, are discrete
outgrowths of endometrium that
insensitive to cyclical hormonal
changes and so are not shed at the
e.
menopause
Trouble getting pregnant
time of menstruation. In addition
contain a variable amount of gland they may contain hyperplastic Complications of uterine polyps
stroma and blood vessels, attached foci, particularly in those that are
Malignant change is rare but it may
by a pedicle, which moves with the symptomatic.(2)
coexist with endometrial carcinoma.
flow of the distension medium. They
may be pedunculated or sessile(1,2), The other risk factors may include:
The predictors of malignancy
single or multiple. They may vary in Obesity are: (a) Size more than 10 mm;
size from as small as a sesame seed (b) Postmenopausal status; (c)
to as big as a golf ball (0.5 – 4 cm). Hypertension Abnormal uterine bleeding(4)
It is probable that they are present
Diabetes
in 25% of women with abnormal Polyps also interferes with fertility
vaginal bleeding although atleast because they can keep a fertilized
Women experiencing abnormal egg from attaching to your uterus or
10% of asymptomatic women are bleeding while taking HRT
also likely to have polyps.(2) block your fallopian tubes or cervix.
In most cases, the uterine polyps Tamoxifen - a drug used for breast Miscarriages are more common in
are benign but removal is necessary cancer (found in upto 30% of such females having polyps.
to exclude the remote possibility of cases)(4)
infertility & malignancy.
Diagnosis(2,3)
Clinical presentation
• Ultrasound (USG)
Causes a. Asymptomatic, especially in • Transvaginal ultrasound (TVS)
The cause is unknown. It may be case of solitary/ small sized • Hysterosonography
linked to changes in oestrogen polyp
• Hysteroscopy
levels. Endometrial polyps are more b. Unscheduled vaginal bleeding
common in reproductive age group • Endometrial biopsy
or spotting is the commonest
especially in 40s or 50s. It may be symptom. The persistent
due to the changes in oestrogen
Case report
intermenstrual bleeding for
levels that happen just before and at least 3 months or more is Introduction
during menopause.(3) significant. Miss Pink, aged 27 years, unmarried

CASE STUDY ARTICLE
female came to me on 14th September became silent and irritable; anger desire for salty things. She is a hot
2020 with the complaint of irregular was quite visible but suppressed, patient.
vaginal bleeding with weakness and otherwise she was a sincere happy
trembling of legs. She was working girl but emotional too. Mental generals
as a beautician but stopped due to
Menstrual history: She was irritable in nature, jealous,
lockdown imposed during Covid-19.
contradiction aggravated her.
She was fair in complexion, with
LMP: 29th August 2020 She became angry on slightest
blue circles around the eyes.
triggers but didn’t express herself.
Duration 2-3 days Suppressed anger, used to weep
Presenting complaints
only when alone, fastidious.
Character of the bleeding: Dark red
The chief complaints of the patient
in colour with few clots On examination
was intermenstrual vaginal spotting
since 5-6 days. Along with that, she
Past history: she had acne in the The patient was found to be
also complains of much weakness
past for which she had undergone hypotensive, measured blood
with trembling of legs.
homoeopathic treatment (6-7 pressure was 100/60mm Hg. The
History of presenting complaints months back) appearance of tongue was found to
be clean and moist.
The patient was apparently well Family history: Nothing specific
5-6 days back then she started was found Investigations: Ultrasound revealed
complaining of intermenstrual that the endometrial lining was
spotting when she urinates. She Physicals generals mildly thickened and heterogenous
looked very depressed and sad. On in ecopattern. The endometrial
further enquiry, it was found that The patient’s appetite was quite thickness is 13mm.
some family disputes were going on decreased, doesn’t want to eat
for the last 15- 20 days since then she anything. She is thirstless. She had Endometrial polyp sized 11* 7.8mm.
Analysis and evaluation of symptoms
Mental generals Physical generals Particulars

Irritability++ Thirstless ++ Intermenstrual bleeding while urination
Jealousy+++ Desire salty things Hypotension
Weeps when alone++ Hot patient Weakness with trembling of legs
Contradiction aggravates++
Miasmatic analysis(5)
S. Predominant
Presenting symptoms Psora Syphilis Sycosis Tubercular
No. miasm
1 Irritability √ √ Tuberculo-psoric
2 Jealous √ √
3 Desire salty √
4 Weakness √
5 Hypotension √
6 Eyes – around blue rings √ √
7 Menses- too frequent √
8 Polyps- bleeding, uterine √

ARTICLE
CASE STUDY
Following symptoms were con- 3. Mind – weeping, tearful mood: salt or salty food desires
sidered for repertorisation using alone, being agg 7. Clinical - hypotension
Hompath(6): 4. Mind – contradiction: ailments
8. Extremities – trembling; legs
from; agg
1. Mind – irritability 5. Stomach - thirstlessness 9. Female genitalia – haemorrhage;
2. Mind – jealousy 6. Generalities - food & drinks: uterine, metrorrhagia
Repertorial result
Selection of remedy with justifica- Thus, according to the totality to exercise regularly for atleast 30
tion of the symptoms and miasmatic minutes. She was suggested few
predominance, SINGLE DOSE disease specific yoga exercises to
The repertorial result of the case of Natrum muriaticum 200CH be followed regularly like butterfly
showed that the highest ranked was prescribed according to the pose, cobra pose (bhujangasana),
remedy which covers most of the susceptibility of the patient. standing forward bend, hare pose,
symptoms of the patient was Natrum etc.
muriaticum. After considering Prescription
materia medica, Natrum muriaticum Diet should include variety of
was found to be a useful remedy for Natrum muriaticum 200CH, single healthy foods like whole grains,
menstrual irregularities, depression. dose green leafy vegetables, low fat dairy
The general constitution and products, seasonal fruits. Drink
Followed by Placebo 30, thrice a day
mental picture of the patient was atleast 3-4 litres of water in a day.
for one month.
also similar to Natrum muriaticum Restrict excessive salt or sweets
as described in materia medica(7). Management intake. A diet rich in transfat should
This remedy was also covering the be avoided.
predominant miasm, i.e. tuberculo- Along with the homoeopathic
psoric miasm.(5) medicines, the patient was advised
Follow up
Date Symptoms Prescription Justification

8 Oct 2020
th
No intermenstrual spotting Placebo 30 Return of old symptom indicates
good response.
Patient feels better
It indicates that the path of recov-
Menstrual history ery is following the right direction
according to the Hering’s law of
LMP: 27th September 2020 cure.

CASE STUDY ARTICLE
Duration : 7 days Prognosis : good
Flow: Profuse, dark red in colour Next step should be “Wait &
with clots watch”
Leucorrhoea – white, thick, acrid,

little offensive
Pustular eruptions appear over

genitals- old symptom
She looks little better mentally too.
4th Nov 2020 No intermenstrual bleeding Placebo 30 Patient is still improving in

general.
Patient is better in general
No intermenstrual bleeding
Menstrual history occurs.
LMP: 29th October 2020 Advise :
Duration : 6 days Apply petro- There was coming and going of

leum jelly over symptoms. One should not
Flow : Normal the cracked and interfere with the ongoing action
chapped fingers of remedy
Multiple joint pains appeared but
relieved without medicines
Aggravation: Morning Next step should be “wait &

watch”
Painful eruption appear over tip of
left index finger with Cracked &
chapped finger tips
Advised for another USG
< winters
Eruptions over genitalia appeared

on & off.
10th Dec 2020 No intermenstrual bleeding occur Natrum muri- Patient was better.
aticum 1M/ single
Painful eruption over tip of left dose But ultrasound revealed increase
index finger and cracked chapped of the size of polyp, i.e. 13.3 *
hands better. Followed by 9.4mm.
Placebo 30
Pustular eruptions over genitalia But good point was the endometri-
was still there. al thickness was normal this time
and heterogenous ecopattern turns
homogenous.
Acidity++
Eructations after eating Pustular eruptions are still there.

Therefore, higher potency of
Back pain (lumbo-sacral region) same remedy was used in spite of
with stiffness change of remedy.

ARTICLE
CASE STUDY
7th Jan 2021 No intermenstrual bleeding occur Sepia officinalis Due to the marked and peculiar
1M symptom of the patient, i.e. “indif-
Backache still same ference with loved ones”, Sepia
officinalis was chosen as it is the
Acidity - same with pain in epigas- remedy which complements and
trium follows Natrum muriaticum well.(7)
Hyperpigmentation over cheeks
Menstrual history
LMP - 25 December 2020
Duration: 5-6 days
Flow: normal
Leucorrhoea – white, thick and of-

fensive
Mentally, the patient was indifferent

to her family members especially
to her mother whom she loved the
most.
5th Feb 2021 No intermenstrual bleeding oc- Placebo 30 Placebo was given as the patient
curred was improving.
Acidity better
Back pain slightly better stiffness in

the morning
Menstrual history
LMP - 21st Jan 2021
Duration: 6 days
Flow: normal
Leucorrhoea better
Pustular eruptions reappeared but

in less intensity.
5th Mar 2021 Patient much better Placebo 30 Patient much improved
No intermenstrual bleeding oc-

cur
Advised for another USG after
Menstrual history next menstrual cycle.
LMP 15th Feb 2021
Duration 7 days
Flow normal

CASE STUDY ARTICLE
Acidity better
Back pain with stiffness better.
Pustular eruptions completely

disappeared.
Conclusion References About the author

1. Monga A, Dobbs S. Gynaecology by ten teachers,
In modern era, the menstrual 19th edition. CRC Press, Taylor & Francis group, Dr Shweta Singh, MD (HOM.)
problems are increasing more LLC. p100
Senior Homoeopathic Consultant,
likely due to sedentary life styles, 2. Edmonds D K. Dewhurst’s textbook of
obstetrics & gynaecology, 7th edition. Blackwell Orbit Clinics, New Delhi
improper diet and mental stress Publishing: 2007; p637
which disturbs the hormonal levels. 3. Martin J L. WebMD (Online); 2020
Assistant Professor; Department
Homoeopathy have promising Available from: https://www.webmd.com/ of Organon of Medicine (JRK
results in such gynaeco-surgical
cancer/cervical-cancer/uterine-polyps Homoeopathic Medical College &
cases and saves the patients from
4. Dutta D C. Textbook of Gynecology, 6th edition, Hospital)
Jaypee Brothers Medical Publishers (P) Ltd,
getting under the surgical knife. New Delhi; p235 Medical Director, Muskan
Homoeopathy treats the patient 5. Banerjea S K. Miasmatic Prescribing, its Foundation, New Delhi
philosophy, diagnostic classifications, clinical
as a whole, not just the disease. tips, miasmatic repertory, miasmatic weightage Vice- President, Delhi Homoeopathic
of medicines and case illustrations, Second
Individualisation plays the major extended edition: 2006, B Jain Publishers (P) Ltd, Medical Association
role in the selection of most similar New Delhi
Chief Administrator, KHA
remedy. Patients may respond well 6. Hompath Software
Homoeopathy Study Group, USA
7. Boericke W; Pocket Manual of Homoeopathic
to the constitutional remedy than to Materia Medica & Repertory, Low Price edition:
a specific or therapeutic remedy. 2006, B Jain Publishers (P) Ltd, New Delhi 
Clinical
Miasmatic Prescribing
Dr Aditya Pareek
• The author has shared his practical experience on miasms and how to
clinically apply the different miasms in practise.
• The book is divided into 3 sections. The first section aims to put across the
fundamentals of theory, its utility and brief history. It also deals with the
applied aspects, i.e. anti-miasmatic prescribing.
• In the 2nd considering the importance of clear clinical differentiation,
comparative tabulations have been provided. Remedy discussion has
been made for most of the symptoms mentioned.
• The 3rd aims to show the applicability and practical utility of miasms
through various case discussions.
ISBN: 978-81-319-1690-2 | ` 299 | 260 pp

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SUBJECTIVE
Conium maculatum in female disorders: multitasker

friend for women
By Dr Jaimin R. Chotaliya
Abstract:
Background: Women are symbolised for gentleness and sensitivity, hence diseases related to women must treat with gentle
methods. Homoeopathy is known for its gentle treatment and providing relief in many female disorders. Homoeopathic medicines
prove their efficacy in management of female disorders, and among these medicines, Conium maculatum occupies its unique
place in management of various female disorders from dysmenorrhoea to carcinoma related to female genital organ. So, it is
imperative to understand the role of this multitasker in depth.
Materials and methods: A literature search was conducted using various data sources like pubMed, web of science, google
search engine, Encyclopedia Homoeopathica and other printed sources like different materia medica to explore its action regarding
female disorders.
Result and Conclusion: This study not only explores the role of conium in female disorders but also explores its action at cellular
level.
Key words: Conium maculatum, female disorders, homoeopathy.
Abbreviations: DNA - deoxyribonucleic acid, ROS-reactive oxygen species, MMP- mitochondrial membrane
potential, CD-Spectroscopy- circular dichroism spectroscopy
Introduction explore the role of Conium macu- study related to Conium maculatum
latum in various female disorders or its action before 2011 were ex-
H omoeopathic materia medica

contains many symptoms
related to female genital organs
through various literatures in medi-
cal field”, and secondary objective
was “to understand its utility from
cluded.
OBSERVATIONS AND RESULTS

which are collected during drug various data related to its action on
cellular and biological level. Conium maculatum as poisonous
proving, toxicological data
substance: (1)
and clinical experiences from
Materials and methods:
various pioneers. Homoeopathic Conium maculatum is an erect an-
medicines give huge contribution A literature search was conducted nual or biennial, virtually glabrous,
to Gynaecology and Obstetrics using various data sources like with a foetid, mousy odour when
department of medical science with pubmed, web of science, google crushed. Conium maculatum, com-
their dynamic action in management search engine, Encyclopedia Ho- monly known as poison hemlock, is
of female disorders. Conium moeopathica and other printed one of the most toxic members of the
maculatum (from Apiaceae family) sources. plant kingdom. The concentrations
and relative ratio of different Co-
is one the medicines known for its
Inclusion criteria: 1) All the lit- nium maculatum alkaloids appear to
action in female disorders. Due to its
erature sources from homoeopathy depend on different factors such as
action in various female disorders its temperature, moisture, time and age
(computerised and printed) were
action is one of the curious matters examined to collect information of the plant. It contains piperidine
for every physician. Study of Conium regarding the role of Conium macu- alkaloids (coniine and cyanapine).
maculatum medicine in context to its latum in female disorders. 2) While The consumption of varying parts
role in various cases with some data various data regarding action of of the plants can cause different de-
regarding cellular and bio-chemical Conium maculatum on cellular level grees of clinical effects. The leaves
action explores its multitasker role were collected from various data are more dangerous in spring, and
in management of female disorders. sources with time period of 10 years the fruit (mature fruits) are in fall.
Objective of study: (2011-2020).
Conium at cellular level (active
Primary objective of study was, “to Exclusion criteria: Any research principles):(2) Conium maculatum

SUBJECTIVE
contains a poisonous piperidine Conium maculatum as medicine: gullet and larynx) and as inhalation
alkaloid, coniine and related As a medicine, it is a sedative to relieve coughing in bronchitis,
alkaloids, N- methyl-coniine, and antispasmodic. It is directly whooping cough and asthma. In
conhydrine, pseudoconhydrine antagonist to strychnine and china, it may be used medicinally
and gamma-coniceine. Conium therefore used as antidote in to relieve pain and reputedly as a
maculatum is teratogenic where strychnine poisoning and also in cancer cure. (1)
its active principles, coniine and tetanus and hydrophobia. It may
gamma coniceine are considered prescribe in undue nervous motor Some articles (short summary) re-
the teratogenic agents for cattle, pigs excitability (dentition, early stage lated recent research studies about
and sheep. of paralysis agitans, spasms of conium are worthy to understand.
Measurable
No. Title Citation Authors conclusion
outcome and sesult
1 Anticancer Mondal J., Panigrahi AK, Its effect on cell cycle measured Overall results validate
potential of Khuda-Bukhsh AR. An- through the cytometry where co- anti-cancer potential
conium macu- ticancer potential of conium treatment reduced cell vi- of conium and provide
latum extract nium maculatum extract ability a colony formation at 48h support for its use in
against cancer against cancer cells in and inhibited cell Proliferation, traditional systems of
cells in vitro: vitro: Drug DNA interac- arresting cell cycle at sub-G stage. medicine.
Drug DNA in- tion and its ability to in-
There is increased generation of
teraction and duce apoptosis through reactive oxygen species at 24 h,
its ability to in- ROS generation; increase in MMP depolarization,
duce apoptosis morphological changes and DNA
through ROS Pharmacogn.Mag.2014 damage in HeLa cells along with
generation (3) Aug; 10 (suppl 3): S524- externalization of Phosphatidyl
S533. serine at 48 hrs. CD-Spectroscopy
revealed that conium interacted
doi: 10.4103/0973- with DNA molecule.
1296.139792
Journal article. PMID-

25298670
2 Highly diluted Lopes CR, Falkowski GJ, In a blind,controlled, random- Here Ly with 13ch po-
medication Brustolin CF, Massini PF, ized study, 102 male swiss mice, tency had significantly
reduces tis- Ferreira EC, Moreira NM, 8 weeks old were inoculated with more benefits in the
sue parasitism Aleixo DL, Kaneshima 1400 trypomastigotes of the Y treatment of mice in-
and inflamma- EN, de Araujo SM. High- strain of T. Cruzi and Distributed fected with T. cruzi. (for
tion in mice ly diluted medication re- into groups; Cl (with 7% hydroal- conium (Co group) –de-
infected with duces tissue parasitism choholic solution), Ca (treated creased the formation of
Trypansoma and inflammation in mice with kali causticum), Co(treated inflammatory foci com-
Cruzi. (4) infected with Trypanso- with Conium), Ly (treated with pared to Cl group.
ma Cruzi.; Homoepathy lycopodium clavatum), all treat-
2016 may; 105(2): 186-93, ments performed 48h before and
Journal Article 48,96 and 144 h after infection.
All homoepathic medication was
PMID-27211326 13cH potency with Brazilian Ho-
moeopathic Pharmacopoeia. In
this study if we observe specifical-
ly for Conium- total parasitemia
was significantly lower in Ca,Co
and Ly groups than Cl group. In

SUBJECTIVE
skeletal muscle, Co and Ly de-

creased the formation of inflam-
matory foci compared with Cl. Ly
afforded grater animal survival
than others. The animals in Co
group died prematurely com-
pared to Cl group.
Conium maculatum as homoeo- Conium maculatum brought mae, Conium maculatum right, Silicea
pathic medicine: about a cure. (7) Ovaritis; ovary terra left nodules.(12) “Acting, as Co-
enlarged, indurated; lancinating nium does, upon the glandular system,
Action and symptoms of conium pain. (8) Pulsatilla nigricans is often we naturally expect it to be a great anti-
were mentioned by many serviceable also in more frequent scrofulous and anti-cancerous remedy.
homoeopaths in different materia We use it for swelling and induration
chronic form of the disease; but it has
medica but some are very useful of glands after contusions and bruises;
rival in conium, which is strongly
data regarding the role of Conium tumour of various kinds, especially scir-
recommended by Dr Drury. (5) rhus, coming on after injury, are also
maculatum in homoeopathy. Dr Burt
Vaginitis: Dr Jahr mentioned about helped by this remedy. These indura-
mentioned about atrophic condition
utility of Conium maculatum in tions are quite common in the mammae,
at glands related to genital organs. in the testicles, and in the uterus”. (13)
Let’s explore the role of Conium chronic vaginitis and also for vagi-
maculatum in female disorders nal fistula. (7) Leucorrhoea after mic- Prolapse of uterus: Dr Guernsey
turition. (8) mentioned in following way, Prin-
except its popular use in vertigo and
neurological disorders. Vulvitis: Dr Jahr recommended this cipally with Conium, fifteen years
medicine if the inflammation had ago, I cured permanently a case of
Menstrual irregularities: been caused by mechanical influ- prolapsus of six years’ standing, in
ences. (7) which all pessaries and abdominal
Amenorrhea: Dr Hughes mentioned supporters, even that of the celebrat-
about role of Conium maculatum Mastitis: suitable for induration af- ed Mrs. Betts but failed to keep the
in amenorrhoea where it is part ter inflammation. Mammae lax and uterus within the vulva. The pro-
of a general depression of sexual shrunken, hard, painful to touch. lapsus was complicated with indu-
activity. (5) Stitches in nipples. Wants to press ration, ulceration and profuse leu-
breast hard with hand. Breasts en- corrhoea. This lady has since borne
Dysmenorrhoea: Guernsey large and become painful before and several children, and has never ex-
mentioned Conium maculatum for during menses. (8) perienced a return of the malady.
dysmenorrhoea. (6) Dr Jahr consider All cases of prolapsus can be cured
Tumour (fibroadenoma, fibroid, by the use of the indicated homoeo-
it as second-class remedy for polyps and other benign tumours) pathic remedy.(14) The prolapsus was
dysmenorrhoea. (7) Dysmenorrhoea,
complicated with induration, ulcer-
with drawing-down thighs. (8) Dr Dunham mentioned that Pliny ation and profuse leucorrhoea- these
and Avicenna recommended poul- indications were mentioned under
Meno-metrorrhagia: Dr Boger tices of Conium maculatum and corn- the heading of cancer.(15) Indura-
mentioned about irregular menses plaster to remove tumours of the tion and enlargement of ovaries and
under conium. (9) Menses delayed breasts and testes, and to repress the womb, prolapsus uteri complicated
and scanty; parts sensitive. Rash secretion of milk.(10) Dr Burnett men- with induration and ulceration of
before menses. Itching around tioned about usefulness of Conium the cervix, with profuse leucorrhoea,
pudenda. (8) maculatum in case of tumour where have been repeatedly cured with Co-
cause is mechanical one( traumatic nium maculatum on the indication of
injury, fall or blow) and he also men- these complaints having been the
Inflammatory condition of female tioned about role of Conium macula- result of suppressed sexual desire.(13)
genital organs: tum in relieving neuralgic pain.(11) Dr
Nash mentioned about some indica-
Ovaritis: In a case of acute ovaritis tion of conium with remedy differ- Pregnancy, labour and parturition:
supervening during chronic entiation which are as follow, Many
inflammation of this organ, and cases of lumps or swellings in the Unready conception. (8) Conium
where the face had already become breasts, Conium maculatum and Sili- maculatum is useful for symptoms
hippocratic and the pulse filliform, cea terra both have hardness of mam- like anorexia, disgust to bread,

SUBJECTIVE
craving for coffee and salt things, relation of anti-inflammatory action 1869.Letter XLIII& XLV, Ovaritis, Chlorosis,
Sterility;p. 400,407,427. Available from: https://
pyrosis /acidity are seen during of Conium maculatum in research archive.org
pregnancy. (14) Conium maculatum study and its curative role for 6. Guernsey E. Homoeopathic Domestic Practice.
is indicated where fetal movement various types of inflammation in 1st edition. Chapter XI, Diseases of Women;
Dysmenorrhoea. Retrieved from Encyclopedia
disturbs mother’s sleep. (16) conium homoeopathic literature provide a Homoeopathica version number 2.2.1-
also mentioned for nosebleed during sound scientific basis for the action 2006/07/24.
pregnancy and cough that excite of Conium maculatum. Similar thing 7. Jahr G.H.G. Homoeopathic Treatment of
the vomiting. Induration of cervix was observed in case of research diseases of Females and infants at the breast.
Retrieved from Encyclopedia Homoeopathica
after delivery where stinging pain is study about role of cancer in Conium version number 2.2.1-2006/07/24.
indication for Conium maculatum. (17) maculatum and its corresponding 8. Boericke W. Pocket Manual of Homoeopathic
homoeopathic use of cancer by Materia Medica & Repertory. Low Price Edition
2002. India: B. Jain Publishers (P) Ltd; p.231.
Neuralgia: The natural enlargement various Pioneers like Guernsey and
9. Boger C.M. A Synoptic Key of the Materia
of the breasts at this period causes Grimmer. So, it is helpful to study Medica. Second Edition. India: B. Jain Publishers
undue pain and tension. Conium the medicine in context with recent (P)Ltd.: p.116
maculatum and Pulsatilla nigricans research to understand the logical 10. Dunham C. Lectures on Materia Medica.
are suitable here when neuralgia Conium maculatum. Retrieved from
reasoning regarding the action of Encyclopedia Homoeopathica version number
predominates. (14) According to Cow- medicine. 2.2.1-2006/07/24.
perthwaite, swelling, soreness and 11. Burnett J.C. Tumours of the Breast and their
pain in the breasts preceding the treatment and cure by medicines. Retrieved
menses, either with or without tu- Conclusion from Encyclopedia Homoeopathica version
number 2.2.1-2006/07/24.
mor is useful clinical indication for The above mentioned homoeopathic 12. Nash E.B. Expanded work of Nash. 1st edition.
Conium maculatum. (18) data and research studies support the Retrieved from Encyclopedia Homoeopathica
version number 2.2.1-2006/07/24.
role of conium in female disorders.
Sterility: Borax and Conium are the 13. Choudhari N.M. Study on Materia Medica.
medicines most in repute: the for- Its well-known use in tumour as Upgraded edition 1st July 2009. India: B. Jain
Regular.
mer is said to be indicated by the well as lesser-known utility in
14. Guernsey E. Application of Principles of
co-existence of an acrid leucorrhoea, prolapse of genital organ provide Homoeopathy to Obstetrics. Chapter 11,
Displacement of Uterus. Retrieved from
the latter is suitable to depressed useful information regarding the Encyclopedia Homoeopathica version number
ovarian activity. (5) action of conium as well as open the 2.2.1-2006/07/24.
door for further clinical verification 15. Sanders O.S. A few Drugs of great value in
Cancer: Some of the apparently of this multitasker drug named
Prolapsus. Homoeopathic Journal of Obstetrics:
Diseases of Women and Children.1884-1885.
scirrhous formations are developed Conium maculatum . Retrieved from Encyclopedia Homoeopathica
in consequence of a blow upon the version number 2.2.1-2006/07/24.
breast; many of these, whether they 16. Lilienthal S. Homoeopathic Therapeutics. First
might have finally resulted in open References edition 1985. India: B. Jain Publishers (P) Ltd.;
Pregnancy.
1. CABI, 2021. Conium maculatum (Poison
cancer or not, are readily cured and hemlock). In: Invasive Species Compendium. 17. Farrington E.A. Lesser writing (with therapeutic
caused to disappear entirely by the Wallingford: CAB International; [Last Modified hints and clinical cases). Ailments before and
19 November 2019]. Available From: https:// after delivery. Retrieved from Encyclopedia
exhibition of Conium maculatum. (14) www.cabi.org/isc/tasheet/14820#todescription Homoeopathica version number 2.2.1-
Grimmer mentioned about conium 2. ScienceDirect. Conium maculatum [internet]. In
2006/07/24.
as drainage and canalized remedy agriculture and biological Science. Amsterdam: 18. Grimmer. A. H. Homoeopathic Treatment of
for breast carcinoma. Dr Cowper- Copyright ©2021 Elsevier B.V.; Available Cancer. 1st English edition. Retrieved from
from: https://www.sciencedirect.com/topics/ Encyclopedia Homoeopathica version number
waite mentioned about indurations, agricultural-and-biological-sciences/conium- 2.2.1-2006/07/24.
scirrhus where sharp, lancinating maculatum 19. Cowperthwaite A.C. Textbook of Materia
pain was present. (19) In all the scir- 3. Mondal J., Panigrahi AK, Khuda-Bukhsh AR. Medica and Therapeutics. Retrieved from
Anticancer potential of conium maculatum Encyclopedia Homoeopathica version number
rhous affections of the breast, womb extract against cancer cells in vitro: Drug DNA 2.2.1-2006/07/24.
or other parts the pains of Conium interaction and its ability to induce apoptosis
through ROS generation. Pharmacogn.Mag.
maculatum are burning, stinging, or
darting, and may make one think
[internet]. 2014 Aug; 10 (suppl 3): S524-S533.
Journal article. PMID-25298670 Available from:
About the authors
of Apis mellifica, other symptoms doi: 10.4103/0973-1296.139792 Dr Jaimin R. Chotaliya M.D.
must then decide between them. (12) 4. Lopes CR, Falkowski GJ, Brustolin CF, Massini (Hom.) Asst. Professor (Department
PF, Ferreira EC, Moreira NM, Aleixo DL,
Kaneshima EN, de Araujo SM. Highly diluted of Repertory) Swami Vivekanand
Discussion medication reduces tissue parasitism and
inflammation in mice infected with Trypansoma Homoeopathic medical college and
Cruzi. Homoeopathy. 2016 may; 105(2): 186-93,
It was small literature review Journal Article.PMID-27211326 Available from: Hospital, Sidsar road, Bhavnagar.
regarding Conium maculatum but https: doi.org/10.1016/j.homp.2015.09.005 364060
many indications and clinical 5. Hughes R. A Manual of Therapeutics: According
to Method of Hahnemann [internet]. First
verification are there in the edition. London: Henry Turner & Co., 77
homoeopathic literature. Here co- Fleet Street, E.C. and 74 New Bond Street, W.; nn

SPECIAL COVID-19 SECTION
Homoeopathy helps CRF patient suffering

from COVID-19
By Dr Lubna Kamal, Dr Mohan Singh, Dr Vandana Mishra
Abstract:
Background: COVID 19 is presently a global threat with over 169,268,157 confirmed cases and over 3,515,697 deaths worldwide
as reported by WHO. Since no country, economy or healthcare delivery system was prepared to face calamity of this magnitude,
there is still acute shortage of hospital beds and emergency services and here is where homoeopathy offers to help.
Material and Methods
Randomised controlled single blind study. Pre-diagnosed case of COVID 19 was taken up. The inclusion criteria for the study were
COVID-19 RT-PCR, Rapid Antigen Test kit, HRCT-Thorax.
Results
The SpO2 level, symptoms and investigations of patient improved after Homoeopathic treatment.
Conclusion
Homoeopathy can be extremely effective in managing COVID 19 epidemic and serves as the first line of treatment.
Keywords: COVID-19, homoeopathy.

Abbreviations: Corona virus disease 2019 - COVID 19, reverse transcription polymerase chain reaction - RT-PCR,
high resolution computed tomography scan - HRCT scan, saturation of peripheral oxygen - SpO2, World Health
Organisation – WHO, creatinine – creat., serum uric acid - SUA, sodium - Na, potassium - K, chloride - Cl, serum
glutamic oxaloacetic transaminase- SGOT, serum glutamic pyruvic transaminase - SGPT, lactate dehydrogenase –
LDH, interleukin - IL, c-reactive protein - CRP.
Introduction one, suffering from life threatening Religion: Muslim.

comorbidities, lack of hospital beds,
S ince last 14-16 months, COVID 19 Occupation: Retired from job

poses additional challenge.
has kept the whole world on its Weight: 77 kg.
toes. A pandemic of this magnitude Therefore, in a country like India,
in 21st century was far from being homoeopathy has a larger role to Height: 5’10”
imaginable. play in prevention, treatment and
management of COVID-19. Presenting complaints
All the 219 countries and territories
have followed different trajectories • Breathlessness < slightest
regarding number of cases and exertion since 2 days. Initially
Case history
deaths. India, facing the second slight breathlessness since last
wave, stands next to USA and Brazil Patient’s name: Mr. M.A. 6 days
in maximum number of COVID
Age: 68 years. • Cough with whitish
cases.
expectoration since 4 days
Sex: Male.
India has to caters to a population • Swelling over both feet since 4
of over 135 crores, there is Marital status: Married. days
approximately 1 doctor for 1445
Indians. For patients, such as this Socio-economic group: Middle. • Moderate fever since 7 days

• Excessive weakness Physical constitution alone. He was in a government job

• Sensation of tightness in chest where he worked with honesty
The patient was tall and slightly
and dedication. He was mild and
obese with pot belly. The skin was
History of presenting complaints never quarrelled with anyone. But
dry and smooth.
he is very faint hearted and cannot
Few days back his daughter in law
see anyone suffering and keeps on
was tested positive for COVID. He Past history
thinking about them.
was extremely worried for her. • Hypertension since 20 years,
He himself developed moderate controlled with medication The patient had been suffering
fever in next 2 days. He got himself from hypertension which was fairly
• Diabetes mellitus since 20 years.
checked with rapid antigen test controlled but his blood sugar
Taking medicines with poor
kit for COVID which detected as remained uncontrolled despite
control.
positive. He started with the usual taking medicines. 5 years back, he
prescribed government protocol • Chronic renal failure since 5
developed swelling over feet and
for COVID. On 5th day of taking years.
on investigation it was found that
Azithromycin tablets he started Physical examination his creatinine was 1.7 with moderate
having breathlessness and his SpO2 albuminuria.
• Temperature : 100.4
started to drop gradually. His cough
and congestion too worsened. He • Blood pressure : 160/90 Diagnosis
was advised oxygen intubation and • Pulse rate : 98/min
hospital admission but since no This was the case of pre-diagnosed
• SpO2 : 86 case of COVID19 J12.82 and pre-
beds were available his attendants
• Random blood sugar : 287 existing chronic renal failure N18.9,
decided to try homoeopathic
treatment along with intermittent • Respiratory rate: 28/minute confirmed through investigations
oxygen intubation at home. • Bilateral mild pitting pedal attached.[9]
oedema
Investigations
• No organomegaly was found.
Physical generals HRCT THORAX (21-04-21): Viral
• Rest of systemic examination
Appetite: Poor since onset of COVID. aetiology likely COVID with CO
was normal.
Otherwise he was eating normally. RAD 5 highly suspicious for COVID
Craving: great desire for salty and Family history 19. Extension of disease 35%.
spicy food ever since childhood. Severity index moderate 8/25.
Mother - Diabetes mellitus
Thirst: Intense and for large BLOOD (21-04-21): Creat - 3.0, Urea-
Father - Hypertension
quantities. 79.2, SUA-9.8, Na-149, K-4.17, Cl-
Description of patient and life 109.6, SGOT-89.9, SGPT-78.4, LDH-
Tongue: coated. space investigations: 728.4, D-Dimer-11,320, IL-6- 48.2,
Urine: diminished in quantity, CRP-24.2.
The patient was born and brought
non-foamy, non-offensive. BLOOD (06-05-21): Creat-2.0, Urea-
up under normal circumstances
Bowel: once, formed, unsatisfactory. 59, Na-139, K-4.0, SUA-5.3
in a joint family which is why he
Sleep: disturbed due to RT-PCR SARS CoV-2RNA (06-05-
always wanted to be surrounded
breathlessness and cough. 21): Negative
by people and had anxiety on being
Dreams: of future
events (frequent in past)
Case analysis
Perspiration: mild on face and scalp.
Non-offensive and non-staining Miasmatic analysis (Table 1)
Palms and soles: dry and warm Symptom Psora Sycosis Syphilis
(no heat, burning or sweating).
1. Anxiety alone 
Thermal: chilly
Habits: non-vegetarian. 2. Anxiety others 
Addiction: Nil.
3. Hypertension 

4. Diabetes 
5. Renal failure  
6. COVID  
Analysis and evaluation of symptoms (table 2)
Chapter Rubrics selected Symptom

1. Mind Anxiety others Mental general
2. Mind Anxiety alone Mental general
3. Mind Sympathetic Mental general
4. Mind Mild Mental general
5. Sleep Prophetic dreams Mental general
6. Generalities Food and drink, salt desire Physical general
7. Generalities Food and drink, spices desire Physical general
8. Stomach Thirst, unquenchable Particular
9. Urine Albuminous Particular
Repertorial analysis Justification for first prescription nitricum and Sulphur, further. The
9 symptoms were selected for Phosphorus was selected as patient also lacked the irritability
repertorial analysis and the simillimum as it scores the of Natrum muriaticum and had been
medicines with maximum coverage maximum marks compared to all calm and composed throughout
were Phosphorus 9/22, Arsenicum other medicines. The patient lacked life under almost all circumstances.
album 6/16, Sulphur 7/14, Natrum the fastidiousness of Arsenicum Therefore, there could not have been
muriaticum 6/13, Acidum nitricum album though he was fond of a simillimum better suited to the
5/10. Out of these, Phosphorus was bathing, unlike Sulphur. He had no patient than Phosphorus.[4] (repertory
selected. liking for fats ruling out Acidum chart attached)
Date of follow up Symptoms Additional comments Prescription

19-04-21 First Prescription Phosphorus Q1.5 drops
once every hour.
22-04-21 The patients SpO2 rose from Since Dr Hahnemann said about Phosphorus Q1. Contin-
86 to 90 with intermittent 50 millesimal potency (Footnote ued 5 drops once every
intubation, which was their 155 Aphorism 270) that unlike hour.
main concern. His breathing centesimal, while using 50 mil-
was also better. Mild grade lesimal scale, the simillimum
fever still persisted from 99 may be given for months, if nec-
to 99.4F. Cough, expectora- essary. (Aphorism 246).
tion, Tightness of chest were
also better. Since the patient was showing
signs of improvement, the same
medicine and potency was con-
tinued.[5]
27-04-21 All symptoms were better. Since the patient showed signs of Phosphorus Q1. Contin-
There was no fever. SpO2 further improvement, the same ued 5 drops once every
rose to a maximum of 92 medicine and potency was con- hour.
without oxygen intubation. tinued.[5]
Same prescription was con-
tinued.

06-05-21 The patient reported much BLOOD (06-05-21): Creat-2.0, Phosphorus Q2. Contin-
improvement. SpO2 was Urea-59, Na-139, K-4.0, SUA-5.3 ued 5 drops once every
now stable at 95. Since ap- hour.
petite returned to normal RT-PCR SARS CoV-2RNA (06-
and weakness was also bet- 05-21): Negative
ter, China officinalis 30 was
stopped. It was assumed the The blood reports of the patient
Phosphorus might also bring showed improvement and it was
down the liver enzymes fur- necessary to bring down the cre-
ther. The following prescrip- atinine even further. The patient
tion was continued. had already taken 0/1 potency for
17 days, it was decided to contin-
ue with next potency. Therefore,
Phosphorus 0/2 was given.[5]
16-05-21 All symptoms were nearly Since the patient showed signs of Phosphorus Q2. Contin-
normal. SpO2 now was 96 further improvement, the same ued 5 drops once every
but reached 98 at times. medicine and potency was con- hour.
tinued.[5]
22-05-21 The patient reported on Since he wanted to continue Phosphorus Q1. Contin-
phone that all his COVID treatment for albuminuria, ued 5 drops once every
symptoms were normal and raised creatinine, Phosphorus hour.
his SpO2 was around 98 – 99 was continued and patient was
throughout the day advised to get his liver enzymes
rechecked.
He was advised to get creatinine

and urinary albumin rechecked
time to time..[5]




General management stages of disease where there are page 65-66, 94.
mild symptoms, in the later stages 7. Ubiratan Cardinalli Adler 1, Maristela Schiabel
The patients was advised breathing Adler 2, Livia Mitchiguian Hotta 3, Ana Elisa
where there are breathing troubles Madureira Padula 4, Amarilys de Toledo
exercises and to lie in prone position. Cesar 5, José Nelson Martins Diniz 6, Crislaine
such as this one, in cases which are
He was asked to take light but Aparecida Antonio Mestre 7, Katia Regina
critical and hospitalized and those Spiller 8, Lidiamara Soares 8, Helen de Freitas
nutritious food. All cold food, cold Santos 9, Edson Zangiacomi Martinez 10.
having post-covid illnesses.
drinks, sour, oily and spicy food Homoeopathy for Covid-19 in Primary Care:
A structured summary of a study protocol for
were restricted. Zinc and vitamic C We need more cases being treated a randomized controlled trial. (Internet). Cited
28-05-2021. Available from https://pubmed.ncbi.
tablets were asked to be continued. by homoeopaths to be documented nlm.nih.gov/33522951/
He was advised intermittent oxygen and published so that homoeopathy 8. D. Kalliantas,1,2 M. Kallianta,3 and Ch. S.
intubation whenever SpO2 level can be established as first line of
Karagiannil. Homoeopathy combat against
coronavirus disease (Covid-19). (Internet). Cited
dropped below 92 or patient had treatment rather than alternate 28-05-2021. Available from https://www.ncbi.
any difficulty. or complementary. The burden
nlm.nih.gov/pmc/articles/PMC7272237/
9. Thomas CKwee , Robert M. Kwee. Chest CT
of healthcare on the hospitals in COVID-19: What the Radiologist Needs to
He was asked to continue his Know. (Internet). Cited 23-10-20 https://pubs.
of modern medicine, especially
previous medication he was taking rsna.org/doi/full/10.1148/rg.2020200159
in these times, can definitely be
for hypertension and diabetes.
reduced by timely intervention of
He was regularly counselled on homoeopathy.
About the authors
phone to maintain positivity as
1. Dr Lubna Kamal, Asstt
many of his friends of his age group References
Professor, Department of
had died. 1. WHO Coronavirus (COVID19) Dashboard
(Live) World Health Organisation (Internet). Materia Medica, State Jawahar
(cited 28 May 2021) Available from: https:// Lal Nehru Homoeopathic
covid19.who.int/
Conclusion Medical College, Kanpur.
2. Covid 19 in Numbers (Live) Business Standard
(Internet). (cited 28 May 2021) Available 2. Dr Mohan Singh, MD, Nano
The global death rate of COVID is from: https://www.business-standard.com/
coronavirus Homoeopathy Pvt Ltd, New
3.9% but the pandemic has assumed
3. Coronavirus Update (Live): Deaths from Delhi, Lucknow, Haldwani,
Frankenstein proportions as no Covid19 Virus Pandemic – Worldometer
Haridwar.
country in the world was prepared (Internet). (cited 28 May 2021) Available from:
https://www.worldometers.info/coronavirus/
to accommodate so many patients at 3. Dr Vandana Mishra, Asstt
4. Homoeopathic Repertorium (Mobile
the same time. Application Software) Version 3.9.5.7. Soft Professor, Department of
Solutions 22-12-2015. Materia Medica, State Jawahar
Just as this case, homoeopathy offers 5. Patil J D, Hahnemann’s final direction on Lal Nehru Homoeopathic
dose and repetition. Homoeobook (Mobile
ray of hope to almost all stages of Application Software) Version 6. Avaanet Media. Medical College, Kanpur.
patients of COVID-19. It has been 12-04-12
found to be extremely useful in 6. Boericke W., Boerick’s Pocket Manual of

Homoeopathic Materia Medica and Repertory,
prevention of COVID, in the initial B Jain Publishers Pvt Ltd, Reprint Edition 2000, nn
MOTHER TINCTURES
THERAPEUTICS AND MATERIA MEDICA
BY DR. VINAY JAIN
• In the hurry and bustle of this age, sometimes the physician is not in a position to devote much
time toreach the similimum. Allopathy-minded patients demand immediate relief of ailments
and in thoseconditions mother tincture will save the day. Many mother tinctures will at once
arrest the progress ofmany diseases and afford instant cure.
• This book has been written with great endeavor and sincerity to acquaint homeopathic
practitioners with infallible drugs which can be used in tincture form.
• It contains materia medica of 265 mother tinctures.
• It also offers the most valuable prescriptions and experiences of the world-renowned
homeopathic physicians who have gained laurels by dint of using these mother tinctures.
• Therapeutics have been given with directions about dosage and repetition.
ISBN: 978-81-319-0385-8 | ` 145 | 240 pp

ADVERTISEMENT

SUBJECTIVE
Homoeopathic solution to the problem of lactation in

mothers during breastfeeding
By Dr Neha Sahu
Abstract: Breastfeeding is the one of the most important step for the developmental of new born.[1] It not only provides initial
immunity to the new born but also prevents mother from serious health issues. Nowadays, many mothers faces problems related
to decrease in milk secretion. Introducing homoeopathy to these mothers can help in many to overcome these problems which
comes during breastfeeding.
Keywords: Lactation, breastfeeding, homoeopathy, immunoglobulin (IgA), white blood cells.

Abbreviations: immunoglobulin (Ig).
Introduction hormones that play the role of milk due to any psychological or hor-
production and the resulting letting monal causes as homoeopathy treats
L actation describes the secretion

of milk from the mammary
glands and the period of time that
down reflex.[3]
WHO recommends breast feeding

the patient as a whole. The homoeo-
pathic medicines are fast acting and
completely safe for the baby and
a mother lactates to feed her young. for the first 2 years and exclusive mother without any adverse effects.
breast feeding for first six months. [4]
The process naturally occurs with all
post-pregnancy female mammals. Even though breast feeding is a
In humans the process of feeding
Diagnosis
natural process, many mothers feel
milk is also called breastfeeding or different difficulties during breast- • Breast examination should be
nursing.[2] feeding like low milk supply, too done to note any discolouration,
much supply and other issues with swelling or pain or cracks in the
Breast milk is thought to be the best
lactation[1]. nipples.
form of nutrition for neonates and
infants.[1] Breast milk provides ideal • A proper case taking should be
nutrition for infants with vitamins, Probable causes done.
proteins, and fats that are more eas-
ily digested than formula. This dy- One of the causes of difficulty during Homoeopathic remedies
namic fluid provides a diverse array lactation is decreased formation of
Here are the following few impor-
of bioactive substances to the devel- milk due to the failure of mammary tant homoeopathic remedies which
oping infant during critical periods glands to develop fully.[2] are helpful in solving the problems
of brain, immune, and gut develop- during lactation and breastfeeding .
ment.[2] Another cause is inhibition in milk
let down reflex due to the hormonal
It contains antibodies that help ba- or psychological cause such as first- 1. Agnus castus - Agalactia, with
bies to fight off viruses and bacteria. time pregnancies in young women, sadness. Deficient secretion
It provides immunoglobulin (IgA), produce anxiety or nervousness of milk in lying-in women.
white blood cells, whey protein (ly- which may restrict the mother from Deficient or suppression of
sozyme and lactoferritin), and oligo- being relaxed enough during the milk in nursing women.[5]
saccharides. Breastfeeding helps to process of breastfeeding and phases
2. Asafoetida - Mammae
minimise the risk of asthma, aller- difficulty in allowing newborn to
turgid with milk in the
gies, ear infections, respiratory ill- suckle. In such highly stressed fe-
ness, bouts of diarrhea, and the risk male, adrenalin is secreted which in- unimpregnated. Deficient milk,
of diabetes and obesity to baby.[3] terferes with the hormone oxytocin, with oversensitiveness.[7][6]
which enhances milk let-down.[2] 3. Calcarea carbonica - Deficient
Milk production is regulated by lactation, with distended breasts in
the maternal hypothalamus and Homoeopathic remedies can be par- lymphatic women[5].
pituitary gland-derived hormones. ticularly helpful for the most com-
Oxytocin and prolactin are the main mon breastfeeding problems arising 4. Lac caninum – Helps to

SUBJECTIVE
dry up milk. Sinking at lochia becomes milky white. 3. Uvnas-Moberg K, Widstrom AM, Werner S,
Matthiesen AS, Winberg J. Oxytocin and
epigastrium. Galactorrhoea. Galactorrhoea esp. in women
prolactin levels in breast-feeding women.
Loss of milk while nursing, who do not nurse their children. Correlation with milk yield and duration of
without any known cause. After weaning, breasts swell.[5] breast-feeding. Acta Obstet Gynecol Scand.
Palpitation violent when [7] 1990;69(4):301-6. [PubMed][cited on May
2021,10]
lying on left side > turning on 9. Ricinus communis(Castor oil)
right. Dries up the milk when 4. World Health Organization. (2001). The
–it is useful in cases of non- World Health Organization’s infant
nursing.[6][7] appearance of milk or to feeding recommendation. http://www.
5. Lac vaccinum defloratum - Has increase quantity of breast who.int/nutrition/topics/infantfeeding_
recommendation/en/index.html [cited on May
never failed to bring back milk. It also increases the flow in
2021,12]
the milk in from twelve to nursing women . Castor oil should
5. Boericke W. Boericke’s New Manual of
twenty four hours. Diminished never be given to prepare a woman Homoeopathic MateriaMedica with Repertory.
secretion of milk.[7] for labor, nor for constipation in Third revised and augmented edition based on
6. Lecithinum - Excellent pregnancy at any time. Brings 9th edition. Noida, India: B. Jain Publishers (P) Ltd;
2018.
galactogogue, it renders milk milk in breasts of virgins and
more nourishing and increases women who have not suckled 6. Allen, H.C: Keynotes & characteristics with
comparisons of some of the eading remedies of
quantity of milk . It increases for years.[5][7]
the materia medica: Reprint edition; 2003; B. Jain
the number of red corpuscles 10. Secale cornutum – It is publishers (P) Ltd; New Delhi.
and amount of hemoglobin.[7] very beneficial in cases of 7. Clark. J.H A Dictionay of Practical material
7. Phytolacca decandra - Can suppression of milk; and medica vol 3; B. Jain Publishers (P) Ltd; 2009.
be used in mastitis for sore, also when breasts do not fill

cracked nipples, which hurt properly.[7] About the author
when the baby nurses. Nipples 11. Urtica urens - Diminished Dr Neha Sahu MD (PGR)
cracked and excoriated; intense secretion of milk. Arrests flow Dept. of Materia Medica,
suffering on putting child to of milk after weaning. Excessive Dr.M.P.K.Homoeopathic Medical
breast; pains radiate from swelling of breasts.[5][7] College, Hospital & Research
nipple all over body. It is also 12. Zincum metallicum - Suppressed Centre, Jaipur (A constituent unit
useful for breast infections secretion of milk.[7] of Homoeopathy University, Jaipur,
(mastitis) where there are Raj.)
painful lumps in the breast.[5][7] Conclusion
8. Pulsatilla nigricans - She is
In the present modern life style,
depressed and tearful. She nn
lactation problems often encountered
may weep while breastfeeding
by doctors in women after delivery,
and needs a lot of support and
so by finding simillimum with
company. Used if you are over
the above mentioned remedies in
producing milk. Also used for
materia medica based on the totality
a milk supply that is erratic,
of symptoms , homoeopathy can
meaning that is good, then
help women in a natural way and
it is low, then it is adequate
without any side-effects to mother
again. Often the mother
and the newborn .
feels very weepy, wants to
have lots of reassurance and
company. Swelling of breasts, References
with tensive pain as if the milk 1. Kalarikkal SM, Pfleghaar JL. Breastfeeding.
rushed into them and caused [Updated 2020 Jul 27]. In: StatPearls [Internet].
pressure, while nursing. Scanty Treasure Island (FL): StatPearls Publishing; 2021
Jan-. Available from: https://www.ncbi.nlm.nih.
supply of milk. Affections of
gov/books/NBK534767 [cited on May 2021,10]
nipples. Weeps every time child
2. Pillay J, Davis TJ. Physiology, Lactation.
is put to breast; pain extends [Updated 2020 Jul 26]. In: StatPearls [Internet].
into chest, neck, or down back, Treasure Island (FL): StatPearls Publishing; 2021
changes from place to place. Jan-. Available from: https://www.ncbi.nlm.nih.
Milk suddenly suppressed, gov/books/NBK499981 [cited on May 2021,10]

CASE REPORT
Chronic anal fissures with sentinel pile – a case report

By Dr Shweta B. Nanjannavar, Dr Susmi S. Kunju
Abstract:
Aim: Anal fissure is most painful and dreadful feeling of agony which adversely affects the quality of life of people of any age
group with stressful life style, with relapses in conventional treatment strategies. It was intended to evaluate role of individualised
homoeopathic treatment in anal fissures.
Methods: Present case is a female patient presenting with intense pain and bleeding from the anus from last one month. She
was diagnosed as anal fissure with sentinel pile based on history and physical examinations. Constitutional treatment was given
following proper homoeopathic principles and regular follow ups done in suitable intervals.
Result: A marked improvement was observed during various visits with progressive change in the condition assessed by the
presentation and changes in VAS scale during the course of treatment.
Conclusion: This case report suggested that homoeopathy can provide an effective, safe and non-surgical treatment for Anal
fissures without any relapse improving the quality of life of the patient.
Keywords: anal fissures, constipation, sentinel pile.

Abbreviations: quality of life [QOL], visual analogue scale[VAS], patient [pt], placebo [pl].
Introduction means undesirable passage of stools ICD classification of anal fis-

whereas in some people, it is one of sure-2020 ICD-10-CM diagnosis
“ There are wounds that never

show on the body that are deeper
and more hurtful than anything that
the most dreadful feeling of agony
due to straining. It has been proved
that constipation is the primary
code K60.2[5]
The pathophysiology of anal fis-

sures is not entirely clear. It is prob-
bleeds”. Anal fissure is an elongated and sole cause of initiation of anal
able that an acute injury leads to lo-
ulcer in the long axis of the lower fissure. cal pain and spasm of the internal
anal region.[1] It is one of the very anal sphincter. This spasm and the
common annoying condition seen, Other causes are:
resulting high resting anal sphinc-
which heals off easily and remains • Passage of hard stool ter pressure leads to reduced blood
unnoticed in most of the cases, yet • Faulty bowel habits and lack of flow and ischemia, which results
require a serious intervention due to local hygiene in poor healing. Unless this cycle is
the immense pain it causes during broken, the fissure will continue to
• In females, it is usually triggered persist.[6]
defecation, which also alters the during pregnancy followed by
emotional balance of the person childbirth.
affecting the QOL. It also poses a Clinical presentation
• Inflammatory bowel disease-
great difficulty in carrying out day The primary symptom of anal
colitis or crohn’s disease,
today activities, hence being one of fissures is burning pain during and
venereal infections[1][2]
the major causes of perianal pains. following the bowel movements with
The annual incidence of anal fissures
based on a recent study was 0.11%.[3] great spasm of the anal sphincter
Constipation, which is an unsaid On the basis of another study con- muscle. The pain can be so severe
neglected reality in majority of the ducted in south India (Bangalore) that patient might be unwilling to
people is one of the major causes in a hospital setting, showed the have a bowel movement, resulting in
which remains as an accessory prevalence between the age group constipation and even faecal impaction.
symptom throughout their life. of 15-40years as 15.14%. The preva- Bleeding in small amounts which
Constipation has different concepts lence is higher in Females than in consists of blood streaks in the stools
in various mind. For some, it simply males.[4] and a slight discharge may also occur

CASE REPORT
in fully established cases.[1][2] Bleeding Shaikh Homoeopathic medical • Desire-sweets

per rectum where in stools are college, Belagavi with complaints • Sleep-good
Slimy, bloody with musty, mouldy of pain and tenderness in the anal
smell. Nausea and gagging before region along with bleeding per Elimination:
stools with prostration.[7] rectum since a month. Pt has a • Stool-unsatisfactory once/day
frank dark red bleeding of few • Urine-no burning, normal
drops after stools with streaks of
Diagnosis blood along with the stools. Burning
• Sweat-normal, generalised
Wide, raised edges, Skin-tags(sentinel sensation in the anus for 2-3 hours Thermal reaction-ambithermal
pile) at the distal end of the fissure. after stools. Pain in anus aggravated
after passing stools and ameliorated Physical findings and general ex-
Hypertrophied anal papillae at
by cold application. Pt gives a past amination:
the fissure’s proximal end.
history of chronic constipation
Digital rectal examination is done in with unsatisfactory stools since her • Anaemia-No pallor
case if the diagnosis is uncertain or second pregnancy and would on • Jaundice-Non-icteric
to exclude a suspected underlying and off complain of anal fissure for • Pulse-76/minute
pathology. Because of the intense which she was under conventional • Blood pressure-120/70mm Hg
pain it causes, digital examination of mode of treatment for the same with
the anal canal is not advised unless: advice for sphincterectomy. She had On examination findings: on in-
the history of complaints started spection, hypertrophied raised edg-
• The fissure cannot be seen since her second pregnancy and es, Skin-tag (sentinel pile) was seen
• The clinical findings are not since then on and off complaints of in anal mucosa with fissures
clear or if the symptoms persist constipation with burning per anus. Digital examination was not done
even after adequate treatment as she had intense pain.
Mental sphere: Pt was working
In early cases, the edges of the fis- as Headmaster at a Primary Govt
sures are impalpable, but in fully School and now retired. she always Prescriptive totality
established cases a characteristic preferred the surroundings to be • Burning pain in the anal region
very neat and tidy at school as well after stools
crater which feels like a vertical but-
as at home. Would burst in anger if
ton– hole can be palpated.[1][6] • Burning pain in the anal region
things are not in place. She wanted
ameliorated by cold application
everyone to follow her orders at
Conservative Management school as well as at home, if disobe- • Constipation with unsatisfactory
dient, she would burst in anger and stools
• Increased dietary fibre intake
shout on students at school and her • Bleeding per anus after stools
• Drink plenty of fluids. children at home. with constipation
• Warm bathing of the
• Constipation during pregnancy
perineum(sitz bath)[1][6]
General features • Fissures during pregnancy
Case history Functional: • Domineering
A 60 yr old female patient attended • Appetite-good • Fastidious
outpatient department of A.M • Thirst-normal • Desire for sweets
Analysis and evaluation of symptoms
• Fastidious
CHARACTERISTIC MENTAL GENERALS
• Domineering
CHARACTERISTIC PHYSICAL GENERALS • Desire for sweets
• Burning pain in the anal region after stools
• Constipation with unsatisfactory stools. Bleed-
CHARACTERISTIC PARTICULARS
ing per anus with stools
• Fissures with intense pain

CASE REPORT
MIASMATIC ANALYSIS OF THE Psora is the predominant miasm Remedy justification and differen-
CASE in this case justifying changes at tial remedial analysis
Miasmatic analysis of the case was the functional area with syphilis
done with the help of Miasmatic being the next miasm with bleeding Hompath Zomoeo 3.0 was used
Repertory by Dr R P Patel. diathesis.[8][9] in repertorising the case.[10]The
remedies Sulphur and Kalium under repertorisation but was not to sedentary lifestyle with only
carbonicum covered the maximum covering the key indicating feature functional changes, no deep-seated
symptoms with mental, physical of the case. pathology was appreciated in
and qualifying particular symptoms the history and on examination,
of the case. Anal fissures that hence 200 moderate potency was
Prescription
started during pregnancy was the selected at an interval of 15 days.
key indicator of the case. Kalium The patient was prescribed Kalium
The repetition of doses was done
carbonicum was justified with Knerr’s carbonicum 200 3 doses once a day,
considering the acute state of the
repertory under section Pregnancy, with placebo for 2 weeks. She was
advised to stay hydrated and have disease as explained in aphorism
Parturition, lactation-Postpartum
Haemorrhoids, fissures- Kalium a good fibre diet. Since the patient 248. Pain in anus was so severe and
carbonicum (3)[11], which was later had a severe pain in the anus with sensitive that it was hindering the
confirmed with Hering’s Materia bleeding, she was asked to review QOL of the patient. But after the
Medica.[12]Though Sulphur was in back within a week if she had third repetition, the patient was
close scoring with Kalium carbonicum any aggravation. She belonged totally free from pain.[13]
Treatment
Follow up with applicability of VAS scale
Date Observations VAS score Remedy

2/11/2020 Frank dark bleeding during and after stools with 8 Kalium carbonicum 200
streaks of blood with stools. Pain and burning present

CASE REPORT
Pain< sitting, doing yoga and eating sweets

On examination-swelling and redness of the anal mu-
cosa with Sentinel pile.
Constipated bowel with bleeding
17/11/2020 Burning and pain during stools-60 % better 4 Kalium carbonicum 200
Pt says bleeding was better but only since past 2 days (4-0-0)/4days
again started as she had change food-spicy Pl for 1 week
Fissures in the anal mucosa are better (4-0-4)
Stools-Regular and normal
25/11/2020 Burning sensation and pain after defecation is re- 2 Kalium carbonicum 200
lieved. Pl for 1 month
No bleeding even in streaks while passing stools. (4-0-4)
On examination-Sentinel pile persisted but swelling at
the anal mucosa reduced.
Stools- Regular and normal
Pt. says her complaints are better by 85%
Discussion nature and that we are the possessors https://www.omicsonline.org/open-access/

p r e va l e n c e - o f - f i s s u r e i n a n o - a m o n g - t h e -
of the only positive system of cure in patients-of-anorectal-complaints-visiting-nium-
The mode of treatment adopted existence.[16] hospital-2376-0214-1000344.php?aid=51671
by the conventional medicine for 5. 2021 New ICD-10-CM Codes; https://www.
icd10data.com/ICD10CM/Codes/Changes/
anal fissures with sentinel pile Conclusion New_Codes/1?year=2021
according to the recent studies is 6. Schlichtemeier S, Engel A. Anal fissure.
The present case study reviews the AustPrescr 2016;39:14-7. https://doi.
surgical sphincterectomy, which is org/10.18773/austprescr.2016.007
effective in healing anal fissures but most common anorectal disorder, 7. Roberts Herbert.A, The principles and art of
later develops fecal incontinence in anal fissure with sentinel pile using cure by homoeopathy;3rdedition, New Delhi,
B.Jain publishers Pvt.Ltd;2005
the patient. Various other methods VAS scale for outcome assessment 8. Dr.Patel Ramanlal P, Chronic Miasms in
like glyceryl trinitrate ointment, which is the optimal tool for Homoeopathy and their cure with classification
of their rubrics/symptoms in Dr. Kent’s
botulinum injection, anal dilatation, describing pain severity or intensity. repertory, Kerala, Hahnemann Homoeopathic
cauterisation are also used but Anal fissure is one of the very Pharmacy, Hahnemann House,1966
9. Dr. Banerjea Subrata Kumar, Miasmatic
they lead to further problems frequent and painful proctologic Diagnosis, Practical tips with clinical
like headaches, flatus and fecal- diseases. Even though anal fissure comparisons,2nd edition, New Delhi, B.Jain
publishers Pvt.Ltd,1999
incontinence and also relapse of is not a major life-threatening 10. Hompath Zomoeo3.0 Advanced Homoeopathic
the complaints[14].The current case disease, yet the unbearable pain Software
justifies the efficacy of homoeopathy in anus, affects the QOL, hence 11. Calvin B Knerr, Repertory of Hering’s Guiding
Symptoms of our Materia Medica, New Delhi,
by considering man as a whole, with homoeopathy offers the safe, rigour, B.Jain publishers.Pvt.Ltd,1997
a blend of both mental and physical effective and permanent treatment, 12. Constatine Hering, The Guiding Symptoms of
our Materia Medica, Vol VI, New Delhi, B.Jain
generals considered under the for such cases. publishers.Pvt.Ltd,1995
prescriptive totality. Here VAS scale 13. Hahnemann Samuel, Organon of Medicine,
is used to assess the improvement References sixth edition, New Delhi, Indian Books and
Periodicals Publishers,2013
in the patient at every follow-up. 1. Rains A.J Harding, Mann Charles V, Bailey and 14. McCallion K, Gardiner KR, Progress
Love’s Short practice of surgery,20th Edition, in the understanding and treatment of
[15]
Photographs for assessment London, English language book society and H.K chronic anal fissure, Postgraduate Medical
Lewis,1988
of improvement of fissures with Journal 2001;77:753-758. https://pmj.bmj.com/
2. Ruddock E. Harris, The Homoeopathic Vade content/77/914/753
sentinel pile were not taken due to Mecum of Modern Medicine,4thedition, London, 15. Visual Analogue Scale; Physiopedia;
patient modesty and denial. The key Homoeopathic Publishing,1871
h t t p s : / / w w w . p h y s i o - p e d i a . c o m / Vi s u a l _
3. Mapel DW, Schum M, Von Worley A.
feature of the case was complaints of The epidemiology and treatment of anal
Analogue_Scale
anal fissures started since pregnancy fissures in a population-based cohort. BMC 16) KulkarniJayanti A.; Homeopathic approach in
Gastroenterol. 2014;14:129.Published 2014 Jul the treatment of anal fissure; Alternative and
which disturbed QOL of patient 16. doi:10.1186/1471-230X-14-129https://www. Integrative Medicine; ISSN: 2327-5162; 2013
ncbi.nlm.nih.gov/pmc/articles/PMC4109752/
since many years and was always https://www.hilarispublisher.com/proceedings/
homoeopathic-approach-in-the-treatment-of-
4. Khan RM, Itrat M, Ansari AH, Ahmer SM,
palliated by conventional therapy. Zulkifle(2015) Prevalence of Fissure-in-Ano anal-fissure-23931.html
As homoeopaths we believe that among the Patients of Anorectal Complaints
Visiting Nium Hospital. J Community Med Health
our tenets are based upon the law of Educ 5:344. doi: 10.4172/2161-0711.1000344 nn
ARTICLE
CASE REPORT
Dermoid cyst of ovary treated with homoeopathy:

a case report
By Dr Purnima Suri, Dr Kundan Kant Chandra
Abstract: Dermoid cyst of ovary is a benign mature teratoma and a common primary neoplasm of ovary. Although, it is a slow-
growing tumor and most of the patients are asymptomatic, it needs active attention because torsion, rupture and spillage of
contents or malignant transformation may occur. Surgical modalities are the standard line of treatment in such cases. Homoeopathy
provides a safe, prompt and effective management strictly based on individualization. A case of dermoid cyst of ovary sized
5.4x4.7 cm of a 37 years old female patient has been mentioned below which was treated successfully with homoeopathy. After
thorough case taking and repertorization, an individualised homoeopathic medicine brought a rapid and significant improvement.
Ultrasonography report was taken as standard document to compare the efficacy of treatment.
Keywords: dermoid cyst of ovary, homoeopathy, Sulphur, case report
Abbreviations: bd – twice daily (bis a die), outdoor patient department (OPD), ultrsonography (USG)
Introduction Homoeopathic aspect: There are but she was afraid of surgery. She
plenty of articles mention success- approached Homoeopathic OPD
D ermoid cyst develops

anywhere in the mid line of the
body where embryonic fusion take
ful treatments of ovarian cyst by
homoeopathy, but rarely any article
is available on treatment of dermoid
in order to get a second opinion
and in hope of painless recovery by
homoeopathy.
place like at outer angle of the orbit, cyst particularly.
behind the pinna, below the tongue, Past history: Nothing specific
ovary etc. [1] Dermoid cysts of ovary Case study Family history: Father was suffer-
are usually unilocular and generally ing with hypertension, Mother had
A 37 year-old married hindu
grows about 15 cm in diameter. They gastritis.
female attended outdoor patient
are benign cyst teratoma or mature department (OPD) with the Personal history: Patient was a
cyst which is a type of germ cell following complaints: home-maker and mother of two
tumors. It may contain sebaceous children. Her appetite was good and
material and hair. [2] They are also • Scanty menstruation which was has strong desire for sweets; thirst
termed as benign mature teratomas, persisting for 2 days only since was adequate; bowel movement
the most common primary ovarian 6 months. was regular and but has urgency for
neoplasm. It is more prevalent stool in morning since few months.
• Backache especially of lower Stool is of thick consistency. Urine
in 20 to 40 years of age group. part which were constant but was normal, there was no burning
Most patients with dermoids increases during menses or pain; scanty sweat mainly in axil-
are asymptomatic and these are la without any strong smell or stain.
History of present complaints:
very slow growing cysts, but chance Her sleep was sound and refreshing.
She was taking treatment by an Thermal reaction of patient was hot.
of torsion of ovary, rupture and
allopathic (private) practitioner She was very religious lady and less
peritonitis, spillage of contents,
since two months for her menstrual interested to talk with anyone and
bowel obstruction or malignant abnormalities and backache. anxious about her health.
changes scare.[3] Ultrasound is Ultrasound of whole abdomen
frequently used and highly effective on 22.08.2020 revealed that there Mental generals: Religious, don’t
modality for the diagnosis of was “a dermoid cyst in left ovary want to talk with anyone
a dermoid cyst. [4] The laparoscopic measuring 5.4x4.7 cm in size”. Physical generals: Low back pain
approach is considered to be (USG1). Although patient felt some which < menses during
the gold standard for the symptomatic improvement in her
management.[5] backache by allopathic medicines Menstrual history: Scanty flow and

CASE REPORT ARTICLE
short duration only for two days Analysis of the case: The case was generals were assembled for evalua-
since 6 months but regular. thoroughly analysed and the charac- tion and finally totality was framed
teristic mental generals and physical for repertorisation.
Table 1: Contains evaluation of symptoms, totality of symptoms, and miasmatic analysis of symptoms
Evaluation of symptoms: Totality of symptoms: Miasmatic analysis of symptoms: [6]

Mental general religious religious – psora
Religious taciturn taciturn – syphilitic
Taciturn scanty menses scanty menses - psora
Anxiety for health short duration short duration of menses - psora
Physical general low back pain < menses during desire sweets - psora
Scanty menses desire sweets low back pain < menses during
pseudo – psora
Short duration of menses morning urgency for closet morning urgency for closet – psora
Desire sweets
Low back pain < menses during
Urgency for closet
Thermal reaction- hot
Repertorial analysis: Case was rep- which she had approached to OPD • It reconfirms the homoeopathic
ertorised by Synthesis Repertory[7] us- first time, i.e, scanty menses, back- principle of cure on the basis of
ing RADAR 10.0 software. [8] Medi- ache and morning urgency, it was individualisation and holistic
cine which came out with highest decided to review the case from approach.
mark was Sulphur followed by Pul- specialist at higher centre for proper
satilla nigricans, Lycopodium clava- guidance in further treatment be- Financial support and sponsor-
tum, Graphites and Lachesis mutus. cause medical literature mentions ship:
After proper consultation from ma- that dermoid cyst of ovary may be
teria medica book[9], and miasmatic asymptomatic. So, patient consulted Nil.
analysis; Sulphur was prescribed. at Dr. RML Hospital where ultra-
(Appendix) sonologist found “no significant Conflict of interest:
abnormality”. Thus, homoeopathic
treatment provided her an economi- None declared.
Timeline and follow-up. (Table-2)
cal and painless cure not only for
Discussion: Patient responded well dermoid cyst but other problems
to the homoeopathic treatment and with a single medicine. This case of
dermoid cyst of ovary is considered
References
very soon sign of improvement was
marked. Morning urgency for stool to report because a decisive role of 1. Das S. Examination of a lump
improved first followed by some re- homoeopathy is seen here for ef- or a swelling. In: A manual on
lief in backache. Medicine was given fective, painless and rapid manage- clinical surgery. 9th ed. Kolkata:
in high potency as it distinctly cov- ment of case. ISBN; 2011: 21-60
ered many symptoms (both men-
2. Padubidri VG. Daftary SN.
tal and physical) and seemed to be
simillimum. After a considerable Conclusion Editors. Disorders of Ovary
period of wait and watch, potency and Benign Tumors. In: Shaw’s
of medicine was raised because • This case shows that dermoid Textbook Book of Gynaecology.
low back pain during menses was cyst of ovary can be treated 14th ed. Noida: Elsevier A
still persisting. When patient felt successfully by homoeopathic Division of Reed Elsevier India
complete relief in her problems for treatment. Pvt. Ltd; 2008: 329-49

ARTICLE
CASE REPORT
3. Deguchy Q Jr, Fananapazir G, 5. Sinha A, Ewies AAA. Ovarian Syntheticum. 9.1 version.
Corwin M et al. Benign Rapidly Mature Cystic Teratoma: Treasure ed. New Delhi: B. Jain
Growing Ovarian Dermoid Challenges of Surgical Publishers (P) Ltd; 2007
Cysts: A Case Series. Journal of Management. Hindawi Publishing
Diagnostic Medical Sonography. Corporation Obstetrics and 8. RADAR 10.0. Archibel
2017; 33(1): 71–74 Gynecology International. 2016 Homoeopathic Software.
4. Kite L, Uppal T, Cog F. Belgium. 2009
6. Speight PA. Comparison of the
Ultrasound of ovarian dermoids Chronic Miasms. Reprint ed. 9. Boericke W. Pocket Manual of
– sonographic findings of a New Delhi: B. Jain Publishers Homoeopathic Materia Medica
dermoid cyst in a 41‐year‐old (P) Ltd; 1996
woman with an elevated serum and Repertory. Reprint ed.
hCG. Australas J Ultrasound 7. Schroyens F. Repertorium New Delhi: B. Jain Publishers
Med. 2011; 14(3): 19–21 Homoeopathicum (P) Ltd; 2007:240-42
Table 2
Follow-up date Indications for prescription Medicine with doses

September 7, 2020 First prescription (USG 1) Sulphur 1000/1 dose (on tongue) fol-
lowed by placebo for 15 days x bd
September 23, 2020 Morning urgency was better, patient had no more Placebo for 15 days x bd
hurry for closet in morning and back pain was
slight better.
October 10, 2020 Back pain before menses was much relieved this Placebo for 15 days x bd
time, menses stayed for 3 days and flow was
better than before (LMP on 28th September) and
morning urgency was completely gone.
October 27, 2020 No more improvement than last time in back Placebo for 15 days x bd
pain, (LMP on 24th October, stayed for 3 days)
November 27, 2020 Conditions seemed stand-still. Sulphur 10M/1 dose (on tongue) fol-
lowed by placebo for 15 days x bd
December 14, 2020 Back pain was much better this time. No new Placebo for 15 days x bd
symptom was marked.
January 4, 2021 Patient was much better. No morning urgency Placebo for 30 days x bd
now, no more back pain which was regular ear-
lier and back pain was much improved before
menses.
February 9, 2021 Patient was completely alright symptomatically Placebo for 30 days x bd
and she was advised to consult to a specialist at
higher centre then report.
March 5, 2021 Patient was good in every aspect. Her USG report Placebo for 15 days x bd
done at Dr. RML Hospital shows “no significant
abnormality” (USG 2)
About the author

Dr. Purnima Suri, MD (Hom) Dr. Kundan Kant Chandra, MD
Ex Homoeopathic Physician, ESIC (Hom) Medical Officer (H), Govt. of
Hospital, IMT Manesar, Haryana. NCT of Delhi

CASE REPORT ARTICLE
Reports before
Reports after

ARTICLE
CASE REPORT
Appendix

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Date of Posting (27th, 28th)
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` 30.

Bringing Classical and Contemporary Homoeopathy Together

Homoeopathy in female disorders

ISBN: 978-81-319-2155-5 | ` 395 | 300 pp

ISBN: 978-81-319-0347-6 | ` 545 | 800 pp

Luc De Schepper report of endometriosis 28 By Dr Fathima Shahunaj, Dr Winston Vargheese,

July 2021 | The Homoeopathic Heritage | 7

DICTIONARY and Help for Further Study of

Selective Pointers through Allen’s Keynotes Dr Shyam Kumar Vaishnav

ISBN: 978-81-319-1805-0 | ` 145 | 120pp

Case Analysis & Prescribing Techniques

• The author has taken a point-by-point approach to case-taking, punctuated by general

ISBN: 978-81-319-0249-3 | ` 299 | 296pp

8 | The Homoeopathic Heritage July 2021

Call for papers for the upcoming issues:

July 2021 | The Homoeopathic Heritage | 9

Homoeopathy in female disorders

Also, numerous issues related to her illness without any substantial

W omen may experience a Her main complaint was excessive

10 | The Homoeopathic Heritage July 2021

MIND - DELUSIONS - alone, being - stiff, quite menses - during - agg.

July 2021 | The Homoeopathic Heritage | 11

Lifestyle diseases and homoeopathy

Keywords: Lifestyle. Homoeopathy. Metabolic risk factors. Non communicable diseases.

Introduction modernisation, and social changes. A. Modifiable behavioural risk

T he lifestyle of a particular person

The physical quality life index

12 | The Homoeopathic Heritage July 2021

July 2021 | The Homoeopathic Heritage | 13

14 | The Homoeopathic Heritage July 2021

Conclusion 2016. 9th ed. New delhi: Bjain publishers; 2016.

• This book is the result of the author’s rich clinical

ISBN: 978-81-319-1804-3 | ` 595 | 194 pp

July 2021 | The Homoeopathic Heritage | 15

A clinical case series of prospective study to evaluate the

Introduction disorders(3). Previous studies in • At the beginning of

P olycystic ovary syndrome

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July 2021 | The Homoeopathic Heritage | 17

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Conclusion and Management of PCOS. [cited 2019 Feb

From their value system, they have 6. Concomitant Symptom,Opinion of Stalwarts

• Dr Muhammed Rafeeque • Dr J. P. Salini

ISBN: 978-81-319-1802-9| ` 245 | 272 pp

July 2021 | The Homoeopathic Heritage | 19

A clinical study on effectiveness of homoeopathic

Keywords: gynaecology, homoeopathy, individualisation, primary dysmenorrhoea, WaLIDD.

P ain, in itself, speaks a language

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July 2021 | The Homoeopathic Heritage | 21

on the basis of individualisation well.

ISBN: 978-81-319-1960-6 | ` 595 | 200 pp

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A comparative study of the A.T.E.C. (autism treatment

Keywords: Autism, developmental disorders.

Inclusion criteria: Homoeopathic group i.e. susceptibility. The potency

July 2021 | The Homoeopathic Heritage | 23

Table 1: Table representing the ATEC score in the study group:

24 | The Homoeopathic Heritage July 2021