A retrospective study to highlight the common homoeopathic remedies and their role as emmenagogue in case of amenorrhoea

A retrospective study to highlight the common homoeopathic remedies and their role as emmenagogue in case of amenorrhoea

Dr Shwetha Bhat  

ABSTRACT
Context: According to current statistical studies 35-40% of the fertility problems related to females are mainly due to Amenorrhoea. Amenorrhoea is nothing but the absence of normal menstruation. It is not a disease, it is a symptom. The most common causes for amenorrhoea are endometriosis, PCOD, hypothyroidism, abuse of hormonal pills etc.

Aims: To understand the clinical profile of Amenorrhea and to demonstrate the efficacy of Homoeopathic remedies as Emmenagogues in the treatment of Amenorrhea.

Settings and Designs: The study was conducted in patients with infertility who had reported to the outpatient department of Father Muller Homoeopathic Medical College. The screening or the outpatient register with the help of case concept form which helps to know the concepts the physician held in the case and cause of action to be taken.

Materials and Methods: A 30 case study was undertaken. Each individuals name, age, religion, place, status of living, were evaluated. Tools used were SCR, CCF, CCE, SPHP, The OPD register.

Statistical analysis: The various findings were analyzed using different age groups, different religion; different emmenagogues used in the treatment of these patients, constitutional and sector remedies.

Results: Around 86.6667% showed improvement after administration of remedies. As the prescriptions were based on constitutional totality and sector totality, remedies were given.

And we can see as the homoeopathic law of cure is based on” similia similibus and curanter” around 83.333% of patients were treated with constitutional remedies and maximum were improved compared to the cases who were treated with sector remedies.

Conclusion: The study helps us to have a better prospective towards the treatment of amenorrhoea through homoeopathic remedies which acts as emmenagogues and helps us in understanding the practical approach towards this disease condition.

Keywords: emmenagogues, ammenorhoea, constitutional remedy, sector remedy.

INTRODUCTION
The normal reproductive years of the females are characterised by monthly rhythmical changes in the rates of secretion of the female hormones and corresponding physical changes in the ovaries & other sexual organs. This rhythmical pattern is called the female monthly sexual cycle (or, less accurately, the menstrual cycle).

In gynaecological practice we come across many menstrual irregularities such as metrorrhagia, menorrhagia, oligomenorrhoea, hypomenorrhoea, polymenorrhoea and amenorrhoea.

According to the current statistical studies 35-40% of the fertility problems related to females are mainly due to amenorrhoea. Amenorrhoea is nothing but the absence of normal menstruation. It is not a disease, it is a symptom. The most common causes for amenorrhoea are endometriosis, PCOD, hypothyroidism, abuse of hormonal pills etc.

The conventional modes of treatment they treat amenorrhoea depending upon its cause with hormonal therapies, using emmenagogues in various forms such as pills, tablets, injections etc.

Homoeopathy is a system of medicine which is based on “The Law of Similars” and the patients are treated through holistic approach by individualising their characteristic symptoms & through symptom similarity.

Homoeopathy is extremely safe system of medicine. It acts through dynamic plane, without harming the normal physiology of the body.

In this study, I have taken up a scientific study to understand the efficacy of homoeopathy in the management of Amenorrhoea through retrospective survey of cases.

AIMS AND OBJECTIVES

  1. To understand the clinical profile of Amenorrhea and to demonstrate the efficacy of Homoeopathic remedies as Emmenagogues in the treatment of Amenorrhea.
  2. To highlight the importance of different ways in approaching the case of Amenorrhea using Homoeopathic remedies.

MATERIALS AND METHODS

The study has been made in logical way with the help of three materials and methods.

The case has been taken by following the standardised case record (SCR)

The case concept form (CCF)

The case exposition (CCE)

The standardised paper in homoeopathic prescription (SPHP)

The OPD register

The study was conducted in patients with infertility who had reported to the outpatient department of Father Muller Homoeopathic Medical College. The screening or the out patient register with the help of case concept form which helps to know the concepts the physician held in the case and cause of action to be taken.

Case concept exposition was done showing the general applicability of concepts in a case following which the standardised paper in homoeopathic prescription is worked out.

Other cases were worked out in a definite tabular form in a logical manner. The results after the treatment are also given a mention.

INCLUSION AND EXCLUSION CRITERIA

Inclusion criteria for cases.

  • Individuals diagnosed with amenorrhoea.
  • Age: 11-39 years of female sex.
  • Both educated and illiterates have been included for the study.
  • Individuals who have undergone treatment with both constitutional and sector homoeopathic medicines.

EXCLUSION CRTERIA

  • Females aged above 40
  • Individuals who are undergoing other conventional mode of treatment.

STATISTICAL ANALYSIS

The various findings were analysed by using bar graphs, pie charts.

Thirty patients who attended the Father Muller Homoeopathic Medical College Hospital OPD of Kankanady and Derelakattae, suffering from various forms of Amenorrhoea. The analyses made here are based on the data collected from these 30 patients.

AGE DISTRIBUTION

Thirty patients belong to various age groups ranging from 11 years to 39years.

There are 10 patients in 11 -19 age group i.e. 33.333%;

17 patients in 20 – 29age group i.e. 56.667%;

3 patients in 30 – 39 agegroup i.e. 10%;

RELIGION

30 cases of various religions were taken.

Out of 30 cases, 5 were Hindus [16.667%]

12 were Muslims [40%]

13 were Christians [43.333%]

RELIGION NUMBER OF CASES PERCENTAGE
HINDU 5 16.667
MUSLIM 12 40
CHRISTIAN 13 43.333

EMMENAGOUGE 

11 different emmenagogues are used in the treatment of these patients.

Out of 30 patients,

Pulsatilla acted as emmenagouge in 7 cases [23.333%];

Natrummur acted as emmenagouge in 8 cases [26.667%];

Millifolium acted as emmenagouge in 1 case [3.333%];

Calcarea carb acted as emmenagouge in 4 cases [13.333%];

Nux vomica acted as emmenagouge in 1 case [3.333%];

Phosphorous acted as emmenogouge in 2 cases [6.667%];

Silicea acted as emmenogouge in 1 case [3.333%];

Lycopodium acted as emmenogouge in 1 case [3.333%];

Ignitia acted as emmenogouge in 2 cases [6.667%];

Sulphur acted as emmenogouge in 2 cases [6.667%];

Thuja acted as emmenogouge in 1 case [3.333%];

REMEDY NUMBER OF CASES PERCENTAGE
PULSATILLA 7 23.333
NATRUM MUR 8 26.667
MILLIFOLIUM 1 3.333
CALCAREA CARB 4 13.333
NUX VOMICA 1 3.333
PHOSPHOROUS 2 6.667
SILICEA 1 3.333
LYCOPODIUM 1 3.333
IGNITIA 2 6.667
SULPHUR 2 6.667
THUJA 1 3.333

CONSTITUTIONAL REMEDY AND SECTOR REMEDY
Out of 30 cases, 5 cases are acute cases were prescribed sector remedy which constitute about 16.6667 % and the rest 25 cases were prescribed constitutional remedy which constitute about 83.3333 %

PRESCRIPTION NUMBER OF CASES PERCENTAGE
SECTOR REMEDY 5 16.6667
CONSTITUTIONAL REMEDY 25 83.3333

DISTRIBUTION OF TREATMENT AND OUTCOME
Out of 30 cases, 26 cases showed improvement [86.6667%] and 4 cases did not show any improvement [13.3333%].

INFERENCE NUMBER OF CASES PERCENTAGE
IMPROVED 26 86.6667
NOT IMPROVED 4 13.3333

DISCUSSION
Thirty patients who attended the Father Muller Homoeopathic Medical College Hospital OPD of Kankanady and Derelakattae, suffering from various forms of Amenorrhoea. The analyses made here are based on the data collected from these 30 patients.

LIMITATION OF THE STUDY

  • Cases were not taken between a specific period to furnish a definite statistics.
  • The number of cases considered for this study is limited to 30.
  • As this study is done taking 30 cases care must be taken while generalizing the results and conclusion of this study.
  • Some early dropout of the cases.

CONCLUSION

  • The study helped to understand the curative power of various Homoeopathic remedies for Amenorrhea. It helped in understanding the efficacy of various Homoeopathic remedies as Emmenagogues.
  • Out of 30 cases, 25 cases are prescribed with constitutional medicine [83.333 %].
  • Out of 30 cases, 26 cases [86.667%] showed improvement.
  • Hence, this study shows “A RETROSPECTIVE STUDY TO HIGHLIGHT THE COMMON HOMOEOPATHIC REMEDIES AND THEIR ROLE AS EMMENAGOGUES IN CASE OF AMENORRHEA”.

CLINICAL IMPLICATION
The study reveals the importance of homoeopathic individualisation and treatment, with constitutional medicine and sector medicine.

The study helps us to have a better prospective towards the treatment of amenorrhoea and helps us in understanding the practical approach towards this disease condition.

RESULT
“A Retrospective Study To Highlight The Common Homoeopathic Remedies And Their Role As Emmenagogue In Case Of Amenorrhoea”, was done through 30 case study.  By the end, 86.6667% showed improvement after administration of remedies. As the prescriptions were based on constitutional totality and sector totality, remedies were given.

And we can see as the homoeopathic law of cure is based on” similia similibus and curanter” around 83.333% of patients were treated with constitutional remedies and maximum were improved compared to the cases who were treated with sector remedies.

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Dr Shwetha Bhat B.H.M.S, MD Scholar
Practice Of Medicine (Hom)
Father Muller Homoeopathic  medical college and hospital, Mangaluru.

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