Dr Manisha
Abstract
Verruca vulgaris is a common benign skin condition caused by human papillomavirus, often resistant to conventional treatment. A 21-year-old male presented with multiple papular eruptions on the face and left elbow for one year. Based on totality of symptoms, with emphasis on mental generals, Lachesis 200 was prescribed. Marked improvement (≈95%) was observed within one month. This case highlights the effectiveness of individualized homoeopathic treatment.
Keywords : Verruca vulgaris, flat warts, Lachesis, homoeopathy, sycosis, case report
Introduction
Verruca vulgaris is characterized by benign epidermal proliferation caused by HPV infection. Flat warts commonly affect the face and extremities and may persist for prolonged periods. Conventional treatments often result in recurrence. Homoeopathy, through individualized prescribing, offers a holistic and effective approach.
Case Presentation
Patient Information
- Name: Mr. XYZ
- Age/Sex: 21 years/Male
- Religion: Hindu
- Occupation: Student
- Address: Delhi
- Date of First Visit: 21 July 2023
Chief Complaints
- Multiple papular eruptions on face and left elbow since 1 year
- Left side predominance
- Painful
- No itching or bleeding
- Brown, smooth lesions with irregular margins
History of Present Illness
Eruptions first appeared on the forehead and gradually spread to the left cheek, elbow, and chin over one year. Previous homoeopathic treatment (Thuja, Nitric acid) gave no relief. Use of ayurvedic oil aggravated the condition, increasing number and pain of lesions
Past History
- Pneumonia at age 2 years
- Recurrent acne during adolescence
Family History
- Mother: Diabetes mellitus
- Others: Healthy
Physical Generals
- Appetite: Good; desires warm food
- Thirst: Increased; prefers cold water
- Desire: Salty
- Aversion: Sweets → headache and nausea
- Stool: Occasionally constipated
- Perspiration: Generalized; more on upper body
- Thermal: Hot patient
- Sleep: Disturbed when stressed
Mental Generals
- Talkative
- Irritable; anger from contradiction
- Dislikes domination
- Suspicious; does not trust easily
- Revengeful thoughts
- Emotional sensitivity related to father
Examination
- Built: Thin
- Gait: Normal
- Vitals: Within normal limits
- No pallor, cyanosis, clubbing, lymphadenopathy
Diagnosis : Verruca vulgaris (flat warts)
Totality of Symptoms
- Left-sided eruptions
- Aggravation from external application
- Intolerance to sweets → headache and nausea
- Talkative
- Anger from contradiction
- Suspicious nature
- Revengeful disposition
Miasmatic Analysis
Predominantly Sycotic miasm:
- Overgrowth (warts)
- Suspicious nature
- Fixed thoughts
Repertorization
Rubrics
- Mind; talkative
- Mind; anger; contradiction from
- Mind; suspicious
- Mind; revengeful
- Face; eruptions; warts
- Generalities; left side
- Generalities; agg; external applications
Result : Lachesis covered maximum rubrics
Prescription
21 July 2023
Lachesis 200 – single dose
Follow-Up
05 August 2023
- Eruptions increased (aggravation)
- Mind: same
- Continued Phytum 30
27 August 2023
- 95% improvement
- Mental state improved
Result
- Significant reduction in lesions
- No new eruptions
- Improvement in mental state
Discussion
Prescription was based on mental generals, which are of highest value in homoeopathy. Lachesis was selected due to:
- Talkativeness
- Anger from contradiction
- Suspicion
- Left-sided affinity
- Aggravation from external applications
Initial aggravation followed by improvement confirms correct remedy selection.
Conclusion
Individualized homoeopathic treatment can effectively manage verruca vulgaris. Emphasis on mental generals and miasmatic background ensures deep and lasting cure.
Consent
Informed consent obtained.
Conflict of Interest
None declared.
References
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- William Boericke Pocket Manual of Homoeopathic Materia Medica, Boericke W. Pocket Manual of Homoeopathic Materia Medica. New Delhi: B. Jain Publishers; 2007.
- James Tyler Kent Repertory of the Homoeopathic Materia Medica,Kent JT. Repertory of the Homoeopathic Materia Medica. New Delhi: B. Jain Publishers; 2004.
- Stuart Close Genius of Homoeopathy,Close S. The Genius of Homoeopathy. New Delhi: B. Jain Publishers; 2001.
- Verruca Vulgaris,Sterling JC, Gibbs S, Haque Hussain SS, Mohd Mustapa MF, Handfield-Jones SE. British Association of Dermatologists’ guidelines for the management of cutaneous warts. Br J Dermatol. 2014;171(4):696–712.
- Human Papillomavirus,Lipke MM. An armamentarium of wart treatments. Clin Med Res. 2006;4(4):273–293
Dr. Manisha
G20, Ground Floor, Bakson Homoeopathic Medical College and Hospital, Knowledge Park-1, Greater Noida, Gautam Buddha Nagar, Uttar Pradesh 201310, India.
Email : bmaisha007@gmail.com
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