Dr M Padmashree
ABSTRACT
A corn is a thickening of the skin due to intermittent pressure and frictional forces. These forces result in hyperkeratosis, clinically and histologically. A 53-year male patient presented with the complaint of multiple corns was given similimum on the basis of the totality of symptoms. Staphysagria 200, single dose was prescribed at the first visit. Within 2-3 months of homoeopathic treatment, patient started improving and continues to be free from his complaints at the time of last follow-up visit to OPD and hence treatment was stopped.
INTRODUCTION
Corn is a localised hyperkeratosis of the skin. It usually occurs at the site of pressure. Corn has a tendency to recur after excision. A corn has deep central core which reaches the deeper layer of the dermis. Pathophysiology Corns are the result of mechanical trauma to the skin, culminating in hyperplasia of the epidermis. Most commonly, friction and pressure cause a normal physiological response—proliferation of the stratum corneum. The first signs are generally sore, tender areas on the toes which if ignored quickly developed into corns. Sometimes the patient may remain asymptomatic and sometimes become symptomatic with tenderness and pain, especially during walking and standing. Clinically, corn can be of 2 types. The first is a hard corn or heloma durum. It is mostly found in interphalangeal joints, top of the toe or the outside of the little toe. The second is a soft corn. It is generally found in interdigital locations and between the 4th & 5th toes.
HOMOEOPATHY IN CORNS
Corns can be treated under the Homeopathic, that uses a very gentle approach. The similimum selected on the basis of totality of the case are very effective and attack the problem at the root. Corn has a tendency to recur after excision. Removing the corns with surgery also carries the risk of infection, while homoeopathic medicines provide a permanent and completely safe solution to corns.
CASE REPORT
A 53 years old male patient attended outpatient department (OPD) of Government Homoeopathic Medical College and Hospital, Bengaluru in June 2021 with the following complaints:
- Complaints of recurrent corns on B/L foot since 1 year
- Hypertension since 5 years
HISTORY OF PRESENTING COMPLAINT
1 year back single corn started first on right feet, then on left feet. 2 months following it, multiple corns, with brownish discoloration around it started appearing on both feet. Old one dries and new one form subsequently. New corns are being formed almost every week. No pain. Severe itching before the appearance of new corn. No aggravating or ameliorating factors.
K/C/O Hypertension, 5 years back had giddiness, on routine checkup found to be hypertensive. Presently is on allopathic medications. On and off attacks of giddiness, atleast once in week. No other complaints.
ANALYSIS OF THE CASE
After analyzing the symptoms of the case, the characteristic symptoms were taken to form the totality. Symptoms taken for totality – corns, gets anger but doesn’t express- fear of losing respect in society, worried about what people think about him, anxiety – something will happen to his health, give importance to what society and people think of him.
Selected symptoms were converted to rubric and repertorized using Synthesis Repertory software.
SELECTION OF REMEDY
The remedy Staphysagria was selected, as it was not only the single remedy covering all the rubrics but also covers the mentals and basic disposition of the patient. Staphysagria covers both the mentals, particular complaint, i.e. corns. Considering the pathology of the disease and generals, centesimal potency was selected.
PRESCRIPTION
Staphysagria 200, single dose was prescribed on first visit
DISCUSSION AND CONCLUSION
The patient was treated successfully with homoeopathic medicine. With the wholistic approach patient was not only cured of his complaints but the tendency of developing recurrent corns was also taken off from treating the root cause. This case again proves that its only homoeopathic mode of treatment which gives rapid, gentle and permanent cure.
Dr.M.Padmashree
MD Part 2, Department of Materia Medica
Government Homoeopathic Medical College and Hospital, Bengaluru
Email: padmashreeksm25@gmail.com
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