“A CLINICAL STUDY ON WARTS, ITS MIASMATIC APPROACH AND HOMOEOPATHIC MANAGEMENT” By Dr. ABDUL QUADEER Dissertation submitted to the Rajiv Gandhi University of Health Sciences, Karnataka. Bangalore. In partial fulfillment of the requirements for the award of the degree of Doctor of Medicine IN HOMOEOPATHY IN ORGANON OF MEDICINE & HOMOEOPATHIC PHILOSOPHY Under the Guidance of Dr. P. SAMPATH RAO M.D (Homoeo) DEPARTMENT OF ORGANON OF MEDICINE & HOMOEOPATHIC PHILOSOPHY H.K.E.’S HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL GULBARGA-585105, KARNATAKA. 2011 1 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE DECLARATION BY THE CANDIDATE I hereby declare that this dissertation/thesis entitled “CLINICAL STUDY ON WARTS, ITS MIASMATIC APPROACH AND HOMOEOPATHIC MANAGEMENT” is a bonafide and genuine research work carried out by me under the guidance of Dr. P. SAMPATH RAO, HOD & professor Department of Organon of Medicine & Homoeopathic Philosophy H.K.E.’s Homoeopathic Medical College and Hospital Gulbarga. Signature of the candidate Date: Place: Gulbarga Dr. Abdul Quadeer 2 CERTIFICATE BY THE GUIDE This is to certify that the dissertation/thesis entitled “CLINICAL STUDY ON WARTS, ITS MIASMATIC APPROACH AND HOMOEOPATHIC MANAGEMENT” is a bonafide research work done by Dr. ABDUL QUADEER in partial fulfillment of the requirements for the award of the degree of Doctor of Medicine in Homoeopathy (Organon of Medicine). Signature of the guide Date: Place: Gulbarga Dr. P. Sampath Rao M.D. (Homoeo) Principal, Professor,guide & HOD Department of Organon of Medicine & Homoeopathic Philosophy H.K.E.’S Homoeopathic Medical College & Hospital, Gulbarga 3 ENDORSEMENT BY THE HOD, PRINCIPAL/ HEAD OF THE INSTITUTION This is to certify that the dissertation/thesis entitled “A CLINICAL STUDY ON WARTS, ITS MIASMATIC APPROACH AND HOMOEOPATHIC MANAGEMENT” is a bonafide research work done by Dr. Abdul Quadeer under the guidance of Dr. P. Sampath Rao, HOD & professor Department of Organon of Medicine & Homoeopathic Philosophy H.K.E.’S Homoeopathic Medical College & Hospital, Gulbarga H.K.E.’s Homoeopathic Medical College and Hospital Gulbarga. Seal& Signature of HOD Seal& Signature of Principal Dr.P.Sampath Rao Dr.P.Sampath Rao M.D (Homoeo) M.D (Homoeo) HOD & Professor Principal & Professor Dept. of Organon of Medicine Dept. of Organon of Medicine and HomoeopathicPhilosophy and Homoeopathic Philosophy H.K.E.’s Homoeopathic H.K.E.’s Homoeopathic Medical College and Hospital, Medical College and Hospital, Date: Date: Place: Gulbarga Place: Gulbarga 4 COPYRIGHT DECLARATION BY THE CANDIDATE I hereby declare that the Rajiv Gandhi University of Health Sciences, Bangalore (Karnataka) shall have the rights to preserve, use and disseminate this dissertation/ thesis in print or electronic format for academic/research purpose. Date: Signature of the candidate Place: Dr. Abdul Quadeer © Rajiv Gandhi University of Health Sciences, Bangalore (Karnataka) 5 ACKNOWLEDGEMENT A journey is easier when you travel together. Interdependence is certainly more valuable than independence. No endeavor can start, continue and complete without the blessings of almighty god. And I thank him for always being my side. I believe without him nothing would have been possible. I am deeply indebted to my Guide, Dr. Sampath Rao M.D (Hom), and HOD & Professor, Department of Organon of Medicine & Homoeopathic Philosophy, H.K.E.’s Homoeopathic Medical College and Hospital, Gulbarga, whose invaluable help, stimulating suggestions and encouragement helped me to go ahead with my dissertation. He has always been available when I needed his advice and has guided me at every major phase during the preparation of this dissertation. I owe my sincere gratitude to our Principal Dr. P.Sampathrao M.D (Hom), Professor and HOD, Department of Organon of Medine & Homoeopathic Philosophy, for his unflinching valuable support and advice during the course of my study. I express my gratitude & sincere thanks to our teacher Dr.Vijayalakshmi.B.M M.D (Hom), for their unflinching valuable support and constant encouragement during the course of my study. My heartfelt thanks to our P.G. Co-ordinator Dr.Ashok Patil M.D (Hom). Prof. & HOD, Department of Medicine. I express my gratitude to our teacher Dr.S.S.Jambaldinni M.D (Hom), Prof., Department of Materia Medica. I express my gratitude to our teacher Dr.Krishna M.D (Hom), Prof. & HOD, Department of Repertory. 6 I express my gratitude to our teacher Dr.Rajeshwari K M.D (Hom), Prof. & HOD, Department of Materia Medica. I express my gratitude to our teacher Dr.Meena P. M.D (Hom), Prof., Department of Organon of Medicine.. I express my gratitude to our teacher Dr.C.V.Padashetty M.D (Hom), Prof., Department of Organon of Medicine. I express my sincere thanks to our teacher Dr.Mahadev Pasar M.D (Hom), professor, Department of Materia Medica. My deepest gratitude goes to my parents for their unflagging love and support throughout my life. I am greatly indebted to my father Mr. Abdul Sattar Dandoti, who has provided the best possible environment for me to grow up and attend school and college and to my mother Mrs. Fatima Begum who has lovingly cared for me and instilled strong moral values in me. I will be failing in my duty to thank my elder sister Mrs. Shabana Begum, Brother- in-law Mr. Abubakar Idga and My younger brothers Mr. Abdul Samee Dandoti & Mr. Md. Nayeem Dandoti for their love, affection, encouragement & advice during my studies. I express my sincere thanks to all my PG colleagues, for their help & support . I express my sincere thanks to all my Friends, for their help & support I express my sincere thanks to librarians Mr. Deshmukh and Mr. Veeranna, for their help & support. I express my sincere thanks to M/s Kotli Dtp centre, Gulbarga for making this thesis work in a reproducible manner. Last but not the least, I thank to my patients and well wishers without whose support this work could not have been completed. Date: Dr. ABDUL QUADEER Place: 7 LIST OF ABBREVIATIONS USED` A.C.T.H. Adreno cortico thyroid stimulatin harmone Calc. carb. Cacarea carb C.N.S Central nervous system D.M. Diabatic mellitus D. N. A. Deoxy ribo nucleic acid H.P.V. Human papilloma virus HTN Hypertension M.S.H. Melanocyte stimulating harmone MI Myocardial infarction Nat.mur Natrum mur OA Osteoarthritis P.C.R. Polimarase chain reaction RA Rhermatoid Arthrites TB Tuberculosis 8 ABSTRACT Background: Warts are small circumscribed, epidermal papillary elevations of skin. Various forms of warts are described as per their shape and their predominant characteristics. Cause of the warts is human papilloma virus. There are different types in warts namely, flat warts, Filiform warts, Common warts, Plantar warts. Objectives: 1) To study the miasmatic background and its implication in warts. 2) To assess the efficacy of homoeopathic remedies in the treatment of warts. Methods The present study consisted 30 patients of Warts who attended the OPD, IPD of H.K.E.’s Homoeopathic Medical College & Hospital, and Gulbarga. And OPD of village camp, during my study period. The cases of warts were selected on the basis of following inclusion & exclusion criteria: The cases were recorded according to standard case format. This format was prepared according to homoeopathic methods of case taking. The cases were recorded by keeping the Holistic & concept of Individualization in mind. The Miasmatic diagnosis was done in each and every case using different books. The miasmatic diagnosis is done on the basis of totality of symptoms, past history and family history. All the cases were diagnosed according to the symptoms and signs and also with the help of investigations like punch biopsy. 9 All the cases were reviewed once in 7, 15, 30 days as the need arouse & were followed for a period of minimum 6 months. Results The result of this study showed that the miasmatic background in most of the cases where of psoro-sycotic predominantly Psora .most commonly affected age group of 10 -19yrs ,about 10 homoeopathic remedies where evolved as efficacious remedies in the treatment of “Warts”. Out of 30 cases, 14 cases (46.66%) recovered, 9 cases (30%) showed improvement and 7 cases (23.33%) did not show improvement. Interpretation and conclusion I arrive at the conclusion that Homoeopathic treatment for warts shows remarkable results in most of the cases of my study. After prescribing the indicated remedy patient started improving depending upon their vital energy. Proper treatment without external application, were found effective in bringing significant improvement in the patient. The Homoeopathic medicine seems to be efficacious in the treatment of warts as it prevents further complications. It also prevents persons from the complications associated with methods like cauterization, surgical methods. Combination of Psoro-Sycotic miasmatic background was seen. Predominance of psora was seen in the most of the cases. Keywords: Common warts; Flat warts: Plantar warts: Filiform warts; Human Papilloma Virus 10
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