Dr Pramod singh1 Dr Astha Mathur2 Dr Dushyant Kumar 3 DrAbhishek4 Dr.Poonam Sharma5
1.Professor&Head HOD ,Department of Homoeopathic pharmacy , Dr.M.P.K Homoeopathic Medical college Hospital and research centre Saipura ,Jaipur
2.Assistant Professor , Department of Homoeopathic pharmacy , Dr.M.P.K Homoeopathic Medical college Hospital and research centre Saipura ,Jaipur
3.MD scholar , Department of Homoeopathic pharmacy , Dr.M.P.K Homoeopathic Medical college Hospital and research centre Saipura ,Jaipur
4.MD scholar , Department of Homoeopathic pharmacy , Dr.M.P.K Homoeopathic Medical college Hospital and research centre Saipura ,Jaipur
5.MD scholar , Department of Homoeopathic pharmacy , Dr.M.P.K Homoeopathic Medical college Hospital and research centre Saipura ,Jaipur
INTRODUCTIOON: Tinea means fungal infection.1 Tinea cruris is a pruritic superficial fungal infection of the groin and adjacent skin. Tinea cruris is a dermatophytosis that is commonly caused by trichophyton rubrum or T. mentagrophytes. Tinea refers to superficial infection with one of three fungal genera-Microsporum, Epidermophyton, and Trichophyton. These infections cause serious chronic morbidity2. Tinea cruris most commonly affects adolescent and young adult males. 3 The infection spreads centrifugally and results in annular patches of varying sizes
CASE PROFILE: A 22 year male in come in our OPD with complaints of Red circular round patchy eruption with intense itching with burning sensation in left thigh which is aggravated evening and night, perspiration. He went for cauterization and external applications with mild relief but after sometime, it reappeared as red circular patchy eruption in left thigh with itching sensation.
HOPC: Red circular patchy, large eruption on left thigh for 17 months. Itching with burning eruption aggravated evening, night and perspiration. Amelioration by open air.
PHYSICAL GENERALS: Loss of appetite, desire for spicy food, salt, sometimes stools hard with constipation with violent rectal pain. Thermal reaction Hot.
MENTALS GENERALS: Fear of darkness, dream of robbers at night, desire for company.
CLINICAL FINDING : Appearance mesomorphic . Height 5’2 weight 54kg ,
Other generals and systematic examination Finding suggest no abnormal sign.
CLINICAL DIAGNOSIS : Cruris tinea
TOTALITY OF CASE :
1.Fear of darkness ++
2.Dream of robbers at night +
3.Desire for Company ,
4. Loss of appetite+++
5.Sometimes stool Hard+,
6.Desire for spicy food ,salt+,
7.Red circular , round patchy eruptions on left thigh ,
8.Itching with burning sensation aggravated by Night +
9. Itching with burning sensation aggravated by Perspiration+
10. Itching with burning sensation Amelioration by Open air+
Figure1: Reportorial totality from Synthesis repertory using RADAR 10 software
First prescription with justification: After observing reportorial result there are many medicines which may be similimum. Natrum mur 200 one dose was prescribed because it is highly matching to the totality of the patient. After repertorization on the basis of totality of symptoms and 200 potency prescribed according to susceptibility of patient and nature of medicine & disease. 200CH potency was selected and single dose was given to avoid any unwanted aggravation. Patient was given placebo for 15 days.
|Date||Patient’s Status||Prescription with justification|
|12/11/19||Red circular , round patchy eruptions in left thigh ,intense itching with itching||Natrum Mur200/1Dose Placebo 30/TDS/15days|
|27/11/19||Mild Improvement itching burning and not new symptoms appear||Placebo 30/TDS/15days|
|11/12/19||No further improvement in symptom Mild itching return||Natrum Mur200/1Dose Placebo 30/TDS/7days|
|18/12/19||Itching and burning reduced mild improvement in eruptions||Placebo 30/TDS/15days|
|3/01/2020||No itching and burning sensation Improvement in eruption and discoloration||Placebo 30/TDS/15days|
|18/01/2020||No eruptions with itching and burning sensation||Placebo 30/TDS/15days|
|3/02/2020||Not complaints||Placebo 30/TDS/15days|
Figure 2: Patient’s picture before treatment Figure 3: Patients pictures after treatment.
DISCUSSION AND CONCLUSION:
Natrum mur was selected on the basis of totality. In reportorial totality Natrum mur and Sulphur scored the highest marks which shows the mot similimum with the patient’s complaint. Natrum mur is covering the highest number of symptoms with marked scoring in reportorial totality and with consultation from materia medica Natrum mur was prescribed. As Natrum mur is deep acting remedy so only single dose in low potency was prescribed and gave relief to the patient in short duration
1. Pariser RJ, Pariser DM. Primary care physicians‟ errors in handling cutaneous disorders. A prospective survey. J Am Acad Dermatol. 1987;17(2 pt 1):239-245.
2. Hay RJ, Clayton YM, De Silva N et al. Tinea capitis in south-east London- a new pattern of infection with public health implications. Br J Dermatol. 1996;135:955-95.
3. Kelly BP. Superficial fungal infections. Pediatr Rev. 2012;33(4):22-37.
4.RADAR 10.Archibel Homoeopathic Software.Belgium.2009