Abstract
Allergic Rhinitis is an atopic IgE mediated inflammatory response of nasal mucosa presenting with symptoms of sneezing, nasal congestion, clear rhinorrhea, and nasal pruritus. (1, 2) It is also defined as inflammation of the nasal mucosa that occurs when a person inhales something he or she is allergic to, such as animal dander, pollen, dust, etc. (2). Conventional modern medicine tries to mitigate the symptoms of allergic rhinitis and provides palliation whereas Homoeopathic medicine can provide a true “cure” for the condition through a constitutional Similimum.
Keywords: Allergic rhinitis , Homoeopathy, Cure, Similimum
Introduction
- Allergic Rhinitis is an atopic IgE mediated inflammatory response of nasal mucosa presenting with symptoms of sneezing, nasal congestion, clear rhinorrhea, and nasal pruritus. (1, 2) It is also defined as inflammation of the nasal mucosa that occurs when a person inhales something he or she is allergic to, such as animal dander, pollen, dust, etc. (2)
- Addition to nasal symptoms of sneezing, nasal congestion, rhinorrhea and nasal pruritus, Allergic Rhinitis may also present with associated allergic conjunctivitis, non-productive cough, eustachian tube dysfunction and chronic sinusitis. Physically clinicians may notice mouth breathing, frequent sniffling and/or throat clearing, transverse supra tip nasal crease (Allergic salute) and dark circles under the eyes. (Allergic shiners).
- Allergic Rhinitis can be classified as seasonal (intermittent) or perennial (chronic), or based on symptom duration as persistent and intermittent, or based on severity as mild, moderate, and severe.
- Over 400 million people around the world suffer from Allergic Rhinitis. In India the prevalence of this disease is gradually increasing in the last 2 decades among which a large extent remains underdiagnosed and undertreated. It is associated with significant morbidity, loss of productivity and health care costs. (2)
- Precipitating Factors – 1. Inhalants – Dust, pollens, feathers, house mites, moulds, perfumes. 2. Ingestants – Any food item. 3. Contactants – cosmetics. 4. Infection – bacteria and products of inflammation. 5. Endogenous – Parasites, tissue proteins, etc. 6. Drugs – Aspirin, iodides, etc.
Predisposing Factors | Symptoms |
|
|
Common Therapeutic Treatment
Allopathic Methods:
- Modern systems of medicine aimed at managing Allergic Rhinitis with antihistamines, intra nasal steroid, leukotriene receptor antagonist, oral steroid, and immunotherapy may be advised for symptomatic alleviation.
Case Study:
A female patient Mrs AB of age 35 years came to me on 30/06/23 in OPD with a complaint of recurrent sneezing and running nose since 10 years . The discharge was bland, clear, fluent and chronic. She had frequent sneezing in the mornings . Other symptoms included lacrimation and redness in eyes and itching sensation present in the ear and nose .
HOPC:
Gradual progression, allopathic treatment taken with temporary palliation.
F/H: Mother has allergic rhinitis. Daughter has symptoms like allergic rhinitis.
Past History:
Gastric ailments during childhood (unspecified by patient)
Personal History:
Occupation: HR
Hobbies: nothing specific .
Physical Generals:
Appetite: 2 meal/day
Thirst: 2 L/day.
Desire: Sweet
Stool: satisfactory
Urine: normal
Sweat: normal
Sleep: disturbed; Sleeps late at night, intermittent sleep
Dreams: nothing specific
Thermals: Hot
Mental Generals :
Anxiety about work.
Anger – Suppressed.
Forgetfulness .
Consolation aggravates.
Weeping when alone .
Gynecological History :
Menarche : 13 year of age
Menses : irregular , too early ,usually profuse
Duration: 3-4 days
Associated symptoms : pain in abdomen
G1P1A0L1 [GIRL]
Totality of Symptom:
Anxiety about work.
Anger – Suppressed.
Forgetfulness .
Consolation aggravates.
Weeping when alone
Frequent sneezing with aggravation in the morning.
Watery discharge from nose
Aggravation from change of weather .
Repertorial Analysis:
Prescription:
Natrum mur – 30 /BD/5 days followed by placebo for 7 days
Follow up:
08/07/2023 | Sneezing attack better 20% Running nose better 20% | Natrum mur 30/BD/5 days Placebo/BD/15 days |
22/07/2023 | Sneezing attack frequency decreases. Running nose stop | Natrum mur 200/OD/3 days Placebo/BD/7days |
01/08/2023 | Better 90% sneezing occurs sometime in the morning only. | Placebo for 15 days |
20/8/2023 | No new complaints All complaints better | Advised to avoid cold things and AC |
Conclusion:
Before treatment | After treatment |
| No new complaints and all previous complaints are better .. |
Modern medicine is relatively unsuccessful in the cure of Allergic rhinitis while such cases can easily be cured through Homeopathy principles.
References
- Castillo Vizuete JA, Sastre J, del Cuvillo Bernal A, Picado C, Martínez Moragón E, Ignacio García JM, et al. Asthma, rhinitis, and nasal polyp multimorbidities. Arch Bronconeumol [Internet]. 2019;55(3):146–55. Available from: http://dx.doi.org/10.1016/j.arbr.2018.12.020.
- Seidman MD, Gurgel RK, Lin SY. Clinical Practice Guideline: Allergic Rhinitis. Otolaryngology-Head and Neck Surgery 10 [Internet]. 2015;152:S1–43. Available from: http://dx.doi.org/10.1177/0194599814561600.
- K.B. Bhargava S.K. Bhargava T.M. Bhargava. A short textbook of E.N.T. diseases. Seventh edition. Mumbai: USHA; 2005.
Author
Dr. Amol Singh Kirar
Md Scholar
Batch– 2022–23, Dept–Homoeopathic Repertory And Case Taking
Govt . Homoeopathic Medical College And Hospital Bhopal(Mp) .
Co – Author
Dr. Narendra Jatav
Md Scholar
Batch: 2022–23 Dept – Homoeopathic Repertory And Case Taking
Govt . Homoeopathic Medical College And Hospital Bhopal ( Mp )
