Abstract- A male age 34 years diagnosed clinically with “carbuncle” cured by homoeopathic medicine, Calcarea sulphurica.
Keywords- carbuncle, Calcarea sulphurica, homoeopathy
Abbreviations- HTN – hypertension, B.P- blood pressure, mm Hg- millimetre of mercury, amel. – amelioration, agg.- aggravation, BD- 2 times a day, B.A. – Bachelor of arts, oF – degree Fahrenheit, Cal. sulph. – Calcarea sulphurica, QDS – four times a day
Carbuncle is a superficial infective gangrene, involving the subcutaneous tissue, caused by staphylococcal infection. (1) It is commonly seen among the diabetic patients. The initial lesion is similar to boil in the form of hair follicle infection with perifolliculitis. (2) Generally, it commences with painful and stiff swelling which later spreads with marked induration. Surface is red, angry looking like red-hot coal. (2) Later, the central part of swelling turns into vesicles which finally transforms into pustules, that subsequently burst allowing the discharge to come out in multiple openings in the skin producing a sieve-like or cribiform appearance (a pathognomonic of carbuncle). (3) The opening coalescence to make bigger crateriform ulcer, the base of the ulcer lies a greyish slough.
A male patient of age 34 years complaints of pain and swelling with pus formation on the left hip region since last 3 months, agg. by touch; amel. Uncovering.
History of present illness
It appeared suddenly and he previously took allopathic medicine with no relief.
Father was suffering from HTN
Education- B.A. Occupation- businessman Diet- non- vegetarian
Habits- tobacco chewing
Physical and mental generals
While enquiring about the mental generals, he said that he always wanted to do his work hurriedly++ whenever he was given any task. He wished to stay alone.
His appetite was good and he liked to take cold food. Thirst was moderate, he usually drank 2-3 litre of water in a day. He had a desire for sweets++. Patient used to sweat profusely on his head. He was sensitive to hot++. He usually slept for 6-7 hours and was refreshing.
- Pulse- 80/minute
- Temperature – 98.4 oF
- B.P. – 120/70 mm Hg
On inspection, redness and thick, yellow pus accumulation was seen over the swelling.
Diagnosis was based on clinical history and physical examination. (4)
Analysis and evaluation of the case
|Hurried in nature||mental general||++|
|Wished to stay alone||mental general||+|
|Desire for sweets||physical general||++|
|Pus – thick and yellow||physical general||+++|
|Perspiration on head||characteristic particular||++|
|Uncovering amel.||physical general modality||++|
|Pain on swelling||common symptom||+|
Totality of symptoms
- Hurried nature.
- Sweet desire.
- Perspiration on head.
- Thick and yellow pus.
- Uncovering amel.
6 symptoms which were prominent including mental, physical, and particular symptoms are taken into consideration and repertorisation was done with the help of Complete Repertory in HOMPATH CLASSIC 8.0.
|Hurried nature||[C] [Mind] Hurry, haste: tendency:|
|Sweet desires||[C] [Generalities] Food and drinks: sweets:desires:|
|Perspiration on head||[C] [Head] Perspiration, scalp:|
|Pus – thick||[C] [Generalities] Discharges, secretions:thick:|
|Pus – Yellow||[C] [Generalities] Discharges, secretions:yellow:|
|Uncovering amel.||[C] [Generalities] Uncovering:amel:|
Repertorial sheet (5)
Prescribed on 15/01/2020
Calcarea sulphurica 6,
1 drop in 100 ml aqua, 5ml of the above solution repeated 4 times in a day for 5 days and report after 5 days.
On repertorisation, remedies such as Pulsatilla nigricans, Calcarea carbonica, Mercurius solubilis, Sulphur came in the top.
Calcarea sulphurica 6 (6) (7) was finally selected as per the thick and yellowish discharge of the pus which is a characteristic of Calcarea sulphurica.
Selection of dose and repetition (8)
The medicine was repeated as per the intensity of the symptoms, and moreover in §247, it has been said that the medicine may be repeated as early as 5 minutes interval if the disease is of acute nature.
Figure 1: 15/01/2020
|Date||Symptoms||Prescription||Changes in swelling|
|20/01/2020||Pain – Mild reliefMild rednessAppetite – GoodSleep- DisturbedThirst- Moderate||Calcarea sulphurica 30 – BD for 3 days|
Patient was advised to clean with fine cloth regularly.
As it is known, no disease is external without being diseased internally, hence in order to bring out the cure, the only way is by giving internal dynamic homoeopathic medicine.
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Dr Anjan Das, BHMS
• Dr Shimul Jamatia, BHMS, PG Scholar, Dept. Of Organon of Medicine, Naiminath Homoeopathic Medical College Hospital and Research Centre, Agra-283202
• Dr Azizul Islam Khadim, PG Scholar, Dept. of Practice of Medicine, R.B.T.S Govt. Homoeopathic Medical College and Hospital, Muzaffarpur