Clinical tips for the homoepathic treatment of warts

Clinical tips for the homoepathic treatment of warts

1. Clinical Tips Homoeopathic Treatment of Warts

2. Definition and Cause Warts or Verrucae are skin growths caused by Infection of the skin by Human Papilloma Virus(HPV) Some varieties of HPV infect the outer layer of the skin (epidermis) and stimulate rapid growth of cells giving rise to warts

3. Mode of Infection HPV may be transmitted by direct or close contact with infected individual An infected individual may spread infection to other areas of his/her body by touch Infection is also known to spread through contact with infected materials such as towels/ razors etc. HPV usually gains entry into the skin through minor cuts/ breaks Genital warts spread by skin to skin contact as well as by genital , oral and sexual contact

4. Risk factors Exposure to HPV does not necessarily result in appearance of warts. Individuals at higher risk for developing warts include: Children and young adults Persons with lowered/ compromised immunity such as those with HIV , persons on immuno-suppressive drugs such as organ transplant patients

5. Types of warts Common warts/ Verruca Vulgaris Appear as skin colored, fleshy, firm papules with rough surface. Common sites are dorsum of hands, fingers etc. Plain warts Appear as skin colored smooth papular lesions. Common sited are face, dorsum of hands Filiform warts Appear as finger like projections with rough surface. Common sites are neck, face , scalp

6. Types of warts Plantar Warts found on the plantar surface(sole) of foot as a skin colored area with an irregular surface. These may be painful on pressure. Genital warts present as a mass of verrucous tissue in the genital area , prepuce, vagina, anal / peri -anal area. Significantly genital warts may be transmitted to mouth, tongue, lips of a patient by oral- sexual contact

7. Signs and symptoms Warts are usually asymptomatic At times plantar warts may be tender on pressure due to pressure on an underlying nerve Genital warts may cause itching, pain, vaginal discharge, burning and bleeding

8. Prognosis Left untreated a majority of warts may disappear on their own over time Proactive treatment may be advised to prevent spread of infection to other sites and other individuals and also for cosmetic reasons Recurrence of warts is common Certain strains of HPV are known to cause Cervical dysplasia and Cervical Cancer, though no direct correlation can be drawn between occurrence of warts and development of Cervical Cancer

9. Homoeopathic Management H omoeopathic medicines prescribed on the basis of constitutional symptoms , general and mental symptoms always give good results in the treatment of warts However in the absence of these symptoms, medicines may be prescribed on the basis of appearance, location, character etc . A number of topical medications are also used to treat warts

10. Homoeopathic Management   Remedy Indications 1. Anagallis 6C Possesses power of softening flesh and destroying warts 2. Antim crud 30, 200 Painful warts on palms, soles 3. Berberis vulgaris 30C Flat warts 4. Calcarea carb 30, 200, 1M Warts on face arms and hands, leucophlegmatic constitution 5. Calcarea - ovi – tosta 3x Hands are full of warts, history of leucorrhoea and backache 6. Calcarea calcinata 3X Remedy for warts especially over palms. 7. Calcarea fluorica 200C Warty growth especially on bends of elbow 8. Calendula 30C Warts at the os externum , Genital warts. 9. Castor equi 6C Warts on breast, forehead. 10. Causticum 200C, 1M Warts on finger tips, close to nail, bleeding, painful, stinging. Warts on nose, eyelids & face 1

11. Homoeopathic Management   Remedy Indications 11 Conium maculatum 200C, 1M Warts on buttocks 12 Dulcamara 200C Flat warts especially back of hands , palms, face. Large, flat smooth warts 13 Ferrum picricum 6C Hands covered with warts 14 Magnesia sulph 30C, 200C Warts on entire face 15 Medorrhinum 1M, 10M Flat dry warts , great thirst and appetite , intolerance of heat 16 Natrum carb 200C Warts of palms of hands 17 Natrum mur 200C Warts of palms of hands 18 Natrum sulph Tendency for warts all over the body 19 Nitric acid 30,200 Large, jagged warts bleed easily warts in genital region especially on mucuo-cutaneneous junctions 20 Palladium 30C Warts on knuckles 2

12. Homoeopathic Management   Remedy Indications 21 Ruta graveolens 30C Palmar warts, flat, sore and painful 22 Sabina 30,200 Warts with itching, when Thuja improves but not completely 23 Sabina 30C, 200C Fig-warts with intolerable itching and burning 24 Silicea 200C Warts on forearm 25 Spigelia 30C, 200C Warts especially on toes 26 Staphisagria 30 Dry pedunculated warts on genital areas 27 Thuja occidentalis 30, 200, 1M All types of warts, on any part of the body when constitutional symptoms agree 3

13. Useful Rubrics from Kent’s Repertory Eye: Arund , calc , cinnb , merc , nit-ac , phos , staph, Thuj Canthi: Calc , nit-ac Eyebrows: Anac , caust , thuj Eyelids: Caust , cinnb , nit-ac , sulp, Thuj Right, lower: Nit-ac Iris: Cinnb , Merc , staph, thuj Nose , on: Caust , Nit-ac , Thuj Nose , inside: Nit-ac Ears , on: Bufo Face , on: Calc , Caust , Dulc , kali-c, lyc , nit-ac, sep , sulph , thuj Chin: Lyc , Thuj Lips: Caust , kali-s, Nit-ac , thuj Mouth , around: Cund , psor Mouth : Ph -ac Throat: Arg -n , merc -c, nit-ac, thuj Palate: Arg -n Tongue: Aur , aur -m , aur -m-n, lyc , mang , staph Rectum: Arg -n , aur , aur -m, benz -ac, caust , Cinnb , euph , jac -c , lyc , merc , merc -d , mill, nat -s , Nit-ac , petr , phos , sabin , sep , staph, sulph , Thuj Male genitalia: Alum, apis , arg -n , aur , aur -m , aur -m-n, calc , cinnb , euphr , fl -ac , Hep , lyc , med, merc , merc -d, mill , Nat-s, Nit-ac, ph -ac, phos , psor , sabin , sars , sep , staph , Thuj Thumbs : Berb , lach , ran-b, thuj Nates : Con Thigh: Med Toes: Spig Male genitalia , anus, and: Nit-ac Penis: Apis , alumn , bell, calc , Cinnb , euph , hep , lac-c, lyc , merc , merc -c, mill, nat -s, Nit-ac , ph -ac, Psor , Sabin , Sep , staph, sulph , Thuj Glans: Ant-t , aur , aur -m, cinnb , kali- chl , kali- i , lac-c , lyc , med, nit-ac, ph -ac , psor , sabin , sep , staph , sulph , Thuj Prepuce: Aur , aur -m , aur -m-n, caust , Cinnb , cub, lyc , med , merc , merc -c, nit-ac , ph -ac, Psor , sabin , Thuj Scrotum: Aur , aur -m , sil , Thuj Vagina: Nit-ac, phos , staph , taren , Thuj Sternum , on: Nit-ac Back , on: Nit-ac, sil , thuj Cervical region: Nit-ac, thuj Upper limbs: Ars , bov , Calc , carb-an, caust , dulc , kali-c, lyc , merc , Nat-c , nat -m, nat -s, nit-ac , petr , phos , rhus -t, Sep , sil , sulph , thuj Elbow , bend, on: Calc -f Forearm: Sil Wrist: ferr -m Hand: Anac , ant-c , Bar-c , berb , bov , bufo , Calc , Caust , Dulc , ferr , ferr -m, ferr -pic, fl -ac , kali-c, lach , lyc , nat -c, nat -m , Nit-ac , ph -ac , phos , psor , rhus -t , sep , sil , sep , sil , Sulph , Thuj Knuckle: Pall Palm: Anac , berb , dulc , nat -c, nat -m , ruta Fingers: Ambr , bar-c , berb , calc , carb-an, caust , dulc , ferr , fl -ac , Lac-c , lach , lyc , nat -m, nit-ac , petr , psor , ran-b, rhus -t , sang, sars , sep , sulph , thuj According to Location According to Location

14. Useful Rubrics from Kent’s Repertory Butternut -shaped, penis, dorsum of,: Sabin Cauliflower, like, female genitalia, on: Nit-ac Penis, on: Lac-c, Nit-ac Fan shaped, penis, on: Cinnb , thuj Flat , hand, on: Berb , Dulc , lach , ruta , sep Palm, on: Dulc , nat -m, ruta Rectum, on: Euph , sulph , Thuj Skin, on: Acet -ac, berb , caust , Dulc , fl -ac, lach , ruta , sep , thuj Horny , hand, on: Ant-c, caust , sep , thuj Skin, on: Ant-c , calc , caust , dulc , graph, nit-ac , ran-b, sep , sulph , thuj Indented , skin, on: Calc , euphr , lyc , Nit-ac , ph -ac , rhus -t, sabin , sep , staph, Thuj Jugged , skin, on: Caust , lyc , Nit-ac , ph -ac, rhus -t, sep , staph, Thuj Large ,hand , on: Dulc Large , skin, on: Caust , Dulc , kali-c, nat -c, Nit-ac , ph -ac, rhus -t, sep , sil , Thuj Pedunculated , female genitalia, on: Lyc Skin, on: Caust , dulc , lyc , med , Nit-ac , ph -ac, rhus -t , sil , staph, thuj Round , skin, on: Calc Small , skin, on: Bar-c, berb , calc , caust , dulc , ferr , ferr -p, hep , lach , nit-ac , rhus -t, sars , sep , sulp , thuj Bleeding , easily, genitalia: Calc , cinnb , med, mill, Nit-ac , sulph , thuj Fetid, when touched: Cinnb , Nit-ac , thuj Penis, on: Cinnb , Nit-ac , sulph , thuj Rectum, on: Mill Skin, on: Caust , cinnb , hep , lyc , nat -c, nit-ac , ph -ac, rhus -t, staph, Thuj From washing: Nit-ac Vagina, on: Phos Brown , skin, on: Sep, thuj Burning , penis, on: Apis , cinnb , Nit-ac , anac , psor , sabin , thuj Skin, on: Amm -c, ars , hep , lyc , petr , phos , rhus -t , sep , sulp Dry , female genitalia, on: Lyc Skin, on: Staph Fleshy , skin, on: Calc , caust , dulc , sil Hard , skin, on: Ant-c, calc , caust , dulc ,, fl -ac, lach , ran-b, sep , sil , sulph Hollow, become: Calc Hot , genitalia, on: Ph -ac Warts , inflamed, skin, on: Am-c, bell, bov , calc , caust , hep , lyc , nat -c, nit-ac , rhus -t, sars , sep , sil , staph, sulph , thuj Isolated , skin, on: Lyc , thuj According to Shape According to Character

15. Useful Rubrics from Kent’s Repertory Itching , Hand, on: Sep Female genitalia, on: Euphr , lyc , sabin Genitalia, on: Lyc , psor , sabin , staph, thuj Penis, on: Psor , sabin Skin, on: Euphr , kali-c, nit-ac , ph -ac, rhus -t, sep , staph, Thuj Moist , skin, on: Caust , lyc , Nit-ac , ph -ac, psor , rhus -t , staph, thuj Oozing , penis, on: Am-m, cinnb , lyc , nit-ac, psor , thuj Offensive: Nit-ac Painful , on pressure, palm, on: Nat-m Skin, on: Am-c, bov , calc , hep , kali-c, kali- i , lach , lyc , nat -c, nat -m, nit-ac , petr , phos , rhus -t, ruta , sabin , sep,sil , sulp , thuj Pulsating , skin, on: Calc , kali-c, lyc , petr , sep , sil , sulp Red , skin, on: Calc , nat -s, thuj Sensitive, extremities, on: Nat-c Genitalia, on: Staph Rectum. on: Staph Skin, on: Caust , cupr , hep , nat -c, nat -m, Staph , thuj Smelling like stale cheese, genitalia: Calc , hep , sanic , thuj Smooth , skin, on: Ant-c , dulc , ruta Soft , genitalia, on: Sep Red & fleshy, female genitalia, on: Nat-s Skin, on: Ant-c, calc , Nit-ac , sil , thuj Sore , extremities, on: Ambr , fl -ac, ruta Rectum, on: Benz-ac, thuj Soreness , penis, on: Euphr , Nit-ac , ph -ac, sabin , thuja with itching: Psor , sabin Stinging , skin, on: Am-c, ant-c, bar-c, calc , caust , hep , lyc , Nit-ac , rhus -t, sep , sil , staph, sulph , Thuj Stitching , skin, in: Bov , hep , Nit-ac Suppurating , skin, in: Ars , bov , calc , caust , hep , nat -c, sil , thuj Syphilitic , skin, in: Aur , am-m, aur -m-n, hep , merc , Nit-ac , staph 1 Tearing , skin, in: Am-c Thin epidermis, with: Nit-ac Ulcer , surrounded by a circle of: Ant-c, ars , calc , nat -c , phos Withered , skin, on: Ars , calc , camph , caps, cham , Chin , clem , cocc , croc , ferr , ferr-ar , ferr -p , hyos , iod , kali-c, lyc , merc , ph -ac , phos , rheum, rhod , sars , Sec , seneg , sil , spong , sulph , verat According to Character According to Character

16. Homoeopathic management Medicines for external use 1. Thuja Q Thuja Ointment Many times simple application of Thuja Q externally removes the warts without any internal medication   Note: Dr.Hahnemann recommends use of pure juice of Thuja mixed with equal part of alcohol as external application in the most inveterate and difficult cases of warts. (Chronic disease Pg No: 100) 2. Ruta Q Ruta Ointment Flat palmar warts with sore pains 3. Sempervivum tectorum Q Fresh juice / Tincture locally for warts 4. Sabina Q Locally tincture is used for removing warts 5. Salicylic acid Ointment Useful for plantar warts

17. General measures Avoid touching and picking at warts to prevent spread to other areas Avoid brushing, combing and shaving the area on which warts are present as trauma may aggravate the condition To prevent spread of genital warts adopt safe sexual practices such as use of condom, avoidance of multiple sexual partners and prompt treatment of STD’s

18. Cases of Warts Dr. Pradip Kr. Roy Case Briefing A moderate build male patient named Mr. R, 56 years old, attended Meethapur Dispensary on 15th December 2015(O.P.D. No. 12672), with a complaint of a solitary wart on his scalp for two months, without any discomfort. He had once quatarized one warty lesion over his left hand. On query, he complained of headache which was relieved after wearing cap and he had a tendency to catch cold easily . 1 Physical General Thermal reaction : Chilly Thirst : Moderate Desire : Salt Stool and Urine : Regular Sleep : Sound Perspiration : Scanty Past History Operated DNS : 10 years ago Cholecystectomy : 5 years ago Cauterization of warty lesion: 1 year ago

19. Prescription and Follow Up: 15.12.2015: Thuja 1M- 1 dose, No placebo was given 23.12.2015: He reported that the warty lesion had gone and there were no more warty lesions on his scalp. He even carried his fallen wart in a plastic envelope 1 15.12.2015 23.12.2015 Cases of Warts Dr. Pradip Kr. Roy

20. Case Briefing This case was seen in the OPD of NHMC Hospital in the year 2012. The interesting thing in this case is that, I prescribed the usual medicines, like Causticum , Natrum Mur and Dulcamara on the basis of symptoms ( i.e. Desire and aversion of foods, characters of warts, thermal reaction of the patient and after consulting the Kent’s Repertory) , but did not get any response. One day while reading Boericke’s Materia Medica , I go through the line “Hands covered with warts” in Ferrum Picricum , and after consulting Kent’s Repertory in Rubrics “ Warts, Hand” I found the medicine Ferrum pic, though in third grade, prescribed the same medicine in the next visit and I got good response in first prescription and with the continuation with the medicine the warts are almost cured. 2 Cases of Warts Dr. Md. Sayeed Akhtar

21. 2 Cases of Warts Dr. Md. Sayeed Akhtar

22. Contributors Dr Jithesh T.K , C.M.O. Dr Malay Kumar Ray , M.O. Dr Pradip Kumar Roy, S.M.O. Dr Mohd . Sayeed Akhtar, M.O . Dr Anubha Sikka , M.O. Compiled and Edited by Dr Deepti Chawla, C.M.O, Dte . o f AYUSH