Clinical Assessment of Herpes zoster & Post Herpetic Neuralgia under Homoeopathic Treatment by Dr. Neerav Arora BHMS, MD Lucknow

AIM Indepth study of Homoeopathic Drugs in cases of Herpes zoster and Post Herpetic Neuralgia

OBJECTIVE A. Study the efficacy of Homoeopathic Medicine in Herpes OBJECTIVE A. Study the efficacy of Homoeopathic Medicine in Herpes Zoster a) Relief in pain & burn b) Relief in blisters c) Relief in ulcer formation d) Prevention of PHN B. To study the efficacy of Homoeopathic Medicine in PHN a) Relief in pain of PHN b) Cure of PHN c) Relief in associated complication of PHN

METHOLOGY MATERIAL USED 1. No of cases. - METHOLOGY MATERIAL USED 1. No of cases - 30 self or pre-diagnosed cases of Herpes Zoster - 15 diagnosed cases of Post Herpetic Neuralgia 2. Diagnosed Criteria - Clinical history with photograph 3. Case taking as per Homoeopathic principle

4. Medicine selection through repertorization A 4. Medicine selection through repertorization A On local symptomatology in Herpes zoster - Site of presentation - Variety of eruption - Subjective symptoms - Modalities B. On the basis of totality in Post Herpetic Neuralgia

MATERIAL USED Commonly used medicines Herpes Zoster MATERIAL USED Commonly used medicines Herpes Zoster PHN Ranunculus Scel. Arsenic Alb. Rhus Venenata Dolichus Mezereum Mezereum Cantharis Rhus Tox Arsenic Alb. Apis Mel. Acid Carbolic Ranunculus Bulb. Natrum Mur. Stillingia Graphites Kali Nitricum Sempervivum Tectorum Variolinum Apis Mel.

Case: 1 Name : Mr. RSM. Age/Sex: 40 yrs/M Case: 1 Name : Mr. RSM Age/Sex: 40 yrs/M Socio-economic status : Lower History of present complaint Eruption, moist vesicular lateral aspect of right leg Extending to down the leg Itching with sore burning, shooting pain <heat >open air Associated complaints : Constipation Season of onset : summer Generalities Appetite : decreased Taste : oily taste in mouth Thermality : general heat disagrees Desires/aversions : sweet Defaecation : constipation Dreams : horrid Mentals : Irritable First prescription : Graphites 30 repetitive doses.

Case: 2 Name : Mrs. MS. Age/Sex: 32 yrs/F Case: 2 Name : Mrs. MS Age/Sex: 32 yrs/F Socio-economic status : Middle History of present complaint Eruption, vesicular Mouth around esp. right Upper lip Extending to right side of the whole mouth moist red coloured eruptions with corrosive discharge occ. Bleeding Burning, stitching pain <heat of sun >touch >cold application >cold air Season of onset : spring Generalities Thirst : increased , 8-10 glasses/day Thermality : hot pt. Defaecation : unsatisfactory, passes stool twice daily Micturition : mild burning sometimes in summer Mentals : Anger++ Family history : Hypertension First prescription : Sepia 200* 1 dose stat followed by sac lac 30

Case: 3 Name : Mrs. RK. Age/Sex: 38 yrs/F Case: 3 Name : Mrs. RK Age/Sex: 38 yrs/F Socio-economic status : Lower History of present complaint Eruption, vesicular Back infrascapular. Intercostal region left side Extending to Lower back mealy vesicular eruptions Burning and Itching <touch <lying on affected side >heat Season of onset : rainy season Generalities Thirst : small qantities in short interval Thermality : inclined towards chilly Defaecation : once daily Micturition : frequent at night Sleep : distrubed Mentals : Anxious++ Past history : allergic rhinitis Family history : Hypertension First prescription : Arsenic Alb 200* 1 dose stat Followed by Ranunculus Bulb. 30* 4 times A Day

Case: 4 Name : Mrs. PP. Age/Sex: 42 yrs/F Case: 4 Name : Mrs. PP Age/Sex: 42 yrs/F Socio-economic status : Middle History of present complaint Eruption, vesicular Chin and mandible Extending to neck mealy vesicular eruptions Itching with Burning stinging pain <heat <lexposure to sun >cold application Season of onset : Summer Generalities Thirst : Thirst, 8-10 glasses per day Thermality : heat aggravates Desires/aversions : salty food Defaecation : constipation-stool first part hard latter part soft Dreams : of daily affairs Mentals : Anger++ First prescription : Natrum mur 200* 1 dose stat Followed by Cantharis 30* 4 times A Day

Case: 5 Name : Mr. RK. Age/Sex: 45 yrs/M Case: 5 Name : Mr. RK Age/Sex: 45 yrs/M Socio-economic status : Lower History of present complaint Pain forchead-right side Extending to right side mandible herpetic eruption suppressed since 4 years Burning, lancinating pain with blackish pitted-pock marked appearance <heat >rubbing >pressure Season of onset : Summer Generalities Thirst : Excessive Appetite : decreased Taste : bitter Thermality : hot patient Defaecation : constipation Micturition : frequent urination at night Sleep : excessive sleep Mentals : Irritable by nature Past history : Herpes zoster-suppressed by allopathic treatment Family history : Diabetes mellitus First prescription : Carbolic Acid200* 1 dose stat. Followed by Sac lac 30* 4 times A Day

Case: 6 Name : Mr. KA. Age/Sex: 50 yrs/M Case: 6 Name : Mr. KA Age/Sex: 50 yrs/M Socio-economic status : Middle History of present complaint Eruption, Right intercostal region Extending to abdomen right side Dry reddish coloured discoloration of skin after suppression of herpes zoster Burning, shooting neuralgic pain since 4 weeks <warmth <evening >cold air Associated complaints : Distension of abdomen < eating Generalities Thirst : 6-8 glasses/day Thermality : inclined towards hot Desires/aversions : sweets, cold drinks Defaecation : constipation-stool-first part hard latter part soft Sleep : restless Mentals : Apprehensive--++, Anxious--++ Past history : Herpes zoster-suppressed by allopathic treatment Family history : Hypertension Father-irritable bowel syndrome First prescription : Lycopodium 200 Followed by Sac lac 30* 6 times A Day

Case: 7 Name : Mr. MS. Age/Sex: 28 yrs/M Case: 7 Name : Mr. MS Age/Sex: 28 yrs/M Socio-economic status : Lower History of present complaint Eruption, vesicular Lt intercostal region near spine Extending to lateral aspect of spine Dry vesicular bluish black eruptions, Burning, stiching pain <touch <pressure <lying on affected side <deep breathing >washing >cold application Season of onset : summer Generalities Thirst : 6-8 glasses/day Desires/aversions : Craves alcohol Micturition : Frequent at night Sleep : Disturbed Periodicity : General aggravation at night Mentals : Irresistible desire to wash Family history : Brother-chicken pox 6 months back First prescription : Ranunculus Bulb 200 stat. Cantharis 30 4 times A Day

Case: 8 Name : Mrs. PL. Age/Sex: 52 yrs/F Case: 8 Name : Mrs. PL Age/Sex: 52 yrs/F Socio-economic status : Lower History of present complaint Eruption, vesicular intercostal region, spine D6-D7 Extending to chest through lateral fluid Burning, extreme with unbearable shooting pain <slightest cold air <cold application <touch >heat Generalities Thirst : decreased Thermality : generally chilly Desires/aversions : non-veg, fatty food Micturition : 6-8 times/day with occasional burning <before and after micturition Menstrual/sexual history : albuminous leucorrhoea Past history : Eczema of winters for last 5 years –treated with ointments Family history : Brother and daughter suffer from eczema First prescription : Cantharis 30 for 4 Days