Introduction: Exfoliative cheilitis is an uncommon, persistent inflammatory disorder that impacts the vermilion border of the lips, characterised by ongoing peeling, dryness, and occasional bleeding. The condition can be resistant to conventional treatment and often causes significant emotional distress. Case Summary: A 16-year-old male presented with chronic dry, scaly eruptions on his lips, accompanied with a burning sensation and bleeding for the past 8 months. He reported anxiety about his appearance and also about his father's health. Based on a thorough evaluation of his overall symptoms and repertorial analysis, he was prescribed a single dose of Nitricum acidum 200C. By the second follow-up visit, the patient showed marked improvement. This case illustrates the potential role of Homoeopathy, particularly Nitricum acidum, in managing chronic exfoliative cheilitis. The treatment not only alleviated physical complaints but also addressed the associated emotional distress, underscoring Homoeopathy's holistic approach to challenging, long-standing conditions. A MONARCH score of +9 supports the conclusion that the observed clinical improvement was attributable to the homoeopathic intervention.
Introduction: Bowen's disease, also known as intraepidermal squamous cell carcinoma in situ (SCCIS), is a pre-cancerous skin condition with the potential for progression into invasive carcinoma. Long-term exposure to ultraviolet (UV) radiation from sunlight is considered a primary causative factor, leading to DNA damage and subsequent cellular mutations within the epidermis. Conventional treatments are generally effective but may be associated with complications, including pain, local infection, scarring, pigmentation changes, and occasional recurrence. Case summary: This case report describes a 58-year-old male with Bowen's disease who experienced limited benefit from conventional treatments and sought homoeopathic therapy. The patient was treated with the homeopathic remedy ``Graphites'', selected on the basis of totality of symptoms, which eventually resolved the skin lesions and improved his overall physical and emotional well-being. This case highlights the potential of Homoeopathy as a complementary approach to managing Bowen's disease and preventing cancer progression, suggesting the need for further research to understand the benefits and mechanisms of homoeopathic treatment in such conditions.
Introduction: Verruca vulgaris, widely recognised as warts, are benign epithelial growths with an exophytic nature, typically resulting from infection with the human papillomavirus (HPV). A general cutaneous ailment that can range in severity from a minor annoyance that resolves itself unexpectedly into a long-lasting condition. Homoeopathy aims to concentrate on the fundamental cause of the inherent susceptibility and tendency towards HPV infections by diminishing the size and occurrence of warts and enhancing the body's immune response, thereby minimising the risk of recurrence. Case Summary: A 46-year-old male presented at the outpatient clinic with multiple verruca vulgaris on the dorsal surfaces of both hands, demonstrating a rough texture and cauliflower-like morphology, irregularly scattered, and persisted for 8 months. After case analysis, Natrum muriaticum was prescribed, which showed an affirmative outcome. The Modified Naranjo Criteria score was +8, suggesting a causal attribution between the clinical outcome and the homoeopathic intervention. The patient followed an individualised homoeopathic treatment regimen and reported marked improvement after 4 months, which was carefully documented by photographic evidence. The Dermatology Life Quality Index (DLQI) score was assessed at every follow-up to assess the changes in quality of life. This case study has portrayed clinical benefits in the management of verruca vulgaris using Homoeopathy and thus necessitates further research on its value as a therapeutic choice.
Introduction: Diabetic foot ulcer (DFU) is the most common neuropathic complication of diabetes. Uncontrolled diabetes and improper foot care lead to serious conditions like gangrenous DFU, even from minor injuries. DFU also has gangrene as one of its major complications. In general, people with diabetes have a significantly higher risk of developing lower extremity gangrene, which may lead to amputation. Case Summary: A known case of a 68-year-old man of type 2 diabetes mellitus for the past five years, was presented with painless DFU on his right leg that had persisted for the past 6 months. He was diagnosed with DFU and was advised by a surgeon to undergo surgical amputation of the foot and debridement of the leg within 4–5 days to prevent the spread of gangrene. The patient opted for Homoeopathy to avoid amputation. After a detailed case-taking, analysis, and repertorisation, Opium 30C was prescribed. Within 30 days, there was a significant improvement in the limb without any surgical intervention. The outcome of the case was assessed using Modified Naranjo Criteria for Homeopathy (MONARCH). The improvement in the ulcer was also documented through the photographs.
Introduction: The supersaturation of bile with cholesterol, necessary for maintaining bile salts in soluble state, leads to precipitation of cholesterol and other bile components in gallbladder lumen resulting in formation of gall stones. Cholelithiasis is a common digestive disorder that affects about 15% of people over 50 years of age, however in younger individuals it is common between the age of 20–40 years. Gall stones are asymptomatic in about 80% cases, but 1–4% of patients may present with symptoms like pain, nausea and vomiting etc. due to obstruction to bile flow. The treatment of gallbladder stone depends on the clinical acuity and symptoms. However, surgery is the only option in the modern system of medicine for patients with recurrent pain or acute cholecystitis. Homoeopathy can be instrumental in dissolution of gall stones thereby avoiding surgery. Case Summary: A primiparous female aged about 30 years reported for the treatment of recurrent epigastric pain with nausea and vomiting. An ultrasonography revealed multiple calculi in the gallbladder, following which surgery was advised, but the patient was reluctant for it due to the recent caesarean section. Lycopodium 30C and Chelidonium majus Q were prescribed and the stone was completely dissolved in about six months with the treatment.
Introduction: In the general population, nasal polyps (NPs) linked to chronic rhinosinusitis (CRS) are common. Patients with CRS are 60–65% more likely to develop NP. Treatment for NPs resulting from chronic rhino-sinusitis continuous to be challenging. Case summary: A 31-year-old female came with a swelling in her left nostril, clinically diagnosed as a case of NP. Homoeopathic medicine Lemna minor 1M was prescribed based on the acute complaints and pathological symptoms. The swelling was completely resolved within 45 days. This case report demonstrates the usefulness of homoeopathic medicine in the management of NP.
Introduction: Vocal cord papilloma, also known as laryngeal papilloma, is a benign wart-like growth on the vocal cord folds caused by the Human papilloma virus (HPV). This condition presents with symptoms such as hoarseness, stridor, dysphonia, and potential airway obstruction, depending on the size and location of the papillomas. Diagnosis of vocal cord papilloma involves laryngoscopy, a procedure used to visualise the growths on the vocal cords. Treatment options for vocal cord papilloma include surgical excision, laser therapy, and antiviral medications. Case Summary: A 55-year-old male attended the outpatient department of Dr. Anjali Chatterji Regional Research Institute for Homoeopathy, Kolkata, West Bengal, India, complaining of hoarseness of throat, along with burning and dryness for the past four months. The case was diagnosed as vocal cord papilloma confirmed through Fiber Optic Laryngoscopy (FOL). The case was treated with Causticum 1M, prescribed on the basis of individualisation. The patient showed a marked improvement in two months, with complete relief of burning in throat and hoarseness, and resolution of swelling. The MONARCH score was +9, indicating a probable association between the observed clinical improvement and the homoeopathic treatment. This case report suggests that individualised homoeopathic medicine could be useful in the treatment of vocal cord papilloma within a plausible time period. More case reports, case series, and well-designed studies are needed to establish the efficacy of Homoeopathy in the treatment of vocal cord papilloma.
Introduction: Vocal fold nodules (VFNs) are a primary contributor to childhood dysphonia, accounting for about 63% of cases involving voice disturbances. They have a potentially negative impact over the Quality of Life (QoL), including diminished self-esteem and academic performance. The conventional management for voice improvement varies from vocal hygiene and voice therapy to endo-laryngeal microsurgery. This case illustrates the usefulness of Homoeopathy in managing VFNs. Case Summary: An 11-year-old boy presented with a year-long history of painless hoarseness of voice. He was diagnosed with VFNs and underwent extensive conventional treatment, without any improvement. The initial subjective assessment was done using pediatric Voice Handicap Index (pVHI). The case was repertorised using Zomeo Pro software and the boy was prescribed homoeopathic medicine, Lachesis mutus in 1M potency. Following the treatment, complete regression of VFNs on laryngeal endoscopy was noted along with a significant reduction in pVHI. The Modified Naranjo Criteria for Homeopathy (MONARCH) score was used to assess the likelihood of causal attribution of the clinical outcome to homoeopathic medicine. A MONARCH score of +7 indicates a positive causal relationship between the prescribed medicine and the treatment outcome. This case report suggests a beneficial role of homoeopathic treatment in vocal fold nodules in the paediatric age group.
Introduction: Alopecia totalis is an autoimmune disease that causes hair loss anywhere in the body, but it most commonly affects the hair of the scalp. It occurs in people of all ages and affects 1–2% of the human population. The homoeopathic literature suggests that cases of alopecia totalis have been treated successfully with homoeopathic medicines. Case Summary: This case highlights the potential of the individualised homoeopathic remedy in promoting hair regrowth in alopecia totalis in a 14-yr old girl. The patient was prescribed Calcarea carbonica 200C, 2 doses on the basis of totality of symptoms and individualisation. This evidence-based case report shows how Homoeopathy can offer a promising alternative to conventional treatment in such cases.
Background: Alopecia areata (AA) is an autoimmune disease characterised by hair loss in patches from one or more areas of skin. While it can affect the scalp, it may occur in other parts of the body as well. No age group is predominantly affected. Objective: This case series evaluates the effects of individualised homoeopathic treatment in patients with AA. Method: A total of 5 cases are included in this study. AA was diagnosed based on presentation of clinical symptoms. Two patients improved with Phosphorus. Another two were prescribed Natrium muriaticum and Typhoidinum respectively. One patient improved with Tuberculinum when indicated remedy Natrium muriaticum did not improve the case despite indications. Medicines in all cases and their follow-ups were prescribed based on clinical signs, totality of symptoms, individualisation and miasmatic analysis of the patient. Result: The improvement was assessed clinically based on symptom reduction and growth of new hairs. Both the patients improved clinically, and new hair growth was seen. This case series provides evidence that individualised homoeopathic treatment is effective in AA cases. Modified Naranjo Criteria for Homeopathy (MONARCH) was used to assess the causal attribution between the medicine prescribed and the treatment outcome. Conclusion: Individualised homoeopathic medicines are useful in treatment of AA.
Introduction: Vitiligo is an autoimmune skin condition that causes white patches due to loss of pigment-producing cells. This condition often significantly affects the self-esteem and emotional well-being of the affected person, requiring a holistic approach for treatment of such conditions. Case Summary: An 8-year-old girl was brought in with pale, depigmented patches on her genital area. Based on clinical presentation, a diagnosis of vitiligo was made. She underwent individualised homoeopathic treatment and was followed over for a period of seven months. During this period, visible re-pigmentation was observed, supported by photographic evidence and a decrease in her VETI score from 0.125 to 0.005. MONARCH was applied and a major improvement with a score of +9 was seen in the case which depicted that the improvement was caused by the homoeopathic medicinal intervention and not due to other factors. Her case showed steady improvement, both physically and emotionally. This case suggests that individualised homoeopathic treatment may play a significant role in managing vitiligo in children.
Homoeopathic mother tinctures form the foundation of homoeopathic pharmaceutical preparations, and their quality largely depends on the source material and the method of extraction. Standardisation of these processes of extraction is essential to ensure consistency, safety, therapeutic reliability, and reproducibility of preparations. The recently published Indian Standards IS 19327 (Part 1): 2025 and IS 19327 (Part 2): 2025 provide standardised procedures for the preparation of homoeopathic mother tinctures through maceration and percolation, respectively. This article reviews the salient features of these standards, including apparatus, materials, procedural steps, process modifications, and storage requirements. The standards emphasise the use of suitable extraction equipment, laboratory-scale and industrial-scale practices, controlled environmental conditions, appropriate menstruum composition, and hygienic handling procedures. By establishing uniform procedures for both maceration and percolation, these standards contribute significantly to quality assurance and good manufacturing practices in homoeopathic pharmacy. The adoption of these standards is expected to strengthen pharmaceutical consistency, facilitate regulatory compliance, and support scientific validation and wider acceptance of homoeopathic medicines.
Introduction: Tinea corporis (dermatophysis) is a common dermatophytic infection that affects a significant proportion of the global population, with dermatophytosis accounting for nearly 20–25% of all superficial fungal infections worldwide. Increasing reports of resistance and relapse to conventional antifungal therapy highlight the need for alternative approaches. This case is unique in demonstrating how past history can decisively influence remedy selection in homoeopathic practice, contributing to the exsisting literature on individualised approaches for chronic, relapsing fungal infections. Case Summary: A 35-year-old female presented with multiple erythematous, scaly, pruritic plaques on the back and abdomen, with itching aggravated by sweating and tight clothing. She was initially prescribed Arsenicum album in LM potency, which provided only palliative relief. Considering her past history of suppressed gonorrhoea, Medorrhinum 200C was prescribed, leading to marked and sustained improvement. Kent's Twelve Observations and Foubister's emphasis on past history guided remedy selection. The progress was monitored using the Dermatology Life Quality Index (DLQI), which reduced from 23 to 0, and the MONARCH score (+10) supported causal attribution. Pictorial documentation further validated the outcome. This case highlights the importance of careful evaluation of past history in differentiating palliation from cure and in preventing relapse, underscoring its clinical relevance in homoeopathic case management.
Introduction: Pilar cysts, also referred to as trichilemmal cysts, are benign cystic lesions that commonly occur on the scalp. Conventional management generally involves surgical excision. Homoeopathy provides an individualised, non-invasive therapeutic approach based on the totality of symptoms. Case summary: A 35-year-old female patient presented with a soft, cystic swelling on the scalp associated with itching and tenderness, clinically diagnosed as pilar cyst. Thuja occidentalis was prescribed on the basis of individualisation and a follow-up period of over twelve months showed gradual resolution of the cyst without any surgical intervention, along with improvement in general well-being. The patient was subsequently observed for an additional 3–4 months, during which no recurrence was reported. A serial photographic documentation was carried out throughout the follow-up period. The Modified Naranjo Criteria for Homeopathy (MONARCH) was applied to assess the causal relationship between the homoeopathic intervention and the clinical outcome. This case demonstrates successful non-surgical management of pilar cyst with individualised homoeopathic treatment for benign cystic growths.
Introduction: Sialolithiasis is one of the most prevalent conditions affecting the salivary glands. Sialolithiasis is frequently encountered in clinical practice. A literature search reveals very few reported examples of non-surgical therapy because surgery is thought to be the main option for this clinical situation. Case summary: A 35-year-old female patient presented with symptoms of swelling and pain below the tongue since last two months. The homoeopathic medicine, Mercurius was prescribed at centesimal potency following the construction of the totality and repertorisation, and this led to the expulsion of the stone in three months and an improvement in the related symptoms. The assessment of the causal attribution between the homoeopathic intervention and treatment outcome was conducted using the Modified Naranjo Criteria for Homeopathy. The score (+8) obtained at the final visit indicated a high probability that the patient's improvement could be attributed due to the homoeopathic treatment administered.
