Docstoc

From warts

Document Sample
From warts Powered By Docstoc
					From:
Dr.DHAVALE PRAMOD C.
Post Graduate Student,
Post Graduate Dept. of Materia Medica,
DBHP Sabha’s. DR. B.D. Jatti Homoeopathic Medical College,
Hospital & P.G. Research Centre,
D.C. Compound, Dharwad – 580001.


To:
The Registrar
Rajiv Gandhi University of Health Sciences, Karnataka,
Bangalore.

Through:
The Principal
DBHP Sabha’s. DR. B.D. Jatti Homoeopathic Medical College,
Hospital & P.G. Research Centre,
Dharwad-580001.

Respected Sir,

    Subject: Submission of Completed Proforma for Registration of
             Subject for Dissertation.

        I request you to kindly register the below mentioned subject against my name
for the submission of dissertation to the Rajiv Gandhi University of Health Sciences,
Bangalore for partial fulfillment of M.D.(Homoeopathy).


Title of Dissertation:

         “A CLINICAL STUDY OF THUJA OCCIDENTALIS
              IN THE MANAGEMENT OF WARTS”
        I am herewith enclosing completed Proforma for registration of subject for
dissertation.

         Thanking you,



                                                            Yours faithfully,
PLACE: Dharwad.

DATE:
                                                     (Dr.DHAVALE PRAMOD C.)
 “A CLINICAL STUDY OF THUJA OCCIDENTALIS IN THE
             MANAGEMENT OF WARTS”



                           SYNOPSIS


                          Submitted to

      RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
               KARNATAKA, BANGALORE.

                               BY

                  Dr. DHAVALE PRAMOD C.


                             Through

                         DBHPS’S
DR. B.D. JATTI HOMOEOPATHIC MEDICAL COLLEGE, HOSPITAL &
  P.G. RESEARCH CENTRE, D.C. COMPOUND, DHARWAD – 580001
                      (KARNATAKA).


           In partial fulfillment of requirement for the

          DOCTOR OF MEDICINE (HOMOEOPATHY)
            HOMOEOPATHIC MATERIA MEDICA




                 Under the valuable guidance of

           Dr. M. SUNIL KUMAR TAMPI, M.D. (Hom)

                       Reader and Guide
                    Dept. of Materia Medica.
DR. B.D. JATTI HOMOEOPATHIC MEDICAL COLLEGE, HOSPITAL &
  P.G. RESEARCH CENTRE, D.C. COMPOUND, DHARWAD – 580001
                       (KARNATAKA).
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA,
                       BANGALORE.



                           Annexure-II

          REGISTRATION OF SUBJECT FOR DISSERTATION



1.   NAME OF CANDIDATE     Dr. DHAVALE PRAMOD C.
     & ADDRESS             Post Graduate Student,
                           Post. Graduate Dept. of Materia Medica,
                           DR. B. D. Jatti Homoeopathic Medical College,
                           Hospital and P.G. Research Centre,
                           Dharwad- 580001.


     PERMANENT ADDRESS     Dr. DHAVALE PRAMOD C.
                           #47/1/1, Rahul nagar, Kurla mahul Road
                           Vashi naka, Chembur, Mumbai- 400074
                           Maharashtra.


2.   NAME OF THE           D.B.H.P.Sabha’s
     INSTITUTION.          DR. B. D. Jatti Homoeopathic Medical College,
                           Hospital and P.G. Research Centre,
                           D.C. Compound,
                           Dharwad- 580001.


3.   COURSE OF STUDY       M.D. (HOM) – (Doctor of Medicine in
     AND SUBJECT.          Homoeopathy)

                           HOMOEOPATHIC MATERIA MEDICA

4.   DATE OF ADMISSION     25-04-2009.
     TO COURSE.



5.   TITLE OF THE TOPIC.   “ A CLINICAL STUDY OF THUJA
                           OCCIDENTALIS IN THE MANAGEMENT
                           OF WARTS.”
6.         BRIEF RESUME OF THE INTENDED WORK
     6.1   Need for the study:

             Verrucae or warts are common lesion of skin in children and adolescent
           although they may be encountered at any age.

            Transmission usually involve direct contact between individual or
           autoinoculation.

           Warts makes disfiguring of face or neck and warts on the fingers interfere
           in fine movement.

            Warts are hyperkeratotic skin out growth of mainly sycotic manifestation
           due to internal derangement of vital force. Destruction of their infected
           area of epidermis by using external application, or by surgery is not the
           only solution for this problem, as it is the external manifestation of internal
           deranged vital force these should be treated by dynamic remedies.

            Homoeopathy is said to effective in the management of skin disorder like
           warts and etc which consider the patient as whole, on the basis of totality
           of symptom and individualization. These not only remove the warts but
           also restore the internal deranged vital force. And also prevent recurrence.

            Hence a systematic study of clinical presentation of warts and the effect
           of Thuja Occidentalis in the management of warts.
6.2   REVIEW OF LITERATURE:

      1. Verrucae or warts are common viral lesion of skin. They are caused by
      human papilloma virus (HPV) that belongs to papovavirus group, a type of
      DNA oncogenic virus1.

      2. Papilloma viruses are species specific uninfect squamous epithelia and
      mucous membrane, inducing different types of warts or papillomata in
      their host. Human papilloma virus (HPV) infects only humans and grows
      only in organ culture of human skin2.

      3. Common warts (varrucae vulgaris) usually found on hand and feet of
      children and adolescent are mostly cause by types 1, 2, 3 and 42.

      4. Papilloma virus are small 52-55 nm diameter DNA virus. All the PV’s
      are highly host and species specific. HPV only infects humans3.

      5. Warts occur at any age and in both sexes, and incidence of 10% has been
      estimated for children and young adult. It is low in early child hood and
      reaches peak between 12 and 16 years of age. Then decline sharply to the
      age of 20 or more. Impairment of cell mediated immunity increases the
      susceptibility to HPV infection3.

      6. Histological features common to verrucae includes epidermal
      hyperplasia that is often undulant in character and cytoplasmic
      vacuolization (Koilocytosis) that preferentially involves the more
      superficial epidermal layer, producing halos of pallor surrounding infected
      nuclei4.

      7. Three types of warts may be seen:
          a) Common warts.
          b) Senile warts.
          c) Venereal warts or papilloma accuminata5.

      8. Plantar warts are endophytic and are covered by thick keratin. Pairing of
      warts will generally demonstrate a central core of keratinzed debris and
      punctuate bleeding point6.

      9. Warts are situated on back, cervical region, upper limb, face, nose,
      eyebrows, eyes and eyelids, external throat. They are broad, conical, flat
      pedunculated, indented, fan shaped in appearance. They are reddish in
      colour, bleed easily. The warts have a tendency to split from their edge or
      from the surface7.

      10. Skin: looks dirty; brown or brownish-white spots here and there; warts,
      large, seedy, pedunculated (staph.); eruption only on covered parts, burn
      after scratching8.

      11. Thuja has the formation of wart –like growths upon mucous and skin
      surfaces, fig-warts and condylomata9.
           12. Warts like excerscences on back of right hand, on chin, and other
           places; on hands, in shape of a truncated cone, smooth, in epidermis, later
           the largest were rough and split, the larger ones become depressed in
           centre. Warts on hand; on backs of hands and fingers, the old horny ones
           were painful on touch and washing, with red areola, afterwards10.

           13. The only efficacious remedy for fig-warts and gonorrhoea. He used the
           30th potency, and the found that in the 60th potency, “it had not sunk to
           complete powerlessness, but on the contrary had rather become even more
           intensely charged with the medicinal virtue of Thuja”11.

           14. Skin, fig-warts; condylomata; tubercles; sycosis.
           Thuja was Hahnemann’s great remedy for sycosis, that peculiar poison
           whose characteristic action is shown upon the skin and mucous membrane
           by the formation of fig-warts and condylomata12.

           15. Sycosis (condylomatous disease), equally ineradicable by the vital
           force without proper medicinal treatment, was not recognised as a chronic
           miasmatic disease of peculiar character, with it nevertheless undoubtedly
           is, and physicians imagined they had cured it when they had destroyed the
           growths upon the skin, but persisting dyscrasias occasioned by it escaped
           their observation13.

           16. The sycotic patient may subject to warts, verucas, moles,
           condylomatas, skin tags, dermoid cyst, fibromas and lipomas. Genital
           warts may appear in both sexes14.

           17. Thuja- the main action of thuja is on skin and genitourinary organ,
           producing conditions that correspond with Hahnemann sycotic dyscrasias,
           whose chief manifestation is the formation of wart excrescences upon
           mucous and cutaneous surface- fig- warts and condylomata15.


     6.3   AIMS AND OBJECTIVES OF THE STUDY:

           1. To study the effect of Thuja Occidentalis in warts.
           2. To study the clinical presentation of warts.
           3. To study the homoeopathic management of warts.


7.         MATERIALS AND METHODS:


     7.1   PRIMARY SOURCE:

           The subject for this study will be collected from OPD/IPD/Rural camp of
           DR.B.D. Jatti Homoeopathic Medical College, Hospital and Post Graduate
           Research Centre, Dharwad.
7.2   METHOD OF COLLECTION OF DATA (Including sampling
      procedure, if any)

      Definition of study subject:

      Patients are considered on the basis of clinical presentations, like
      hyperkeratotic growth on skin and positive punch biopsy for human
      papilloma.

      Following are inclusion criteria:

      1. Patient of all the age group and sex.
      2. Patient irrespective of ethnic group socioeconomic status and occupation
      will be considered.

      Following are exclusion criteria:

      1. Patient with any other chronic disease on active treatment.
      2. Genital warts.


      Study sampling design:

      Prevalence rate of warts in our hospital is 2% considering the 95%
      confidence interval at 5% permissible error, sample size works out to be 32
      cases, Since it is a time bound study, all admitted and OPD cases are
      included in my study period.

      Follow up :

      Cases are followed for a period of 5-6 month during the course of study.
      Examination is done periodically.

      Parameters used are :

          a) Clinical examination.
          b) Disappearance of warts.
          c) Reduction in size.

      Study period:

      From 30th November 2009 to 30th November 2011.


      Statistical tests:

      Appropriate test will be used depending upon the data available at the end
      of the study.
7.3   DOES THE STUDY REQUIRE ANY INVESTIGATIONS OR
      INTERVENTIONS TO BE CONDUCTED ON PATIENTS OR
      OTHER HUMAN OR ANIMALS? IF SO DESCRIBE BRIEFLY.

      The study requires following investigations to be conducted on patients.

         1. Blood: Hb%, TC, DC, ESR                       if required.

         2. Urine routine: physical, chemical
            And microscopic examination                   if required.

         3. Punch biopsy:                                 if required.


7.4   HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR
      INSTITUTION IN CASE OF 7.3?

      Yes, Ethical clearance has been obtained from the institution.
8.   LIST OF REFERENCE:
     1. Mohan Harsh: Text Book of Pathology, 5th edition, Jaypee Brother’s
     Medical publisher (P) ltd. New Delhi, 2005, p 797.

     2. Panikar C.K Jayaram: Ananthnarayan and Panikers Text book of
     Microbiology, 7th edition, Orient Longman (p) ltd, Hyderabad, 2005,
     p 562.

     3. Shah Siddharth N.: API textbook of Medicine, 8th edition, The
     association of Physician of India, 2008, p 98.

     4. Mitchell, Nelson Fausto, Abbas, Kumar: Robbins basic Pathology, 8th
     edition, SUNDERS ELSEVIER, 2007, p 844.

     5. Das Somen: A concise Textbook of surgery, fourth edition, published
     by Dr. S. DAS, Calcutta, Feb 2006, p 112.

     6. Harrison’s 15th edition, Principle of internal medicine, Vol1, McGraw
     Hill Medical publishing division, 2001, p 314.

     7. Master Farokh J.: Disease of the Skin including the Exanthemata,
     B.Jain publishers. Pvt ltd, New Delhi, 1998, p 140,141.

     8. Allen H.C: Keynotes Rearranged and Classified with Leading
     Remedies of the Materia Medica and Bowel Nosodes, 9th edition, B.jain
     publishers (p) ltd, 2002, p 333.

     9. Murphy Robin: Lotus Materia Medica 2nd Revised edition.B.Jain
     Publishers, New Delhi, p 1768.

     10. Allen T.F: Handbook of Materia Medica and Homoeopathic
     Therapeutics, Indian Books and periodicals publishers, New Delhi, p
     1122.

     11. Tayler M.L: Homoeopathic Drug Pictures, reprint edition 1998,
     B.Jain publishers, New Delhi, p 819.

     12. Burt W.H: Physiological Materia Medica, 3rd edition, B.jain
     publishers, New Delhi, reprint edition 2008, p 925.

     13. Sarkar B.K: Organon of Medicine By Samuel Hahnemann, 9th
     edition, Birla Publication, Delhi, p 164-165.

     14. Banerjea Subrata K.: Miasmatic prescribing: Miasmatic diagnostic
     classification of skin symptoms taken from Website: www. Homoeopathy-
     course.com.

     15. Boericke William: Pocket Manual Of Homoeopathic Materia Medica
     and Repertory, reprint edition 2003, B.jain publishers, New Delhi, p 643.
9.           Signature of the
             candidate


10.          Remarks of the guide


11.   11.1   Name and Designation of   Dr.M. SUNIL KUMAR TAMPI,
             (IN BLOCK LETTER)         M.D(Hom)
             Guide                     Reader and Guide,
                                       Post Graduate Dept. of Homoeopathic
                                       Materia Medica,
                                       DR. B.D. Jatti Homoeopathic Medical
                                       College, Hospital and Post Graduate
                                       Research Centre, Dharwad-01.


      11.2   Signature


      11.3   Co-guide


      11.4   Signature


      11.5   Head of the Department.   Dr.R.Y.NADAF,
                                       M.D(Hom)
                                       Principal and H.O.D,
                                       Post Graduate Dept. of Homoeopathic
                                       Materia Medica ,
                                       DR. B.D. Jatti Homoeopathic Medical
                                       College, Hospital and Post Graduate
                                       Research Centre, Dharwad-01.


      11.6   Signature

12.
      12.1   Remarks of Principal


      12.2   Signature.

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:8
posted:3/31/2012
language:Latin
pages:10