Abstract:
Ectoparasites include arthropods and creature from other phyla, that infest skin, may inflect direct mechanical injury, induce hypersensitivity reactions, inoculate toxins, transmit pathogens, create openings in the skin for secondary bacterial infection, and incite fear and disgust. Lesions caused by these ectoparasites are diverse and variable depending upon the hosts susceptibility. Homoeopathic medicines have capacity to modify susceptibility of host for toxins and their by prevents bad effects of these toxins upon human body. This case demonstrates about Homoeopathic management of insect bite on OPD basis in a cost effective manner.
Homoeopathic Case Record:
| Preliminaries | ||
| Date: 02/04/22 | Name: Mr SKJ | Age/Sex: 42 yrs/Male |
| Religion: Hindu | Education: Graduation | Occupation: Service |
| Marital status: Married | Father: 70 yrs retired Teacher | Mother: 64 yrs House wife |
| Diet: Non-Veg. | Address: Behind Hotel Sarathi, MIDC, Latur |
Chief Complaint:
| Location | Sensation | Modalities | Concomitant |
| Skin Upper extremities Arms Right to left I-Moderate P- Gradually increasing D- progressive, since 8 days | Itching ++ Burning +++ Eruptions erythmatous, Suppurating+++ Skin discoloration red++ | Ailment after insect bite. < warm, after |
3Past History (F/H): Nothing significant 3Family History (P/H): Nothing significant
- Physical Generals 3Appetite – good 3Thirst – adequate 3Urine – Normal
- Bowel – Regular 3Desires & Aversions – Not Specific }3Sleep – Disturbed
- Dreams- Not specific. Perspiration- Moderate
- Thermal Status: Hot
| On examination (O/E): General Appearance: Tall, Lean, Fair, Height: Tall 6’ Temp: 99o F Pulse: 82/min Slow Regular RR: 18/min BP: 116/70 mm Hg Weight: 58 kg Throat: NAD | Systemic examination (S/E): CNS: NAD CVS: S1S2 Normal R/S: Clear P/A: Soft, non tender. LS: Not Palpable * CNS- Central Nervous System, CVS- Cardiovascular System, R/S- Respiratory System, P/A- Per Abdomen, L- Liver S-Spleen, NAD- Nothing Abnormal Detected O/E – SKIN – Eruptions, pustular, skin surrounding eruptions is Red, linear in distribution on both arms. |
Investigations Ordered: CBC, ESR. BSL Random
Case Processing:
- Disease Diagnosis & Miasmatic Understanding with Reasoning:
| Disease Diagnosis | Reasoning for Disease Diagnosis | Reasoning for Miasmatic Understanding |
| Insect bite | Ailment after insect bite. Itching ++ Burning +++ Eruptions erythmatous, Suppurating+++ Skin discoloration red++ | Sudden onset, rapid progression Suppurating eruptions Sensitivity High Susceptibility Moderate |
3Disease Diagnosis: Insect bite 3Hahnemannian Classification of Disease: Individual Diseases– Acute 3Dominant Miasm: Tubercular {Refer reasoning column for miasmatic understanding 3Susceptibility: Moderate 3Sensitivity: High3Potency: 200 3Repetition: Frequent
3Totality of Symptoms: Acute
3Selection of Repertory: Murphy Repertory
1}Ailments after insect bite
2] Eruptions Suppuration with
3] Eruptions skin Burning
4] Itching, warm after aggravation
5] Skin discoloration red
6] Side right to left
- Repertorial Sheet:
Repertorial Result:
| Hot | Totality & Symptoms Covered | Chilly | Totality & Symptoms Covered |
| Apis | 15/6 | Graph | 11/5 |
| Lyco | 12/5 | Ars | 10/5 |
| Sulph | 11/5 | Merc | 12/4 |
Final Selection of Acute Remedy & First Prescription: Considering the thermal status of patient i.e. Hot & the totality covered the final selection of remedy is Apis melifica 200
Prescription: Apis melifica 200 qds x 3 days. Sac Lac for 5 days
Date: 08/04/22:
Itching reduced, burning reduced, suppuration reduced, eruptions started to dry up. No new complaint. Sleep improved. Sac Lac for 8 days.
Date: 18/04/22
No itching, no burning, eruptions completely dried up with healing. No new complaint. Physical generals – normal.
About Author:
Dr. Vishal Deshpande
Prof. Dept of Repertory, JIMS HMC & Hospital
Dr. Santosh Jagdabhi
Prof. Dept of Physiology, JIMS HMC & Hospital
M. 9890414095 email: [email protected]
