To Study Corn Rubric from Homeopathic Medical Repertory by Robin Murphy and its Utility in Treatment of Corn Cases

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Dr Amreen Sumiyya R, Dr Rajendra Eknath Shinde

Abstract

Background – Corns are the localized hyperkeratosis of skin. It usually occurs at the site of pressure eg: soles and toes. There is usually thickened induration over the cuticle with a hard center. Corn may be painful when it is rubbed. Corn has a tendency to recur after its removal. A corn has a deep central core which reaches the deeper layer of dermis. A corn on other hand is a circumscribed horny thickening cone like shape with its apex pointing inwards and the base at the surface. Being circumscribed it is palpable as a nodule. It is thicker than a callosity and causes more concern to the patients. On assessing it is observed that 14 -48 % of people experience the sufferings of corn. 33-78% of older age group people over 75 years of age experience these hyperkeratotic lesions. This occurs at the site of friction and often spontaneously disappear when the causing factor is removed. Histologically it is composed of keratin masses with intact basal layer. It is often caused by ill- fitting and tight shoes chiefly affecting feet and toes. A thorough study of the rubric corn which comes under the chapter feet of murphy repertory was done. A similimum is selected after analysis and evaluation of symptoms of Corns with the help of murphy repertory. This Homeopathic Medical Repertory by Robin Murphy is based on kentanian philosophy with three editions.


Objectives: To study the utility of Homeopathic Medical Repertory by Robin Murphy in cases of corns in age group of 20- 70 years


Materials and methods – 30 patients between age group 20 to 70 years were selected, who are diagnosed with corns after local examination. The transitions were evaluated on every follow up before and after the treatment. The rubric corn has been studied in detail by using it in all the cases. The treatment response was evaluated by local examination at the Point of Difference (POD) before and after the treatment on every follow up. Response of the treatment was determined by the local examination under the criteria of size, pain, tenderness, hardness, pricking sensation which were done before and after the treatment at each follow up. An appropriate sub rubric was chosen to proceed with the repertorization and the most indicated medicine was prescribed to the patients after studying and repertorizing the cases.


Result – Homeopathic medicines were prescribed on the basis of the symptom totality. About 77% of patients showed marked improvement, and 23% patient showed moderate improvement with the medicines. Before treatment size of corn was 7.75 ± 5.00, after treatment size reduced to 0.63 ± 1.46. To check the effectiveness of treatment paired t-test was used. Test statistic value is 9.07 and p-value (0.000) is very small. The Homeopathic medicine such as ant crud, silicea, sepia, sulphur, pulsatilla, and causticum   were used repeatedly in maximum cases and showed marked improvement.


Conclusion – The most suitable medicines which were selected after the repertorization from Homeopathic Medical Repertory by Robin Murphy showed significant result in the treatment of Corns. Homeopathic medicines are effective in the Corns related conditions. The rubric corn with its subrubrics were regularly used to for further repertorization. The frequency of subrubrics used in every case were assessed statistically. The results are supportive to open new paths for future studies on hyperkeratotic lesions especially of Corns and homeopathic treatment.

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