RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGLORE

ANNEXURE – II
APPLICATION FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

NAME OF THE Dr.SHARANAKUMAR

CANDIDATE PG DEPARTMENT OF ORGANON OF
1
AND ADDRESS MEDICINE & HOMOEOPATHIC PHILOSOPHY.
H.K.E.S’s HOMOEOPATHIC
MEDICAL COLLEGE AND HOSPITAL
SEDAM ROAD, GULBARGA – 585105
NAME OF THE H.K.E.S’s HOMOEOPATHIC
INSTITUTION MEDICAL COLLEGE & HOSPITAL
2
SEDAM ROAD GULBARGA – 585105

COURSE OF STUDY M.D. (HOMOEO) ORGANON OF MEDICINE &

AND SUBJECT HOMOEOPATHIC PHILOSOPHY
3

DATE OF ADMISSION 20th October 2011

TO THE COURSE
4
TITLE OF THE TOPIC “A MIASMATIC APPROACH TO POLYCYSTIC
OVARIAN SYNDROME AND ITS
5 HOMOEOPATHIC MANAGEMENT”

BRIEF RESUME OF
THE INTENDED
6
WORK

6.1 NEED FOR THE

STUDY
POLYCYSTIC OVARIAN SYNDROME is the
syndrome consisting of amenorrhoea with polycystic
ovaries and variably, hirsutism and /or obesity and
often leading to infertility. PCOS first recognized as
early as 1935 as stein and leventhal syndrome. 5-
10% of women population of child bearing age
group (20yr - 40yr) are affected by PCOS..Every day
there are new and newer drugs that have an impact
on the hormonal system for one or other reason.to
prevent conception, to drop conception, the latest
very dangerous one being the emergency
contraceptive pill. Even the almighty vital force is
tested and limits exceeded to which vital force can
save the female from being done for. PCOS is one
such failure of women .Outcome is trouble and more
trouble finally leading to infertility. Modern system
of medicine considers hormonal changes are the
main factors behind PCOS but they forget to
consider before hormonal change .

Each patient has specific constitution so each

person has specific individual body, mind, spirit and
disease. In homoeopathy we try to find a medicine to
suite the mental disposition, physical constitution as
well various complication of the patient. So that we
individualize the patient and treat the man as a whole
not the disease. Homoeopathy says once the man is
studied once disease state is removed in totality, the
polycystic ovarian syndrome is also removed.

In the selection of the remedy many a times

we tend to go for commonly used organopathic
remedies only, at time missing a vital similimum.
Hence there is a need of scientific study and role of
knowledge of Miasms in the selection of the drugs.
Organon of medicine helps in tracing out the miasms
responsible for PCOS and there by giving a little
chance of missing an important remedy and aiding in
 selection of similimum.
Therefore a study has been taken to evolve a
suitable homoeopathic approach in the effective
management of polycystic ovarian syndrome


6.2 REVIEW OF Dr Samuel Hahnemann while explaining the
LITERATURE latent psora, said that “disorders of the menstrual
function-Menses are slow in setting after
fifteenth year and later,or after appearing one or
more times they cease for several months and so
years.The menses do not keep their regular
periods .the menses flow only one day, only a
few hours, or imperceptibly small quantities 1.

According to J.H.ALLEN, Menstrual anomalies
of tubercular (psora+syphilis) patients, are in
themselves often severe pictures of sufferings.
Ther will be an exhaustive and often prolonged
and copious flow. Quite frequently menses are
too soon appearing every two or three weeks, but
where as in sycotic, Menstruation is not
prolonged and is seldom copious. Flow of
sycotic will be spasmodic rather exhaustive 2.

Features of polycystic ovarian syndrome are
oligomenorrhoea, secondary amenorrhoea, cystic
ovaries and infertility, hirsutism and acne and
hypertension. Some definitions of PCOS
requires the demonstration of multiple
cysts in ovaries which are more readily
diagnosed by transvaginal ultrasonography 3.

PCOS is a syndrome charecterised by
oligomenorrhoea, anovulation, infertility,
 hirsutism and obesity in young women having
bilaterally enlarged and cystic ovaries. Grossly,
ovaries are involved bilaterally. and are atleast
twice the size of normal ovary. Histologically,
outer cortex is thick and fibrous 4.

Polycystic ovarian syndrome was earlier known
as stein-leventhal syndrome. 1% of female
population suffers from PCOS and the patients
are mostly 15-25 yr age group. PCOS includes
chronic non ovulation and hyper androgenaemia
associated with normal or rised
oestrogen, raised LH and decreased FSH/LH
ratio. Macroscopically ovaries are often enlarged
bilaterally with thick capsule. Infertility occurs in
30% of oligomenorrhoea and often amenorrhoea
of a few months duration 5.

A study on ovarian cysts with homoeopathic
treatment in a series of 40 cases showed
improvement in the symptoms and signs and
disappearance of cysts in 36 patients. Resendiz
and Guzman in their study on polycystic ovary
syndrome found pulsatilla 6c useful in 30
women (83.3%) with disappearance of cysts and
production of normal ovulatory follicles and
women became clinically asymptomatic 6.

Polycystic ovarian syndrome, symptoms tends
to start gradually. Early symptom of PCOS is
weight gain followed by few or no menstrual
periods which include 9 menstrual cycles per
year to no menstrual periods. Heavy irregular
bleeding. About 30% of women with PCOS got
 this problem. Hair loss, depression, acne are
other members of PCOS 7.

6.3 OBJECTIVES OF THE 1. To understand the various factors influencing

STUDY polycystic ovarian syndrome.

2. To study the fundamental causes i.e miasms

responsible for PCOS

3. To show and to see the efficacy of

Homoeopathic medicines in the management
of polycystic ovarian syndrome.
7. MATERIALS AND
METHODS
7.1 Sources of data: H.K.E.S’s Homoeopathic medical college and
hospital IPD & OPD Gulbarga.

7.2 Method of collection of Including sampling procedure if any.

data :- 1. By interrogation of individual case.
2. By physical examination.
3. By Laboratory investigations.
4. Sampling size 30 cases.
5. Sampling procedures: Simple random
sampling technique.
6. Statistical Data analysis: All the variables
are quantitative ones by applying x2 (chi
square) Test, data can be analysed.
7. Inclusive criteria fixed for the study.

 All patient with polycystic ovarian syndrome

between 18 years to 40 years.

Exclusive criteria fixed for the study.

  Cases of polycystic ovarian syndrome with
complications like infertility and ruptured
polycystic ovarian cysts.
 Cases of large cysts of ovaries other than
polycysts like follicular cyst and chocolate
ovarian cyst..

8. Duration of the study

01-05-2012 to 30-04-2014

7.3 Does the study require The study requires the following investigations to be
any investigation or conducted on patients.
intervention to be a. Ultrasonography of abdomen and pelvis
conducted on patients or b. Routine blood investigations including TC,
other humans or animals DC,ESR
? If c. Urine routine.
so, please describe d. Hormonal tests- FSH, LH and FSH/LH ratio
briefly. if necessary.

7.4 Whether ethical

clearance has been Yes, ethical clearance has been obtained from the
obtained from your Institution
institution in case of 7.3
8. LIST OF REFERENCES
1. ”The CHRONIC DISEASES Their peculiar

nature and their HOMOEOPATHIC CURE by Dr

Samuel Hahnemann—Low price edition 2002;

6th impression 2010. Published by B.Jain

publishers pvt Ltd. Page number 123..

2. The CHRONIC MIASMS Volume 1 and 2 by

J.Henry Allen. Low priced edn –Aug 2002 ; 5 th

impression 2009. B.Jain publishers Pvt.Ltd—

vol 2, page number 259.

3. Davidson’s principles and practice of

medicine. 20th edition page number 769.

4. Textbook of pathology by Harsh mohan. 5 th

edition. page number 766.

5. Shaw’s text book of gynaecology -13th edn,

page number 353.

6. Asian journal of homoeopathy , may-july

2009, page number 21.

7. www.hhomeopathy.com
9 Signature of Candidate

10 Remarks of the Guide

11. Name and Designation of

(In block Letters )
Dr. P. SAMPATH RAO
M.D. (Homoeo)
11.1 Guide
Prof. and H.O.D.
Dept of Organon of Medicine and
Homoeopathic Philosophy.
H.K.E.S’s Homoeopathic Medical
College and Hospital, Gulbarga

11.2 Signature

11.3 Co-Guide ( If any )

11.4 Signature

Dr.P.SAMPATH RAO
M.D. ( Homoeo )
11.5 Head of Department
Prof. & H.O.D.
Dept of Organon of Medicine and
Homoeopathic Philosophy.
H.K.E.S’s Homoeopathic Medical
College and Hospital, Gulbarga
11.6 Signature

12. 12.1 Remarks of Chairman and

Principal

12.2 Signature