HOMOEOPATHIC STUDY & MANAGEMENT OF BOIL

PRESENTED BY:-

AMALIYAR NAYANA
BABUBHAI
INTERN STUDENT,
[J.N.H.M.C.H.]
INTERNSHIP BATCH: 2019-20

ABSTRACT:
Boils also known as furuncles, are painful pus-filled bumps on the skin resulting from the deep
infection of a hair follicle. The infection is usually caused by a type of bacteria called
Staphylococcus Aureus. Many people are carriers of the staph. germ, meaning that it normally
lives on their skin or in their nose without doing them any harm. Tiny breaks in the surface of the
skin (such as those caused by friction or scratching), however can help the germ gain entry into
and infect the hair follicle, resulting in a boil.

Although boils usually resolve by themselves, but several or recurring cases requires medical
attention. Most of boil commonly appear on the face, neck and buttocks.

 HOW I WENT INTO THIS TOPIC-

After reading many article and research on boil. I founded that boil usually are harmless. The
reason of their occurrence are to denote that your body is fighting against Staphylococcus Aureus
bacteria. The bacteria has entered into your body and WBC is trying to eliminate the bacteria.

Although the fact that boil are usually harmless, and they are not contagious but it is seen in
some cases that the bacteria is spread by physical contact, mean it can spread to one person to
another person if there is physical contact between them and one of them has boil.

Certain factor make a person more susceptible to boil if the person also ready have diseases like
diabetes. Another factor is poor hygiene in person which make the person more likely to have
boil.

So, to cut a long story short, boil’s topic is important because it is a topic of personal hygiene
and cleanliness of house and society. If you have good hygiene then you are not likely to have
boil and other skin diseases. But if you have poor hygiene then you are at a great risk. The topic
also make sense because every year there is 1 million (10 lakh) cases only in India. That denote
that there is lots of work left we have to do to make the world a hygienic paradise.

INTRODUCTION:
A boil (furuncle) is a pus-filled bump in the skin that is caused by a Staphylococcus Aureus
bacterial. A staphylococcus skin infection characterized by an inflamed nodular swelling filled
with pus, located at the site of a hair follicle. It’s a bit like a very big yellow pimple, but it’s
deeper in the skin and hurts a lot more. The infection causes the skin tissue inside the boil to die,
creating a pus-filled hollow space (an abscess). Skin abscesses can develop from boils, but also
from other things like infected insect bites or injections with dirty needles.

Certain areas of the body are more susceptible to boils, including the face, throat, breast, groin
and buttocks because boil most often happen where there is hair and rubbing.

The development of several boils that connect in the same general area of your body is called a
carbuncle. Carbuncles may be more associated with symptoms like a fever and chills. These
symptoms may be less common with a single boil.
In some rare cases, Boils can also be caused by Methicillin-resistant Staphylococcus aureus
(MRSA). This is a type of bacteria that has become immune to some antibiotics, making it harder
to treat.

 WHY BOIL’S TOPIC IS IMPORTANT-

Why the topic of boil is important? Although it is not dangerous as Cancer or AIDS. That
question will arouse in your mind if you reading it. But the answer of this question is simple. I
am acknowledging that boil is not that much of dangerous disease but it somehow affect our
daily lives. Basically I am trying to spread awareness about the main reason behind the skin
disease that is poor hygiene and immune deficiency. Yes! Hygiene which is very important
aspect of our daily lives. In other words hygiene is basic medicine for keeping diseases and virus
far away. Immune system is also one of aspect in which we should try to improve.

The other fact that make the topic is important is more spreading of skin disease in the modern
world especially in African continent. According a report by www.mdedge.com skin diseases
costs overall $75 billion per year only in America. We can’t imagine how much money people
and government of world use on skin diseases cure. In my opinion, we can save trillions of
money only by just being hygienic. That why the topic of boil is important.

EPIDEMIOLOGY:

Before getting to the main point. Let’s get basic information about epidemiology.
  WHAT IS EPIDEMIOLOGY?-

Basically Epidemiology is the study of the origin and causes of diseases in a community .The
investigation would identify the cause of the outbreak and lead to interventions to prevent further
cases of the disease.

Major areas of epidemiological study include disease causation, transmission, outbreak

investigation, disease surveillance, environmental epidemiology, forensic epidemiology,
occupational epidemiology, screening, bio-monitoring, and comparisons of treatment effects
such as in clinical trials.

 EPIDEMIOLOGY OF BOIL

 Between 1 January 1995 and 31 December 2010, 1,64,461 people had at least one
consultation for a boil or abscess. The overall incidence of consultation for a boil or
abscess was higher in females compared to males at 512 (95% confidence interval [CI] =
509 to 515) versus 387 (95% CI = 385 to 390) per 100 000 person-years respectively.
However this relationship was age-dependent and males aged ≥65 years had higher rates
of consultation compared to females.
 The rate of consultation increased rapidly from adolescence, peaking in male 20–24-year-
olds and female 30–34-year-olds, and declining thereafter. Consultations were most
frequent in individuals with the highest levels of social deprivation and this relationship
was more marked for females than males.

 The figure below is a simple representation of enguagement between age and rate of boil
in both sexes-

 The incidence of boils is uncertain. They are rare in children except in those with atopic
eczema. They are rather more common in adolescents and in early adulthood - especially
in boys - and the peak incidence is the same as for acne vulgaris.

 Recurrent boils cause significant mortality and morbidity among adult population in both
developed and developing countries.

 Most boils are caused by Staphylococcus aureus, which many healthy people carry on
their skin or in their noses without a problem.
  When a scrape, cut, or splinter breaks the skin, the bacteria can enter a hair follicle and
start an infection. Others boils, such as those associated with acne, develop from clogged
pores that become infected.

 It is usually safe to assume that this is a staphylococcal infection. However, in persistent

or recurrent infection, swabs should be taken from the nose, throat, umbilicus, axillae and
perineum.If there are multiple, severe or recurrent infections, FBC and fasting blood
glucose are indicated.

 10% of patients with a boil or abscess develop a repeat boil or abscess within 12 months.
Obesity, diabetes, smoking, and prescription of an antibiotic in the 6 months before initial
presentation were independently associated with recurrent infection, and may represent
options for prevention.

 The epidemiology of boils and abscesses in primary care is poorly understood.

Suppurative skin infections such as sycosis barbae, impetigo and furunculosis are more
common in patients who are colonised with Staphylococcus aureus and there is evidence
that boils and abscesses are associated with social deprivation, overcrowding, the use of
communal facilities, obesity, diabetes, and impaired immunity.

 Boils and abscesses are generally thought to be more common in males, although there is
little published data to support this.

 A study suggest that hormonal changes may be important, not only in adolescence but
throughout a female’s reproductive years. Alternatively behavioural factors such as hair
removal through waxing or shaving of non-facial sites could underlie the increased rate
of consultation in females.

 In both sexes increased social deprivation was associated with an increased rate of
consultation, and this may indicate that predisposing behaviours and other risk factors
such as obesity are socially stratified.
 TYPES OF BOIL:

There are several different types of boils. Among them are-

 Carbuncle: A carbuncle is a cluster of boils that form a connected area of infection.
Compared with single boils, carbuncles cause a deeper and more severe infection and
are more likely to leave a scar. People who have a carbuncle often feel unwell in general
and may experience a fever and chills.

 Hidradenitis suppurativa: Hidradenitis suppurativa (hi-drad-uh-NIE-tis sup-yoo-ruh-

TIE-vuh) is a skin condition that causes small, painful lumps to form under the skin. The
lumps can break open, or tunnels can form under the skin. The condition mostly affects
areas where the skin rubs together, such as the armpits, groin, buttocks and breasts.It
usually tends to start after puberty
 Pilonidal cyst: A pilonidal cyst is an abnormal pocket in the skin that usually contains
hair and skin debris. A pilonidal cyst is almost always located near the tailbone at the top
of the cleft of the buttocks.Pilonidal cysts usually occur when hair punctures the skin and
then becomes embedded. If a pilonidal cyst becomes infected, the resulting abscess is
often extremely painful

 Cystic acne: Cystic acne is the most serious type of acne. It develops when cysts form
deep underneath your skin. This can result from a combination of bacteria, oil, and dry
skin cells that get trapped in your pores.

Although anyone can develop acne, cystic acne tends to occur in people with oily skin.
It’s also more common in teens, women, and older adults with hormonal imbalances.
  Sty: A sty is a red, painful lump near the edge of your eyelid that may look like a boil or
a pimple. Sties are often filled with pus. A sty usually forms on the outside of your
eyelid. But sometimes it can form on the inner part of your eyelid.

In most cases, a sty will begin to disappear on its own in a couple days. In the meantime,
you may be able to relieve the pain or discomfort of a sty by applying a warm washcloth
to your eyelid.

PATHOLOGY:

 WHAT IS PATHOLOGY?
Pathology is the study of the causes and effects of disease or injury. The word pathology also
refers to the study of disease in general, incorporating a wide range of bioscience research fields
and medical practices.

However, when used in the context of modern medical treatment, the term is often used in a
more narrow fashion to refer to processes and tests which fall within the contemporary medical
field of "general pathology", an area which includes a number of distinct but inter-related
medical specialties that diagnose disease, mostly through analysis of tissue, cell, and body fluid
samples. Idiomatically, "a pathology" may also refer to the predicted or actual progression of
particular diseases (as in the statement "the many different forms of cancer have diverse
pathologies"),

There are three main subtypes of pathology: anatomical pathology, clinical pathology, and
molecular pathology. These subtypes can be broken down into even more specific categories;
pathology is a diverse field because so many different diseases and ways of studying diseases
exist.

 PATHOLOGY OF BOIL

Boils are a localized deep suppurative necrotizing form of folliculitis which involve the dermis
and the subcutaneous tissue. Staphylococcus aureus is the most common causative agent.
Following an abrasion or cut, the pathogen uses the wound site to invade and colonize the hair
follicle. This leads to the formation of tender, erythematous, perifollicular nodule. The boil later
becomes painful and fluctuant leading to discharge of pus and formation of necrotic plugs, which
may leave a scar.

Some important point of boil are-

 Boil is a localized deep suppurative necrotizing form of folliculitis which involves the
dermis and the subcutaneous tissue.

 Staphylococcus aureus is the most common causative agent.

 Following abrasion or cut the pathogen uses the wound site to invade and colonize the
hair follicle. This leads to the formation of a tender erythematous perifollicular nodule.
  Boils may become painful and fluctuant, leading to the discharge of pus and formation of
necrotic plugs, which may leave a scar.

 Furunculosis is the acute or chronic appearance of a number of boils at multiple skin

sites. Recurrent furunculosis is defined as three or more attacks within a 12 month period.

 It is a contagious condition, which usually develops in moist or sweaty areas such as the
scalp, face, buttocks, axillae, and areas that are subject to friction and perspiration.

 A group of furuncles coalesce to form a carbuncle

SIGN & SYMPTOMS:

Symptoms-
 Symptoms of a boil are initially a hard, red, painful pus-filled bump usually less than an
inch in size. Over the next few days, the lump becomes softer, larger, and more painful.
Soon a pocket of pus forms on the top of the boil.
 An active skin boil is contagious because the bacteria that causes them is contagious.
Until the boil is drained and has healed, it is contagious through skin-to-skin contact or
sharing objects.
 Boils should be covered with a bandage to prevent spreading the infection to other
people.
  Signs and symptoms of a more advanced infection are:
Appearance of boil-
 Boils are bumpy, red, pus-filled lumps around a hair follicle that are tender, warm, and
very painful.
 They range from pea-sized to golf ball-sized.
 A yellow or white point at the center of the lump can be seen when the boil is ready to
drain or discharge pus.
 In a severe infection, an individual may experience fever, swollen lymph nodes, and
fatigue.
 A recurring boil is called chronic furunculosis.
 Skin infections tend to be recurrent in many patients and often spread to other family
members. Systemic factors that lower resistance commonly are detectable, including:
diabetes, obesity, and hematologic disorders. Boils can be caused by other skin
conditions that cause the person to scratch and damage the skin.
 Boils may appear on the buttocks or near the anus, the back, the neck, the stomach, the
chest, the arms or legs, or even in the ear canal.[8] Boils may also appear around the eye,
where they are called stye. A boil on the gum is called intraoral dental sinus, or more
commonly, a gumboil.

Complication of boil-
 The most common complications of boils are scarring and infection or abscess of the
skin, spinal cord, brain, kidneys, or other organs.
 Infections may also spread to the bloodstream (bacteremia) and can become life-
threatening.
 S. aureus strains first infect the skin and its structures (for example, sebaceous glands,
hair follicles) or invade damaged skin (cuts, abrasions).
 Sometimes the infections are relatively limited (such as a stye, boil, furuncle, or
carbuncle), but other times they may spread to other skin areas (causing cellulitis,
folliculitis, or impetigo).
 Because they damage your skin's protective barrier, skin problems, such as acne and
eczema, make you more susceptible to boil.
 The spreading infection, commonly known as blood poisoning (sepsis), can lead to
infections deep within your body, such as your heart (endocarditis) and bone
(osteomyelitis)
DIAGNOSIS:

WHAT IS DIAGNOSIS?-
Medical diagnosis is the process of determining which disease or condition explains a person's
symptoms and signs. It is most often referred to as diagnosis with the medical context being
implicit.

The information required for diagnosis is typically collected from a history and physical
examination of the person seeking medical care. Often, one or more diagnostic procedures, such
as medical tests, are also done during the process. Sometimes posthumous diagnosis is
considered a kind of medical diagnosis.

Diagnosis is often challenging, because many signs and symptoms are nonspecific. For example,
redness of the skin, by itself, is a sign of many disorders and thus does not tell the healthcare
professional what is wrong. Thus differential diagnosis, in which several possible explanations
are compared and contrasted, must be performed. This involves the correlation of various pieces
of information followed by the recognition and differentiation of patterns. Occasionally the
process is made easy by a sign or symptom (or a group of several) that is pathognomonic.

DIAGNOSIS OF BOIL-
Your doctor will likely be able to diagnose a boil simply by looking at it. A sample of the pus
may be sent to the lab for testing. This may be useful if you have recurring infections or an
infection that hasn't responded to standard treatment.

Many varieties of the bacteria that cause boils have become resistant to certain types of
antibiotics. So lab testing can help determine what type of antibiotic would work best in your
situation.

In these circumstances, your doctor will probably use a cotton swab to take a tissue sample from
the boil so it can be examined under a microscope.
You may also be referred for a blood test to see if you have an undiagnosed underlying health
condition, such as diabetes, which could be increasing your risk of developing boils and
carbuncles.

When infection is due to methicillin-resistant S. aureus, we call it MRSA. This type of bacteria
can cause boils and make treatment difficult. This infection can be very difficult to treat and
requires specific antibiotics for treatment.

TREATMENT:
Boils are usually treated by a home remedies. But there are many medicine available for treating
boil in modern era.
The boil are of two kind: 1. Small boil 2. Large boil. And also there are two ways of treating
both of them: a. Hospital treatment b. Home remedies.

Although the treatment boils can heal on their own with time, but usually need to drain in order
to heal completely

1. Small boil:
Small boil is mostly harmless. It can usually be treated on your own at home. Small boils that
can be treated at home can take anywhere from a few days to three weeks to heal. The ways to
treat it is-
 a. Home remedies-
There are many ways to treat boil. Some of them are:
1. Heat helps to increase the circulation. Trusted Source in an area, bringing more white
blood cells and antibodies to the area to fight the infection, so applying heat to a boil is
one of the best home remedies you can use. Apply a warm compress to the area for 20
minutes at a time. Do this three or four times a day, every day, until the boil is gone.

2. Tea tree essential oil has strong antibacterial and antiseptic properties. Trusted Source,
which can help to treat the bacterial infection causing the boil. Tea tree oil should not be
applied directly to the skin, as it can have a burning effect. Mix five drops of tea tree oil
with a teaspoon of coconut or olive oil. Put diluted tea tree oil on a cotton swab it and
apply it to the area two or three times per day. Do this daily until the boil is completely
gone.

3. Turmeric powder has both antibacterial and anti-inflammatory properties. Trusted

Source, both of which can help heal a boil and get rid of it quickly. It’s been used as a
natural blood purifier for thousands of years in eastern medicine as a result.

You can choose to ingest turmeric powder, use it topically to treat boils, or both! To
ingest it, boil a teaspoon of turmeric powder in water or milk, and drink it three times
daily once cooled. To use it topically, mix turmeric with water and/or ginger to make a
paste, and apply it to the boil at least twice a day.

4. Neem oil, also known as Indian lilac, has antiseptic, antibacterial, and antimicrobial
properties that help treat skin infections. To treat boils with neem oil, apply the oil
directly to the boil three to four times a day. Make sure you wash your hands before and
after application.

5. Epsom salt isn’t just relaxing; it has numerous health benefits, including the ability to
treat boils! The salt can actually help to dry out the pus, causing the boil to drain.

Dissolve Epsom salt in warm water and soak a compress in it. Apply the compress to the
area for 20 minutes at a time. Do this at least three times daily until the boil is gone.

b. Hospital treatment-
There were not many ways to treat small boil by medical way. The simple thing that doctor do
is-
1. Your doctor may want to cut a small opening in the boil so that the pus can drain out.
This is called lancing the boil. He or she will numb the area first. Sometimes gauze is
placed in the cut so that it stays open and keeps draining.

In some cases your doctor may also prescribe antibiotics to stop the infection. Take your
antibiotics as directed. Do not stop taking them just because you feel better or the boil
looks better. You need to take the full course of antibiotics.

2. Large Boil:
If you have a large boil or a group of boils (carbunculosis), you should see your doctor for
treatment. Only your doctor can drain a large boil or carbuncle safely. Also, sometimes a large
boil becomes soft and won’t burst on its own. This is another issue your doctor can take care of
by carefully draining it.

a. Hospital Treatment-

•In some cases, your doctor may prescribe antibiotics to help clear up the infection. This is
especially the case with face boils, since they run a higher risk of complications such as
secondary infection or scarring. To fight this infection, your doctor might prescribe oral, topical,
or intravenous antibiotics, such as:

1. Amikacin
2. Amoxicillin (Moxatag)
3. Ampicillin
4. Cefazolin (Kefzol)
5. Cefotaxime
6. Ceftriaxone
7. Cephalexin (Keflex)
8. Clindamycin (Veltin)
9. Doxycycline (Vibramycin)
10. Erythromycin (Erygel)
11. Gentamicin (Gentak)
12. Levofloxacin (Levaquin)

• Your doctor may drain a large boil or carbuncle by making an incision in it. Deep infections
that can't be completely drained may be packed with sterile gauze to help soak up and remove
additional pus.

WHEN YOU SHOULD CALL A DOCTOR-

If you have a boil. Then this is obvious question in your mind and answer is you should call a
doctor when-

 The boil is on your face, near your spine, or near your anus.
 A boil is getting larger.
 You have any other lumps near the boil, especially if they hurt.
 You have a fever.
 The area around the boil is red or has red streaks leading from it.
 You have diabetes and you get a boil.
 The boil is as large as a ping pong ball.
 The boil hasn’t cleared up or diminished after a week of home treatment.
 The skin surrounding the boil is bright red or has red streaks extending from it.
 The boil is extremely painful.
 You have recurring boils over several months.
PREVENTING BOILS-

You can’t always prevent a boil from occurring. You can, however, prevent a boil from
spreading to other parts of your body and to others by following these tips:
 Keep the boil covered with a clean bandage at all times.
 Any time you or someone else comes into contact with your boil for any reason, you
should wash your hands thoroughly with soap and water. Clean the boil as well.
 When you have a boil, washing and keeping your clothes and bedding clean can also help
prevent infection from spreading:
 Wash clothes and bedding in hot water.
 Adding bleach along with the detergent can help as well.
 When drying, be sure to set your dryer to high heat.
 Keep all surfaces that you may touch cleaned and disinfected regularly. These include
door knobs, toilet seats, bath tubs, and commonly used surfaces throughout the home.
 Avoid sharing items that come into contact with the skin. These items include razors,
athletic equipment, and towels.
 Carefully wash clothes, bedding, and towels of a family member who is infected with
boils.
 Clean and treat minor skin wounds.
 Practice good personal hygiene.
 Stay as healthy as possible.
 keeping any wounds covered with sterile gauze until they heal
 regularly changing the gauze covering a boil or carbuncle
 sealing used gauze or dressings in a plastic bag and throwing it in the dustbin
immediately
 avoiding places like saunas, gyms and swimming baths until your skin has healed
  Don’t squeeze or try to drain a boil yourself. This can lead to a spread of the infection or
possibly cause a secondary infection of the boil.
 Place a warm, wet washcloth on the boil several times a day.
 Add some pressure when holding the washcloth in place without directly puncturing the
boil.
 Once the boil ruptures naturally, keep it covered with a fresh, clean bandage or gauze.
This will keep the infection from spreading to other places.
 Wash your hands well after caring for your boil. This is also to prevent the infection from
spreading.

HOMOEOPATHIC MEDICINE FOR BOIL:

WHAT IS HOMOEOPATHY?

Homeopathy or homoeopathy is a pseudoscientific system of alternative medicine. It was created

in 1796 by Samuel Hahnemann. Its practitioners, called homeopaths, believe that a substance
that causes symptoms of a disease in healthy people would cure similar symptoms in sick people;
this doctrine is called similia similibus curentur, or "like cures like".

Homeopathic preparations are termed remedies and are made using homeopathic dilution. In this
process, a chosen substance is repeatedly and thoroughly diluted. The final product is chemically
indistinguishable from the diluent, which is usually either distilled water, ethanol or sugar; often,
not even a single molecule of the original substance can be expected to remain in the product.
Between the dilution iterations homeopaths practice hitting and/or violently shaking the product,
and claim that it makes the diluent remember the original substance after its removal.
Practitioners claim that such preparations, upon oral intake, can treat or cure disease.

HOMOEOPATHIC REMEDIES-
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is
based upon the theory of individualization and symptoms similarity by using holistic approach.
This is the only way through which a state of complete health can be regained by removing all
the sign and symptoms from which the patient is suffering.
 The aim of homeopathy is not only to treat boils but to address its underlying cause and
individual susceptibility. As far as therapeutic medication is concerned, several remedies are
available to treat boils that can be selected on the basis of location, cause, sensations and
modalities of the complaints. For individualized remedy selection and treatment, the patient
should consult a qualified homeopathic doctor in person. There are following remedies which are
helpful in the treatment of boil:
 Hepar sulphuris calcareum
This remedy is taken once the boil is open to speed up drainage and healing.
 Calendula
This remedy is often helpful as a topical application for boils and infected sores. It can be used in
herbal form or in low dilution as a tincture, ointment, or compress. Taken
internally, Calendula can help the body overcome infection.
 Echinacea angustifolia
This well-known herb is often used to help the immune system overcome infection. In
homeopathic form, it sometimes helps a person with recurring boils. People who need this
remedy typically feel sickly, lethargic, achy, and chilly.
 Mercurius solubilis
This remedy is indicated when boils are very sensitive with advanced development of pus. The
person may have moist or greasy-looking skin, with swollen lymph nodes and offensive breath,
and be very sensitive to changes in temperature. Warmth may aggravate the pain
 Tarentula cubensis
This remedy may be indicated when a boil is sore and swollen with stinging, burning pain, and
purplish or bluish discoloration of surrounding tissues. A person who needs this remedy may
also have restless feet and difficulty sleeping.

 Arnica Montana - tendency to small boils which are painful, one boil is cured, when the
other comes out; occurrence of boils in crops; skin is black and blue; itching, burning,
eruption of small pimples. Arnica produces a crop of boils all over, beginning with
soreness, go on to suppuration, and another crop follows. When the boils partially mature
and shrivel up Arnica is the remedy indicated.

 Belladonna – remarkable remedy for boils; redness with throbbing and pain; this
medicine should be used in the Atropa belladonna. Homoeopathy medicine for boil
beginning; skin dry and hot, swollen, sensitive, erythema, suppurative wounds,
indurations after inflammations. In boils with much swelling and redness Belladonna is
 the remedy to be used in the early stages. Boils recurring in the spring also indicate the
remedy.

 Arsenic album – excellent remedy for boils malignant pustules, gangrenous

inflammation; itching, burning, swelling; ulcers with offensive discharge; burning as if
coals of fire were put on affected part. Cutting and burning pain worse after midnight.

 Hepar Sulph – one of the best medicines for boils and abscess; boils with marked
suppuration; unhealthy skin; slightest injury suppurate; burning, stinging pain; extreme
pain and tenderness, in early stage of pus formation; it will stop formation of pus or will
abort pus in very less time period.

 Thuja – crops of boils on face neck and nose. The main action of Thuja is on the skin
and genito-urinary organs. thuja homeopathic medicine for boil. Perspiration sweetish,
and strong. Dry skin, with brown spots. Complete loss of appetite. Dislike for fresh meat
and potatoes. Rancid eructations after fat food. Cutting pain in epigastrium. Cannot eat
onions. Flatulence; pain after food; sinking sensation in epigastrium before food; thirst.
Tea-drinking dyspepsia.

 Silicea – it acts well when there is slow healing power; felons, boils, ulcers, and
abscesses; pus offensive; long lasting suppuration, keloid growths; promotes expulsion of
the foreign body from the tissue. This is a great boil remedy, and, in conjunction with
Hepar sulphuris, prescribed for the general indications of abscess will cover many cases.
It is a remedy to prevent boils. It produces inflammation of the connective tissue, and
following the boil will be a plastic indurated and often inflamed lump, which Silicea will
remove.

 Merc iod – it is an excellent remedy for inflammatory stage of boils; when there is no
pus formation; intense shining redness with throbbing and pain; when pus is formed it is
green, thin and watery.

 Carbolic Acid – boils with accumulation of pus and discharge of very foul odor; marked
burning pain. Very marked acuteness of smell is a strong guiding symptom. Stomach
symptoms are also important. Pains are terrible; come and go suddenly. Physical exertion
brings on abscess somewhere.
 Tarantula – abscesses, boils, felons, carbuncles; hard, tender, inflamed hair follicles;
boils at any stage. Sudden alteration of mood. Foxy. Destructive impulses; moral
relaxation. Must constantly busy herself or walk. Sensitive to music. Averse to company,
but wants someone present. Ungrateful, discontented. Guided by whims.

 Ledum pal – boils and felons caused by needles pricks. For punctured wounds, produced
by sharp-pointed instruments or bites particularly if the wounded parts are cold, this is the
remedy. It affects also the skin, producing an eruption like Poison-oak, and is antidotal
thereto, as well as to stings of insects

 Tuberculinum – crops of small boils successively appear on the nose; boils with intense
pain.

 Bellis P – boils all over the body with soreness, pain and marked swelling. Externally, in
Acne. Boils all over. Sore, bruised feeling in the pelvic region. Exudations, stasis,
swelling, come within the range of this remedy. Boils. Ecchymosis, swelling, very
sensitive to touch. Venous congestion due to mechanical causes. Varicose veins with
bruised sore feeling. Exudations and swellings. Acne.

 Arsenicum- Large painful boils with burning pains, better for warm applications. The
person experiences a lot of anxiety and worry about the condition.

 Hepar sulphuricum- When the person with a boil is irritable, even violent. They may be
oversensitive mentally and physically—to a word, to contact, to pressure of dressings,
etc. They are very chilly and want to be wrapped up. The boil is exquisitely sensitive and
sharply painful. Can help move the process along if a boil’s discharge is too slow and
scanty, or the boil has not opened in a timely manner.

 Lachesis- This remedy can help with very painful boils that become bluish and form
rapidly. The person is worse from heat and very excitable. They are so sensitive to touch
that they cannot tolerate any covering on the boil. Boils may occur mainly on the left side
of the body and/or start on the left and progress to the right.

 Sulphur- This remedy can be useful in cases where there is a frequent return of boils.
Symptoms include burning, redness, flushes of heat, and boils that come in groups. Some
homeopaths have noted that by giving Arnica while the boil is inflamed and swollen, and
a dose of Sulphur occasionally after it has healed, the predisposition to boils may be
gradually removed.
METHOD & PROCEDURE:

The data has been collected from the cases of JNHMC. The case record contain age column,
through which we can depict the common age group suffer. The method in collecting data was
that first of all symptoms from the patient was collected ,moving forth past history was collected
so that we can know the duration of suffering, after all personal history was been collected.

All this data has been recorded into the computers, through which we can know that from how
many years the patient is taking medicine and how much time has taken to the fullest cure.
Also the patient are admitted in IPD due to greater suffering. And observation was made on the
same.
Some of the cases has been illustrated from which the data has been collected and studied:-

 ANNEXURE
CASE NO. 1
OPD no.:
Name:
Age:
Sex:
Occupation:
Martial statues:
Chief complaint: