CLINICAL PRESENTATION ON

WARTS: A CASE STUDY

BY
DR. NARENDRA KUMAR
PG SCHOLAR
DEPARTMENT OF HOMOEOPATHIC PHARMACY
BATCH-2022
UNDER VALUABLE GUAIDANCE OF
DR. KUMAR RAVINDRA SINGH
PROFESSOR
DEPARTMENT OF HOMOEOPATHIC PHARMACY
DATE OF PRESENTATION:26/05/2023
Venue: Audio Visual Room
Time: 1:00 PM
RBTS GOVT. HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL,MUZAFFARPUR
➢ INTRODUCTION-
▪ Wart is a small, noncancerous growths appear when skin is infected with one of the
many viruses of the human papillomavirus (HPV). They can grow anywhere on
skin, more likely to get one hands or feet. Warts are common worldwide and affect
approximately 10% of the population. The prevalence is as high as 10% to 20% in
school aged children. They are more common among immune suppressed patients
and meat handlers. Warts can occur at any age group. Rarely in infancy and early
childhood, prevalence increases among school-aged children and peaks at 12 to 16
years. .Warts are highly contagious and are mainly passed by direct skin contact and
towels or razors have touched a wart on body or on someone else’s. Here are over
100 subtypes of the HPV virus, but only a few types can cause skin warts at selective
anatomical sites.
TYPES OF WARTS:
• Common Warts: These flesh-colored growths are most often on the backs of hands,
the fingers, the skin around nails, and the feet. They are small in size of a pinhead to
a pea and feel like rough, hard.

• Plantar Warts: Planta means “of the sole” in Latin. They are flat, tough, and thick.1

• Flat Warts: They are smaller and smoother than other types. Flat warts tend to
appear on children’s faces, men’s beard areas and women’s legs. 1
• Filiform Warts: These warts are fast-growing and look thread-like and spiky,
sometimes like tiny brushes. They tend to grow on the face around mouth, eyes,
and nose.
• Genital Warts: These are look like small, scattered, skin-colored bumps similar to
a little cauliflower on genitals. Other types of HPV that could cause cancer may be
passed sexually, too, including through oral and anal sex.
 TYPES OF WARTS

COMMON WARTS PLANTER WARTS

FLAT WARTS

GENITAL WARTS
FILIFORM WARTS
❑ SYMPTOMS:

• Warts vary in appearance. They may look:

• Dome-shaped.
• Flat.
• Rough.
• Skin-colored, brown, grey or black.
• TREATMENT:
• Warts often go away on their own after your immune system fights off the virus. Because warts
can spread, cause pain
• In mostly cases warts found on the skin are harmless and can disappear without
treatment. Sometimes, warts may recur after treatment and more than one type
of treatment may be necessary. Although patient want to clear warts quickly,
most methods require multiple treatments. Treatments may include: Freezing
(Cryotherapy), Cantharidin, Salicylic acid, Minor surgery, Laser surgery, Over-
the–counter medication.3
❑HOMOEOPATHIC APPROACH:

✓Here, Homeopathic system believes that there is an internal propensity to

diseases along with external virulence. In homeopathy, warts are classified under
one-sided disease. Warts come under sycosis miasm. Warts have existed for
sometime without treatment. Homeopathic treatment of warts is largely through
constitutional medicine that is medicine selected on the basis of completly
understanding of the patient.
Treatment is with a single well indicated remedy based on complete totality of
symptoms.
➢HOMOEOPATHIC MEDICINE FOR WARTS:
1.CAUSTICUM
Causticum is very useful homeopathy remedy for warts and skin tags. It works very
well in cases of warts that are large and jagged. Causticum is majorly useful
for warts arising on face, lips, nose and eyelids. It also works wonders in
treating warts on tips of finger. Causticum is also indicated in warts that are painful.
Causticum is also helpful for treating pedunculated warts.
2.NITRIC ACID
Nitric Acid is an excellent medicine for warts that bleed easily. Bleeding
from warts may arise from touching or washing. Nitric Acid is also indicated
for warts that are sensitive to touch. It also helps to treat warts that are attended
with itching. Apart from this, warts with stinging or stitching pain are also
effectively treated withNitric Acid.
3.THUJA:

Thuja Occidentalis is an excellent medicine for warts. Warts that are seedy, large or
pedunculated indicate the use of Thuja Occidentalis. It is helpful for
treating wart arising on any body part. Skin dryness may also be there with warts.
Thuja is also indicated when along with warts, skin is also sensitive to touch. It also
comes among prominent homeopathic remedies for warts on the anogenital area.
4.DULCAMARA:
Dulcamara is wonderful medicine for warts on the face that are large, flat or
smooth in nature.
5.LYCOPODIUM:
Lycopodium is medicine for warts on the face that are small or pedunculated.
Although Lycopodium Clavatum is a medicine for warts on any area but it works
wonders for treating warts on the chin.
6.ANTIMONIUM CRUDUM:
Antimonium Crudum is indicated for horny warts on soles. It also works well when
corns and warts arise together on soles of feet.
7.SEPIA:
Sepia have moles and small, hard, seedy warts on face. The warts may be attended
with itching. Yellow – brownish pigmentation on the face may also be seen on the
face – mainly on nose and cheeks. In some cases, black pores may also be present
on the face.
❖ CLINICAL PRESENTATION:
➢ Reg.No.-A22242/22163
➢ Date of case taking-08/08/23
➢Name of Patient –xyz
➢Age -35
➢Sex- Male
➢Religion- Hindu
➢Father Name –Nitish Mehta
➢Address-Kurahani, Muzaffarpur
• Patient information:
A 35-year-old man presented to the surgery outpatient department (OPD) of R.B.T.S GOVT.
Homoeopathic Medical College and Hospital, Muzaffarpur with the complaint of multiple
small itching warts over his neck region for the past 2 years. He was a clerk in a
construction company. He was very irritable mentally, as seen in his attitude, gestures,
movements, and facial expressions. The patient was extremely chilly. He had a tendency to
catch a cold from slightest exposure to cold. He also had a tendency to develop tonsillitis.
▪ PAST HISTORY:
✓Asthma in childhood
▪ FAMILY HISTORY:
✓Not significant
▪ PHYSICAL GENERALS:
❑ Thirst-Moderate
❑ APPETITE –Good
❑ Craving –Sour
❑ Aversion –Fatty foods
❑ Intolerance-Cold Food and cold drink
❑ Stool –Offensive
❑ Urine-Offensive
• Perspiration –Offensive
• Tongue-Clean
• Thermal –Extremely Chilly
• Sleep –adequate
• Dream-Dreams accident
▪ PHYSICAL EXAMINATION:
• Height:5 feet 6inch
• Appearance: Average
• BP:130/80 mm of Hg
• Pulse:76 b/min.
• Temp. :97 degree f
▪ MENTAL GENERALS:
• Irritable
• Hurried when doing his daily activities
• Apprehensive
• Sadness
▪ MIASMATIC ANALYSIS:

➢Warts are classified under one sided diseases as external local maladies.
They often have individualistic and immunological basis as also familial
tendencies. Warts are included under miasm sycosis or it may be
multimiasmatic. Although warts are local diseases, they are treated with
internal remedy which is based on comprehensive understanding of the
patient. This includes local symptoms, i.e. morphology and location of
lesion, mental makeup of the person, and physical characteristics. This is
what is called totality of symptoms. A constitutional remedy thus selected
eradicates the complaint locally as well as internally, thereby providing
long lasting relief from complaints.
❑EVALUATION OF SYMPTOMS:
❖Irritable
❖Hurried in nature
❖Chilly patient
❖Tendency to catch cold
❖Tendency to inflammation of tonsils
❖Desire sour
❖Aversion to fat food
❖Sweat ,Urine and Stool offensive
❖Wart on neck soft with slight itching
❖REPERTORIAL TOTALITY:
• [Mind] contrary
• [Mind] Excitement,excitable:Hurried as if
• [Generalities] Heat:Vital ,lack of
• [Chill] Chilliness
• [Stomach] Desires: Sour, Acids, etc.
• [Stomach] Aversion: Fats and Rich food
• [Face] Warts: Mouth, around
REPERTORIAL SHEET
➢ REPERTORIAL ANALYSIS:

✓HEPAR SULPH -13/5

• SULPHUR -11/5
• ARSENIC ALB -10/5
• CALC -10/5
▪ Differenciation of well repertorised remedy with near by
remedy:-Apart from Hepar sulphur, Sulphur and Arsenicum alb received
second and third highest value during repertorization, respectively.
Sulphur and Arsenicum are mentally and physically restless, but Hepar
sulphur has a hurried nature, which was closer to our patient. He also
had an easy tendency to suppuration of tonsils, which is very much
marked in Hepar sulphur. Moreover, the other two medicines were not
considered as the patient was extremely chilly, even in summer weather.
The patient had an extraordinary craving for sour foods, for which Hepar
sulphur is a first grade medicine in Kent’s repertory. The patient has
aversion to fat foods, but Sulphur and Arsenic have craving for fatty
foods. On the basis of this totality, we chose Hepar sulphur.
➢ DATE 08/05/2023
o SYMPTOMS: Itching warts over neck
region for past 2 years.
• very chilly patient with tendency to
tonsillitis

• Desire for sour

• Offensive stool,urine and
perspiration
• Mentally very irritable and
• Physically very hurried
• Prescription:
• Hepar sulph 200c/2 dose
• Followed by placebo for 15 days
 Followup
date 23/05/2023
• Some of the warts get
disappeard while some of them
get reduced in size.
• His perspiration and stool were
• less offensive now.
• He was doing well.
• PRESCRIPTION:
• Nihilium 200/ 1 dram
• BD 4glob
➢ DISCUSSION:
In this case we have seen homeopathic treatment for warts is
constitutional as there are very few symptoms based on the location,
morphology, and sensation of the warts. Case was prescribed
individualized homeopathic medicine on the basis of totality of
symptoms and repertorization.Homoeopathic medicines are very useful
in the treatment of warts. Medicine were prescribed in centesimal scale.