Homœopathic Links
DOI: 10.1055/s-0043-1767679
Clinical Image

Homoeopathic Management of Venous Leg Ulcer: A Case Report

Raja Manoharan
1   Department of Homoeopathic Pharmacy, National Institute of Homoeopathy, Kolkata, West Bengal, India
,
Gitasri Pal
1   Department of Homoeopathic Pharmacy, National Institute of Homoeopathy, Kolkata, West Bengal, India
,
Soumya Bhattacharya
1   Department of Homoeopathic Pharmacy, National Institute of Homoeopathy, Kolkata, West Bengal, India
,
Mahadev Mondal
1   Department of Homoeopathic Pharmacy, National Institute of Homoeopathy, Kolkata, West Bengal, India
,
Lalith Singh
2   RMO, National Institute of Homoeopathy, Kolkata, West Bengal, India.
› Author Affiliations

Introduction

Venous leg ulcers are late signs of venous hypertension and chronic venous insufficiency.[1] [2] They are the most common type of lower extremity chronic wounds[3] and involve a high cost and burden on worldwide healthcare systems.[4] These ulcers present as shallow, well-defined ulcers with fibrinous material at the base and on distal end of the legs across the medial surface.[5] The clinical evaluation should include information regarding the ulcer's size, depth, margins, base, symptoms of infection and peripheral skin changes.[6] [7]

Homoeopathy is a systemofmedicine based on individualistic approach and it can show remarkable improvement in pathological conditions like chronic venous leg ulcers when treated following the symptom totality of the patient. Various medicines for venous leg ulcers are listed in homoeopathic literature. However, any large-scale-controlled trials on the homoeopathic treatment of foot ulcers are lacking, but there have been some observational studies and case reports.[8] [9] A case of venous leg ulcer, successfully treated with homoeopathic medicine Lachesis, is presented here.

Patient Consent

The author certifies that all appropriate patient consent forms were obtained. In the form, the patient has given consent for the use of her images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal her identity, but anonymity cannot be guaranteed.


Supplementary Material



Publication History

Article published online:
18 September 2023

© 2023. Thieme. All rights reserved.

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Bonkemeyer Millan S, Gan R, Townsend PE. Venous ulcers: diagnosis and treatment. Am Fam Physician 2019; 100 (05) 298-305
  • 2 Santler B, Goerge T. Chronic venous insufficiency - a review of pathophysiology, diagnosis, and treatment. J Dtsch Dermatol Ges 2017; 15 (05) 538-556
  • 3 Lal BK. Venous ulcers of the lower extremity: definition, epidemiology, and economic and social burdens. Semin Vasc Surg 2015; 28 (01) 3-5
  • 4 Phillips CJ, Humphreys I, Thayer D. et al. Cost of managing patients with venous leg ulcers. Int Wound J 2020; 17 (04) 1074-1082
  • 5 Nicolaides AN. The most severe stage of chronic venous disease: an update on the management of patients with venous leg ulcers. Adv Ther 2020; 37 (suppl 1) 19-24
  • 6 Alavi A, Sibbald RG, Phillips TJ. et al. What's new: management of venous leg ulcers: treating venous leg ulcers. J Am Acad Dermatol 2016; 74 (04) 643-664 , quiz 665–666
  • 7 Nelson EA, Adderley U. Venous leg ulcers. Clin Evid 2016; 2016: 1902
  • 8 Nayak C, Singh V, Singh K. et al. A prospective observational study to ascertain the role of homeopathic therapy in the management of diabetic foot ulcer. Am J Homeopath Med 2011; 104: 166-176
  • 9 Mahesh S, Mallappa M, Shah V, Vithoulkas G. Venous ulcer and stasis dermatitis treated with classical homoeopathy: a case series. Indian J Res Homoeopathy 2021; 15 (04) 247-255
  • 10 Archibel. RADAR 10 (Internet). Archibel Homoeopathic Software. Isnes, Belgium: Archibel; 2018. Accessed March 10, 2023 at: http://www.archibel.com/
  • 11 Boericke W. Boericke's New Manual of Homoeopathic Materia Medica with Repertory. 9th ed. New Delhi; B. Jain Publishers (P) Ltd; 139; 2007
  • 12 Lamba CD, Gupta VK, van Haselen R. et al. Evaluation of the Modified Naranjo Criteria for assessing causal attribution of clinical outcome to homeopathic intervention as presented in case reports. Homeopathy 2020; 109 (04) 191-197 DOI: 10.1055/s-0040-1701251. Erratum in: Homeopathy. 2020 Oct 21; PMID: 32215892