A Case of Hansen’s Disease
NATIONAL JOURNAL OF HOMOEOPATHY 2002 May / Jun VOL 4 NO 3.
Dr Dilip Dixit
'Sil
Introduction:
The most exciting find of this century, for us in Homeopathy, was when we
could unravel the intricacies of leprosy cases, using the miasmatic
understanding of Tubercular Miasm underlying the leprosy disease. This approach
helped us to resolve many cases of this disease. We will share with you this
understanding, demonstrating it through this case.
This case was taken at our Rural Palghar hospital on 30/01/02 under the
supervision of Dr Dilip Dixit by Dr Dilip
OPD Reg. No:P/13479/02
Mr AA S, Muslim, and Non-vegetarian, 46 yrs, married since 15 yrs (ie at age of
35y, pretty unusual for the Muslim community) 11th std
(Marathi) and working as a mason, has 2 sons, 1 daughter; both his parents live
with him.
3 Brother: 1 of whom died; 2 Sister: 25yrs, 22 yrs (unmarried)
Chief Complaint:
| Location | Sensation | Modalities | Accompaniments |
| 1) Skin - Chest & Ears lobes Onset Since 3rd
std Skin-all over. H/O-25 yrs back. H/o 10 yrs back Once Rt Foot - toes Since 2-3 yrs. Lt hand - Little finger. Gradually increasing. Since 5 yrs Foot - toes. F: Recurrent
Since 1 year Planter surface of 2nd toe of Rt foot.
Since 15 days. |
Hypopigmented Patches Sensory loss+. Biopsy done, report not available. Eruption+. Non-healing Wound 2 Flexion Deformity Unable to extend fully. Sensation (N) "Ulnar claw Hand with flexion contracture". Small in size, 0.5-1cm diameter. Pain+ Burning+ Swelling+ with Redness+ Non-healing wound Vesicular Eruptions2 Discharge: Thick 2 Hyperpigmented Patches2 Varicose2 |
Rx: Irregularly for 8-10 yrs. Then stopped Rx.
A/F cement work >3 ointment >3 Rx: in KEM Hospital -I & D.
Not relived by Rx. >3 Gauthi Rx |
Associated Complaints
| Location | Sensation | Modalities | Accompaniments |
| 1.) RS: Since childhood 2.) H/O - Rectum. |
K/C/O Bronchial Asthma. Dyspnoea2 Wheezing2Cough. Haemorrhoids Bleeding2 Profuse2 Colicky pain2 Bloody stool2 Profuse2 |
>3 after operation, done 1 yr back.
>3 Allopathic Rx. |
Patient as a person:
A] Physical Characteristics:
Weight Gain. Ranging from 50 to 62 kgs in last 2-3 yrs. Tall.
Wounds-Healing3. No suppurative tendency.
Perspiration: profuse2, < 2 on exertion, wets the clothes.
Appetite:+. No desire to eat since 1-2 yrs.
Hunger: + since 5-6 months
Taste: + since 1-2 yrs.
Cravings : Pungent (spicy) 2, Sweets+
Stool: 2 /day, N. Urine: N.
Sleep: disturbed2 since 1 ½ yrs b/c of financial anxiety.
LIFE- SPACE INVESTIGATION.
Pt hails from the Muslim community with poor financial condition. They live
in Joint Family. Father was a mason, now very weak, so not working since 25 yrs.
Pt is eldest child. Since childhood, he has a lot of responsibilities. His sense
of responsibilities made him marry late, whereas his younger sibling married
early. He is an anxious person: financial responsibilitiy of the family, for
children’s educations & future. He gets angry when children don’t listen
and do not study. He scolds and occasionally beats them.
Reaction Physical Factors:
Thermal: Fan: S & W-Slow. Covering: S &W - thick. Winter full
covering.
Bath: hot water -through out year. Cold water bath cause chilliness.
Woolen + in winter.
Thermal: C3H2 
C4H.
Past history and family History:
Mother: Cancer of lungs, died. Brother: leprosy. Brother2 died
of Hepatitis.
OLD REPORTS AVAILABLE IN HAND:
04.03.1994 till 3.2.95. S/B Skin specialist. Cap Rcin-600, Tab Dapsone-600,
am & steroidal applications.
19.7.96-Tropical ulcer+, Clawing +, edema
C. Rcin-600 1OD. T. Dapsone -100 1OD, Cap. Minicycline 1 BD .
Tab Betnesol Forte - TDS x 10 days, BD x 10 days, OD x 10 days.
Wokadine oint. Cap Fesovit 1 OD. Continued this Rx till 2.11.96.
13/07/99 2D-ECHO: Normal..
26.08.2000
CXR: collapse of left lower lobe with hilar shadow on Rt Side .
Air bronchogram on (Rt.) LL. S/O Cemolidation
15/09/2000
O/E: Callosity over® 2nd and (L) 3rd
toe. Ichthyosis + over shins (L) ulnar claw
Rx. H/O DDS monotherapy for 7-8 yrs. MDT - Rcin, CLF , DDS for 1 yr.
C/o small trophical ulcer on tips of toes. Contractures (L) Little finger
Rx allopathic.
10/08/2001
Non-healing ulcer on the (L) soles since 1 yr. K/c/o Hansen’s taken Rx
25yrs ago for 3 yrs. O/E: single 0.5 ones diameter with sclerotic margin seen on
the plantar surface of ® toe. Ulnar claw ++ with flexor contractures of (L)
little finger. Burnt out case of Hansen’s with trophic ulcer.
6-2-02 Homoeopathic Treatment started.
Rx: from 6/2/02 to 3/10/02. Tuberculinum 1M 1P weekly. Hepar-sulph
200 4 hrly
Improvement started immediately. Schedule was maintained and within 8 months:
generally he was much better including sleep, appetite : N
1. Non-healing wound >3
2. Progressive Rt. Dorsum of foot >3.
3. Soles pain & burning >2
4. Varicose vein >1
5. RS c/o- >2 had 2 episodes Ars-alb-200 qds.
Constitutional: Silicea - 30 3P given on 18.9.02 when indication of constitution came up in terms of RS signs and symptoms in form of cold and coryza.Marked improvement. This treatment is still carrying on.
