Vargheese, lecture, physician, and Research scholar is known to every
body. His in depth study, innovative application makes every body inspire.
He had written many articles in Souvenir, Magazines and Journal and also
presented many scientific papers in seminars. His rational approach to
his patients and clinical evidence based documents are added advantage
for our fraternity. Here he presents a case of Tropic Ulcer treated at
Saradha Krishna Homoeopathic Hospital Kulasekharam, Tamil Nadu.
A male patient aged 35 years presented with the complaint
of non healing ulcer since two years over the left heel. The ulcer is
punched out and very offensive. The offensiveness is so much that the
ulcer was opened in the dressing room which is in the first floor of the
hospital and the stench was smelt by the persons who were standing in
the ground floor OPD , Saradha Krishna Homoeopathic Medical College Hospital,
Kulasekharam. There is no pain. The ulcer started after the patient had
got out of bed and started using his leg after a paraphlegia, which followed
after he had fallen in a well and injured the spinal cord.
He also has got incontinence of urine and prolapses of rectum following
the injury to spinal cord. Along with these complaints he had fullness
of the abdomen and flatulence, which get < after farinaceous food.
history of asthma in the childhood which gets < during moon phases,
cold exposure and as he changed his residence this problem spontaneously
family history suggested asthma for his brother and one of the sisters
and Rheumatism in mother
Physical general included increased sweat over the palms and soles and
thermally he has aversion to both extremes of temperature and prefers
fan in summer. Prefers covering in all season with moderately thick cloth
and desires cold-water bathing. There is craving for fish and pungent
Mentally he is very optimistic and easily gets irritated while being contradicted.
He was also having artistic talents including stage performance of drama
and music concerts. Has got a very sharp memory.
examination of the Ulcer revealed the following findings.
The size of the ulcer measured about 4cmx4cm with a depth of 5cm. The
margins are punched out and the floor is by the necrotizing bone Appreciate
the ulcer printed at the visual corner, back wrapper There is no sensation
A sterile scoop was introduced during dressing and the necrotized bone
was scooped out without anaesthesia There was also another small ulcer
present near the medial aspect of the foot.
Post Paraplegic tropic ulcer
First Prescription 17/4/04
Fluoric acid 30 was given for two days
Followed by Aurum Met 30.
Follow Up 1 21/9/2004
There was no progress, the offensiveness was still continuing. So thought
of reconsidering the drug. Now the Miasmatic interpretation was given
as syphilitic miasm because of the punched out ulcers and the necrosis
Merc. Sol 0/6 TDS
Offensiveness had drastically reduced within two days. Merc. Sol was continued
for another five months in 0\12, 0\30 potencies. Appreciate the changes
on after treatment photograph published in visual corner. Later on Sulphur
was given as Constitutional remedy with that patient even had improvement
in the incontinence in urine and prolapses of rectum.
The remedy Fluoric acid and Aurum met were immediately withdrawn as there
was no relief. The first and foremost sign in improvement in such type
of ulcer is the offensiveness has to get diminished. Merc sol was selected
in this case after defining the miasm and also the diagnosis as to tropic
ulcer. Boger in his Synoptic Key writes that Merc sol is indicated in
painless ulcers after damages to nerves. When we understand the pathology
of tropic ulcer it resembles what Boger has narrated along with that the
other symptoms of offensiveness and the lardaceous base due to the necrotizing
bone was considered and immediately the offensiveness was reduced which
is and indication that the infection is under control.
The wound was also dressed with calendula glycerin and in later stages
after complete epithelialization laser was used to have a faster granulation
Usually tropic ulcer is very difficult one to heal, but with homoeopathic
remedies a speedy recovery was brought in this case In spite of two years
of allopathic remedy the healing was not taking place but within five
months without any other surgical procedures, it was cured by Homoeopathy.
The reduction in the offensiveness is one of the main parameters in these
types of ulcers for understanding the action of the remedy.
Along with proper homoeopathic remedies, if accessory methods as advocated
by our Master Hahnemann, the recovery and cure could be rapid, gentle