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Thursday, July 30, 2009

A Pilot Study on Treatment of Chikun Gunya

 

A Pilot Study on Treatment of Chikun Gunya 

 

Dr.S.G.BIJU (Chief Medical officer)

Dr.Sarathchandran   (Research Officer)

The Homoeopathic Multi Speciality Hospital & Research Center,

Changanacherry – 1,

Ph 0481 2412233, 9447128799

Statistical Analysis of Chikugunya Cases.

 

 

 

AGE DISTRIBUTION OF PATIENTS

 

 

 

Age in years

Frequency

Number

Percentage

1y-10year

32

6%

10y-20year

96

18%

20 -40year

102

19%

40 - 60

204

39%

60 – 80

82

15%

80 and above

16

3%

TOTAL

532

100%

 

Graphical Analysis of Age wise Distribution

 

In this study 32 patients (6%) were in the age group of 1-10 years. 96 patients (18%) were in the age group of 10-20 years. 102 patients (19%) were in the age group of 20-40 years, 204 patients were the  age group of40 to 60 (39%), 82 patients were age group of 60 to 80 (15%)  and 16 patients were the age group above 80 years.  The table shows the age group of 40 to 60 are more suffering from Chikun Gunya.

Gender Distribution of  Affected people

260 out of 532 patients were males (49%), 240 out of 532 are females (45%)and 32 out of 532 are children (6%).

 

Male

260

Female

240

Children

32

 

Graphical Analysis of Gender Distribution

This table shows that males suffered slightly more than females.

 

Symptamatology Of CG

Presenting complaints are, pain Muscles, Pain Wrist joints, Unilateral ankle Pains, Swelling ankle, Swelling Knee, Severe headache, Rashes, Ascending joint pains, High rise of temperature, Nausea, Vomiting, Sleeplessness, Bitter taste in mouth, intolerance, vertigo, sudden attacks, chill, LBA, insidious onset, shivering, Apthae, Giddiness, coldness of affected joints and coldness of palms, delirium and witty (jesting) .

 

Sl No

Symptom

No of Cases

1

Pain Muscles

220

2

Pain Wrist joints

280

3

Unilateral ankle Pains

340

4

Swelling ankle

360

5

Swelling Knee

126

6

Severe headache

180

7

Rashes

402

8

Ascending joint pains

463

9

High rise of temperature

130

10

Nausea

160

11

Vomiting

180

12

Sleeplessness

206

13

Bitter taste in mouth

401

14

Coldness of palms

140

15

Vertigo

260

16

Sudden attacks

222

17

Chill

240

18

Shivering

168

19

Apthae

404

20

Giddiness

260

21

Coldness of affected joints

289

22

Intolerance

380

23

Delirium

61

24

Witty (jesting)

92

 

 

 

 

 

Graphical Analysis of Symptamatolofy

 

Genus Epidemicus

To get the Genus Epidemicus we considered 10 Common Symptoms.

The following are the common symptoms.

1. Pain Wrist joints

2. Unilateral ankle Pains

3. Swelling ankle

4. intolerance

5. Apthae

6. Rashes

7. Ascending joint pains

8. Sleeplessness

9. Bitter taste in mouth,

 

 

 

Intensity was given on the basis of frequency of symptoms in cases. Those symptoms presented in more than 80% are considered with 3 intensity. Those having more than 70% coverage but not more than 80% are considered with 2 intensity and symptoms presented in 50% cases to 70% cases are considered with 1 mark intensity. Symptoms presented only in less than 50% of cases are excluded.

 

In this study the following remedies are emerged.

LEDUM             

SUL             

RHUS TOX             

ARS ALB             

MERC SOL             

BRY

 

Effectively of Homoeopathic Medicines in Treating CG Cases

Among 532 cases 517 cases were treated with 8 remedies viz. Ledum Pal, Ruta G, Rhus Tox, Belladonna, Eupatorium, Bryonia, Apis and Formica Rufa. 15 cases were the cases under treatment for chronic complaints and such cases were treated by the same constitutional medicines. Among these 15 cases 7 cases were treated with Ars Alb as Ars Alb was their constitutional remedy.

Order of effective Medicines Given

Medicine

Cases

Ledum Pal

190

Ruta G

81

Rhus Tox

72

Belladonna

62

Eupatorium

55

Bryonia

30

Apis

25

Constitutional (Ars Alb)

15

Formica Rufa

2

 

 

Affectivity Of Homoeopathic treatment in Chikungunya

 

Sl.No

Type of Tt.

No of cases

1

Constitutional

40

2

Single remedy

140

3

Follow up with other medicines

230

4

Multiple prescription

98

5

After Allopathic treatment

24

 

 

TABLE VII

COMMENCEMENT OF IMPROVEMENT

 

Period in Days

Frequency

Number

Percentage

Within 3 days

90

16%

Within 7 days

230

43.2%

Within 14 days

150

28.1%             

Within 30 days

60

11.2%

Failed and referred to allopathy

2

0.3%

Total

532

 

 

 

 

Improvement of Symptoms

 

1

Pain Muscles

220

41%

2

Pain Wrist joints

280

52%

3

Unilateral ankle Pains

340

63%

4

Swelling ankle

360

67%

5

Swelling Knee

126

23%

6

Severe headache

180

33%

7

Rashes

402

75%

8

Ascending joint pains

463

87%

9

High rise of temperature

130

24%

10

Nausea

160

30%

11

Vomiting

180

33%

12

Sleeplessness

206

38%

13

Bitter taste in mouth

401

75%

14

Coldness of palms

140

26%

15

Vertigo

260

48%

16

Sudden attacks

222

41%

17

Chill

240

45%

18

Shivering

168

31%

19

Apthae

404

75%

20

Giddiness

260

48%

21

Coldness of affected joints

289

54%

22

Intolerance

380

71%

23

Delirium

61

11%

24

Witty (jesting)

92

17%

 

All patients are advised to avoid taking bath for 1st 5 days after the onset of symptoms. They are advice to take plenty of warm water. Physical exertion was restricted during the entire period of treatment.

 

Management of Chikun Gunya Allied Complaints

 

Following Major Complaints were reported after the fall of temperature.

 

No.

Complaint

No.Cases

%

1

Pain soles cant touch on floor

244

45%

2

Apthae

404

75%

3

Rashes

402

75%

4

Swelling Ankle

360

67%

5

Pain Ankle

320

60%

6

Pain Wrist

298

56%

7

Poor Appetite

410

77%

8

Pain Finger joints

280

52%

9

Weakness

442

83%

10

Relapse of fever

110

20%

11

Lymphadinopathy

140

26.3%

 

 

 

 

Effective Medicines for Allied Complaints

 

1. Pain soles can’t touch on floor

No

Remedies

Cases

%

1

Berberis Vulg Q

123

50.4%

2

Mezerium

100

40.9%

3

Ledum

21

8.6%

 

 

No.

Apthae

 

 

1

Merc Sol

140

34.6%

2

Acid Nit

137

33.9%

3

Kali Chlor

127

31.4%

 

 

 

 

 

 

Rashes

402

%

1

Astacus Fl.200

210

52%

2

Apis 200

102

25%

3

Sul 0/3

90

22%

 

 

 

 

Swelling Ankle

360

%

1

Ledum

142

39%

2

Ruta. G

125

34%

3

Ammon Mur

93

25%

 

 

 

 

 

PainAnkle

320

%

1

Ruta G

130

40%

2

Ledum

112

35%

3

Acid Benz

78

24%

 

 

 

Pain Wrist

298

%

1

Ruta G

143

47%

2

Actea Spicata

109

36%

3

Viola Odorata

46

15%

 

 

 

Poor Appetite

410

%

1

Lyco 0/3

198

48%

2

Chinninum Ars 30

168

40.9%

3

Carica papaya Q

44

10 %

 

 

 

 

Pain Finger Joints

280

%

1

Formica Rufa 30

115

41%

2

Guiacum Q

95

33%

3

Colchicum 30

40

16%

 

 

 

Weakness 

442

%

1

China 200

120

27%

2

China Q

160

36%

3

Scutellaria Q

162

36%

 

 

 

Relapsing Fever

110

%

1

Pyrogen 200

55

55%

2

Baptisia Q

51

46%

3

Tub 1M

9

8%

 

 

 

Lymphadenopathy

140

%

1

Phytolacca

60

42%

2

Merc Sol

54

38%

3

Cistus Can

26

18%

 

 

This Study reveals that Homoeopathic Medicines are highly effective in the management of ChikunGunya Cases. This study further revealed that more than one remedy is needed for the management of  Chikungunya and allied complaints. In this study we found out that the average period of treatment for Chikungunya is 7 days. This study pointed towards the need of a statistical analysis to find out Genus Epidemicus.

 

 

Dr.S.G.BIJU (Chief Medical officer)                           

Dr.Sarathchandran   (Research Officer)

The Homoeopathic Multi Speciality Hospital & Research Center, Changanacherry – 1, Ph 0481 2412233, 9447128799

 

Website www.drbijuonline.com – E Mail drbijugnair@sify.com

 


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