Summary: Varicose veins are twisted, dilated veins mostly situated on the decrease extremities, ensuing from venous valvular dysfunction. Getting older, extended standing have been vital threat components for the event of varicose veins. Varicose veins, a standard drawback with results on high quality of life, account for a big value burden on
the well being care system. Preliminary signs and indicators localized to the areas of varicose veins embody aching or throbbing discomfort, burning, pruritus, and dry irritated pores and skin. Extra superior persistent venous illness (greater CEAP class) with venous valvular incompetence manifests with signs and indicators equivalent to leg heaviness and fatigue, cramping, hyperpigmentation, edema, fibrotic pores and skin modifications (lipodermatosclerosis), and ulceration. A Case of varicose veins in a forty five years outdated feminine visited the out-patient division of Authorities Homoeopathic Medical Faculty & Hospital, Bengaluru introduced with dilatation of veins within the decrease extremities with itching. An in depth case taking was accomplished, adopted by repertorisation that led to the prescription of Carcinosinum. This case handled with individualized homoeopathic medication confirmed exceptional enchancment.
Key phrases: varicose veins, homoeopathy, carcinosin, CEAP classification
Introduction: Varicose veins are a part of the spectrum of persistent venous illness and embody spider telangiectasias, reticular veins, and true varicosities.1 The ICD 11 classification of varicose veins is BD74.1-BD74.1. The sheer prevalence of varicose veins and the substantial value of treating late problems equivalent to persistent venous ulcers contribute to a excessive burden on well being care assets.1 Varicose veins are a standard persistent venous dysfunction affecting 20 to 60% of adults worldwide.2 Worldwide, the incidence of varicose veins varies between 10% and 60%. This incidence is greater within the Asian area as in comparison with as much as 30% within the Western world.4 The venous system of decrease extremities consists of two distinct circulatory techniques, i.e., deep veins that are normally accompanied together with their arteries and drain the muscular tissues and the bones. In distinction, the superficial veins run subcutaneously draining the muscular tissues and the pores and skin. The nice saphenous vein and the small saphenous vein are the 2 main superficial veins, which lastly drain into the deep veins both instantly or by means of the perforating veins.
Danger Components
Danger components for varicose veins will be categorized as hormonal, life-style, acquired, and inherited. The impact of estrogen on the danger of varicose veins might clarify elevated prevalence amongst girls. Smoking is a crucial modifiable threat issue for varicose veins. Submit-thrombotic syndrome after deep vein thrombosis (DVT) might end in varicose veins within the absence of main venous illness.1 Different threat components for varicose veins embody a household historical past of the situation, weight problems, being pregnant, and standing or sitting for lengthy intervals of time.
Sufferers with varicose veins might haven’t any signs aside from the enlarged vein itself, however many sufferers expertise discomfort or ache within the vein, sensations equivalent to aching, tightness, burning, itching, or tingling of the legs, and leg swelling. Signs of varicose veins range in response to their measurement and extent.
Affected person Info
A forty five-year-old feminine, visited the out- affected person division of Authorities Homoeopathic Faculty & Hospital, Bengaluru on 28/03/2023 introduced with Dilatation of veins within the decrease limbs with itching since 2yrs.
Historical past of Presenting Grievance
Affected person was apparently wholesome, till 2yrs again when she developed dilatation of veins within the decrease limb bilaterally. Complaints began first within the left decrease limb; later the fitting decrease limb was affected. Dilatation of veins extra marked on the fitting facet of the decrease limb than the left facet. There may be itching of decrease limbs together with the dilatation of veins. Identified as a varicose vein 1.5 years again.
Location – decrease limbs till knee joint
Modalities – itching < after consuming oily meals
Gradual onset
Previous Historical past
Had grade- 2 hemorrhoids would trigger bleeding per rectum often
No H/O Surgical procedure
Non unintended historical past
No allergy historical past
Household Historical past
Father – expired as a result of coronary heart assault 6 yrs again
Mom – expired as a result of outdated age 4 yrs again
Siblings – 1 elder sister- expired as a result of Leukaemia in Oct 2023
1 elder brother – apparently wholesome
Menstrual Historical past
LMP- 10/03/2023
Menarche – 12years
Cycles – 30 days- 35 days, common
Circulation – 5 days
D1 = 1 pad
D2 = 2 pads
D3 =
D4 =
D5 =
Colour – shiny pink
Clots – absent
Leucorrhea = on 10/ eleventh day after menses
Since 6 months I simply get offended & find yourself beating/shouting at my sons.
Sizzling flushes since 4 months
Private Historical past
Weight loss program – vegetarian
Behavior – nothing particular
Urge for food – good, can tolerate starvation
Starvation – good
Thirst – thirstless
Want – spicy, fruits
Aversion – nothing particular
Urine – 3-4 instances/day
Stools – as soon as/ day, passable
Perspiration – on exertion, neck area
Sleep – good, refreshing
Goals – throughout menses – desires on an outdated widow
Thermals – in direction of chilly
Life House Investigations
Affected person was born and introduced up in a village close to Hassan. Studied until PU in Hassan. Affected person wished to pursue her research additional, however her father disapproved & didn’t let her proceed her training. Affected person was introduced up in a disciplined and a strict atmosphere. Father was making choices on behalf of her and was not given a selection. Affected person regrets that she couldn’t reside her childhood the way in which she needed. Affected person is offended along with her mother and father as she feels they didn’t deal with her correctly in her childhood however was not capable of do something about it as mother and father have been strict. The affected person has at all times confronted criticism as a result of her brief stature, this additionally resulted in delayed marriage. She feels that she didn’t obtain her desires as a result of she was criticized. Affected person is delicate to criticism and may’t tolerate it when it’s directed in direction of her. If one thing goes fallacious at house, the affected person tends accountable herself and turns into offended. The affected person insists on having every little thing in its correct place and turns into annoyed when issues are misplaced by others. Throughout the menstrual cycle, the affected person tends to cry simply over minor issues. The affected person dislikes watching or listening to merciless issues on TV as a result of it makes her really feel unhappy and suffocated, as a result of she thinks that regardless of how a lot good is finished, will probably be futile.
The affected person forgets the place she has positioned the issues. Firm wishes.
Common Bodily Examination
Affected person is acutely aware & oriented up to now, time & place.
• Constructed and nourishment – average
• Weight = 45 kgs Peak = 4.9ft
• Pallor – absent
• Cyanosis – absent
• Edema – absent
• Clubbing – absent
• Head = Hair –wholesome, scalp – wholesome
• Eyes – conjunctiva – pink, Sclera – clear
• Ears –no discharge
• Nostril – no DNS & Polyp
• Mouth = tongue – clear, tooth – hygienic, gums – pink, buccal mucosa – pink
• Neck – no lymphadenopathy
• Extremities = no deformities
• Pores and skin = wholesome, decrease limbs – telangiectasia
• Nails = no clubbing
Systemic Examination
Respiratory system = B/L NVBS
Gastrointestinal system = Mushy, non-tender
Central nervous system = acutely aware & oriented up to now, time & place.
Nosological Prognosis
Varicose veins
Classification of Illness – True persistent miasmatic illness
Miasmatic Classification – Psora- sycotic
Evaluation of the Case
Analysis of Signs
Totality of Signs
Merciless issues have an effect on her
Will get offended at her mistake
Delicate to criticism
Domination from father
Fastidious
Want – fruits
Thirstless
Repertorial Totality
Thoughts – anger- errors, about his
Thoughts – horrible issues, unhappy & tales have an effect on her profoundly
Thoughts – delicate – criticism; to
Generals – meals & drinks – fruit – want
Generals – varicose veins
Repertorial End result
Staphysagria – 8/5
Sulphur – 8/5
Carcinosin – 7/5
Calcarea carbonicum – 9/4
Natrum muriaticum – 6/4
Foundation of Prescription
Based mostly on the evaluation of psychological generals, bodily generals, particulars & reportorial end result Carcinosinum was prescribed. Efficiency 200C was chosen based mostly on the susceptibility & situation of the illness. Carcinosin youngsters have dominating mother and father, lack of self-confidence, wish to please everyone & responsible emotions for one thing they haven’t accomplished. Carcinosin’s are fastidious.10-12
Comply with up
Dialogue
Homeopathy will be thought-about inside the scope of remedy for varicose veins. Homoeopathy helps in holistic therapeutic which in flip improves the standard of life. Homoeopathy remedy is mild, fast & everlasting. Homoeopathy has the potential of stopping recurrence of the situation when handled correctly.
The ultimate rating of Modified Naranjo Standards on this case was +10 for a most of +13 which signifies that there’s an affiliation between the medical end result & the individualized homoeopathic medication.13
Desk 2: Evaluation of Modified Naranjo Standards Rating
Funding- Nil
Battle of Curiosity- Nil
Consent for Publication- Written knowledgeable consent was obtained from the affected person for publication of this case report & any accompanying pictures.
Reference
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8) Benjamin N. Jacobs, Elizabeth A. Andraska, Andrea T. Obi, Thomas W. Wakefield, Pathophysiology of varicose veins, Journal of Vascular Surgical procedure: Venous and Lymphatic Issues, Quantity 5, Subject 3, 2017, Pages 460-467, ISSN 2213-333X
https://doi.org/10.1016/j.jvsv.2016.12.014
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13) Lamba CD, Gupta VK, van Haselen R, Rutten L, Mahajan N, Molla AM, Singhal R. Analysis of the Modified Naranjo Standards for Assessing Causal Attribution of Medical End result to Homeopathic Intervention as Offered in Case Reviews. Homeopathy. 2020 Nov;109(4):191-197. doi: 10.1055/s-0040-1701251. Epub 2020 Mar 25. Erratum in: Homeopathy. 2020 Nov;109(4):e1-e2.
https://doi.org/10.1055/s-0040-1701251
Article Written By;
Dr BRAMARAMBHA Okay
PG SCHOLAR
MD PART 2
Division Of Materia Medica
Authorities Homoeopathic Medical Faculty & Hospital Bengaluru – 560079
[email protected]
Beneath The Steerage of;
Dr. ASHOK KUMAR DANTKALE
PROFESSOR
Division Of Materia Medica
Authorities Homoeopathic Medical Faculty and Hospital Bengaluru – 560079
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