Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Book Review
Case Report
Case Series
Editorial
JISH Reviewers List
Media and news
Obituary
Original Article
Pilot Research Projects/Observational Studies
Policy Paper on Homoeopathic Education
Policy Paper on Homoeopathic Education/Research/Clinical Training
Proceedings of Scientific Conferences and Research Meets
Review Article
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Book Review
Case Report
Case Series
Editorial
JISH Reviewers List
Media and news
Obituary
Original Article
Pilot Research Projects/Observational Studies
Policy Paper on Homoeopathic Education
Policy Paper on Homoeopathic Education/Research/Clinical Training
Proceedings of Scientific Conferences and Research Meets
Review Article
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Book Review
Case Report
Case Series
Editorial
JISH Reviewers List
Media and news
Obituary
Original Article
Pilot Research Projects/Observational Studies
Policy Paper on Homoeopathic Education
Policy Paper on Homoeopathic Education/Research/Clinical Training
Proceedings of Scientific Conferences and Research Meets
Review Article
View/Download PDF

Translate this page into:

Case Report
5 (
3
); 74-77
doi:
10.25259/JISH_14_2022

Individualised homoeopathic treatment for a longstanding meibomian cyst: A case report

Department of Practice of Medicine, The Calcutta Homoeopathic Medical College and Hospital, Kolkata, West Bengal, India
Corresponding author: Tamara Afroza, Department of Practice of Medicine, The Calcutta Homoeopathic Medical College and Hospital, Kolkata, West Bengal, India. tamara.afroza1@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Hait H, Afroza T. Individualised homoeopathic treatment for a long-standing meibomian cyst: A case report. J Intgr Stand Homoeopathy 2022;5:74-7.

Abstract

A chalazion is a chronic sterile lipogranuloma. They are typically slowly enlarging and non-tender. A deep chalazion is caused by inflammation of a tarsal meibomian gland, while a superficial chalazion is caused by inflammation of a Zeis gland. A 4-year-old child was brought for homoeopathic treatment of a meibomian cyst of the left upper eyelid with the hope to avoid surgical intervention. After full case taking, case analysis and proper individualisation, a single homoeopathic medicine was prescribed. After 2 months of treatment, the child was relieved of her presenting symptoms and showed general improvement in health. This article provides a clinically useful review of a case with evidence about how an individualised homoeopathic medicine treated a likely surgical case successfully.

Keywords

Chalazia
Individualisation
Homoeopathy
Case report

INTRODUCTION

A chalazion (Plural: Chalazia) is a localised bump on the eyelid of varying sizes.[1,2] Chalazia are the most common inflammatory lesions of the eyelid. They are typically slowly enlarging and non-tender. Multiple chalazia can occur simultaneously in an eyelid. They can occur in either eye and on upper and lower eyelids.[1] Chalazia are typically benign and self-limiting, although chronic complications such as lash loss, lid notching, or preseptal cellulitis may develop if they are left untreated. Recurrent chalazia do not cause malignancy, but malignant tumours can look like chalazia.[2] When the viscosity of the secreted lipids and proteins (termed meibum) increases due to age, hormonal disorders, or environmental factors, the meibum accumulates in the ducts of the gland causing widening of the duct resulting in a chalazion. A superficial chalazion is caused by inflammation of a Zeis gland and a deep chalazion is caused by inflammation of a tarsal meibomian gland. Histopathology demonstrates lipogranulomatous inflammation with lipid surrounded by foreign body giant cells, epithelioid cells, lymphocytes, plasma cells, neutrophils and eosinophils. A fibrous pseudocapsule may form around the lesion.[2] It has been seen repeatedly in clinical cases that if homoeopathic medicines have been selected and given by following homoeopathic principles, a chalazion can be treated fairly successfully. In the below-described case, it is clear that individualised similimum remedy can enable a fairly quick recovery.

CASE REPORT

Patient information

A 4-year-old girl, with a dark complexion, and moderate build.

Case history

The patient presented with hard, nodular, persistent, glandular swelling of the outer corner of the upper left eyelid for 1 month. She has experienced repeated episodes of similar swellings in the past.

There was no history of refractive error; the patient had not taken any medication for the same. The parents denied any rubbing of the eyes. The patient appeared to have a good hygiene level. Based on her mother’s narration, the child is very sentimental and weeps silently even when mildly criticised or scolded. She has craving for sweets and meat.

Clinical findings

No slit-lamp test was done.

Physician’s observation

She was restless, and anxious, did not interact well with the physician, and avoided eye contact.

She was angry at the physician after she tried to take the stethoscope but was not allowed to do so.

Analysis and evaluation of symptoms

Mental generals Physical generals Particulars
1. Oversensitive to slightest mental impressions 1. Hot patient 1. Stool hard
2. Introverted 2. Craving for meat 2. Hard, nodular swelling on the left upper eyelid
3. Angry when desire not fulfilled 3. Repeated eruptions
4. Weeping silently
Figure 1:
Left eye.

Totality of symptoms

  1. Oversensitive to slightest mental impressions

  2. Introverted

  3. Angry when desire not fulfilled

  4. Hiding tears

  5. Hot patient

  6. Craving for meat

  7. Stool hard

  8. Hard, nodular swelling on the left upper eyelid

  9. H/O repeated chalazion.

Miasmatic analysis

The mental and physical characteristic symptoms indicate that the psychotic and psoric miasms are dominant.[3]

Repertorisation (Hompath Zomeo)

As the case presented with prominent mental and physical general symptoms, the complete repertory was selected for repertorisation with the help of Hompath Zomeo [Figure 2].[4]

Figure 2:
Repertorisation.

Therapeutic intervention

Treatment plan

Individualised homoeopathic medicine with proper dose and potency by the following Homoeopathic Law and Principles.[5-7]

Prescription

Repertorisation was done considering the mental generals and the uncommon, peculiar symptoms, all of which indicate the remedy Staphysagria.

Follow-up sheet and outcomes

Follow-up criteria:

  1. Changes in swelling size

  2. Recurrence of the complaints

  3. Improvement in physical and mental health indicators: Appetite, stool, thirst and sleep.

DISCUSSION

Why individualisation is the option of choice?[5]

It is described in §153 of Organon of Medicine that it is the most striking, singular, uncommon, peculiar, or characteristic symptoms of the disease that is to be kept chiefly and most solely in view; it is for analogues to these that we must search through the lists of medicinal symptoms.[5]

Date Symptoms Prescription
11 December 2020 Chief complaints Staphysagria 200
Single dose
9 January 2021 Improvement started.
Size of swelling reduced
Placebo 30 for the next 1 month
11 February 2021 Swelling disappeared Placebo 30 for the next 1 month
10 March 2021 No recurrence of the complaints reported Placebo 30 for the next 1 month
11 April 2021 No recurrence of the complaints reported Placebo 30 for the next 1 month
14 May 2021 No recurrence of the complaints reported Placebo 30 for the next 6 months.
30 December 2021
  1. No recurrence of the complaints; further improvement of patient

  2. No attack of repeated chalazion till now

  3. The girl was passing stool almost regularly

  4. Appetite, thirst, sleep and all other generalities improved

  5. Normal appearance of the left eyelid [Figure 3]

  6. The patient’s over-sensitiveness had reduced according to the mother

Advised to report if complaints return
No medicine; advised to report immediately if complaint returns
Figure 3:
(a) 2nd visit (size reduced), (b) 3rd visit (complete disappearance of the hard swelling).

For this particular case, some very striking characteristic symptoms of the patient could be correlated with the medicinal symptoms of Staphysagria like oversensitive to the slightest mental impressions, weeping silently and hot patient.

The homoeopathic dose must be given in a minimum doses.[7,8] The success of homoeopathic treatment depends to a great extent on the correct selection of the potency and the requisite potency should be selected through the susceptibility of the patient.[9,10] In this particular case, the most similar homoeopathic medicine was prescribed that is, Staphysagria 200C. The remedy was selected through individualisation of the case through proper evaluation and analysis of the symptom totality. A single dose was administered, as the law of similia and law of minimum dose was followed.

CONCLUSION

This article presents a clear case of long standing chalazion which was presented with hard,nodular,persistent glandular swelling [Figure 1] and cured by an absolute individualised homoeopathic treatment by giving a result of complete removal of the hard swelling as well as general improvement of health [Figure 3].

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

  1. , , , . Davidson’s Principles and Practice of Medicine (23rd ed). Amsterdam, Netherlands: Elsevier Health Sciences; .
    [Google Scholar]
  2. Harrison’s Principles of Internal Medicine (19th ed). New York: The McGraw-Hill Companies; .
    [Google Scholar]
  3. , , , , , . Disease activity, handgrip strengths, and hand dexterity in patients with rheumatoid arthritis. Clin Rheumatol. 2017;36:2201-8.
    [CrossRef] [PubMed] [Google Scholar]
  4. . Homeopathy Software. Hompath Zomeo.
    [Google Scholar]
  5. . Annotated Text of Hahnemann’s Organon of Medicine (5th ed). Shahdara: Birla Publications Pvt. Ltd; .
    [Google Scholar]
  6. . The Genius of Homoeopathy New Delhi: B Jain publishers (P) Ltd; .
    [Google Scholar]
  7. . Lectures on the Theory and Practice of Homeopathy New Delhi: B Jain Publishers (P) Ltd; .
    [Google Scholar]
  8. . The Chronic Diseases: Their Peculiar Nature and Their Homoeopathic Cure New Delhi: B Jain Publishers (p) Ltd.; .
    [Google Scholar]
  9. . Essentials of Principles and Practice of Homoeopathy (4th ed). Kolkata: SMT A Bhattacharya; .
    [Google Scholar]
  10. . Lesser Writings New Delhi: B Jain Publishers (P) Ltd.; .
    [Google Scholar]
Show Sections