OBSERVATION AND DISCUSSION
In this case of Tinea corporis, the patient presented with Pruritic eruptions with erythematous borders and central clearing. After carefully examining the case, totality of symptoms was formed. After repertorization and differentiation from Materia medica, Sepia Officinalis was the chosen remedy, which was prescribed on June 6, 2023, and the patient was asked to report to OPD after 15 days.
The patient showed some improvement during the initial follow up, but, itching was present. Then, on 26th June, 2023, he was prescribed 2 doses of Sepia Officinalis 200/ OD. Significant improvement was observed throughout the subsequent follow ups. The patient experienced marked relief in itching. The eruptions got better, scaling reduced. The patient was feeling better in the mental sphere as well.
Apart from Sepia Officinalis, Sulphur, Lycopodium, Natrum Mur, Rhus tox., Calcarea, Graphites and Pulsatilla received the highest values during repertorization.
After going through the Materia Medica, and considering the totality of symptoms, Sepia Officinalis was more similar to this case. Hence it was prescribed.
Homoeopathic medicine which was given, not only cured the current Physical complaints i.e, skin eruptions, but also, made the patient feel much better mentally. There was no relapse in his skin condition.
There is marked reduction of DLQI score from 10 to 3.
There is marked reduction of DASS-21 score from 25 to 11.
Indications of Sepia Officinalis in Tinea Corporis in Homoepathic Literatures also confirms to the patient’s symptoms:-
According to Dr. H.C. Allen : Sepia is "Adapted to persons of dark hair, rigid fibre but mild and easy disposition". Herpes circinatus in isolated spots on upper part of body (in intersecting rings over whole body, Tell.). [6]
According to Dr.William Boericke, Sepia Officinalis Acts specially on the portal system, with venous congestion. Herpes circinatus in isolated spots. Itching; not relieved by scratching; worse in bends of elbows and knees. Ringworm-like eruption every spring.[7]
The Patient was prescribed dose of Sepia Officinalis in the evening, rather than morning, as:- Dr. R.A.F. Jack stated “Sepia is to be given in the evening because if given in the morning, it may produce a sufficient aggravation to have the patient feeling quite useless for that day”.[8]
Previous Researches have shown the Anti-Fungal activity of Sepia
“ANTIFUNGAL ACTIVITY OF HOMOEOPATHIC MEDICINES SEPIA AND THEIR POTENCIES AGAINST CANDIDA ALBICANS”
Sepia 200 showed a maximum zone of inhibition as compared to sepia 30 CH. The effectiveness of zone inhibition against the growth of human pathogenic fungi Candida albicans were Antibiotics>Sepia 200CH>Sepia 30CH. The study suggested the inhibitory role of homoeopathic medicines against human pathogenic fungi Candida albicans. [9]
ANALYSIS OF ANTIFUNGAL ACTIVITY USING POWDERED CUTTLEBONE Sepia pharaonic; EHRENBERG, 1831 AGAINST SELECTED PATHOGENS
The results revealed that the methanolic extract of powdered cuttle bone possess relatively good antifungal activity which showed the presence of active principle present in it. [10]
CONCLUSION
The medicine selected on strictly homoeopathic principles and individualization, gives relief to the patient, helping in reducing the intensity of symptoms of Tinea corporis and also improving the patient's quality of life. The case study highlights the value of constitutional homoeopathic medicine prescribed on an individuality basis. It supports the fact that, in the treatment of Tinea Corporis, a simple minimum dose is necessary, followed by infrequent repetitions. However, this is a single case report, additional research must be done that may make this study useful.
CONSENT OF PATIENT
Patient has agreed that his images and other clinical information can be used for research work, and it can be reported in the journal.
ACKNOWLEDGMENT
I acknowledge the consent given by the patient to use his case and pictures for research and publication. I would like to express my sincere gratitude and appreciation to the management and staff of Government Homoeopathic Medical College, Bhopal, for their invaluable support. I would like to express my deepest appreciation to all the individuals who were directly or indirectly involved in this case.
CONFLICT OF INTEREST: There are no conflicts of interest.
FINANCIAL SUPPORT: Not Available
REFERENCES:
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7375854/
[2] Taplin D. Dermatophytosis in Vietnam. Cutis. 2001 May;67(5 Suppl):19-20. [PubMed]
[3] Expert consensus on the management of dermatophytosis in India (Ectoderm India) https://bmcdermatol.biomedcentral.com/articles/10.1186/ s12895-018- 0073-1#article-info
[4] https://www.findacode.com/icd-11/code-1620443808.html?hl=tinea
[5] Hahnemann S., Organon of Medicine. B. Jain Publishers (P) LTD.: 2015.
[6] Allen H.C. Allen's Keynotes Rearranged and Classified with Leading Remedies of the Materia Medica and Bowel Nosodes including REPERTORIAL INDEX; edition 2005, B.Jain publishers (P) LTD. p. 278-281.
[7] Boericke W.; Pocket manual of homoeopathic materia medica and repertory and a chapter on rare and uncommon remedies; B. Jain Publishers (P) LTD. p.518- 520.
[8] https://www.homeobook.com/sorry-for-person-who- are-loved-best-sepia/
[9] Indian Journal of Psychology Book No.05 2023 ISSN: 0019-5553; p.15
[10] UTTAR PRADESH JOURNAL OF ZOOLOGY; 43(24): 429-434, 2022 ISSN: 0256-971X (P); p.429