Hordeoleum is an acute   inflammation   of   the   cellular  tissue   of   the   lid   leading   to   suppuration  and   pointing   at the   edge  of  the  lid. The   location   of   the  inflammation   is   usually   in   the   tissue   surrounding a  hair   follicle. The  outside   or   the  inside   of   the   eyelid   can   be   affected.
External  hordelum is  an  acute  suppurative  inflammation  of  lash  follicle  and  zeis  glands. Stye  is  common  in  young  adults  with  refractive  errors  and  extraocular  muscular  imbalance  and  may   occur  in  crops. It  is often  caused  by  staphylococcus  aureus.
Internal   hordelum – It   is   a   suppurative  inflammation  of  the   meibomian  gland   associated  with  blockage  of  the  duct,  which   can   occur   due  to   secondary   infection   of   a   chalazion. It  is   less   frequent  but  a   more  violent   inflammation   than   stye. The   gland  is   enlarged   and   causes   enormous   swelling   on   the   lid. Occasionally, it   may   burst through   the   meibomian   duct   or  the  conjunctiva. An  incision   may   be   required   to   evacuate the   pus.
Signs –  The stage of   cellulitis   is   characterised   by   a localised, firm, red, tender area. There is swelling   at   the   lid margin   associated  with   marked   oedema. Usually , there   is   one   stye, but   occasionally there may be   multiple ones.
- The stage of   abscess  formation   is  characterised  by   a   visible   pus   point   on   the  lid   margin   in  relation  to   the  affected
Symptoms –  At   first  it   appears  as   a   hard, circumscribed   redness   and   swelling, which   frequently   extends   so   that   the  whole  lid  will   become   oedematously  swollen. There   is  at  first   much   severe   throbbing   pain.
Occasionally   there   are   two   or   more  at   the  same   time  and  they  often   occur   in  successive crops.  It may include   acute  pain   associated   with   swelling   of   lid, mild   watering   and   photophobia.
A Case Of Hordeolum (Stye)
 A  woman of 21 visited  my  OPD  on  15  Feb  2019.  She  was  Hindu  by  religion,  unmarried,  educated   as   a  Bsc.  She  was  a  resident  of  Jaipur, with  the  chief  complaint  of  inflammation  of  right eye,  redness  and  irritation in the eye. Pain in right eye and cheek .  More  lachrymation. Perspiration oily. All complaints started in the morning.
Physical generals –
Desire- Â Namkeen
Aversion- Bread
Appetite – Normal
Thirst- Â Normal
Bowel- Constipation  occasionally
Urine- Â Normal
Thermal- Â Hot
Perspiration- Â Oily , odourless
Mental generals-  Anger trifle at, irritability
Memory normal
1ST Day
4th Day
Case analysis –This  is  an  acute  case,  so  the  acute  totality is considered first.
The following rubrics were taken on the  basis of the above –
Mind, anger trifles at
Stye – right   side
Perspiration oily
Repertorisation:
Management plan – Natrum   Muriaticum was the leading remedy  and  covered   the  rubrics  in  repertorisation. Patient was hot. Th  remedy  selected  for  the  1st  prescription  was  Natrium muraticum.
Prescription – Natrium  Muriaticum 200 BD  X  1 DAY
PL 30 BD Â X Â 2 DAYS
Follow up – Medicine started  in  evening.  In the morning she called  me  and  said that  there is  60% melioration in  the  lachrymation  and  pain . On the third  day there  was  no pain or lachrymation. By the 4th day the problem resolved. The remedy was reduced gradually and  stopped  within  a  day.