Clinical Cases

Multiple Corns Treated Using Keynote Symptoms

Written by Amit Arora, Udesh Kumar

Drs. Amit Arora and Udesh Kumar share a case of corns in woman of 19. Keynotes of the case were used to arrive at the constitutional simillimum.

PRELIMINARY DATA
Name: Miss. X
Age: 19 years
Sex: Female
Marital Status: Unmarried

PRESENTING COMPLAINT:
December 2019: A 19-year-old female patient reported with multiple corns on right sole since 5 months. The one corn which was in the middle of the sole was around 2 cm in diameter. Beside that there were multiple corns scattered on the sole in different places. The corns were painful from pressure and while walking.

HISTORY OF PRESENTING ILLNESS:
The corns started 5 months back as a minute eruption in middle of right sole and gradually progressed. The other corns also appeared meanwhile. As such, there was no specific cause but a probable cause was wearing tight shoes for 2 days before appearance of corns.

TREATMENT HISTORY: Applied corn caps but of not much use.

PAST HISTORY: No history of any significant illness.

FAMILY HISTORY: No significant family history present.

PERSONAL HISTORY: No addiction of any kind. Vegetarian.

PHYSICAL GENERALS:
Thermal reaction: Chilly patient
Appetite: Adequate
Thirst: Adequate
Desire: Sweets
Aversion: Nothing significant
Stool: Constipated often. Stool hard, difficult to pass.
Urine: Regular, no associated complaint.
Perspiration: Profuse while working.
Sleep: Sound sleep

MENTAL GENERALS:
In the OPD the patient was answering all questions by herself. Her mother described the daughter as lazy and not very active. Since she is obese, if she is asked to exercise, she does not like to do it.

GENERAL PHYSICAL EXAMNATION:
Built and complexion: Obese and fair complexion
Pulse: 80 beats/minute
B.P. 130/80 mm Hg
Temperature: Afebrile
Nails: No clubbing noticed

DIAGNOSIS: Corns

Medicine and potency selected: Calcarea Carbonica 200

BASIS OF PRESCRIPTION:
In this case the prescription was done on basis of “Keynote symptoms” of the case. The following symptoms of the case were taken into consideration:

  1. Obese and fat.
  2. Profuse perspiration.
  3. Constipation.
  4. Lazy disposition. No desire to work

In Allen’s keynotes and Boericke’s material medica, in Calcarea Carbonica the following symptoms are found:

  • Tendency to obesity. Disposed to grow fat. (Allen keynotes)
  • Profuse perspiration. (Allen keynotes)
  • (Allen keynotes)
  • Sensitive to cold (chilly). (Boericke matera medica)
  • Averse to work or exertion. ((Boericke matera medica)
  • Desire sweets. (Boericke matera medica)
  • Calcarea patient is fat, fair, flabby and perspiring and cold. (Boericke matera medica)

Considering these keynotes symptoms, the most appropriate remedy came out to be Calcarea Carbonica.

TREATMENT:

Follow up Remarks Medicine prescribed
1st prescription (04/12/2019) Calcarea Carbonica 200/3doses

Sac lac 30/tds/15 days

2nd prescription (18/12/2019) No specific change in size of corn. Pain slight reduced. Sac lac 30/tds/15 days
3rd prescription (23/12/2019) No further improvement. Calcarea carbonica 1M/2dose

Sac Lac 30/tds/15 days

(As no further improvement, same medicine is given in higher potency).

4th prescription (15/1/2020) The corn is looking smaller in size. No pain now. Sac lac 30/tds/15 days
5th prescription (07/02/2020) The smaller corns are gone. The bigger corn still there but looking better. Sac Lac 30/tds/15 days
6th prescription (14/2/2020) Status same. Calcarea carbonica 1M/1dose repeated. Followed by

Sac Lac 30/tds/15 days

7th prescription (29/12/2020) Much improvement. Sac Lac 30/tds/15 days
8th prescription (06/03/2020) Corn is completely gone. Sac Lac 30/tds/15 days
9th prescription (27/03/2020) No corn is there. No medicine prescribed.

Conclusion: In this case the correct medicine was selected based upon the keynotes. The higher potency (200C) was selected in this case in 1st prescription. As stated by Dr. Stuart Close in The Genius of Homoeopathy, Chapter XIII, Homoeopathic Posology:

The more similar the remedy, the more clearly and positively the symptoms of the patient take on the peculiar and characteristic form of the remedy, the greater the susceptibility to that remedy, and the higher the-potency required.”

 REFERENCES:

  1. Allen H.C. Keynotes and Characteristics with comparison of some of leading remedies of the Material Medica with Bowel Nosodes. 8thedition (15th impression). New Delhi. B Jain Publishers (P) Ltd. 2016
  2. Boericke W. Pocket manual of Homoeopathic Materia Medica with Indian Medicine and Repertory. 9thNew Delhi. Indian Book and Periodical publishers, 2002
  3. Close Stuart. The Genius Of Homoeopathy- Lectures and Essays on Homoeopathic Philosophy. New Delhi. Pratap Medical publishers Pvt Ltd

Before Treatment

After treatment

About the author

Amit Arora

Dr. Amit Arora (B.H.M.S) has been working as Medical officer for the past 14 years in the Directorate of AYUSH, Department of health and Family Welfare, Govt of NCT of Delhi. He is presently posted as Chief Medical officer at Delhi Govt. Health Center, Dist. Court Dwarka and Kanganheri. He received a “Homoeo Icon Award” from the Delhi Homoeopathic Federation in 2019. He has experience teaching for three years in Dr. B R Sur Homoeopathic Medical College and Hospital.

About the author

Udesh Kumar

Dr. Udesh Kumar (M.D) has been working as Medical officer for the past 13 years in the Directorate of AYUSH, Department of Health and Family Welfare, Govt of NCT of Delhi. He is presently posted as Chief Medical officer at Delhi Govt. Health Center, Delhi Secretariat and Nand Nagri. He received a “Hahnemann Award” from the Delhi Homoeopathic Board in 2018 and “Homoeo Icon Award” from Delhi homoeopathic Federation in 2019. He has experience of teaching for two years in Nehru Homoeopathic Medical College and Hospital.

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