Scientific Research

Efficacy of Homoeopathic Medicines in Treatment of Allergic Rhinitis – Age Group 20-40 Years

Bar diagram no. 2- age distribution

  1. COMMON TRIGGERING FACTORS

Pie diagram no. 1- triggering factors

  1. REMEDIES THAT ACTED WELL

Bar diagram no.4- remedies that acted well

As the number of sample size is 30 so t-test was done to see the difference between episodes of allergic rhinitis before treatment and after treatment

Serial no.Case no. of patientsNo. of episodes in 1 week before treatment(X1)No. of episodes in 1 week after treatment(Y1)D= (X1-Y1)
1P-2268404
2K-2760532
3K-2464413
4N-709532
5P-2191514
6K-2536707
7M-1599624
8P-2174514
9G-1484734
10R-755202
11S-3653725
12R-655725
13R-706523
14H-252606
15J-1479330
16H-229734
17H-238725
18YR-195303
19K-2487413
20K-2752523
21H-231413
22B-1502404
23N-710615
24K-2480303
25YR-147422
26YR-142404
27R-707624
28YR-207505
29FC-1190606
30I-119770
∑D=109

 

Here, X1= number of episodes of allergic rhinitis/week before treatment

Y1= number of episodes of allergic rhinitis/week after treatment

Null hypothesis (Ho) X1=Y1

Alternative hypothesis (H1) X1≠Y1

Level of significance P = 0.01 or 0.05 at degree of freedom (n-1) = 29

ttable at P value 0.01 is 2.756 and at P value 0.05 is 2.045

d = ∑D/n = 109/30 = 3.63

d is the mean difference between x and y

Now, ∑ (D- d)2= 117

SD = √∑ (D-d)2/n-1 = √117/30-1 = √4.034 = 2.008

SE = SD/√n = 2.008/√30 = 0.366

tcal = d/SE = 3.63/0.366 = 9.918

tcal is greater than t table, so, null hypothesis is rejected

RESULTS: After applying t-test it is seen that there is a significant difference between the number of episodes of allergic rhinitis per week before treatment and after treatment. So, it is clear that homoeopathic medicines are effective in reducing the number of episodes of allergic rhinitis.

It is also seen throughout the study that homoeopathic medicines not only help to reduce the episodes of rhinitis but are also capable of reducing the intensity of symptoms, such as number of sneezing at a time, nasal discharge, nose blockage, eye symptoms etc.

Considering the criteria of assessment good response was seen in 6 cases, moderate response in 14 cases and poor response in 10 cases.

DISCUSSION:

Allergic rhinitis was predominantly noted among males in my study. 26 cases were taken from Bharati Vidyapeeth Homoeopathic Hospital OPD and 4 cases were taken from peripheral OPD at Yawat. As my study was done on patients between 20 to 40 years so most patients were found less than 30 years.

Recurrent sneezing was the most common symptom found in all cases. My criteria of assessment were to observe the changes in symptoms of allergic rhinitis for at least 3 months after giving homoeopathic treatment in each case. Only the observations found in 5 follow up after giving medicines were studied, every follow up being taken at around 15 days.

Homoeopathic medicines were found to be effective in almost all cases though in a few cases severe aggravations were seen. The most frequently  indicated medicines were Nux vomica, Pulsatilla, Sulphur, Arsenicum album, Sepia, Nat mur. Best results were seen with Nux vomica and Pulsatilla. Sabadilla I prescribed in 3 cases but results were not satisfactory, though Sabadilla is one of the most preferred remedies for allergic rhinitis.

In a study done by Dr Vatsana Kasana and Dr K. C. Bhinda in Jaipur, they found Psora as the most common miasm behind allergic rhinitis. But in my study, the Tubercular miasm was found in the background in most of the cases (17 cases), while Psora exhibited in 10 cases, Sycosis in one case and Psora-Sycosis in 2 cases. Tuberculinum, Psorinum, Sulphur and Thuja were prescribed as intercurrent remedies to remove the miasmatic dyscrasias. With Tuberculinum 1M, symptoms were better with less recurrence of episodes of allergic rhinitis in 16 cases. In 2 cases, Psorinum 1M was prescribed with very severe aggravation. Sulphur was prescribed in 2 cases as an intercurrent remedy with excellent results. Also, Sulphur was found to be very effective in reducing acute symptoms of allergic rhinitis if prescribed on symptom similarity.

Sepia, Calc carb and Natrum mur showed good results in 3 cases when prescribed constitutionally. Belladonna, Rhus tox and Arsenicum album were found to be more effective in reducing the associated symptoms, like redness of eyes, lachrymation, nasal and oropharyngeal itching respectively.

The 200 potency was found to be more effective in most cases, though 30c and 1M were also prescribed with satisfactory results. In only a few cases was repetition needed in acute onset, otherwise single dose, single remedy showed brilliant results.

Along with the medication, steam inhalation and avoidance of allergens during treatment were found very helpful. 12 patients could stop allopathic medicines totally during and after treatment with Homoeopathy.

CONCLUSION:

  1. This research concludes that homoeopathic remedies are effective in treatment of allergic rhinitis, especially in reducing the number of sneezes and also in reducing the number of episodes of allergic rhinitis.
  2. This research shows the effectiveness of Nux vomica and Pulsatilla in treatment of allergic rhinitis especially where sneezing with nasal blockage due to hypertrophy of nasal mucosa was found.
  3. Pulsatilla was found to be the most valuable remedy in cases with thick nasal discharge.
  4. Specific remedies like Lemna minor and Teucrium M V were used in a few cases with nasal polyp.
  5. Miasmatic remedies, especially Tuberculinum, were helpful to reduce the recurrence.
  6. Psorinum should be prescribed with caution as it may aggravate the symptoms undesirably.
  7. My study contributes to the existing knowledge in the homoeopathic treatment, as it sheds some light on the most effective remedies for allergic rhinitis.
  8. Further study is needed to know whether allergic rhinitis could be cured completely or not with homoeopathic remedies.
  9. As my study period was just one and half years, it was a limitation for cases with seasonal allergic rhinitis, as at least 2 years is needed to see the recurrence.
  10. Also my study was mainly concerned only with perennial allergic rhinitis, so further research is suggested for seasonal allergic rhinitis to see the effectiveness of homoeopathic remedies in its treatment.

SUMMARY:

Allergic rhinitis cases are increasing day by day specially in younger age groups between 20-40 years. Though many researches in allergic rhinitis have already been done in modern medicine, no permanent cure has been seen so far. Homoeopathy being one of the most effective lines of treatment in removing allergic tendencies, it can be helpful in treating allergic rhinitis as well. The aim of this dissertation was to see the effectiveness of homoeopathic medicines in the treatment of allergic rhinitis in the age group 20 to 40 years. The study was carried out in Bharati Vidyapeeth Medical Foundation’s Homoeopathic Hospital, OPD, IPD and its peripheral OPD at Yawat. An open level, single arm, experimental, prospective, randomized without control, before and after comparison study was done on 30 cases for a time period of 1 and half years. The statistical analysis shows positive results after applying t- test in the no. of episodes per week of allergic rhinitis before and after homoeopathic treatment. Overall good response was seen in 6 cases, moderate response in 14 cases and poor response in 10 cases. Intercurrent remedies were found very helpful in reducing the recurrences. Nux vomica and Pulsatilla were found to be the most effective remedies in acute episodes of allergic rhinitis.

BIBLIOGRAPHY/REFERENCES:

  1. Davidson’s principles and practice of medicine –by Davidson 20th edition ( Page no. 721-722)
  2. Harrison’s principles of internal medicine- 19th edition

(pages 2121- 2122)

  1. Principles and practice of Homoeopathy – by Dr. M. L. Dhawale

4th revised and enlarged edition ( page no. 362 -366)

  1. API textbook of medicine 8th edition ( page no. 353-354)
  2. Scott-Brown’s Otorhinolaryngology 7th edition,volume-2 (page no.138)
  3. Diseases of ear nose and throat by Dr. PL Dhingra&ShrutiDhingra
  4. Miasmatic prescribing 2nd extended edition-by Dr. S. K. Banerjea (page no.77, 79)
  5. Lectures on Homoeopathic Philosophy-by Dr. J.T. Kent(page no.180)
  6. Brozek JL, Bousquet J, Baena-Cagnani CE et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clinical Immunology. 2010 Sep 126(3) page 466-476.
  7. KushalBenerjee, CeireCostelloe, Robert T. Mathie and Jeremy Howick, 10 June 2014 BioMed Central journal.
  8. DrVatsanaKasana&Dr K. C. BhindaInternational Organisation of Scientific Research Journal Jan-Feb 2016 Volume 11, Issue 1 Ver. IV ( page no.08-13).
  9. EdzardErnst Focus on Complementary and Alternative Therapy.20 September 2011 volume 16 ( page no 200 -203.)
  10. hoacuoidep.info
  11. homeobook.com

 



About the author

Sayada Rukia Begum

Sayada Rukia Begum

Dr. Sayada Rukia Begum received her BHMS from North East Homoeopathic Medical College, Itanagar in 2011. She subsequently did her MD (Hom) 1at Bharati Vidyapeeth Deemed University HMC, Pune in 2016 and is presently studying for MD (hom) 2 at the same University. She worked for two years as a resident doctor (Gynae dept.) at the Institute of Human Reproduction (IHR) Guwahati.

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