RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
KARNATAKA, BANGALORE.
ANNEXURE – II
PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION.
1. Name of the candidate and address Dr. SAROJA. B. KONEK
(in block letters) PG STUDENT
DEPARTMENT OF MATERIA
MEDICA
H.K.E.SOCIETY’S HOMOEOPATHIC
MEDICAL COLLEGE AND
HOSPITAL, GULBARGA – 585105.
2. Name of the Institution H.K.E.SOCIETY’S HOMOEOPATHIC
MEDICAL COLLEGE AND
HOSPITAL, GULBARGA.
3. Course of study and subject M.D. (HOMOEOPATHY) – MATERIA
MEDICA.
4. Date of admission to the course 31st May 2008
5. Title of the topic A CLINICAL STUDY OF
HOMOEOPATHIC MANAGEMENT
IN UTERINE FIBROID.
6. Brief resume of the intended work
6.1 Need for the study In a number of developing countries like
INDIA, family planning has been a key
factor in declining the fertility. Hence
in order to promote the health & welfare
of family, a well educated & a responsible
women is going for oral contraceptives
which contain the increased level of
oestrogen.
Uterine fibroid is a benign i.e.
a non-cancerous growth from the muscle
layer of uterus & is medically referred as
fibromyomas. It is generally formed of a
mixture of muscle tissues containing
fibrous tissue. Its incidence is highest
during the reproductive period of a women
i.e. from age group of 30yrs to 45yrs. It is
mainly caused by increased level of
oestrogen hormone. Fibroids usually don’t
develop after menopause. Mainly the fibroid is asymptomatic,
but it may also manifest symptoms like –
irregularities of menses, dysmenorrhoea,
infertility, pain abdomen, swelling of
lower abdomen & pressure symptoms.
In other system of medicine, the
conservative treatment is not much
helpful, hence they advise for
myomectomy or hysterectomy. But
surgery may not be advised in all the
women with fibroid uterus because this
may lead to infertility, artificial
menopause, there are chances of
recurrence in myomectomy, some women
may be diabetic & some may not be
affordable.
Homoeopathy is a system which
believes that ‘There is no disease, but
disease individual.’ It does not consider
disease as something different from the
whole life force. It considers that the
whole man is sick & is to be restored
to health, nor his body, not the tissue.
Dr. Kent in his Lesser writings says
that sick organs are but the results of a
disordered state of the man himself, who
is composed of mind & physical being &,
last, of organs & extremities.
Hence Homoeopathy considers
the man as a whole, but not his individual
parts.
Now it is the time to show to the world
what homoeopathy can offer in surgical
cases. Homoeopathy does wonders in
dissolving these masses. Homoeopathy is
the only system of medicine which could
control & dissolve a tumour.
Homoeopathic medicines cannot take
place of surgery but can be of a great help
to the patients.
The drug FRAXINUS AMERICANA is
native of Eastern North America. It was
introduced by Dr. Wright. It is used in case
of enlarged uterus,fibrous growth, prolapse
with bearing down sensation.
Some of the great pioneers like
Dr. Compton Burnett & W. Boericke have
successfully treated fibromyomas with
FRAXINUS AMERICANA Q (mother
Tincture) but there is no systematic study
has been done. Hence it is an effort to
see the efficacy of ‘FRAXINUS
AMERICANA’ Q in fibroid uterus with
Constitutional drug whenever necessary.
“Long live hysterus through timely
intervention of Hahnemannian Genius.”
6.2 Review of literature 1. Although oestrogen & growth hormone
have been implicated in the growth of
myomas, the evidence in support of
oestrogen dependence for their growth is
impressive –
· Myomas are rarely found before puberty & after menopause.
· Myomas are known to increase in size during pregnancy & with oral contraceptives.
· Progesterone inhibits the growth of myomas.
· The association of fibroids in women with hyperoestrogenism.
Dr. Padubidri. V. G & Dr. Shirish. N.
Daftary – Shaw’s textbook of
Gynaecology, 13th edition – Elsevier,
a division of reed Elsevier India (p)
ltd. New Delhi.
2. ‘I hold very strongly that it is simply
impossible to cure any constitutional
diseases whatever by any operation.
The manifold operations on women
are, for the most part, absolutely
useless, often harmful, & not seldom
fatal. How can anyone cure the quality
of a person by cutting a piece of her?’
Ellis Barker. J – New lives
for Old – B. Jain publishers, New
Delhi.
3. The real indication is to set about
reducing the size & weight of the
organ, until it is light enough to go up
to its normal position. And my
contention is that this can be done, &
the task is not even difficult, but it
cannot be done without organ
remedies, & also it cannot be done
without constitutional remedies
when the hypertrophy is of
constitutional origin.
Dr. Compton Burrnett. J – Organ
Diseases of women – B. Jain
Publishers, New Delhi.
4. In the fibrous growths, we have all the miasms present, the displacements of the other tissues, for the dense, white & fibrous formation which we find in fibroma, which is due to one of the deepest & most profound miasmatic changes conceivable.
Dr. Allen. J. H – The chronic miasms – B. Jain publishers, New Delhi.
5. Certain homoeopathic remedies have
been used to shrink the fibroid or stop or slow the growth of fibroid, there by lessening its symptoms. www.healthsearches.org/categories_ of_Q&A/Health_for_Women/1410.php.
6. Uterine fibroid is the most common
Benign tumour in females. The incidence is highest among age group – 35yrs to 45yrs. Fibroids are formed due to an increased oestrogen level in the body, which could be due to a variety of reasons. In pill users &
during pregnancy there are chances of
increase growth of fibroids.
Dr. Nidhi Luthra, Homoeopathy for all – Nov-2003, Vol IV, No-47.
7. Fraxinus Americana – enlarged uterus
with bearing down sensation & cramping pain in the feet mostly in the afternoon & night. Watery, non irritating leucorrhoea or consequential haemorrhages.
Experiences – 1) Dr. J. N. Singhal – 10 to 15 drops Q at bed time in alternation with veratrum album 30x in morning.
2) W. Boericke - recommended 10 to 15 drops Q three times daily.
Dr. Samarendra -
National journal of homoeopathy Nov/Dec-2001, Vol-III, No-6
. 8. ‘Since the uterus has no function but
child bearing, its removal for certain
disorders does not affect general
health.’ The foregoing is classical
example of modern medicine’s
arrogance. The uterus is an endocrine
organ throughout life & baby maker
only occasionally. Its senseless
removal is fraught with numerous
problems that women have silently
put up with. Just as tonsillectomies
& appendectomies are on their
way out, hysterectomy will turn
into a thing of past, a task that the
Hahnemannians should undertake
with a sense of clarity & mission.
Dr. Samarendra -
National journal of homoeopathy
Nov/Dec-2001, Vol-III, No-6.
9. Homoeopathy does wonders in
dissolving these masses.
Homoeopathy is the only system of
medicine which could control &
dissolve a tumour . It makes
everybody surprised as the
medicines posses the similar
symptoms of the disease symptoms.
www.homeomiracles.com/index/
Female/Female_article/uterine_
fibroids/Fibroids.htm.
6.3 Objectives of the study 1) To see the efficacy of Fraxinus
Americana Q in treatment of
fibromyomoas.
2) To evolve the group of
constitutional drugs in treating
fibroid uterus.
7. Materials & Methods
7.1 Sources of data 1) H.K.E.S’s Homoeopathic
Medical College Hospital
(OPD & IPD), Gulbarga.
2) H.K.E.S’s Sangameshwar
Homoeopathic OPD, Gulbarga.
3) H.K.E.S’s Homoeopathic
OPD, Gazipur, Gulbarga.
4) District Government Joint
Ayurveda & Homoeopathic
Hospital, Gulbarga.
5) H.K.E.S’s Homoeopathic OPD,
Mayamandir, Gulbarga.
6) H.K.E.S’s Homoeopathic OPD,
Nehru gunj, Gulbarga.
7) Rural OPD’s.
7.2 Method of collection of data 1) By interrogation of individual
( including sampling cases.
procedure, if any) 2) By physical examination of
patients.
3) By routine laboratory
Investigations.
4) Sample size: Minimum 30
patients with fibroid uterus to be studied.
5) Sampling procedure: The simple
random sampling technique.
6) Inclusive criteria: patients
between age group of 30yrs to
45yrs are considered.
7) Exclusive criteria:
(a) fibromyomas in pregnancy are not
considered.
(b) fibroids with degenerative &
sarcomatous changes are not
considered.
(c) fibroids of cervix are not
considered.
8) Duration of study: 30th Nov 2008
to 30th Nov 2010.
7.3 Does the study require any 1) Biochemical laboratory
investigation or an intervention investigation of blood - .
to be Conducted on patients or - Hemoglobin%
other human or animals? If so - Blood group
please describe briefly 2) Ultrasonography of abdomen &
pelvis.
7.4 Ethical clearance has obtained Yes, ethical clearance has been
been obtained from your obtained from our institution.
institution in case of 7.3
8. LIST OF REFERENECS 1. Padubidri. V. G, Shirish. N.
Daftary - Shaw’s textbook of
gynaecology, 13th edition,
Elsevier, a division of Reed
Elsevier India (P) Ltd. New
Delhi.
2. Ellis Barker. J – New lives for old,
B. Jain publishers, New Delhi.
3. Dr. Compton Burnett. J - Organ
diseases of women, reprint
edition-1989, B. Jain publishers,
New Delhi.
4. Allen. J. H – The chronic
miasms, reprint edition – 2003,
B. Jain Publishers, New Delhi.
5. www.healthsearches.org/
Categories_of_Q&A/Health_for_
Women/1410.php.
6. Dr. Nidhi Luthra, Homoeopathy
for all, Nov -2003, Vol-IV, No-47.
7. Dr. Samarendra, National Journal
of Homoeopathy, Nov/Dec-2001,
Vol-II, No-6.
8. Dr. Samarendra, National Journal
of Homoeopathy, Nov/Dec-2001,
Vol-III, No-6.
9. www.homeomiracles.com/index/
Female/Female_article/uterine_
fibroids/fibroids.htm.
9. Signature of the Candidate
10. Remarks of the Guide
11. Name & Designation ( in block
letters ) of
11.1 Guide Dr. S. S. JAMBALDINNI
M. D. (Homoeo)
PROFESSOR DEPARTMENT OF
MATERIA MEDICA
H.K.E.S’s HOMOEOPATHIC
MEDICAL COLLEGE &
HOSPITAL, GULBARGA –
585105.
11.2 Signature
11.3 Co-Guide
11.4 Signature
11.5 Head of the Department Dr. RAJESHWARI. K
M. D. (Homoeo)
PROFESSOR & H.O.D OF
MATERIA MEDICA
H.K.E.S’s HOMOEOPATHIC
MEDICAL COLLEGE &
HOSPITAL, GULBARGA –
585105.
11.6 Signature
12. 12.1 Remarks of the Chairman &
Principal
12.2 Signature