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J Intercult Ethnopharmacol. 2016 Jun 25;5(4):335-342. eCollection 2016 Sep-Dec.

Treatment of hemorrhoids with individualized homeopathy: An open observational pilot study.

Author information

1
Department of Homoeopathic Pharmacy, Midnapore Homoeopathic Medical College and Hospital, Government of West Bengal, Paschim Medinipur, West Bengal, India.
2
Department of Pathology and Microbiology, Mahesh Bhattacharyya Homoeopathic Medical College and Hospital, Government of West Bengal, Howrah, West Bengal, India.
3
Department of Surgery, Mahesh Bhattacharyya Homoeopathic Medical College and Hospital, Government of West Bengal, Howrah, West Bengal, India.
4
Department of Organon of Medicine and Homoeopathic Philosophy, Midnapore Homoeopathic Medical College and Hospital, Government of West Bengal, Paschim Medinipur, West Bengal, India.
5
House Staff, Mahesh Bhattacharyya Homoeopathic Medical College and Hospital, Government of West Bengal, Howrah, West Bengal, India.
6
Internee, Netai Charan Chakrabarty Homoeopathic Medical College and Hospital, Howrah, West Bengal, India.
7
House Staff, Midnapore Homoeopathic Medical College and Hospital, Government of West Bengal, Paschim Medinipur, West Bengal, India.
8
Undergraduage student, Mahesh Bhattacharyya Homoeopathic Medical College and Hospital, Government of West Bengal, Howrah, West Bengal, India.
9
Independent Researcher, Affiliated to Central Council of Homoeopathy, Hooghly, West Bengal, India.
10
Independent Researcher, Affiliated to Central Council of Homoeopathy, Howrah, West Bengal, India.

Abstract

AIM:

Controversies and disagreement exist on conventional treatment strategies of hemorrhoids due to relapse, inefficacy, and complications. We intend to evaluate the role of individualized homeopathic treatment in hemorrhoids.

MATERIALS AND METHODS:

In this prospective, open, observational trial, hemorrhoids patients were treated using five standardized scales measuring complaints severity and anoscopic score. It was conducted at two homeopathic hospitals in India, during from mid-July 2014 to mid-July 2015. Patients were intervened as per individualized homeopathic principles and followed up every month up to 6 months.

RESULTS:

Total 73 were screened, 52 enrolled, 38 completed, 14 dropped out. Intention to treat population (n: = 52) was analyzed in the end. Statistically significant reductions of mean bleeding (month 3: -21.8, 95% confidence interval [CI]: -30.3, -13.3, P: < 0.00001, d = 0.787; month 6: -25.5, 95% CI -35.4, -15.6, P: < 0.00001, d = 0.775), pain (month 3: -21.3, 95% CI -28.6, -14.0, P: < 0.00001, d = 0.851; month 6: -27.6, 95% CI -35.6, -19.6, P: < 0.00001, d = 1.003), heaviness visual analog scales (VASs) (month 3: -8.1, 95% CI -13.9, -2.3, P: = 0.008, d = 0.609; month 6: -12.1, 95% CI -19.1, -5.1, P: = 0.001, d = 0.693), and anoscopic score (month 3: -0.4, 95% CI -0.6, -0.2, P: < 0.0001, d = 0.760; month 6: -0.5, 95% CI -0.7, -0.3, P: < 0.0001, d = 0.703) were achieved. Itching VASs reduced significantly only after 6 months (-8.1, 95% CI -14.6, -1.6, P: = 0.017, d = 0.586). No significant lowering of discharge VASs was achieved after 3 and 6 months.

CONCLUSION:

Under classical homeopathic treatment, hemorrhoids patients improved considerably in symptoms severity and anoscopic scores. However, being observational trial, our study cannot provide efficacy data. Controlled studies are required. Trial Reg. CTRI/2015/07/005958.

KEYWORDS:

Hemorrhoids; homeopathy; observational trial; visual analog scales

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