Allgemeine Homöopathische Zeitung 2017; 262(02): 2-76
DOI: 10.1055/s-0037-1601117
Vorträge
Georg Thieme Verlag KG Stuttgart · New York

Treatment of hemorrhoids with individualized homeopathy – an open observational pilot study

Behandlung von Hämorrhoiden mit individualisierter Homöopathie – eine offene Beobachtungsstudie

S Ghosh
1   Mahesh Bhattacharyya Homoeopathic Medical College & Hospital, Pathology & Microbiology, Howrah, India
,
K Debdas
2   Midnapore Homoeopathic Medical College and Hospital, Department of Homoeopathic Pharmacy, Paschim Medinipur, India
,
AK Das
3   Mahesh Bhattacharyya Homoeopathic Medical College & Hospital, Surgery, Howrah, India
,
A Ghosh
4   Midnapore Homoeopathic Medical College and Hospital, Organon of Medicine and Homoeopathic Philosophy, Paschim Medinipur, India
,
R Mondal
5   Mahesh Bhattacharyya Homoeopathic Medical College & Hospital, Howrah, India
,
T Banerjee
6   Netai Charan Chakrabarty Homoeopathic Medical College and Hospital, Howrah, India
,
SS Ali
7   Midnapore Homoeopathic Medical College and Hospital, Paschim Medinipur, India
,
SS Ali
5   Mahesh Bhattacharyya Homoeopathic Medical College & Hospital, Howrah, India
,
M Koley
8   Central Council of Homoeopathy, Hooghly, India
,
S Saha
8   Central Council of Homoeopathy, Hooghly, India
› Author Affiliations
Further Information

Publication History

Publication Date:
21 March 2017 (online)

 
 

    Aim:

    Controversies and disagreements exist regarding 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, hemorrhoid patients were treated using five standardized scales measuring complaints severity and anoscopic score. Patients were intervened as per individualized homeopathic principles and followed up monthly up to 6 months.

    Results:

    Intention to treat population (n = 52) was analyzed at the end of trail. Statistically significant reductions of mean bleeding were ascertained: (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). Itching VASs was reduced significantly only after 6 months (-8.1, 95% CI -14.6, -1.6, P = 0.017, d = 0.586)..

    Conclusion:

    Under classical homeopathic treatment, hemorrhoids of patients improved considerably in symptom severity and anoscopic scores.

    Trial Reg. CTRI/2015/07/005958.

    Keywords:

    Hemorrhoids, homeopathy, observational trial, visual analog scales.

    Ziel:

    Kontroversen und Meinungsverschiedenheiten bestehen in Bezug auf konventionelle Behandlungsstrategien von Hämorrhoiden aufgrund von Rezidiven, Unwirksamkeit und Komplikationen. Wir beabsichtigen, die Rolle der individualisierten homöopathischen Behandlung bei Hämorrhoiden zu bewerten.

    Materialien und Methoden:

    In dieser prospektiven, offenen Beobachtungsstudie wurden Patienten mit Hämorrhoiden behandelt und mit fünf standardisierten Skalen sowie mittels Anoskopie gemessen. Die Intervention folgte individualisierten homöopathischen Prinzipien. Das Follow-up erfolgte monatlich über bis 6 Monate.

    Ergebnisse:

    Die Intention-to-treat-Population (n = 52) wurde am Ende analysiert. Statistisch signifikante Reduktionen der mittleren Blutungen wurden ermittelt (statistische Ergebnisse siehe oben im englischen Abstract).

    Schlussfolgerung:

    Unter klassischer homöopathischer Behandlung verbesserten sich Hämorrhoiden der Patienten erheblich hinsichtlich Schwere der Symptomatik und anoskopischen Scores.

    Trial Reg. CTRI/2015/07/005958.

    Schlüsselwörter:

    Hämorrhoiden, Homöopathie, Beobachtungsstudie, visuelle analoge Skalen.


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    No conflict of interest has been declared by the author(s).