International Journal of Homoeopathic Sciences 2023; 7(2): 492-498

E-ISSN: 2616-4493
P-ISSN: 2616-4485
www.homoeopathicjournal.com Usefulness of Homeopathic treatment in Tinea faciei:
IJHS 2023; 7(2): 492-498
Received: 15-05-2023 A case series
Accepted: 10-06-2023

Dr. Nagar Neha Dr. Nagar Neha, Dr. Poswal Ravi K, Dr. Kumar Ajay and Singhal
Assistant Professor,
Department of Repertory, Kanak
Bakson Homoeopathic Medical
College & Hospital, Greater DOI: https://doi.org/10.33545/26164485.2023.v7.i2h.872
Noida, Colony Mayur Vihar,
Phase- 3, Delhi, India Abstract
Tinea faciei is a common fungal infection that mimics many other annular lesions. By this case report
Dr. Poswal Ravi K aimed to show the “Usefulness of Homeopathic treatment in tinea faciei. Case Summary: Three cases
Associate Professor, of ring worm i.e tinea faciei successfully treated with individualized homeopathic medicine. All three
Department of Materia cases were reported at Vedika Homoeo & Yoga clinic. The first case was of 38 year old female patient
Medica, Bakson Homoeopathic
complaints of ring worm on Left side of cheek since 1 year with remarkable redness with burning
Medical College & Hospital,
Greater Noida, Uttar Pradesh,
sensation .The second case was of 10 year old boy complaints of lesions on right side of face since 6
India months. In the third case, 5 year old boy complaints of ring worm on face since 1 year. All three cases
were treated with individualised homoeopathic medicineafter case taking and repertorization. All these
Dr. Kumar Ajay cases were followed up regularly and they get cured within 3 months of regular treatment. Common
Assistant Professor, remedies include calcarea carbonica, Arsenic album and Sulphur. This case series shows positive
Department of Paediatrics, results of homoeopathy in the treatment of Tinea faciei.
Bakson Homoeopathic Medical
College & Hospital, Greater Keywords: Tinea faciei, ring worm, homoeopathy, dermatophytes, repertorization
Noida, Uttar Pradesh, India

Singhal Kanak
Introduction
Intern, Bakson Homoeopathic Tinea corporis, also known as ‘ringworm, ’is a superficial dermatophyte infection of the
Medical College & Hospital, skin, other than on the hands (tinea manuum), feet (tinea pedis), scalp (tinea capitis), bearded
Greater Noida, Uttar Pradesh, areas (tine-a barbae), face (tinea faciei), groin (tinea cruris), and nails (onychomycosis or
India tinea unguium) [1].
Tinea faciei accounts for 3 to 4% of all cases of tinea corporis. It occurs worldwide but has a
predilection for tropical humid climates [2]. It may occur at any age, but two peaks may be
observed: in childhood with a male prevalence, and in adults with a female prevalence [3, 4].
Females are affected more frequently than males because dermatophyte infections on the
bearded areas of males are often diagnosed as tinea barbae, whereas in females they are more
likely to be diagnosed as tinea faciei [2]. Many lesions progress over more than 6 months and
even up to 2 years before they are diagnosed [4]. The incubation period is 1–3 weeks [5].

Clinical Presentation
A round lesion that may be expanding is discovered by a caretaker or the patient. The area
may be mildly pruritic [6]. Infection typically occurs from direct contact of the healthy
individual with an infected person. Excessive heat, high relative humidity and usage of
tightly fitting clothes as well as synthetic garments have high correlations to more severe and
frequent disease [7].

Case 1
A 38 years old female patient with fair complexion having complaint of ring worm on left
side of cheek with intolerable itching and burning sensation since 1 year. Complaint
aggravate by warmth of bed. She also complaints of white discharge per vaginum, profuse
Corresponding Author: acrid with offensive smell since six months, amelioration by washing it by cold water. She
Dr. Nagar Neha has pain in her lower extremities.
Assistant Professor,
Department of Repertory, Past history
Bakson Homoeopathic Medical
Typhoid at the age of 12 year treated With Allopathic treatment.
College & Hospital, Greater
Noida, Colony Mayur Vihar,
Phase- 3, Delhi, India

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Family history 7. Thirst -for cold water in short interval

Father- Diabetes mellitus 8. Desire- For ice cream
Mother - Hypertension 9. Constipation, goes for motion after2-3 days, dry hard
Younger brother- Bronchial Asthma stool
10. Dreams of snakes
Gynaecological History- 11. Dreams of death of relatives
Menarche- at the age of 14 years 12. Sleeplessness
LMP- 02/12/2022 13. Suspicious by nature
Menses- on time 14. Easily offended
Any Discharge- White discharge per vaginum 15. Fear of death due to incurable disease
Quantity-profuse 16. Fastidious
Nature-Acrid 17. Loquacity
Offensive smell
Conversion of Rubrics
Physical generals:-
Appetite- 5 chapatis/ meal, increased Table 1: Conversion of symptom into rubrics
Thirst- Thirsty( of cold water at short interval) S.no Symptoms Rubric
Sleep- Sleeplessness ( Due to persistent thoughts) Ring worm on left side of
Desire- ice cream 1 eruption- ring worm
cheek
Stool- constipation goes for motion with the interval of 2-3 2 intolerable itching itching -intolerable
days, dry hard stool 3 Burning sensation burning
Dreams of snakes 4 < bed warmth itching bed aggravation
Dreams of death of family members 5 Leucorrhoea acrid
Female genitalia-
Leucorrhoea acrid
Mental generals 6 Leucorrhoea offensive smell leucorrhoea offensive
She was very suspicious by her nature, she asked doctor can 7 Pain in Lowe extremities Extremities-pain-lower
you please prescribe the medicine, I will buy it from my 8 Appetite- Increased appetite-Increased
self, she have no trust on doctor also about the quality of Thirst for cold water with short
9 thirst for cold water
interval
medicine. Constant fear of death, she said that, it seems my
10 Desire for ice cream General food and drink
disease is now become incurable. Loquacity, continuously 11 Constipation Constipation
talking while narrating her complaints .Always want clean 12 Dreams of snakes Dreams of snakes
home according to her, never love the work done by others, Dreams of death of close
easily got offended on slightest matter. 13 Dreams dead of relatives
relative
14 Sleeplessness Sleeplessness
Totality of symptoms after analysis and evaluation- 15 Suspicious by nature Suspicious
1. Ring worm on left side of cheek, intolerable itching 16 Easily offended Offended easily
with burning. 17 Fastidious Fastidious
2. Aggravation by warmth of bed 18 Loquacity Loquacity
3. Amelioration by cold water Fear of death, she thinks that
19 Fear -death
4. Leucorrhoea, profuse, acrid with offensive smell her disease is now incurable
5. Pain in Lower extremities
6. Appetite- Increased Repertorial Sheet

Fig 1: Repertorial Sheet

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Repertorial Result [8] Prescription

1. Calcarea carbonica- 25/14 After Consulting Materia medica [9], Calcarea carbonica
2. Sulphur-28/13 200c one dose orally given to the patient, followed by
3. Silicea-24/13 placebo for 7 days on 25/12/2022
4. Arsenic album-30/12
5. Lycopodium-25/12 Follow ups

Table 2: Follow –up Sheet

S. No Date Symptoms Prescription
Itching -slight better
Lesion were same as before
Intense burning is their
No relief in sleeplessness
1 02/01/2023 Placebo 200 /TDS /for 7 days
Leucorrhoea-slight better
Appetite- same as before
Pain in lower extremities- same as it is
Constipation-slight better
Itching-increased
Lesions stats reducing
Burning sensation- slight better
2 11/01/2023 Leucorrhoea- better Placebo 200 /TDS /for 7 days
Pain in lower extremities- slight better
Sleep is now improving
Stool is still dry but now goes for motion on daily bases
Itching mainly when she worked there in kitchen
Lesions on face better
Burning- present
3 18/01/2023 Leucorrhoea- better Placebo 200 /TDS /for 7 days
Pain in lower extremities- better
Constipation- better
Sleep- better
Itching - better
Lesion started to dry up
No new lesions appeared
4 28/012023 Placebo 200 /TDS /for 7 days
Burning sensation- better now
Pain in lower extremities- again started
Constipation- better now
All general complaints are better now
No burning
5 9/02/2023 Slight itching Placebo 200 /TDS /for 15 days
Leucorrhoea - better
Pain in lower extremities- better now
Lesion on face completely dry
No itching
6 26/02/2023 No burning Placebo 200 /TDS /for 15 days
Leucorrhoea better now
Pain in lower extremities - better
7 12/03/2023 All complaints are better now Placebo 200 /TDS /for I month

lower extremities and constipation showed improvement by

Result Sulphur 200c. Ring worm completely disappeared within a
The skin lesions on face with intolerable itching and burning period of 2.5 months of constitutional Homoeopathic
sensation with other symptoms like leucorrhoea and pain in treatment.

Fig 2: Before Treatment Fig 3: After Treatment

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Case 2 2. Appetite- Increased

A 10 year old boy visited to clinic with complaint of ring 3. Thirst - unquenchable
worm on right side of face with itching & dryness with 4. Aversion- onions
stinging type of pain since three months. 5. Desire-Warm drinks
6. Stool- watery
Past history: He was a preterm baby, weight 1500 gm, 7. Thermal - chilly
delivered at 32 weeks, admitted in NICU for 20 days on C- 8. Fear of being alone, never stay alone at house
PAP oxygen support 9. fear of road side accidents
-Recurrent cold and cough took Allopathic treatment 10. Consolation aggravation

Family history Conversion of Rubrics

Father- Hypertension
Mother - Thyroid Table 3: Conversion of symptom into rubrics
S.no Symptoms Rubric
Physical generals Ring worm on right side of
Appetite-increased 1 Ring worm
cheek
Thirst- Thirsty, unquenchable 2 Stinging type of pain Pain-stinging
Aversion- onions 3 Itching Skin-Itching
Desire- warm drinks, like tea, coffee, warm milk, soup 4 Appetite-increased Appetite-Increased
Stool- watery stool every time 5 Thirst-unquenchable Unquenchable thirst
Thermal - chilly General food and drink
6 Aversion-onions
aversion-onion
Mental generals General food and drink –
7 Desire-warm drinks
His mother told that, he never stay alone in house, she also desire worm drink
8 Stool- watery Stool watery
told that she don’t know the reason but due to fear he never
9 Thermal-Chilly Generals-Chilly person
go out side. Afraid of road side accident. He got easily
Fear of being alone, never
aggravated when someone from her family wants to console 10 Fear -alone
stay alone at house
him for his mistake. 11 Fear of road side accidents Fear of accidents
12 Consolation aggravation Consolation agg
Totality of symptoms after analysis and evaluation-
1. Ring worm on right side of cheek, stinging type of pain Repertorial sheet
with itching.

Fig 4: Repertorial sheet

Repertorial Result-viii Prescription

1. Arsenic album-23/10 After consulting material medica ix,Arsenic album 200 1
2. Phosphorus-21/10 dose orally followed by placebo for 10 days on 22/03/2023
3. Calcara carbonica-17/10
4. Sulphur-18/8 Follow-ups
5. Graphites-16/8

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Table 4: Follow-up sheet

S. No Date Symptoms Prescription
Itching -improved
1 02/04/2023 Lesion - no changes Placebo 200 /TDS /for 7 days
Stool-hard
Itching-off and on
2 10/04/2023 Lesions stats reducing from lower side of face Placebo 200 /TDS /for 7 days
Stool-semisolid
Itching-only in night now
3 18/04/2023 Lesins -reducing Placebo 200 /TDS /for 7 days
Stool- again watery
Itching - better
Lesion started to dry up
4 25/04/2023 No new lesions appeared Placebo 200 /TDS /for 7 days
Pain is better now
Stool- satisfactory,semisolid stool
All general complaints are better now
Slight- itching
5 4/05/2023 Placebo 200 /TDS /for 7 days
Pain- better
Lesion-completely gone
Pain and itching better
6 12/05/2023 Ring worm lesion completely cured Placebo 200 /TDS /for 7 days
Stool-semi solid

Result Case 3
The skin lesions on right side of face with itching and other A 4 year old boy visited to clinic on 02/02/2023 with
symptoms like watery stool showed improvement by complaint of ring worm on both cheeks, with marked
Arsenic album 200c. Ring worm completely disappeared burning sensation, intense itching, scratch until it bleeds.
within a period of 1.3 months of constitutional Amelioration by scratching. Grinding of teeth especially at
Homoeopathic treatment. night. Saliva falls down from mouth during sleep. He also
complaint of pain in abdomen off and on.

Past history
Recurrent coryza took Allopathic treatment

Family history
Father- Migraine
Mother - Diabetes

Physical generals
Appetite-Ravenous Hunger
Thirst- Decreased
Desire- Undigestable things (chalk, mud)
Stool- Hard, dry

Mental generals
Fig 5: (Before Treatment) His mother shared an incident last year her husband loudly
shout on her in front of both kids, although he was 3 years
old at that time but he still remembered that incident, hatred
feeling for his father with marked irritability.

Totality of symptoms after analysis and evaluation

1. Ring worm on both cheeks, with marked burning
sensation.
2. Intense itching, scratch until it bleeds.
3. Amelioration by scratching.
4. Grinding of teeth specially at night.
5. Saliva falls down from mouth during sleep.
6. Appetite- Ravenous hunger
7. Desire- Undigestable things (chalk, mud)
8. Thirst – decreased
9. Pain in abdomen on and off.
10. Stool- Hard, dry
11. Marked irritability
Fig 6: (After treatment) 12. Hatred feeling for his father

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Conversion of symptoms into rubrics

Table 5: Conversion of symptoms into rubric

S.no Symptoms Rubric
1 Ringworm on both cheeks Eruption -ring worm
2 Marked burning sensation Skin-burning
3 Intense itching, scratch until it bleeds. Itching scratching- agg- bleeds, must scratch until it
4 Amelioration by scratching. Itching scratching-amel
5 Grinding of teeth specially at night. Teeth grinding-sleep-during-agg
6 Saliva falls down from mouth during sleep. Salivation-sleep-during-agg
7 Appetite-Ravenous Hunger Appetite- ravenous
8 Desire- indigestible things (chalk, mud) food and drink, indigestible things-desire
9 Thirst-Decreased Thirst decreased
10 Pain in abdomen on and off Abdomen pain
11 Stool- Hard Stool-hard
12 Stool-dry Stool-dry
13 Marked irritability Mind-irritability
14 Hatred feeling for his father Mind-Harted

Repertorial sheet

Fig 7: Repertorial Sheet)

Repertorial Result-viii Prescription

1- Sulphur-29/13 After Consulting Materia medica ix,Sulphur 200c one dose
2- Phosphorus-26/11 orally given to the patient, followed by placebo on
3- Arsenic album-25/11 22/01/2023 for 15 days.
4- Calcara carbonica-25/11
5- Nux vomica- 25/11 Follow-up

Table 6: Follow-up sheet

S.no Date Symptom Prescription
Itching -better
1 10/02/2023 Lesion were same as before Placebo 200/TDS /for 7 days
Bleeding on scratching still present
Lesion start reducing
2 18/02/2023 All general complaints are better now Placebo 200/TDS /for 7 days
Stool- still dry and hard
Lesions and burning - better
3 27/02/2023 Itching- slightly increased Placebo 200/TDS /for 7 days
Stool- better
4 8/03/2023 No new lesion appear Placebo 200/TDS /for 7 days

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Itching better
Bleeding - better
Burning- better
Over all symptoms are better now
5 22/03/2023 No itching Placebo 200/TDS /for 1month
No burning
Lesions completely cured
No burning
6 24/04/2023 No itching Placebo 200/TDS /for 15 days
Stool-semisolid
All general complaints are better now

Result Consent of Patient

The skin lesions on both side of face with itching and All patients has agreed that their imagesand other clinical
burning, grinding of teeth with salivation and other information is to be reported in the journal. The patient
symptoms like dry hard stool,pain in abdomen showed understood her name and initials will not be included in the
improvement by Sulphur 200 c. Ring worm completely manuscript and due efforts will be taken to conceal her
disappeared within a period of 3 months of constitutional identity.
Homoeopathic treatment.
Conflict of interest: None

Acknowledgement
Deeply acknowledge the all patients for allowing us to
collect the data.

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Fig 9: After Treatment 6. Lynn C. Garfunkel, Jeffrey M. Kaczorowski and
Cynthia Christy, Pediatric Clinical Advisor
Discussion Instant Diagnosis and Treatment, Second Edition •
This case series describes the importance of single 2007, ISBN978-0-323-03506-
individualized constitutional homoeopathic treatment in 7. Marks R, Motley R. Roxburgh’s common skin diseases.
obstinate condition called Tinea faciei. The task of treating 18th edition. Boca Raton: CRC Press. 2015. p. 40-44.
ringworm by conventional oral medicine, external 8. Software. RADAR OPUS PRO1.41.16 version
application was unsatisfactory. After entire failure patients 9. http://www.homeoint.org/books/boericmm/l/lyc.htm
choose homoeopathic treatment to get permanent cure. The
remedies calcarea carbonica 200c, Arsenic album 200c, How to Cite This Article
Neha N, Ravi KP, Ajay K, Kanak S. Usefulness of Homeopathic
Sulphur 200c was selected after proper repertorization of treatment in Tinea faciei: A case series. International Journal of
case, eruptions over face completely cured after Homoeopathic Sciences. 2023;7(2):492-498.
homoeopathic treatment with regular follow -ups.
Creative Commons (CC) License
Conclusion This is an open access journal, and articles are distributed under the
A complete disappearing of skin eruptions with complaints terms of the Creative Commons Attribution-NonCommercial-
without any recurrence with photographic evidence. ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, which
Homeopathic medicines help control fungal growth, reduce allows others to remix, tweak, and build upon the work non-
commercially, as long as appropriate credit is given and the new
the inflammation, redness and itching and help restore creations are licensed under the identical terms.
normal healthy skin. They also prevent future recurrences of
the condition. These cases showed positive role of
homoeopathy in treating the pathology of Tinea faciei.

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