INTRODUCTION
Acne vulgaris commonly affects individuals aged
16 to 25, impacting their physical and psychological wellbeing. Homoeopathy
offers a holistic approach and Dr. Robin Murphy’s repertory provides clinically
useful rubrics for acne management. This study aims to evaluate the practical
utility and effectiveness of these rubrics in managing Grade I, II and III acne
through individualized remedy selection. The
inflammatory lesions, namely papules, pustules, nodules and cysts, indicate the
severity of the disease. The severity of the acne can be graded on clinical
grounds as under
Grade I Mild
Comedones, occasional papules
Grade II Moderate
Comedones, many papules, few pustules.
Grade III Severe
Predominantly pustules, nodules and abscesses.
Grade IV Cystic
Mainly Cysts or abscesses, widespread scarring
Homoeopathic Medical Repertory, a modern alphabetical
repertory is mainly based on ‘Repertory of the Homoeopathic Materia Medica by
Dr. J.T. Kent and Repertory of Hering’s Guiding Symptoms of our Materia Medica
by Dr. C.B. Kneer. remedies. Dr. Robin Murphy’s Homoeopathic Medical
Repertory is a clinically oriented repertory that blends classical and modern
perspectives, offering a practical framework for repertorization based on
symptom totality. Despite its widespread use in clinical practice, there is
limited research evidence evaluating the utility and effectiveness of rubrics
from this repertory in managing acne vulgaris.
AIM AND OBJECTIVE
Primary Objective To
study the utility of rubrics from Homeopathic Medical Repertory by Dr. Robin
Murphy in Management of Acne Vulgaris Grade I II III among age group of 16 to 25 years.
Other objective
1 To study clinical presentation of Acne Vulgaris Grade I
II III among age group of 16 to 25 years.
2 To compare the patient pretreatment score and posttreatment
score for Acne Vulgaris Grade I II III on GAGS Scale among age group of 16 to 25
years.
METHODOLOGY
1. Type
of study design An Experimental Noncontrolled Study.
2. Setting
The study will be conducted at the OPD of the institution.
3. Duration
of the study 18 months
4. Method
of selection of study subjects
Inclusion Criteria
1.Clinically diagnosed cases
of Acne Vulgaris Grade I II III
2. Patients of age group 16 to
25 years.
3. Patients of All Genders.
Exclusion Criteria
1. Grade IV Acne Vulgaris.
2. All other variants of acne
like Acne conglobate, Acne fulminans, Acne excoriee etc.
3. Patient with complications
of Acne Vulgaris like scarring.
4. Patient taking any other
local or tropical medications for Acne Vulgaris.
5. Lactating Women or Pregnant
Women.
6. Suspected immuno compromised
cases.
Subject withdrawal criteria
1.
Patients who do not wish to continue the treatment.
2. Patients who do not follow up regularly.
3. Patient developing any Medical Emergency.
Specification of instruments and related
measurements:
1. Homoeopathic Case Taking
Proforma will be used in each case.
2. Outcome assessment tool
Prevalidated GAGS Scale will be used.
Outcome assessment criteria
a Outcome will be assessed in
terms of
Improved if grades of
improvement are fair,good or excellent or greater than or equal to 25 percentage
Not improved if grades of
improvement are poor or worse or less than 25 percentage
b)
Outcome Pre and Post treatment according to GAGS scale.
Improvement
was graded according to the 5 point Global Assessment Scale (GAS).
Grades
of improvement by reduction in 5 point global assessment scale (GAS)
1. Excellent
greater than or equal to 75 percentage
improvement in GAS
2. Good 50 percentage to 74 percentage improvement in
GAS
3. Fair 25
percentage to 49 percentage improvement in GAS
4. Poor less
than 25 percentage improvement in GAS
5. Worse Result worse than pre treatment finding.
Sample size 34 patients will be
selected.
Sampling technique Nonprobablity
Purposive sampling based on inclusion and exclusion criteria
Data management and analysis procedure
1. Duration of study 18 months
2. Duration
of each case Each case will be studiedd upto 6 months or
till recovery occurs, whichever is earlier.
3. Duration
of follow up ease case 15 days and earlier if required.
Clinical outcome assessment will be done at baseline of 1
month, 3 months and 6 months |