Leucoderma - The Polypharmacy Approach
NATIONAL JOURNAL HOMOEOPATHY 1993 Mar / Apr VOL II No 2. 
Dr Govind Agrawal.
` Calc-p / Cina / Ars-s-f / Tub / Nat-m / Hydrocot / Carb-v / Ferr-p / Nit-ac / Sep.

Editor: Dr Govind Agarwal has a vast experience with over 500 cases to his credit with photographs before and after treatment. Unfortunately the approach is polypharmacy; therefore the reasoning is not clear. To prescribe four remedies at a time is not in conformity with Hahnemannian Homoeopathy. Yet Dr Govind Agarwal has results and so we publish this article. We give here of few of his cases with photographs. Readers can draw their own conclusions. Note that the NJH mainly supports the Classical approach, but a work of this magnitude has to be presented to readers.

Case 1:
Master N, aged 3 years, saw me on 17^th Nov 91. 4 months ago, Leucoderma first appeared on the dorsum of left big toe, dorsum of second toe and small toe to the left foot. Recently the spots have come on the right foot and right hand. (see fig la.b).

Other features-
Dark discolouration of the knee and itching all over the body.
Thirst-decreased.
Desires-sweet, salt.
Stools 3-4 times a day.
Mind-Haughty & angry.
H/o Injury-sprain of the left big toe on which boils had appeared followed by white spots.
H/o illness-diarrhoes and vomiting since birth. Grinding of teeth and bedwetting recently.
H/o vaccination.

Treatment Plan:

1. Calc-phos 30 daily
2. Cina 30 twice a week.
3. Ars-sul-flav 30 daily.
4. Tuberculinum 1 M once a week.

Follow up:
4^th Dec 92-Coryza, Rhus tox 200 4 hourly.
11^th March 92-White spots better.
Loose motions since 7 days.
11^th June 92-Better
18^th July 92- Significant improvement in left big toe. Dark spots of the knee disappeared.
24^th Aug 92-Eruptions with pus on the left hand.
Merc-sol 200 two powders, at interval of 4 days.
4^th Sept 92-itching eruptions with boils.
Psorinum 30 once daily for 5 days.
8^th Sept 92-Fever with eruptions on chin. Submandibular eruptions on chin. Submandibular glands enlarged. Hepar-sulph 1M 4 powders followed by Baryta-mur 200 2 powders at an interval of three days.
8^th Oct 92-Boils on ear lobules and below the lower lips.
Merc-sol 200 two powders
5^th Feb 93-Boils cured and spots vanished. (see photo 1c).

Case 2:
Master Veer Singh, aged 10 years saw we on 8th Sept 1989. He had vitiligo spots which appeared below the navel in May 88, followed by spots on the right popliteal fossa, behind the right ear lobe and lastly on the back since three months. (see photo 2a, b). The child could be easily frightened.

Past History-Typhoid in May 1988 followed by epistaxis and then by leucoderma.

Treatment plan-

1. Nat-mur 30
2. Carbo-veg 30
3. Hydrocotyle Q
4. Tuberculinum 1 M once in 15 days.

Follow-up:
14^th Feb 90-Spots behind the ear disappeared. Spots on the abdomen and knees disappearing. (See photo 2c).
16^th June-Relief. Photograph taken. 22^nd Aug 90-No spots on abdomen and legs.
6^th Oct 90-Spots on the back became smaller.
12^th Feb 91-no presence of any white spots anywhere on the body. Completely cured. (See photo 2d).
Comment:
The cause may be Typhoid which was suppressed by modern medicines. Here Carbo-veg seems to be responsible for the cure.
Case 3:
Smt K, a 39 years old lady visited me on the 30^th of March 1992. She had Leucoderma spots first observed on the lower lip 10 months ago, which later spread to the right mandibular region. (see photo 3a). There was itching over the spots.
She also complained of ghabrahat when hungry and thirsty.
Sleepy (3-) ever since the spots had appeared.
Menstrual complaints: Menses every 20 days, lasting for 2 days Black watery blood. Prolapse of uterus on the first day of flow.
She has 2 children now. A son and a daughter. Six of her children had expired from various diseases. Tubectomy done 12 years ago.

Other Features:

1. Perspires a lot.
2. Tingling of both the feet.
3. Moth spots on the face.

Treatment plan-

1. Calc-phos 39 tds
2. Ferrum-phos 30 tds
3. Nitric-acid 30 tds
4. Sepia 200 weekly.

Follow-up-
3^rd June 92 sleep good. No prolapse. ghabrahat when hungry.

Treatment-

1. Calc-phos 30
2. Nat sulph 30
3. Nitric-acid Sepia 200 weekly was started.
4. 3^rd Aug 92 Good relief in the spots. (See photo eb)
5. 3^rd Oct 92-White spots almost cured. (See photo 3c).

Discussion:
Although cure is not on classical Homoeopathic lines, yet cure did occur. Early menses, prolapse during menses, moth spots are all suggestive of Sepia. Grief due to death of children is suggestive ofNat-sulph. Natrum is complementary to Sepia.

Case 4:
Smt C K B, aged 39 years consulted me on the 17^th of June 1990 for Leucoderma. The spots began on the right leg and a smaller one on the left leg when she was 11 years of age. At the age of 15 she had a spot on the right cheek and in front of the right ear. (See photo 4a).
She has spots on both the sides of the waist at the age of 20.
New spots appeared on the left elbow 3 months ago.

Other Features:

1. Menstrual cycle-every 20 days lasting for 2 days. Profuse dark and clotted blood. Severe pain in abdomen 4 hours before the flow and the patient has to take an injection.
2. Leucorrhoea thick, white. Heaviness near the vulva.? prolapse uterus.
3. Breathlessness during exertion.
4. Ghabrahat during walking and climbing stairs.
5. Desires salt.
6. Burning of soles day and night.
7. Itching of the whole body.
8. H/o burn on the left hand with keloid formation. Bilateral mastectomy 8 year ago. Typhoid as a child.
9. Cannot bear cold aid.

F-H- of heart attack in mother, and father expired due to Cancer 20 years ago.

Rubrics:

1. Prolapse during menses.
2. Itching whole body and on spots.
3. Breathless during exertion.
4. Glands breast
5. Leucorrhoea thick & white
6. Ghabrahat walking and climbing.
7. Desires salt.

Treatment Plan:
Nat-mur and Calc-phos daily. Sepia 1 M weekly.

Follow-up:
23^rd May 91-Central pigmentation of the spot on the right side of waist. Spot on the left waist and on left hand cured. Painful piles since 15 days. Ignatia 30 twice daily for 5 days. 3^rd Aug 91-Spots on the left leg improving.

20^th Jan 92-Further improvement. Medicine stopped.
Dec 92- Spots on the legs and waist cured. The spot on the right temple persists though much smaller in size, for which the patient is continuing treatment.