Individualised homoeopathic medicine in the treatment of lipoma: A case report ISSN : 2693 6356 2021 | Vol 4 | Issue 1 Case study on the use of homoeopathic individual therapy for lipoma Dr. Ashwini Shripad Kulkarni Assistant Professor Homoeopathic Medical College & Hospital, Jalgaon Abstract An benign mesenchymal tumor is known as a lipoma. When lipomas develop on the elbow, they might eventually become large enough to limit motion. Some people have pressure sensations as a result of lipomas. Diagnosing the majority of lipomas is not challenging. Despite the fact that many choose surgical excision, it might leave the afflicted area deformed. This case report details a lipoma that developed just below the elbow. There are hardly any occurrences of lipomas around the elbow, and even fewer examples documented in medical journals. Keywords: Lipoma, lump, homoeopathy, baryta carbonicum Introduction Adult fat cells make up the benign mesenchymal tumor known as a lipoma. Because they may develop wherever fat cells accumulate, these tumors are sometimes referred to as "universal tumors" or "ubiquitous tumors" [1]. A lipoma is a benign tumor that grows from adipose tissue. The most common location for a lipoma, a slow-growing fatty lump, is in the space between the dermal layer and the subcutaneous layer of muscle. With gentle finger pressure, a lipoma may be easily moved; it has a doughy texture and is often not delicate. It is common to see lipomas in middle age or later [2]. Symptoms of Lipoma Small, tender lumps are the most common manifestation. Less than 2 inches is the usual width for them. It is possible to have multiples [3]. The lipoma could feel doughy when pressed. Pushing on it with your finger will make it move easily. They aren't painful in and of themselves, but they could irritate adjacent nerves or blood vessels [3]. The size, location, and development rate of the lesion have a significant impact on the clinical presentation. Just as in our instance, most benign tumors appear as painless, mobile, palpable lumps that patients frequently fail to notice until they grow into a noticeable mass [5]. Subcutaneous, subfacial, and intramuscular lipomas are the three main types [4]. Diagnosis A rapid increase in size should always raise the suspicion of malignancy. Ultrasonography remains as the initial imaging modality in diagnosis of head and neck lipomas while Fine needle aspiration cytology (FNAC) or computed tomography (CT) is indicated for confirmation of diagnosis [6] . Case Report A 27 year old male, came to the OPD on 15 June 2022 with complaints of mass below the elbow joint since 2 year with gradual swelling and pain for 1 year. For the last 6 months the patient says that the swelling appears to grow rapidly. Pain only when lifting heavy things. Treatment History No treatment has been taken thus far. Past History No major illness in the past. Family history: Aunt had H/O lump & was treated with Homoeopathic medicines. Personal History Diet-mixed Appetite- good Thirst-thirsty Desires- nothing specific Aversion- nothing specific Urine-4-5 times a day/0-1 night Stool- regular & satisfactory. Perspiration-scanty Sleep-sound. Dreams-not specific. Thermals-chilly Life Space Investigation Patient says he was not good in studies during his school days, as he always forgets what he ISSN : 2693 6356 2021 | Vol 4 | Issue 1 had learnt. He’s doesn’t mingle much with others. He’s very shy. He says that he like to stick close with his family members than with others. Doesn’t like to be hurt, even a little criticize will make him upset. Slow to grasp what was asked. Restless. He is very slow in doing his daily work. He worries about his health, as he always asked will I be cured? On observation-Childish behavior. There is Slowness in his speech. Mentals Weak memory Reserved Shy Slow to grasp Restless Sadness over triffles Anxiety about health General examination Appearance-well built & nourished. Face - eruption on the left cheeks, nodular type. Hair - short, wavy Eyes - conjunctiva - no pallor Nose - No DNS & no polyps Mouth - tongue clean. Teeth are hygienic & gums pink. Throat - no congestion & no enlarged tonsils. Lymph nodes - not enlarged. Cyanosis - absent Extremities - no restricted movements Vital signs Temperature-98 degree F Pulse-76 beats /min RR-18 cycles / min B.P -120/ 80 mm Hg Weight-70 kg Local examination On inspection The mass is round in shape, no bleeding & no discharges. On palpation No tenderness. It is soft, movable mass & beneath the skin. ISSN : 2693 6356 2021 | Vol 4 | Issue 1 Fig 1: Before Treatment Totality of Symptoms  Mass on the left forearm.  Weak memory  Shy  Reserved  Mild  Slow to grasp  Restless  Sadness over triffles  Childish behaviour  Anxiety about health  Eruption on the left cheek, nodular type  Thirsty  < heavy lifting, exertion Repertorial Chart [7] ISSN : 2693 6356 2021 | Vol 4 | Issue 1 Prescription Baryta carbonica 200/ 1 dose Sacrum lactum 4 pills once a day for 15 days Table 1: Therapeutic intervention with follow up Date Symptom response Prescription July 2, 2022 No change. The totality still reflects the remedy baryta carbonica Baryta carbonica 200/ 2 dose Given sac lac 4 pills once a day for 15 days August 17, 2022 Patient was better, the mass decrease in size. Can lift heavy things without any pain Given sac lac 4 pills once a day for 15 days September 25, 2022 No new mass. Flattening of the skin, completely resolved. Given sac lac 4 pills once a day for 1 month Fig 2: Before, during and after treatment. Conclusion When lipomas are treated early on, homoeopathic medications may help reduce their size. Homoeopathic medication for lipomas provides efficient healing with the correctly chosen homoeopathic medicine; not only do the lipomas dissolve, ISSN : 2693 6356 2021 | Vol 4 | Issue 1 but the propensity to lipoma production is lowered from its source in those who are prone to several lipomas and their size progressively increases. This patient's lipoma has been much improved by the use of Baryta Carbonica homoeopathic therapy. References First, Bailey's Love's Short Practice of Surgery (PDF e-book); 2008. The source is http://tinyurl.com/y6g2thsf.3. Can you please provide more information on lipoma? I would much appreciate it.At https://www.webmd.com, you may get information on lipomas and how to treat them. 4. Stern Diane, and Marx RE. Oral and Maxillofacial Pathology: A Rationale for Diagnosis and Treatment, Second Edition. To cite: https://goo.gl/4EQB2W 5. Felipo F. D. and Del Agua C. Adenolipoma skin cancer. The Skin Journal Online, 2004;10:9. Source: https://goo.gl/GAWBjp 6. Sharma SK, Bharati M, Gupta A., Khanna BK. An unusual case report of anterior neck lipoma extending into the mediastinum. The article is published in the Kathmandu University Medical Journal and can be found on page 1989–1990. Source: https://goo.gl/Htzw7g Version 8.1 of Hompath Classic 7.