Clinical tips for the homoepathic treatment of warts

1. C L I N I C A L T I P S
Homoeopathic Treatment of Warts

2. Definition and Cause
 Warts or Verrucae are skin growths caused by Infection of
the skin by Human Papilloma Virus(HPV)
 Some varieties of HPV infect the outer layer of the skin
(epidermis) and stimulate rapid growth of cells giving rise
to warts

3. Mode of Infection
 HPV may be transmitted by direct or close contact with
infected individual
 An infected individual may spread infection to other
areas of his/her body by touch
 Infection is also known to spread through contact with
infected materials such as towels/ razors etc.
 HPV usually gains entry into the skin through minor
cuts/ breaks
 Genital warts spread by skin to skin contact as well as by
genital , oral and sexual contact

4. Risk factors
Exposure to HPV does not necessarily result in
appearance of warts. Individuals at higher risk for
developing warts include:
 Children and young adults
 Persons with lowered/ compromised immunity such as
those with HIV , persons on immuno-suppressive drugs
such as organ transplant patients

5. Types of warts
Common warts/ Verruca Vulgaris
Appear as skin colored, fleshy, firm papules with
rough surface. Common sites are dorsum of hands,
fingers etc.
Plain warts
Appear as skin colored smooth papular lesions.
Common sited are face, dorsum of hands
Filiform warts
Appear as finger like projections with rough
surface. Common sites are neck, face , scalp

6. Types of warts
Plantar Warts found on the plantar surface(sole) of foot as
a skin colored area with an irregular surface. These may be
painful on pressure.
Genital warts present as a mass of verrucous tissue in the
genital area , prepuce, vagina, anal /peri-anal area.
Significantly genital warts may be transmitted to mouth,
tongue, lips of a patient by oral- sexual contact

7. Signs and symptoms
 Warts are usually asymptomatic
 At times plantar warts may be tender on pressure
due to pressure on an underlying nerve
 Genital warts may cause itching, pain, vaginal
discharge, burning and bleeding

8. Prognosis
 Left untreated a majority of warts may disappear
on their own over time
 Proactive treatment may be advised to prevent
spread of infection to other sites and other
individuals and also for cosmetic reasons
 Recurrence of warts is common
 Certain strains of HPV are known to cause Cervical
dysplasia and Cervical Cancer, though no direct
correlation can be drawn between occurrence of
warts and development of Cervical Cancer

9. Homoeopathic Management
 Homoeopathic medicines prescribed on the basis
of constitutional symptoms , general and mental
symptoms always give good results in the
treatment of warts
 However in the absence of these symptoms,
medicines may be prescribed on the basis of
appearance, location, character etc.
 A number of topical medications are also used to
treat warts

10. Homoeopathic Management
Remedy Indications
1. Anagallis 6C Possesses power of softening flesh and destroying warts
2. Antim crud 30, 200 Painful warts on palms, soles
3. Berberis vulgaris 30C Flat warts
4. Calcarea carb 30, 200, 1M Warts on face arms and hands, leucophlegmatic constitution
5. Calcarea -ovi –tosta 3x Hands are full of warts, history of leucorrhoea and backache
6. Calcarea calcinata 3X Remedy for warts especially over palms.
7.
Calcarea fluorica 200C Warty growth especially on bends of elbow
8. Calendula 30C Warts at the os externum, Genital warts.
9.
Castor equi 6C Warts on breast, forehead.
10. Causticum 200C, 1M
Warts on finger tips, close to nail, bleeding, painful, stinging. Warts on nose,
eyelids & face
1

11. Homoeopathic Management
Remedy Indications
11 Conium maculatum 200C, 1M Warts on buttocks
12 Dulcamara 200C
Flat warts especially back of hands , palms, face. Large, flat smooth
warts
13 Ferrum picricum 6C Hands covered with warts
14 Magnesia sulph 30C, 200C Warts on entire face
15 Medorrhinum 1M, 10M Flat dry warts , great thirst and appetite , intolerance of heat
16 Natrum carb 200C Warts of palms of hands
17
Natrum mur 200C Warts of palms of hands
18 Natrum sulph Tendency for warts all over the body
19
Nitric acid 30,200
Large, jagged warts bleed easily warts in genital region especially on
mucuo-cutaneneous junctions
20 Palladium 30C Warts on knuckles
2

12. Homoeopathic Management
Remedy Indications
21 Ruta graveolens 30C Palmar warts, flat, sore and painful
22 Sabina 30,200 Warts with itching, when Thuja improves but not completely
23 Sabina 30C, 200C Fig-warts with intolerable itching and burning
24 Silicea 200C Warts on forearm
25 Spigelia 30C, 200C Warts especially on toes
26 Staphisagria 30 Dry pedunculated warts on genital areas
27
Thuja occidentalis 30, 200, 1M All types of warts, on any part of the body when constitutional symptoms agree
3

13. Useful Rubrics from Kent’s Repertory
 Eye: Arund, calc, cinnb, merc, nit-ac, phos, staph, Thuj
 Canthi: Calc, nit-ac
 Eyebrows: Anac, caust, thuj
 Eyelids: Caust, cinnb, nit-ac, sulp,Thuj
 Right, lower: Nit-ac
 Iris: Cinnb, Merc, staph, thuj
 Nose, on: Caust, Nit-ac, Thuj
 Nose, inside: Nit-ac
 Ears, on: Bufo
 Face, on: Calc, Caust, Dulc, kali-c, lyc, nit-ac, sep, sulph,
thuj
 Chin: Lyc, Thuj
 Lips: Caust, kali-s, Nit-ac, thuj
 Mouth, around: Cund, psor
 Mouth: Ph-ac
 Throat: Arg-n, merc-c, nit-ac, thuj
 Palate: Arg-n
 Tongue: Aur, aur-m, aur-m-n, lyc, mang, staph
 Rectum: Arg-n, aur, aur-m, benz-ac, caust, Cinnb, euph,
jac-c, lyc, merc, merc-d, mill, nat-s, Nit-ac, petr, phos,
sabin, sep, staph, sulph, Thuj
 Male genitalia: Alum, apis, arg-n, aur, aur-m, aur-m-n,
calc, cinnb, euphr, fl-ac, Hep, lyc, med, merc, merc-d,
mill, Nat-s, Nit-ac, ph-ac, phos, psor, sabin, sars, sep,
staph, Thuj
 Thumbs: Berb, lach, ran-b, thuj
 Nates: Con
 Thigh: Med
 Toes: Spig
 Male genitalia, anus, and: Nit-ac
 Penis: Apis, alumn, bell, calc, Cinnb, euph, hep, lac-c,
lyc, merc, merc-c, mill, nat-s, Nit-ac, ph-ac, Psor,
Sabin, Sep, staph, sulph, Thuj
 Glans: Ant-t, aur, aur-m, cinnb, kali-chl, kali-i, lac-c,
lyc, med, nit-ac, ph-ac, psor, sabin, sep, staph, sulph,
Thuj
 Prepuce: Aur, aur-m, aur-m-n, caust, Cinnb, cub, lyc,
med, merc, merc-c, nit-ac, ph-ac, Psor, sabin, Thuj
 Scrotum: Aur, aur-m, sil, Thuj
 Vagina: Nit-ac, phos, staph, taren, Thuj
 Sternum, on: Nit-ac
 Back, on: Nit-ac, sil, thuj
 Cervical region: Nit-ac, thuj
 Upper limbs: Ars, bov, Calc, carb-an, caust, dulc, kali-
c, lyc, merc, Nat-c, nat-m, nat-s, nit-ac, petr, phos, rhus-
t, Sep, sil, sulph, thuj
 Elbow, bend, on: Calc-f
 Forearm: Sil
 Wrist: ferr-m
 Hand: Anac, ant-c, Bar-c, berb, bov, bufo, Calc,
Caust, Dulc, ferr, ferr-m, ferr-pic, fl-ac, kali-c, lach, lyc,
nat-c, nat-m, Nit-ac, ph-ac, phos, psor, rhus-t, sep, sil,
sep, sil, Sulph, Thuj
 Knuckle: Pall
 Palm: Anac, berb, dulc, nat-c, nat-m, ruta
 Fingers: Ambr, bar-c, berb, calc, carb-an, caust, dulc,
ferr, fl-ac, Lac-c, lach, lyc, nat-m, nit-ac, petr, psor, ran-
b, rhus-t, sang, sars, sep, sulph, thuj
According to Location According to Location

14. Useful Rubrics from Kent’s Repertory
 Butternut-shaped, penis, dorsum of,: Sabin
 Cauliflower, like, female genitalia, on: Nit-ac
 Penis, on: Lac-c, Nit-ac
 Fan shaped, penis, on: Cinnb, thuj
 Flat, hand, on: Berb, Dulc, lach, ruta, sep
 Palm, on: Dulc, nat-m, ruta
 Rectum, on: Euph, sulph, Thuj
 Skin, on: Acet-ac, berb, caust, Dulc, fl-ac,
lach, ruta, sep, thuj
 Horny, hand, on: Ant-c, caust, sep, thuj
 Skin, on: Ant-c, calc, caust, dulc, graph, nit-ac,
ran-b, sep, sulph, thuj
 Indented, skin, on: Calc, euphr, lyc, Nit-ac, ph-
ac, rhus-t, sabin, sep, staph, Thuj
 Jugged, skin, on: Caust, lyc, Nit-ac, ph-ac, rhus-
t, sep, staph, Thuj
 Large,hand, on: Dulc
 Large, skin, on: Caust, Dulc, kali-c, nat-c, Nit-
ac, ph-ac, rhus-t, sep, sil, Thuj
 Pedunculated, female genitalia, on: Lyc
 Skin, on: Caust, dulc, lyc, med, Nit-ac, ph-ac,
rhus-t, sil, staph, thuj
 Round, skin, on: Calc
 Small, skin, on: Bar-c, berb, calc, caust, dulc, ferr,
ferr-p, hep, lach, nit-ac, rhus-t, sars, sep, sulp, thuj
 Bleeding, easily, genitalia: Calc, cinnb, med,
mill, Nit-ac, sulph, thuj
 Fetid, when touched: Cinnb, Nit-ac, thuj
 Penis, on: Cinnb, Nit-ac, sulph, thuj
 Rectum, on: Mill
 Skin, on: Caust, cinnb, hep, lyc, nat-c, nit-ac,
ph-ac, rhus-t, staph, Thuj
 From washing: Nit-ac
 Vagina, on: Phos
 Brown, skin, on: Sep, thuj
 Burning, penis, on: Apis, cinnb, Nit-ac, anac,
psor, sabin, thuj
 Skin, on: Amm-c, ars, hep, lyc, petr, phos,
rhus-t, sep, sulp
 Dry, female genitalia, on: Lyc
 Skin, on: Staph
 Fleshy, skin, on: Calc, caust, dulc, sil
 Hard, skin, on: Ant-c, calc, caust, dulc,, fl-ac,
lach, ran-b, sep, sil, sulph
 Hollow, become: Calc
 Hot, genitalia, on: Ph-ac
 Warts, inflamed, skin, on: Am-c, bell, bov, calc,
caust, hep, lyc, nat-c, nit-ac, rhus-t, sars, sep, sil,
staph, sulph, thuj
 Isolated, skin, on: Lyc, thuj
According to Shape According to Character

15. Useful Rubrics from Kent’s Repertory
 Itching, Hand, on: Sep
 Female genitalia, on: Euphr, lyc, sabin
 Genitalia, on: Lyc, psor, sabin, staph, thuj
 Penis, on: Psor, sabin
 Skin, on: Euphr, kali-c, nit-ac, ph-ac, rhus-t,
sep, staph, Thuj
 Moist, skin, on: Caust, lyc, Nit-ac, ph-ac, psor,
rhus-t, staph, thuj
 Oozing, penis, on: Am-m, cinnb, lyc, nit-ac, psor,
thuj
 Offensive: Nit-ac
 Painful, on pressure, palm, on: Nat-m
 Skin, on: Am-c, bov, calc, hep, kali-c, kali-i,
lach, lyc, nat-c, nat-m, nit-ac, petr, phos, rhus-t,
ruta, sabin, sep,sil, sulp, thuj
 Pulsating, skin, on: Calc, kali-c, lyc, petr, sep, sil,
sulp
 Red, skin, on: Calc, nat-s, thuj
 Sensitive, extremities, on: Nat-c
 Genitalia, on: Staph
 Rectum. on: Staph
 Skin, on: Caust, cupr, hep, nat-c, nat-m, Staph,
thuj
 Smelling like stale cheese, genitalia: Calc, hep,
sanic, thuj
 Smooth, skin, on: Ant-c, dulc, ruta
 Soft, genitalia, on: Sep
 Red & fleshy, female genitalia, on: Nat-s
 Skin, on: Ant-c, calc, Nit-ac, sil, thuj
 Sore, extremities, on: Ambr, fl-ac, ruta
 Rectum, on: Benz-ac, thuj
 Soreness, penis, on: Euphr, Nit-ac, ph-ac,
sabin, thuja
 with itching: Psor, sabin
 Stinging, skin, on: Am-c, ant-c, bar-c, calc,
caust, hep, lyc, Nit-ac, rhus-t, sep, sil, staph,
sulph, Thuj
 Stitching, skin, in: Bov, hep, Nit-ac
 Suppurating, skin, in: Ars, bov, calc, caust,
hep, nat-c, sil, thuj
 Syphilitic, skin, in: Aur, am-m, aur-m-n, hep,
merc, Nit-ac, staph1
 Tearing, skin, in: Am-c
 Thin epidermis, with: Nit-ac
 Ulcer, surrounded by a circle of: Ant-c, ars, calc,
nat-c, phos
 Withered, skin, on: Ars, calc, camph, caps,
cham, Chin, clem, cocc, croc, ferr, ferr-ar, ferr-
p, hyos, iod, kali-c, lyc, merc, ph-ac, phos,
rheum, rhod, sars, Sec, seneg, sil, spong, sulph,
verat
According to Character According to Character

16. Homoeopathic management
Medicines for external use
1.
Thuja Q
Thuja Ointment
Many times simple application of Thuja Q externally removes the
warts without any internal medication
Note: Dr.Hahnemann recommends use of pure juice of Thuja
mixed with equal part of alcohol as external application in the
most inveterate and difficult cases of warts. (Chronic disease Pg
No: 100)
2. Ruta Q
Ruta Ointment
Flat palmar warts with sore pains
3.
Sempervivum tectorum Q Fresh juice / Tincture locally for warts
4.
Sabina Q Locally tincture is used for removing warts
5.
Salicylic acid Ointment Useful for plantar warts

17. General measures
 Avoid touching and picking at warts to prevent spread to other areas
 Avoid brushing, combing and shaving the area on which warts are
present as trauma may aggravate the condition
 To prevent spread of genital warts adopt safe sexual practices such as
use of condom, avoidance of multiple sexual partners and prompt
treatment of STD’s

18. Cases of Warts
Dr. Pradip Kr. Roy
Case Briefing
A moderate build male patient named Mr. R, 56 years old, attended Meethapur Dispensary on 15th
December 2015(O.P.D. No. 12672), with a complaint of a solitary wart on his scalp for two months,
without any discomfort. He had once quatarized one warty lesion over his left hand. On query, he
complained of headache which was relieved after wearing cap and he had a tendency to catch cold easily .
1
Physical General
Thermal reaction : Chilly
Thirst : Moderate
Desire : Salt
Stool and Urine : Regular
Sleep : Sound
Perspiration : Scanty
Past History
Operated DNS : 10 years ago
Cholecystectomy : 5 years ago
Cauterization of warty lesion: 1 year ago

19. Prescription and Follow Up:
 15.12.2015: Thuja 1M- 1 dose, No placebo was given
 23.12.2015: He reported that the warty lesion had gone and there were no more warty lesions on his
scalp. He even carried his fallen wart in a plastic envelope
1
15.12.2015 23.12.2015
Cases of Warts
Dr. Pradip Kr. Roy

20. Case Briefing
This case was seen in the OPD of NHMC Hospital in the year 2012. The interesting thing in this case is
that, I prescribed the usual medicines, like Causticum, Natrum Mur and Dulcamara on the basis of
symptoms ( i.e. Desire and aversion of foods, characters of warts, thermal reaction of the patient and after
consulting the Kent’s Repertory) , but did not get any response. One day while reading Boericke’s Materia
Medica, I go through the line “Hands covered with warts” in Ferrum Picricum, and after consulting Kent’s
Repertory in Rubrics “Warts, Hand” I found the medicine Ferrum pic, though in third grade, prescribed
the same medicine in the next visit and I got good response in first prescription and with the continuation
with the medicine the warts are almost cured.
2Cases of Warts
Dr. Md. Sayeed Akhtar

21. 2Cases of Warts
Dr. Md. Sayeed Akhtar

22. Contributors
 Dr Jithesh T.K , C.M.O.
 Dr Malay Kumar Ray , M.O.
 Dr Pradip Kumar Roy, S.M.O.
 Dr Mohd. Sayeed Akhtar, M.O.
 Dr Anubha Sikka, M.O.
Compiled and Edited by
Dr Deepti Chawla, C.M.O, Dte. of AYUSH