A 31-year-old, recently married woman executive in a corporate office presented at our clinic with a complaint of a repeated boil, below her left ear pinna for 6 months. She has had 4 episodes of the boil in the last 6 months, diagnosed as a non-resolving *sebaceous cyst*. She was advised surgery as the boil became large like the size of a pea. It would also get inflamed, but never burst to release the pus. She had to get it repeatedly excised and drained. In these types of cases, antibiotics and anti-inflammatory drugs alone do not help resolve the abscess; surgery is always recommended. She reached out to our office and her boil was inflamed, hard, and moderately tender to touch. In addition to her boil, the patient had a history of repeated episodes of acne. I examined her and didn’t find and didn’t any other significant history or symptoms. The patient was anxious and wanted treatment as she didn’t feel energetic and healthy.The case was repertorised using the very limited symptoms available for repertorisation. Skin glands sebaceousSkin inflammation gland sebaceousGlands abscessesClinical abscessAbscess mature hard to
After repertorisation, the most strongly indicated remedy was Silicea.
It was given in 200 potencies as a single dose. Patient-reported after 4 days with intense pain, tenderness, and warmth of the affected area. The abscess had increased in size and very tender to touch. The patient could not bear the slightest touch or even draft of air. The patient was given Hepar Sulph 30, 4 pills at 6 hourly intervals up to 6 doses. The patient called up the next day saying that the cyst has burst open with a remarkable reduction in pain and swelling; she also says she has never felt so well before! Given Anthracinum 1M,1 dose to prevent recurrence of the abscess. The patient asked to report telephonically every month for 3 months regarding her progress and to check for any recurrence. It is now 6 months since the treatment and the patient has had no episode of an infected sebaceous cyst ever since.
Even in acute short cases, one can reach the Similimum quickly in the presence of a few characteristic symptoms. Silicea is one of the best remedies in hard abscesses where they neither burst nor settle. In this case, Silicea hastened the suppuration paving the way for Hepar Sulph ( strong indication ..suppuration and extreme pain on slightest touch )which completed the cure! Anthracinum as an intermittent dose was given to arrest the fulminant progress of her cyst, a sure-fire remedy that has proven its mettle when the best-selected remedy is not enough to control a suppurative, septic progression!