Discussion:
Classical homeopathy considers the presenting pathology along with the mental/emotional disturbances experienced by the patient in association with their hereditary influences and past diseases and treatments to synthesize an integrated picture of the diseased patient. This is then used to select the remedy that is indicated for that specific picture. Thus, personalized treatment is provided to every patient. As also observed in this case, the homeopathic remedies were selected for such a totality of physical, mental and emotional suffering along with the hereditary influences, and the outcome was favorable. Homeopathy has been shown to be beneficial in various cancerous conditions, but seldom in CIN and HPV 10,12. Further, in this case, we see the most pertinent favorable prognostic sign with treatment – the return of a previously suppressed skin eruption. While evidence exists for the direct association of history of atopic dermatitis with cervical cancer 13, the homeopathic perspective is different from this. When a patient is being treated for what is considered deeper pathology (such as CIN in this case), the return of a more superficial pathology (in this case, atopic dermatitis) that the patient had suffered from earlier in her life and which had been suppressed at that time, is considered a sure indication of improvement in the deeper pathology 14. Here, it was corroborated by the biopsy and viral DNA analysis reports, which showed absence of CIN histology and HPV DNA after treatment. The causality assessment with Modified Naranjo Criteria for Homeopathy (MONARCH) yielded a score of 10/13, indicating strong causal relation of the effects to the treatment (Table 2).