A Case study of

LEUCORRHOEA
By

SURUCHI BHARTI
B.H.M.S. (UNDER INTERNSHIP)
[Link]-12665

MAGADH HOMEOPATHIC MEDICAL COLLEGE & HOSPITAL BIHARSHARIF (NALANDA)

UNDER THE GUIDANCE OF

DR. RAKESH SHARAN

LECTURER OF- MAGADH HOMEOPATHIC MEDICAL COLLEGE & HOSPITAL, BIHARSHARIF
(NALANDA)

SUBMITTED FOR THE DEGREE OF B.H.M.S

DURING INTERNSHIP TRAINING

DATE:-19-01-2022 TO 18-01-2023

MAGADH HOMEOPATHIC MEDICAL COLLEGE & HOSPITAL BIHARSHARIF (NALANDA)

AFFLIATED BY.

[Link] UNIVERSITY, MUZAFFARPUR (BIHAR)

Sr. CONTENT Page no
No

1. INTRODUCTION

2. CLINICAL MENIFESTATION

3. SYMPTOMS

4. ETIOLOGY

5. PATHOPHYSIOLOGY

6. COMPLICATION

7. DIAGONOSIS

8. INVESTIGATION

9. PROGNOSIS

10. MANAGEMENT

11. HOMEOPATHIC TREATMENT

12. CASES

13. BIBLIOGRAPHY

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5
INTRODUCTION
Leucorrhoea, also known as Fluor albas is a body discharge that is secreted from the genital organs
excessively [1]. In women, it may be physiological or pathological. Physiological leucorrhoea occur
according to menstruation process, usually transparent to whitish colored, and odorless. On the other
hand, pathological leucorrhoea is usually yellowish/greenish/greyish, smells fishy/foul, foul, the usually in
large amount and causes complaints such as itching, redness (erythema), edema, burning sensation in the
genitals, pain during sexual intercourse (dyspareunia) or pain during sexual intercourse. urination (dysuria).
In male, urethral discharge, either plenty or little is an indication inflammation response and shows to be
pathological A study conducted by Bai in 2015 shows that urethral discharge becomes the most
complained symptom consulted to a doctor. The highest incidence is found in the 21-30 years old age
group. Pathological leucorrhoea indicates vaginitis or cervicitis. Three most common vaginal infection in
pathological leucorrhoea includes bacterial vaginosis (BV), candidiasis vulvovaginalis (VVC) and
trichomoniasis, whereas cervical infection includes gonorrhea and chlamydiosis [4]. Rodrigues et al.
reported that in 2017, 785 male patients (98.1%) visit the sexually transmitted disease (STD) clinic due to
urethral discharge. Common causes include Neisseria gonorrhea (N. gonorrhea) 42rinating, foul odor,
itching or pain in the infected area, anorexia, constipation, and fatigue. Meanwhile, cervical leucorrhoea is
usually accompanied with low back pain [9]. There are several differences in clinical manifestations of
leucorrhoea in women based on the causative agent. In BV, the discharge smells strong, usually fishy, and
appears on the introit us of the vagina, especially after sexual intercourse [5]. Fig 3. shows a thin layer of
greyish white discharge on the vaginal wall accompanied with fishy vulva without signs of inflammation in
the vulva or vagina [17,19]. Meanwhile, in VVC there are signs of inflammation that are more prominent in
the vulva such as pruritus, discomfort, dyspareunia, dysuria, and there is excess body discharge with
varying consistency. The body is usually lumpy, white and odorless with signs of inflammation such as
erythema, vaginal fissure or edema and irritation / excoriation of the vulva due to epithelial invasion by
pathogens (Figure 4). With VVC there is no increase in vaginal ph. There may also be severe VVC
characterized by extensive vulvar erythema, edema, excoriation, and fissures [10]. Trichomoniasis infection
is 50-75% asymptomatic. As many as 30% only cause symptoms after 6 months of infection. The amount of
vaginal discharge is large, yellow or green in color, has a strong odor, and is frothy (Figure 5a). There is
hemorrhagic petechial on the vaginal wall called “strawberry cervix” (Figure 5b) [20]. The most frequent
and similar clinical manifestations are found in VVC and trichomoniasis, namely back pain and lower
abdominal pain followed by vulvar pruritus, fishy discharge and burning sensation when urinating, and
there are signs of inflammation [9,10]. Gonococcal infection and chlamydiosis usually present with
leucorrhea and purulent or mucopurulent discharge in the end cervix .

SYMPTOMS
Main symptoms of the disease are excessive vaginal discharge, pain in the thighs and calf muscles and
burning micturition etc. The vaginal discharge color may be whitish, yellowish, reddish and blackish. The
discharge may be accompanied with foul smelling and itchy sensation or a pain at the infected area. Others
associated symptoms of the disease with excessive vaginal discharge are
 Pain & heaviness in lower abdomen
 Constipation
 Anemia
 Local soreness
 Lumbago
 Malaise
 Breathlessness
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  Headache and Giddiness
 Indigestion
 Paleness
 Anorexia
 Pain in menstruation
 General weakness
 Polyuria
 Pruritus

ETIOLOGY
Other causative factors of the disease are:
 Spread of infection from urinary tract
 Inflammation of uterus
 Infections from bacteria, fungi or parasites – protozoa.
 Early/ young age pregnancy
 Injuries to the vagina, the womb or the cervix
 Allergy or contact dermatitis
 Pelvic inflammatory disease
 Contraceptives used by women
 Lack of cleanliness or poor hygienic measures especially during menses.
 Gonorrhea
 Gout
 Syphilis
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  Displacement of uterus
 Arthritis
 Typhoid
 Diabetes and anemia can provoke infections due to weakened immunity
 Mental anxiety or sexual frustration

Infection through mildew: Any fungus like yeast infects reproductive organs and causes Leucorrhoea.
If it is because of fungus, discharge will be thick white with itching in vagina. This kind of discharge is called
vaginal mildew.

Some sexually transmittable diseases cause Leucorrhoea. One of them is Trichomoniasis which
makes discharge greenish or yellow.

Dirty toilet also causes Leucorrhoea. Common usage of tools pertaining to toilet and particularly
public toilet infects female sexual organs and finally leads to Leucorrhoea. The disease seen in women who
excessively use medicine for sexual organ.

Problems related to last narrow part of womb: blister or swelling at the head of womb also causes
Leucorrhoea. In that case discharge is more profuse than during sexual intercourse. It is grey in color and
looks like coagulated blood.

Inflammation in below abdomen: Infection in below abdomen which contains sexual and
reproductive organs may cause inflammation leading to Leucorrhoea.

Various illnesses: women suffering from various diseases like tuberculosis and anemia get their
discharge increased to greater extent. The problem is in women who have weak immune system or take
diet lacking nutritive properties.

Stress or depression: to some level there are psychological factors causing the disease. Women too
much under pressure or depressed may be afflicted with the disease. Sometime come to clinic too
frightened as they say that their bones are decaying.

PATHOPHYSIOLOGY
The physiologic basis involved in normal vaginal secretion is dependent on the endogenous estrogen level.
With the rising estrogen level, there is abundant secretory activity of the end cervical glands and the
superficial vaginal epithelium becomes rich in glycogen. The mucoid secretion from the cervical glands is
normally small in amount. The carbohydrate radical of the glycoprotein musing is split off and fermented
into lactic acid. If, however, the mucus is secreted in excess, it pours out at the vulva.
The excessive secretion is due to:
1. Physiologic excess
2. Cervical cause (cervical leucorrhea)
3. Vaginal cause (vaginal leucorrhea)
1- Physiologic excess: The normal secretion is expected to increase in conditions when the estrogen levels
become high. Such conditions are:

8
During puberty - Increased levels of endogenous estrogen lead to marked overgrowth of the end cervical
epithelium which may encroach onto the ectocervix producing congenital ectopy (erosion) → increased
secretion.
During menstrual cycle
a. Around ovulation—Peak rise of estrogen → increase in secretory activity of the cervical glands.
b. Premenstrual pelvic congestion and increased mucus secretion from the hypertrophied endometrial
glands.
Pregnancy - There is hyperestrinism with increased vascularity. This leads to increased vaginal transudate
and cervical gland secretion.
During sexual excitement, when there is abundant secretion from the Bartholin’s glands.
2 - Cervical cause: Non-infective cervical lesion may produce excessive secretion, which pours out at the
vulva. Such lesions are—cervical octopi, chronic cervicitis, mucous polyp and ectropion (cervical glands are
exposed to the vagina).
3 - Vaginal cause: Increased vaginal transudation occurs in conditions associated with increased pelvic
congestion. The conditions are uterine prolapse, acquired retroverted uterus, chronic pelvic inflammation,
‘pill’ use and vaginal adenosis. Ill health is one of the important causes of excessive discharge. It produces
excess exfoliation of the superficial cells.

COMPLICATION
Leucorrhea can cause serious and life-threatening STI complications in both men and women, although the
frequency and severity of complications is generally greater in women.9,17 Complications of NGU in men
are rare. A range of 1-2% of cases can develop epididymitis, 1-2% conjunctivitis, stricture or urethral
stenosis can also occur as a result of post-inflammatory scar formation. The study found a small increase in
the incidence of prostatitis and a fourfold risk of developing epididymitis after chlamydial infection, but no
reported incidence of infertility. A 1% range can develop reactive arthritis (Reiter's syndrome).

9
 Women are more often clinically asymptomatic than men. Gonococcal infection and chlamydia in women
can cause serious complications, namely ectopic pregnancy and infertility due to tubal occlusion [9].
Research found NGU is more common in women, 10- 40% of cases, and can develop into pelvic
inflammatory disease, infertility, and ectopic pregnancy. Babies born to vaginitis mothers have the
potential for conjunctivitis, iritis, and pneumonia. Chlamydiosis can also cause lymph granuloma venereum,
a genital ulcer disease that presents as lymphadenitis or lymphangitis and can cause lymphatic obstruction,
stricture, or fistula [17]. Untreated chlamydia can increase the risk of infertility and ectopic pregnancy.
Infants born to mothers infected with C. trachomatis may develop conjunctivitis and / or pneumonia.
Chlamydia trachomatis can infect the eye or is called “trachoma” which causes blindness [18]. Bacterial
vaginosis can also predispose to endometritis and salpingitis. Mucopurulent cervicitis and BV can
simultaneously cause mixed tubal infection [19]. Bacterial vaginosis can also cause abortion in the second
trimester of pregnancy, pelvic inflammatory disease, preterm birth, chorioamnionitis, post-gynecological
surgery infection, and easier transmission of HIV. Trichomoniasis infection is associated with preterm
delivery, premature rupture of membranes, and LBW [9]. A 2004 metaanalysis study by Riggs et al. In 2004
said that as many as 30% of trichomoniasis patients had a risk of delivering LBW and preterm babies [20].
Vulvovaginal candidiasis in pregnant women can cause Candida infection in neonates and the main cause
of septicemia with a morbidity rate of 25% and a mortality of 25-54%

DIAGONOSIS
Vulvovaginitis symptoms can be diagnosed through basic diagnostic procedure such as anamnesis,
physical examination and other supportive examination which includes vaginal pH examination, whiff/KOH
test, and microscopic wet preparation test. Microbiologic examination is only performed if there is a
recurrent or chronic persistent infection [6,8-9].
Common complains would be leucorrhoea that is accompanied with malodorous, itchiness, burning
sensation, spotting and dyspareunia [6]. Increased amount of discharge, abnormal odor, consistency or
color [8,10]. History of sexual activity including number of sexual partner, partner’s sex, frequency of
sexual intercourse, technique, history of STD in patient and partner. Lower abdominal pain indicates
ascending infection [6].
Perform an inspection of the external genitalia and perianal area to observe signs of ski changes such as
inflammation, ulceration, scratch marks, and lumps. In abnormal condition, leucorrhoea may be found on
the vulva. Inspect inguinal lymph node enlargement to rule out the differential diagnosis of primary genital
herpes. Examination using a speculum is essential to identify inflammation, ulcers, strictures, neoplasia,
and vaginal and cervical discharges. The amount, consistency, and location of vaginal discharge must be
assessed. Discharges are taken with a cotton swab from the vaginal wall avoiding contamination of the
cervical mucus as it will cause a false positive. The whitish color should be considered compared to the
white color on cotton swabs. The acidity level of the vagina should be determined directly by rubbing a
cotton swab containing the specimen onto pH indicator paper.
Supporting examinations that can be carried out are in the form of examination of wet preparations
and microbiological examination. The specimen for examination of wet preparations taken by vaginal
vaginal discharge is mixed with one drop of saline plus one drop of 10% KOH on the slide. Identify the fishy
odor after mixing the specimen with KOH. Microscopic examination of saline and KOH wet preparations
aims to detect normal epithelial cells, clue cells, PMN leukocytes, motile trichomonas, or fungal forms,
especially fungal hypha and their numbers. The diagnosis of BV is established if it meets the three criteria
of Amsel, namely homogeneous adherent white discharges, pH 4.5, clue cells, and amine odor after
discharges are mixed with 10% KOH. [4] Gram staining of vaginal discharges using the Nugent score is the
gold standard for the diagnosis of BV. Scores 0-3 are interpreted as "normal flora", 4-6 "intermediate
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flora", and 7-10 for VB. [6] Table 3 describes the important microscopic examination of wet preparations
performed in patients with complaints of vaginal discharges. Vaginal discharge is allowed to stand for ± 10
minutes to avoid structural changes. The whiff test (KOH test) was only performed on patients who
complained of a fishy odor (amine odor) who showed suspicion of BV [7]. Microscopic examination of wet
preparations in trichomoniasis found trichomonads movement, increased leukocyte count, and pH> 4.5.
Whereas in VVC, spores, hyphae, or yeast buds will be found on the examination of wet preparations.
If diagnosis cannot be confirmed through microscopic examination, microbiological examination is
indicated. Examination for C. albicans, T. vaginalis culture or gram staining may be necessary to rule out
other differential diagnoses.
Perform swabs if there are indications for microbiological examination according to the location of
the suspected abnormality (vaginitis or cervicitis). Swabs for bacterial culture are taken from the surface of
the cervix around the outside of the cervix or from the vagina, swabs for molecular diagnosis of Chlamydia
are taken from the cervical canal, and swabs for fungal culture are taken from infected sites in the vagina
and vulva. Some of the conditions indicated by microbiological examination are purulent cervicitis (swab
originating from the cervical canal), HBV with additional complaints such as lower abdominal pain,
suspicion of a fungal infection but negative wet preparation, recurrent chronic mycosis, results of wet
preparations found more leukocytes than epithelium or leukocytes> 25 in cervical discharges
(magnification 400x). External velvets is one indication of microbiological examination. The most common
causes were C. barbicans followed by Staphylococcus aurous and Streptococcus progenies. Microbiological
culture examination on BV will reveal a quantitative and qualitative decrease in Lactobacillus colonies
accompanied by an increase in anaerobic bacteria such as G. vaginalis, M. spp., L. sneathia, Megasphaera,
and M. hominis. Women with suspected trichomoniasis but no movement of trichomonads on microscopic
examination are recommended for microbiological culture.
The diagnostic flow chart for leucorrhea in women based on symptoms using speculum examination
and microscopic examination (Fig.8) and using special laboratory examinations (Figure 9) [22]. The goal of
the leucorrhea management strategy in women is to systematically treat vaginal infections but the risk of
cervical infection is also assessed. If the risk assessment is positive, the patient should be given additional
treatment for gonococcal infection and chlamydia. Markers of risk such as symptomatic partner, age 21
years, unmarried, and having had more than one or had new sexual partners in the last 3 months. Once the
possibility of cervical infection has been ruled out, subsequent management diagnosis focuses on vaginal
infections.

INVESTIGATION
General Practice
Microscopy can identify candidiasis and BV. BV is diagnosed when at least three out of four of the following
are present:
Homogenous white-grey non inflammatory discharge.
 PH of vaginal fluid >4.5 (Beware, the pH of normal cervical mucus is 7)
 Positive amine test (release of amine odor with 10% KOH)
 Clue cells
For practical reasons, few surgeries are able to perform microscopy or the amine test and a diagnosis of
BV is usually made on the basis of symptoms +/- signs +/- pH.

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 Although clinical diagnoses correlate poorly with laboratory findings it is reasonable to treat first or
occasional episodes of vaginal discharge according to clinical findings without sending specimens to the
laboratory (see above and flow chart). It would be appropriate to submit occasional samples from “typical”
cases of candidosis or BV to allow personal comparison of laboratory and clinical findings .

PROGNOSIS
Infection
Sign and symptomms --------------------------------------------------------------------------------------
Bacterial vaginosis Candidiasis Trichomoniasis
Discharge Few White, Thick Few to plenty

Odor Fishy Non-offensive Offensive

Itch Absent Vulvar itch Vulvar itch

Other symptoms Dyspareunia pain Lower abdominal
Dysuria Superficial pain
Dyspareunia

Signs Discharges covers normal or presence Thick yellowish

Vaginal wall and of discharge
Vestibule Vulvar erythema Vulvitis
No vulvar Edema Vaginitis
Inflammation Fissure Cervisitis
Satelite lessions

Vaginal Ph >4, 5 <=4,5 >4,5

VVC Classification
Uncomplicated VVC Complicated VVC

Sporadic atau infrequent; and Recurrent; or

Mild to moderate degree; and Severe degree; or

Commom etiology; C. albicans Non-albicans candidiasis; or

Non-immunocompromised women Uncontrolled Diabetes Mellitus

Paralysed, immunosuppressed, or
Pregnant women

Wet preparation examination and “whiff” test

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Without wet preparation staining 1 drop of 0.9% NaCl on a glass object mixed with vaginal discharges,
cover with a glass cover without moving it and causing air bubble

Wet preparation staining Mix 1 drop of 0.9% NaCl with methylene blue on the slide. Or a mixture of 0.2
ml of 0.5% methylene blue and 1.8 ml of 0.9% NaCl in a 2 ml syringe. The solution mixture can be used
after a few days with the syringe still closed.

Whiff test Add vaginal discharge with 1 drop of 10% KOH solution without covering the glass cover,
causing the smell of amine "fishy odor"

Notes: wet preparation microscopic examination should be performed within 10 minutes after
preparation; if trichomoniasis is suspected, perform examination without wet preparation.

MANAGEMENT
 If leucorrhoea is due to the weakness of nutritive power then Apple should be given. Easily
digestible foods and beverages increase the nutritive power of uterus.
 If leucorrhoea is caused by metritis then the same treatment should be prescribed as the treatment
for metritis.
 In the presence of general weakness the general body tonics must be given.
 In the condition of Anemia, iron compound should be given.
 In the treatment of the disease, digestion should be maintained and constipation in patients should
be removed.
 Maintain and strengthen all vital organs of body to improve the general health of the patient.
 Sympathetic attitude must be kept towards the patient and the anxiety state should be removed if
the patient is anxious.
 Loose fitting undergarments preferably cotton made should be used by the patients to keep the
area aerated.
 Local hygiene is to be taken care of and sanitation should be maintained always.

HOMEOPATHIC TREATMENT
Homoeopathy can be proved an effective method of treatment in leucorrhoea as it emphasizes not only
treating signs and symptoms but also treating the patient as a whole. It not only manages leucorrhoea but
also improves other functions. A homoeopathic physician considers the man as a whole. He considers the
life as a trinity of body, mind and soul. An understanding of these helps physician to understand mental
state more deeply.
Homeopathy is a system of therapeutics based on law of similars. “Like cures like” ‘Similia Similibus
Curentur’. It is a universal law, where patient is prescribed a similimum on the basis of ‘Totality of
Symptoms’. The disease is a reaction of the patient to unfavorable environment factors and that this
reaction manifests through signs and symptoms the patterns of this reaction and the essence of these sign
and symptoms gives totality of symptoms.
The following Homoeopathic medicine may be useful in treatment of leucorrhoea:
Alumina
 Leucorrhea in chlorotic girls which is transparent and yellow in color.
 Very profuse and ropy
 Greatly exhausting, as it is very rich in albumen.
 It occurs chiefly in the daytime
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  The great profuseness is its characteristic.
 Very bad constipation. Patient has to strain much even for soft stool .
Arsenicum Album
 Leucorrhea acrid, thin, offensive causes burning to the parts.
 Burning pain as red hot iron.
 Stitching pains in pelvis extending to thigh.
 All complaints worse on least exertion.
 Patient exhausted both mentally and physically.
 Restlessness cannot remain in same position or at same place.
 Thirst for large quantity at frequent intervals.

Borax
 Clear, copious and albuminous leucorrhoea.
 Leucorrhea with sensation as warm water is flowing.
 Leucorrhoea midway between menses with great nervousness.
 White as starch, perfectly bland without pain.
 Menses too profuse, too soon with nausea.
Caulophyllum Thalictroides
 Leucorrhoea in little girls which is very profuse and weakness the child very much.
Calcarea Carbonica
 Indicated by its general symptoms and these are always the more important in this affection. More
prominent of these are morning hunger, acidity of the stomach, cold and damp feet.
 It corresponds especially to scrofulous persons with enlarged cervical glands.
 The leucorrhoea is profuse, milky, persistent or yellow and accompanied by itching and burning.
 It suits leucorrhoea in young girls often recurring before puberty.
 Leucorrhoea before menses or in recurring attacks between the menses.
 Menses profuse and long lasting.
 Coldness or hands and feet with profuse cold sweat .
Conium Maculatum
 Induration of the os and cervix; acrid leucorrhoea; vagina excoriated.
 "Conium is a valuable special narcotic to the genital organs when we have uterine colic, connected
with leucorrhoea flow; menstrual tympanitis; aching pains in the hypogastrium, like menstrual
colic."-R. Ludlam, M. D.
 Sexual organs, female - Burning, acrid, pungent leucorrhoea.
 "Prolapsus uteri, complicated with induration, ulceration, and profuse excoriating leucorrhoea."
 Eruptions on the vulva, with much itching from acid leucorrhoea.
Calcaria Phosphorica 
 A fine remedy in the scrofulous diathesis; it has a profuse milky bland leucorrhoea.
Helonias Dioica

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  For profuse, yellow, thick leucorrhoea with some irritation and itching, in anaemic sallow patients
with much prostration and general debility, worse from slight colds and excretion, it is most useful
remedy.

Hydrastis Canadensis
 Tenacious, thick, ropy leucorrhoea with erosion of the cervix; a mucous leucorrhoea which is
profuse and debilitating corresponds to Hydrastis .
Kalium Bichromicum
 A yellow, ropy, stringy leucorrhoea.
 It is suitable to fat, light haired persons .
Kreasotum
 Profuse watery, sometimes a yellowish leucorrhoea.
 Acridity is marked; it causes excoriating of the parts which come in contact with it and causes
soreness and smarting and red spots and itching on the vulva.
 Leucorrhea with great debility.
Lilium Tigrinum
 An excoriating, watery, yellowish or yellowish brown leucorrhoea, which is profuse and is
accompanied by a depression of spirits and bearing down in pelvic region.
Magnesium Muriaticum
 Leucorrhoea after every stool or following uterine spasms.
 Leucorrhoea two weeks after menses
 Cramp-like pains in abdomen, esp. in evening, and sometimes followed by leucorrhoea.
 Cramps in uterus, sometimes with pains extending to thighs, and leucorrhoea.
 Leucorrhoea, esp. during movement, or proceeded by cramps in abdomen.
 Leucorrhoea immediately after stool.
Mercurius
 Acrid excoriating leucorrhoea smarting and burning, swelling of external genital organs.
 Purulent greenish yellow leucorrhoea worse at night; heat, tenderness and pain involving
nabothian glands, form good indication for Mercurius.
 Subjects with yellow and thick leucorrhoea also indicate the remedy.
Natrium Muriaticum
 Much bearing down and much leucorrhoea.
 Leucorrhoea, with headache, disposition to diarrhea, colic, and mucous evacuations.
 Acrid (greenish) leucorrhoea (increased discharge when walking), with yellow color of face.
 The leucorrhoea is white and thick.
 The leucorrhoea, which is at first white, turns green.
 It takes years to establish health in a typical choruses; the cut finger bleeds only water; the
menstrual flow is only a leucorrhoea; there is pernicious anemia.
Nitricum Acidum

15
  Flesh-colored or greenish leucorrhoea.
 "Cherry-brown, and fetid leucorrhoea."
 "Leucorrhoea where a syphilitic taint is the basis of the affection."
 Leucorrhoea, consisting of mucus, which can be drawn out.
 The inguinal glands are sympathetically affected with the leucorrhoea.
 Offensive leucorrhoea, offensive catarrh, and breath; foetid foot sweat.
 Excoriation of the parts from leucorrhoea and menstrual discharges.
 Thin, bloody, excoriating leucorrhoea at all times or at any time.
Pulsatilla
 Milky leucorrhea which becomes watery, acrid from being retained in the vagina.
 Thick, creamy, white leucorrhoea sometimes replacing menses.
 Disposition to lie down and dullness very marked.
 Mild yielding female with irritability due to disease.
 Desire for fatty rich food which aggravate.
 Patient feels better when telling her complaints.
Sabina
 Chronic catarrh of vagina with granulations, copious leucorrhoea.:
 Bloody leucorrhoea.
 Suppressed catamenia with very offensive-smelling leucorrhoea
 Leucorrhoea, itching, yellowish, fetid, and thick, like starch.
Sepia
 Leucorrhea yellowish green color, somewhat offensive and often excoriating. Sepia homeopathy
medicine for leucorrhea
 It is milky, worse before menses.
 Pain in abdomen and itching in vagina.
 The patient has a sallow, pimply face, and it is most suitable to those of dark complexion who are
feeble and debilitated and who have a sensation of emptiness at the pit of the stomach.
 Mentally patient is very anxious about family and her children. Or may be indifferent to them.
 Leucorrhea with backache.
Silicea Terra
 Leucorrhoea, which flows when urinating, or after the menses.
 Leucorrhoea, like milk, flowing at intervals, and preceded by griping in umbilical region.
 Acrid, corrosive leucorrhoea.
 "Constipation before and during the menses, of hard lumps which remain long in the rectum, as if it
had no power to expel them.". [With corrosive watery leucorrhoea.]
 Acrid, profuse leucorrhoea, with itching of the vulva.
Sulphur
 Complaints that are always relapsing (menses, leucorrhoea, and c.); patient seems to get almost
well when the disease returns again and again.
 Agg. Before, during, and after menses (headache; leucorrhoea).
 Before menses headache, itching in the parts; spasmodic colic; inquietude; cough; toothache; pyros
is; epistaxis; leucorrhoea, and asthmatic sufferings.

16
  Leucorrhoea sometimes corrosive; gnawing and yellowish, preceded by colic.
 Cancer of uterus; offensive, corrosive, achromous leucorrhoea; sensation of heat in crown of head;
coldness of feet; flushes of heat pass off in a perspiration with faintness; weak at pit of stomach 11
a.m. to 12; violent burning in vagina, with painful soreness during coitus.

CASE 1 Date-27/07/2022

Reg no-16813 Age-20 yrs.

Name- Sarita Devi Sex-female
w/o-Mahendra paswan Religion-Hindu
Occupation-Housewife
PROVISIONAL DIAGNOSIS LEUCORRHOEA
PERSENT COMPLAINTS ANDTREATMENT:-
 Leucorrhoea since 6 months.
 White color and thick discharge
 Pain in whole body and weakness
 Gas formation in whole abdomen
MODALITY: < Day time
>Night time
PHYSICAL GENERAL:-
Appetite- less
Thirst- N
Stool- Hard
Urine- Burning
Desires- Simple food
ADVICE-(1) Nux Vomica-200, 1 dose
(2)Borax-200, 1 dram, 1x2

CASE-2
Reg No. 22306 Date 24/09/2022
Name:-Monika Kumari Age 22yrs
D/o:- Dhananjay kumar Sex:- female
Add- Murarura Religion:-Hindu
Occupation- Student
PROVISIONAL DIAGONOSIS- LEUCORRHOEA

17
PRESENT COMPLAINTS AND TREATMENT
Leucorrhoea since 2 yrs
Milky white and thick discharge
Itching and Bad Smelling
Weakness and Vertigo
Gas Formation in whole abdomen
MODALITY:- < Night Time
>Day time
PHYSICAL GENERAL-
Appetite less
Thirst-N
Stool –Doesn’t clear
Urine-N
Desire- simple food
ADVICE- (1) Alumina 30, 1dram 1x2
(2) China 30, 1 dram 1x2
Follow up- Improved
Date 2/10/2022 (1) Alumina 30, 1dram 1*2 (2) China 30, 1 dram 1x2

CASE 3
Reg No 26357 Date 10/11/2022
Name- Ushakumari Age 39yrs
W/O- Sadanand kumar Sex- Female
Address- Jagahgirpur Religion-Hindu
Occupation- Govt. teacher
PROVISIONAL DIAGONOSIS- LEUCORRHOEA
PRESENT COMPLAINTS AND TREATMENT
Leucorrhoea since 1year
White and Thin discharge
Pain in Both legs
Constipation
MODALITY:- > Day time
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 <Night time
PHYSICAL GENAERAL
Appetite-N
Thrust- N
Stool- N
Urine- N
Desire- simple food
ADVICE- (1) Borax200, 1dram 1x2
(2) China 200, 1 dram 1x2
Follow up- Improved
Date 5/11/2022 (1) Borax200, 1dram 1*2 (2) China 200, 1 dram 1x2

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CASE 4
Reg No 25387 Date 29/10/2022
Name- Manjabin khatoon Age 20yrs
W/O- Md. Kalim Sex- Female
Address- Thawai Mohalla religion-Muslim
Occupation- Housewife
PROVISIONAL DIAGONOSIS- LEUCORRHOEA
PRESENT COMPLAINTS AND TREATMENT
Leucorrhoea since 5months
Thick and milky white color discharge
Weakness and vertigo
Pain in whole body headache pain
MODALITY:- < Day time
<Night time
PHYSICAL GENAERAL
Appetite-Less
Thrust- N
Stool- N
Urine- N
Desire- Sweets
ADVICE- (1) Alumina200, 1dram 1x2
(2) Borax 200, 1 dram 1x2
Follow up- Improved
Date 8/11/2022 (1) Alumina200, 1dram 1*2 (2) Borax200, 1 dram 1x2

CASE 5
Reg No 648 Date 13/01/2023
Name- Mulekha kumari Age 18yrs
W/O- Sagar pratap Sex- Female
Address- Sakunat Religion-Hindu
Occupation- Housewife

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PROVISIONAL DIAGONOSIS- LEUCORRHOEA
PRESENT COMPLAINTS AND TREATMENT
Leucorrhoea since 2years
White and thick discharge and sometime thin discharge
Pain in both legs and also pain abdomen after gas formation
Weakness
MODALITY:- < Day time
>Night time
PHYSICAL GENAERAL
Appetite-N
Thrust- N
Stool- Hard
Urine- N
Desire- Spicy food
ADVICE- (1) Alumina 30, 1dram 1x2
(2) China 30, 1 dram 1x2
Follow up- Improved
Date 18/1/2023 (1) Alumina 30, 1dram 1*2 (2) China 30, 1 dram 1x

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