Clinical evaluation of homoeopathic medicines in HIV infection
Background & Objectives: Encouraging results
obtained from the pilot study (1989-1991) and randomized control trial
(1995-1997) in HIV infection at Regional Research Institute (H), Mumbai,
prompted Central Council for Research in Homoeopathy (CCRH) to carry out a
multi-centric clinical trial with an objective to evaluate the role of
homoeopathic medicines in the treatment of HIV infection, to help delay in
progression of infection and to see whether objective laboratory changes
corroborate with clinical improvement.
Methods: Fifteen hundred
twenty three people with HIV infection from different Units/Institutes of CCRH
were studied during the period 1989-2005. Cases were enrolled as per the
classification given by Centre for Disease Control (CDC) for HIV infection.
During each follow-up visit, changes in the body weight, biological functions,
presence or absence of minor or major opportunistic infections were
recorded. CD4/CD8 counts were done at
Mumbai centre from 1995 onwards and at National Institute of Communicable
Diseases, New Delhi for the cases enrolled at New Delhi centre.
Results: Six hundred and sixty
cases were followed up regularly. Out of these, 332 patients maintained
asymptomatic status for a period varying from 3 to 10 years and 215 patients
improved in varying degrees. No improvement was seen in 23cases, 52 cases were
worsened, 04 cases died and in 34 cases status could not be ascertained since
they were registered during last phase of study. It was observed that cases
presenting with minor ailments such as oral candidiasis, cough, weakness,
diarrhoea, weight loss etc. responded favorably to the homoeopathic
medicines. Arsenic alb. (n=102),
Bryonia (n=132), Calcarea carbonica (n=44), Lycopodium (n=84), Merc.sol.
(n=112), Natrum mur. (n=96), Nux vom.(n=80), Pulsatilla (n=124), Rhus tox.
(n=132), Sepia (n=49), Silicea (n=48), Sulphur (n=110) and Tuberculinum (n=88)
were the most efficacious medicines. Sustained psychological support influenced
the health of the people with HIV infection.
Conclusion: Homoeopathic medicines
could help in prolonging the life of asymptomatic cases, delaying or slowing
down progress of infection and maintaining the quality of life of the patients.
The results obtained suggest a definitive role of homoeopathic medicines in
managing people with HIV infection. A further study with additional laboratory
parameters like estimation of viral load is needed for scientific validation.
Key
words: observational study; homoeopathy;
HIV; AIDS; disease related; CCRH; India
Nirupama Mishra, Vikram Singh, S.k.Dey, K.C.Muralidharan, D.B.Sarkar, P.Kameshwar Rao
Regional Research Institute (H), Mumbai
K.Bhanu Murty, Ch.Raveendar, B.S.J.Raja Kumar
Regional Research Institute (H), Gudivada
K.Bhanu Murty, S.Bhuveneswari, S.k.Dey, P.Prasad
Clinical Research Unit (H), Chennai