Objectives: This study aimed to evolve a group of most effective homoeopathic medicines in the management of sinusitis, to identify their reliable indications, most useful potencies, frequency of administration, and their relationship with other medicines. Methods: An open, multi-centric, prospective, observational study was carried out during the period 1985 -2003. A total of 950 patients (424 males, 526 females), of both acute and chronic type, were registered on the basis of subjective and/or objective symptoms of sinusitis. Patients presenting with the complications of sinusitis or requiring hospitalization were excluded from the study. Homoeopathic medicines in different potencies (Q, 6, 30, 200 & 1M) were administered according to their prescribing indications. All the enrolled patients were treated for the period ranging from 1 month to 6 years depending upon acute or chronic nature of the disease condition. Besides homoeopathic intervention, patients were advised to follow general measures like steam inhalation and to avoid cold exposure. Results: Different clinical patterns were observed, viz. acute/chronic, frontal, fronto-maxillary (mixed), sphenoidal, ethmoidal and maxillary sinusitis. Three hundred and ninety four patients were followed up, out of which 138 patients were cured with no relapse after a follow up period of one year; varying degrees of improvement were seen, viz. marked improvement in 80 patients, moderate improvement in 91 patients, mild improvement in 66 patients. While 04 patients showed aggravation of their condition, 15 patients did not improve. In 141 patients of fronto-maxillary sinusitis, objective symptoms were relieved. Belladonna (n=16), Kali bichromicum (n=21), Nux vomica (n=14), Rhus toxicodendron (n=15), and Silicea (n=21) were found to be useful medicines in comparision to other medicines. Conclusion: This long term observational study indicated a positive role of homoeopathic medicines in the management of sinusitis. A group of medicines have been identified which have benefited the patients, when used on the basis of prescribing indications.
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