Introduction

       Dr. S. Murali Krishna is a leading practitioner practices at Visak,Andra Pradesh state . He is enthusiastic in treating challenging cases, very often his study will be emphasized on Evidence Based Medicine. Here he presents a plantar calluses.

       Corns and calluses arise from hyperkeratosis, a normal physiological response to chronic excessive pressure or friction on the skin. They may be caused by excessive irritation from poorly fitting shoes or by abnormal pressure if there is a deformity of the foot. Callosities can be painful, and the symptoms may be so intense as to seriously affect a person’s gait, choice of footwear, and activities. While many patients seek symptomatic relief from a chiropodist or pharmacist, doctors should be familiar with the diagnosis and management of these common disorders.

       A corn represents a circumscribed, sharply demarcated area of traumatic hyperkeratosis. It has a visible translucent central core which presses deeply into the dermis, causing pain and sometimes inflammation. The hard corn (heloma durum) represents the classic corn—a dry horny mass most commonly found on the dorsolateral aspect of the fifth toe or the dorsum of the interphalangeal joints of the lesser toes .It is often termed the digital corn. The soft corn is found between the toes and kept soft by moisture

       A callus is a broad based, diffuse area of hyperkeratosis of relatively even thickness, most commonly found under the metatarsal heads. A callus is less circumscribed than a corn, is usually larger, does not have a central core, and may or may not be painful. The terms tyloma or clavus are sometimes used to denote a callus.

       We know the treatment part in modern Medicines Chemical peeling, Cauterization or surgical. Dynamism has its own merit in treating such cases without knife.

       A forty year old male working in a poultry, consulted me for callus in both heels since twelve years. He tried all sorts of measures and nothing benefited him. Finally he approached me for homoeopathic treatment since another case had responded well to the corns. Pain is more during walking and only in the day.

       Symptomatology and Evaluation.
· Thickening of the skin in both heels and few corns in the upper parts on both sides
· Pain < day , Exertion
· H/o Exposure in the past
· Cousins have similar problem
· Fearful, suspicious
· Desires sweets, Ice creams
· Very forgetful , forgets the threads while speaking.
· Tall, Medium Built
· Sleeps sometimes on the abdomen.

       Even though the symptoms called the remedy Medorrhinum , I prescribed Thuja 1M initially on 18th , Februray 2003, then the same remedy was prescribed with increased potencies. No results! I restudied the case and placed him under Medorrhinum 200 on 3rd,April, 2004 After few follow ups, he was pleased with improvement and the same remedy was continued. After two year the result is wonderful.

       The photographs taken before, during and after is published in the back wrapper. Conculsion. Prescription of the drug on miasmatic basis will shorten the duration. I think Medorrhinum is a best complement to Thuja when the case resistant to respond. Prescription on the basis of sycotic miasm gains name to a physician.

Before	After