Effectiveness of individualized homoeopathic medicine “Thuja occidentalis” in Verruca vulgaris: A review with case documentation

Background: Warts (verrucae) are benign epidermal proliferations caused by human papillomavirus (HPV) infection. Although often self-limiting, they may persist, recur, or cause cosmetic and psychological distress. Conventional treatment primarily involves destructive or immunomodulatory measures, which may be painful and associated with recurrence. Homoeopathy interprets warts as manifestations of internal miasmatic imbalance, predominantly sycosis, and emphasizes constitutional management. Objective: To present a comprehensive overview of warts from both contemporary medical and homoeopathic perspectives and to document a successfully treated case of scalp wart using individualized homoeopathic therapy. Methods: A narrative review of warts covering definition, types, etiology, pathophysiology, diagnosis, prevention, and conventional treatment was undertaken, followed by a detailed homoeopathic case report of an 11-year-old male with a cauliflower-like scalp wart. Case analysis was performed using Kentian totality and repertorization (RADAR-style), leading to the prescription of Thuja occidentalis. Results: The patient showed progressive regression of the wart following administration of Thuja occidentalis 1000C, with complete resolution within three months and no recurrence during follow-up. General health and well-being were maintained throughout the treatment. Conclusion: This case supports the homoeopathic concept that warts represent systemic miasmatic expressions rather than isolated local pathology. Individualized constitutional treatment, without local suppression, may result in gentle, sustained, and complete recovery. Further systematic studies are warranted to substantiate these observations.