Wednesday, February 27, 2013

Blind Eye Cure

Name: Master A. G. Age: 9 yrs Standard: nursery Chief complaints: - Vision: 60-70% can only see straight, not sides, has to turn the head in order to see on sides restricted eyeball movements and field of vision. - He cannot write, unable to hold pen. - Hyperactive child with difficult concentration - Hunger increased very much, can’t tolerate hunger, and has to eat something or other every hourly. - Cracked corners of the lips. Recurrent ulcers in mouth. - Recurrent redness and swelling of the nailbed. ODP: 25th august 2004 he started with fever which was not controlled by medicines. During high fever he had severe headache, occasionally vomiting.he became unconscious and he was being diagnosed as having meningitis.he was operated twice and shunt was implanted on right side.then he started improving and came out of coma,but he lost his eyesight completely.gradually over period of 9 months vision came but only 85% ,he could see only straight not on sides. Investigations: MRI: Multiple small to moderate size infarcts involving rt medial frontal lobe and bilateral basal ganglia region with enhancing cisternal exudates and leptomeningeal enhancement.moderate communicating hydrocephalus is also noted.MRI features suggestive of meningitis.?TB CT HEAD:15\10\2004 Post meningitic sequelae with exudates small right frontal extradural collection.moderate size rt frontal parietal subdural hygroma and small ischemic lesion. CT HEAD :19\11\2004 Moderate size subdural collection is noted in collateral fronto parital region producing diffuse significant compressive effect over cerebral parenchyma. Gliotic changes in right temporal parietal lobe, right frontal lobe and bilateral ganglion Extensive sub arachnoid hemorrhage observed. Supratentorial and posterior fossa sub cisternal spaces also affected. Past history: Recurrent mouth ulcer in childhood. - Recurrent complaints of cracks at mucocutaneous junction before meningitis - Tendency for diarrhoea and especially G.I.T would get easily affected before meningitis. - He used to have greenish stool in childhood GENERAL MAKE UP: Appetite: Increased very much, hungry eats every one hour. Prefers warm food only Cannot tolerate hunger. As soon as wakes up in morning first thing he asks is t eat something Thirst: Thirsty Thermals: HOT Desires: Sweets+3, Rice, Milk++ Aversion: Sour++ Stool/ Urine: no complaints Sleep: Sound sleep, sleeps on abdomen Perspiration: Profuse summer during. Sensitivity: Sun/ Noise/ Light/ Odor: NAD Tongue: red, moist Tight clothing: Can’t tolerate around abdomen MENTAL MAKEUP: Before meningitis: Very Angry and obstinate child, aversion to bathing, brushing. Used to cry loudly while bathing Memory very sharp. Very talkative, makes friends very easily. Extrovert child could mix easily with new people. He is a pampered child. No fears as a child. After getting angry he used to vomit voluntarily by putting his fingers in mouth. used to bang his head on floor in anger. Though he likes milk very much but couldn’t tolerate changes in milk form if buffalo milk was given then he used to get severe diarrhoea. Never used to take cold milk, he would prefer only warm milk. Weeping on criticism and rudeness Likes hearing music. Since childhood itself hunger is increased After meningitis: His reaction to anger or scolded he becomes aloof and sulks. ANALYSIS: After the case was presented ,Sir asked Father is there any significant change in his behaviour? He said yes his desire to go out of house has increased a lot. Sir asked him to explain. Father said that since earlier he liked very much to go out but after meningitis this nature has increased a lot now he can’t stay at his home at all ,will go to each and every house of his colony and will tell them everything what happened in his house and will ask about their things. Every day he visits everyone’s house without fail. He exchanges all the happening around him in every house. He keeps roaming in the premises around the colony. Sir said that this is syphilitic quality where he just has to go out of his house everyday and this is Wandering desire for Further Sir asked Father to tell about his extroverted nature? He said that we are sitting in your waiting area since 2-3 hours and during this time he had made friendship with all the people sitting outside. Wherever he goes anywhere he will approach to everyone around and will make friends. Sir said that this is Cosmopolitan mind, where he can attract and mix very easily with new people around him. SOA: C.N.S, G.I.T., Mucocutaneous junctions MIASM: Syco-Syphilis INTELLECT: Good WILL POWER: Fair MEMORY: Very Good Mental make up: PSORA: Sensitive to rudeness Non Conscientious Non Diligent SYCOSIS Obstinate, Extrovert, Anger on Self, Hyperactive, SYPHILIS Wandering desire Physical Generals: Hunger aggravates Speed: Fast Thermal: Hot Thirst: Thirsty Repertorisation Thus looking at the Childs Disposition which is Primary extroverted i.e. cosmopolitan, Hyperactive since before illness, very Obstinate and marked desire for milk. Sir said that both Phosphorus and Tuberculinum can attract so many people around them. As child was Hot and Thirsty he was Prescribed Tuberculinum 200 Single dose on 19/01/2010 Follow ups: 9/6/10 ■Now has stopped wandering. (Syphilitic ↓↓) ■Sight improved. ■Does not ask for food immediately as he wakes up, earlier he use to do so. ■Ulcers in mouth better. ■Cannot read, write. ■In excitement repeats things. Remedy given :-SL 24/12/10 ■Concentration improved ■Tries to hold pencil and scribbles. ■Repetition slightly better. ■Vision improved. [can now see even at distance, now sees T.V also] ■No wandering after our medicine started. ■Ulcers in mouth better Remedy given :-SL About Tuberculinum children Sir says that they are very fair, nice looking, good looking. Who are very obstinate headstrong children they don’t listen of anyone do what they want but same time Tubercular diathesis i.e. Long bones and eyelashes, fair complexion, delicate skin and sharp features. They love to travel and wander; they themselves may be slow at times but always want things to be done at fast speed and same time love to travel with speed on bikes and cars. In Drawing also because of their restless and wandering mind they mess up with colours. They are loving and caring but angry, abusive and can be destructive. Main points to be remembered: - Cosmopolitan: likes socializing, extroverted. - Restlessness - Obstinate - Likes wandering To confirm the remedy Sir asks about desire for milk as confirmatory point. Further Sir says that if Patient is Hot and like Phosphorus think of Tuberculinum. Thanks to Dr.P Vijayakar sir

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