Thursday, April 24, 2014

cure

Call me Bhaiyya..."
NATIONAL JOURNAL OF HOMOEOPATHY 1998 Jan / Feb VOL VII NO 1.
Dr Vishpala Parthasarathy
' Nat-m / Tarent / Phos A diminutive little fella of 3½ years, walked in one day, wanting to be all male -tall and muscular. He was wearing shorts and T-shirt & walked with swagger, so I was very surprised when the mother told me that the child's name was Divya and that she was a girl. On hearing this, a shadow passed over the little fellow's face Even now I could barely accept she was a girl, and had been calling him Beta all along.- which had made him/her very happy. I learnt later that she hated being called beti, hated wearing dresses, and would not even wear earrings.
All her characteristics were masculine. Very dominating, obstinate, and would get terribly angry when things do not go her way. Totally fearless. If upset, can walk out of the house at 10pm and go down and stand at the gate, without being scared of the dark or the lonely road. She is very moody -occaionally wants to be alone. Strangely, she is very religious too- love sdoing poojaan d reading the Ramayana. Loved company. Very attached to her mother grandmother and sister, whe is 7 and very feminine.

She had not gained in height for last 7 mths, and stood at 3 feet nothing, weighing 12 kg. She often-got colds and cough at weather changes. Mosquitoes had a field day biting her legs, leaving long standing marks.

She liked Sweets 3 & chocolates and glucose biscuits. Poor thirst.
She war born normally weighed 3-2 kg, with normal milestones except talking which she started only at 2 yrs.
Here comes the question- what are we treating and what are we expecting.?
The patieent has come to us only for increase in height and building up the resistance so as not to catch frequent colds. But we think ahead- what is to be done with this girl-boy? Can we change her to be mid-level feminine at least? Is the testosterone level so high as to be difficult to go back. Would she then need a sex change operation?
You cannot blast the parents with all these options at the first go. But certainly all of these have to be dealt with.
To begin with, these very characteristics will help you choose her remedy. Then you will have to see how much change your remedy can wrought. She is only 3 ½, so time is on your side.

Rubrics Chosen: (from Robbins Repertory).
1 Ro Aggressive  
2. Ro 1078 Masculine girls habit of car-v, nat-m, sep, petr, plat
3. Ro 1038 Egotistical nat, sep, sul, Verat
4. Ro 1018 Contrary Nat-m Nux-v, Plat
5. Ro 1071 Jealousy children nat-m, nux-v, sep
6. Ro Religious nat-m, Lach, Sul
7. Ro 1018 Bold, Courageous Nat-m, Opium, Sul
8. Ro Late talking to  


And Natrum-mur emerges as the drug of choice.
on 4-2-98 Nat-m 10M was given.
11-2-98 She came with pursed lips and wearing a dress. Ars-a was given for her colds.
18-2-98 Loose motions.
20-2-98 Motions > cold.>
21-3-98 Cold > No further improvenment ; Sul 200 - 1 dose as intercurrent.
Further watch on the case is being kept. There is some change, so we can safely expect some more. How much, is anybody's guess.We can only wait and see.
Case 2
Talking of 3½ year olds. I do not know whether these are aberrations or fast becoming norms? I have yet another, a much worse problem on hand and am at my wits' end. So I need help from you.

This boy acts more like 17-year old and holds his mother to ransom at every turn. What clothes to wear? "Bola na, yehi pahanta huan!" (I told you no, I am wearing this only!) Wants long pants to go down to play but for a party, he will wear a faded T-shirt. He will eat what he wants and drink Pepsi all day long. "Sonu (his father) drinks beer all day, why can't I have Pepsi all day?," he asks. One day, last week, he wanted MacDonald's chips at 11 p.m. Much tamasha was created and at the grandparents' request, the parents took the child just as Macdonald's was about to close. The mother literally had to beg them to give him chips.

As for violence, he has written a new chapter on the subject. "Sunte kyo nahin? Chaku ghusa doonga!" (If you don't listen to me I will put a knife in your stomach)! He beast up the servants and the children downstairs till everyone runs away on seeing him. And yesterday, his mother said: "He raped his sister's doll i.e. tore her clothes in a very suggestive way. Where does he learn all this? Such language even I have never heard!" And she has heard quite a lot, considering her husband is an alcoholic and outspoken. But now there are hardly any fights at home.

TV influence? Maybe. But the mother has disconnected all channels except the canton channel. She has dismissed all the male servants and employs only girls whose language may not be so profane. She has warned the elder boys not to play with him, so only little children play with him. In school he is a very good boy, the teacher says! The mother almost laughs in her face. His Other complaints : Hardly eats and has severe constipation.
The remedies given so far are:
  1. Opium 1M and 10M single doses, which helped in constipation and sleep
  2. Tub-b 1M and later 10M as intercurrent.
  3. Verat-alb 1M
  4. Now I have given Tarentula-h 1M
  5. What I want to give is Mag-flour : Quarrelling parents suggests Mag. Violence and rape and money spending suggests Flour. I am now trying to procure that. In the meanwhile I may even try Fluoric-acid itself.
  6. Any other suggestions anyone?
Case 3
Parents can spoil the sweetest child!
A very good-looking, smartly-dressed mother brought her 3 year old fair, lean, handsome baby to me on 27-1-98, saying "Doctor, he gets colds all the time. For the last 7 months, every month he suffers, and the whole house panics and he has to be given antibiotics. I have brought him to you to build up his resistance. But when he gets an attack can I give him antibiotics for quick relief? On hearing my firm 'No!', she almost cried. "Doctor, you don't know my husband and my in-laws. They bring the roof down and even make me panic". "So you will have to train them" , I told her. "Plus I will give you acute medicines to control the attack."

Thus armed, I thought we were ready for the battle. But not quite. There was more to come. Of course, I should have expected it. This was a spoilt, protected child we were dealing with. She said, the child is not scared of anybody; he is very stubborn, does what he wants, cries and gets angry if he does not get his desire. He beats the servants, he throws things and kicks. His sleep too is very disturbed and he sucks a napkin while sleeping.

So, now, is this child like my previous difficult case? Another Hitler in the making?
I examined the data so far. Mother says he is fearless. But is he? She just said he is not scared of anyone and does not listen. Why? Because he has been trained to do so. Otherwise, I felt sure he was a fearful child : he takes a comforter. On specific questioning, I found that he was scared of being scolded, thunder and cockroaches. And his constitution and mind - loves company and has a very good memory had already made me think of Phos.

So I told him a story about my dog Churchill. I said he is a very good dog but sometime he becomes very naughty and troubles us, and goes and piddles in the balcony. So what do I do? I tell him "Churchill you have been a very bad boy and I am going to lock you up! Then I command him - Churchill, go and get locked in the Red Bathroom!" and he quietly goes. Now, you, Ankush are a good boy and so we will not lock you in the bathroom. But if you are naughty, I will tell your mother to put you in a chair and you will sit there for 5 minutes, till you say sorry. Is that OK? He readily agreed.

And our battle of the disobedient child was won. Phos did the rest. We had no major attack in the last 2 months. His father was so impressed, that he, who never believed in Homoeopathy, started treatment for colitis. And he too has been tamed - by Kali.

We have taken 3 cases and we must examine the issues which come up. Who is the culprit? I have a lot of theories on these and my brain has started working overtime on this. So I am going to collect all these thoughts and keep adding all these cases for the next 9 months and deliver a perfect baby on January 31, 1999, when we have our Vth SSMS - same time, same place next year.

Wednesday, April 23, 2014

tumor

Ovarian Cyst: The Constitutional Approach
NATIONAL JOURNAL OF HOMOEOPATHY 2001 Nov / Dec VOL III NO 6.
Dr Roop R Nayak
'Sep
Mrs P 29 yr, Hindu housewife came with following complaints on 15th April 1999.
Location Sensation & Pathology Modalities A F Accompaniments
Female reproductive System. Since 7 yrs Rt lumbar Rt. Iliac region.
Recurrent attacks
Rx- Operated Lt
Ovarian cyst in 1997.
Pain ++
Radiates to back
< during menses ++
< strain ++
Weakness ++
Infertility-
Past History
Pt was operated for ovarian cyst in 1997. No relevant history of Diabetes Mellitus, Hypertension, Tuberculosis or menstrual irregularities.
Family History
Elder sister- Ovarian cyst.
No F/H of DM, Hypertension, TB
Patient as a Person (Physical Generals) Appetite: Spicy food, pickles.
Aversion: Sweets, butter/ ghee.
Thirst: Good
Perspiration - Increased + +. Non-offensive, non-staining.
Bowel Habits - Regular, twice/day, hard stool
Micturition - Normal. 6-8/day. Menstrual History
FMP 13 y LMP 29.3.99
Irregular cycle, scanty discharge.
Character- Dark red in colour, Clots+++
Complaints- B / D / A.
M D - Pain abdomen, radiating to back.
Headache.
Reactions to Physical Factors
Prefers rainy season. Takes warm water bath.
Uses covering during sleep irrespective of seasons.
C2 H2 - C3 H2
Intellectual and Emotion State
Average perceptive module.
Lachrymose+++Weeps thinking about her complaints. Wept continuously during interview.
Brooding ++ Dwells over disagreeable consequences due to health hazards.
Irritable Gets sensitized fast, but conceals her anger to herself.
Fear++ Being alone+, night++, strangers.
Indolent Towards external affairs.
Reactions
Consolation ameliorates; Likes company.
Sleep and Dream: Sleep - good 10 pm to 6 am.
Dreams unremembered.
Life Space Investigations
Mrs P is from a lower middle class family, having 7 sister and 2 brothers. As a member of a large family, she could not concentrate on her career and could study only up to SSLC.
She got married at 22 years. After marriage she remained a housewife. She could not conceive even after seven years of marriage. She was upset by the taunts by her relatives and neighbours regarding her barrenness and it built up tension in her. She would weep for any trifle provocation.
She stays with her in-laws. Basically she is short tempered but has to suppress her anger. She likes to be consoled only by her loved ones. But most times she is indolent event towards family member and reluctant to get involved in personal matters.
General Physical Examination
Appearance: lean. Weight 35 kgs. Ht- 5 ft.
Face Dull appearance. Pallor +++
B P 120 / 80mm/Hg. Pulse 73 / mm
RR 18 / mm Temp 98.4'F
Cyanosis, Clubbing, Oedema feet, significant Lymphadenopathy-Absent
Systemic Examination
Per abdomen- No tenderness
Mass palpable in the Rt iliac and lumbar region, which is movable side to side. No organomegaly.
CVS & RS-NAD
Investigation: Pelvic Sonography
11.6.97 Well defined oval cystic lesion 6x4cms in left adenexa. Rt adenexa 3x3 cm mass.
20.3.98 - Rt ovarian cyst 6.1 cm x 5 cm x4 cm
Diagnosis
Ovarian cyst Rt.
Asymptomatic presentation
Pain abdomen during menses
Irregular menstrual bleeding occasional.
Recurrent involvement of both ovaries (left cyst got operated in ‘97)
Infertility
O/E- Mass per abdomen - lumbar and Rt iliac region mobile side to side.
On investigation- Pelvic sonography confirmed ovarian cyst.
Totality- CHRONIC CONSTITUTIONAL TOTALITY
Mental generals: Already defined above
Physical Generals: Chilly patient
App- good, vegetarian
Cr- spicy food, pickles
Av- sweets, butter / ghee.
Thirst- good
Perspiration- Increased all over.
Bowel- Regular twice / day hard stool.
Micturation- NAD
Menses- Irregular Scanty clots++
Characteristics Particulars Pain abdomen radiating to back. Weakness and fainting with extreme. Headache during menstrual nisus.
Management
General: Diet - Advised fibrous vegetables and more fruits fluids to combat bowel habits and anaemia.
Specific: Sepia as a constitutional remedy in suitable potency according to susceptibility, remedy response of the case.
Conclusion
Although ovarian follicular cyst is a structural variability at tissue level, a prompt constitutional approach can abort the pathology and prevent succeeding complication. In this case, I made an attempt to identify the constitutional remedy to annihilathe underlying cause of infertility to young female and strengthen her, up by stabilizing her blood haemoglobin concentration too.
Sepia- a remedy of inestimable value;, introduced by Hahnemann, led this patient from sickness to health.
Follow-Up
15.04.99 First prescription Sepia 30 - 1 H S / wkly x 4 weeks
No (ii) pills 4-4-4
10.05.99 Pain abdomen > 10%. LMP - 29.04.99
Clot during menstrual flow > ++. Weakness > ++
Sepia 200 - 1 H S / wkly x 4 weeks
No (ii) pills 4-4-4
10.06.99 Pain Abdomen > ++. LMP 22.05.99 (26d)
No clots during menses.
Sepia 1 M /1P H S
No (ii) pills 4-4-4
05.08.99 Pain Abdomen > ++50%. LMP 11th July. (49d)
On investigation - cystic right ovary 4.3 x 3 cms with Follicles of 2-3 cms. Follicles reduced as in compared to 20.03.99 (50d)
Sepia 1 M /1P H S
No (ii) pills 4-4-4
04.10.99 LMP: Sept 1st. Pain abdomen > ++ No
Clots. Generally improved.
Sepia 1M /1P H S / wkly x 4 weeks
No (ii) pills 4-4-4
02.12.99 LMP - Nov 17th (47d) Regular cycle, uneventful, no pain abdomen. Occ Backache. Sepia 1M /1P H S / wkly
No (ii) pills 4-4-4
03.04.00 Advised pelvic sonography; Report- normal size of right ovary 3 x 2 cm with follicles 15mm.
Normal study with no evidence of
hepatabiliary, renal or pelvic pathology.
Advised to stop medication thereafter.
Sepia 1 M /8P(1P) HS/ wkly
Refernces
  1. James Tylor Kent- Lectures on Homoeopathic Philosophy - Emorial edn.
  2. M. L. Tylor - Homoeopathic drug pictures - B. Jain Publishers.
  3. N. M. Choudhari - A study on Materia Medica 2nd ed B. Jain Publishers.
  4. Shaw's textbook of Gynecology- eleventh et al B. I. Churchill Livingstone Pvt Ltd. New Delhi.
  5. William Boericke - Pocket Manual of Homoeopathic Materia Medica and Repertory - Reprint edn- B. Jain Publishers.

Monday, April 21, 2014

case

Dr VISHPALA PARTHASARATHY
Ref: S/ 26 /09 Mar 7/09
Mr DSB, aged 57 yrs came to us on 7/3/09 with severe rheumatoid arthritis since 7 months. He also has been diagnosed with osteoarthritis which got further aggravated after he had a ligament injury of the knee about 2 months back.
Follow Up
NO LOCATION SENSATION MODALITY CONCOMITANT
1 Extremities
b/l knee joints
left knee
since Sept 08
Osteoarthritis
Pain and stiffness
Ligament injury + tear in meniscus
A/f injury (banged knee against bed)
< Morning, on waking, < 1st motion
> Warm application
> Hot water bath
 
2 Finger joints Alternating sides. Pain, weakness,
lack of grip
swelling RA factor 486
< morning on waking > heat3 Yet specialist opined that it is NOT RA.
3 Back Since Sept 08 Pain2 Tired feeling > Bending
> Stretching backwards
He lies with head hanging backwards
PHYSICAL GENERALS
APPETITE: Good
APPEARANCE: Obese (mildly)
THIRST: Increased, about 2 lit/day
CRAVINGS: Salty things, sour, bhelpuri, sevpuri, panipuri
STOOLS: Normal
URINE: Normal
PERSPIRATION: Palms and soles3, offensive odour3
THERMAL STATE: Chilly patient. C4H
SLEEP: Good, but sleeps very light
DREAMS: Daily events

PAST HISTORY: B/L kidney stones- lithotripsy done
FAMILY HISTORY: Sis: OA, Fa: Hypertension, Mo: RA
LIFE SPACE INVESTIGATION: Patient was born in 1952 in a lower middle class family in Lower Parel, Mumbai. His childhood was mostly spent in a financial struggle. There were occasions when they would have one meal for the day. The patient has on brother and one sister, both older to him. The patient somehow completed his education well. In school, he performed well academically as well as in sports. He began working at an early age in order to support his family and had to go to Night College. He had to continue this way for about 4-6 yrs. He completed his BCom followed by LLB and then went on to do a diploma in business administration.
In 1976 he got married, it was an arranged marriage and he was quite content with his married life.
By nature, he is a very religious person and claims to have total faith in God. He says that before he does anything he first thinks if his act will make God happy or not. If not he would not do it. "I am a very sentimental person and feel very emotionally weak." The patient has 3 more years to retire which he wishes to complete successfully. Now that his health is giving way, he is very upset and feels very unfortunate. He says that after retirement he planned a lot of social service and spend time in old age homes or in orphanages. Now if I cannot do that then what is the use of this life? When he was asked what he had wanted to become in life, he said that he always just wanted to be a good man. Whenever he thinks about his complaints it brings him to tears. He is also a very principled man. In spite of holding a very important post at work he never used it to make any extra bucks.
The patient said that even if he saw some XYZ’s daughter getting married and leaving her father, he would feel like crying. If he watched a family drama on TV too he would feel emotionally charged.
REPERTORIAL TOTALITY
Pain, back, lumbar region, backward bending, amelioration
Helplessness
Unfortunate feels
Conscientious
Weeping at trifles
Indecisiveness
Crying, telling of her sickness when
Avoids fights
Careful with money
Coldness and perspiration of palms and soles
Offensive foot sweat
Chilly patient

REPERTORIAL RESULT
Sil 20/9
Sulph 18/8
Sep 15/7
Puls 15/6
Ign 15/7
Calc 14/8
Lyc 14/6

When we first began the case the remedy coming to mind was Lyco. It was only repertorization that saved us.
Puls seemed to be the most likely remedy; somehow the picture was not complete. The weeping tendency and the indecisiveness was better covered by Puls, while on the other hand, the more important symptoms of the patient of being conscientious and careful and his physical generals of palm, sweat and offensive foot sweat almost confirmed the Sil factor in him. There was no indifference of Sep or the irritability and anxiety of Lyc or the lazy traits of Calc seen in him.
Finally, we saw that Sil also covered the other important rubrics of weeping while telling of his symptoms and for trifles to a marked degree.
REMEDY PRESCRIBED: Sil 200, single dose
Follow Up
Date SYPTOM CHANGES REMEDY
14.3.09 Patient feels overall 30 % >Has also started physiotherapy simultaneously. Placebo
21.3.09 > 40% Sil 200 (2nd dose)
28.3.09 > 50% knee pain slightly increased Rhus-tox 200 as SOS for 4 days Followed by Sil 200 (3 powder doses)

case

Mrs RAH. 52 yrs. Married since 25 yrs ago. EDUCATION: 4th Std. OCCUPATION: Farmer. RELIGION: Hindu, Varli community.
DIET: Mix (Veg/NV/egg).
FATHER: Died due to old age. MOTHER: Died due to old age. BROTHER: 3 (65yrs, 55yrs, and 42yrs). SISTERS: 63yrs
DATE OF CASE REGESTRATION: 12/9/2008.
TREATMENT
LOCATION SENSATION MODALITIES MODALITIES
CVS
HEART
Since 1 yr
On/off
1st episode on
7/6/07
SINCE 1 yr on/off
D=1hr-1day
Freq= 3-4 times /week
Pain3
Breathlessness +
BP: 200/100 mm of hg
Pain radiating to interscapular region
Retrosternal burning
No sweating
No palpitation
HOSPITALZED
Investigated (ECG, lipid profile, cardiac enzymes , BSL)
DIAGNOSED = ANGINA WITH HYPERTENSION
Mild chest pain2
Retrosternal burning +
Pain radiating to intrascapular region
No sweating
No palpitation
< Physical Exertion3
< Mental Tension2
< Hunger2
> Eating+
> Massage2
< Oily and Salty food3
Rx given on discharge
Tab Aten
Tab Sorbitrate
Tab Clopidogril
Tab Tg tore z
Tab Zee 0.5
Syr Smuth
IRREGULAR ON RX TOOK ONLY FOR 2MTS
< Overeating2
< Pulses3
> Drinking Water +
< 4-6 am3
< Fasting2
> Eating+
< Full Moon3
< New Moon3
Weakness+
Tingling on both soles+
PHYSICAL CHARACTERISTICS
APPEARANCE: Average build
SKIN: Cracks on soles in winter
PERSPIRATION: Moderate on face
THIRST: ½ Lit every 2 hrly
CRAVINGS: Fish+, spicy +
AVERSION: Sweets +
STOOL/ URINE: Normal
SEXUAL FUNCTION: Decrease freq due to disease anxiety.
SLEEP: Disturbed occasionally due to pain
DREAMS: Pursued of being - people are running after me and I reach home and mob goes away
MOTION SICKNESS: Bus < nausea
THERMAL STATE: CHILLY (C3H2) Covers head to foot, 2-3 coverings in winter
PAST HISTORY: Not significant
FAMILY HISTORY: Fa -Hemeplegia
PHYSICAL EXAMINATION: No oedema, cyanosis, clubbing, pallor.
Pulse: 88/min, T: 98.6F, BP: 160/90 mm of hg. P/A: Liver 2F tender. RS: / CVS / CNS: NAD.

INVESTIGATIONS
7/6/07: Hb: 13.5gms. WBC = 6400, N= 62, L=34, E=03, M=01, B=00. ESR=38. SR CREAT= 0.8, UREA= 20, CPK NAC= 309?, CPK MB= 10 (N). LDH = 107. Sr Na =140. Sr K= 3.4. Sr Cl =106.
12/09/08: ECG: ST changes in II, III and aVF leads. Diagnosis inferior wall ischaemia.
LIFE SPACE INVESTIGATION
52 yrs male came to OPD with c/o of chest pain and much anxiety, he said it was due to retrosternal burning, he was asked if any past h/o of chest pain or hypertension, he refused and after much inquiry he said, yes in past he had chest pain ie a yr back which was typical as per the previous reports with him. He was trying to hide his illness.
Pt is from small village where he lives with his wife and 3 children. He is farmer by occupation and owns 2-3 acres of land. Wife and children help him in farming .He was born in a joint family; had 2 uncles. All affairs of the family were looked by elder uncle. Father’s nature was very quiet and cool. He never had fights with any one; he also never opposed anyone. Mother’s nature was strict and dominating. Uncle was short tempered and alcoholic and dominated whole family. Pt’s father had 2 wives. He had no children from 1st wife so he married 2nd time. 1st wife also stayed with him. Pt said he loved and was attached to the 1st mother than his real mother as she cared for them more than there mother.
He studied upto 4th Std. He was interested to study but his Fa told him to leave studies and pay attention to farming, so he had to leave it. It was against his wish but as father had told so he had to accept. Still he used to go to school hiding from his father, but later left it totally and joined farming. Other siblings were also doing same. He then got married. It was an arranged marriage. He thought of doing tailoring. He first learned it under a tailor and then started taking his own orders. He started his shop in nearby city almost 7-8 kms away from his home. He used to go walking then later by cycle. He worked hard to support the family; all income was given to father as he was head of the family. Afterwards everyone got separated and pt had 2 acres of land in his share. He then started farming again and also did tailoring. He worked very hard to bring up his family.
He arranged his daughter’s marriage. Son in law was good by nature; many times he helped pt by giving money. Pt was almost dependent on him during stressful events. But, 2 yrs after the marriage his son in law died in an accident which was very shocking for pt. He felt as if there is no security left, he stayed at his daughters place for about a month after son in laws death. His granddaughter was kept by in laws, and he along with daughter came back as other sister in law said why should we keep her here now that her husband is dead? During that whole month, patient had to face daily up and downs. He had no support; he started consuming more alcohol and experienced chest pain and later developed so severe pain, was hospitalized and diagnosed to have hypertension and angina. Now on asking him what about his daughter’s remarriage, he replied calmly, "It depends on her, if she wants, we will help her." But it was apparent that he felt more bad about loss of his support.
Now he is staying with his daughter, son and wife. He is not much interested in family matters. He says that everyone is good with me, take care so why should I have any complaints? I get my food at time why should I complain. Overall during interview he contradicted himself many times. He seemed to be a calm, dependent and anxious person. If work is not done on time he gets irritated and shouts on others.
  Chest Pain Intensity Chest Pain Freq Dyspnoea Retrosternal Burning Dreams Blood Pressure  
12/09/08 12.45 ++   ++ ++   150/100 Cactus 200 stat
12/09/08 1.25 pm > 50%   > 75% A   136/96 Observe
12/09 11.30 pm > 75%   > 75% >3   160/100 Sil 200 1P HS
14/09 MILD   A A   160/100 Sil 200 1P Stat
19/9/08 > 75% 3 times Less >2+ Pursued by bulls 140/100 Sil 200 7P HS
26/9/08 > 75% >2 + 0 Climbed tree which fell in water but pt safe 138/92 Sil 200 7P HS
10/10/08 >3 >3 > Can walk 1 km > Temples, vehicles 130/80 Sil 200 14 PHS
24/10/08 > + A A   0 120/80 Sil 200 14 HS

Thursday, April 17, 2014

I was not their real daughter!

I was not their real daughter!
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Mar / Apr VOL VIII NO 2.
Dr K N Kasad
'Magh-sulph / Thuja History of Previous Illness: (See Chart)
Patient as a Person:
Thin 3 64 kg, Ht 5' 10"
Cravings: sour but agg = bile. Likes dal, sweet, potatoes and spicy but aggr; = acidity, indigestion, diarrhoea; pulses and oily things aggr; very hot weather aggr =lethargic, miserable and irritable; sun aggr = headache. Draft and fan aggr = headache and noseblock¸ AC. Very hot bath all he year, cannot tolerate cold weather-fingers bend, cannot write. Dry Pune weather suits well. Sensitive to cold = nose and limbs cold.
C4H.
Recurrent tendency to catch colds-larynx SLEEP normal except with pains. Must sleep for long as short sleep & loss of sleep aggr acidity, becomes irritable, tired and sea-sick.
Interview II (21-2-95)
The real life situation emerged in the second interview. Though she said that she was very attached to her patients, it transpired that they ill-treated her. Father was hot- tempered, sarcastic and used to beat her till the age of 13-14 and used to tell her "you are not my daughter." The mother was conventional, religious and dictatorial. She wanted her way only and did not allow the patient to go out with others. Very possessive. The patient was scared of her mother even now; her mother harboured resentment, inward agitation and a feeling that there was no one to look after her especially in the last two years as she was sick. Her mother would bang patient's head on the wall even till her marriage. The patient said " my marriage was an arranged one; our ideas matched and we had very happy relations; sex no problem. Husband is also a good friend. As I spent more time with him my mother feared "my daughter is not with me"; she behaved badly with me. During the wedding she kept aloof; on the wedding day she refused my embrace. I felt bitter, bad, hurt and frustrated. She made up after sometime." " Parental disharmony and quarrels were constant to which I was a witness. I was a buffer between my husband and parents. My mother is scared of my father but still she fires me and beats me." As her grandmother was harsh and used to beat her mother, the latter had an unhappy childhood; also she lost her mother due to paralysis at the age of 12. Her mother was afraid of her husband and took it out on the patient. She said " father does not express love while my mother wants love, appreciation and has not received it and hence is frustrated. I am averse to fights and when parents quarrel, I am upset & depressed. Brooding, feel low; have palpitations gnawing, heavy feeling in the heart, unhappy and bogged down." The patient was, therefore, angry and bitter but suppressed her emotions and felt frustrated. She also had fear of ghosts. Fearful and anxious since childhood-scared of violent movies, blood, anybody being beaten and an apprehension that something will happen to her parents when they go out or that they will die or worries when her husband comes home late. Often depressed, she suffered from anticipatory anxiety-eg before an event, such as giving exams, reading a paper at the conference and catching a train etc. Very Tearful. Feels better when alone.
After this interview was over, while I left her house, she said in a whisper " Doctor, they are not my true parents. They adopted me right from birth through the obstetrician, who was treating my adopted mother for her 7 abortions. This was disclosed by mother just before my marriage, first to my husband and later to me. This news rattled both of us but we accepted the situation and the marriage went through without any mishap." She became aware that her real parents were still alive somewhere in the city and when asked whether she would like to make inquiries and contact them, she categorically declined lest it produce an intense trauma, which she feared she would not be able to handle. Her husband and his parents accepted the situation and held the same opinion. I could not interview her husband as he was on voyage.
Drug released on 26-2-95.
Third Interview 0n 3-3-95
Pt better 50%-lt neck, nape, sternomastoid, shoulders, legs- cramps, knotted muscles and bodyaches. Muscle fatigue less. Mother is RUDE to me, as I lie down the whole day, because of the pains. This HURTS me. I want to join my husband in the Merchant Navy; so saying she broke into tears. I have never had a heart to heart talk with them at all. I am rebuked, and so I cannot stay with them. I feel guilty, therefore, I stay with them. My husband agrees with this. I have no rest here. He too feels guilty. Mother tells me that I am rude.
Now The Work-Up:
Case Analysis:

This case was referred to me after the patient had undergone treatment under several experts of different systems of treatment, but defied solution and resolution. It exhibited several mental and psychological aspects running parallel to and in temporal correlation with the number of diseases suffered by the patient since age 4, abetted by the various environmental stressors - physical, emotional, chemical and biological- in an uncongenial and unfavourable psycho-cultural milieu in the family. This case is the perfect demonstration of how the environment shapes the disposition, and when adverse, culminates in psychosomatic disease, in this case- crippling Rheumatism.
Thus the main sphere of affection was the fibro-musculo-skeletal system, especially of the shoulder girdle, more left and going to right; sudden and rapid onset with intense pains, spasms, cramps, stiffness and knotted feeling as if the body was put through a wringer, with attendant muscle fatigue, restlessness and low grade fever. The clinical, bio-chemical and immunological parameters (lymphocytosis, monocytosis, decreased T-cells and increased IgG level) suggested R E S involvement- an autoimmune process in the case. SLE and RA were ruled out in the absence of articular involvement and normal ESR and negative RA Test, ANA reaction, LE cells.
Probable Diagnosis: Polymyalgia or Polymyopathy.
The slow evolution, from 24-11-93 till the date of consultation on 18-2-95 and functional muscular derangement, with no structural damage, aggr from hot, humid weather and amel in dry weather suggested SYCOSIS as the dominant miasm, with the characteristic cramps, spasms and torticollis. The migraine and tendency to colds with hoarseness are tubercular.