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Case 103: What if my Husband Throws me out?

Abstract: The case illustrates the Physical characteristics of Lachesis which has been effectively used as one of the criteria to treat the patient.

Mrs MAB, 41 yrs old, Married, Non-Vegetarian, Hindu Gujrati, came on 24/07/89 with the following complaints.

CHIEF COMPLAINT

LOCATION

SENSATION

MODALITIES

CONCOMITANTS

EXTREMITIES, 
Knee Lt
Rt 
Since 1½ yrs 

Lt Calves 
Since childhood 
1/2m X 2 mins 

Pain 
Tender 


Pain 
"As if pulled"
Cramps 

< Ascending < Descending < Touch < Night3+ < Sleep < Straightening legs > Walking > Massage

Ointments which 
gives temporarily <

BACK, Upper 
Left 
2/week 

Pain 

< If no rest in the 
afternoon 
< Night 
> Heat 

Ointments and 
Paracetamol which 
gives temporarily <

HEAD, Temple  
All over 
Since 6yrs 
2/week 

Pain 
Heaviness 
Occ Hammering 

< Sleep after 3+ 
< Tension 
< Anger 
< Sun 
> Ice-bag sponge 
< Noise3+ 

2 Paracetamols tab

PATIENT AS A PERSON
WEIGHT: 85 kg 
BUILT: Obese since 12 yrs, gained wt after delivery 
APPETITE:
 
DESIRES: Chillies3+, Fried3+, Sour3+, Salty 
AVERSION: Sweets 
STOOL: 1/day. 
URINE: N 
SKIN: Clean, Easy Ecchymosis 
HAIR: Loss 
MENSES: FMP: 12 yrs. LMP 07/07/1989. Regular, Profuse, Clots ++, 5-6/25. Red, Yellowish stains. 
Before Menses: Pain3+ in back, legs, abdomen and Irritability3+. > After Menses appears 
SEXUAL HISTORY: Desire
, 1/month, always low 
BATH: Cold water 
THERMAL: Sun < headache, Likes fan and A/C, Open air >. C3H2 
SLEEP: Good, Unrefreshing 1/wk 
DREAMS: Daily events++ 
MIND: Broodin
g3+, Anxiety3+, Possessive3+ about H, Weeping3+. Fear if he throws me out, 

OBSTETRIC HISTORY
G4P2A2. 2 Induced abortions

PAST HISTORY
Rt Ovary and Uterus surgically removed.

LIFE SPACE INVESTIGATION
Pt was born in 1948, the eldest among 3 sisters and a brother. Fa was a businessman in Ahmedabad. Mo stayed in joint family. Pt was brought up by her maternal grandparents. They brought her to Mumbai. She was very attached to her Mama (MU) and his eldest son. In 1960 when pt was 12 yrs old Mo expired due to Heart ailments. Otherwise she had a very happy childhood. In ’68 she completed her SSC. She got involved with a Punjabi boy who was staying as a paying guest at her house in Marine Drive. He was in the catering business and worked in Andheri. There was lot of obvious objections from her family. H wanted to get married quickly. So within 6 months of meeting they got Registered Marriage in 1969. H was the 8th child of his parents among 6 Br and 2 Si. They are all well educated. This made her feel inferior to others. after the marriage, but now she is okay. They took a rented house in Bandra. It was only them two, so there was no adjustment problem. H was a Perfectionist and a good cook. He taught everyone in the family how to cook. He is very possessive and selfish, so she always had some tension about him; but now they are okay together. 1n 1986 Pt started a Wayside Grill Restaurant with the help of the H as a partner and is doing well. She loves the restaurant and meeting new people and being out.

REPERTORIAL TOTALITY

·         Anxiety

·         Brooding

·         Fear

·         Weeping

·         Sun, exposure to <

·         Summer <

·         Ecchymosis

·         > Walking

·         Back, pain before menses

·         Abdomen, pain before menses

·         Irritability, menses before

·         Calf, cramps in < night

REMEDY SELECTION
The outgoing nature, the love for people and the managing the restaurant and the ecchymosis, made me opt for the snake venom, Lach

TREATMENT & FOLLOW-UP

DATE

SYMPTOM

REMEDY

24/07/89

Left sided, Ecchymosis

Lach 200 2P AM 
SL 200 Pills 3-3/7days 

01/08/89

> Pain in knee and legs. < Backache. Menses on 29/07/89 < Headache. Sleep . Headache 3/w,

Lach 200 3P AM 
SL 200 Pills 3-3/7days 

09/08/89

>3+++. Pain 25% better. Sleep >.

NIH 200 3P AM 
SL 200 Pills 3-3/7days 

16/08/89

Overall 50% better. Wt 85 kg. Pain in calves, knee and backache L0. Sleep <. Pain in thighs > Pressure

Lach 200 7P AM 
Cebo pills 3-3/7days 
Mag-p 6X 2hrly 

28/08/89

Since 12 noon pain in throat < Swallowing, > Warm drinks. Headache Rt side > Pressure. Heaviness in head. Thirst .

Ars-alb 30 4P; 1P=3 
NIH 200 7PHS 
SL 200 Pills 3-3/7days 

05/02/90

Knee pain L0/5month, Calves pain+, Cramps 1/2wk, Sleep > 0/5month, Thigh pulling 0/5month.

Lach 200 2P AM
SL 200 Pills 3-3/7days 

12/02/90

Has been keeping quite well.. Anxieties also controlled, so told to report only if problem.

SL for 1mth 

Dr Satish Kanojia