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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 105: Crying Boosts my Confidence!!

Abstract: This case presents a girl who shows how Puls and Sil can be inter-related.

Ms SSA, 15 yrs, Non-Veg, FYJC Muslim Student, came on 20/08/02 with the following complaints

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
HEAD, Vertex
Since Decí01
Last episode 20/08
Throbbing
Nausea occasionally
< Sun3+
< Thinking3+
< 3pm
< Mental upset
< Depressed
February 2002
Took Allo Rx
Tab Fluraninx mth
CT Scan → N
23/05/02 Betacap X 3mth
Eye specs: -1.5, -1.25
BACK, lower
Since Febí02
1/day X 15-20 mins
Pain
A/F Walking while studying
< Sitting
> Lying on back3+
> Morning
X-ray LS Spine → Scoliosis
MIND
Depressed feeling
Dull feeling
Taciturn
Likes to stay alone
Brooding3+
< AM
 
SKIN, Rt Elbow
Chronic
White patch
Occ itching
  Ointments
Emoderm
Emocon
Cod liver oil

PATIENT AS A PERSON
WEIGHT: Gained 3kg within 3 months
APPETITE: N
DESIRES: Fish, Sweets3+, Vegetables, Chicken
THIRST: 1- 1Ĺ liters/day
STOOL: N
URINE: N
WARMTH: Soles and Palms
PERSPIRATION: 3+, Palms < Nervousness
HAIR: Loss, Dandruff white in color
BATH: Tepid
SEASON: Likes Summer, Sun < Headache. > Open air3+. Wants covering always.
THERMAL: C3H2
MENSES: FMP: 11 yrs. LMP 20/08/02. 4/30days
Before ?Lt Thigh pain X 1day
Beginning ? 1st day Pain Stomach3+ > Warmth3+, > Tab Cyclopam
SLEEP: 6 hrs, Deep, Refreshing, lies on Rt side. Gets up at night at 3am and again go to sleep
DREAM: Murdered, Robbers3+
MIND: Reserved, Brooding3+, Fear of heights, Fear of being emotionally hurt, Fear of insects.

LIFE SPACE INVESTIGATION
The pt was born in Mumbai on 25th May 1987. The pt spoke with a nasal twang. Friends have left her out of bounds so she remains upset. She is very moody. When depressed she doesnít like to speak to anyone. Crying boosts her confidence. She is always nervous when something important related to her is about to happen. She has anticipatory anxiety before exams in the form of blackouts. I donít talk to a person as I cannot make out how they are just by seeing once, so they think that I am snobbish or arrogant.

REPERTORIAL TOTALITY

  • Reserved
  • Brooding
  • Fear of heights
  • Fear of being hurt, emotionally
  • Fear of insects
  • Talk indisposed to, sadness in
  • Headache, vertex, pulsating
  • Headache < Sun
  • Headache, emotional
  • Depression, morning
  • Abdomen, pain < Menses during

TREATMENT & FOLLOW-UP

DATE SYMPTOM REMEDY
20/08/02 Sensitive Puls 200 1st dose
NIH pills 200 3=3/7days
27/08/02 Not better. Headache SQ, Rt Parietal Throbbing+ Sil 200 1st dose
Pla pills 200 3-3/7days
03/09/02 > NIH 200 3P
Pla pills 200 3-3/7days
17/09/02 Headache L0/2wk, Throbbing L0/2wk, Cold and cough since 15/9. Wet cough < Night, Greenish expectoration, Thirst++, Fever 100F < Night, Tongue dry, Puls 200 4P; 1P=2
24/09/02 Headache from 17/9-20/9. Back 3+< Walking. Anxiety, Thirst+, Nervousness Sil 200 3P
Pla pills 200 3-3/7days
Gels 200 3P; 1P=3/SOS
08/10/02 Throbbing vertex, Pain+ < Afternoon. Thirst +, Backache+, Bell 200 4P; 1P=3 and SOS
then when better
Thuj 200 1st dose
Sil 200 3P HS
Pla pills 200 3-3/7days
15/10/02 Throbbing L0, Elbow patch L0, Low backacheL5, 1st week, NIH 200 3P
Pla pills 200 3-3/7days
2nd week, NIH 200 3P
Pla pills 200 3-3/7days

Dr Sushma Jaiswal

Case 104: Husband's Brain Tumor depresses me

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