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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 46: A Case of Psychosomatic Depression
NATIONAL JOURNAL OF HOMOEOPATHY 2006
Dr Sushma Jaiswal
'Gelsemium

Mrs VY, 42 years, female, Non-vegetarian. Married, House wife, Resides in Kandivali. Consulted me in November 2006.

Patient is K/C/O, Diabetes Mellitus: F: 129. PP: 169. And Hypertension 160/100 mm of Hg.

Came with the Chief Complaint of

  1. Headache since 20-25 yrs. Nape of neck ascends upwards. Pain < after delivery, > sleep < with increase of blood pressure.
    Cries with pain, desire to sleep, does not want to work, and does not want to talk.
    Headache When stops medicine
    Headache Vertigo, Vomiting, Poor Appetite. Poor Sleep.
  2. Depression
    Husband is fastidious so shouts at her Pt starts crying.
    Keeps on thinking I am not well I will die, what will happen of my kids?
    She takes tension easily, keeps on thinking, cannot give back answer easily.
    Easily, gets hurt.
    Brooding +++.
    Fear, death, of disease
    Husband used to beat her up. Weeping: While thinking about past, when husband used to beat her up.
    Decision: Confused.
    Company: >. Consolation: >.
    A/F Mother’s death, < Grief³ Loss of sleep, Breathlessness.
    Psychosomatic form of Depression.
  3. GIT: Mouth, dryness³.
  4. Respiratory Tract: COLD: Dry cough, Nose block, and yellowish expectorant. Breathlessness.
    A/F Mother's death, < Grief³, Loss of sleep, < Winter, < Working in water.
    Breathlessness, < crying.
    Since 3 years, gets attacks no fixed period but lasts 20 days.
  5. Chest: PAIN, retro-sternal, pulling pain. Fears will die of it Myocardial Infarction
  6. General: Feverish
Patient as a Person
Weight: 58 KGS.
Skin: Whitish discoloration, itching when no medicine. A/F balm application. < Winter.
Hair: Hair fall < Change of Weather
Teeth: 10 Carries teeth. GUMS: Feels hot.
Perspiration: Normal.
Addiction: Tobacco chewing, habitual since 8 yrs. 1 packet /2 days.
Appetite: Normal.
Desire: Fish, fried fish, Sweet³, Tea³.
Thirst: 3-4 liter/day, cold water.
Stool: Normal
Urine: Normal
Thermals: Hot
Sleeps: Screams, talk.
Dreams: Many; of being a widow, frightful, dream as if she is awake.

Menstrual History
Hysterectomy 8 yrs back.
Past Menstrual History: Dark red, Clots: +++, Stains: +++, Odour: Offensive, irregular.
Menses Before: Backache radiating downwards Used to cry with pain.
Sexual Function: Desire suppressed.

Family History: NAD
Past History: NAD

Life Situation
Patient is the second wife.
1st wife was elder to husband. Pt is 10 yrs younger to her husband.
Pt‘s mother used to take care of elder son.
She has no desire to work in the evening but changed herself to work, but becomes irritable.

Does not tell her family as does not want to worry them.
Husband angry type³, son angry type3. He is fastidious so shouts at her pt says when it is too much I give back answer and then start crying.
Keeps on thinking I am not well I will die, what will happen of my kids?

Husband used to beat her up Pt never said any thing, never complained.
He has stopped beating since 5 - 6 yrs.
Superstitious Says my husbands wife.
Son she is calm, takes tension easily, keeps on thinking, cannot give back answer easily.
Easily, gets hurt.

When, after fight pt starts crying and husband gives water to drink, starts talking nicely Feels good, and stops crying.
Does not stop crying if anybody else makes her calm.
Likes village³ homesick [village]... no work there other people do it - likes to go out in village.

Always smiling, smiles even while telling her complaints/or her bad experience.
Calm. Brooding +++.
Fear, death, of disease
Weeping: While thinking about past, when husband used to beat her up
Decision: Confused
Company: >
Consolation: >

Investigations
06/ 04/06: Cholesterol: LDL: 177.9 [upto 150]
28/11/06: Hypertrophied inferior turbinate on Right side.

Totality of Symptoms
Superstitious
Calm, takes tension easily.
Brooding +++.
Weeping
Decision: Confused
Company: >
Consolation: >
Addiction: Tobacco chewing, habitual
Desire: Fish, fried fish, Sweet³, Tea³.
Thirst: Cold water.
Thermals: Hot
Sleeps: Screams, talk.
Dreams: Many; of being a widow, frightful, dream as if she is awake.
Headache, Nape of neck, ascends upwards.
< After delivery
> Sleep
> With increase of blood pressure.
Cries with pain
Headache when stops medicine
Headache Vertigo, Vomiting, Poor Appetite. Poor Sleep.
Mouth, dryness³.
Dry cough
Nose block with yellowish expectorant
Breathlessness, A/F Mother's death, < Grief³, Loss of sleep, < Winter, < Working in water.
Breathlessness, < crying.
Chest, Pain, retro-sternal, pulling pain.
Fears will die of it Myocardial Infarction
Skin: Whitish discoloration, < Winter.
Hair fall < Change Of Weather
Gums: Feels hot.
Sexual Function: Desire suppressed.

Remedy Selected and the Follow Up

Date Symptoms Remedy
Nov 2006 The Headache totality was covered by Gel.
So started the treatment by it, gave QDS for initial 4 days.
Gelsemium 200 4P 1P=4
Nov 2006 And the improvement was magical. Not only the headaches came down but the other particulars were also getting better. Since the improvement was in all aspects, for the next month she was only kept on Sac-lac. Sac-lac.
Dec 2007 NO episodes of headache.
Distinct change in nature. The feedback from the husband and the son is encouraging even now. Her confusion, weeping tendency, Fears have come down.
What was a remarkable change was in her Brooding nature, in her own words she has stopped bothering about the world. She remains in happy with her own world!
Sac-lac.
Jan 2007 She had one episode of headache in Jan 2007; One dose of Gel 200 was repeated.
Usually I give Gels as an acute, and follow it up with a Constitutional and Intercurrent.
But in this case since she was better in the first follow up itself the need for repetition and change of remedy did not arise. We are continuing with the flow of the case. And in these four months that we are treating her she has only showed improvement.

Case: 47
Remedy: Phos
Diagnosis: Irritable Bowel Syndrome

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