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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 49: We tried everything and thought his nails will never improve!
NATIONAL JOURNAL OF HOMOEOPATHY 2006
Dr Vishpala Parthasarathy
'Ant-crud / Sil / Thuja

Mast AB, 8 yrs, a South Indian. Student, studying in 3rd std, resides at Prabhadevi. Father 45 yrs, Mother 41 yrs, Brother 14 yrs.

Came with the Chief Complaint of:
Nails since 2002, gradual progress, fingers and toe nails.
Nail dystrophy³, more pronounced in thumb and big toe.
Cracks, brittle nails, bleeding +. Spoon-shaped nails, crumbling.
< Clipping nails, moisture.
Diagnosed as Nail Dystrophy.
Treatment Taken: Zinc sulfate, Multi Vitamin.

Other Complaints

  1. Frontal Headache since a year. 2-3/ month.
    Sensation: Dull pain.
    A/F: Fasting, < 4 pm, > sleep.
  2. Overweight, fussy eater

Patient as a Person
Ht: 52.5". Wt: 35, Stocky
Skin: Fair, Wounds easily
Nails: Brittle³, crumbling³, ridged, rough, spoon
Teeth: Caries none
Perspiration: Scanty, Non staining, Non-offensive
Digestion: No acidity
Thirst: Normal, 6-7 g/d
Appetite: Good
Desire: Cheese³, Chicken³, Icecream³, Milk³, Sweets³, Tea³, chocolate, salt, sour
Aversion: Brinjal, pickles, salad
Stool: Slight constipation, 1/d, strain +, satisfaction +
Urine: Normal
Sleep: Deep, sleeps on abdomen, salivation+
Dreams: Rarely
Thermals: Chilly

Family History
Diabetes Mellitus: MGFa, PGMo
Heart diseases, arrhythmias: MGFa
Hypertension: PGMo
Asthma: Uncles

Mother Obstetric History
Pregnancies 3, Abortion: Induced 1, Delivery: Caesarian, Birth weight: 2.9 kg,
Particulars of Each Pregnancy
Elder child in 1991: Blue baby, cord around, problem child, AB + ve
Second Child (Patient): Low placenta Water bag burst hence caesarean. later rash, itching, AB + ve

Development Landmarks
Sitting: Normal, Words: 1 ½ yrs, Feeding, Breast till: 2 yrs

Diet and Routine
7:00 AM: Gets up. Breakfast - cereal [chocos] marsh mellow, papaya, fruit.
8:15 AM: Leaves for school
9-3:40 PM: School
10:30 AM: Lunch: Chapati, bhaji, fried, rice, pulses
4:00 PM: Milk and snacks
5-7:30 PM: Plays in ground, Plays tennis
7:30-8:30 PM: Studies
9:00 PM: Dinner TV, timetables
10:30 PM: Sleeps

Life Situation
1996: 15 JULY, Born in Mumbai
1998: Pre-school ORT, India
1999: Bombay Scottish School.
School Performance: A+ subjects like in Maths, EVS.
Gets good grades: A to B+ doesn't like English, Hindi.
Brother is more outgoing, jovial.
Patient is more introvert, shy, sensitive, caring, attached to brother, more towards mother, concerned for all

Emotional State
Anger³, irritable, quarrelsome- brother, weepy³ children dinging to mother
Love³, affectionate³, attachment
Revengeful
Fear³, darkness
Loves dogs
Anxiety stage fear
Bad news Cries
Company >³, consolation >³, weeping >
Behaviour: Obstinate, shy, disciplined, well

Intellectual State
Emotional³, Fixed
Perfectionist Organized work
Scholastic: Performance-oriented
Sports Athletic: Soccer, tennis
Artistic: Plays Casio, music, guitar

Totality Of Symptoms
Shy³
Attachment³
Reserved²
Caring
Fear Darkness
Irritable
Obstinate
Emotional
> Company³
Chilly Patient
Craving: Cheese³, Chicken, Ice Cream, Sweets
Aversion: Pickles
Brittle Nails
Nails Discolouration
Nails Dystrophy
Cracks on Nails
Headaches, < Afternoon
Big Teeth

Remedy Selected
Acute: Ant-crud
Constitutional: Sil
Intercurrent: Thuja

Follow Up

Date Symptoms Remedy
21/01/05   Ant-crud 30 7P HS
28/01/05 Nails: SQ Ant-crud 30 7P HS
04/02/05 >. But overall 40 % Better. Ant-crud 30 7P HS
11/02/05 >. But overall 40 % Better. Ant-crud 30 7P HS
18/02/05 >³. Nails SQ. Thuja 200
25/02/05 >³. SL
11/03/05 Pain near cuticles > cold water. Ant-crud 30 7P HS
21/03/05 >³. Nails: L5. Thuja 200
Sil 200- 1 dose
14-10-05 Better. Sil 200 - 1 dose
16- 12-05 Nails: Thumbs and toe concave, others all flat. SL
22-02-06 SL
05-01-07 Sil 200 - 1 dose
28-3-05 > Blackness L2, cuticles L2.
Repeat Since cracks C/o infection due to Holi colours.
Thuja 200 - 1 dose
Sil 200 - 1 dose
13-4-05 > Blackness L4, Rt Thumb pain, bleeds. Thuja 200 - 1 dose
Sil 200 - 1 dose
18-6-05 Headache 1/w x 12 hrs.
Nails: >³. But Bleeding, Pitted right index, Lt thumb and Rt thumb
Thuja 200 - 1 dose
Sil 200- 1 dose
17-8-05 >³ Since 2 months.
Nails: Hands and Toes L1.
Headache 1/w, A/F Loss of sleep³, before exams.
Mother thanked me!!!
Sil 200 - 1 dose
2006 Much better. Mother told me when I met her socially. Again met her in 2007 - she said better, needs to show me once.  

Case: 50
Remedy: Aurum-met
Diagnosis: Epilepsy

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