Case 78: Case of Eczema
Ms KM, 18 years came to me on 5/9/07
Dr Bhavini Mehta
Eczema on left cheek → Right since Dec 2006.
?Fungal, ?Contact dermatitis. Rough to touch. Itching+ < Sun, < Perspiration, > Cold.
Took Allopathic medicine and local application
PATIENT AS A PERSON
HT 5 feet.
WT 35 kg.
Very lean and dark complexion.
TONGUE: Coated but wet
PALMS: Warm to touch
ANEMIA: Hb 9.4.
APPETITE: Less3. Small feeds suffice.
THIRST: 1-3 glasses/ day
CRAVING: Spicy3, Salt2
STOOLS: 1/d. Satisfactory.
URINE: No c/o
SLEEP: Wakes up at 3-4 am. Disturbed
M/H: FMP 14 years. LMP: 12/8. Regular, scanty. MB: D1: Abd pain, cannot function. Cries with pain. > From D2
DIET AND DAILY ROUTINE
9.30 am: Wakes up. Bread, toast, + Tea
11 am: Leaves for college. Afternoon Lassi.
3: 30 pm: Back home. Eats noodles. Goes to classes.
7:30 pm: Junk food
10.30 pm: Full meal
12 am: Sleeps
LIFE SITUATION AND MENTAL STATE
12/11/1987: Only Daughter. Born in Mumbai Central. Mother and Father, Bank employees. Love marriage. Mother Punjabi, Father Maharashtrian.
Happy childhood. Pt not good in studies. Mother used to hit her for studies. Otherwise Mother very patient.
2003: Mother detected Cancer with Hep C.
2005: Mother expired. Was told would die after 48 hours but she survived for 7 days to celebrate her H.
Pt is close to Father. Father is also very calm but disciplinarian.
Irritable33, < contradiction but keeps quiet.
Brooding3, cannot forget.
Has many friends but non best friends.
Need not have company. Can stay alone.
- A/f Grief
- Alone >
- Irritable, < contradiction
- Dysmenorrhea D1
- Craving spicy
- Craving salt
- Sleep Disturbed
- Hot patient
Lyc, Nat-m, Sil, Puls
INTERCURRENT: Tub-b, Bac
|5/9/07||Constitutional||Nat-m 200 1 dose|
|12/9/07||>2. The eczema was > 80%||SL|
|7/5/08||Said didnít come since there was no eczema after the last dose. Was > till April 2008. Now Rt cheek Eczema +. No itching. Redness +. LMP 28/4. took Hormonal pill to postpone the menses||Nat-m 200 1 dose|
|15/5/08||> +||Nat-m 200 3 doses|
|25/5/08||>||Bacil 200 1 dose 3rd dilution|
|13/6/08||>2 from centre||SL|
|25/9/08||Came after 3 months with bigger lesion on the cheek. Said it was better but recurred.It was explained to her that she has to complete the treatment till the doctor asks her to stop or it will recur and will take more time to cure.||Nat-m 200 1 dose|
|7/10/08||> From center. Lean thin and hot pt pointing more towards Tub-b then Bacil.||Tub-b 1M 1 dose
Nat-m 200 1 dose
|14/10/08||>. Only the boundary left||Ct all for 2 weeks|
|6/11/08||>2 Only 2 spots bright||Nat-m 200 3 alt HS|
|13/11/08||Only 1 spot||Ct all|
|22/11/08||Edges only seen.||Tub-b 1M 1 dose
Nat-m 200 3 alt Hs
|13/12/08||No mark seen. No treatment required. To report SOS|