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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 78: Case of Eczema

Ms KM, 18 years came to me on 5/9/07

Dr Bhavini Mehta

CHIEF COMPLAINT
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.
NAILS: Bitten.
TONGUE: Coated but wet
PALMS: Warm to touch
ANEMIA: Hb 9.4.
Perspiration: Normal
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
DREAMS: Unremembered
THERMAL: Hot.
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.

MIND
Irritable33, < contradiction but keeps quiet.
Brooding3, cannot forget.
Has many friends but non best friends.
Obstiante3
Need not have company. Can stay alone.
Weeps easily.

REPERTORIAL TOTATLITY

  1. A/f Grief
  2. Brooding
  3. Obstinate
  4. Alone >
  5. Irritable, < contradiction
  6. Dysmenorrhea D1
  7. Craving spicy
  8. Craving salt
  9. Sleep Disturbed
  10. Eczema
  11. Hot patient

RESULT
Lyc, Nat-m, Sil, Puls

PLAN
CONSTITUTIONAL: Nat-m
INTERCURRENT: Tub-b, Bac

Follow Up

Date Symptoms Remedy
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

Case: 79
A Case of Balanitis

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