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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 86: I Never Achieved What I Wanted

Reg No B/21/09
Mr RRP, 77 yrs old, Hindu Non-Vegetarian, Retired Copy Writer came on 13/10/09 with the following complaints

CHIEF COMPLAINT

Location Sensation Modality Concomitant
SKIN
Since 2 yrs, Increased
24 x 7
Since 60 yrs?
Itching 3+, Eruptions,
Dry skin, bleeding
Multiple Lipoma
< Night
> Moisturizer
> Coconut oil
> Scratching
Took Allopathic and did self Homoeopathy which > temporarily
EXTREMITIES, JOINTS, Both Knee
Since 1980-81
Calf
Ankle both sides
Osteoarthritis
Occ Pain
Cramps ++
Swelling 3+
< Standing longer
< Walking
> Sitting
> Walking
> Warmth
> Standing
> Walking
Tab Neurobion

PATIENT AS A PERSON
BUILT: Stocky, Tall
APPETITE: N. DESIRES: Cold food,
drinks,cold milk, Fried3+,
Spicy3+, Sweets3+
STOOL: N. URINE: Cannot control
PERSPIRATION: Scanty2+
OEDEMA: Ankle.
NAILS: Ridges


THERMALS: Likes winter,
Sun aggravates,
Fan aversion to,
Covers but keeps legs open
SEXUAL: Incomplete erection
after TURP in 2003
SLEEP: Refreshing 7-8 hrs
sleep lies in sides
DREAMS: Misfortune,
Dead body of his father, Ghost

MIND: Reserved, Dull quiet, Regrets, Interest in Literature, Likes music, Intolerant.

PAST HISTORY Whooping cough at 10 yrs age > Drossera. Dry eczema in 1954-55 > Sepia 1M TURP in 2003

FAMILY HISTORY: Wife CHD? Valve Replacement in 2006

LIFE SPACE INVESTIGATION: The patient is one of my patients father. He was born in 1931 in Patna. His father died just 6 months after his birth due to appendicitis. He did his basic schooling in Patna and graduated to BA and BSc in ’54 and ’58. He married in 1958. 1965 did the course in film direction. Till 1969 did teaching. Later got regular job in film direction. His wife had Congenital Heart Disease and she suffered from Rheumatic Fever. Her both Mitral and Aortic Valves were affected. He could not concentrate much in his work. He has 2 daughters and a son. The pt stays in his flat with his eldest daughter who is a school teacher in a renowned International School. He feels that he has not achieved whatever he wanted. He wanted to excel in music which he likes even today. But he could not persuade it. He feels his effort was less. He should have struggled more. Blames himself for it. He cannot afford Rs 300-400 per day to hire a teacher. They are very expensive. Now he feels to go to Gwalior to pursue music there. There is a big institution there and he can have a one-on-one learning. He doesn’t want to achieve anything at this age but still he feels he must go. He likes literature and to write. ’70-’80 was the best period of his life though he says that there was no bad period. He had ups and downs in his life but more or less it has been an uneventful life. He likes to be with likeminded persons. Tries to help people in his own way but not as a mission or any zeal. Likes music which ameliorates. The pt knows about Homoeopathic and has taken enough medicines to treat himself. The pt had a history of injury on his head 4-5 yrs back when his rickshaw in which he was travelling met with an accident.

REPERTORIAL TOTALITY

  • Reserved
  • Reproaches self
  • Music ameliorates
  • Dream, misfortune
  • Dreams, ghosts
  • Erection, incomplete
  • Food, sweet craves
  • Food, spicy desires
  • Skin, itching, scratching, ameliorates

FOLLOW-UP

DATE SYMPTOM REMEDY
20/10/09 > 50%. No scales, no bleeding. Ankle swelling L10, Skin itching L5, OA Knees SQ. wt 77 kg, BP 150/80 mmHg. Started playing music once a day. NIH 200 3P
Cebo pills 200 3-3/7days
SOS Nat-s 30 3P
03/11/09 Skin 75%>, No scales. No bleeding. Lipoma → in size. Dreams ghost, nightmares L0. Lipoma L0 NIH 200 3P
Cebo pills 200 3-3/7days
17/11/09 Itching>, Knee pain SQ, Ankle swelling L0/2wk, Lipoma L0 1st wk Calc-fl 6X 1-1/7days
2nd wk Calc-fl 6X 1-1/7days
3rd wk Cebo pills 200 3-3/7
4th wk Cebo pills 200 3-3/7
Nat-s 30 2P, SOS Skin
22/12/09 >3+ On NIH

Dr Vishpala Parthasarathy

Case: 87 Everybody Hates Me

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