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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 90: The Salesman Became The CEO

Reg No S/19/05
Mr RP, 54 yrs, Married, Non-Vegetarian, Hindu, CEO in Advertising Percept, came on 07/02/05 with the following complaints:

CHIEF COMPLAINT

Location Sensation Modality Concomitant
RESPIRATORY TRACT
Since 1 yr
Once in two months
Periodic cough
Must sit up
Starts with cold and ends with cough
Yellowish expectoration occasionally
< Morning
< Winter
< Before going to sleep
< Change of weather
< 4pm
< Lying
> Air
Weakness+
Thirst +
BACK
Since 10 yrs
Lower back
Aching pain
A/F Driving Esteem and Gym
< Bending
< Lying down
< Movement
MRI L5 Protrusion
Dr Vishwas Raut
Acupressure
GIT
Stomach since 5-6 yrs
Acidity 2+ < Spicy3+
< Stress
 
CVS. Since 3-4 yrs Hypertension   Tab Tenormin 1OD
SKIN
Since 1980
Psoriasis
"Fluid dripping occ"
< Gold, Metals
< Detergents

PATIENT AS A PERSON
WEIGHT: 84.7 Kg
APPETITE: N. DESIRES: Spicy3+
FOOD AGG: Fat3+, Spicy3+, Tomatoes3+
ADDICTIONS: Alc 30-60 ml/day;
Cig 3-4/day





STOOL: N. URINE: N
PERSPIRATION: Increased
SEASON: Loves monsoons,
Likes open air
BATH: Seasonal. C2H3

MIND:Fastidious3+, Reserved3+, Affectionate2+, Irritable

FAMILY HISTORY:Father: Died due to IHD. Mother: Died due to renal ailments

LIFE SPACE INVESTIGATION: The patient was born on 9th Nov 1950 in Allahabad. Father was in the Army. He had happy childhood. He studied in Lucknow up to 12th std. He went to Pune to do BSc and came to Mumbai to work. He failed in Final BSc as he did not study nevertheless he cleared it. In 1975 he joined Bright Brothers Company as a Salesman and used to sale plastic buckets and mugs. In 77 he became Medical Representative. Did MBA in 1978. Later went for Management and now he is CEO. He married in 1981. Has 2 children. The elder is studying in USA and the younger in Kodaikanal. Wife is an artist and does pottery work.

REPERTORIAL TOTALITY

  • Fastidious
  • Reserved
  • Irritability
  • Affectionate
  • Cough, weather change of
  • Cough lying <
  • Coughing < 4pm
  • Knees, sharp pain
  • Back, pain, lumbar <
    sleeping
  • Back lying >
  • Knees, pain <
    descending
  • Stomach, burning pain

FOLLOW-UP

DATE SYMPTOM REMEDY
14/02/05 >3+ Knee, Adv: Curd and Milk NIH pills 200 3-3/7days
21/02/05 Cold A/F gone to Alibaug, Irritability+, Cough L3, Backache L1, Acidity 0/2week 1st week Bry 200 stat, 3P 1P=2
Kali-mur 6X 2/7days
2nd week Thuj 200 1st dose
3rd week NIH pills 200 3-3/7
08/03/05 Knee pain+, Cough L0, Backache L1, Acidity L0, A/F injury to knee in 2004 Arn 30 7P, 1P=2
NIH pills 200 3-3/7days
21/03/05 Knee pain+ < descending, < COW went to London, Backache L0, Cough and cold L0 Rhus-t 200 ounce tsp BD
Calc-fl 6X 2/7days
17/06/05 No complaints, No cough and cold since 3 months Physiotherapy since 1 month, Pain in fingers < washing dishes. BP 130/80 mmHg 1st week Sul 30 1st dose
2nd week NIH pills 200 3-3/7
3rd week Bry 200 SOS if pain in knee
04/07/05 Cold > 0/5 months. Since 3/7 sneezing, feverish, bodyache, watery discharge > warm, red throat. Chilly3+. Knee >3+, cough L0 1st week Hep-s 200 3P, 1P=3
Tub-b 1M 1st dose
2nd week NIH pills 200 3-3/7
07/11/05 Cough and cold since 27/10, sensation as if cold will start. Chest feels heavy< morning, Sneezing3+, < morning. Tongue clean, red, Thirst+ Fauces congested. BP 136/80 mmHg. Wt 80.4kg 1st week Ars-alb 200 3P, 1P=3
2nd week Tub-b 1M 2nd dose
3rd week Lyc 200 1st dose
28/11/05 Cough < morning, night, dry cough wakes up at 2.30am. BP 130/80mmHg 1st week Lyc 200 2nd dose
NIH pills 3-3/7days
2nd week NIH pills 200 3-3/7
06/01/06 Went to Goa where cough <. Dry < evening. Vague feverish feeling. Thirst N, Tongue wet tip, Throat ++, Chilly. Wt 83.4kg 1st week Rhus-t 200 3P; 1P=3
2nd week Tub-b 1M 3rd dose
3rd week Lyc 200 3rd dose
06/02/06 > 60%, congestion < lying, wheezing 0, Stress 0, Curd < L0, Gas L0. Skin infection after coming from Goa > Hot. 1st week Ars-alb 200 3P HS
2nd week Lyc 200 4th dose
NIH Pills 200 3-3/7days
24/04/06 Colds L2/2month, Knee< stretching. BP120/80mmHg 1st week Ars-alb 200 3P HS
2nd week Tub-b 1M 4th dose
3rd week Lyc 200 4th dose
18/05/06 Knee 40-50% >, wants SOS for cold and cough 1st week Rhus-t 200 2/7
2nd week Thuj 200 1st dose
Ars-alb 200 SOS
18/06/06 Cough L0, Backache L0, Curd < L0, Gas L0 1st week NIH pills 200 3-3/7
2nd week NIH pills 200 3-3/7
17/08/06 Slip disc pain > rest, BP 100/60 mmHg 1st week Rhus-t 200 7P 1HS
2nd week Thuj 200 2nd dose
Lyc 200 5th dose
26/10/06 Was >3+, again knee pain+, cough and cold L0 BP 100/70 mmHg, Wt. 79.4kg 1st week Thuj 200 3rd dose
2nd week NIH pills 200 3-3/7
SOS Rhus-t 200 4P; 1p=4
28/12/06 Left eye upper lid redness + itching > cold, ↓, tongue coated and dry Thuj 200 4th dose Puls 200 5P 1HS
04/01/07 > 3+ Overall much better. No knee pain, no gas, no cough and cold. Skin better. NIH 200 7P
NIH pills 200 3-3/7days

Dr Vishpala Parthasarathy

Case 89: Doc! I am Allergic to Milk

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