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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 92: My Marriage has Ruined my Life

Mrs HR, 30 yrs Married, Hindu, Graduate, Non-veg, Homemaker came on 27/12/08 with the following complaints.

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
THROAT,
Thyroid
Since 1993
No energy,
Lethargy, fatigue.
Drowsy,
Wants to lie down,
Excessive wt gain,
Hair dry and coarse
Chapped lips
< Throughout the day Memory loss
T/t at Hinduja Hospital
Tab Eltroxin
Tab Thyronom
↓ Weight by swimming and dieting
GUT
Since 1993
Sides of face,
chest, chin
PCOD
Hair growth,
Obesity
Irregular periods
Dyspaerunia
? Skin tag
  Tab. Metformin
GIT
Now rarely, initially frequently
Since 2005
Acidity,
Heartburn
   
HEAD
1/6months
Pain with nausea A/F Stale food
> Vomiting
< Night
 

PATIENT AS A PERSON
WEIGHT: 80 kg
APPETITE: Good DESIRES: Hot Milk3+, Spicy3+ Sweets3+
THIRST: ↓ 3gl/day
STOOL: Constipated, hard stools since 1 year
PERSPIRATION: Less
SKIN: Cracks
SEASON: Likes winter. Takes covering while sleeping, likes summer season
BATH: Warm water
THERMAL MODALITY: C4H
SLEEP: 1-9 am, disturbed, unrefreshing
MENSES: LMP → 21/12/08, initially 8 days, now 5-6/45days since last one year, Irregular, Bright red, Moderate flow, clots
Before Menses → Mood swings, cranky, irritable, angry, fights with husband
Beginning: Back pain
SEXUAL HISTORY: ↓ No urge, tries to avoid, 3-4times/10 days
MIND: Anger, Brooding, Cannot tolerate contradiction, Obstinate, Changeable, Sex enjoyment absent

LIFE SPACE INVESTIGATION: The pt was born in 1978 in Mumbai. Fa was working in Bank of Baroda. She had her formal education in Mumbai. Her childhood was very bad, lot of stress at home. She spent her time defending her Mo who had problems from with MIL. Mo had to educate her with her Moís help. At the age of 5-6yrs neighbours and relatives made sexual advances which lead to anger and dirty feeling. Brother is reserved and shy, he doesnít remember hugging, teasing. She fell in relationship with a married man in 1996. He was obsessive about her and used to beat her, even she beat him. Later he broke up without her knowledge. Mentally she was highly affected at that time. When I left him I felt miserable, painful to separate. My H knows everything about it. My family wanted me to come out of it. My H is reserved and laid back. We have ups and downs in our relation and we fight too. He is 1 month younger to me. He is not very close to me. I cannot love him completely. He is never pro-active or has zest in life. I feel marriage has ruined me. He watches TV but I hate it. He rarely opens to me. I donít let him penetrate me. He has no confidence I am more active during the act. My in laws didnít give money for our honeymoon. My MIL made me to quit my job. She didnít let me go out. She was very strict, she never allowed me to enter kitchen without bathing or sleep on the bed during period and used to tell my H to sleep elsewhere.

REPERTORIAL TOTALITY

  • Brooding
  • Contradiction, intolerant of
  • Obstinate
  • Inconstancy
  • Changeable
  • Lie down, inclination to
  • Irritability, menses before
  • Sex, enjoyment absent
  • Food, milk desires
  • Female, pain vagina, sex during
  • Female, ovarian cysts
  • Throat, thyroid gland, hypothyroid

HOMOEOPATHIC TREATMENT
Phos-ac 200 3P
Pla pills 3-3/7days

FOLLOW-UP

DATE SYMPTOM REMEDY
03/01/09 >3+. Lethargy L6, Energy L6. Sleeps better, no afternoon nap. Felt better attitude towards life. Impatient L0, Anger L0, Phos-ac 200 3P
Pla pills 3-3/7days
09/01/09 Constipation L0, Sleep L0. Phos-ac 200 3P
Pla pills 3-3/7days
16/01/09 Headache and acidity L0/week, Lethargy L4, Sleep disturbed L0, Dyspaerunia L0/week, Irregular menses L0/month 1st week NIH 200 3P
Cebo pills 3-3/7days
2nd week NIH 200 3P
Cebo pills 3-3/7days
22/02/09 Lethargy L0, No energy L0, Headache and acidity L0, NIH 200 3P
Cebo pills 3-3/7days

Dr Vishpala Parthasarathy

Case 91: I Lost my Independence

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