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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 97: I Lost my Independence and my home!

Mr SSV, 25 yrs Married at the age of 13 yrs, Non-veg, Hindu Carpenter, came on 22/10/81with the following complaints:

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
RESPIRATORY TRACT
Since 1980
OD
Asthma 3+
Breathless
A/F 2nd Delivery
< Pollution
> In USA
< In Mumbai
> Inhaler &rarr
> Sleeping with head down
P/H steroids
Mother: mild bronchitis
Naturopathy, Yoga and Meditation
2/week
Nose
GIT
Since 1995
Increased
Hyperacidity
Tightening
Belching
Burning
Occ flatus
A/F Menopause
< Spicy
< Oily
> Empty Stomach
< Heavy food
< Sleeping after food
> Cold water3+ or Milk with ice
BLOOD
Since 2005
Cholesterol 340
Normal in Jan ‘07
A/F Menopause Allopathic medicines for 3 mth
Walnuts
CVS
Frontal head
Hypertension
Dull headache
> Anti-HT remedies < Hungry Allo medicines

PATIENT AS A PERSON
WEIGHT: 65 kg, gained 10kg within 2 yrs after Menopause in 2005
APPETITE: N
DESIRES: Ice-cream, Salty things3+, Juicy things, Warm food
THIRST: 2 liters
TONGUE: Clean
STOOL: 1/day
URINE: 6-7/day and 1/night since Menopause
WARMTH: Hands
PERSPIRATION: N
SKIN: Easy Echhymosis3+, Warts on nose since birth
BATH: Tepid
Season: Likes winter, Monsoon3+, Desires fan, Open air and A/C
THERMAL: C3H2 → C2H3
MENSES: LMP 2005. Profuse 5-6d, stains+. 1995 Fibroids, but not growing. Hot flushes 2005. Before Menses→ D1-2 pain in stomach
Beginning &rarr Pain3+ D1 which relieved on 3rd day
SEXUAL HISTORY: ↓. 1/3month
SLEEP: 6-7 hrs Deep
DREAM: Water, Sea, Shivlingas
MIND: Religious, Alone >, Fear of height, Anger violent, Guilt, Affectionate, Obstinate

OBSTETRIC HISTORY:
G3A1P2. Both pregnancies were LSCS due to large babies in 1978 and 80.

LIFE SPACE INVESTIGATION: Born in April 1952, pt is the youngest amongst 3 sisters and a brother. She was born and brought up in Kashmir with MGP’s. She had a beautiful childhood. She was good student. She belonged to a singers family so she had to learn some form of music. In 1976 she had an arranged marriage and later came to Mumbai. She continued to sing. H was the adopted son of a rich family. ‘He is exactly opposite to my nature.’ She started teaching in 1984 in various colleges like SNDT Thadomal and SVP Engg College. H was very bitter. In 1987 the real son of that family sent a legal notice stating that he is not a share holder and is not even a family member. It was a major setback. But she took it well and never grudged. Later the real son removed her MIL from the house so the pt took her to her home and took care of her. She was in Hyderabad in 1993-96 and worked there too. The she came back to Mumbai. No one can dictate to me as I don’t dictate to anyone. In 1989 there was an emergency and she could not return to Kashmir. Her house was looted. Only the shell was left and it was sold for pittance. She had to move in with her son and Daughter-in-law and had to make a lot of adjustments. ‘I lost my independence’. She had to stop singing due to Asthma. She was depressed but now better.

REPERTORIAL TOTALITY

  • AF cheated, setbacks
  • Religious
  • Alone >
  • Fear heights
  • Anger, violent
  • Guilt
  • Affectionate
  • Obstinate
  • A/F Menopause
  • Ecchymosis
  • Hyperacidity
  • Hypertension
  • Wart

TREATMENT
Ars-alb 30 7P; 1P= 4 and SOS
NIH 200 pills 3-3/7days

FOLLOW-UP

DATE SYMPTOM REMEDY
28-3-07 Constitutional Lach 200 1st dose
NIH pills 200 3-3/7days
Puls 200 3P SOS for hyperacidity
05/04/07 > 40%. Acidity 40% better. Burning L4, Tightness L0/week, Flatulence L4, Headache L0/week. Asthma 2/week NIH 200 3P
NIH pills 200 3-3/7days
Puls 30 3P 1P=4 SOS for hyperacidity
16/04/07 >. NIH 200 3P
NIH pills 200 3-3/7days
23/07/07 Was away to Kashmir for 2 months. Gas, belching
< travelling. Had Pooja at home so ate spicy food
which <. Burning, tightness and headache +.
Puls 30 3P SOS for hyperacidity
1st week, Lach 200 2nd dose
NIH pills 200 3-3/7days
2nd week, NIH 200 3P
NIH pills 200 3-3/7days
06/08/07 >3. Much better she said. 1st week, NIH 200 3P
NIH pills 200 3-3/7days
2nd week, NIH 200 3P
NIH pills 200 3-3/7days
20/08/07 >. Appetite↑. Burning and tightness L2. Bowels N, Thirst ↑. 1st week, NIH 200 3P
NIH pills 200 3-3/7days
2nd week, NIH 200 3P
NIH pills 200 3-3/7days
Puls 30 3P; 1P=2 SOS for hyperacidity

Dr Vishpala Parthasarathy

Case 96: A Case of Spongia

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