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Case Study

The Single Mother
NATIONAL JOURNAL OF HOMOEOPATHY 1998 May / Jun VOL VII NO 3.
Dr Vibha Shah
'Kali-c

A lady, aged 40 years, came on 9/12/96 with complaints of breathlessness and wheezing. There was cough with thick, white expectoration, a bitter taste in the mouth. The mucus was difficult to expectorate.
The problems began after her second pregnancy. Breathlessness was < ascending stairs, < winter and
< lying down. It was ameliorated by pressure over chest, putting pillow below head and exercise. There was an itching sensation in the throat, < night. Other complaints included pain and stiffness in lumbar region, < coughing and bending. Hypertension and diabetes complicated these. FBS was 223-mg %, and PPBS was 247.3-mg%. Complaints related to diabetes were headaches, fatigue, hot flushes and excessive irritability. Headaches had begun 4 years earlier and were of a dull, throbbing character, worse noise and sun. Urinary problems
included scanty urination, drop wise with small granular sediments, which she said was like sand.
She had 2 FTND; and a miscarriage a few weeks after the 1st pregnancy.

Past History 
: Measles at age of 11 months, chicken pox at age of 1 year and worm infestation in childhood. Bruised [L] arm and head in an accident in 1989.
Repeated follicular pharyngitis. on and off.

Family Hostory 
: Revealed bronchial asthma and 1st degree haemorrhoids in father. Mother had scabies, carcinoma of the breast and renal calculus.

Menstrual History 
: MP 7/30-34 LMP 6-11-96
MB 
: acne, cold, cough, sore throat, weakness and
heaviness of breasts before menses, and lumbar pain during menses > if she passes stool. Fishy, offensive odour of the menstrual discharge, profuse clots and dark red that stained the clothes brownish. She had a history of vaginal itching due to candidiasis.

Life Story 
: The patient came from a middle class family. Her father in the construction business and he was dominating. In 1978, she finished B Sc and joined Jaslok hospital as a nurse. She had known her husband since childhood, but souring of the relationship began after her son was born when she went to her parents for 9 months.
Later her BIL tried to harass her and her son sexually. Things worsened and after several showdowns, she separated from her husband. Now, she works in a diagnostic centre, stays with her parents and brings up her two children. Most of the time she maintains a cheerful front but occasionally gets bouts of depression.

Rubrics taken :
MR pg 1008 - Brooding
MR pg 1020 - Weepy
MR pg 1070 - Irritable,trifles from
MR pg 1099 - Sentimental
MR pg 1012 - Desires company
MR pg 1038 - Nervous
MR pg 997 - Anticipation < if late
MR pg 1119 - Worry, full of
MR pg 1086 - Obstinate
SR II-270 etc Cr : sour, pungent 3, Fish
SR II - 276 Cr : Tea

Planning & Programming
Acute
 : Rhus-tox 200
Chronic
 : Kali-c
Anxiety#. Cheerful/ grumbling about money. Backache. Tension. Sleep, poor
Intercurrent
 : Tub-b 1 M (Tub Miasm)

Follow up 
:
9-12-96 Severe back pain, Fever with chill. Visit by Dr. Rhus-tox 30 7P IP =3 TDS Ferr-phos 6x 3/7
30/12/96 > but fall # [R] elbow Arn 200+ Ruta 200+ Symph 200+ Calc-phos 6x 3/7
20/1/97 > but infection + Kali-carb 200 [1]
Injury Rx CT
29/1/97 Throat irritable + Cough++ Rhus-tox 200 TDS
12/2/97 R arm elbow pain on pulling+ otherwise & cold Rhus-tox 200 7PIP =2 +Kali-m 6x2/7
19/3/97 Cough+ with urine incontinence. Caust 200 7P 1P=2
10/4/97 > Overall better exc. Diabetes which has not been treated for 3 mths.Kali-carb 200 3P Placebo pills Now in 1998 she gets no cough, diabetes is getting under control.
26/7/97 Kali-c 1M [1] to maintain and bring down blood sugar; repeated as necessary.

Blood Sugar Chart

Dates

FBS

PPS

15/1/96

335

 

16/11/96

217

 

5/12/96

223.07

248

9/4/97

 

269

4/10/97

225

273

4/12/97

168

235

17/12/97

196

211

1/1/98

146

206

4/3/98

148

206

16/4/98

143

180

6/5/98

155

206

14/5/98

152

162