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Case Study

The Dominating Father
NATIONAL JOURNAL OF HOMOEOPATHY 2004 Jul / Aug VOL VI NO 4.
Dr Bhavini Shah
'Mag-phos / Tub-b / Puls

F/ 31y South Indian came to me on 5/8/00 with C/o chronic cold starting with watery discharge < cold water³ http://www.njhonline.com/images/rtarrow.gif nose block < lying under fan http://www.njhonline.com/images/rtarrow.gif dry cough http://www.njhonline.com/images/rtarrow.gif pain in throat < cold water³ http://www.njhonline.com/images/rtarrow.gif headache http://www.njhonline.com/images/rtarrow.gif thick yellow expectoration. Diagnosed as tonsillitis and sinusitis.

Other Complaints
Hair fall 90 / day < combing³ with dandruff ++ and graying of hair.
Hypogastric pain² radiating to back, so much that pt cannot stand erect, < stool suppressed occurring once a month lasting for 1 day.
Flatus formation if eats garlic or fatty food and constipation < fried and < fatty food.

Patient as a Person:
Ht: 5'7'
Wt: 60k Tendency to put on weight.
Skin: Mole at Rt corner of the nose.
Teeth: cavities³ - got filled. Occasional bleeding gums < brushing.
Palms are warm to touch.
Perspiration: Scanty, non-staining, non-offensive.
Appetite: N.
Thirst: 5-6glasses/day.
Craving: chocolate³, garlic³, sweets, warm drinks.
Urine: N.
Stool: N

Menstrual History
FMP: 12 years. Cycle 4/30 days, regular, Normal flow - dark red, stains linen reddish.
MB 2D: Weakness, feverish feeling
M Beginning of: Mild hypogastrium pain.
M D - Day 2: Headache < morning.
Leucorrhea ++ stains linen light yellow.
Sexual function: Normal.

Obstetric History
G1P1A0L1. FTLSCS. Lactation for 11 months.
Sleep: 7-8 hrs of refreshing sleep
Dreams: unremembered.
Thermal: < summer. Likes winter.
Fan: +. Air open +++. Does not like AC.
Covering: thick in winter and thin in summer.
C2H3

Life Situation and Mental State
Fa lived in Ahmedabad and worked as an Audit officer. Very commanding and dominating. All family must listen to him. Patient’s brother had a love marriage against her father’s wish. To add fuel to fire, Fa was angry since Br did not have a child. But patient has always been obedient. She always used to tell father to be happy and not to feel burdened. Her constant effort is to try not to make others suffer.

She constantly broods over her family matters.

As a child she was calm, quiet and shy. Good in studies.

After marriage also she worked for 2-3 yrs. H used to travel a lot so felt lonely. Knows her duties and responsibilities. Keeps her parents with her though her fa throws tantrums. Suppressed but now gives back. But never fights, never wants anyone to be hurt. When irritable shouts. Cries easily even in front of others. Brooding ++ Affectionate towards family. Has lot of friends. Likes to be in company. Very caring. Gets anxious and worried if someone sick in the family.

Totality
Obedient
Broods
Responsible
Duty conscious
Father strict
Discharges stain
Pains

Repertorial Totality

  1. RM 994 Irritable
  2. RM 1038 Emotions Suppressed
  3. RM 992 Affectionate
  4. RM 1012 Company Desire for
  5. RM 1019 Crying
  6. RM 1119 Worries full of
  7. RM 1002 Anxiety about health of relatives
  8. RM 1034 Domination by others, ailments from
  9. RM 475 Leucorrhea stains, indelible
  10. RM 484 Menses before Aggravation
  11. RM 37 Hypogastrium pain

Drugs on Repertorisation
Phos 16/7, Lyc 15/6, Sep 15/6

Understanding the Patient
We have a child whose father is very dominating. No one in the family could have their way. Each child developed differently to deal with the autocratic man. There was no way to change this man, the father. So if the family was to live peacefully, they had to mould themselves to suit the whim of the father. This child, right from a young age, understood this. She could not handle fights. So she moulded her personality: became shy and quiet, always obedient, caring and good in studies. So no one, not even the father could find fault with her. The only person who suffered in this process was the patient. Her personality remained subdued. She took care of the family while others lived their own way. It was only when she moved out to Mumbai and then to Chennai that she changed enough to wear shorts etc.

Her brother on the other hand, developed a thick skin. Quiet, never easily perturbed. Never broods too much. And does not let father's words affect him. Father was very upset with him since he chose to become a film director after doing his engineering. Married girl of his choice - from a well-to-do family in Chennai. The DIL was little unconventional eg in dressing etc. though took special pains to dress conventionally when she visited them, yet father abused her too! She too mostly tried to take it in her stride.

All this description was to show the father's terrible nature and the kind of suppression pt chose for herself. On this basis, along with the stains indelible, and the affectionate nature Mag-ph was chosen.

Plan of Treatment
Acute: Kali-bi 200 for sinusitis
Chronic: Mag-phos 200
Intercurrent: Tub-b IM

  1. Hairfall3 90/day
  2. Hypogastrium pain http://www.njhonline.com/images/rtarrow.gif back 1/m x 1day
  3. Colds 2/m x 10 days
  4. Gas OD
  5. Nose block 2/m x 10 days
  6. Constipation 1/10 days. 0 x 1D
  7. MB - 2 days - weak
  8. MB - 1 day- feverish
  9. MB - 1day hypogastric pain
  10. Leucorrhoea stains
  11. Gum bleeding 1/6 m
  12. Ear pain 1/m x 1 day
  13. Eye pain < sun 3/w

Date

Symptoms

Treatment

5/8/00

Pain acute. Here Mag-ph was decided as a constitutional remedy, but in this instance it would even work as an acute.

Mag-phos 200 1st D

12/8/00

L5

0

0

0

0

L2

 

 

 

 

0

 

 

Tub-b 1M -1st D

18/8/00

Slight nose block MP 17/8 [Here ? Tub didi not register, or the attack ws already coming and couldnot be stopped]

Kali-bi 30 2P, 1P=2

24/8/00

L3

1/2w

+

0

0

1/w

0

0

0

0

0

1/w

 

Mag-phos 200 2nd D Tub-b 1M 2nd D

2/9/00

Unsatisfactory stools3/ wk.Soft stools with much staining. ?? Homeo <

SL

L5

0

0

+

0

++

0

0

0

0

0

0

 

11/9/00

Constipation since 2d, but no severe-L5, Hair L5

SL

19/9/00

Slight head pain. MP 18/9

Mag-phos 200 3rd D

L2

+

 

 

 

 

+

+

+

 

 

 

 

12/10/00

>³. Since 2 days dry cough < ice cream

Mag-phos 200 4th D

24/10/00

Hair fall³. MP 16/10. Head pain < MD < evening. Sleep less.

Tub-b 1M 3rd D
Mag-phos 200 5th D

20/
d

0/
6
w

0/
6
w

0/
6
w

0/
6
w

0/
6
w

+

0

+

0/
6
w

 

 

 

9/11/00

 

SL

25/11/00

Cough since 23/11
MP 16/11 bleeding ++. Headache MD +

Pul 200 2P 1P=2

27/11/00

>. So follow up with Intercurrent and Constitutional. 
After this patient kept reasonably well. Each time there was stress, we had to repeat the Mag-ph. Acutes used whenever attacks. Frequency of attacks of pain and colds reduced to 1/3m
We treated her actively for 1 yr and then sporadically when required. 
At 1 stage she required a few doses of Nat-m to remove the hidden resentment which was not being handled by Mag-ph.

Tub-b 1M 4th Dose on 27th 
Mag-ph 200 6th Dose on 28th Nov 00

3/2/01

>3. No complaints.

 

3/2/01

L3

0/
3m

0/
2m

0/
2m

0/
2m

+/
2d

0/
2m

0/
2m

0/
2m

0/
2m

0/
2m

0/
2m

 

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