The Righteous, Proud Farmer
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Jul / Aug VOL 4 NO 4.
Dr C B Jain
Dr Dilip Nandha
'Aurm-met

Mr V G More, 74 yrs, is a Widower since 1992. He studied till 8^th Std in Marathi medium, and became a Farmer. He is a Hindu, a Bhandari, eats Non-Veg, Eggs. He has 4 Sons, 50yrs/46yrs/42yrs/32yrs. (3 are married) 2 Daughters, Brother 1, elder, died 6yrs back Sister1, elder, died. Fa died in 1962 and Mother in 1965. He came to us on 27/7/01 at the Palghar Rural Hospital.

Chief Complaint:

Associated complaints:

Patient as a Person:
A) Physical Characteristics
1) Appearance: Hard fibers², Medium built. He looks younger than his age.
Hair: Gray³, which has been colored.
Teeth: Caries² Removed - RU.
Perspiration⁺
2) Digestion: Appetite, Thirst, Hunger & Taste: N.
Cravings: Potatoes³ (Now stopped because causes gas²) Sweets³
3) Eliminations: Stool: once/day. Regular - Normal. Urine: D/N - 4/1
4) Diet & Daily Routine:
7.30 am: Gets up.
9 am: 2 Roti (Wheat + Rice flour) & 1 cup Tea.
12 am: Lunch - Rice (2 wati) + fish / terkari / veg. / rice water - 1 glass.
4 pm: Tea 1 cup.
9 pm: Dinner - Rice (2 wati) + 1 glass rice water + veg. 1 wati.
10-10.30 am: Sleep.

Past History: Cataract operation.
Family History: Nothing specific.
B) Life Space:
Mr VGM, 74 yrs old male, widower, who appears younger² than this age, He has no wrinkles on his skin. He is made up of hard fibers² and is of medium built. He looks firm & confident. Sits erect with his backbone straight. He speaks confidently and sharply. He has studied till 8th Std in Marathi medium. He has submitted nicely written history in Hindi knowing that Physician is unable to read Marathi. He had no illness in past but has Hypertension since 1 yr.

He is basically a Hindu Bhandari, born and brought up from a village Nangaon, where he is living till now. He has studied up to 7^th Std from Bordi and during that period he had only one pair of school dress and washed it on every Saturday(a far cry from today’s child!)

Father was a farmer and in his own field. He has been described as, "kisai ko lafdo maom padnaoka nahin, Apnaa Qam karao,¸" only involved with his own work. He has his own name and fame, "naama qaa,¸ ijjat qai." His relation with his father was cordial. He died in 1962. Patient doesn’t know the cause of death. He had no much emotional effect of father’s death.

Mother was also good natured, "kisi sao Jagada nahin" and had cordial IPR. She died in 1965. Patient said he had no much emotional disturbance of mother’s death. He said it is part of life. He had one elder brother and 1 elder sister. His brother was good-natured but after father’s death, relationship disturbed because of fights for father’s property. After father’s death, patient was looking after field (land) belonging to him & brothers too because brother had job at Bombay and was residing there. There was no problem in field till brother’s son grew up. Brother’s Son denied to give field (land) to patient & Conflict started. As per tradition of village / community, after Father’s death, field and property always (and usually) goes in elder Son’s name with / without terms, and it also gets so registered in Govt. file. Patient was taking total care of land. When issue of right came, he fought against Nephew. Patient was very much disturbed², angry²towards them. He had never expressed anger openly to them heeding his own name, fame, good reputation and well established image in village which he did not want to be spoiled. During this time, ie 1965 he was Sarpanch of village for 5yrs. He said, cannot take it nor swallow it nor say anything. Our name will do down in mud- " kao galai zako kuch baaola nahi sakta ki maom nao eosaa ikyaa,¸ saba Apnaa baat maanato qao." He sued a case in court and won it in 1983. He received half of his father’s property (land) by legal means. He said, he did not want to quarrel / fight openly to them. While narrating this incident, he expressed more vexation and suppressed anger towards his nephew than his own brother. He said brother had no choice but to listen to his son. Son also did not listen to his own father. When Nephew’s incidence was going on, all villagers were in patient’s favour and scolded nephew for his action, but then also patient felt that his image was spoiled.

His wife was good-natured and looked after him and others nicely. She died in 1992 of bloody diarrhoea with abdominal pain. She was hospitalized but could not be saved. On asking effect of her Death, he simply replied, "Effect yaa haogaa¸ Kanao kao¸ pinao kao, imalata ho tao @yaa problem ho."- what will be the effect? Who will give food and water, who will look after when sick?

He has 4 sons and 2 daughters. During interview he was much disturbed² while describing about son4. He himself opened that card to physician.

Son4 is alcoholic³, involved with bad company. He is unmarried at 32 because of his bad habits. Patient is least worried about him. Patient dislikes his Son4’s alcoholism and bad company because "Apnaia ijjat ko ilea aca nahim lagata¸ gaamva ko amdr ijjat ho aaor vaao ijjat rhnai caahie,, gaamva mamo kao- maoro kao baaoknao vaalaa naMhI hOO ko maom eosaa hu^ . Apnaa naama rhnaa caahIe"His Son4 has spoiled his image which he  has built in society as - a Hard worker³, Simple man³, honest³, Responsible and has given his children education. Son4 is living with him but has no communication with him.

Son1 was good-natured, studied till old SSC. He had a job but less salary so he left the job. He used to think much and one day died. He lived with patient, but patient did not know what he was thinking. He said, "qaaoda idmaaga out hao gayaa qaa." On asking about effect of his death, he said, "@yaa krnao ka mar gayaa tao." His wife and 1 son and 1 Do are living with patient. Patient shares good IPR with them. Patient takes care of them nicely.

Son2 is living separately and IPR is good.

Son3 is working is ST Depot., Palghar. Patient has no relation with him. Son3 has been separated after marriage. When patient goes to his home, he never ever serves him even a 1 cup of tea, nor behaves properly with patient. Son3 receives regular traveling allowance for vacation from his ST department. He has never asked his father to go out with that allowance. He has never helped him financially. Patient feels for his Son3‘s behaviour toward him.

Major incidence occurred 1 yr back, when Son3 wanted share of patient’s field (land) and brought PANCH to patient’s door. This had never happened before. Patient felt very bad and hurt by son’s behavior. Again Ijjat. All through anger3 has been buried and not expressed, feeling his image would be spoiled. He correlated that after this incidence his BP increased. He felt his image has been spoiled³ and lost³. He preferred to withdraw himself from relating with son. Now he is not keeping relations with him. He keeps on brooding³ on this incidence and becomes anxious for his illness. Through out life he had no problems but at 74 in enters HT. He again shared that PANCH people are younger to him, yet they only shouted and scolded his son3 with the words that once upon a time patient was Sarpanch and all used to respect him and now son himself is not able to understand or give respect. Panch went away without helping son3. Even Panch has told nothing to him but he feels there is a sprinkle of black dot on his image. During this time he had dreams of falling from bed and went to Doctor and had accidental finding of increase in BP. He openly said to his Son3 that as you sow you will reap. If you treat your parents badly so will your children. You respect your parents, so will they.

His nature is Irritable³ when not obeyed, but does not express it. He has no fears. He had a habit of alcohol H/O 20 yrs before. He left it when understood it is not good for health. He must have newspaper daily in morning. His sleep becomes difficult once he wakes up for urination; also disturbed from noise³.

Physical Examination:
T: Afebrile. P: /min. BP: 130/80. Wt: 61 kgs. Conjunctiva: Pink. Nails: N.
Skin-Palms: Hard2, Rough2.
Tongue: Middle yellowish coated.
RS: NAD. CVS: NAD. P/A: NAD.

The Clinical Diagnosis:
The case was defined by primary physician on 27/7/01. The patient presented with breathlessness on his routine walk for few km & he was also detected as having high blood pressure since last one year. His investigations revealed certain interesting findings. His FBS/PPBS were increased - 138/215 & very high urine sugar, pointing towards Diabetes Mellitus. The cholesterol was high- 224mg which was in a risk zone & the triglycerides was certainly high- 286mg, both the reports are s/o Hyperlipidaemia. ECG findings are s/o of inferio-lateral ischaemia. He also had ankle joint pain-?osteoarthritis of ankle joint.

Case Analysis:
The life story of this man, talks of an interesting tale about what is weakness & how this expresses itself on the mind & body simultaneously & the organ chosen to express it. This congruency represents the totality.
A highly straightforward & hard-working man, he passed through a very difficult life financially. He gradually came up in his life & settled in life. He not only took care of his family, he also guided the village as the Sarpanch of village. And for himself, he earned an image. He created an image of clean, straightforward, conscientious, hard-working man.

Situations did arise in his life but he faced them without difficulty. But he could not stand a smear to his image, especially by his own son for the matter of land- internal family dispute coming out on the street, for all to see. The hurt was unbearable & it struck the heart. The dream was symbolic of ‘fall’- fallen in his own eye.
He passed through the grief of losing his image. This affected the heart & the blood vessels. It equally affected the metabolism of glucose & lipid. The ailment from falling from one’s own image led to grief (sadness), affecting the heart causing HT & IHD - this leads us to the understanding of Aurum-met. This represented the consciousness, sub consciousness & somatization effects leading to destruction (syphilitic miasm).

High sensitivity & structural changes (atherosclerosis) as well as metabolic changes allowed me to diagnose susceptibility as poor. This peculiar combination permitted selection of moderate - 30 potency with frequent repetition.

Follow up analysis:
He is on continuous Homoeopathic Treatment. In last one & half years of treatment, he remained symptom- free, by & large. His breathlessness on exertion is not present on routine walk. ECG does not show progress worsening. BP is fairly under control. We could stop the anti-hypertensive, barring one incidence during acute cold cough when his BP shot up & required the attention of the local physician. His sleep is normal but restricted to 4 hrs. He however, feels fresh. Blood sugar is within normal range but his urine sugar is not yet normal raising the possibility of renal glycosuria. This area needs attention & management. His lipids are well under control & are within normal range. All this indicates the subjective as well as objective improvement in the case.