The Poor Fissured Acid.
NATIONAL JOURNAL OF HOMOEOPATHY 1995 Sep / Oct Vol IV No 5.
Sayali Prabhu.
Cases.
` Nit-ac.

Miss EHB, a lean, thin, tall and dark lady with black spotted face, aged 24 years came to me two years ago with -

Chief Complaints:

1. Constipation with hard stools causing tearing pain and burning in the anus for 4 years. This was worse during and after stools, while sitting and standing.
2. Bleeding per rectum.
3. Flatulence
4. Watery discharge from the nose on change in weather.
5. Sore feeling all over the body.
6. Impaired hearing.
7. Recurrent ulceration in the mouth
8. Hair fall.

Personal History:

Aversions - sweets, meat, oily things.
Desires - salt, pungent things, warm food and drinks, egg, fish.
Appetite - reduced.
Thirst - absent.
urine - NAD
Sleep - sound, with dreams of future events and unknown persons.
Perspiration - scanty.
Menstrual History - Dysmenorrhoea, Regular cycles

Thermal Position:

Likes cold and damp weather
Takes warm water bath.
Likes no covering. Hot patient.

Past History:

Jaundice at the age of 12.
Tonsillectomy done at the age of 14.
Malaria 1 year back.

Family History:

Mother has Hypertension and Anal Fissures.
Father has Diabetes Mellitus
Sister has Anal Fissures.

Mentals:

1. Introvert
2. Brooding (3+)
3. Irritable (4+)
4. Trembling of the body when angry
5. Contradiction intolerant (2+)
6. Weeping (3+)
7. Suspicious (2+)

O-E: Multiple fissures seen on the left side of the anus.

Symptoms taken for Repertorisation:

1. KR Pg 638 - Hard stools
2. KR Pg 617 - Anal Fissures
3. Kg Pg 630 - Tearing pain of stool
4. Kg Pg 626 - Burning of stool
5. Kg Pg 619 - Bleeding of stools
6. Kg Pg 547 - Flatulence
7. Kg Pg 333 - Watery Discharge from nose
8. Kg Pg 1384 - Sore feeling all over the body
9. Kg Pg 321 - Impaired Hearing
10. Kg Pg 482 - Aversion sweets
11. Kg Pg 481 - Aversion meat
12. Kg Pg 486 - Desires salt
13. Kg Pg 57 - Irritable
14. Kg Pg 1408 - Trembling externally anger from
15. Kg Pg 92 - Weeping
16. Kg Pg 85 - Suspicious

RESULT OF REPERTORISATION:

Calc-carb - 22-9 Graph 25-9
Kali-bi - 12-6 Kali-carb - 17-9
Lach-16-8 Lyco-21-9
Nat-mur-24-11 Nit-ac-32-14
Phos - 24-11 Puls-19-7
Sep-19-8 Sil-19-8

Result of repertorisation has clearly indicated Nitric acid, as it has scored maximum number of marks and has covered maximum number of symptoms.

The totality of the patient, formal Repertorisation as well as PDF has shown that the patient clearly represents the picture of Nitric-acid.

Hence Nitric-acid 200 was prescribed.

Follow UP:

Date Symptoms

10-7-93 Treatment started with Nitric-acid 200 1 TDS for 8 days.
18-7-93 Patient has now passed soft stools for last 3 days.
Pain and bleeding also reduced markedly.
26-7-93 Same remedy was continued for 8 more days. Appetite has increased. Sore feeling disappeared. Irritability was reduced and the patient was cheerful.
3-8-93 Placebo was given for another 15 days. This time when the patient visited he had no complaints.
Nitric-acid not only cured the physical complaints (fissures) of the patient but also has acted upon her mental level, thus proving its depth of action and making the patients life comfortable.

POTENTIAL DIFFERENTIAL FIELD (PDF):