Tuberculinum: as a Constitutional 
NATIONAL JOURNAL OF HOMOEOPATHY 2000 Jan / Feb VOL II NO 1.
Dr Anita Lobo
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Case: 
Master A.B, 8 y, a Roman Catholic was brought by his Father on 13-10-98. Father was 44 yrs old, Mo 38y, and he had one brother.

Chief Complaints

Past History With Treatment History
Malaria 4 times, better Allopathic Rx Worm infestation for which anti-helminthics were taken.

Family History:
Mother anemic, tendency for obesity, malaria thrice, frequent aphthae.< /p>

Patient As A Person:
Appetite -Good
Desires - Sweets, meat, cold milk
Aversions - No particular
Thirst - Increased for cold water (1½ litre per day)
Perspiration - on forehead, at night; non-offensive; non-staining.
Stool - semi-solid; once or twice a day
Urine - D/N -6-7/1-2

Development Landmarks And Problems:
Birth- F, T, N, D, Hospital delivery; wt 3.5 kg.
All milestones: Normal

Reactions-Physical Factors:
Meteriological - Prefers cold climate (winter & rainy season) Thermal Reaction - C2 H3

The Mental State:
Intellectual State: Memory- Good in studies.
Creativity+ - likes drawing, painting.
Emotional State: Changeable moods, craves attention. Very sensitive> by consolation.
Restless: disturbs others. Fear of dogs, ghosts.
Likes Company. Irritable+: gets angry quickly.
Sleep And Dreams Duration-10pm. To 7 a.m.
Disturbed due to dreams of ghosts.

Genetal Physical Examination:
Appearance-lean. Wt. - 25kg, Ht- 4'-5".
Pulse Rate- 78/min
Resp. Rate- 18/min
Temp. - 98F.
B.P- 120/80mm. Of Hg.
Pallor, Jaundice, Cyanosis, Clubbing, Oedema- NIL.

Systemic Examination:
RESP SYSTEM O/E: Nose & nasal cavity- Enlarged nasal turbinates with bluish-red nasal mucosa R R - 18/min.

Per Abdomiinal CVS/CNS-NAD 
Investigations:
Blood: Hb-14 gm% Total WEB count - 10,000 cells/cu.mm.
Neutrophils= 64%
Lymphocyts 20% Eosinophils 12% Monocytes 3% Basophils 1%
ESR (Westergren)- 20mm. at the end of 1st hour.

Miasmatic Background
Fundamental Miasm: Tubercular Miasm: Mo: malaria thrice often gets apthous ulcers. Dominant Miasm: Tubercular Miasm: Patient- C/o recurrent attacks of cold & cough & had malaria 4 times.

Management:

1. General:

1.   Diet: - Avoid cold food, cold fruits, cold drinks, ice-creams.

2.   Ancillary Measures:- Avoid exposure to dust; Regularly wash curtains, bed-sheets, pillow-covers, to be used. All clothes and items to be dried in the sun.

3.   Education & Orientation:- All domestic articles and floors to be wet-mopped regularly.

2. Specific Homoeopathic Remedy:
   Acute- Arsenicum-album6.
   Constitutional: Tuberculinum- bovinum200

First Prescription With Reasons And Date:
Given on the basis of the following symptoms:- Nasal discharge-copious, watery; sneezing with nasal irritation, nose-block, dry cough- A.F. : Dust, cold food, cold drinks; all complaints< night, < cold climate,< exposure to cold air, itching with watering of eyes, Restlessness.

Criteria For Follow Up:

1. Irritability
2. Appetite
3. Thirst
4. Sleep and Dreams
5. Perspiration
6. Motion
7. Sneezing
8. Nasal discharge
9. Nose block
10. Cough dry
11. Itching and watering of eyes
12. Headache

Investigations- Repeated
WBC: N- 68% E-o6% L- 22% M-03% B-01%
ESR: 15 mm. at the end of 1st hour 30-6-99 much better. All his complaints improved.

Conclusion:
Although Allergic Rhinitis is a chronic complaint with exacerbations and remissions; a constitutional approach can help abort, decrease and eliminate these relapses. It is the function of the constitutional remedy to go to the very depths of the organism and improve his susceptibility and restore normal healthy balance. In this case. Tuberculinum functioned as a constitutional remedy due to the striking physical generals, mental generals and characteristic particulars. Thus despite the commonly held belief that Tuberculinum is used only as an intercurrent remedy; in this case it has been proved clearly beyond doubt that Tuberculinum can be used as the constitutional remedy and the symptoms match exactly as was the case here.

References:

1. Clarke- a dictionary of practical materia medica-volume III reprint edition-1995 B Jain Publishers. New Delhi.
2. Davidson-Principles and Practice of Medicine, 17th edition.
3. H.C. Allen-key notes and characteristics with comparisons with bowel nosodes- 8th edition B Jain Publishers. New Delhi.
4. H. C. Allen- Materia Medica of Nosodes with x-ray provings reprint edition-1995-B Jain Publishers. New Delhi.
5. Harrison-Principles of Internal Medicine-volume 2-13th edition.
6. Homoeopathic Drug Pictures- Dr. M.L. Tyler-reprint edition 1995-B Jain Publishers. New Delhi.
7. James Tyler Kent- Lectures on Hom. Materia Medical with New Remedies-Reprint edition (1994) - Pratap Medical Publishers. New Delhi.
8. William Boericke-Pocket Manual of Homoeopathic Materia Medica and Repertory- Reprint edition (1996)- B Jain Publishers, New Delhi.