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Case Study

My Technique For Repertorisation
NATIONAL JOURNAL OF HOMOEOPATHY 1997 Nov / Dec VOL 5 NO 6.
Dr. S.C Mishra
'Borax / Calc-sulph / Calc-sulph / Arn / Tarent-h

"When looking over a list of symptoms, first of all discover 3, 4, 5 or 6 or as many existing symptoms as are "strange, rare and peculiar".Work these out first. These are the highest generals, because, "strange, rare and peculiar" must apply to the patient himself.

...."Learn to omit the useless particulars - the common particulars. Common particulars are worthless...
"Get the strong, strange, peculiar symptoms and then see to it that there are no generals in the case that oppose or contradict" EXTRACTS FROM KENT'S LETTER TO DR TYLER H.H Dec 1997. 

I have to cite some of my cases where, having no general symptoms, I had to depend on particular symptoms that could cure the patient as a whole including his particular complaints very quickly and permanently. I did not go to verify his generals. You can say, the medicines so selected on the basis of strange, rare, peculiar particular must have covered the generals of the patient, thereby resulting in cure. I don't know but I believe strongly that the strange, rare and peculiar is the highest general of the patient.

Here are cases to illustrate this:
Case 1: 
Cauliflower warts cured with Borax
A slim, tall, fair-complexioned, smart Maharashtrian man aged 42, working in a bank, came to me on 30th Mar 97 for a cauliflower wart as big as a rosebud, in his left parietal region. The wart was there for many years. He did not take any notice of it, as it was not giving him any trouble. But lately, it had started paining when combing hair. He had no other trouble except occasional bodyache and flatulence daily in the afternoon. Pressing any part of the body caused empty eructation. Even when standing on accupressure plate he used to eruct loudly. Talks less, is generally well behaved. No other physical trouble. I gave him 6 doses of Borax 200 [K 491 pressing stomach, painful part when] to be taken daily once in morning.

After 15 days he reported that the big wart has reduced in size. I gave him no medicines hereafter and asked him to report after another 15 days. He informed me on 1/5/97 that the wart had completely fallen off and needed no medicine.

Case 2:
Irresistible desire for sour and salt - Calc-sulph
It is very difficult to treat skin diseases now a days, especially with patients demanding quick relief and not ready to put up with a Homoeopath for months together. Nevertheless, I happened to have a miraculous result when treating such an obstinate skin disease, in a patient who had strong desire for sour and salt. The prescription was based on this single particular symptom.

Mr M S M
A 57 year bachelor, senior executive, an engineer in M P Electricity Board, who is a known patient of diabetes for many years, consulted me on 23/4/96 for his dry itching rashes all over the body, except face and scalp. Eruptions were like very small pinhead pimples, which used to ooze slightly bloody matter on scratching hard. They formed crusty tops on the lesions. Itching was very severe. Once it started, he felt like going on and on scratching.. AGG from undressing, at night, in bed, on slight provocation for scratching. He was born in Beluchistan, which is a very cold place.Now, he has been staying in Madhya Pradesh for many years. He is warm patient; likes to live in air-conditioned room, especially in summer days. Liked open cool air. He had no other symptoms but the only striking point I observed in him was that, whenever I went to see him, I found him enjoying tea. He told me that tea was his only weakness and he liked it very much with raw lemon. He could take one or two raw lemons with salt at a time and he really enjoyed it. 

I came back to consult Kent's repertory and found Calc-sulph to be his remedy as per the following rubrics in particulars.

K 486

Desire salt

K 483, S.R 270, 276

Desire sour, acid and tea



Though Calc-sulph has been indicated in Kent's repertory and Synthetic Repertory as third grade remedy against the said rubrics, I selected it, as it was very much prominent in eruptions crusty [K 1310]. I based my prescription on purely physical particulars of the symptoms and gave him single dose of Calc-sulph 200 [23/4/96]

On 13/5/96, he reported improvement in itching but not as much as he desired. I repeated another dose of Calc-sulph 200 and I did not see him till 31/5/96. After this, I saw him in person on 10/6/97 and found him completely relieved from itching. A few spots of scar marks were still visible on his abdomen. Till 16/12/97, he was free from itching eruptions or any other trouble.

Case 3: 
Another case of an eight-year-old girl, having big pustular eruptions on dorsum of the hands and finger joints, is worth mentioning here. The child had lost her mother at the age of 5 years. Her mother had asthma. Her father married recently. He looked after the child very carefully. There was no complaint or ill treatment by the stepmother. She was brought by her worried father [July 97]; the child was in tears due to tensive pain of big eruptions full of creamy pus. She could neither eat nor sleep for the past 5-6 days. I gave her Puls 200 but no relief. There was no other symptom except her worries for ensuing monthly exam. On asking about her food habit, her father told me very enthusiastically that she was very crazy for CHAAT, PHULKI, Pickles and acidic food. Looking to her crusty eruptions with pus [that looked very much like that of Graphites], I based my prescription on her prominent desire for sour and salty food and gave a single dose of Calc-sulph 200. After going back, she almost forgot her pain and played chess with her father and slept well at night. Prior to this, she could not move her fingers as they were drawn inwardly due to eruptions. Till 16/12/97 she had had no complaint of any kind.

In my busy hours of practice, I prefer to consult mostly the Phatak's concise Repertory, which helps me immensely to prescribe successfully. As you know, this repertory has no generalities section separately. 

Case 4:
A case of blackish hyper pigmentation has been cured on the basis of single sign symptoms. Dull looking Miss K, aged 16 years, below average student, studying in 10th std, was brought by her father. She had blackish discolouration on back of both the hands for a year. Also there was a hypopigmented patch below the wrist [l]. Menses scanty, irregular mostly delayed by one or two months. Flow lasted only 5 days. Appetite poor. Thirst +. Equal liking of sweets and salty items. Warm patient. Irritative but suppressive. Timid. Past History: Chicken pox, Typhoid
Family History: Father - piles: trembling of hands. Mother-Hysterectomy due to uterine fibroid. GM GF died of old age. 

She had never used any medicine for long time except some medicine for regulating her menses in the recent past. Her kidney function etc. was perfectly normal. 

I had no symptoms to prescribe upon. But one thing attracted my attention that the blackish patches were peculiarly distributed on both of her hands. I picked up the rubric "Symmetrical" [PH 340] and prescribed 6 doses of Arnica 200 to be taken daily once at bedtime [2/10/97}.

On 30/10/97, I saw the patient improving her colour very fast. No medicine. 18/11/97. Her blackish patch completely gone and her menstruation discharge seemed to have improved after this medicine.
Without consulting the Generalities, I got equal success in curing the mental disposition too with the help of Phatak's repertory.

Case 5:
Here is a case of a piqued lady starving after a quarrel. A woman patient of chronic hypertension, aged about 49, refused doggedly to eat and drink from the very morning of 2/12/97. She had a quarrel with her daughter-in-law on a trifle family matter. She defied her husband, sons and others and turned a deaf ear to all of their importunities and remained lying on bed all day long till evening. She did not talk to anybody. Her son approached me in the evening and requested for some medicines so that she could come to her normal self and eat something. At first I refused to give him any medicine and asked him to get his mother's anger pacified in every possible way and then try to feed her. The son informed me of having tried all these things but to no avail. She did not take a drop of water even till evening. I could not think of any medicine that can help this situation.

However, I considered the following rubrics:

Ph 11-12

Anger, irritability

Ph-8

Quarrelsome

Ph 333

Stubborn

Ph 303

Self torture


All the above said rubrics pointed towards Tarentula-hispanica. I gave him 2/12/97 two powders of Tarentula-h 200 to be given 15 minutes apart, on the plea of giving her medicines for B.P. Next morning i.e. on 3/12/97, her husband informed me that after 15-20 minutes of taking the medicine, she herself wanted to eat and slept well at night. Case 3: 
Another case of an eight-year-old girl, having big pustular eruptions on dorsum of the hands and finger joints, is worth mentioning here. The child had lost her mother at the age of 5 years. Her mother had asthma. Her father married recently. He looked after the child very carefully. There was no complaint or ill treatment by the stepmother. She was brought by her worried father [July 97]; the child was in tears due to tensive pain of big eruptions full of creamy pus. She could neither eat nor sleep for the past 5-6 days. I gave her Puls 200 but no relief. There was no other symptom except her worries for ensuing monthly exam. On asking about her food habit, her father told me very enthusiastically that she was very crazy for CHAAT, PHULKI, Pickles and acidic food. Looking to her crusty eruptions with pus [that looked very much like that of Graphites], I based my prescription on her prominent desire for sour and salty food and gave a single dose of Calc-sulph 200. After going back, she almost forgot her pain and played chess with her father and slept well at night. Prior to this, she could not move her fingers as they were drawn inwardly due to eruptions. Till 16/12/97 she had had no complaint of any kind.

In my busy hours of practice, I prefer to consult mostly the Phatak's concise Repertory, which helps me immensely to prescribe successfully. As you know, this repertory has no generalities section separately. 

Case 4:
A case of blackish hyper pigmentation has been cured on the basis of single sign symptoms. Dull looking Miss K, aged 16 years, below average student, studying in 10th std, was brought by her father. She had blackish discolouration on back of both the hands for a year. Also there was a hypopigmented patch below the wrist [l]. Menses scanty, irregular mostly delayed by one or two months. Flow lasted only 5 days. Appetite poor. Thirst +. Equal liking of sweets and salty items. Warm patient. Irritative but suppressive. Timid. Past History: Chicken pox, Typhoid
Family History: Father - piles: trembling of hands. Mother-Hysterectomy due to uterine fibroid. GM GF died of old age. 

She had never used any medicine for long time except some medicine for regulating her menses in the recent past. Her kidney function etc. was perfectly normal. 

I had no symptoms to prescribe upon. But one thing attracted my attention that the blackish patches were peculiarly distributed on both of her hands. I picked up the rubric "Symmetrical" [PH 340] and prescribed 6 doses of Arnica 200 to be taken daily once at bedtime [2/10/97}.

On 30/10/97, I saw the patient improving her colour very fast. No medicine. 18/11/97. Her blackish patch completely gone and her menstruation discharge seemed to have improved after this medicine.
Without consulting the Generalities, I got equal success in curing the mental disposition too with the help of Phatak's repertory.

Case 5:
Here is a case of a piqued lady starving after a quarrel. A woman patient of chronic hypertension, aged about 49, refused doggedly to eat and drink from the very morning of 2/12/97. She had a quarrel with her daughter-in-law on a trifle family matter. She defied her husband, sons and others and turned a deaf ear to all of their importunities and remained lying on bed all day long till evening. She did not talk to anybody. Her son approached me in the evening and requested for some medicines so that she could come to her normal self and eat something. At first I refused to give him any medicine and asked him to get his mother's anger pacified in every possible way and then try to feed her. The son informed me of having tried all these things but to no avail. She did not take a drop of water even till evening. I could not think of any medicine that can help this situation.

However, I considered the following rubrics:

Ph 11-12

Anger, irritability

Ph-8

Quarrelsome

Ph 333

Stubborn

Ph 303

Self torture


All the above said rubrics pointed towards Tarentula-hispanica. I gave him 2/12/97 two powders of Tarentula-h 200 to be given 15 minutes apart, on the plea of giving her medicines for B.P. Next morning i.e. on 3/12/97, her husband informed me that after 15-20 minutes of taking the medicine, she herself wanted to eat and slept well at night.

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