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Case Study

The Sister Act
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Mar / Apr VOL 4 NO 2.
Dr Yogita Bhanushali
Dr Vishpala Parthasarathy
'Kali-ph / Kali-c

A 39 yr old Catholic female came for the complains of headache and depression. Her symptoms were categorized as follows:

Location

Sensation

Modalities

Concomitant

HEAD
Since 1999
< since 2000
vertex,
full head
and temples

 

Pulling pain3

 

 

 

Giddiness3

<tension3,
<sun3,
<a.m.
<getting up from >sleep
>hair tied3
>pressure3
>trica3
<AM-PM3
<MB3

Sleep reduced
Giddy >lime juice
Cramps
Anxiety what will happen?
Jaw pain3
L shoulder pain
Muscle tension3

Teeth - jaw

Pulling pain
Tightness3

<headache

 

DEPRESSION
Sept’99

Weeping3
Palpitation
Nervousness with cold hands and feet

A/F husband away
< alone at night3

Severe acidity
Tenoric 50mg OD

Sleep
1992

Insomnia

< tension

> Trica 0.5

Stomach

Flatulence
Loose motion

 

< fright
< fried fish
< potato3
< dal3
< milk

 

General
Since Jan 99

Hypertension

 

Cramps
Giddiness
Anxiety
Nervous
Oedema legs

Hair

Dandruff3. Loss3
Graying, early

 

 

Pt As a Person:
Ht: 5’ Wt: 56kgs
Perspiration: profuse, slight odor and sticky
Craving: for fish3
Aversion: meat3, sweet1
Menstrual history: regular 4-5day/24-26days cycle
MB (1 week): tensed, headache, nervous, lethargic, doesn’t feel like working, giddiness3.
Obstetric history: one Caesarean section done because pain could not be induced.
Thermal: C3H2, Sun causes headache and photophobia
Sleep: disturbed due to negative thoughts when depressed and anxious.
Family History: Father: TB; Sister - also had nervousness and gets depression

Life Space:
She was born in 1960, Father was a Driver and Mother housemaid in Kuwait. Father expired in 1978 ; she stayed with her brother. Tough childhood. Completed her SSC in 78 with 50% but always was a nervous fearful child.
Completed her BA in 84 and then took a job of secretary and telephone operator.
In 1990 she had an arranged marriage. Her H was in civil organization posted in Abu Dhabi. In 1991 she had a child, she had to stay alone and manage alone, so got very nervous and scared. MIL alone and very harsh. Harassed her a lot. When she was pregnant her MIL used to laugh at her because she did not know how to cook, so she got out of the house and stayed with her sister. During her pregnancy she stayed with her brother and later bought a house at Mira road, but she felt very nervous and alone.
1995 her sister bought a house in Borivali. Pt too moved Thane, so now she had no fear
1996 leakage in the house because it was a terrace flat and had to spend a lot of money
1998 leakage spent Rs 2,500 and society never re-paid it. She fought, became very sick and depressed and had to be hospitalized.
1999 leakage but husband was there, so didn’t feel depressed.
When husband not there she gets scared; goes to sister’s house stays overnight and would come home in the morning.

Pt has fear of being alone3, funeral3, heights3, crowd, lift3-feels she is trapped. Has lot of anxiety about her health.

Rubrics Selected were:
1. Anxiety alone when
2. Fear of being alone
3. Anxiety health of
4. Insomnia anxiety from
5. Sulky
6. Talk excessive
7. Panic attacks of anxiety
8. Insecurity 9. Fear of crowd, fear of heights, funerals
10. Headache, on waking up
11. Headache<sun
12. Diarrhoea <fright
Arg-nit was highest ranking followed by Kali
Planning and programming:
Acute: Arg-nit. Cimic 200 for neck pain.
Phase Medicine: (Fear) Arg-nit
Constitutional: Kali-phos [Anxiety, coupled with the leaning character, so many dreams, and fears with sleeplessness, lead to the Kali attached to the anion Phos.

Intercurrent:
Fixed fears, fixed ideas cannot be alone made me look at the fear as more sycotic: Thuja

This was a case where many medicines where given relief, no doubt, but the boldness to stay alone came only with Arg-nit. It being a strong nervous condition, high potency had to be given.
In one visit she said that today while coming in the train there was lot of rush and due to suffocation two female fainted but you know Doc I didn’t get nervous instead I went and helped them and I felt so nice-a lady who wouldn’t be able to see accident, funeral and today could help! So much my nervousness has reduced.
In the last visit on 05-09-02 she said her Allopath has stopped her BP medicines also as her BP is 120 / 73 and has said to continue only Homoeopathy! (very gratifying).

3/08/00

Headache3, nervous3

Kali-phos 200

10/08/00

Cramps+, Sleep>, pains+ , sl nervousness >

Kali-phos 200

17/8/00

> 80% nervousness

NIH 200 -3

5/10/00

Pulling pain3 with lot of anger

Staphy 200

12/10/00

Irritable3 <MB, rainfall leakage. Heaviness of chest

Kali-phos 200-7P

19/10/00

Tensed3 headache3 anxious3 CT scan done -NAD

Tub 1M
Nat-phos 200

2/11/00

>2 teeth pulling with slight headache for 3 days

NIH 200- 3P

16/11/01

Headache 1/2W, teeth pain and tightness+ cramps after menses < .
Anxious3, confused3, talks3 <alone

Kali-c 30 -3 P

30/11/00

> but still pulling pain +

Cimic 200-1P

7/12/00

Overexertion , cramps shivering, vomiting sensation thirst reduced

Cimic 200 -7P
SOS 
for headache later
Tub-b 1M-1

21/12/00

> 60% no headache for 2 weeks

Tub-b 1M
Kali-c 200-1P

4/1/01

> pt came first time saying better, > anxiety

NIH 200

26/2/01

Suddenly frightened at night with dryness of mouth, pain in chest, palpitation and giddiness <11-2AM

Arg-nit 1M

8/3/01

> fear >giddiness

Thuja 200
Arg-n 1M

22/3/01

> mentals but slight nervous due to son’s illness

Thuja 200
Arg-n 1M

5/4/01

>3 nervousness

NIH 200

12/7/01

Palpitation , house leakage wet house. Fear, H no job
Jaw lock <MA

Arg-nit 1M
Thuja 200

26/7/01

Giddiness >, palpitation>+

Arg-nit 1M

18/10/01

Depression 1/M no giddiness

Arg-nit 1M

31/1/02

Giddiness 1/2W, teeth sensitive sour , worrying

Arg-nit 1M

7/2/02

Teeth pain crying seeing the accident what will happen? Palpitation

Arg-nit 1M

CASE 2:
40 yr old Catholic lady came for the problem of calcaneal spur and DUB.
Her symptoms were categorized as follows:

Left Heel
Since 1997

Pain3,
Pricking pain,
Swelling3

A/F walking on marble floor, feet became cold.
>walking 2
<standing3

 

Toes

Cramps,
Stiffness

<working in water,
<morning3,
<AC
>rest3,
<pressure

 

General

Body pain

<working in water,
<touch

 

Left ear

Pain3

A/F shouting in argument,
<talking loud

 

Respiratory system
1999

Breathless3
Can’t take breath

A/F menses before 3days
<1-4
<theatre
>AM
>open air3
>after menses
<deep breath

Tongue dry3
Thirst less

Pt as a person:
Wt: 74.2 kg
Craving: for pungent3, hot drinks3, fish, chicken, sweets2, sour.
Menstrual history: regular 6days flow and 24-30days cycle. Since Jan 00 it has become irregular 15-20days flow and irregular cycle 40days.
Thermal: C3H2
Family History: brother has diabetes; Sister has diabetes; Father had TB; Mother Diabetes. Twin Sister has depression.
Past History: Mumps, Chicken pox

Life Space:
Born in 1958, she had two brothers and three sisters one of them being a twin sister. Her father was a driver, alcoholic but of loving nature. Mother went to Kuwait as housemaid for 5 years in 1974, so maternal Grandmother took care of all children in 1980. Brother at the age of 16 went abroad and is still working there. Sister gave tuitions, and they were given 50% concession at school. Shared same book with her twin sister had a very tough childhood. After she completed her 10thstandard, she started working so youngest brother could become engineer.
SIL-1 is very loving and nice, but SIL-2 is a fighter cock, won’t let brother come to her house. Shouts: She gets angry and that is the reason why she got ear pain. Pt gets very upset, cries when she hears them fighting. Her husband would then shout at her: ‘why spoil our life because of them’ and would advice not to worry for her Br2.
In 1985 she got married. Her husband used to work at Dubai and would come once a year for 45days, then he went to Gulf. She felt very lonely she does all the house work and keeps her self occupied. She said she doesn’t have any enemies. She loves to talk. When in tension she gets palpitation.
Weeps3, broods a lot when thinks of SIL to her brother. She is very sympathetic. Fear of traveling alone and also has anticipatory anxiety. < fights3. She is very affectionate, love to be with people, <alone3.

Here, being sisters with very similar complaints and background, it was thought the same remedy would be useful. But for her, theKali-carb proved beneficial and not Kali-ph. With Kali-carb she has become very relaxed and all her pains and swelling has reduced to such an extent that even with overexertion, it hardly comes.
She has responded well to the treatment and she has not had pain at all since eight months except for a minor attack in May 2002.

23/3//00

Acute heel pain, thirst less, cried easily

Puls200 2P 1P=2

30/3/00

>3, felt happy to do work, breathing difficulty once<1-3:30

Kali-phos 200

6/4/00

Heel pain >3 although with over work. Sleep >

NIH 200-3P

20/4/00

Heel pain3

I ) Puls 200 2P 1P=2
II) Kali-phos 200

4/5/00

Pain >

Thuja 200
Kali-phos 200

8/6/00

Pain <, swelling heel+, periods after 40 days. Here due to oedema, heel pain and >alone with lot of anxiety the kali group is correct but due to swelling which is still continuing and the medicine not holding so made a change .

I ) Puls 200 –2 1p=2
II)Thuja 200
Kali-carb 200

27/7/01

>70%, slight heel pain but no swelling

Kali-carb 200

31/8/01

>70% work>

Kali-carb 200

24/5/01

Pain in the nape of neck, back pain <sleeping on floor. Anxious , hoarseness <talking3 to servant.

Arg-nit 200

31/5/01

> hoarseness, >swelling

Thuja 200
Kali-carb 200

7/6/01

Swelling+ , leg pain

Kali-carb 200

14/6/01

>50% , leg pain=0

Kali-carb 200

28/6/01

Knee pain <ascending3, swelling >

Thuja 200
Kali-carb 200

30/8/01

Slight pain knee <climbing, sleepless due to daughter’s exam

Kali-carb 200

14/2/02

Left heel pain <exertion, no swelling

Kali-carb 200

31/5/02

Slight pain in the heel

Thuja 200
Kali-carb 200

Discussions:
After doing both these cases, we can see there are sisters who came at different times. These 2 cases demonstrate graphically the importance of love and security in childhood. If we try to make a structure.