I Sold Books on the Footpath!
NATIONAL JOURNAL OF HOMOEOPATHY 2000 May / Jun VOL II NO 3.
Dr C B Jain
Dr Bipin Jain
'Bacil / Kali-c

Mr. H S K aged 38 years S M M since 16 years Wife- 30y Father-60 years, since 5 years Alandi Sadhy 
Mother-50 years now Sanyasini. 1 sister 35 years married.
Children-3 sons-12 yrs, 9yrs, 5yrs, 1 Daughter- 14 yrs 
Occupation: Diamond cutting polishing since 10 yrs.

Chief Complaints:

Patient As A Person:
Skin - poor wound healing since 2-3 yrs, suppuration+
Hair - gray since 1 ½ yrs
Perspiration - General partial face
Craving meat +sweet2
Thermal: C3H2: (see analysis)

Sleep - Normal. Dreams Animal- Snake++ and hare
O? E Temp- 98F crepitation RT Apex ant.
Rt Midzone Ant.
Lt Apex Ant. 0
Pleural rub Rt lower ant.

Life Space
Patient comes from low socio economic class, doing a job of cutting and polishing in a diamond factory. The patient's parents have become sadhus and reside at Alandi now. Patients spent his childhood at native place and then came to Mumbai after giving up studies as their financial condition was poor and patient failed in XI 2-3 times as he faced difficulty in English and Maths. Father sold books on Worli footpath. Patient joined him. Because of objection from BMC, they left that work. Patient started working in Diamond factory. Father being a religious person he did not like cooking of non-veg food at home so after sometime left house with patient's mother and became a sanyasi.

Pt changed many jobs for better financial opportunity. Since 12 years working in Diamond industry, first as a labourer but due to health problems, his output went down and so now he is on salary basis. Patient stays in factory and eats outside. Other family members are at native place. Wife works in the farm and earns money. Sister is married and well settled in Vasai. Patient does not have any problem at work ar at family level. He is mainly worried about disease. He earns around Rs 1200 out of which he sends Rs 800/- to village. Patient seemed calm and composed while talking but anxious about disease.

Investigations: Patient was referred by a chest consultant, who has treated him for nearly 3 years. Patient's pulmonary lesions didn't show improvement on X-ray but AFB was -ve. Patient has stopped treatment for last 15 days. Pt has lost 3 kg in last 2 months. X-ray - bilateral infiltrative lesions with pleural thick-ening. Hilum is pulled up. The case progressed with pathological changes, as evident on X-ray to one=sided dimension with complaints increasing the lesions, not healing and absence of fever, even after stopping treatment for 15 days. This indicates a tubercular susceptibility, susceptibility poor, sensitivity difficult to comment upon, and poor reactivity-the disease progress at tissue level with NO GENERAL REACTION ie of fever absent. This is the crux of the management and must be understood clearly

Indications For Remedy: A calm person. Cr Sweet and parenchyma: This totality guided towards Kali-carb. The indicated drug may not register if the reaction is Bacilinum 200 1 dose and to our gratificiton, within 4 days patient developed fever with headache, cough and expectoration increased. This indicated an improved susceptibility and cleared the ground for administration of deep acting remedy.

Follow-Up