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Case Study

Doctor, you must see me now!
NATIONAL JOURNAL OF HOMOEOPATHY 2000 May / Jun VOL II NO 3.
Dr C B Jain
Dr Bipin Jain
'Ars-alb / Kali-c

Mr. P S, 24 years, married 2 years. Dt 12/6/93 
This patient was brought by our old patient, who requested I should see him without appointment, due to acute fever. When his turn came it was already 11pm.
I thought to take only acute totality and prescribe.
In March patient had Malaria-like fever for 3 weeks, which did not respond properly to treatment. Since then, fever off and on and gradually progressing.

Resp tract
March onwards

Sternal discomfort cough too

Aggr Deep breathing

Weakness Bodyache Leg pain- Pulling headache+ Redness of eyes Weight loss, Prespiration? Chilly

 

12/6/93

O/E wt 51 kg. te,[ 102.8 FRt. Apex crepts Aur entry decrease Adv X-ray CNC ESR

Ars-alb 30 4 hrly

15/6

Not better=s temp 104.8F 11.30pm. app decrease 2 nausea watery loose stool 2-3/day (today)

 

17/6

Pain in abdomen<Lying on back
cough += S scanty watery expect.
Dyspnoea, perspiration chilly> covers; sleep
No cr/Av
Financial problems> company, talking.
Anxiety++ chest =s o/E T 104.6 F
x-ray chest Rt. Sided pleural effusion
Lt. cp angle and cardiac shadow N
HB- 16.25, WBC -77400, N-68, L-32, ESR-84

 

19/6

Cough amel+ T101 F Patient appears better Generals> particulars>. Improvement seen on his face O/E TEMP. 101.4 F

Kali-carb 30-4 hrly

22/6

Temp-N and air entry improved.

Sac-lac

30/6

X-ray showed marked regression in pleural effusion.

Sac-lac

28/9

Last report. He was asymptomatic and had gained weight.

Sac-lac

1995

Brought wife for treatment. He himself was asymptomatic; had put on considerable weight.

 

Diagnosis
This case presented in the active state of illness with very high fever for 3 months with weight loss, chest discomfort, high ESR and massive pleural effusion. This guided to the diagnosis of tubercular pleural effusion.

Indication For The Remedy:
The anxious patient, better by company, chilly under financial stress, with pleural reactive pathology (ie dropsy) pleural effusion (Rt) this totality pointed to Kali-c. Here the susceptibility moderate with reactive pathology sensitivity-moderate and reactivity high, the state was acute.