National Journal of Homoeopathy - The most widely read Homeopathy Journal

The After-effects of Palsy
NATIONAL JOURNAL OF HOMOEOPATHY 2003 Nov / Dec VOL V NO 6.
Dr Vishpala Parthasarathy
'Caust

Mr AH, a Muslim Music teacher, 64 y, came to me on 28/5/02 with a attack of Bell’s Palsy 19/5/02. H/o Diabetes. He presented with the following symptoms:
Left angle of the mouth deviated.
Cannot close Left eye tightly, upper eyelid drooping.
Nostril twitch. But speech almost normal.
There was H/o Bell’s palsy of the Lt side in 1997, for which he took treatment for three mths + physiotherapy. This time A/F draft of AC on 19/5/02 6 pm. Admitted hospital for the same. Given Inj Neurobion. With this, he had excessive sleepiness and urine urge ++.

His other Complaints:
Weakness in both knees with pain in calves and lumbar region with lot of Lethargy.
< ascending ³ < 7-8pm, < walking 100 steps, < rising from sitting position. > T Combiflam.

Pt as a person: Ht: 5’6’’, Wt: 88.4 kgs. Has a slight alcoholic besotted look.
Mole on Rt cheek since three yrs. Warts on the thigh.
teeth Caries ++. Palms and soles warm.
Perspiration: diminished. non staining, non-offensive.
Appetite: less. Thirst: seven glasses/day.
Craving: Hot meal³, Sweets³, takes extra salt in diet.
Smokes since 40 yrs, and alcoholic since many years, but reduced to 1/6 m months since five yrs.
Stool: Occ hard stools.
Urine: Every two hrs in the night and cannot control.
Sleep: Good. Salivation-drooling in the sleep.
Dreams: Occ, but unremembered.
Thermals: Likes winter. Wants fan³ always >open air³, likes AC. but in 2002 <AC, wants covering over chest. Thermal Shift: From CH4 to C2H2 in 2002.

Life Situation and Mental State:
1937: Born in Badra ,district of Kanpur. He was the 5^th of six siblings
1944: Taught music by MU.
1949: Came to Aligarh. Did BA in Urdu. Learnt music with PU.
1954: Fa left home and became a priest. Never came home.
1957: Pt had to perforce start working. Gave music programmes in Lucknow for five yrs.
1961: Got married.
1964: Came to Mumbai and continued teaching Music. Tried films. Got 16-17 films. Then re-started teaching music. Now he is well settled.

He is independent. Artistic. Affectionate, but loner. Does not like to talk much. Suspicious, mistrustful, commanding-took time to have faith in me as a doctor. Irritable < contradiction. Broods. Fear of fright. Anxious and worried about children’s future. Obstinate. Crying > consolation.
P/H: Haemorrhoids - operated in 1985.
FH: Mo: Br Asthma. Fa: Koch’s. Sis: Koch’s for 15yrs. Br: renal failure. MU: oral cancer.

Totality:

992 Affectionate	1119 Worried
117 Nervous	- Fear Fights
1008 Brooding	1086 Obstinate
997 Anxiety - Anticipation	1043 Fastidious
1091 Reserved	1178 Lt sided paralysis
1080 Memory weak	382 Lachrymation eye
1017 < contradiction
624 Gen weakness < exertion
152 Frequent Urination night
Miasmatic : Sycotic 3

Remedies emerging from Repertorial Filter:
Caust, Medh, Sulph
Constitutional Pt had changed from Hot Chilly, so Coust chosen.
Intercurrent: Thuj- Anti-sycotic chilly.
Medh: Anti-sycotic Hot.
Skin Phase: Sul

Treatment :

Date	Symptons	Remedy
28/5/02	Paralysis + Chilly	Caust 30 3P HS
23/7/02	Pt not regular. Started physiotherapy. But lip still deviated. Urine freq 4/HS. Cannot hold. Weakness+. Knee pain 0. Hot chilly	Caust 200 1D HS
30/7/02	Urine 5/HS. Eyebrows >. Nostril twitch >. Can close eye, though Lt eye still small	SL
13/8/02	Urine 5/HS	Tub-b 1M 1D Caust 200 2^nd dose
17/9/02	Urine not >. As if no control. Give Anti-sycotic and acute	Thuja 200 1^st dose Sabal-serr 200 3P HS
24/9/02	Urine not >. (Repeat Acute).	Sabal-serr 200 7P HS
7/1/03	Cold since 4/1. A/f cold food. Cough with yellow expectoration. Lachrymation ++ headache <fan. Sleep less.Chilly3	Hep- s 200 4 hrly.
11/1/03	Not >. Needs only constitutional Remedy. (Not Acute phase).	Caust 30 2P HS
14/1/03	>75 per cent. Cough>3. No expectoration. His stroke c/o >> with physiotherapy. But C/O inability to open mouth. Urine 3-4/D, 7-8/N. weakness ++. Cannot speak, but not normal.	Caust 200 3^rd dose
21/1/03	>. Cold +. A/F papaya	Caust 200 3P HS
28/1/03	Cold >.Lachrymation + which is not >. Palsy 90 per cent >	SL
28/10/03	Come to me after nine mths for new complaint. Urination 1/N. New complaint C/O fungal infection over soles, abdomen, back showing blackish discoloration, itching3, burining3 < touch, > cold, > oiling	Sul 30 1^st dose AM
25/11/03	Fever 102. Felt hot, not chilly. Tongue wet	Merc-i-f 200 12 hrly
2/12/03	Fever>. Skin>.throat+. Hot palms+ . (Original phase back).	Medh 200 1^st dose
9/12/03	>3 constipation + (overzealous prescription.)	Medh 200 2^nd dose
16/12/03	>.skin>. stools three to four per week. (Hom <. Wait)	SL
30/12/03	Skin pigmentation itching3. Says powder caused dryness of mouth	SL
6/1/04	Skin >50per cent. Original problem of Bell’s Palsy is quite alright for l year. Patient is still under treatment for skin.	SL

Case Study Title : The After-effects of Palsy