Case 91: I Lost my Independence

Mrs BR, 55 yrs Married Professor, Veg, Kashmiri Hindu, came on 29/03/07with the following complaints

CHIEF COMPLAINT

PATIENT AS A PERSON
WEIGHT: 65 kg, gained 10kg within 2 yrs after menopause in 2005
APPETITE: Normal 
DESIRES: Ice-cream, salty things3+, juicy things, warm food 
THIRST: 2 liters
TONGUE: Clean
STOOL: 1/day 
URINE: 6-7/day and 1/night since menopause 
WARMTH: Palms 
PERSPIRATION: Normal 
SKIN: Easy Echhymosis3+, Warts on nose since birth
BATH: Tepid
Season: Likes winter, Monsoon3+, Desires fan, Open air and A/C
THERMAL: C3H2 ? C2H3
MENSES: LMP 2005. Profuse 5-6d, stains+. 1995 Fibroids, not growing. Hot flushes 2005. Before Menses? 
D1-2 pain in stomach
Beginning ? Pain3+ D1 which relived on 3rd day
SEXUAL HISTORY: ? 1/3month
SLEEP: 6-7 hrs Deep 
DREAM: Water, Sea, Shivlingas
MIND: Religious, Alone >, Fear of height, Anger violent, Guilt, Affectionate, Obstinate

OBSTETRIC HISTORY: G3A1P2. Both pregnancies were LSCS due to large babies in 1978 and 80.

LIFE SPACE INVESTIGATION: Born in April 1952 pt is the youngest amongst 3 sisters and a brother. She was born and brought up in Kashmir with MGP’s. She had a beautiful childhood. She was good student. It was singers family so she had to learn some form of music. In 1976 she had an arranged marriage and later came to Mumbai. She continued to sing. H was the adopted son of a rich family. He is exactly opposite to my nature. She started teaching in 1984 in various colleges like SNDT Thadomal and SVP Engg College. H was very bitter. In 1987 the real son of that family sent a legal notice stating that he is not a share holder and is not a family member. It was a major setback. But she took it well and never grudged. Later the real son removed her MIL from the house so the pt took her to her home and took her care. She was in Hyderabad in 1993-96 and worked there too. The she came back to Mumbai.
No one can dictate to me as I don’t dictate to anyone. In 1989 there was an emergency and she could not return to Kashmir. Her house was looted. Only stall was left and it was sold for pittance. Had to stay with her son and DIL. Lots of adjustments were made. I lost my independence. She had to stop singing due to Asthma. She was depressed but now better.

REPERTORIAL TOTALITY

·         Religious

·         Alone >

·         Fear heights

·         Anger, violent

·         Guilt

·         Affectionate

·         Obstinate

·         A/F Menopause

·         Ecchymosis

·         Hyperacidity

·         Hypertension

·         Wart

TREATMENT
Lach 200 1st dose
NIH pills 200 3-3/7days
Puls 200 3P SOS for hyperacidity

FOLLOW-UP

Dr Satish Kanojia