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Case 96: A Case of Spongia

ABSTRACT: A case where though we thought of Phos as the constitutional remedy, it was never released as there was no need of it. Patient improved under the acute and the Inter-current.

Ms RHV, 36yrs old Parsi, Unmarried Non-Vegetarian Clinical Psychologist, came on 02/03/04 with the following complaints.

CHIEF COMPLAINT

LOCATION

SENSATION

MODALITIES

CONCOMITANTS

RESPIRATORY TRACT
Since Aug ‘03
1/month X 1/wk

Cough dry
Throat irritation

> Sips of water

ENT-N

HEAD, Frontal
1/month X 1week

Pain
Heaviness
Sinusitis

< Wetting hair
< Draft

 

RECTUM
Since May ‘03

Piles, bleeding

< Spicy food+++

 

EXTREMITIES, Rt Toe
Since ‘03

Fungal infection
In growing toe-nail

< Tight shoes

 

PATIENT AS A PERSON
WEIGHT: 48.6 kg
APPETITE: Good
DESIRES: Chocolates3, Fish3, Pastry3, Sweets3 
AVERSION: Spicy2
THIRST: 7-8 gl/day
TEETH: 2 Decayed
STOOL: N 
URINE: N 
PERSPIRATION: Scanty 
MENSES: FMP 11 yrs. LMP 06/02/04. Regular 5/30-32days red. Leg pain at the beginning of menses
BATH: Tepid water+++. 
SEASON: Likes winter, fan and open air, doesn’t like sun, cramps in calf in autumn. Likes to cover
THERMAL: C2H3
SLEEP: On abdomen, light and disturbed 
DREAMS: Unremembered 
MIND: Affectionate, Sensitive, Anxiety, Sympathetic, Weeps easily, Plans makes

LIFE SPACE INVESTIGATION: The pt was born in Mumbai in 1966. Born and brought up in Mumbai. She passed SSC and HSC with good marks. She 1st class in BA and MA. In 90-91 joined Byculla Child Guidance Clinic. Always worked mainly with children. She started her Private Practice in 1993. She did Post Graduation from UK. Sensitive to closed ones in times of difficulty. She is cheerful and helpful, goes out of her way to help. She is very kind and gentle.

REPERTORIAL TOTALITY

·         Plans many

·         Affectionate

·         Sympathetic

·         Company, desire for

·         Headache < draft

·         Cough dry > drinking after

·         Cramps

·         Headache < getting head wet

·         Piles external

·         Sensitive, noise to

TREATMENT
Spongia 200 1st dose
NIH pills 200 3-3/days

FOLLOW-UP

DATE

SYMPTOM

REMEDY

09/03/04

>+++.

NIH 200 3P
NIH pills 200 3-3/days

16/03/04

Cough L2, Headache L2. Throat redness ++, Tonsils+.

Spongia 200 2nd dose
Pla pills 200 3-3/7days

23/03/04

Cough much better. Cough 1/wk, Headache and Sinusitis L0. PilesL0

1st week, Tub-b 1M 1st dose
NIH 200 3P,
NIH pills 200 3-3/days
2nd week, NIH 200 3P
NIH pills 200 3-3/days

27/04/04

Was better for 1 month. Cough L5/since 4days. Headache +/4days. Sinuses tender.

Spongia 200 2nd dose
Pla pills 200 3-3/7days
Bacc 200 1st dose

04/05/04

>3+++. Snuffles.

Tub-b 1M 2nd dose
NIH 200 3P
NIH pills 200 3-3/days

11/05/04

Cough L0/2wks, HeadacheL0/1week, Piles L0/6wks, Weeping L0, CrampsL0/6wks. Going to Canada 17/5-7/6

1st week
Rhus-t200 7P; 1P=2 SOS if winter cough
Tub-b 1M 3rd dose
NIH pills 200 3-3/days
2nd week, NIH 200 3P
NIH pills 200 3-3/days
3rd week, NIH 200 3P
NIH pills 200 3-3/days
Spongia 200 4P if cough

08/06/04

Trip was good. No SOS required. Cough, Headache, Piles, Sinusitis all L0since 5-6weks

Tub-b 1M 4th dose
Pla pills 200 3-3/days

Dr Satish Kanojia