Case 22: Homoeopathy saved her a disc surgery
NATIONAL JOURNAL OF HOMOEOPATHY 2006
Dr Vishpala Parthasarathy
'Rhus-tox / Thuja / Nat-mur

Mrs KJ, 38 yrs, resident of Khetwadi, Mumbai

Complaints Of

1.     Backache since 1988, A/F 1st Delivery. It would come once a month very severely on over-exertion.
In December 2005 she had a slipped disc.
Lt sided severe pain pulling³ type from hip to ankle.
Pain aggravates on turning, walking for even 15 mins, standing³ 15 mins, 1st motion esp in the morning³.
Ameliorated warm, lying.
She was diagnosed as PID and advised Surgery.

2.     Bleeding Hemorrhoids since 1988 since 1st delivery, 1/mth, < spicy³.

3.     Acne 2-3/mth, Pustular, leaves marks. Aggravated menses before. Heat boils.

4.     GIT: Once a week, sour regurgitation of food, < sour3, <spicy.

Patient As A Person
5 feet 5 inches tall, Wt-88 kgs.
Dandruff³. Hairfall³ graying.
Wears specs since 10 years of age.
Perspiration: Profuse, offensive.
Appetite: Normal.
Thirst: More than 10 glasses a day.
Desire: fried³, salt³, spicy³, sweets³. warm.
Stool: 1/Day. P/H Constipation.
Urine: Normal.

Menstrual History: 3/22 Days.
MB: Anxiety³ menses before. Headache and backache menses during.
Leucorrhoea since 1st delivery. More with the backache.

Obstetric History
G4P2A2L1. She had a miscarriage in 96 in the 3rd month. In 1987 had a D&C done since unplanned pregnancy.
Her 1st Pregnancy was in 1988: Full term Forceps.
2nd In 2000: Full Term, forceps.

Development History: Normal.
Sleep: 6 hrs, unrefreshing, now disturbed due to pain.
Thermals: < Hot weather³, Headache < Sun, > Open air³, < Room Closed³, Fan S5, W3, Covering thin in winter, warm water bath throughout the year. C2H3.

Family History
DM: Br. HT: Mo. OA: Mo.: Syc + Tub Miasm

Past History: Malaria twice. Typhiod once.

Mind: Patient hailed from Surat. She was born in 1967. After her 12th, she had an arranged marrraige in 1986 at 19yrs and came to live in Mumbai. She had her 2 children- son in 1988 and Daughter in 2000. She is short-tempered, irritable and broods for a long time. Does not weep easily. Does not like consolation. Poor memory since 4 yrs. Gets worked up and anxious at sudden arrival of guests. Sleep is unrefreshed. Particular about how things are kept in the house.

Investigation 
1/6/05: XR Heel: Calcification in the insertion of the tendo-achilles and a small calcaneal spur is seen.

7/12/05: XR LS Spine: Second Degree Spondylo-listhesis of L5 over S1 with Spondylosis in L5. L5 shows spina bifida.

25/2/06: Grade 2, anterolisthesis of L5 over S1 with bilateral defect in the pars interarticularis. There is bilateral bony encroachment of neural bilaterally at this level. Post disc herniations at L2-3and L4-5 indenting the thecal sac. Postero-central disc herniation at L3-4, indenting the thecal sac.

Repertorisation from Robin Murphy's Rep

Remedy group which emerged from the repertorial filter: only hot Rx
Sulph 37/18, Lyco 27/15, Natrum-mur 33//17, Lach 26/12

Planning and Programming:
Acute: Rhus-tox: with classical modalities. + Calc-flour 6x-as biochemic support
Constitutional: Nat-mur 200
Anti-Maismatic: Thuj 200 as the anti-sycotic.