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Case 105: Crying Boosts my Confidence!!

Abstract: This case presents a girl who shows how Puls and Sil can be inter-related.

Ms SSA, 15 yrs, Non-Veg, FYJC Muslim Student, came on 20/08/02 with the following complaints

CHIEF COMPLAINT

LOCATION

SENSATION

MODALITIES

CONCOMITANTS

HEAD, Vertex 
Since Dec’01 
Last episode 20/08 

Throbbing 
Nausea occasionally 

< Sun3+ 
< Thinking3+ 
< 3pm 
< Mental upset 
< Depressed 

February 2002 
Took Allo Rx 
Tab Fluraninx mth 
CT Scan
N 
23/05/02 Betacap X 3mth 
Eye specs: -1.5, -1.25 

BACK, lower 
Since Feb’02 
1/day X 15-20 mins 

Pain 

A/F Walking while studying 
< Sitting 
> Lying on back3+ 
> Morning 

X-ray LS Spine Scoliosis 

MIND 

Depressed feeling 
Dull feeling 
Taciturn 
Likes to stay alone 
Brooding3+ 

< AM 

 

SKIN, Rt Elbow 
Chronic 

White patch 
Occ itching 

 

Ointments 
Emoderm 
Emocon 
Cod liver oil 

PATIENT AS A PERSON
WEIGHT: Gained 3kg within 3 months 
APPETITE: N 
DESIRES: Fish, Sweets3+, Vegetables, Chicken 
THIRST: 1- 1½ liters/day 
STOOL: N 
URINE: N 
WARMTH: Soles and Palms 
PERSPIRATION: 3+, Palms < Nervousness 
HAIR: Loss, Dandruff white in color 
BATH: Tepid 
SEASON: Likes Summer, Sun < Headache. > Open air3+. Wants covering always. 
THERMAL: C3H2 
MENSES: FMP: 11 yrs. LMP 20/08/02. 4/30days 
Before ?Lt Thigh pain X 1day 
Beginning ? 1st day Pain Stomach3+ > Warmth3+, > Tab Cyclopam 
SLEEP: 6 hrs, Deep, Refreshing, lies on Rt side. Gets up at night at 3am and again go to sleep 
DREAM: Murdered, Robbers3+ 
MIND: Reserved, Brooding3+, Fear of heights, Fear of being emotionally hurt, Fear of insects. 

LIFE SPACE INVESTIGATION
The pt was born in Mumbai on 25th May 1987. The pt spoke with a nasal twang. Friends have left her out of bounds so she remains upset. She is very moody. When depressed she doesn’t like to speak to anyone. Crying boosts her confidence. She is always nervous when something important related to her is about to happen. She has anticipatory anxiety before exams in the form of blackouts. I don’t talk to a person as I cannot make out how they are just by seeing once, so they think that I am snobbish or arrogant.

REPERTORIAL TOTALITY

·         Reserved

·         Brooding

·         Fear of heights

·         Fear of being hurt, emotionally

·         Fear of insects

·         Talk indisposed to, sadness in

·         Headache, vertex, pulsating

·         Headache < Sun

·         Headache, emotional

·         Depression, morning

·         Abdomen, pain < Menses during

TREATMENT & FOLLOW-UP

DATE

SYMPTOM

REMEDY

20/08/02

Sensitive

Puls 200 1st dose 
NIH pills 200 3=3/7days 

27/08/02

Not better. Headache SQ, Rt Parietal Throbbing+

Sil 200 1st dose 
Pla pills 200 3-3/7days 

03/09/02

NIH 200 3P 
Pla pills 200 3-3/7days 

17/09/02

Headache L0/2wk, Throbbing L0/2wk, Cold and cough since 15/9. Wet cough < Night, Greenish expectoration, Thirst++, Fever 100F < Night, Tongue dry,

Puls 200 4P; 1P=2

24/09/02

Headache from 17/9-20/9. Back 3+< Walking. Anxiety, Thirst+, Nervousness

Sil 200 3P 
Pla pills 200 3-3/7days 
Gels 200 3P; 1P=3/SOS 

08/10/02

Throbbing vertex, Pain+ < Afternoon. Thirst +, Backache+,

Bell 200 4P; 1P=3 and SOS 
then when better 
Thuj 200 1st dose 
Sil 200 3P HS 
Pla pills 200 3-3/7days 

15/10/02

Throbbing L0, Elbow patch L0, Low backacheL5,

1st week, NIH 200 3P 
Pla pills 200 3-3/7days 
2nd week, NIH 200 3P 
Pla pills 200 3-3/7days 

Dr Sushma Jaiswal