PRELIMINARY DATA:
CASE OF LEUCHORRHOEA
Date: -10/11/2018
Name: – ABC
Age: – 30 yrs
Sex: – female
Religion:- Hindu
Occupation:- House wife
Marital status:- Married
Chief complaint :
| Location | Sensation | Modality | Concomitant | |
| Vagina | Burning. Itching | Aggravations:- in the evening, | suppressed menses . | |
| Head From yesterday | Headache | Amelioration:- open air | Heaviness of the head | |
| Respiratory | Coryza since 2 days No cough | A/F: ice cream | ||
Patient as a Person: normal built
History of present complaint: No specific except cold coryza
Past history:- Not specific
Family history:- M= Joint pain, F = No major illness
Female history:-
Menarche age:- 14 yrs
Menstrual cycle:- 28days
Gravida (G): 2 number of time a women has been pregnant
LMP (Last menstrual period):- 15th of date last 3 month
Frequency of menses:- irregular
Days of menses:-40days
Menstrual any pain:-
Before menstruation:- abdominal pain and headache
During menstruation:- nausea and vomiting
After menstruation:- milky, slimy(thin) white mucous ,burning white discharge
H/o: Inter menstrual spotting:- not else
Quantity of flow:- profuse
Leucorrhoea:- accompanying trouble of during leucorrhoea and thick like cream and color of milk
Character of the discharge:- Acrid, profuse ,thick, bland.
Cause:- not known
Time:- non specific
Aggravations:- in the evening, when lying on the painless side, patient is easily weep or laugh, disposition to catarrh or leucorrhoea. And from having eaten fruit.
Amelioration:- open air, walking gently about.
Concomitant symptoms:- Mania from suppressed menses . Heaviness of the head and headache. Confusion in the head. Vertigo in the morning must lie down again. Vertigo especially when sitting and also when rising from seat. Burning itching all over body on becoming warm in bed at night.
Physical general:-
1. Appearance: chilliness and yawning
2. Taste: bad in the morning
3. Diet: mixed
4. Appetite: reduced
5. Thirst: thirsty
6. Desire: sweet
7. Aversion: meat ,ice- cream, warm.
8. Craving : fruit
9. Intolerance: heat at night in bed
10. Tongue: white
11. Sleep: sleeplessness
12. Dreams: of men, frightful
13. Habit: Tea.
14. Vaccination: all done
Natural elimination-
1. Perspiration: profuse at night
2. Urine: normal
3. Stool: normal
Thermals:- Hot
General examination-
1. Height: 4.7’’inch
2. Weight: 50kg
3. Pallor: no
4. Icterus: no
5. Cyanosis : no
6. Oedema: no
7. Nails : nomal
8. Gait : mild
9. Temperature: 96⁰f
10. Pulse: 78/min
11. Respiratory rate: 22/min
Systemic examination:-
RS /CVS/CNS/GIT==Normal
Local examination:- leucorrhoea ,white discharge 1 grade.
Provisional diagnosis:- Vaginal inflammation
Miasmatic analysis:- psora/psoric miasm
Final diagnosis:- Vaginitis
Case processivng :-
| Criteria | State |
| Suppressions | Menses |
| Miasm | Psora |
| Diagnosis of diseases | The case is leucorrhoea. After a causative factor. This can cause the inflammatory changes in the mucosa of the vagina. This produces complain of discharge. The female does have itching and burning. The conclusion is that of Vaginitis type. |
Analysis & Evaluation of symptom:-
| symptoms | classification of symptoms |
| Irritable during pain | Common mental symptoms |
| Weeping during complaints | Common mental symptoms |
| Appetite –decrease | Common Physical General |
| Acrid, profuse ,thick, | Characteristic Physical Particular |
| suppressed menses | Common Diagnostic Objective |
| Accompanying Trouble of during leucorrhoea | Characteristic Physical Particular modality |
| leucorrhoea is thick like cream and color of milk | Complete symptoms |
| Itching | Common Diagnostic symptoms |
Totality of symptoms:-
| henry minton’s approach | by henry minton’s Repertory |
| pathological names | Vaginitis |
| Characteristic of leucorrhoea | Acrid, profuse. |
| Color | leucorrhoea is thick like cream color of milk |
| After menstruation | milky, slimy(thin) white mucous |
| Type | burning white discharge |
| during leucorrhoea | Accompanying Trouble of |
| General accompaniment | burning white discharge |
Reportorial Totality :-
[ Therap][Leucorrhoea]Leucorrhoea:In general: [ Therap][Leucorrhoea]Leucorrhoea:Acrid: [ Therap][Leucorrhoea]Leucorrhoea:Milky [ Therap][Leucorrhoea]Leucorrhoea:Thick [ Therap][Leucorrhoea]Leucorrhoea:Bland [ Therap][Leucorrhoea]Leucorrhoea:Accompanying trobles of leucorrhoea [ Therap][Leucorrhoea]Leucorrhoea:Burning [ Therap][Leucorrhoea]Leucorrhoea:Slimy.Reportorial approach:- Minton’s Repertory.
Minton’s Repertory result :- Puls, Sep, Calc, Con, Kreos, Bor, Nat.mur.
Prescription:- :- Pulsatilla 200 potency 4 pill orally .
Follow up:-
| Date | Observational symptom | Prescription/Treatment |
| 1 10/11/2018 7 days | General condition better,frequency of flow decreased discharge Consistency of milky thick mucous low,but some burning and itching still remains. | Puls 200 TDS is give1day SL BD |
| 2 25/11/2018 15 days | All complaints are come now reduced and only itching and burning is on and off type. | Puls 200 TDS is give1day SL BD |
| 3 13/12/2018 15 days | Patient got relief in appetite thirst improved. No any other complaints. | SL BD |
| 4 29/12/2018 15 days | Better no complaints | SL BD for 7 days Then stop medicine |
ON CLUSION: In repertorisation remedies such as Puls, Sep, Calc, Con, Kreos, Bor, Nat.mur.but Pulsatilla up in repertorisation and matching to physical generals and other symptoms pulsatilla was most appropriate remedy found.
Score before and after treatment in :-
| Sr.no. | Parameters | Before treatment | After treatment |
| 1 | Discharge of flow | 3 | 1 |
| 2 | Pain | 2 | 0 |
| 3 | Itching | 3 | 0 |
| 4 | Burning | 2 | 0 |
| 5 | Total | 11 | 1 |
Conclusion: Before treatment score was 11 and After treatment score was 1 (99%) hence good improved.
Result: Good improved.
