Abstract
Polycystic ovarian syndrome is an endocrine disorder that affects 5-15 % women’s of reproductive age group. PCOD can be present with other pathological conditions. A Case of a 22 year female presented with PCOS in GHMC BHOPAL OPD. PCOS successfully treated with individualistic homoeopathic medicine from potency 30-1M with required repetition. Marked improvement noticed as regularity of menstrual cycle for 3 months supported from USG reports.
Keywords: Homoeopathy, polycystic ovaries, hyperandrogenism, hirsutism, irregular menses, women’s health.
Presenting Complaints
Irregular menses since menarche.
Long lasting menses and appear in a long interval of time .
Pain during menses.
Location : Female genitalia.
Sensation : Heaviness in lower abdomen.
Modalities : Aggravation : Pain in lower abdomen during menses.
Amelioration : Pain is relieved by hot fomentation.
Concomitants : Leucorrhoea menses after.
Causation : Nothing specific.
Duration : Since menarche.
History of Present Complaint
Onset : Gradual.
Progress : The irregularity of menses and pain in lower abdomen during menses increased slowly with time.
Treatment adopted : Allopathic treatment adopted.
Result : No marked improvement in irregularity of menstrual cycle.
Past History :
Childhood to adulthood : History of typhoid a year ago.
Personal History
Mind & disposition : Workaholic type of person, sensitive to opinion of others, anger with irritability was present, brood over small matters which happened in past in which she didn’t felt good, introvert person.
Married or single : Single
No. of children : Not applicable
Health of children : Not applicable
Marital relations : Not applicable
Physical Generals
Diet : Vegetarian diet , at regular time.
Desire : Salty food.
Disagrees : Nothing specific.
Thirst : Increased, 3-4 lit. per day.
Tongue : Clean, dry in center, corners moist.
Taste : No altered taste as mentioned by the patient.
Salivation : Moderate as per patient.
Perspiration : More on back and neck, no specific odour and no staining on clothes as mentioned by patient.
Stool : Constipated and stool is hard most of the time. Passes stool irregularly.
Urine : Passes urine every 3-4 hours with no burning and no specific odour.
Bathing : Regularly.
Covering : Wants covering till neck most often.
Sexual relations : Not applicable.
Dwelling place : Well ventilated house with proper sunlight.
Appetite : Proper, eat well at proper time.
Aversion : Nothing specific.
Habits / Addictions : No addictions as mentioned by patient.
- Tobacco : No
- Alcohol : No
- Coffee / Tea : Occasionally
- Drugs etc : No
Thermal reaction : Hot patient.
Skin : Healthy, black discolouration was present over the neck region.
Sleep : Sound and refreshing sleep.
Dream : Future of, work of, travelling of, family of.
Tendency to any Pathological conditions : Ovarian cyst present.
(Haemorrhages, Tumours, Warts, Cysts, Polyps, Moles, Susceptible to etc.)
Restlessness, Prostration, Weakness, Sensation, Trembling etc: Prostration present menses after.
Others discharges : Nothing specific.
Gynecological History
Menarche : 12 years of age
Menstrual Cycle : Irregular, menses delayed always.
Leucorrhoea : Menses after.
Menopause : Not applicable.
Obstetrical History
Pregnancy : Not applicable.
Labour : Not applicable.
Delivery : Not applicable.
Abortion : Not applicable.
Examination
General Examination
Anaemia: Not detected Cyanosis: Not detected
Jaundice: Not detected Oedema: Not detected
Nails Clubbing : Not detected Koilonychia: Not detected
Hair: Black, slight hairfall present Neck glands: Not swollen
Neck veins: Not engorged Teeth: Healthy
Gum :Brown in colour, healthy Tongue: Clean, dry in center, corners moist
Smell from mouth: Not detected Hearing: Sound
Pupils: Normal Pulse: 76/min
Temperature: Afebrile Blood Pressure:120/80mm of hg
Respiration:17/ min
Skin in general: Healthy, black discolouration was present over neck region.
Systemic Examination
Brief examination of other systems
RESPIRATORY SYSTEM: Normal vesicular breathing heard all over the lung field.
GASTROINTESTINAL SYSTEM: Liver, spleen not palpable. No free fluid in abdomen. Normal peristaltic sounds.
CARDIOVASCULAR SYSTEM: Apex normally placed, S1, S2 heard normal, no added sounds.
NERVOUS SYSTEM: Higher functions cranial nerves and speech were intact.
Motor system: Power and tone normal. No involuntary movement or atrophy detected.
Reflexes: Jerks and superficial reflexes were normal.
Coordination: Both upper and lower limbs were coordinated.
Sensory system: No sensory loss.
No hyperaesthesia.
Gait: No abnormality detected.
UROGENITAL SYSTEM: Nothing abnormality detected.
LOCOMOTOR SYSTEM: No restriction of movement of all joints were there.
SKIN AND MUCOUS MEMBRANE: Normal, black discolouration was present over neck region slight growth of hair were present over face and chest.
Laboratory Investigations Previously Done
Ultrasonography of whole abdomen.
Laboratory Investigations Advised
Hormone Profile (LH, FSH, Progesterone, Prolactin, AMH, Insulin).
Provisional Diagnosis
Polycystic Ovarian syndrome.
Differential Diagnosis
Hypothalamic amenorrhoea, Idiopathic Hirsutism, Thyroid disorder, Hyperprolactiemia.
| SYMPTOM | MIASM |
|
Psora |
|
Sycosis |
|
Psora |
|
Sycosis |
|
Psora |
|
Sycosis |
|
Sycosis |
|
Sycosis |
Miasmatic Diagnosis
Miasmatic Result
Though trimiasmatic case with predominance of sycosis.
Prescribing Totality
- The patient was complaining of menses irregularity since menarche.
- Long lasting menses and appeared in long interval of time.
- Pain in the lower abdomen during menses was present during menses.
- Introverted person.
- She broods over past events.
- Very much sensitive to the opinion of others.
- Hot thermal.
- Sun aggravation.
- Desires salty things.
- Multiple cysts in both ovaries present.
Analysis & Evaluation As Per Dr. : J.T. Kent
MENTAL GENERALS :
- Introvert person
- Broods over past events
- Very much sensitive to opinion of others
PHYSICAL GENERALS :
- Thermal: hot
- Desires salt
- Sun aggravation
PARTICULARS:
- Irregular menses.
- Long lasting menses appeared in long interval of time.
- Pain in lower abdomen was present during menses.
- Multiple cysts in both the ovaries present.
Repertorial Totality
| CHAPTER | RUBRIC |
| MIND | RESERVED |
| MIND | DWELLS-past disagreeable occurrences, on |
| FEMALE GENITALIA/SEX | MENSES – irregular |
| FEMALE GENITALIA/SEX | MENSES – painful |
| FEMALE GENITALIA/SEX | tumors – ovaries- cysts |
| GENERALS- FOOD & DRINKS | delicacies- desire-and salt |
| GENERALS | SUN – exposure to the sun |
Repertorial Result
| MEDICINE | SYMPTOMS/SCORE |
| CALCAREA CARBONICUM | 13/7 |
| THUJA OCCIDENTALIS | 7/7 |
| NATRUM MURIATICUM | 6/15 |
| IGNATIA | 6/12 |
Final Selection of Medicine With Comments Regarding Selection Of Remedy
- Natrum mur is selected on the basis of:
- menses irregularity since menarche.
- Long lasting menses and appeared in long interval of time.
- Pain in the lower abdomen during menses was present during menses.
- Introvert person.
- She broods over past events.
- Very much sensitive to the opinion of others.
- Hot thermal.
- Sun aggravation.
- Desires salty things.
- Multiple cysts in both ovaries present.
Prescription
Rx,
- NATRUM MURIATICUM 200
6 globules no. 20
Sac.lac .grs xvi
- Ft. Pulv
Make 2 packets
To be taken once a day morning for 2 days
- Rubrum 200/ 6 globules
BD for 15 days
Dr. Garima Tare
Date : 31/05/23
Follow Up
| Date | Observation and Interpretation | Prescription |
| 01/07/23 | Pt. is better
Menses appear on only a week after the date. Intensity of pain decreases slightly. |
Rx
Rubrum 300/ BD for one month |
| 26/08/23 | Pt. is better
Menses appear on date. Bleeding for 5-6 days Intensity of pain decreases. |
Rx
Nat Mur 200/ 2 doses/ OD for 2 days Rubrum 300/ BD for one month |
| 06/10/23 | Pt. is better
Menses appear on date. Bleeding for 4-5 days. Intensity of pain much better. |
Rx
Nat Mur 1M /single dose Rubrum 500/ BD for 15 days |
| 15/11/23 | Pt. is better
Menses appear on date. Bleeding for 4-5 days. Intensity of pain much better. Pt. overall feels good. |
Rx
Rubrum 500/ BD for 15 days |
COMMENT: USG Report showing improvement in both the ovaries, before treatment multiple peripheral arranged follicles are present in both the ovaries, which are normal after treatment.
Conclusion: Polycystic Ovarian Syndrome is one of the most often seen female trouble in our daily practice. It is a chronic disorder which affects the quality of life of patients and requires long term care and management. Individualistic Homoeopathic Treatment with Detailed education regarding lifestyle modification is the key to success in cases of polycystic ovarian syndrome and to prevent its further complications. Weight management, stress management, physical activity and proper diet plan are very helpful to females suffering from PCOS. The case highlights the effectiveness of individualistic homoeopathic medicine in polycystic ovarian syndrome. Menstrual cycle is regular and patient feels better.
References
- Homoeopathy A System Of Holistic Healing As An Alternative Treatment For Pcos – A Review Https://Highdilution.Org/Index.Php/Ijhdr/Article/View/1126
- Homoeopathic Approach To Pcos Dr. Abhishek Kumar Aryan Https://Internationaljournal.Org.In/Journal/Index.Php/Ijayush/Article/View/834
- Homoeopathic Treatment Of Women With Polycystic Ovarian Syndrome: A Prospective Observational Study Girish Gupta, Naveen Gupta, Santosh Singh, Varanasi Roja, Deepti Dewan Https://Www.Ijrh.Org/Journal/Vol15/Iss1/3/
- Boericke’s new manual of homoeopathic Materia Medica with Repertory, third revised and augmented edition based on Ninth Edition, 37 impression New Delhi, B Jain Publishers (P) Ltd, 2016
- Allen’s keynotes, rearranged and classified 10th edition with leading remedies of the Materia Medica and Bowel Nosodes 2nd Edition, B Jain Publishers (P) Ltd, 2007A.
- Howkins and Bourne, Shaw’s textbook of gynecology, 16 edition, Elsevier Health Sciences, 2014
- Lectures on homoeopathic Materia medica by DR. J. T Kent. B Jain Publishers (P) Ltd, New Delhi.
- Frederik Schroyens synthesis repertory v Edition publishes by Frederik Schroyens
- RADAR Software.
About the Author:
Dr Garima Tare, Md Scholar Department of Homoeopathic Materia Medica in Government Homoeopathic Medical College and Hospital, Bhopal, Madhya Pradesh
Dr. Sindhu Suryawanshi, Md Homoeopathy, Guide and Professor, Government Homoeopathic Medical College and Hospital Bhopal
