Abstract: Most common psychosomatic disorders by unusual obsession and repeatedly same action aim to decrease the thoughtful stress.
Keyword: Obsessive compulsive disorder,homoeopathy,psychosomatic act.
Introduction: OCD is nature driven due to tormenting situations but not a basic nature.
Reason: Exact aetiology is unknown but insight longlasting grief,fear,anxiety,apprehension.According to WHO ,OCD is 5th most serous illness among mental health challenges.OCD is having extranormous co -morbidity and high risk of suicidal behaviour, associated with genetic and environmental factors.
Clinical case report on OCD:
A 20 year old female on the personal OPD at 10/01/2024,
CASE STUDY:
A 20 YEAR FEMALE SUFFERING FROM Persistent thoughts,fear,biting nails, REPORTED WITH FOLLOWING COMPLAIN…..
| Ph.No: | OPD NO :6/2425 |
| Name: Chandani singh | Date:10/01/2024 |
| Age:20 | Sex:Female |
| Religion: Hindu | Occupation: SERVICE |
| Address:new civil hospital, surat 394210 | Dr’s Name : Rajesh Pathak |
Presenting Complaints : ( Including L,S,M & C)
- c/o repeated (persistent)thoughts since 2021
- Biting nails, fear of being injured++ apprehension.
- Patient is an allopathic treatment at new civil hospital but no relief
| LOCATION | SENSATION | MODALITY | CONCOMITANT |
| Mind | abstraction abandoned Fear of being betrayed ++ Persistent in thought | <Not specific > Not specific | HairfallHeadache, |
History of Present Illness in Chronological Order: ( With Associated Complaints)
- Patient having complained of frequent repeated thoughts & biting nails since 3 years
- Irregular in study with pain and headache especially before menses.
- C/O – weakness since childhood occasionally but more from 4 years as soon she became fearful and frightened and started nail bites.
Past History of Illness and Treatment
(1) H/O VACCINATION : Not specific Allergy: No any
(2) H/O ILLNESS & TREATMENT Drug Reaction: No any reaction
| DISEASESSUFFERED FROM | APPROXIMATE AGE | DURATION | TREATMENT | WHETHER COMPLETELY RECOVERED |
| Malnutrition | Age : 3 years | 10 years | Nutrition Tab ironhalf daily | NO |
FAMILY HISTORY:
| NO. | Relationship | Health/illness | Alive/Dead |
| 1 | Mother | Healthy | Alive |
| 2 | Father | Healthy | Alive |
| 3 | Sister | Healthy | Alive |
| 4 | Brother | Healthy | Alive |
Personal History
| Thermal state: chilly (intolerance to cold)Bath: hot water fan : all season | Perspiration (including any specific odour & stain): Generalized odour: not specific stain: not specific |
| Appetite : Normal regularly she is taking breakfast/lunch/dinner | Diet (veg / Non veg): veg |
| Desire : not specific | Aversion: not specific |
| Thirst : thirsty 1liter to 1.5 litters /day | Urine: 3 to 4 / day Night 3 timesDay 3 times |
| Bowels : Regular | Habits / Addiction: no any |
| Sleep ( including position ) : sound but due to cough waking and then breathlessness start | Dreams: not specific |
Menstrual History : Regular menses
Age of commencement:12 years
Patient As A Person:
(In Pt.’s own word, attendant statement, physician’s observation and conclusion)
She was the youngest child of her parents,were strict,overprotective,& controlled him without any reason.Father often beat her on academic performance issues and due to this she got anxious and fearful ,started biting nails.
- (Aphorism 210 to 220)
General Physical Examination:
| Built: well built | Throat: NAD | Nails: NAD |
| Head: NAD | Ear: NAD | Extremities: NAD |
| Mouth: NAD | Eyes: NAD | Lymph glands: NAD |
| Tongue: NAD | Skin: NAD | |
| Teeth: NAD | Nose: NAD | |
| Gums: NAD | Hair: NAD |
Vital Examination
| BP: 120/80 mm hg | Temp : 98.4 F |
| Pulse: 72/min | RR : 22/min |
| SPO2 : 99 % | RBS: 110 mg/dl |
SYSTEMIC EXAMINATION ( of concerned system under I,P,P,& A)
| SYSTEM | INSPECTION | PALPATION | PERCUSSION | AUSCULTATION |
| CVS | NAD | NAD | NAD | S1 & S2+ |
| Respiratory system | B/L Symmetrical chest | centrally located Trachea | Resonant note present | AIR ENTRY- BL CLEAR |
| GIT | NAD | NAD | NAD | Bowel sound + |
| CNS | Conscious | Normal Reflex | NAD | NAD |
Totality of Symptoms
| NO | SYMPTOMS |
| 1. | Abstraction of mind, |
| 2. | Constant indulgence in thoughts |
| 3. | Forsaken feeling |
| 4. | Biting nails |
| 5. | Fearful of being betrayed |
| 6. | Persistent indulgence in thoughts |
Analysis & Evaluation of Symptoms :
| No. | SYMTOMS | TYPE |
| 1 | Abstraction, buried in thoughts | Mental general |
| 2 | Abandoned,forsaken | Mind specific |
| 3 | Biting nails | Mind specific |
| 4 | Fear apprehension,betrayed being | Mind specific situational |
| 5 | Persistent thoughts | Mental general |
CONVERSION OF SYMPTOMS TO RUBRICS
| NO. | RUBRICS | CHAPTER/ SECTION | PAGE NO. |
| 1. | Mind,abstraction,buried in thoughts | mind | 1 |
| 2. | Mind,abandoned,forsaken feeling | mind | 1 |
| 3. | Mind,biting nails | mind | 9 |
| 4. | Mind fear(apprehension,dread)betrayed being | mind | 43 |
| 5. | Mind,thoughts persistent | mind | 87 |
| 6. |
Miasmatic Assessment :
PSORA SYOCOTIC
Repertorial Totality :
Done on repertorial table as per rubric arrangements of w. boerick
Repertorial Result With : ( Name Of Repertory)
JT Kent 6th edition
Pathological Investigation :
1.No any
Radiology Investigation :
CT scan/MRI:As per need
Provisional Diagnosis :
OCD
Differential Diagnosis :
OCD,anxiety neurosis,autoimmune disease
Final Dignosis :
OCD
Group Of Drugs / Selection Of Similimum & Strategy Of Treatment :
1. Natrum mur 5/12
2. sulphur 4/10
3. Hyoscymus 4/7
4. nux moschata 3/7
5. Stramonium 4/6
Prescription :
1. Hyoscymus 0/1 watery frequent repetition for 15 days
2. SL.4 pills for 30 days
Management Of The Case :
Follow-Up
| DATE | FOLLOW-UP | PRESCRIPTION |
| 10/02/2024 | 1.repeated thoughts stoped now2. biting nails habit decreased 3. fear is not regular but present 4. Appetite : good 5. sleep ; Good 6. Thirst : Increased | Sac lac 4 pills OD for 30 days |
| 10/03/2024 | 1. 2. As normal 3. Fear still present 4. Appetite: good 5. Thirst : Good 6. Sleep : Good | Tuberculinum 10 m 1 dose Sac lac 4 pills tds for 30 days |
| 10/04/2024 | 1. No any complain 2. no fear 3. Stool : soft 4. Appetite : good 5. Sleep : good 6. Thirst : Good | Sac lac 4 pills OD for 30 days and still continue on and Hyoscymus 0/1 infrequent doses……..up to now on observation and sl…. |
| 10/05/2024 | All complains better , report are normal under monarch score. | |
| Result : Recovered , patient was advised to continue the medicine as conservative and precautionary measures |
BIBLIOGRAPHY
Reference:
(1)Clinical endocrology:P J Mehta
(2)Davidson’s Principle and practice of medicine.
(3)Pocket manual of homoeopathy materia medica and repertory by William Boerick.
(4)keynotes by H C Allen.
(5)Lectures of materia medica by J T Kent.
(6)..Hahnemann’s Organon of medicine 6th edition.
(7).Hering Guiding Symptoms.
(8)..Hering charecteristic card.
(9)..Expanded work of Nash.(Complete work of Nash materia medica and
therapeutics.
(10).Tiwari S Essential of repertorization 5th edition. Delhi:Bjain
publisher 2013.
(11)..Siju pv a references to repertories for Homoeopathic Students.1st
Edition. Delhi Bjain publishers 2007.
(12)..Khanaj V.R.Reperire,Repertory Simplified.5th Edition Delhi Indian
Books and Periodicals Publishers November 2011.
(13)..Yash P M API Textbook of Medicine.9th Edition. Delhi:Jaypee
Brothers Medical Publishers Ltd;2012.
(14).Golwala A.F.Medicine for student’s.22th edition. Mumbai;Published
by Dr Aspi F.Golwalla;The National Book Depot;2008.
(15)WHO OCD May 2023
Author
Dr Rajesh Pathak PG Scholar,
Department of Homoeopathic Repertory & Case Taking
Baroda Homoeopathic Medical College and Hospital
VADODARA
