PRELIMINARY DATA: –
Name: Ms. GM Age: 46yrs.
Sex: Female
Religion: Hindu
Marital Status: Widow
Address: Puttur
Case taken: 23/06/22
CHIEF COMPLAINT:-
The patient complained of breathlessness since childhood which has increased since 1 month which is aggravated due to cold weather and is more at night. She also complained of weakness of whole body since 3 years which aggravates on exertion and relieves by rest. She also complained of formication of forearms and hands along with sensation of itching since 3 years which aggravates in cold weather or washing clothes.
| LOCATION | SENSATION | MODALITIES | ACCOMPANIMENTS | |
| 1. | RESPIRATORY SYSTEM | – | ||
| Lower respiratory tract Since childhood Increased since 1 month Gradual in onset & progression Rx: Allopathy | Breathlessness2 | A/F: Dust (or) Cold weather < cold weather2 < cold drinks < Night > drinking hot water | ||
| 2. | GENERAL | |||
| Whole body Since 4 years Gradual onset & progression | Weakness | < exertion > rest | Tiredness Losing weight | |
| 3. | UPPER LIMBS | < washing utensils or clothes – | ||
| Forearms & Hands Since 3 years Gradual onset & progression | Formication Itching sensation |
HISTORY OF CHIEF COMPLAINTS: –
The patient has complains of breathlessness since childhood which is more at night that aggravates by dust, cold weather or by drinking cold.
Since 3 years, the patient came up with complains of weakness and tiredness upon doing any work or any kind of exertion
At around the same time, she
also came up with complaints of formication of fore-arms and hands which aggravated while washing clothes
or utensils and also in cold weather.
PAST HISTORY: –
MEDICAL HISTORY- Depression (2008)
TREATMENT HISTORY- Anti-depressants. Allopathic medications for
Breathlessness. FAMILY HISTORY- Father:
HTN. Mother: DM II. Brother:
DM
PERSONAL HISTORY: –
Diet – Non-vegetarian Thirst: 4l/day Appetite: Increased
Craving: Milk2, Cold water2
Bowel habits: 1-2/day, no difficulty
Bladder Habits: 9 times in the
day, 1-2 times at
night
Sleep: Sleeplessness Dreams: Unremembered Perspiration: Neck
Thermals: Likes Summer, doesn’t want fan always, sleeps uncovered, has bath in lukewarm
water always.
LIFESPACE: –
Patient hails from a low socio-economic family. Her father was a farmer and mother was a housewife. She has a younger brother who is working as a supervisor in a catering group in Africa and a sister who is married and well settled. She also has a son who is studying in final year BCA.
CHILDHOOD: She studied up to 12th. She had also opted for a diploma course but then discontinued as she was not interested in studies or job. Her childhood was uneventful.
MARRIAGE: She got married in 1997 at the age of 21. She was having a good relationship with her husband. After the marriage she realized that her husband has cardiac issues so he used to be not in good health most of the times. In 2007 he had to undergo a major surgery for the same. He lost his life during that surgery. This event led her into a state of emotional shock. She stopped eating food and did not sleep. After consulting a psychiatrist, she was given anti-depressants for the same. Despite medications, her condition didn’t improve. WORK: As she has a son and wanted to look after the family, and also after her sister’s insistence, she went to Israel to work as a care-taker. In Israel she stayed with her sister and worked there for almost 3 years (2010- 2013). She was fond of that place more than India but her complaints of breathlessness aggravated a lot after moving there due to cold weather. As a result, she left the job and came back to her native in 2013. In Israel she was so busy and involved in her work that she actually forgot about her past. Her life returned back to normal and slept and ate properly. But after coming back, she started recollecting her past and hurtful memory about husband’s death again. She also noticed that her weight also was dropping gradually and started feeling irritable and weak. She started with allopathic medications for the same and also started taking antidepressants again.
Yet, her mental state did not improve. Her brother got worried and brought her to Prashant Niwas in 2020. Then over the time she stopped consuming anti-depressants and got better day by day. She also is in regular contact with her family.
AT PRESENT: In the ashram, she does not talk to anybody. She does all the work sincerely and does not mingle with others because she says most people are quarrelsome and mentally ill.
AS A PERSON: Prefers to be alone but not averse to company. Does not like taking stress.
ON OBSERVATION: Patient is very active and has a sharp memory. She
seemed to be very quiet and introverted.
Does not speak unless spoken to. She was very rest-less was not sitting in one
place for more than 1 minute.
Patient besides her complained that she does not sleep at night, gets up from
bed again and again and checks
if her things are kept properly or does some or the other activity other than sleep.
GENERAL PHYSICAL EXAMINATION: –
Very lean and poorly nourished
Well oriented with time,
place and person
Weight- 42 kg
BP- 120/70mmofHg
No signs of pallor, cyanosis, clubbing, icterus, edema and
generalized lymphadenopathy Peri-orbital hyper pigmentation present
HAHNEMANNIAN CLASSIFICATION OF DISEASE
DYNAMIC CHRONIC MIASMATIC DISEASE OF PSORO-SYCOTIC ORIGIN
MIASMATIC EVALUATION
| HEADINGS | PSORA | SYCOSIS | SYPHILIS |
| FAMILY HISTORY | FATHER: HTN MOTHER: DM | ||
| PAST HISTORY | HYPERTHYROIDISM | DEPRESSION | |
| GENERAL MODALITIES | < COLD | ||
| COMPLAINTS IN GENERAL; SLEEP | WEAKNESS FATIGUE | SLEEPLESSNESS | |
| CR/AV | DESIRES MILK2 | DESIRES COLD DRINKS | |
| MENTAL STATE | ACTIVE RESTLESS TIMIDITY INTROVERT | ||
| CHARACTERISTIC PARTICULARS | BREATHLESSNESS < COLD WEATHER < NIGHT < DRINKING HOT WATER |
| PROVISIONAL DIAGNOSIS | DIFFERENTIAL DIAGNOSIS |
| EXTRINSIC BRONCHIAL ASTHMABreathlessnessA/F Cold weather or dust< night< cold weatherChildhood onset | CHRONIC BRONCHITIS BreathlessnessCough with phlegmCough leading to breathlessnessR/O à As patient is not presenting with cough that leads to breathlessness PAROXYSMAL NOCTURNAL DYSPNOEA BreathlessnessSudden shortness of breath at night during sleepR/O à As patient is not presenting with sudden shortness of breath during sleep |
| HYPERTHYROIDISMWeight-lossTiredness or FatigueWeaknessIncreased appetiteInsomnia | ANOREXIA NERVOSA Weight-lossFatigueWeaknessInsomniaR/O à As there is no evidence of weight-loss due to intentional starvation |
LINE OF MANAGEMENT
GENERAL MANAGEMENT
- Identify and avoid triggers
- Closing windows to avoid chilliness
- Use of thick woollen clothes to keep warm
- Avoid cold drinks
- Always drink warm water
- Avoid sitting under fan
- Avoid keeping wet after bath
HOMOEOPATHIC MANAGEMENT
- Constitutional Homoeopathic Medicine
- Packet and Pills
KENT’S EVALUATION & ANALYSIS
| MENTAL GENERALS | PHYSICAL GENERALS | CHARACTERISTIC PARTICULARS |
| TimidRestlessnessDrives out of bedHas to check twice | Chilly patientCraving for Milk2, Cold water2SleeplessnessIncreased appetite | Breathlessness3 < dust < cold weather < night drinking hot water Weakness < exertion rest Weight-loss Formication of forearms and hands < washing |
TOTALITY OF
SYMPTOMS
Restlessness2
Drives out from bed2
Checks twice or more2
Sleeplessness2
Craving for milk2
Craving for cold water2
Chilly patient
Breathlessness2
<dust <cold weather <night >drinking hot water
Weakness
<exertion <rest
Formication/Tingling of hands
<washing
Itching sensation of hands
PROVISIONAL REMEDY
ARSENIC ALBUM
Timidity
Restlessness
Drives out of bed
Must check twice or thrice
Desire for milk
Desire for cold drinks or water
Sleeplessness
Chilly patient
Asthmatic respiration
<night, <cold weather
Weakness
<slight exertion
Tingling in hands
< washing
Itching of hands/forearms
DIFFERENTIAL REMEDY
SPONGIA TOSTA
Timidity
Drives out of bed
Must check twice or thrice
Desire for milk
Desire for cold drinks or water
Sleeplessness
Hot patient
Asthmatic respiration
<night >drinking warm water
Weakness
<slight exertion
R/O à
As patient is not thermally hot
Patient drives out of bed at night
Breathlessness <cold
RHUS-TOX
NUX
VOMICA
FOLLOW-UP CRITERIA
- Breathlessness
- Weakness
- Formication of hands
- Itching
- Sleeplessness
PRESCRIPTION
- ARSENIC ALB 200 PKT
1-1-1 (B/F)
- N2 PILLS
4-4-4 (A/F)
| DATE | SYMPTOM CHANGES | PRESCRIPTION |
| 24/06/2022 | 1 2 3 4 5 S S S S S All other generals are good | REPEATED |
| 25/06/2022 | 1 2 3 4 5 S S S S S All other generals are good | REPEATED |
| 26/06/2022 | 1 2 3 4 5 > S > S S All other generals are good | REPEATED |
| 27/06/2022 | 1 2 3 4 5 > S > S S All other generals are good | REPEATED |
| 28/06/2022 | 1 2 3 4 5 > S > S S All other generals are good | REPEATED |
| 29/06/2022 | 1 2 3 4 5 > S > > S All other generals are good | REPEATED |
| 30/06/2022 | 1 2 3 4 5 > S > > S All other generals are good | REPEATED |
| 01/07/2022 | 1 2 3 4 5 > S > > > All other generals are good | SL PKT 1-1-1 N2 PILLS 4-4-4 |
| 02/07/2022 | 1 2 3 4 5 > S > > > All other generals are good | REPEATED |
| 03/07/2022 | 1 2 3 4 5 > S > > > All other generals are good | REPEATED |
| 04/07/2022 | 1 2 3 4 5 > S > > > All other generals are good | REPEATED |
Conclusion:
Homoeopathy has an immense scope on chronic diseases, when homoeopathic remedies are prescribed on the basis of symptom similarities it not just help the suffering individuals to get a better quality of life but also take them to the path of cure & recovery as well. Thus, this above case is evidence to showcase the effectiveness of Homoeopathic treatment.
About Author:
Dr Skandhan. S. Kumar, BHMS MD Organon of Medicine (Gold Medalist), Assistant professor department of organon of medicine and philosophy, Father Muller Homoeopathic Medical College.
Co- Authors:
Dr Jacintha M, BHMS MD Department of Organon of Medicine.
Dr Niranjan, MD Part 2, Department of Organon of Medicine, Father Muller Homoeopathic Medical College.
