IMPORTANCE OF HIGHER POTENCIES IN PSYCHIATRIC ILLNESS- A CASE STUDY
A female patient named Parameswari, aged 38 yrs, house wife, from Balapur, with OP No 169985, had come to JIMS OPD, with following complaints-
1. Tightness in chest with suffocation during stressful situations, from 4-5 yrs
Cause 1: There was continuous loss of family members (4 members one after another). The patient took care of all the rituals. She had seen all the people crying loudly during rituals, from then attacks of suffocation commenced.
Cause 2: She delivered twins in 1st delivery, lost both of them. She was in shock during post natal period. During second delivery, she underwent lot of stress that, whether this baby will survive or no.
Details– anxiety starts from abdomen. There was sighing respiration++ with trembling of hands+++ and legs during attacks. Wants open air, during attacks. >> pressing abdomen tightly with hands and taking deep inspiration.
She has fear that something will happen to her. Fear of darkness. Cannot stay alone, at night. Always some or other person should be there at home. Needs company. Fear of injections. Fear of heart disease. Fear of dogs, cockroaches. Fear of open places, lonely places.
Weakness on slightest exertion, with whirling sensation from 4 yrs.
Treatment h/0: she is intolerant to allopathic medications. Took homoeopathic medication for present complaints- aconite- 30, 200 and 1M potencies. This did not help the patient.
Physiological generals and eliminations:
Food desires: spicy food++, gravy, fried food++
Thirst: 2 lts/ day (One glass in 2-3 hrs).
Bowels: regular. Urging felt at stressful situations, at pit of stomach.
Sleep – always some or other thoughts come in bed, disturbing sleep.
Perspiration: more on head, on exertion, non-offensive.
Thermal: Craves open air. Wants fanning always++.
Menses: regular. No h/o of Leucorrhoea. No H/o of Abortions. 2 FTND.
Patient is very sensitive. She cries very easily especially if anyone find her faults. Sensitive to criticism. She likes to live in joint family, but all got separated due to continuous deaths in the family. They all shared property and started living separately. She felt extremely broken at that event. She cannot bear suffering of others. She wants to help people, Sympathetic++.She cannot watch horror movies.
Physician observation: Patient came with her husband. She entered into room with her husband, holding his hand tightly. Face- anxious+++. Husband explained her symptoms more than the patient. Patient told that her husband is very cooperative, will never feel frustrated with her behavior.
Vitals: pulse: 85/ min
Resp rate: 26/ min
BP: 130/80 mmHg S1, S2: N, tachycardia present.
Appearance: patient looked very healthy, gracefull and innocent look, round chubby face, fair complexion, medium built.
Probable diagnosis: Panic Disorder
There is history of continuous shocks and fear, so Aconite 50M was given one dose.
Date Follow up Rx 10.8.2020 Felt much better 70%. No palpitation and panic attacks after first prescription.
But suffocation feeling is felt some times. After repertorisation, Phos 10M one dose given
Sac lac TDS one month
Felt 95% better. Could able to stay alone. No fear at night times. No fear felt at empty roads, open and lonely places. Weakness relieved. No panic attacks. Dyspnea relieved. Sac lac 1 month
15. 10.2020 No complaints. No panic attacks till date. Sac lac 1 month
Inference: the drug selected was same, but potency selected was higher as the case is purely at emotional level, which has given wonderful result.