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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

The Angry Lady
NATIONAL JOURNAL OF HOMOEOPATHY 1997 Jul / Aug VOL 5 NO 4.
Dr Suneetha S Tripathi
'Calc-carb / Puls

Pre-menstrual syndrome is a condition where 8-10 days prior to onset of menstruation, some females suffer from unpleasant sensation and complaints ranging from emotional upsets, irritability, weeping, anger, depression to physical complaints like:
1] Heaviness and pain in the breast
2] Nausea and vomiting
3] Constipation or diarrhoea
4] Weight gain due to fluid retention
5] Insomnia
6] Headache, bodyache
7] Tiredness, fatigue, weakness
This syndrome can be rapidly and gently dealt with by our Homoeopathic medicines. Following 2 cases demonstrate this.

Case 1: The Angry Lady
This case was taken on 29/9/92. Mrs S G K aged 38 yrs, complained of the following:
5-8 days before menses, she is irritable, angry and feels hurt even on simple issue. Sensitivity is heightened to remarks and weeps often. Complaint since 3-4 yrs. < During menses: nausea, vomiting, bodyache, even water not retained - vomits immediately.
Weakness++, Loss of appetite+
Menstrual History : Regular, 4-5/30, red in colour, odour +, no clots, stains + delible. Menarche at 15 years of age LMP 5/9/92.

Other Complaints
Head ache < draft3 + fan 3 +, > tying2 hard pressure
Flatulence > mixture of salt and garlic
Heaviness and bloated feeling < potatoes.
Leucorrhoea < after menses for 3-4 days - watery thin, bland not offensive.

Physical Generals
Thermal : Likes winter
Bath : Hot water throughout.
Covering : One blanket in winter, none or thin sheet in summer
Fan : On speed 3 in summer and 0 in winter. Sleeps away from fan because of headache.
Wool : Sweater + shawl, since feels very cold with 3 chilly, 1 ambi, and 1 hot response, over all patient is chilly.
Perspiration : Not much even if no fan. Sweats in axil lae; no smell, no stain.
Appetite : No specific craving or aversion.
Bowel/Bladder - NAD
Sleep : Good but if disturbed, then can not sleep for 2-3 hours.
Obstetric History : 2 FTND -No trouble.

Mind : Patient comes form a middle class family. Husband owns a grocery shop. Elder son, 22 year, is working with father; 1 son and 1 daughter are studying. Cordial relations with everyone calm and quiet, except during menses when she gets upset and irritable. Occasionally when she gets irritated, cools down within minutes, and does not spoil relations with her daily routine. At her parents' place, there are 3 brothers and 6 sisters. Mother has similar complaints. No other family history of significance.

Physical Examination
WT: 52 Kg NAILS: Pallor +
SKIN OF FACE: Wrinkled +
BP: 110/70; RS / CVS: NAD
While examining, patient complained of burning sensation in feet, since 2-3 yrs. Nausea and vomiting while on traveling by bus (motion sickness).
In this case, since mental symptoms as well as characteristic particular symptom were present. Kent's approach was taken.

Totality
KR 59 Irritable < BM
KR 77 Sadness < BM
KR 508 Nausea < DM
KR 135 Headache < Draft
KR 722 Leucorrhoea < AM
KR 1013 Burning feet
KR 509 Riding in carriage < Nausea
KR 534 Riding in carriage < Vomiting

Drugs featuring after repertorization were:
Calc-carb 8/15
Graph 4/8
Kali-carb 6/9
Nat-mur 4/7
Puls 5/12
Sep 6/12
Nux-vom 5/10
Phos 6/8

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