And I Ache all over
NATIONAL JOURNAL OF HOMOEOPATHY 1997 Mar / Apr VOL VI NO 2.
Dr Kershasp N Kasad
'Mag-s
Female, aged 31, M D in Community Medicine. Works in a hospital as a Marketing Manager, Quality control from 1993 onwards till date. She came to me on 18-2-95.
History
Menarche: 11 yrs. Menses 7/28 heavy. Married on 21-11-91. Conceived in June 1992, took ciprofloxacin for the ear infection in the first 15 days of pregnancy. Therefore MTP had to be carried out on 30-7-92.
6-8-92 - Erratic, heavy bleeding
30-9-92 - second D and C with hysteroscopy. Bleeding profuse from 3rd day following D and C not amel by progesterone.
Treated by Dr Indira Hinduja - an infertility specialist for many months with LH-RH nasal spray, natural oestrogens and injectable progesterone, resulting in a normal cycle on June '93.
Conceived in Sept 1993 but learnt foetus was dead on 10-11-93. D and C done on 22-11-93. Normal periods from Dec 1993 - Aug 1994. The present illness started fro 24-11-93 after the D and C.
Chief Complaints
Excruciating pain all over with aching, amel Hard Pressure, Hot Shower - feels as if someone is wringing her body. Aggr Night, not amel Brufen -600. Cannot sit up. Muscle fatigue3***. Cramps3***. Restless with pains. Spasm - neck, Lt head, ear, Lt shoulder around, Lt trapezius, pectorals, triceps, brachioradialis, hands, fingers. Stiffness, spasms-knotted-cannot lift a glass of water. Aggr Fan, cold climate, Hot humid weather, cannot lie in one position - Restless.
Amel, in Pune [dry weather], hot fomentation, lying down. AM, support, sudden onset. Limping while walking with a tilt to the Lt and torticollis to the Lt side. Amel acupressure, no amel with acupuncture. No response to hosts of pain killers, anti-inflammatory agents, tranquillizers, Mag-phos, mixture, Mag-phos-CM, Bry amel little. Muscle-6 and Laser treatment > trapezious spasm.
Investigations
Blood: CBC L-40-50 M-10-11 ESR - N WBC 3000 Plasma Fibrogen - N, A.N negative CMV +ve.
EMG: N. MRI - Cervical Dorsal Spine: N. [Cytomegalos virus]
IgG elevated: 1.2, IgM Negative R A Test: -ve. DNA: -ve. L E -ve. T cells: reduced.
Na-reduced K - N. Mg-N
Several Consultations with several specialists. No one wanted to hazard the diagnosis. All advised steroids, one advised Endoxan. Patient declined both and sought out Homeopathy.
O/E: BP 110/75. No organomegaly. No Iymphadenaopahty. No neurologic deficit. Nil haematologically. Baggy lower eyelids. Cold hands and feet RS/CVS/PA - Normal. Neck torticollis to the Lt Tenderness all over. Pathetic look, scars of suffering obvious as she limped to my clinic. THROAT: N. Stiffness and spasms all over, especially nape of neck and flexors. Muscle Biopsy advised; the patient declined lest she develops paralysis.
Family History: Fa: 84, supra-ventricular tachycardia. Mo: 67 Pulmonary T B, Diabetes Mellitus, obesity, Hypertensive Encephalopathy and 7 absorptions [3rd-4th months]. The patient was the only living child, the last survivor - born on 6-8-83; 7 ½ pounds, a big baby, FTCS. Diabetes Mellitus and hypertension on the maternal side.
P/H/O: Jaundice at 4; Rheumatic fever at 10 - amel. With Sulphas she was allergic to Penicilin; chicken pox at 16. Liver affection in 1985 (Gynaec). Exploratory Laparotomy - A calcified, necrotic infection of the liver found-parasitic, with enlarged mesenteric lymph nodes; the appendix was removed. She had low grade fever, while stools and highly colored urine. The laparatomy scar hypertrophied, was treated with local Hydrocortisone; this resulted in Polymenorrhagia for 15 days, followed by Amenorrhoea for 3-4 months. Right otitis media in 1990 - throbbing pain with fever -100-101, amel Ciprofloxin molars, under GA.
She came to me on 18-2-95
Appearance: Thin, 64 kg. Tall, 5ft 10". Appetite++ craves: sour, but aggr, bile; dals, sweet, potatoes, and spicy (but aggr = acidity), indigestion, diarrhoea. Pulses oily aggr. Very hot weather aggr; lethargic, miserable, irritable. Sun aggr = headache. Draft, fan aggr = headache, nose block. AC aggr. Very Hot bath all the year round; cannot tolerate cold weather -fingers, nose and limbs cold. C4H. Recurrent tendency to colds - larynx. Sleep normal, except with pains. Must have long sleep, short sleep aggr. Loss of sleep aggr = acidity, irritable, tired, sea-sick.
Life History: 20-2-95
Age 31, Dt of Birth: 6-8-63. Husband 37.
Emotional description of Self: Short tempered, but at times very unsure of self, and hence subdued. Tends to be very shy in crowds. Extremely sensitive nature. Very fond of animals. Likes to make friends, but very selective. Enjoys intellectual stimulation in conversation. Easily bored. Fond of learning new things. Quick grasping power, but very short spells of intense concentration. Tends to think and worry too much. Great fear of future. Detests dishonesty, hypocrisy, conventionalism, sweet talking, very orderly and neat in habits. Very jittery in untidy and dirty surroundings Loves music. Very loving and understanding relationship with husband. Very attached to parents, but thinks diametrically opposite to them in many issues. Respectful with MIL and BIL but find them very narrow minded and orthodox, hence not very close to them mentally and emotionally. Enjoyed working - was well respected in the hospital by all. She is missed by all. She does not like over-possessiveness in friends and likes to keep to herself at times. However, ready to help anyone at any time. She has close friends.
Responsibilities in life: 'my work, my parent's health which is not the best, my husband's career and future, health of husband's family, all household responsibilities, both in and out of the house. I feel often that too much is expected out of me except for my husband who expects nothing and I wish I had more physical energy to cope with everything. I like to do things and hate sitting steady in one place for long. I love to travel and move around, but I feel I take up more than I can manage; and tend to get irritable when I fall short of my own expectations, or when delays keep hindering my work. I am Impulsive and extremely Emotional and Sentimental, and I want to slow my pace and spend some time for myself. Easily upset by other suffering; now irritated at my own illness.
Foods: Non-veg, but prefers veg diet. Detests bitter things. Milk, curds, oily, fatty, pulses, spicy, bulk foods do not suit.
Like moderately cool, non-windy environment. Extremities usually cold. Nose turns cold as the first sign of the weather becoming cold. Uncomfortable in cold, damp weather, and during rains. Prefers socks at night. Likes heat and dry weather. Fan aggr = blocked sinuses and headache, or in a breeze, warm minimal, only in axillae and lips; no smell, no stains. I do not drink lots of water, since if I do, I tend to pass it out by way of urine within 20-30 minutes. Likes swimming and outdoor activities, but cannot do them, because they do not suit her constitution; tend to feel tired soon and catch colds easily. Likes music, dancing, piano, reading, seeing places, talking to people intelligently-not idle, boring talk. Sleep is disturbed if something is bothering her. Get vivid dreams at times. Lack of sleep if her greatest enemy. Early waking up or interrupted sleep causes terrible acidity and gastritis. Tend to be constipated since childhood, increased considerably in the past 10 yrs.
