Approach to Rehumatic Cases
NATIONAL JOURNAL OF HOMOEOPATHY 1997 Sep / Oct VOL 5 NO 5.
Dr D B Dikshit
'Thuja / Mag-ph / Kali-c
Case 1: Case Summary.
27 yr old, female, married
C/o joint pains, swelling & stiffness since 1 yr. She had done BCom and ICWA but quit her job after marriage as her husband desired.
History Written By Patient:
Name: Mrs MGD
DOB: 24.04.70
Marital Status: married in 1992
Hindu, Brahmin, Vegetarian (however had consumed eggs in pregnancy & even now occ does)
Non-smoker, Non-alcoholic. 2-3 cups of tea daily. Tried to have coffee but has stopped since the last 6 mths.
Education - BCom, ICWA(inter completed).Had worked as an Accounts Assistant at SC, Madras for 1 yr prior to marriage. Quit her job after the marriage as desired by the Husband. Her job involved handling of accounts and auditing, She was also responsible for cash transactions & was fully satisfied with her job.
Family:
Father-retired. Mother -housewife, both residing at Madras. She misses them a lot.
One brother, his wife and a daughter residing with parents. Brother's career was a grave concern but he has recently changed his job and joined a new company. His future and his activities are still a cause for concern and trouble me a lot whenever I think about it. Ours was a joint family.
Two of my paternal uncles are very close to me. I have 1 cousin brother & 3 cousin sisters and I like them very much.
I also have my paternal grand mother living with my parents/uncles intermittently. A typical old lady, whimsical at times, irritating sometimes but generally lovable. She is becoming senile and honestly her days are numbered.
I live here in Bombay since 1992 with my husband. We have a daughter born in 1993. Normal delivery. Our marriage was a mutually agreed one with the consent of our parents. We knew each other since childhood and may be for 7 yr before the wedding with the idea of becoming life partners. Though there were many issues over which we do not agree, discuss and argue, I still get along well with him and I can fairly confidently say that we love each other. We wanted a second issue this year but due to this health problem, I am a bit worried and we have decided to postpone the ideas about the second child for the time being. We have decided to have our second child in the second half of 1998.
My husband has 2 elder brothers, married, 2 nephews & 1 niece. My in-laws are alive. I personally like my husband's eldest brother. Same with SIL, eldest one is OK, elder one is not very compatible. My in-laws were nice too. The first year after the marriage they came to Bombay and were very impressed with me. However when they returned the next year, I was busy with my young baby, and they went back with an impression that I do not respect them and I do not take care of my husband also. They have not changed their opinion after that. Our relationship is very luke-warm after this. This will not change. My FIL is my father's uncle, my grand mother's brother. My father and him were very close upto our wedding. Ever since their disappointment with me my in-laws have distanced themselves from my family too. This is a great trauma for me. My parents often complain about this. Whenever I open this topic my husband closes it. He remains indifferent and is apparently not affected by any emotion but I cannot be so and this is also very disturbing. I often complain to him but he is not an overt type. He does not express his affection physically like a hug or a kiss. This also troubles me sometimes.
Diet And Daily Routine:
7.30-8.00 a.m. Sleep
8.00-8.30 a.m. Breakfast for husband and send him off. Make things meet their ends
In 1992-1993. Salary of my husband was not sufficient and had to forego many pleasures. But the financial condition improved from end1993 and today is quite comfortable. However a sense of saving less and not having invested in fixed property like a home of our own is still troubling me. I am after my husband to commit himself to buying a house. Nothing has materialized so far. Hoping to buy a house soon. Living in the company quarters. Having a good social life. Lot of gossip mongers particularly my neighbor but generally a very welcome lovable group of friends.
Chief Complaints:
Started having swelling near [L] index finger and [L] foot from Jan'97. Suspected this to be an after effect of either grafting done on right thumb (after I got my finger cut in a mixer) or urinary infection subsequent to a picnic to a beach in Dec'96.
Consulted Dr. KA and took medicine. Strong antibiotics did not suit me long. Ended up with nausea and vomiting. Finally Dr. KA diagnosed it as Autoimmune disorder. Initially he thought it was a torn ligament. Not satisfied with Dr. KA I went to Dr. S .Dr. P treated for urinary infection and started a course of Physiotherapy. Not satisfactory either. Went to KJ for a comprehensive medical check-up in May-97. After the check-up every thing was reported to be normal. Dr. ED suggested Microcid, the only tablet that gave me immediate relief without any side effects. I am still continuing Microcid1 whenever I have indications of the problem.
A permanent solution to the problem is what I am looking forward to and the absence of this is causing me great concern. Continuos medication does not appeal to me.
After an afternoon's sleep sometimes the joint stiffness and pain surface. If I work continuously then the pains do not surface at all.
Personal Data:
Physical Generals: Tall, fair & lean
Highly emotional.
Having done my costing I wanted to become a full fledged Cost Accountant and wanted to continue service in a good concern and hold a high position. I have to discontinue my service, as there is no one to take care of my child. I am not interested in spoiling my child at the hands of my maidservant. This disturbs me to some extent. The thing bothers me a lot only if there is some financial strain in the family. I do not have any additional responsibility except bringing up my family
Reactions To Surroundings - We have a social set up and have few close friends who won't let me down at any cost. Sometimes when their behaviour is not upto my expectations, I get worried but mostly I am happy.
Food - Like all food and don't like anything spicy. I like sweets more. All foods suit me.
Skin - My skin is a little dry. I always like the rainy season or weather that does not dry your skin. I have bath twice a day in all seasons Have get together with my friend circle in the colony.
(c)Always have good sleep and dreams are a rare event.
(d)Sex-Does have sex at regular intervals.But have proper sex only on the safer days.The menstrual cycle is regular and had normal delivery.
