My Rheumatic Cases
NATIONAL JOURNAL OF HOMOEOPATHY 1997 Sep / Oct VOL 5 NO 5.
Dr Ramesh D Jain
'Mer-cor / Ferr-sul / Calc-sul
Case 1:
Mrs M S, 40 yr of age came with the following
Chief Complaints :
Extremities: Joints: Pain-throbbing, stitching.
Knee, Ankle, wrist swelling with fever and chill since 3 years.
H/o getting wet repeatedly > going down stairs.
Menses: Irregular, scanty, blackish.
Past History:
H/O Similar episode at 20 years of age.
Typhoid, Pyorrhea, Dysentery
Personal History:
Appetite: - decreased
Thirst: - increased
Bowels: constipated , Flatulence+++
Patient As A Person:
Appearance: stocky
Thermals: sensitive to both heat and cold.
Tongue: indented, cracked
Pulse: 80/min; BP140/90 mm/Hg
Investigations:
6/11/93 RA test +ve [1:640]
Diagnosis: Rheumatoid Arthritis
Prescription Totality: Disease development from periphery to centre
Miasm - Syphilitic
Thermal Modality - C3H3
Tongue - indented, cracked: Thirst-increased
P/H -similar history, pyorrhoea, dysentry
Constitution - stout
Treatment:
| Date | Observation | Treatment |
| 6/8/93 | Merc-sol 200 III doses H.S C.S + K.M 6X |
|
| 18/10/93 | Feels Better | Ct all |
| 8/11/93 | RA test +ve 1:640 | Merc-sulph 2000 III doses H.S C.S + K.M 6X |
| 6/12/93 | > | Ct all |
| 31/1/94 | > | Merc-sulph 1M III doses H.S |
| 14/2/94 | Rt knee pain and swelling | Ct all |
| 18/4/94 | S.Q. | Ct all |
| 22/10/94 | RA test strongly +ve 1: 1280 | Merc-cor 30 TDS Aurum-m-n 6X |
| 6/2/95 | S.Q. | Ct all |
| 15/4/95 | S.Q. | Merc-cor 30 TDS Aurum-m-n + C.S 6X |
| 29/9/95 | Ct all | |
| 7/11/95 | > | Ct all |
| 11/2/96 | > | Ct all |
| 29/2/96 | > | Ct all |
| 25/6/96 | > | Ct all |
| 4/8/96 | >> | |
| 30/11/96 | RA test -ve | S.L |
| 26/12/96 | No complaints > | S.L |
| 4/3/97 | > > | S.L |
Criteria For Selection Of Remedies: Remedies are prescribed on the basis of periodic table. Recurrent infection involving collagen tissues [ligaments, tendons, bones etc.] disturbs Calcium metabolism. Normal Ca [group II A] during inflammatory condition is guide for Group IIB [Merc++]
Merc-cor is deeper acting than Merc-sulph than Merc-sol. Though Merc-sol is deeper acting but it has not covered the depth and speed of the disease therefore, it was required to be changed from Merc-sol 
Merc-sul Merc-cor
Calc-sulph -Auto-immune disease
Kali-mur -swelling of joints [Group IA element]
Aurum-m-n - Group IB element [abnormal group IA], deeper acting than KM, syphilitic miasm, destruction of bones.
N.B - 30 potency is deeper acting than 1M potency.
