I was not their real daughter!
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Mar / Apr VOL VIII NO 2.
Dr K N Kasad
'Magh-sulph / Thuja
Dr (Mrs) X, MD, aged 31 yrs, had a severely painful chronic disease for which she was advised Steroids by various specialists. Desiring to avoid steroids, she telephoned me to ask whether I could help. Many consultants - Allopathic and Homoeopathic, had recommended her to me. A MD in Modern Medicine, she was well aware of Iatrogenic Disorders resulting from allopathic drugs and had opted for Homoeopathic treatment.
On 18.2.95 the patient came with her mother, looking pathetic and miserable. She was limping and her neck and body tilted to the left side. She could manage to sit down in the chair only with great effort and shrieks. After taking the case history, she was given a proforma for filling in further details of her life story. After this a 2nd Interview would be planned to be held at her house, due to her physical condition.
Interview - 1
She was an MD doctor in Community Medicine and since 1993 worked in a Hospital as Marketing Manager, Quality Control
Married on 21.11.91.
Menstrual History:
Menarche- 11. Normal ovulatory cycles of 7/28. Heavy Bleeding for 7d.
Calcium supplements from 4th day on. Conceived in June 1992 - took Ciprofloxacin for ear infection in the first 15 days of pregnancy. So M.T.P advised and carried out on 30.07.92. On 06.08.92 spontaneous evacuation of some membranes; heavy and erratic bleeding continued. A second D&C with Hysteroscopy done on 30.09.92 because the endometrium was persistently thickened. E.B. revealed secretory endometrium, no Ca, no products of conception. Bleeding profuse from 3rd day following D&C; not amel by progesterone. After many months of treatment with LH-RH, nasal spray, natural Oestrogens and injectable progesterone, a normal cycle was re-established on June 1993. Conceived again in September 1993, only to learn that the foetus was dead on 16.11.93. D&C for I.U.F.D could be performed only on 22.11.93 on account of Diwali. Normal regular periods from December 1993 till August 94.
The present illness started from 24.11.93 after D&C. Excruciating pains +++ all over, ACHING, HARD PRESSURE, HOT SHOWER amel - feeling as if someone is wringing her body. Aggr at night, Brufen-600 helps partially. Cannot sit up. Muscle fatigue+++. Cramps+++ amel Brufen-600. RESTLESS WITH PAINS. SPASM - neck, left head, ear, left shoulder around left trapezius, nape. AGOINZING PAINS. Chilliness with low-grade fever. Spasm right sternomastoid muscle - left and right trapezius, pectorals, triceps, branchioradialis, hands, and fingers. STIFFNESS, SPASM - KNOTTED - cannot lift a glass of water. Cord-like muscular spasms, as if in knots. Aggr FAN, COLD CLIMATE and HOT HUMID WEATHER, cannot lie in one position - RESTLESS. Amel in Pune -DRY WEATHER, HOT FORMENTATION, lying down, AM, support. Sudden onset. Limping while walking with a tilt to the left ie torticollis to the left side. Amel from accupressure but not from accupuncture. No response to host of painkillers, anti-inflammatory agents, tranquilisers etc. Mag-phos CM and Bry ameliorated a little along with Muscle 6 and laser treatment.
Investigations:
Blood: CBC: L-40-50; M-10-11; ESR-N; WBC: 3000; gen-N; ANA- Negative
CMV: +ve
EMG: N. MRI- cervical -dorsal spine: N (Cytomegalo virus).
IgG: elevated: 1.2. IgA: Negative.
RA Test: Negative.
DNA: Negative. LE: Negative.
T-cells: reduced.
Na- Reduced. K- N. Mg N
The specialists were unable to give a clear diagnosis of the disease.
O/E: normotensive-110/75; Euglycaemic. No organomegaly.
No Lymphadenopathy. No neuralgic signs.
Baggy lower eyelids. Cold hands/ feet.
RS./CVS/ PA normal.
Neck- torticollis to left. Joint movements restricted, especially of finger joints. Tenderness all over. Pathetic look. Scars of suffering obvious as she limped to the clinic. Throat: N. Thymus not investigated. Stiffness and spasms all over, especially in neck, nape and finger joints and left ankle; Extensors more affected than flexors. Muscle biopsy advised but the patient declined lest she develop paralysis.
Family History:
Father -84 supra-ventricular tachycardia Mo: 67- Pulmonary TB, Diabetes-M, obesity, hypertensive Encephalopathy and 7 abortions (3rd and 4th months). Diabetes and hypertension- maternal side-MGM, MU & MA.
Life Story and Self- Description as given by the Patient:
The patient described herself as quick tempered, but at times unsure of herself and hence subdued. Tends to be shy in crowds and extremely sensitive. Likes to make friends but on a selective basis. Has 2-3 close friends. Though enjoys intellectual conversation, gets easily bored. Tends to think and worry too much, with great fear of future. Detests dishonesty, hypocrisy, conventionalism and sweet-talking. As she is very orderly and neat in her habits, she feels jittery and uncomfortable in dirty and untidy surroundings.
Loves music. Has a very loving and understanding relationship with her husband. Very attached to her parents but hold s diametrically opposite views on many issues. Respectful of her in-laws but finds them very narrow-minded and orthodox. Hence she is not close to them mentally and emotionally. Enjoyed working and was well respected in the hospital from the top to lower level and the staff wanted her to return to work. She is prepared to help others but at the same time does not like over-possessiveness in friends and would like to keep to herself at times.
She said "I feel responsible for my work, parents' health, which is not good, my husband's career and future, health of her husband's family and other household responsibilities. I feel often that too much is expected of me (except my husband who is not at all demanding) and I wish I had more physical energy to cope with everything. I like to do things and hate sitting in one place for long. I love to travel and move around but I feel that I take up more than what I can manage and hence get irritated when I fall short of my own expectations. I want to slow down my pace and spend time for myself. I am impulsive and extremely emotional and sentimental and easily upset by other's sufferings; now irritated at my own illness."
Food: prefer vegetarian food and detests bitter things. Milk, curd, oily and fatty things, pulses, spicy foods bulk food with too much roughage, nuts, chocolates, meat, pork, cream do not suit her. Carbohydrates, thin dal, cooked vegetables, fish, chicken in small quantities, buttermilk suit her. Loves hot tea, hot food and cold drinks.
Loves moderately cool and non-windy environment. Extremities usually cold and the nose turns cold at the first change of weather and during rains. Prefers to wear socks at night. Likes heat and dry weather. Fan aggravates = blocked sinuses and headache. Takes warm bath always unless it is very hot and humid. "I do not sweat profusely, only in axillae and lips; no smell and no stain. I do not drink lots of water and if I do, I excrete it in next 20-30 minutes. Though I like swimming and outdoor activities I feel tired soon and catch cold easily. Sleep is disturbed if something is bothering me. Lack of sleep is my greatest enemy and if I have slept less, the next day is miserable. I get irritated, extremely tired and get refreshed only if I make up for the loss of sleep. Early waking up or interrupted sleep causes terrible acidity and gastritis. Have been constipated since childhood but it has become worse in the past 10 years".
" In September 1994, MC was delayed for 15 days and once started it did not stop till November, when once again I started LH/RH+ oestrogen+ progesterone and normal withdrawal of bleeding took place on 28-1-95. Again bleeding persisted for 6 days and was ameliorated only with Hamamelis and Bursa- pastoris Q in 2 days. Since then I have stopped all hormonal therapy. Next period is due on 25-2-95. Menses are profuse, odourless, bright red or maroon, no clots and at times stains but delible.
There is aggravation before menses= generalised water retention, backache and abdominal pain radiating to thighs, ecchymosis, chilliness and coldness; pains spasmodic and crampy, which get ameliorated with the flow in the next 24 hours. LMP on 28-1-95. Low grade fever and treated with mycins. " The quality of my life has gone very low. Doctor, please help me."
After studying the above life story, the remedy was clear in my mind but I abstained from administering it, for the data interpersonal relationship were lacking and I wanted to probe the life situation further, so as to be certain of the remedy.
