RA: The Price To Pay
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Mar / Apr VOL VIII NO 2.
Dr. Ajit Kulkarni
'Kali-carb / Rhus-t

The Plan of Presentation

1. Perceiving the totality of sickness through:
   1. Physical complaints
   2. Life space investigation of the patient including the inter-personal relationship.
   3. Deriving the mental traits leading to the development of the personality structure.
   4. Physical examination (systemic and local).
   5. Diagnosis of the disease with proper investigations.
2. Analysis and Synthesis of Data
3. Structural presentation
4. Planning and programming of Treatment
5. A brief follow-up of the case and Conclusion

Chief Complaints
Location sensation Modalities Concomitant and Pathology

1) Joints Knees, shoulders, Wrists, elbows, phalanges Since 2 years Gradual onset	Pain Sharp Swelling Stiffness	< Touch < Rest during <Night <3 am onwards >rubbing >motion	Weakness Oedema Above upper Eye-lids
2) Lumbar Region	Pain stiffness	>Warmth >Lying on back <Morning

Associated Troubles

GIT

Hyper acidity

< Frustration < Stress Antacid

II) Patient as a Person
Average built. Height- 5'.2". Weight - 54 Kgs.
Perspiration- scanty. Teeth- caries.
Digestion - Appetite - poor. Acidity+ A.F. - Vexation
Thirst- frequent, for large quantity at small intervals.
Craving- Sweet3, Highly seasoned2, Ice- cream2

Menstrual Function:
Menopause - 7 years back without any trouble. P/H -regular menses.

Pregnancy, Labour and Puerperium :
P/H- Morning sickness ++ first four months
Five abortion- four induced (as they were female babies ).
Sleep - Unrefreshing. Disturbed ++ A.F. anxiety, vexation.
Awakens- around 3 a.m. than sleepless.
Dreams - Dirty water, drowning in water, frightful.

III) Life Space Account
The family consisted of parents, one brother and two sisters. Father was the farmer in the village in Satara Distrcit. Patient was the eldest in the family. Childhood pleasant as family was rich, father was extreme attachment with the parents esp. with the father as he pampered the patient.

The 1948 tragedy of communal riot was the catastrophic event for the whole family Burning of the house and property resulted in sudden proverty. Although father somehow sustained this blow, mother went into the phase depression. Her age was 15 years old when the event occurred. She vividly remembers the hardships the family had to undergo subsequently. Father's toil was painful to the patient. She also did the service in order to run the family(from 1950-57).

In 1957, at the age of 24, patient got married and started residing at Satara. Soon husband compelled the patient to leave the service against patient's will. She described her husband as a perverted, eccentric fellow who has given a lot of trouble to the patient.

Structural Presentation:

Continue Reading...

Back