RA: The Price To Pay
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Mar / Apr VOL VIII NO 2.
Dr. Ajit Kulkarni
'Kali-carb / Rhus-t
Husband was quite dominating, irritable and used to hit her. Careful interrogation revealed an important fact :- husband is a sadist. Except one natural abortion (this also occurred due to husband's neglect in the opinion of the patient ), 4 abortions were of induced type against her will. Husband did not allow her to go outside home, he used to give not a single paisa to her. She was not permitted to see her patients.
She describes her past marital life - "nothing occurred as per my wish". In 1976, father organized a ceremony of entering a newly built house at the village. Husband resisted her to attend the function. After much argument, the aggrieved patient was allowed. To her dismay, she came to know the sudden death of her father just one hour prior to her arrival in the village. She couldn't sustain this shock and had nervous breakdown for which she was given psychiatric including 4 E.C.T.
The eldest daughter had a long love- affair with an inter-caste boy causing agony to the patient. Resisting the patient's will, daughter finally married. Feeling of loneliness, 'no one is for myself' were the expressions, "I love all my family members, but no one has an affection for me". At present if the son is the late in coming at home, she feels a lot of anxiety.
IV) Dispositional Characters : Interpretation :| Anxiety 3 Depression 3 Attachment 3 Frustration ++ Religious ++ Stress : post marital ++ Irritable 3 - expressions poor |
A .F. Vexation A .F. Grief Weeping 3 Feeling of 'left out' Hopeless 2 Insecurity 3 Brooding 3 |
Meterological Reactions :
Chilly patient. C3 H2. Likes winter but intolerable. Covering - woolen. ++ Sweater ++.
Bath- hot throughout. Fan = heaviness of head.
Past History :
- Cervical lymphadenitis- Tubercular treated with chemotherapy.
- Typhoid at the age of 9 years.
- Steriods for R.A. and E.C.T. and Tranquillizers.
Psycho - Immunology Rheumatoid Arthritis
- Altered immune reactivity
- Persistent antigentic stimulation
- Genetic predisposition
- Presence of circulating, IGM, IgG, and IGA serum antiglobulins
- (R .A. Factor) as well as anticollagen and antinuclear antibodies.
- Presence of serum factors which inhabit suppressor T lymphocyte.
Pulse 74/ min Weight - 55 Kgs.
Pallor +
Teeth- caries. Face- oedema above upper eye-lids
Rest n. a. d.
Investigations : R. A. factor - positive.
Ser. Uric Acid - 3 mgm %.
Blood Group 'O' RH + VE.
Hb 11.2 Gm/ 100ml RBC. 4. 07 m/cum.
WBC . 7,800 /cumm
N-45 L-53. FBSL-96 mg%.
PPBSL - 107mg %.
Diagnosis : Rheumatoid Arthritis.
V) Planning & Programming Of Treatment :
The chronic constitutional remedy was fished out as KALI CARB on the basis of
- Strong Attachment--------------Characteristic mental disposition.
- Severe Anxiety, frustration, vexation, etc.
Somatization. - 3 a.m.- General time modality of a characteristic type.
- Chilly patient.
- Characteristic particular modilities being covered.
Rhux Tox was determined as an acute remedy to be given as and when necessary on the basis of - modalities > rest, motion, warmth; chilly patient and pathogenesis of Rhux Tox in rheumatology. Both Tuberculium and Thuja were considered as intercurrent remedies : The fundamental miasm being tubercular and dominant being sycotic.
The ancilliary measures are
- Diet
- Exercises
- Psycho-Therapy
Treatment was started on 25/5/1998 with Kali Carb 200 H.S. The follow-up criteria for progress notes was determined as :
- Joints - Pain
- Joints - Swelling
- Morning stiffness
- Weakness
- Hyper - acidity
- Sleeplessness
- Lumbago
- E.S.R.
- R.A.Test
Conclusion:
- Sickness can be understood well provided the physician dives into the variable dimension of life of the patient.
- The holistic approach of Homoeopathy demands understanding the human being in its totality.
- It demands the comprehensive diagnosis of a case; which includes the disease diagnosis and individual diagnosis.
