I Like To Hide
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Nov / Dec VOL VIII NO 6.
Dr Nilofer Shaikh
'Mag-sulp
A 4 yr old girl came, hiding behind her mother and elder sister, with complaints of.
| 1 | Respiratory System | Starts with | < C.O.W. | Cranky |
| 1/mth x 15 days | pain in the throat | < night | ||
| since childhood |
|
< monsoon | ||
| nose block
|
<cold drink3 | |||
| rattling cough | < dust2 | |||
| > hot bath | ||||
| 2 | Rt ear | Eczema ++ | ||
| 1/mth x 5 days | itching
|
< monsoon | ||
| 2 years | discharge. Occ | < night | ||
| blood comes out | ||||
| 3 | GIT | Itching around anus Stool - 1/day but hard |
||
| 4 | Throat | Acute Tonsilitis | < COW3 | |
| 1/ mth x 7 days | O/E-enlarged | < cold drink3 | ||
| Onset-1 year | Tonsils++ Redness ++ Pus 0 | < cold food3 |
Physical Generals: Patient as a person short, dark, fat baby.
Appetite - good
Thirst - 4-5 glasses daily
Stools - hard +, itching around the anus
Urine - 5 - 6 /day
Perspiration - profuse ++ esp forehead & scalp
Skin - Eczema (ear), dryness and cracks in the soles
Nails - brittle
Sleep - sound, drooling saliva ++
Cravings - sweet1, chocolate2
Aversions - bitter1, vegetables
Mother's State During Pregnancy: This was an unplanned pregnancy, mother had multiple problems during this pregnancy.
Morning sickness - (for 6 mths)
Varicose veins - Anaemia - ++
post term baby LSCS -
because of uterine inertia
meconium aspiration
foetal distress
Developmental Landmarks
P/H - Dentitional diarrhoea
Milestones: Sitting - N Standing - N Walking early Speech - early, clear
Thermals - Hot patient2
Past History - NS
Family History - Mother - URTI, mild asthma, works.
PGM - Diabetes Mellitus; Si - warts
Life Situation
Patient is the younger of 2 daughters. Her father is an electronic engineer, basically from Bangalore, transferred to Mumbai in 1989. Fa is very cool but occasionally gets very irritable, starts shouting, throws things etc.
Mother - BA graduate, highly sentimental and a brooder, esp. about husband's shouting (though he shouts once in 6-8 mths) Cries easily, sympathetic, cannot see anybody suffering. Highly anxious about children's health, school etc.
When they shifted to Mumbai, she delivered 1st baby; eldest daughter is of tomboyish nature, dominating but very intelligent, over confident, always wants to top in every field, cannot take defeat easily, wants to dress up like a boy. Mother feels very proud over her. She never wanted the 2nd child, least a girl.
At the end she said "It's okay, I had a girl; at least she is not a handicapped child. (note the negativity).
Patient has always been a very shy child. Very obedient, not demanding. Whenever she would come to the clinic on Saturdays, she would wear bangles, payal, apply bindi etc. Though just 4 years old, she is very much fond of dressing. Mother would say "My eldest daughter is a boy and she is a girl, she has inherited all the feminine characters of elder sister. This girl is very affectionate, caring, loving and kissing her mother (even during interview) good in studies, got 6-7 prizes, teacher says does not take part in other activity.
Impression
| Unwanted child | Physicals |
| Hot pt. | |
| Neglected feeling | |
| + | Skin ++ |
| Domination (sister) | Dentition Diarrhoea |
| Itching anus | |
| Patient craves attention by manner of dressing / by behaviour |
|
Rubrics - Murphy's Rep Pg
1090 - Rejected feeling
1034 - Domination by others a long H/O A/F
992 - Affectionate
1067 - Timid
1091 - Reserved
1067 - Intellectual
536 - Desire chocolate
1274 - Diarrhoea dentition during
438 - Cracked skin
743 - Perspiration profuse scalp
Repertorial Filter
Phys - 18/8 Puls - 15/7 Sulph - 14/7 Nat-mur - 13/6 Ver-alb - 9/5
Lyc - 15/7 Sil - 15/7 Calc - 13/7 Hyo - 9/5 Sep - 9/5 Mag-sul- 2/1
Mag-carb - 2/1
Drug Selected - Mag-sulph
Follow-Up:
| 8/3/99 | cough ++ after getting wet < a.m. Nose- greenish discharge - Thirst- |
Puls 200 3 p HS KS 6x 2/7 |
| 11/3/99 | cough>3 Nose >3 fever - high < pm Throat pain ++, vomiting once |
Bell 200 4p- QDS Fer-ph 6x 2/4 |
| 17/3 | >3 cold cough, eczema ++ | Placebo |
| 28/3 | >3 eczema ++ | Mag-sulph 200- 1 |
| 12/4 | eczema > 50 % | Placebo |
| 26/4 | eczema > 60 % cough & congestion of chest, nose block + , pain throat + |
Mag-sulph 200 -2nd dose |
| 3/5 | cold >3, cough > 3, eczema |
Placebo |
| 6/5 | Diarrhoea - 4/d after dry fruits | Ars-alb 200 1 p = 4 |
| 8/5 | >3 Diarrhoea | Placebo |
| 22/5 | >2 eczema > 60 % | Placebo |
| 29/5 | Eczema |
Tub-b 1M -tonight Mag-sulph 200 -3rd |
| 2/6 | >2 | Placebo |
| 19/6 | >2 | Placebo |
| 26/6 | >3 eczema > 90% cold/cough - 0/2 mth | Placebo |
| 10/7 | eczema = 0 cold/cough = 0 | Placebo |
| 14/8 | >3 | Placebo |
| 18/9 | Fever after vaccination | Ferr-ph 6 x ¾ |
| 28/9 | >3 | Placebo |
