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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

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 sneezing 3 < monsoon  
    nose block <cold drink3  
    rattling cough < dust2  
      > hot bath   
2 Rt ear Eczema ++    
  1/mth x 5 days itching sticky < 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- ed2
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 ed + 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 ­ sed- bloody discharge 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

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