Psychosomatic concept of ano-rectal disease
NATIONAL JOURNAL OF HOMOEOPATHY 2000 July / Aug VOL II NO 4.
Dr Amitha Baliga
'Puls / Nux-v / Sulp
Case 2
Mr. MSK, 46 yrs; working as manager and married having 2 children.
Chief Complaints:
| Ano Rectum Since 3-4 yrs 1 month |
mass protrusion++ Then recedes back now bleeding ++ bright, 4 - 5 drops Constipation Ineffectual urging3 Dissatisfied feeling++ |
A/F : mental stress & Exertion > after stool++ < non veg++ < sitting 3 < Tea & Coffee3 |
App++ discomfort |
| P/H - Renal calculi and treated with Ayurvedic R X F/H - (M) - HT & DM (F)X - Asthma |
|||
Life Space Investigation: Patient is the eldest and only son among 5 siblings. He got married late after all the sisters were married. He lost his father at a young age, which had affected him to some extent. But he could not tolerate his mother's nature, which he feels worsened after his marriage. He feels she is indifferent to him in spite of he taking good care of her. Patient's wife narrated that he gets angry very easily and shouts very rudely when angry; quarrels many times with mother for house matters. He feels he had always been a victim of criticisms of his mothers and sisters. Patient feels that his mother never agrees to his proposals and views, which makes him very angry. At present since 3 years his family stays in a newly constructed house just next to old one in the same campus. But his mother rejected and stays in same old house.
Wife told us that the patient is very lazy and does not attend to any household work. But he undergoes lots of mental strain being a bank manager. There he is very particular and careful in completing his work but at the same time looses patience very quickly. He doesn't like to be with people, nor talk. He likes to dedicate himself for working overtime or even on holidays. Because of this, has become addicted of tea and coffee. Too much of mental exertion makes him exhausted and his complaints too get aggravated.
Physical Generals:
Appetite: good
Cravings: Meat++ fish++ Tea++ Coffee3
Thirst: increased++
Perspiration: ++on head
Stools: hard
Thermals: Chilly pt - C4 H
Mentals:
A/F : Mental stress, mental exertion
Irritable+++ violent, abusive, shouts back
Quarrelsome++
Responsible++, careful++
< Contradictions+++
Dreams: Fire, land slide.
O/E: Obese; Dark circle around eyes
BP: 130 / 90, P / A - NAD, P / R - Mass protrudes. While straining recedes back on its own.
Disease diagnosed as 20 hemorrhoids
General Management
- High Fibre diet
- Avoid stimulants
- Exercises to reduce the obesity
- Avoid oily, fat items.
- Intake of adequate water
Irritable+++ - Abusive
Quarrelsome++, Responsible++, careful++
< Contradiction3, Perfectionist, Dreams - fire
Chilly pt, Cr - Tea++ Coffee3, Meat++, fish++,
Obese, Perspiration++ , on head, thirst++
Ch. Part - hemorrhoid bleeding bright red.
Ineffectual urging3 with dissatisfied feeling
< before and during stool
A/F < mental stress
< non veg++, sitting3
< Tea and coffee3
Remedy of choice was Nux-vom
So 19/4/99 1 wk
1 Nux-vom 200 (IP) HS wkly
(2) 3 gr tab 1-1-1
Case was evaluated and interpreted, Nux-vom was selected as constitutional remedy also on repertorisation with Kent.
Criteria For Follow-Up
- Irritability
- App.
- Sleep
- Bowels
- Piles
- Bleeding
- Addiction to Tea and coffee.
- Any other symptoms were taken
| Date | Follow up | Interpretation | Action | |||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |||
| 26/4/99 | S | G | G | Hard | S | S | S | burning++ < sitting |
Medicine has not acted, So again same totality Rectum Sulphur was thought to Be given as intercurrent |
Rx (1) Sulphur (IP) next day with burning & bleeding (2) Nux-vom 200 (IP) after 2 days H.S (3) No 40 Pills 4-0-4 |
| 3/5/99 | S | G | G | > | > | >++ | > | burning++ | >++ | Rx (1) Sulphur (IP) (IP) Hs today H.S. 3. No 4 Pills 4-0-4 |
| 10/5/99 | >++ | G | G | > | >++ | >++ | >+ | >+ | >+ | Rx 1. Nux-vom 1 M (IP) 2. 5 gr tab 1-1-1 |
| 17/5/99 | >++ | G | G | R | >++ | O | Under Control |
Nil | >+ | 1 wk repeated |
| 24/5/99 | >++ | G | G | R | >++ | O | >++ | O | >++ | 2 wks repeated |
| No mass protrusions Only once/twice with hard motion felt pain. | ||||||||||
| 9/6/2000 | >+++ | |||||||||
| 7/7/2000 | No complaints Takes tea and coffee limited. |
No protrusion | Repeated X 15 days. | |||||||
Now also wife comes for treatment for herself and other family members and she reports her husband has no complaint.
Conclusion:
These cases demonstrate psychosomatic basis of illnesses, how a patient reacts and adopts to life situation and its repercussion at the physical level. The efficacy of Hom. Treatment in so-called surgical diseases is proving it to be a cost-effective alternative. By treating the individual as a whole with the appropriate constitutional remedy the external manifestation of the disease is removed with overall well-being of the patient.
