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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Irritable Bowel Syndrome: A Constitutional Approach
NATIONAL JOURNAL OF HOMOEOPATHY 2000 July / Aug VOL II NO 4.
Dr Anita Lobo
'Fer-met

Analysis And Synthesis:
Constitutional Totality:
Mental Generals:

  1. Irritability2
  2. Aversion to company3
  3. Cannot tolerate contradiction
  4. Anxiety about future
  5. Mental depression.
Physical Generals:
  1. Appetite - Reduced.
  2. Thirst - Increased for cold water
  3. Cr: Hot food2, Sour things2, meat,
  4. Av: Milk
  5. Perspiration:increased, offensive2, debilitating, stains yellow.
  6. Thermal Reaction: C2H2 - C2H3
  7. Sleep: Disturbed due to complaints and thoughts.
  8. Weakness in general & Giddiness
Characteristic Particular:

Gastro- Intestinal Tract
Abdomen
Rectum
Pain
pricking pain

Loose stools
- Mucus++ 
Offensive 
Loose stools
alternates
with constipation
Pain while
passing stools.
<Morning3
<fatty food3
< Travelling3
>Hot food
Vomiting Since 10 years

Nausea

Miasmatic Background:
Fundamental Miasm: Sycosis
Dominant Miasm: Tubercular

MANAGEMENT:

  1. General:
    1. Education And Orientation: Explained about effect of emotional stress on physical health. Encouraged to face difficulties in a better and healthy way rather than suppressing them. Advised to relate to people more freely and openly, which will reduce his sadness.
    2. Diet: Avoid items that aggravate like fatty food - meat etc. Correct constipation by taking more of fibrous food, fruits and fluids.
  2. Specific: The treatment given was constitutional as it was a long- standing case with no acute exacerbations.
    Remedy ® Ferrum-met 200
First Prescription:
Ferrum-met 200 -4 pills once in three days, at bed time, given on 8/8/96.

Follow-Up Criteria

1. Irritability
2. Anxiety
3. Mental depression
4. Reduced appetite
5. Thirst 
6. Perspiration
7. Sleep
8. Weakness in general
9. Pain in abdomen
10. Loose sheds
11. Constipation
12. Pain in rectum while passing stools
13. Vomiting


Date Symptom Change Interpretation Prescription
  1 2 3 4 5 6 7 8 9 10 11 12 13    
20/8/96 S S S S S S S >
+
>+
+
>+
+
>+
+
>
+
>+ constitutional has helped to an extent Ct with infrequent repetitions. Fer-met 200 (2P)
HS/wkly
SL 4-4-4 x 15dys
13/9/96 S S S >+ S
S >
+
>+
+
>+
+
>+
+
>
+
>+ > but not recovered fully. Increase potency.  Fer-met 1M/1P HS
SL 4-4-4 X 1mnth
16/10 >
+
>
+
> >
2
  >
2
>
+
>
2
>
2
>
2
>
2
>
2
>
2
Improvement All complaints > placebo.  SL 4-4-4 X 1mnth

Conclusion: The constitutional remedy, Ferrum-met without any acute or other inter-current remedy, helped rid of Irritable Bowel Syndrome.

References

  1. Oxford textbook of medicine (3rd edition) volume-2 (sections 11-17) & index - 1996- oxford medical publishers.
  2. Harrison - principles of internal medicine - volume-2 - 14th edition - 1998.
  3. Davidson - principles and practice of medicine - 18th edition - 1999.
  4. Symposium volumes - section 'F'
  5. Dr. Samuel hahnemann - materia medica pura - volume 1 - reprint edition 1996 - B. Jain Publishers, New Delhi.
  6. Dr. James tyler kent - repertory of the homoeopathic materia medica with word index - reprint edition - 1996 - B. Jain Publishers, New Delhi.
  7. Dr. John henry clarke - a dictionary of practical materia medica - volume 1 - reprint edition - 1995 - B. Jain Publishers, New Delhi.
  8. James tyler kent - lectures on hom. Materia medica- reprint edition - 1996 - b. Jain publishers, New Delhi.
  9. William boericke - pocket manual of homoeopathic materia medica and repertory - reprint edition (1996) - B. Jain Publishers, New Delhi.

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