ICR Pune Symposium ,June 00
NATIONAL JOURNAL OF HOMOEOPATHY 2000 Nov / Dec VOL II NO 6.
Dr S K Phansalkar
'Hep-s / Tub-b / Calc-sil / Nat-sil / Nat-sil

Introduction
Synthetic Homoeopathic Prescribing - a necessity in clinical practice. Dr Kent, in 'Lectures on MM' writes under Ferr-phos: "It couldn't be less than Ferr and Phos-acid which add their colours that form it". All combine to give us a broad and deep acting remedy". Dr Kent practiced this idea further and presented more combined remedies in 'NEW REMEDIES'. These drugs are also well cited for their rationale, necessity, limits and limitations in SYMPOSIUM VOL: section F13, on "Synthetic Prescribing". ICR Pune held Symposium 2000 June on this topic. The cases given below and the discussions form a valid basis for further experimentation and synthesis of such clinical experience.

Case 1
Mrs RAP, 28 yr, matriculate, is a Hindu Maratha housewife from Jalgaon.
Fa: 50 yr / farmer. Mo: 50 yrs. Sons:10, 5, 2 yrs. Br: 30, 25, 20.

Patient shared a cordial relationship with her maiden family. After SSC in 1986, she got married and lived with in-laws at Jalgaon. MIL was irritable and dominating, but patient never answered back. MIL expired 1 yr ago. FIL caring ++, kind hearted and took care of children. But a property fight with her husband led to the family separation 6 years back. Eldest BIL: lawyer. Younger BIL: College professor. Husband- farmer. A natural disaster 3 years ago destroyed the entire crop resulting in severe financial set back, not overcome till today. This has made pt very Anxious³ about future, about health of husband and family. Worries when he is late from work. Worries what will happen to children after them. If he comes home drunk, she shouts at husband, till he apologizes.

Fearful³ -frightened of even loud voices. Trembles if her husband shouts at her. Likes company and socializing. Takes pains to cook food liked and appreciated by everybody.

Chief Complaints
INV. REPORT: CRP +ve
2D Echo - mild thick mitral valve
ESR = 72
RA = - ve
ASO Titre - 96 (Normal ie upto 200)

Disease Evolution
Pain in heels Hip joints Ascending pains
Started 6 yrs back mild to severe
Also came with fever 3/8/1998
Within 12 hrs severe inflammation of ankle/knee/hip
Injection Penidura given à later Dexona
Gradual remission after 6 months, switched over to Ayurvedic treatment
Later came down with fever followed by rapid deterioration joints became fibrosed.

From 26/3/99 till November '99 better 3 with Kali-c 200
Nov'99 : 2nd attack of R. Fever. Since 7 days fluctuating throat infection: Hep-s 200
Admitted: Mumbadevi Hospital (ESR = 110)
No relief even with Voveran for 36 hours, yet difficult to withdraw
On a review of her case the following symptoms were found prominent:

1. Does Rituals/Religious
2. Rigidity on certain aspects of living/doing things
3. Anxiety of financial loss (as also had to sell the left over little fertile land)
4. No IPR difficulties now -
   Rx: On the 4th day Tub-b IM repeated alternate day till fever reduced.
   Tub I M followed by Calc-sil 200, 4 hrly gave complete relief.

Understanding: Calc-silicata by Dr. Praful Barvalia

Case 2
This case was at level of mind with Body expressions and had to be perceived through ones sensitivity. A 32 yr old middle class Marathi woman, short, dark with deformity in TM joint, came with multiple c/o like URTI, mastoiditis, vertigo, joints pain, UTI and general weakness.

Born and brought up in Mumbai. Fa: 58 electrical engineer in RCF. MO: 52 HW. Two younger sisters: 30 Married in MP and other expired at 20 y of Renal failure and multiple myeloma As a child patient was obstinate, irritated easily by slightest contradiction, average in studies, had few friends. Basically liked home, house work, cleaning, decoration etc.

Interested to do commerce but did 12th science, with 65%, because of Father's decision to send her for B.Sc. It hurt her very much but Mother too was helpless. After graduation, had gone to a function, where husband saw her and got impressed. Married in 1989, at 23 years. She has FIL, MIL, 2BILs, their wives and married SIL. H 38 y, works in BPT. FIL retired: very irritable3 strict3 and shouts on everybody. He doesn't give freedom to his children sp. Daughter-in-laws- so sometime small quarrels occur.

MIL mild, non-interfering. Pt has difficulty in adjusting to other's nature, so has few friends. If contradicted she avoids that person. She trembles with anger. Feels neglected easily. Weeps alone and broods. After marriage she did DMLT. Now works as a Lab Technician in a hospital since last 5 years. She minds her own work and talks to colleagues only about work. Very sincere and anxious to complete work in time, without mistakes; Hardworking- daily 100-150 samples. She is very tired when she comes home, and children get beaten.

BIL: pharmacist in BMC. When in joint family, he often quarreled with everybody. She has lot of anger against him. So when she got a job in Airoli, she initiated the separation, which Husband could not oppose, and they moved to Vashi. Now Husband rarely goes to meet his family. But patient occasionally visits. Husband doesn't help her in the housework or children's studies (2 sons - 8 and 6). Hence she feels vexed to manage everything.

Physical Characteristics
Appearance: Short to black complexion
Perspiration: Scanty, Odors +
Stool / Appetite: N
Urine: UTI off and on
Cravings: Sweets2, Rice2
Menstrual/H: FMP = 13½ years 4/28d, regular, H/o profuse, 11 y Clots ++ now scanty 7-8 y. Odor ++, Stain-dark maroon Fast ++
Menses Concomitant: Before: abd pain+/back pain > Marriage
Now Leucorrhoea
Sexual Function: desire N
O H: 3 preg /Delivery 2FTND
Abortion - 1st induced #bleeding
Thermals: fan - (W-Nil, R-Nil, S-Slow)
Covering: W-woollen, R- ++, S - +) (C4H)
Bath (W- hot, R- hot, S - hot)
Season winter < RS

Physical Examination
Pulse 70/min. BP 120/80
RS/Ear NAD
Nails/Tongue: Normal; lymph Nodes not palpable
Sinus frontal + / mastoid - non tender
Rx: from 17/2/99 to 31/5/2000
Nat-silicata 30 3P/ week 7P N S 200 (1P) >3 (no symptoms)
Acutes: Hep-s 200 - once, Phos 200 - twice: Puls 200 - once

Continue Reading...

Back