Case of Recurrent Allergic Rhinitis
NATIONAL JOURNAL OF HOMOEOPATHY 2002 May / Jun VOL 4 NO 3.
Dr Prasad H Saundankar
'Kali-iod

Objectives:
Understanding the child through various available expressions
Experiencing the role of environment on the growing child’s psyche and its repercussion in the behavior.
Learning to differentiate similar Materia Medica images with the help of above.

CASE:
The patient was a 12 yr-boy, 7th Std in a convent, was brought for treatment.
Mother, B-com, was a housewife. Father, M Sc, worked in the production dept in a factory.
Sister: 5 yr, senior K G, Grandmother: HW
Grandfather: died. Veg.

Physical characteristics:
Appearance: thin extremities, wheatish complexion, slightly curly hair
weat: Scanty Appetite: Good
Stool / urine: Normal functioning
Cravings: spicy vegetable++, palak paneer++, groundnuts, milk
version: cauliflower, karela
Developmental landmarks and problems:
Head-holding-3^rd month; Dentition-diarrhoea with every tooth. Crawling-7^th month
Babbling 9^th month. Talking 1^st year. Walking with support 9^th month; without support 10^th month. Bowel & urine control- by 1^st year
Sleep during: movement of limbs, intermittently through night. Occasionally talks.
Dream: once shouted loudly and trembled for ½ hour.
Also refer life space).
Thermal: Hot. Weight 26 kg.
O/E one cervical gland on left side, CVS/RS/PA-NAD
Nails- white spots ++. Tonsils: hypertrophy +.
Nose- hypertrophied turbinate ++
Tongue- large posterior papillae.

P/h/o all molar teeth had caries [not permanent teeth]
Recently had Urticaria rash with allopathic drugs
F/h/O Mother: allergic recurrent bronchitis
Grandmother: hypertension & cervical spondylosis
Grandfather died in 3^rd myocardial infarction

Life space: Data from mother:
He is the elder son, 12 yr, studying in 7^th std in a convent school, with a younger sister of 5 years. His family includes mother, father and grandmother. He was born in 2^nd year after marriage. When mother was pregnant, there was stress and pressure from mother-in-law. The elder co-sister, poorly educated, used to be the source of quarrel, she would influence MIL to scold her. She wanted to work after marriage but in-laws did not allow. All this created tension throughout pregnancy. Constantly broods "though I work sincerely, why these people scold me?".
Even now she is an anxious Mother, constantly admonishing "Nikhil don’t do this and don’t do that" but he is out of her control. Patient listens only to father, who has control over him. Since 3-4 y, there is change in his behavior- very irritable, shouts, doesn’t listen. Very strong sibling rivalry with younger sister- in eating, drinking, objects, care and attention. He even feels he is getting less food or drink!. He takes away her toys. Even if sister is ill and cared for, he cannot tolerate it. Though he beats sister, he can’t tolerate another child beating his sister, then he beats that other child. If she is ill, he behaves well with her. His sister is more affectionate than him; though she is also irritable by nature, she submits; she understands him. When he was the lone child, all pampered him. This changed after sister’s birth. To worsen matters, sister resembles paternal relatives while patient is more like maternal relatives. So the grandparents compare and the partiality started without heeding that it could affect patient. Then again, sister is intelligent, fair, smart and good looking while patient has wheatish complexion. Naturally sister is more appreciated, He feels bad about it and whenever goes to maternal grandmother, he complains about paternal relatives.

Basically, he is an affectionate child and if anybody is ill, he gives tablets, water etc. But his loving nature is over-shadowed by his behavior. If he is prevented from watching TV, and asked to study he gets angry and throws things. He needs TV even at mealtimes. Takes frequent breaks in study- for bathroom or gets hungry! TV has contributed to his poor academic performance. Everybody now teaches him about behavior. He breaks toys and games. If he is made to study, he demands his sister should also be asked to study; he concentrates more in things happening around than in study. He is a restless boy, constantly moving hands and legs. He likes to play cricket. Schoolteacher reports him as talkative and naughty child and so asks him to sit in first row. At home too, he is talkative.

He was attached to grandfather who died of Myocardial infarction [1½ year back]. His behavior worsened since then. He dreams of grandfather [twice] that "grandfather came, feed him & went but when grandfather was going he said "don’t go, don’t go". He gets frightful dreams intermittently. During sleep, he moves limbs through out night. Sometimes he starts or gets frightened in sleep. He has fear of dark. Wants company, very restless even during interview.

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