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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

The Girl Who Would Not Grow Her Nails
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Nov / Dec VOL 4 NO 6.
Dr Anand Kapse
Dr Archana Pai
'Nat-sul

Preliminary Information
Miss B V B Date of Recording 08/07/99
Age 15
Sex Female
Education 10th Std 
Occupation Student 
Status Single 
Religion Hindu Diet Vegetarian
Father Unemployed. H/O cosmetic shop + salesman initially for 14yrs and again for 1yr
Mother B Com H/O teacher, now running a toy shop

Chief Complaints :
Location Sensation
Pathology
Modalities Accompaniments
Head

Forehead and
Vertex
since 1yr
Started same
night since
the day of
trauma
F=almost Daily
I=depends on
the < Modality
Pulling pain, as if hair was 
being pulled
Nausea giddiness as if
Things Are Revolving
around Her
no loss of consciousness
but vomiting for 4d
A/F trauma

< thinking < tension
< anxiety
< touch
< getting head wet
(getting wet in rains/
taking bath with cold
water)
< eating
> sleep
> Warm Head Bath
> Pressure
Rx Nimutid BD
Rx Nimesulide SOS
 

Associated Complaints :
RS
since 7th std
forehead
Pulling pain
cold
A/F pepsi cola 
< getting head wet 
(bathing with cold water)
 
General 
8days 
Continuous fever then 
subsided gradually 
diagnosed as typhoid 
A/F shock of father’s 
illness
 

Patient As A Person
1. Appearance: Lean, short, brown hair with mixed tufts of reddish tinge, wearing spectacles.
2. Skin: wheatish complexion, smooth and soft texture
3. Perspiration: general ++ partial palms; Odors offensive (no one can stand beside her)
4. Digestion: acidity +, appetite-normal, biliousness, colic, dryness, eructation +, flatulence +, hunger no <, nausea ++,
5. Aversions: sweets, roti
6. Craving: sour, spicy, daal + rice + potato onion bhaji. Salt=Normal
7. Menstrual function: FMP-15 yrs (since few months). LMP does not remember.
Menses irregular once in 20-25days/once in 30-35 days
Flow - Moderate; Odour - Offensive (Fishy);
Colour Reddish Black Stains Fast ++
Menses Before pain in abdomen, tolerable.
Leucorrhoea < Menses B+A+.

Life Space Investigation
Patient is a 15yr old girl staying with her parents and PGM and two younger brothers. Her father has stopped going to work since 1 ½ yrs as he is on dialysis (for chronic renal failure) and she and her mother are running a toy shop. Financially they are facing problems. Prior to her birth, they were quite well off, owned a bungalow, car and textile industries. But they incurred severe losses and had to shift to Dombivali from Ghatkopar. Her PU and PA are well settled today. Her father then started a business of cosmetics and artificial jewellery which did badly. Thereafter he joined as a salesman for 14yrs in a retail shop wherein he was accidentally detected as c/o chronic renal failure and advised bed rest. Initially even her mother undertook job as a teacher to help her father financially but she had to leave her job due to PGF’S ill health (chronic renal failure) and birth of children. PU had separated out initially after marriage and relation is limited as there were conflicts after his marriage. After this sudden blow and lack of help from PU/PA’S, they started on with this small business of toys which is looked after by mother in the morning and patient in the evening.

Patient’s overall performance in school has been average but has deteriorated since 8th std. Her father once said to her that no one has been below average and her mother mentioned that if she scores 65 in SSC, she would distribute sweets to everybody. Both these things have left deep impact on her; she still broods on it and has decided she will become something and show them. She has decided that she would take up commerce and do C.A and take up responsibility of the family.

She feels bad if someone from the family says anything but if her PA (PU’S wife) or her friends say anything, she does not care as they do not take on her responsibility and hence she is not obligated to them. She likes mixing with people but has only two friends who she can rely upon. She is very loquacious by nature. Her teacher or her friends never like her to sit quietly.

Intially she denied any anxiety in spite of changed circumstance but later accepted on specific questioning. Previously was jovial and tension free but since her father’s illness and the responsibility, there is a tense atmosphere at home. Her mother is more tense due to patient’s deteriorated performance. Patient is afraid that something might happen to mother and hence advices her mother to lessen her tension. Youngest brother is sent to hostel for further studies so that environmental tension does not deteriorate his performance. Patient feels bad about it as she is attached to her brother. She is never tense during stage performances except at start when 1st time she went to perform. She never participated in sports as she did not like it.

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