How much can I bear?
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Nov / Dec VOL 4 NO 6.
Dr (Mrs) Aqsa Z Hansi
'Staph
Mrs KLB, 64, Hindu, vegetarian, uneducated housewife has 5 daughters and 1 son. All are married and settled in Warrangal. Patient is staying alone with husband (67), a Goldsmith in Bangalore since 1 year as climate suits her. Both brothers (whose?) aged 51 and 49 are in Warrangal.
Chief Complaints:
| Location | Sensation | Modalities | Concomitants |
| Since July 2002 Pain in Rt Groin à whole right leg |
Severe shooting Trembling pain Heaviness Stiffness |
< AF sitting 12 hrs car journey < AF jerk < getting up from sitting < 1st motion after sitting or standing < Sour food Climbing stairs > hot fomentation/massage > walk 2 to 3 steps slowly |
Weakness Swollen ankles Stiffness |
| Since Feb 2001 Rt++ Knees + left |
Pain gradually Increasing Swelling ++ Heat+ & red+ |
< 6-7 pm < getting up < movement < extending leg |
> pain killers > calcium > 3 physio Osteoarthritis |
Associated Complaints:
| Fever since 4 months Back Since 7 months Stomach 94-95 Bladder since 5,2001 |
Pain, stiffness Gas formation Heaviness, bloated Control  Strong smell 3 |
< pm as pain increases < AF walk, weight gain < spicy food, chana dal < 2 hours after dinner < food AM 1 in 3 hours |
< AF allopathic med HS 1½ hours |
Patient as A Person:
Weight gain 5-6 kg in 1 year. Short, Fat,
Perspiration: Normal
Appetite: Normal.
Thirst: less.
Desires: spicy3 and sour3 and
lemon.
Aversion: milk.
Stools: once a day satisfactory.
Micturition: increases with increased pain.
Dreams: FIL-MIL, Family HU anger,
Menstrual History: FMP 13 yrs. LMP 1980. Pt 52 Yrs.
Obs History: Tubectomy 1975. Deliveries: 5 FTND and 3 miscarriages.
Life Sequence:
1940 born in Warrangal, eldest of 3 and only daughter. Father was a
Goldsmith, friendly, soft spoken with no anger. Mother friendly. Childhood very
happy and pampered. Attached to the family, 1948: married at 8 years. Unhappy to
leave the house but FIL insisted as not well. Husband was then 12 years of age.
Strict, short tempered and dictatorial. Adjusted because of MIL. 1953 Daughter 1
born at age 13. Stayed for 1 year at parents house since did not want to go
back. 1956 son born. Patient healthy. 1958 miscarriage in 3 months. Patient very
depressed. 1959 FIL died, Husband became more aggressive and angry after he
started running the business. 1960 two miscarriages, 1962 2nd
daughter born; 1965 3rd, 1967 4th
1969 5th ! 2 days after that the patient suddenly felt
paralysed at hips and both legs, worse right and could not walk. Hospitalized
with severe pain. Doctor said it was dislocation of pelvis due to injury during
delivery. Took one month of allopathy and was fully recovered. 1974 miscarriage
of 2 months and tubectomy. 1997 typhoid. Took allopathic for 1 month. 2001
Osteoarthritis of Knee July 2001 patient was travelling Bangalore 
Warrangal
when car broke down after a severe bump on the road. Got a jerk. Sat in car for
12 hours. Next day bed-ridden. Pain in the hips and legs. She is fully
handicapped, can walk only with walker.
Investigations:
FBS 7/2/02 normal 24/4/01 MRI cervical-dorsal spine, cervical
spondylosis, C5-C6, Thecal sac and transverse nerve root. 24/4/01 MRI
Lumbosacral spine Lumbar spondylosis with central/lateral canal stenosis, L4 -
L5/ L5-81, Focal PID impinge on the thecal sac and transverse nerve roots.
Mental Symptoms:
Mild, soft spoken, considerate, keeps problems to herself, reserved,
likes company only of relatives, not complaining, suppressed anger for husband;
no bitterness in words. Lately embarrassment and depression for her handicap and
has lead to aversion to company; would rather be alone. ANXIETY health of
Husband and Child. Fear of being alone, with brooding.
Physical Reaction: Bath, hot, cover- AV in pain climate > cool: Thermal C2H3
Past and Family History:
Typhoid, 3 miscarriages in 1st trimester of pregnancy, Tonsillectomy;
MO, MGF, MU -Arthritis
Remedy Selected:
Acute: Rhus-tox Constitutional: Staph,
Intercurrent: Thuj
Follow Up :
| 29/9/02 SLR Rt < 10 Lt. 40 BP 140/85, Temp 99.5 F | Rhus-tox 30 7P TID |
| 7/10/02 >10% restlessness >pain x 1 hr
after Rx, urine + 10% weakness SLR > 10, Rt. 40 Lt. |
5PH 6x 2/7 200 7P TID 5PH 6 x2/7 |
| 14/10/02 > 25% pain SLR rt. 20 lt 50 > 50% swelling, > weakness2+ >25% urine ½ hr, 1/3- 4 in day 28/10/02 Fever++ crying with pain, Trembling++ Since < 3 from Thuja therefore wait and watch 9/11/02 |
Thuj 200 [1] Rhus-tox 200[6] TID Placebo 200 [6] TID Calc-phos 6X 2-2/7 |
| > 40% pain, Gas++ Fever 2/15d SLR 40 Rt. 70 Lt >80% weakness swelling 0 Urine 1/4 hrs. HS 1 /3 hrs day 10/11/02 Restless++, wants open air, shifted from bedroom to hall Want co++, calling relatives from Warrangal > constitutional needed. 28/11/02 > 75% pain swelling & stiffness >80% Pain upper back and knees+. looks Active Fever 1/ 15 days and urine 1 HS 25/12/02 > pain 80% fever 1/21 days, urine normal, Urgency is nil >3 soles, knee SLR 70 rt 90 lt 17/01/03 > 80% in hips urine > 90% swelling 0 active Happy, wants to work. Gas 0 Fever 0 SLR rt >70 lt, >80 total hip flexion 30/01/03 pain 0 trembling 0 patient walks without the walker Very happy, anxious since walking again on her legs after 2 years |
Rhus-tox 1 M[1] Calc-phos 6X 2-2/7 Staph 200 [1] Calc-phos 6X 2-2/7 OAN 200 [1] Calc-phos 6X 2-2/1 mth Placebo 15 d Calc-phos 6X 2-2/15 d Placebo 15 d Calc-phos 6X 2-2/15 d Placebo 15 d Calc-phos 6X 2-2/ 15 d |
