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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Mixed Cases
NATIONAL JOURNAL OF HOMOEOPATHY 2003 May / Jun VOL V NO 3.
Dr S C Mishra
'Arn / Lach / Nux-vom / Sep / Nux-vom / Graph

Case 1: Insomnia FROM jerks
Most of the time, thinking for specific line of medicine, we fail to select the correct indicated remedy when we most need it; eg for liver ailment, we think of Chelidonium, or for physical injury - Arnica; for dehydration - China or Carbo- veg; for bone injury - Ruta; for indigestion - Nux-vom or Pulsatilla and so on. We generally overlook them and do not give due weightage while prescribing. But as a homoeopath we should forego the specificity of remedy and must practice to visualize them without any bias.

This is one such case where I missed to select the right remedy at the right time and took long to bring relief to the patient. Mr D, 54 lost his wife in a road accident in August 2001. After this he lost his usual sleep, as he used to get severe body jerks when falling asleep. This made it near impossible to attend duty. He took leave and took some allopathic medicine, which gave him temporary relief. He then consulted me for his insomnia and jerk during sleep.

Based on his recent grief I prescribed Ignatia 200 (08.08.2001) the Homoeopathic specific for grief which did no good. He continued his allopathic medicine till 05.11.2001 and asked me for help again. This time I gave him Ars-alb 1m/3 to be taken every night for 3 consecutive nights. He got some relief but he used to get more jerks on his head when falling asleep. I prescribed Ignatia in 1 m potency thinking that this medicine is not acting properly perhaps due to incorrect corresponding potency he required.
But this too proved useless for him.

On 13.12.2001 I repertorised his case and took the mental trauma as an eliminating symptom and considered the other particulars as follows:
1 Mental trauma, mental shock (syn.221)
2 Ailment mental shock from (syn.6)
3 Head, jerking, sleep during (syn.271)
4 Flatulence (syn 725)
5 Sleeplessness (syn 1432)
All these rubrics pointed towards Arnica and I gave him Arnica 1m, which worked marvelously to control the jerks and he could sleep. Had I been able to prescribe this remedy earlier without depending on specifices, which are so set in our mind, then we could possibly benefit our patients more.

Case 2: Involuntary Stools
A boy, 2 yrs old, was brought to me on 16.05.2001 for the following complaints:
1. When playing he passes stool and soils his underwear, as he has no control over it. Many attempts by parents to educate him properly was to no avail.
2 The child used to hold his penis before passing urine.
3 Itching of penis ++
4 He lies on abdomen at times and starts rubbing his penis by moving his hip up and down. For this habit his parents scolded him and tried to prevent him but in vain.
5 He is of dominating nature when playing with his playmates.

F/H parents are school-teachers. They have no systemic disease . Other symptoms as narrated by his mother: that the child never stands without support. He prefers to stand leaning on somebody-no cause or muscular weakness. but mere habit.
05.2001. Thuja 200/4 doses to be taken one daily.
23.05.2001 No change.
1. Rectum involuntary stool (syn 806)
2. Masturbation disposition (syn 890)
3. Itching penis (syn 889)
4. Dictatorial (syn 91)

All the above said rubrics pointed to Lachesis.
14.06.2001 Lachesis 1m/4 o.d.
20.06.2001 Slight improvement in the habit of handling penis. Sleeps very late. Slight improvement in involuntary stool. Lachesis 10m/4 o.d.
03.07.2001 Marked improvement in penis handling. Stool also not involuntary
but he does not defecate timely and regularly. SL
29.07.2001 No further > Thuja 10m/4 b.d.
27.08.2001 Some pale spots are seen on his face. No further > in other problems.
Lachesis
10m/3o.d.
06.09.2001 Remarkable improvement in all the symptoms. No medicince after this. After this he lost contact with me till 23.05.2002 when I saw him with his cousin sister who came for treatment. He was perfectly healthy. None of the previous complaints were reported..

Case 3: Tumour of popliteal fossa

Mr M Sahu, 70 yrs was brought to me on 24.09.2000 by his son who was under my treatment for Fistula, pt c/o pain in the Rt knee for many yrs. Getting up and sitting gives pain in knee are to big hard tumour in the popliteal fossa of the right knee which gives him pain when rising from seat and sitting down. He had taken some injection on the knee for relieving pain but no relief. He was advised surgery but did not agree. He lives in a remote village where he got his blood sucked from knee, which gave him temporary pain relief.

Associated Symptoms.
Attack of sneezing morning and evening. Thirstless. Insomnia whole night. Temperament - very short tempered. Irritable.

Past History - Typhoid 30 yrs back, severe cough in August 2000 treated with conventional medicine. Synthesis Repertory’s page 1394 indicates Calc-f, Phos and Sil against the rubricTumors: knee: hollow of:
But looking to his temperament I preferred to give him Nux-v at first -30/1dr tds.
19.10.2000 Growth of popliteal fossa reduced, no pain now. Pain has gone down to leg. Overall better. Nux-v 30 repeated for one month more. 09.01.2001 the tumour has become very soft and reduced in size. Pain is still persisting in leg. Sleeps well. Appetite good. Now no irritability. Repeated the same medicine as it should be repeated frequently till a perceptible relief is obtained in a physical particular systems like tumours, fibroids etc. After this he did not contact me. His son reported that the popliteal tumour has vanished and he is in now in good health.

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