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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Varicose-ulcers
NATIONAL JOURNAL OF HOMOEOPATHY 2003 Sep / Oct VOL V NO 5.
Dr S S Vithal
'Lach

Mr ABC, 60 years, a retired teacher consulted me on 12/01/2003 for ulcers on both legs of long duration. He is a known case of hypertension since 5 years.

Chief Complaints

  1. Ulcer on both legs since 7 years. He has varicose veins since 15 years and as a consequence has developed varicose ulcers on both dorsum of legs. Large ulcer with blackish, bluish discoloration; painless. Skin looks blue and spotty redness all over skin.. On examination - skin is rough, dirty and warm to touch.
  2. Headache - Dull, especially in occipital region. < motion, even of eyelids, reading, > rest.
Associated Complaints: Levitating vertigo with sensation of lightness of head.

Patient as a Person
:
Desires - sweets, sour.
Aversion - milk.
Habits - Chronic tobacco chewer
Thermal State - C2H2
Appetite - Hungry but can’t eat much at a time.

Family History:
Mother - Hypertension with Mitral stenosis; Asthma in Father

Past History
Typhoid, Jaundice in childhood.

Mentals

  • Witty.
  • Cunning / deceitful
  • Dull and not interested in work.
From the above information, we selected Opium as a drug of choice.
DD Lachesis - varicose ulcers, bluish in color. Headache with HTN. Habit of tobacco chewing, deceitful in nature, both drugs cover these symptoms.

But painlessness of ulcers and patient’s indifference about his complaints indicated Opium than Lachesis, Opium 200 was given on 12 Jan 03 and up till day he is on SL with more than 90% improvement in generals as well as physicals.

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