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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

My Turning Point
NATIONAL JOURNAL OF HOMOEOPATHY 2004 Jan / Feb VOL VI NO 1.
Dr Prasad Rasal
'Medo

When I was in 4th BHMS, and working in a private orthopedic hospital at Pune, I came across a female co-worker suffering from severe chronic asthmatic bronchitis. She was just attending her duty without actually doing her work. She was already on Prednisolone 10 mg BD, Deriphylin R 300 mg BD, Ventorlin BD and changing antibiotics, since long without any result. She used to come for duty, but whole day, she sat in Knee-chest position with great dyspnoea.
I asked my Sir, how have you continued her on duty?
He explained that, she was working in this hospital right from the time hospital opened. That’s why, I have still kept her.
So I asked, shall I give Homoeopathic medicine to her?
He said, why not?
This was the first chance in my life, to take a homoeopathic case, personally. So, I revised case taking methods and the case which I took was as follows:

NAME OF PATIENT : Mrs G A G
DOB : 01/08/89
STATUS : M
OCCUPATION : Service in Hospital

Location Sensation and Pathology A/F and Modalities Concomitants
Respiratory system 5-6 Yrs Breathlessness < Sitting
< Movement
< Lifting weight
< Exertion
> Lying down with knee chest position
Weakness
Throbbing
Aching pain in. chest wall.
Respiratory system 5-6 Yrs Cough-continuous, aching < Talking
< Cloudy
< Damp cold, rainy weather
< Evening,
< After midnight,
< Lying down in supine position.
< Smell - oily things.
< Tobacco smell
< Daytime.
> Lying in knee chest position
> Fanning.
Backache.
Soreness in chest.
Respiratory system 5-6 Yrs Sputum-Frothy, while seldom bloody. > Summer
> Warm drink
 
GIT 21 Yrs Hiccough.    
Nose Coryza-watery sometime bloody- During Coryza patient feels hot internally, but externally no temp. > Steam inhalation, warm application.
< 7am-12am
< 6pm-3am
 
HEAD: Supra-orbital, Vertex, Occipital region. Headache - Throbbing and squeezing type of pain. > by pressure  
EXTREMITIES Trembling of extremities.Pain in both ankles. Numbness. Joints tender. < Standing for longtime.
< After walking
Vertigo Giddiness

Past History:
1. Pain in right knee joint 3 yrs back.
2. Whooping cough-in childhood.
3. Tonsillectomy-5 yrs back.
4. Tubectomy-13 yrs back.
5. H/O Chronic Leucorrhoea.
6. Attacks of Breathlessness

Family History: Father : H/o chronic cough
Patient As A Person
Digestion:
Appetite: Decrease in last 5-6 months
Thirst : Only at night.
Desire Aversion and Effects
Eggs: A ++. Ice cream: D+. Meat: A+. Milk: D++. Salt: D++. Sour: D++. Sweet: D+++
Elimination: Daytime normal
Urine: 4-5 Times at night
Stool: Constipation on alternate days.
Respiration: Yellowish, staining.
Menstrual function: 2/20 days
Rmp/Imp: Scanty bleeding
Metrorrhagia: Dark, brown color.
Leucorrhoea: Staining cloths yellow.
Sleep: Disturbs at midnight because of cough and dyspnoeic attack. Can’t sleep for long Again in morning, sleeps for ½ -1 hour.
Dreams: Snake
Thermal reaction:
Bath: Semi-hot. Coverings: Up to Neck. Fan: wants fan continuously.
Season : Likes Summer.

Mental State

  • Wants everything at place otherwise get irritable
  • Anxiety causing throbbing headache, wants to remain quiet, but not alone.
  • Fear of death; what will happen to my son and daughter? Anxious about future+++.
  • Fears something bad will happen to me+++.
  • Hasty, hurried while walking, working+++.

Physical General Examination:
Patient is conscious, well oriented, poorly built and poorly nourished.
Temp: Elevated at night only
RR:32min. P:100/min. Tongue: Red tips clean.
Nails: Clubbing 1st
Eyes: Conjunctiva pale
Skin: Dry

Systemic Examination:
Respiratory:
1. Inspection: Normal chest, but little bilateral expansion.
2. Palpitation: Tenderness all over chest because of coughing.
3. Percussion: Resonance all over.
4. Auscultation: Rhonchi well marked.

A Diagnosed Case of Bronchial Asthma:
Analysis Of The Case:
After case taking, I read it a number of times, discussed it with my colleagues, repertorised with following rubrics.
Repertorial Totality:
1. Ailments, anticipation
2. Fastidious
3. Fear, misfortune of
4. Hurry, haste tendency
5. Food and drinks, sweets and salt desire

Result Of Repertorisation
1. Medorrhinum 15/6
2. Arg- nit 12/5
3. Puls 12/5
4. Ars-alb 11/5
5. Sulph 10/5

Miasmatic Interpretation
Sycotic
: Chronic bronchial asthma with fixity at physical and mental level.
Homoeopathic Management
Auxillary:
A) Avoid misri (no reference given earlier).
B) Steam inhalation.
Medicinal Treatment:
As I was a student , I hesitated to prescribe Nosode as a First Prescription and was in a lot of dilemma regarding potency selection. Still, after discussion with seniors and colleagues, we decided to give nosode as a first prescription, cautioning her about homoeopathic aggravation.
I selected, Medorrhinum 200-1 dose with Placebo for 10 days.

Follow up
02/01/89 : Amazing thing happened after taking a dose of Medorrhinum. She felt absolutely relaxed immediately, which she could not in previous 10 years. She started moving about without any disturbance. Cough stopped completely.
02/12/89 : Absolute no breathlessness. Working with full confidence and strength.
Weakness disappeared. Thereafter, I was there for 2 years in same hospital, but I never noticed a recurrence. Even today, she is asymptomatic and enjoying her life.

So, because my father was a senior allopath, I had taken admission to get label of a doctor and not a homoeopath. It was only after getting confirmation about the efficacy of homoeopathy through personal experience that I got converted to Homoeopathy. Today, I am practicing successfully since last 12years.

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