Irritable Bowel Syndrome-a few cases
NATIONAL JOURNAL OF HOMOEOPATHY 2004 Mar / Apr VOL VI NO 2.
Dr Adil Chimthanawala
'Aloe / Sulp / Lil-tig / Podo / Puls / Lil-tig

Discussion:
1. Aloes was the 1st choice-Stools loose, 3-4/ d, mucus+++ with flatus, early morn diarrhoea.
2. Sulphur was given-Diarrhoeal tendency, mucus+++, worrying nature. Perception ++, short tempered,
3. Lilium-tig selected on Apprehensiveness, worry +, Constant dwelling on brother’s death +  Tormented about salvation. Religiousness ++. Nervous, Anxiety heart disease, consolation dislikes, thirst ++, Stools > occupation.

Masturbation with Recurrent Colics
Ritika- (1 of the twins), a 7 years old girl studying in Standard III was brought to the OPD by her mother on 10/3/03 with C/o

1. Freq rubbing of genitals < night & before strangers.
2. Urine frequency ++, urge uncontrollable, soils clothes.
3. Recurrent abdominal colic, shifting pains > rubbing, moving
4. Stools - frequency ++, semisolid < night. Stool examination - mucus ++

Mentals: Irritable, Contradiction <. Fidgety, Cranky, Consolation <. Cannot stay alone. Sibling envy. Violent Anger - beats the other twin sister.
Appetite / Thirst ++++
Craves -cakes, non- vegetarian food.
Micturition - 10-12/day, 1-2/nights
Sleep - restless, 7 hours/24hours
Past History - Chicken- pox
Family History - Mother: asthma, Father: Renal stones, PGM-died Ca Cervix
10/3/03 Origanum 200 TDSx1d
SL x 15 days & Psychotherapy - parents
20/3 Rubbing of genitals > Origanum 1M 3 doses
Stools, urine same SL x 2 wks
17/4 Mentals unchanged.
weeping & anger fits ++ Lil-tig 200 TDS x 1d
Stools, urine same SL x 1 mth
27/5 Anger fits >, less irritable SL x 1 mth
Conc +++studies,
Stools freq decreased, N consistency
30/6 Stools normal, rubbing occ Lil-tig 1M 3 d SL x 1 mth
11/7 All comp relieved SL x 2 mth
Follow-up ct.
Lil-tig-rpt after 1 mth . Pt. >> all respects.

Discussion
Drugs thought - Hyos, Bufo, Medh, Ustilago & Zincum.
1. Origanum: on Excess aroused sexual impulses. But gave little relief.
2. Lil-tig-Irritable, contradiction < consolation <, fidgety, Envy, cannot stay alone, violent anger, Weep+++; Masturbation (rubbing genitals). Shifting colic. > rubbing, moving. Stools & mucus. Craves meat.
Note - Hyos: for insanity & Lil-tig: more marked for habits.

Uterine Prolapse with Flatulence
A Female aged 38 years. Mother of 4 children [all FTND] came with.
1. Prolapsed uterus - After 4^th Child birth (forceps delivery) - 5 years ago H/o delayed labor in 3^rd & 4^th child < defecation, has to support the prolapsed parts with hand > supine. Has been advised hysterectomy several times but refused.
2. Menses scanty, clotted < sitting. Itching genitals ++; Leucorrhoea - acrid, profuse, thick < menses.
3. Continuous dragging pain in the lower Back.
4. Stools - pellet like loose, urge uncontrollable, Flatus++++ - 5 yrs.
S/o Fullness - upper abd < before meals, dyspepsia.
Mentals - Depressed, Impulsive, Critical & Snappy; Constantly Busy.

Life History - Patient is the only child of wealthy parents. She had a Love marriage with a mediocre - Medical Representative at the age of 25 years. H/o Pre & Extramarital Sex ++. Husband has a touring job.
P/G Appetite:++. Desires= Pickle.
Thirst ++. Micturition - N
Sleep-Restless. 6 h/24h, walks in sleep.
Menses-Reg, 2/22, scanty

Family History: PTB (14yr ago); M-Lumbar Spondylosis.
O/E - P-100/m. reg. B P- 130/90mmHg
No Pallor. Systemic N
PV-Uterine prolapse Grade II, Cx-erosion + +
Investigations - Stool N, Bl Sugar -96mg/dl, PAP -ve. Sigmoidoscopy N. PAP smear - ve (16/8/98)

Management
18/1/99 Podo 200 3 doses SL x 1 mth
22/2 Fullness >. dyspepsia + SL x 1mth
Stools - loose. Urge same.
Leucorrhoea > but pruritis +++
26/3 Menses scanty, clotted < sitting.
Puls 200 3 doses
Lower backache, Leucorrhoea ++ SL x 1mth
Itching genitals ++. Stools - loose.
23/4 Leucorrhoea >, Itching same SL x 1mth
Stools - loose. Backache ++. Mentally - restless
22/5/99 No change Lil-tig 200 3 d
Mentals ++ SL x 1 mth
25/6/99 Leucorrhoea >, itching >>
Backache, Prolapse > defecation.
Menses - flow +, red, clots >. Mental - restlessness >

Discussion
1. Podophyllum - Ut. prolapse, Loose stools, Fullness, dyspepsia
2. Puls- Menses scanty, clots < sitting, Lower backache.
Both these drugs did not give expected results. Other drugs : Sepia, Murex, Platina &
3. Lilium-tig: Constantly busy- workaholic, sex desire ++, Impulsive, Ut Prolapse,
Stools - changing consist, urge uncontrollable, Freq. urination. Leucorrhoea, Itching Genitals+++

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