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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Can Homoeopathy be so Quick?
NATIONAL JOURNAL OF HOMOEOPATHY 2004 May / Jun VOL VI NO 3.
Dr Sushma Jaiswal
'Lach / Kali-bi / Thuja

A 7 yrs old girl, SS brought to me on 9/4/04.
Her Chief Complaints were:
1) Sinusitis < cold3 things, < dust3, < change of weather3, > lying.
2) Soreness of throat > cold.
3) Fever 102o F < evening, > Crocin.
Cold3. Coryza- Thick, Greenish. Nose block < HS snoring. Treatment: Cetzine every attack of cold for 7 days. Nasal Spray OD.
Diagnosed as Adenoids. She is having this acute attacks since 1997 once in 2 months lasting for 10 days. Since March 2004 3 times in a month. Always associated with pain in umbilical region along with vomiting which ameliorates.
2) Eyes: Dandruff-thick white coated on upper eyelids since Oct 2003.

Patient As A Person
Ht: 48" Wt: 18.5kg
Perspiration: Scalp3 Appetite: Poor
Cravings: Raw 3 (Carrots, beet roots, paneer), curds3, potatoes3, Pickles3. Aversion: Sweets3, milk
Thirst: Less 4 glass/day
Stools: Normal Flatulence: Occasional
Urine: Normal Thermals: Hot
Sleep: Disturbed 4-5 times each night; sleeps with head thrown back, talks in sleep
Dreams: All dreams are secret (does not remember or does not want to tell).

Past History: NAD
Family History
: NAD
Life Situation And Mentals
23/01/1997: Born in Mumbai
1999: Nursery-1st Step-Powai
2000: Jr Kg Sishya Bangalore
2001: Sr Kg Avabhai Petit-Pali Hill Bandra
2002: 1st Std Arya Vidya Mandir Bandra East
2003: 2nd Std Dhirubhai Ambani
Too many School changes.
Irritable3. Diplomatic-knows how to get the job done. Affectionate3. Weeps easily. Jealous-if mother hugs sister, beats sister, shouts at mother. Obstinate. Fights. Talks to self. Thumb sucking. Restlessness both physically and mentally-whatever starts never completes. Grumbles. Secretive when asked about dreams said all her dreams are secret. Does not know how to keep herself occupied. Company3. Consolation3. Lazy.

Investigations: Radiological:
24/6/02- Enlargement adenoid with encroachment of naso-pharyngeal space
23/2/03- Rt maxillary sinusitis

Repertorial Totality

KR 69 Obstinate KR 60 Jealous
KR 87 Talks to himself  
KR 51 Grumbling KR 72 Restless
KR 01 Affectionate KR 486 Craving raw
KR 485 Craving pickles KR 486 Craving salt
KR 482 Aversion Sweets KR 481 Aversion milk
KR 221 Perspiration scalp
KR1362 Aggravation cold drinks
KR1347 Aggravation change of weather
KR 532 Vomiting coughing on
KR 405 Fingers in mouth, children put
KR 114 Dandruff
 

Remedies on Repertorisation
Calc
25/12, Puls 22/11, Sil 21/9, Lach 18/9, Lyc 16/8, Kali-bi 4/4
Acute
: Both remedies Puls and Kali-bi come strongly for sinusitis. Puls nose block > open air. But on specific questioning, she said, she felt worse in AC draft so Kali-bi was clinched.

Constitutional: She is very jealous and dominating. A very clear case of Lach. Calc which came in for differentiation for the profuse perspiration was ruled out on all other counts.

Final Plan Of Treatment
Acute: Kali-Bi
Sinusitis. Coryza thick, greenish discharge. Nose block. < draft of air.
Constitutional:
Lach
Restless. Jealous. Grumbles. Hot. were even the ferquent change of schools triggered by Lach being a Lachesis personality?
Intercurrent:
Thuja
Nose. Block. Adenoids. Both Sycotic Miasm

Treatment :

Date Symptoms Remedy
09/4/04 Sinusitis. Thick greenish discharge. Nose Block < HS. Kali-bi 30 2P 1P=2 doses
16/4/04 >3 Colds=0 .Eyes dandruff SQ. Has not used nasal spray. Thuja 200 1st dose
30/4/04 >3 Colds=0 /2wks Nasal sounds>3Eyes dandruff SQ . Sac-lac 200
14/5/04 > 80% .Eyes dandruff > 40%. Voice >. Cold 0/mth inspite 4 family members having cold. Thuja 200 2nd dose
05/6/04 Much better. 1 attack in this month Lach 200-1st dose

Clinically, the patient is better since a month now. She has not used nasal spray since our treatment started. As we were going in for the ENT issue, we were in a hurry to repeat the investigations.
05/06/04

Post-treatment Investigations: X-Ray Sinuses came out Normal - Rt paranasal sinus has cleared up. The adenoids did not show much change in these 8 wks; probably it is too early to expect radiological change. We will repeat X-Ray after 4 months and we will inform in NJH future issue.

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