Case 103: What if my Husband Throws me out?
Abstract: The case illustrates the Physical characteristics of Lachesis which has been effectively used as one of the criteria to treat the patient.
Mrs MAB, 41 yrs old, Married, Non-Vegetarian, Hindu Gujrati, came on 24/07/89 with the following complaints.
CHIEF COMPLAINT
| LOCATION | SENSATION | MODALITIES | CONCOMITANTS |
|
EXTREMITIES, Knee Lt → Rt Since 1½ yrs Lt Calves Since childhood 1/2m X 2 mins |
Pain Tender Pain "As if pulled" Cramps |
< Ascending < Descending < Touch < Night3+ < Sleep < Straightening legs > Walking > Massage |
Ointments which gives temporarily < |
| BACK, Upper Left 2/week |
Pain |
< If no rest in the afternoon < Night > Heat |
Ointments and Paracetamol which gives temporarily < |
|
HEAD, Temple → All over Since 6yrs 2/week |
Pain Heaviness Occ Hammering |
< Sleep after 3+ < Tension < Anger < Sun > Ice-bag sponge < Noise3+ |
2 Paracetamols tab |
PATIENT AS A PERSON
WEIGHT: 85 kg
BUILT: Obese since 12 yrs, gained wt after delivery
APPETITE: ↑
DESIRES: Chillies3+, Fried3+, Sour3+, Salty
AVERSION: Sweets
STOOL: 1/day.
URINE: N
SKIN: Clean, Easy Ecchymosis
HAIR: Loss
MENSES: FMP: 12 yrs. LMP 07/07/1989. Regular, Profuse, Clots ++, 5-6/25. Red, Yellowish stains.
Before Menses: Pain3+ in back, legs, abdomen and Irritability3+. > After Menses appears
SEXUAL HISTORY: Desire ↓, 1/month, always low
BATH: Cold water
THERMAL: Sun < headache, Likes fan and A/C, Open air >. C3H2
SLEEP: Good, Unrefreshing 1/wk
DREAMS: Daily events++
MIND: Brooding3+, Anxiety3+, Possessive3+ about H, Weeping3+. Fear if he throws me out,
OBSTETRIC HISTORY
G4P2A2. 2 Induced abortions
PAST HISTORY
Rt Ovary and Uterus surgically removed.
LIFE SPACE INVESTIGATION
Pt was born in 1948, the eldest among 3 sisters and a brother. Fa was a businessman in Ahmedabad. Mo stayed in joint family. Pt was brought up by her maternal grandparents. They brought her to Mumbai. She was very attached to her Mama (MU) and his eldest son. In 1960 when pt was 12 yrs old Mo expired due to Heart ailments. Otherwise she had a very happy childhood. In ’68 she completed her SSC. She got involved with a Punjabi boy who was staying as a paying guest at her house in Marine Drive. He was in the catering business and worked in Andheri. There was lot of obvious objections from her family. H wanted to get married quickly. So within 6 months of meeting they got Registered Marriage in 1969. H was the 8th child of his parents among 6 Br and 2 Si. They are all well educated. This made her feel inferior to others. after the marriage, but now she is okay. They took a rented house in Bandra. It was only them two, so there was no adjustment problem. H was a Perfectionist and a good cook. He taught everyone in the family how to cook. He is very possessive and selfish, so she always had some tension about him; but now they are okay together. 1n 1986 Pt started a Wayside Grill Restaurant with the help of the H as a partner and is doing well. She loves the restaurant and meeting new people and being out.
REPERTORIAL TOTALITY
- Anxiety
- Brooding
- Fear
- Weeping
- Sun, exposure to <
- Summer <
- Ecchymosis
- > Walking
- Back, pain before menses
- Abdomen, pain before menses
- Irritability, menses before
- Calf, cramps in < night
REMEDY SELECTION
The outgoing nature, the love for people and the managing the restaurant and the ecchymosis, made me opt for the snake venom, Lach
TREATMENT & FOLLOW-UP
| DATE | SYMPTOM | REMEDY |
| 24/07/89 | Left sided, Ecchymosis |
Lach 200 2P AM SL 200 Pills 3-3/7days |
| 01/08/89 | > Pain in knee and legs. < Backache. Menses on 29/07/89 < Headache. Sleep ↓. Headache 3/w, |
Lach 200 3P AM SL 200 Pills 3-3/7days |
| 09/08/89 | >3+++. Pain 25% better. Sleep >. |
NIH 200 3P AM SL 200 Pills 3-3/7days |
| 16/08/89 | Overall 50% better. Wt 85 kg. Pain in calves, knee and backache L0. Sleep <. Pain in thighs > Pressure |
Lach 200 7P AM Cebo pills 3-3/7days Mag-p 6X 2hrly |
| 28/08/89 | Since 12 noon pain in throat < Swallowing, > Warm drinks. Headache Rt side > Pressure. Heaviness in head. Thirst ↓. |
Ars-alb 30 4P; 1P=3 NIH 200 7PHS SL 200 Pills 3-3/7days |
| 05/02/90 | Knee pain L0/5month, Calves pain+, Cramps 1/2wk, Sleep↓ > 0/5month, Thigh pulling 0/5month. |
Lach 200 2P AM SL 200 Pills 3-3/7days |
| 12/02/90 | Has been keeping quite well.. Anxieties also controlled, so told to report only if problem. |
SL for 1mth |
Dr Satish Kanojia
