Case 105: Crying Boosts my Confidence!!
Abstract: This case presents a girl who shows how Puls and Sil can be inter-related.
Ms SSA, 15 yrs, Non-Veg, FYJC Muslim Student, came on 20/08/02 with the following complaints
CHIEF COMPLAINT
| LOCATION | SENSATION | MODALITIES | CONCOMITANTS |
|
HEAD, Vertex Since Dec’01 Last episode 20/08 |
Throbbing Nausea occasionally |
< Sun3+ < Thinking3+ < 3pm < Mental upset < Depressed |
February 2002 Took Allo Rx Tab Fluraninx mth CT Scan → N 23/05/02 Betacap X 3mth Eye specs: -1.5, -1.25 |
|
BACK, lower Since Feb’02 1/day X 15-20 mins |
Pain |
A/F Walking while studying < Sitting > Lying on back3+ > Morning |
X-ray LS Spine → Scoliosis |
|
MIND |
Depressed feeling Dull feeling Taciturn Likes to stay alone Brooding3+ |
< AM |
|
| SKIN, Rt Elbow Chronic |
White patch Occ itching |
Ointments Emoderm Emocon Cod liver oil |
PATIENT AS A PERSON
WEIGHT: Gained 3kg within 3 months
APPETITE: N
DESIRES: Fish, Sweets3+, Vegetables, Chicken
THIRST: 1- 1½ liters/day
STOOL: N
URINE: N
WARMTH: Soles and Palms
PERSPIRATION: 3+, Palms < Nervousness
HAIR: Loss, Dandruff white in color
BATH: Tepid
SEASON: Likes Summer, Sun < Headache. > Open air3+. Wants covering always.
THERMAL: C3H2
MENSES: FMP: 11 yrs. LMP 20/08/02. 4/30days
Before ?Lt Thigh pain X 1day
Beginning ? 1st day Pain Stomach3+ > Warmth3+, > Tab Cyclopam
SLEEP: 6 hrs, Deep, Refreshing, lies on Rt side. Gets up at night at 3am and again go to sleep
DREAM: Murdered, Robbers3+
MIND: Reserved, Brooding3+, Fear of heights, Fear of being emotionally hurt, Fear of insects.
LIFE SPACE INVESTIGATION
The pt was born in Mumbai on 25th May 1987. The pt spoke with a nasal twang. Friends have left her out of bounds so she remains upset. She is very moody. When depressed she doesn’t like to speak to anyone. Crying boosts her confidence. She is always nervous when something important related to her is about to happen. She has anticipatory anxiety before exams in the form of blackouts. I don’t talk to a person as I cannot make out how they are just by seeing once, so they think that I am snobbish or arrogant.
REPERTORIAL TOTALITY
- Reserved
- Brooding
- Fear of heights
- Fear of being hurt, emotionally
- Fear of insects
- Talk indisposed to, sadness in
- Headache, vertex, pulsating
- Headache < Sun
- Headache, emotional
- Depression, morning
- Abdomen, pain < Menses during
TREATMENT & FOLLOW-UP
| DATE | SYMPTOM | REMEDY |
| 20/08/02 | Sensitive |
Puls 200 1st dose NIH pills 200 3=3/7days |
| 27/08/02 | Not better. Headache SQ, Rt Parietal Throbbing+ | Sil 200 1st dose Pla pills 200 3-3/7days |
| 03/09/02 | > | NIH 200 3P Pla pills 200 3-3/7days |
| 17/09/02 | Headache L0/2wk, Throbbing L0/2wk, Cold and cough since 15/9. Wet cough < Night, Greenish expectoration, Thirst++, Fever 100F < Night, Tongue dry, | Puls 200 4P; 1P=2 |
| 24/09/02 | Headache from 17/9-20/9. Back 3+< Walking. Anxiety, Thirst+, Nervousness | Sil 200 3P Pla pills 200 3-3/7days Gels 200 3P; 1P=3/SOS |
| 08/10/02 | Throbbing vertex, Pain+ < Afternoon. Thirst +, Backache+, | Bell 200 4P; 1P=3 and SOS then when better Thuj 200 1st dose Sil 200 3P HS Pla pills 200 3-3/7days |
| 15/10/02 | Throbbing L0, Elbow patch L0, Low backacheL5, | 1st week, NIH 200 3P Pla pills 200 3-3/7days 2nd week, NIH 200 3P Pla pills 200 3-3/7days |
Dr Sushma Jaiswal
