Case 88: I do the Work Which Makes the God Happy
Reg No S/26/09
Mr DSB, 57 yrs, married Hindu, Vegetarian and Deputy Gen Manager in a Finance Company came on 07/03/09 with the following complaints:
CHIEF COMPLAINT
| LOCATION | SENSATION | MODALITIES |
| EXTREMITIES Left Knee Joint Since Sep’08 Finger, Joints L>R Alternating sides |
Ligament injury plus tear in meniscus OA. Stiffness RA Weakness Lack of grip in palm | A/F injury on 05/01/09 by hitting the knee, medial aspect, against wood < Morning3+ < Waking upon3+ < 1st motion > Warm applications > Hot water bath |
| NECK: Left side | Suddenly gets ‘caught’, must give a jerk to feel better | |
| BACK Since Sep’08 |
Pain2+ Tired feeling |
> Bending > Stretching backwards2+ |
| SKIN: Hands, Legs, Joints and Waist Since Aug’08 |
Red rash3+ Itching3+ |
< Evening > Cold |
PATIENT AS A PERSON
BUILT: Stocky
APPETITE: Good
DESIRES: Salty things3+, Bhelpuri,
Paanipuri, Chaat3+
THIRST: Increased. 2liters/day
STOOL: N. URINE: N
PERSPIRATION: Palms and Soles
COLDNESS: Palms and Soles
BATH: Hot water
SEASON: Cannot tolerate winter,
likes summer
THERMALS: C4H
SLEEP: Good but disturbed due to dreams
DREAMS: Daily events
MIND:Sensitive, Weeps easily, Affectionate, Anxiety about health, Memory weak for immediate things, Indecisive3+
PAST HISTORY:1989 → Bilateral Kidney Stone. Lithotripsy done
FAMILY HISTORY:FA: HTN died in 1991, MO: OA died in 1984, SIS: OA, Paralysis
LIFE SPACE INVESTIGATION The pt was born in Mumbai in 1952. During childhood his parents had to struggle a lot for financial matters. He was good academically and played cricket. He enrolled himself in a night school and college so that he can work too. He completed his Diploma in Engineering and topped the University. He had an arranged marriage in 1976 and he thoroughly enjoyed marriage. He has a son and a daughter. The son is a General Manager in Shipping Company while the D-I-L is a housewife. The pt had always been a religious person and had total faith in God. He will do things when he feels that it will make God happy. He is a very sensitive person, emotionally weak and cries easily. He has 3 more yrs to retire. Wants good health, so that he can do good things for the society. He wants to work for the poor, the orphans and the aged people. He always wanted to be a good man. He thinks about his complaints and cries. He had held a very important post in the firm and if he wanted he could have earned a lot of money by illegal means but he never did. He is a man of principles. (He cried during the interview for no reason). He was very attached with his Guruji who expired in 2005. He talks to him in his dreams to reduce his burden from his heart. He feels unfortunate.
REPERTORIAL TOTALITY
- Crying, telling her sickness when
- Crying, trifles when
- Indecisive
- Conscientious, about trifles
- Food, desires salty things
- Hands, perspiration palms
- Feet, perspiration offensive
- Thirst, extreme
TREATMENT: Sil 200 4P 1 dose Stat, 3 SOS. NIH pills 200, 2-2-2-2/7days
FOLLOW-UP
| DATE | SYMPTOM | REMEDY |
| 14/03/09 | >. Left knee stiffness L4. Back painL7, Hands numbL4. Weeping L0. Simultaneously doing Physiotherapy. | NIH 200 3P NIH pills 200 3-3/7days |
| 21/03/09 | > 40%. Finger pain < night. Left hand index finger swelling3+, > Heat. Back pain and numb hands +. < While walking L0. Wears Hinged Knee Brace to reduce pressure on knee. Physiotherapy 3/week | Sil 200 2P NIH 200 6P NIH pills 200 3-3/7days |
| 28/03/09 | Knee > with Physiotherapy. < Morning. | 1st week Rhus-t 200 7P; 1P=2 2nd week Sil 200 3P HS |
| 09/04/09 | >. Pain >. Back pain and numbness of handsL0. Neck stiffness L0. BP>. Eczema+. | 1st week Sil 200 7P HS 2nd week Thuj 200 1st dose |
| 23/04/09 | >. Pain was severe on 22/04/09. | 1st week Sil 200 3P HS 2nd week Sil 200 1P SOS Sil 200 4P; 1P=4 |
| 09/05/09 | >3+. | 1st week Thuj 200 2nd dose 2nd week Sil 200 1P |
| 29/05/09 | Pain changing its place. L5. Knee stiffness, neck stiffness, backache L7. < Morning and 1st motion | 1st week Thuj 200, Sil 200 2nd week NIH 200 3P |
| 11/06/09 | Left shoulder pain today A/F exertion. | 1st week Sil 200 7P 2nd week Thuj 200 4th dose SOS Rhus-t 200 7P; 1P=3 |
| 29/08/09 | >. Much better. Skin Red rash ++ > cold | 1st week Puls 200 7P 2nd week Sul 30 1st dose Aloe vera cream |
| 17/09/09 | 20% better. Knee 40% better. | 1st week NIH 200 3P 2nd week Sil 200 7P |
| 22/10/09 | Knee pains, cant climb stairs, feels weak | 1st week Thuj 200 3P 2nd week NIH 200 3P |
| 05/11/09 | Skin better. Pain in arms < winter | 1st week Rhus-t 200 7P HS 2nd week Sil 200 3P |
| 20/11/09 | Pt came feeling much better and wanted only SOS for his pain | 1st week NIH 200 3P 2nd week NIH 200 3P 3rd week NIH 200 3P SOS Rhus-t 200 7P HS |
