Before Treatment:

After Treatment:

Before Treatment:

AFTER TREATMENT: - ABSCESS RESOLVED and DACROCYSTITIS healed

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

A 39 yr old lady, Nurse by profession, married since 6 yrs was suffering from Primary Infertility & failure to conceive. She had already undergone 2 abortions earlier.

The AMH Levels were very low : 0.1-0.20 ng/ml. (1.0 - 1.5 ng/ml)

She was Started on Homoeopathic medicines in Dec 2016 and within 2 months of treatment she was pregnant. Pregnancy was confirmed by UPT done twice. Was under observation for 3 days for Hyperemesis gravidas & was completely better.

Hyperemesis Gravidum with Gastritis in pregnant woman

Date: 17-11-2014

Mrs M.M.P, 27yrs female, residing at Santacruz (E) presented with 4 months pregnant. H/O vomiting from 2 nd month of Pregnancy. Patient couldn’t eat or drink anything since 2 nd month of pregnancy. Abdominal pain during pregnancy.

On observation during hospital :

- tossing in bed during pain
- restless during pain

- crying during pain

- moaning during pain

- carried desired slowly.

 

ON EXAMINATION

• FHS- 136/min

• Pulse- 78/min

• B.P- 110/70mmHg

• R.R- 24/min

• Temp- Afeb

• R.S- Clear

• C.V.S- S1 S2 Heard

• P/A- very tender and sensitive at epigastric region. Uterus fundal height 22 weeks.

Treatment:

• Homoeopathic medicine prescribed single dose at 11;50 pm at night

• No relief till half an hour. Later same medicine was dissolved in water and given two doses at half an hour interval.

• After one hour of the diluted medicine; patient slept well and woke up next day morning without any nausea and vomiting. She could eat her food.

• She delivered completely healthy baby after 9 months.

CASE DETAILS:

10 YEAR OLD BOY HAVING HIGH GRADE FEVER CAME WITH MOTHER TO IN PATIENT DEPARTMENT AT SHREE MUMBADEVI HOMOEOPATHIC HOSPITAL AT 4 PM....SAYS FIRST SEVERE HEADACHE STARTED AT AROUND NOON...MORE PAIN IN FRONTAL REGION AFTER HALF HOUR MEASURED TEMPERATURE.IT WAS 100.2 F(AXILARY).THEN AT 1 PM TEMPERATURE WAS 99.8F. BUT IT ROSE AGAIN TO 100.2 AT 2:30 PM.THROAT PAIN 3+ SINCE YESTERDAY <EATING AND DRINKING...

SEVERE HEADACHE WITH INTOLERANCE OF NOISE.

STAGE WISE ANALYSIS OF CASE:

CHILL STAGE:CHILLINESS STARTS FROM SOLES TO UPWARDS AND COVERS WHOLE BODY.SAYS WHEN CHILLINESS STARTS I FEEL AS IF BATHED WITH CHILLED WATER.

HEAT STAGE:

WANTS TO COVER WHOLE BODY,SWITCHES OFF FAN.USUALLY PATIENT’S MOTHER SAYS HIS BODY BECOMES MUCH WARM IN EVENING AT 4-5 PM.ALONG WITH TEMPERATURE THERE IS BURNING IN EYES.

TONGUE –CLEAN..BITTER TASTE IN MOUTH

THIRSTLESS DURING FEVER...APPETITE DECREASED

SWEAT STAGE:ABSENT

4:15 PM TEMP WAS 101.6 F.

4:45 PM –TEMP-100.4 F

5:30 PM-TEMP-101 F

PHYSICAL GENERALS:

APPETITE-DECREASED DUE TO THROAT PAIN

LIKES:SPICY AND SWEETS2+

THIRST:DECREASED

STOOL:NAD

URINE:NAD

PERSPIRATION:N.S

THERMALS:CHILLY PATIENT

MENTAL CHARACTERISTICS:

CHILD DESCRIBES ALL SYMPTOMS METICULOUSLY...ALL DETAILS ARE DESCRIBED WITH PRECISION.VERY JOVIAL AND PLAYFUL EVEN DURING FEVER

O/E:

PULSE:92bpm

TEMP-100.6 F

RR-18/MIN

THROAT EXAMINATION:B/L RED INFLAMED TONSILS

RS-AEBE

P/A-NORMAL

INVESTIGATIONS:

CBC-

HB-12.7

WBC-17,000

RBC-4 LAKH 42 THOUSAND

MALARIAL ANTIGEN-NEGATIVE

TOTALITY OF SYMPTOMS:

CASE DETAILS:

6 months old female child arrived with complaints of high grade fever recorded as 101-102 degree F Axilla since 2 days, along with complaints of vomiting immediately after feeding. Vomitus was curd like & profuse . Child was restless, clinging to mother continuously , couldn't tolerate milk & it was vomited immediately , unable to sleep .

Investigation:

Urine routine 4-5 pus cells

WBC 13000/-

Was admitted & given Homeopathic medicines in dilution every half an hour . Child was completely better within 16 hrs.

CASE DETAILS:

10 YEAR OLD GIRL CAME ALONG WITH HER MOTHER FOR CONSULTATION AND TREATMENT FOR LONG STANDING ERUPTIONS WITH ITCHING AND SCALING SINCE 3-4 YEARS.PT WAS UNDER LONG TERM TREATMENT OF ALLOPATHIC MEDIINES,LOCAL APPLICATIONS AND ALSO TOOK STEROID INJECTIONS WITH MINIMAL TEMPORARY RELIEF.PT HAD ALSO TRIED AYURVEDIC MEDICATION AT NATIVE PLACE.

ORIGIN:ALL STARTED AFTER SHE HAD A FALL AND ABRASION DEVELOPED THERE ON LEFT KNEE WHICH STARTED INCREASING.3-4 NEW PATCHES CAME UP AND MERGED TOGETER.THEN ERUPTIONS ASCENDED TOTHIGS AND LEG -> HEELS -> WHOLE BODY INCLUDING SCALP,NAILS AND GENITALS PROGRESS:INCREASED SINCE COMPLAINTS STARTED.

PAINFUL3+ - WOULD WALK ON TOES DUE TO EXCESSIVE SCALING AND BLEDING DUE TO SCRATCHING.

ITCHING3+ SCRATCHES TILL IT BLEEDS <NIGHT

<WINTER

>BATHING TEMPORAILY

WHEN SHE WENT TO NATIVE PLACE (BIHAR) SHE BECAME COMPLETELY ALRIGHT.

PHYSICAL GENERALS:

APPETITE:DECREASED SINCE 2-3 MONTHS

CRAVINGS:SWEETS ESP SUGAR3+,SOUR(TAMARIND)3+,RICE 2+

AVERSION:BITTER

THIRST:NORMAL

SLEEP:6-8 HOURS,REFRESHING

DREAMS:NOTHING SPECEFIC

PERSPIRATION:MORE ON UPPER LIP AND PALMS

URINE:INCREASED URINE FREQUENCY AT NIGHT BETWEEN 9 AND 10PM .

GOES EVERY 5 MIN.

STOOL:NOTHING SPECEFIC

THERMALS:CANNOT TOLERATE WINTER

AMBI -> CHILLY

P/H:PNEMONIA+TYPHOID 8-9 MONTHS BACK

VIRAL HEPATITIS 2 YEARS BACK

MENTALS:

MATURED,UNDERSTANDING,DOESNOT DEMAND ANYTHING,HELPS MOTHER IN HOUSE HOLD WORK,OBIDIENT AND MILD

DOESNOT OPEN UP EASILY IN FRONT OF TEACHERS FOR FEAR OF GETTING SCOLDED.

COMES HOME AND COMPLAINS TO MOTHER ABOUT CHILDREN WHO HAVE TEASED HER BUT IN FRONT OF THEM DOES NOT SAY ANYTHING TO THEM

WEEPS EASILY .

SHE DOESNOT LIKE ANYBODY COMMENTING ON HER SKIN,SHE GETS ANGRY.

REPERTORIAL TOTALITY:

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

CASE DETAILS:

• PATIENT PRESENTED WITH COMPLAINTS OF ACUTE ON CHRONIC BREATHLESSNESS WITH HIGH GRADE FEVER SINCE 2 DAYS.

• SPO2-91%

• COUGH WITH EXPECTORATION WITH DIFFICULTY IN BREATHING

• COUGH <EARLY MORNING FROM 4 AM TO 6 AM.

• COUGH WITH DECREASING PAROXYSM.

• WHEEZING PRESENT

• THICK YELLOWISH EASY EXPCTORATION.

• THERMALS-HOT

FEVER TOTALITY-

• CHILLINESS PRESENT ONLY ON CHEST AND ABDOMEN.

• HIGH GRADE CONTINOUS FEVER

• THIRST- REDUCED

O/E-

PULSE-111 bpm

• B.P.-150/90 mmHg

• RR-30/min

• TEMP-102 F(ORAL)

• NO PALLOR,

• NO CYNOSIS,

• NO LYMPHADENOPATHY

• RS EXAMINATION:

• B/L RONCHI AND CREPTS

• BASAL CREPTS PRESENT

• P/A-SOFT,NO G/R

• CVS-NORMAL

• CNS-NORMAL

MENTALS-

• CRYING A LOT,CRYING DURING ILLNESS HAVE ALWAYS BEING PRESENT.

• HOMESICKNESS,WANTS TO GO TO VILLAGE,

• VERY MUCH SENSITIVE TOWARDS EMOTIONS OF FAMILY MEMBERS...

• SAYS SINCE 25-26 YEARS I HAVE NOT SUFFERED THIS MUCH .MY ALL COMPLAINTS ARE AGGRAVATED SINCE FEW MONTHS.

• FEAR OF CHOCKING

• FEAR OF DYING IN TRAIN-SAYS WHAT IF I GET RESPIRATORY DISTRESS IN TRAIN WHILE GOING HOME,

• SAYS I HAVE BECOME VERY EMOTIONAL SINCE ALL THIS COMPLAINTS HAVE STARTED.

• DESPAIR OF RECOVERY.

• PLEADING-SAYS MAKE ME ALRIGHT FOR ABOUT 1 WEEK SO THAT I CAN VISIT MY VILLAGE AND CAN BE WITH MY FAMILY MEMBERS.

INVESTIGATIONS-

22/3/16

Hb-13.6

RBC-4.22 LAKH/CUMM

WBC-21,300/CUMM

LYMPHOCYTES-19

PCV-37.4

PLATELET-4 LAKH 67 THOUSAND

S. CREAT-0.6

NA+ 121

K+ 3.5

CL 96

PS FOR MP- NEGATIVE

URINE ROUTINE-

PUS CELLS-6-8/hpf

EPITHELIAL CELLS-2-4/hpf

REPERTORIAL TOTALITY:

1. DIFFICULTY BREATHING MORNING

2. EXPECTORATION THICK

3. EXPECTORATION COLOUR YELLOW

4. MIND-DESIRES TO GO HOME

5. MIND-FEAR CHOCKING OF

6. MIND-FEAR -DEATH -RESPIRATORY PROBLEMS WITH

7. MIND-DESPAIR OF RECORY

8. MIND WEEPING TENDENCY-TEARFUL MOOD

9. GEN-FOOD AND DRINKS COLD WATER AMELIORATES

REMEDY SELECTION-

PULS 200 1ST DILUTION EVERY 10 MINUTES.PULS 1M 1ST DILUTION EVERY 15 MIN-PULS 1M 5TH DILUTION EVERY 2 HOURS

FOLLOW UPS:

22/3/2016

4 PM

22/3/2016

9 PM

23/3/2016

8 AM

HOLD PULS 1M 1ST DILUTION

START KALI BI 200 1ST DILUTION FOR COUGHING

COSMOS 2 HOURLY

23/3/2016 8PM

24/3/2016

10 AM

PT IS SYMPTOMATICALLY BETTER WITH ALL RESPIRATORY COMPLAINT BUT FEVER REMIANS HIGH.

25/3/2016 10 AM

RESPIRATORY SYMPTOMS 60% BETTER,BREATLESSNESS AND EXPECTORATION REDUCED NO WEAKNESS.PATIENT SAYS HE WANTS TO GO TO VILLAGE AND MEET RELATIVES

FRESH ORDERS-

HOLD PULS 1M 3RD DILUTION-SHIFT THE PATIENT ON PULS 1M 4TH DILUTION 2 HOURLY.OMIT IV FLUIDS

26/3/2016

8:30AM
 

9PM-PATIENT MUCH BETTER,AFEBRILE THROUGHOUT THE DAY

EXPECTORATION AND BREATHLESSNESS MUCH REDUCED.

27/3/2016

8:30AM

MUCH BETTER SYMPTOMATICALLY WITH PULS 1M 5TH DILUTION

COUGH-80% BETTER

NO FEVER

EXPECTORATION MUCH REDUCED

GENERAL SENSE OF WELBEING

28/9/16

PT BETTER BUT SEVERE BOUTS OF COUGH AGGRAVATED AT 3AM WITH BREATHLESSNESS(SINGLE EPISODE)

SPO2 94%

NO FEVER THROUGHOUT THE DAY

NO BREATLESSNESS,ITS THERE ONLY WHEN COUGH IS SEVERE

RS EXAMINATION BASAL CREPTS ON RT SIDE

PT DEVELOPED HERPES LABIALIS WITH SLIGHT BLEEDING-

FRESH ORDERS-GIVE SULPHUR 200 4TH DILUTION SINGLE DOSE

CONTINUE PULS 1M 5TH DILUTION 2 HOURLY

29/3/16

CASE DETAILS:

60 YEAR OLD FEMALE HAVING RESPIRATORY COMPLAINTS SINCE A YEAR CAME TO IN PATIENT DEPARTMENT WITH BOUTS OF SEVERE COUGH WITH EXPECTORATION AND BREATHLESSNESS SINCE 2 DAYS.SHE COMPLAINTS OF PAIN IN RIBS AND LOWER BACK WHILE COUGHING AND SHE HOLDS HER CHEST WHILE COUGHING.COUGH WITH EASY EXPECTORATION AND GREENISH YELLOW IN COLOUR

<NIGHT3+,

<COLD3+,

CHEST PAIN >HOT WATER2+,

>AFTER EXPECTORATION3+

ON AUSCULTAION :B/L CREPTS PRESENT ES

PT GIVES HISTORY OF CA BREAST 10 YEARS AGO AND CHEMOTHERAPY TREATMENT.

PHYSICAL GENERALS:

PHYSICAL APPEARANCE:

MODERATE BUILT WITH XANTHELESMAS

APPETITE:DECREASED SINCE 10 YEARS.SAYS THERE IS LOSS OF TASTE SINCE CHEMOTHERAPY

LIKES:COLD THINGS LIKE CURD BUT COULD NOT HAVE THEM AS IT INCREASES COMPLINTS

DISLIKES: NOTHING SPECIFIC

THIRST-1-1.5 LIT/DAY

FOOD/DRINKS AGG/AMEL:CURD,FRIED AND ONION IN FOOD ITEMS INCREASES COUGH

PERSPIRATION:SCANTY O FOREHEAD

SLEEP:DISTURBED DUE TO THOUGHTS,ANXIETY ABOUT FAMILY MEMBERS.

THERMALS:CANNOT TOLERATE HEAT SINCE CHEMOTHERAPY.

MENTAL CHARACTERISTICS:

-AVOIDS GOING OUTSIDE BECAUSE OF COUGH.SHE FEELS THAT WHAT WOULD PEOPLE THINK WHEN SHE CONTINOUSLY COUGHS.

-WANTS COMPANY,MIXES WELL WITH STRANGERS

-SYMPATHETIC AND HELPFUL TO OTHERS

-SAYS I HAVE DONE GOOD FOR PEOPLE,GOD HAVE SAVED HER FROM SO MUCH DISEASES.

-SAYS I HAVE NEVER PLEAD FOR HELP BEFORE ANYBODY.I DO HARDWORK,EXTREME HARDWORK BUT HAVE NEVER ASKED FOR MONEY FROM ANYONE.

-SHE DISCRIBES THAT SHE CANNOT EAT ALONE,GIVES FOOD TO NEEDY...IN HER EXTREME POVERTY ALSO I USED TO SHARE MY FOOD.

-EXTREMELY SYMPATEHTIC AND COMPASSIONATE TOWARDS FEELINGS OF OTHERS...EVEN IF SOMEONE ON ROAD CALLS FOR HELP SHE WILL BE FIRST PERSON TO REACH AND HELP.

-SAYS MY WHOLE LIFE HAS GONE IN STRUGGLE.

-SAYS I EVEN BLESS MY ENEMIES,WILL NEVER TAKE REVENGE FRO ANYBODYEVEN IF SOMEONE HAS DONE BAD,I SAY THAT GOD SHOULD GIVE THEM WISDOM AND BLESS THEM FURTHER,DOES SERVICE FOR MANKIND,WORRIES ABOUT FAMILY.

-12 YEARS AGO,WHEN DIAGNOSED OF CANCER,SHE HAD LOT OF WORRY TREATMENT AND ITS EXPENSES...HAS LOT OF TENSION WETHER SHE WOULD HAVE TO SELL HER HOME INORDER TO MEETTHE EXPENSES.

P/H:CA BREAST 12 YEARS BACK-PARTIAL MASTECTOMY WITH CHEMOTHERAPY DONE

O/E:

PULSE:75/MIN

BP:130/90 mmHg

RR:25/MIN

TEMP:AFEBRILE

RS EXAMINATION:B/L CREPTS

CASE CONCEPTUALISATION:

TOTALITY OF SYMPTOMS:

1)ANXIETY ABOUT FAMILY

2)COUGH EXPECTORATION PROFUSE

3)COUGH <NIGHT >EXPECTORATION

4)CHEST PAIN WITH COUGH >WARM

5)COUGHBREATHLESSNESS

6)MINDSYMPATHETIC,COMPASSIONATE

REMEDY SELECTION:KALI BI 200 1ST DILUTION EVERY 3 HOURS 3 TSP

FOLLOW UP CRITERIA:

FOLLOW UP:

3/10/2016 4 PM

 

4/10/2015 9 AM

3/10/2016 4 PM

 

CASE DETAILS:

43 YEAR OLD ARRIVED WITH HIGH GRADE FEVER WITH SEVERE PAIN IN OCCIPITAL REGION, HEAVINESS AND PAIN IN EYES SINCE 1 DAY, ALONG WITH HEAVINESS OF LEGS.SINCE TODAY MORNING BODYACHE,LOWER BACKACHE AND NECK PAIN.

PT GIVES HISTORY OF CONSUMING ICE CREAM ON 13/10/2015 AT NIGHT

SEVERE HEAD PAIN < DRAFT OF AIR 3+

ALSO CHIILLINESS < DRAFT OF AIR 3+

CHILLS BEGINNING IN CHEST AND MORE FELT IN EARLY MORNING AROUND 4AM.

SINCE FEVER HAS STARTED GREAT DRYNESS OF LIPS AND TONGUE

DULLNESS,WEAKNESS 3+

PHYSICAL GENERALS:

APPETITE:DECREASED

THIRST DURING FEVER-VERY MUCH INCREASED

LIKES:SPICY

DISLIKES:COLD FOOD-IT IMMEDIATELY CAUSES COLD COUGH

PERSPIRATION-SCANTY

URINE :NORMAL

STOOLS:UNSATISFACTORY SINCE 2 DAYS

SLEEP-NORMAL

THERMALS:CHILLY PATIENT

O\E:

TEMP-101.4(ORAL)

PULSE-106bpm

BP-110/60 mmHg

RR-18/MIN

TONGUE-CLEAN

SYSTEMIC EXAMINATION:

RS-AEBE

CVS-NAD

P/A-MILD TENDERNESS AT UMBLICAL REGION

INVESTIGATION:

Hb-12.7 gm%

RBC-4 LAKH 25 THOUSAND

WBC-3,800

ABSOLUTE EOSINOPHIL COUNT-38

PLATELET COUNT-1,81,000

DENGUE-NS1Ag-POSITIVE

S.CREATININE-0.8

S.BILIRUUBIN-0.5

URINE ROUTINE-COLOUR-YELLOW

OCCULT BLOOD –PRESENT

PUS CELLS-1 TO 2

RBC-1 TO 2

EPITHELIAL CELLS – OCCASIONAL

REPERTORIAL TOTALITY:

1) GENERALS ->ICE CREAM ->AGGRAVATION

2) CHILLS ->BEGINNING IN ->CHEST

3) BACK ->PAIN ->FEVER DURING

4) CHILLS ->NIGHT ->MIDNIGHT AFTER

5) WEAKNESS ->FEVER DURING

6) STOMACH ->THIRST ->CHILL DURING

7) CHILL ->DESCENDING

REPERTORY SHEET:
 

REMEDY SELECTION-

ARS ALB 200 1ST DILUTION STAT DOSEACCESS REMEDY RESPONSE

FOLLOW UP CRITERIA:



FOLLOW UP:

15/10/2016

6PM
 

15/18/2016

8PM

15/10/2016

9:30 PM-
 

16/10/2015

TIME-8 AM

 

16/10/2016
11 AM-

TEMP-NORMAL AFEBRILE,
ALL COMPLAINTS-BETTER 90%,APPETITE AND THIRST-INCREASED-CONTINUE ARS ALB 4 HOURLY.GENERAL FEELING OF WELLBEING PRESENT

CASE DETAILS:

21 YEAR OLD MALE PATIENT REPORTED ON 5TH OCTOBER 2015 AT 11 PM IN INPATIENT DEPARTMENT WITH HIGH GRADE FEVER ALONG WITH CHILLS SINCE 5 DAYS.PT. WAS ATTENDED IMMEDIATELY,IV ACCESS WAS TAKEN AND BLOOD SAMPLE WAS SEND FOR INVESTIGATION AND PT WAS STARTED WITH IV FLUIDS INORDER TO PREVENT DEHYDRATION.

STAGE WISE CASE ANALYSIS:

CHILL STAGE:

CHILLS MORE AT 5 PM

CHILLS DESCENDING,BEGINNING IN CHEST

INTENSE BODYACHE DURING

BACKACHE AND EXTREMITY PAIN IN THIS STAGE >PRESSURE2+

THIRSTLESSNESS

HEAT STAGE:

HEAT ALL OVER THE BODY

BACKACHE >PRESSURE

INTENSE PAIN IN EXTREMITIES >PRESSURE3+

THIRSTLESSNESS3+

SWEAT STAGE:

AS IT IS PERSPIRATION ABSENT

PERSPIRATION ONLY ON TAKING MEDICINE.

PERSPIRATION RELIEVES ALL THE COMPLAINTS EXCEPT BACKACHE.

CONCOMITTANT:

ABDOMINAL MUSCLE SORENESS WHICH IS <PRESSURE2+

>FLEXING LIMBS

VOMITTING DURING FEVER <EATING AND DRINKING3+

PHYSICAL GENERALS:

APPETITE:GOOD

LIKES:CHICKEN3+,MUTTON3+,SPICY3+

DISLIKES:GREEN LEAFY VEGETABLES

THIRST:DECREASED

URINE:NAD

STOOLS:NAD

THERMAL MODALITY:CHILLY PATIENT

PHYSICAL EXAMINATION:

PULSE:94bpm

BP-120/70 mmHg

TEMP:101 F

TONGUE:THICKLY WHITE COATED

NO PALLOR,NO CYNOSIS,NO ICTERUS,NO LYMPHADENOPATHY

SYSTEMIC EXAMINATION:

P/A:

TENDERNESS IN EPIGATRIUM

ACUTE FEVER REPERTORIAL TOTALITY:

1)CHILL->CHILLINESS->EVENING

2)CHILL->CHILLINESS->BEGINNING->CHEST

3)EXTREMITIES->PAIN->FEVER DURING

4)BACKPAIN->PRESSURE AMELIORATES

5)ABDOMINAL PAIN->BENDING DOUBLE ->AMEL

6)STOMACH->VOMITTING->CHILL DURING

7)ABDOMEN PAIN->PRESSURE->AGG

8)STOMACH->THIRSTLESSNESS->HEAT DURING

REPERTORY SHEET:

 

REMEDY SELECTION:

SEPIA 200 1ST DILUTION 3TSP EVERY 2 HOURLY

AS IT COVERED CONTRADICTORY MODALITIES

LIKE BACKPAIN -> PRESSURE AMELIORATES

ABDOMEN PAIN -> PRESSURE -> AGG

CASE DETAILS:

18 YEAR OLD BOY REPORTED IN INPATIENT DEPT AT 5 PM ON 10TH AUGUST 2016 HAVING HIGH GRADE FEVER SINCE 4-5 DAYS WITH CHILLS

CHILLS BEGINS FROM ARMS(FOREARMS) AND HEADACHE FROM FRONTAL TO OCCIPITAL REGION LIKE BAND OR RING.PATIENT HAD INTENSE WEAKNESS

GIDDINESS WHILE WALKING BLACKENING IN FRONT OF EYES

DROWSINESS 2+ DUE TO FEVER WITH BODYACHE

THIRST -SCANTY

SWEAT -MORE ON FOREHEAD AND BACK REGION

COLD AND COUGH 4-5 DAYS BEFORE FEVER

A/F-TAKING COLD DRINKS,COUGH WITHOUT EXPECTORATION

EVENING RISE OF FEVER AT AROUND 7 PM

STARTS WITH CHILLS IN ARMS.

COVERS WHOLE BODY FROM HEAD TO FOOT

PHYSICAL GENERALS:

TASTE-BITTER

APPETITE-EASY SATIETY

FEW MORSALS SEEMS TO BE ENOUGH AND FILL THE STOMACH

THIRST -SCANTY

O\E-

PULSE -68(BRADYCARDIA)

BP-110\70 mmHg

RR-18\MIN

TEMP-103 F(ORAL)

NO PALLOR,NO ICTERUS,

THROAT EXAMINATION-NO CONGESTION

P\A-NORMAL

RS EXAMINATION-NORMAL

CVS-NORMAL

INVESTIGATIONS:

CBC-

HB-14.8

WBC-4800

PLATELET COUNT-1 LAKH 60 THOUSAND

MALARIAL PARASITE-NEGATIVE

WIDAL-NEGATIVE

DENGUE NS1Ag-NEGATIVE

URINE ROUTINE-

PUS CELLS-1-2

DENGUE IgM-NEGATIVE

DENGUE IgG-NEGATIVE

X-RAY CHEST PA VIEW-NORMAL

S.BILIRUBIN-0.8

FEVER TOTALITY:

1.PULSE-SLOW-FEVER WITH

2.CHILLS-BEGINNING IN-ARMS

3.FEVER-EVENING-19H

4.STOMACH -THIRSTLESSNESS-HEAT DURING

5.MIND-DULLNESS-HEAT DURING

REMEDY SELECTION:

GELSEMIUM 200 1ST DILUTION--> GELSEMIUM 1M IST DILUTION.

TUB 1M IST DILUTION GIVEN AT TWO INSTANCES AS STAT DOSE.

FOLLOW UP:

GELS 200 1ST DILUTION EVERY 15 MIN STARTED AT 6:30 PM

STRICT T/P/R/BP CHARTING EVERY 2 HOURLY

IVF:

1 PINT DNS +MVI

↓

1 PINT RL EACH OVER 6 HOURS

↓

1PINT DNS+MVI

FOLLOW UP CRITERIA

10/7/16 9PM

 

12 AM TEMP-102.2 F

AT 12:30 AM-PT SHIFTED FROM GELS 200 TO GELS 1M EVERY 30MIN

11/7/2016 6AM

 

1 PM TEMP-99.8 F

PULSE-70 BPM

AT 1:30 PM PT STOOD AND WALKED WITHOUT ANY GIDDINESS.

PT STABLE AND SYMPTOMATICALLY MUCH BETTER..CONTINUE GELS 1M EVERY

7 PM TEMP -100F(TEMP RANGE REDUCED AS COMPARED

11/7/2016 9 PM

 

12/7/16 6 AM
 

12/7/2016

6 PM -TUB 1M SINGLE DOSE GIVEN INORDER TO AVOID RECURRANCE

8:30 PM-

PT. AFEBRILE THROUGHOUT THE DAY

NO RESPIRATORY COMPLAINTS

NO HEADACHE

MUCH RELIEF SYMPTOMATICALLY

PT STABLE

VITALS NORMAL

PT DISCHARGED AT 10 PM-- ON DICHARGE TREATMENT –GELS 1M 1ST DILUTION 2 HOURLY

Before Treatment:

After Treatment:

Before Treatment:

After Treatment:

CASE DETAILS:

A 15 YEAR OLD BOY STUDYING IN 9TH STANDARD CAME FOR CONSULTATION ON 9TH FEBRUARY 2013 FOR LONG STANDING ABDOMINAL PAIN, FLATULENCE, BURNING WHILE PASSING STOOLS AND REGURGITAION OF INGESTA. DRY COUGH SINCE 3 DAYS WHICH IS BETTER BY WARM DRINKS.

SKIN SYMPTOMS-WARTS BELOW LOWER EYE LIDS, MULTIPLE, HARD AND FIRM, NON PEDUNCULATED

GYNECOMASTIA

PT STATED THAT HE IS ON PSYCIATRIC MEDICINE TABLET CLONIL 50MG OD.

PHYSICAL GENERALS:

APPETITE-CANNOT TOLERATE HUNGER

CRAVINGS-CHOCOLATE 3+ AND CHEESE 3+

AVERSIONS: NOTHING SPECIFIC

STOOL-C/C

URINE-NAD

PERSPIRATION-ON HAIRLINES AN TEMPLES

THERMALS-DESIRES A/C,

MENTALS:

1. FEARFUL –FEAR OF GHOST, CANNOT SLEEP ALONE, FEELS AS IF DOGS ARE CRYING AND WITCH IS WALKING TOWARDS HIM.

FEAR OF BEING KIDNAPPED

FEAR OF DEATH-FEARS HIS HEART WOULD STOP,

FEAR OF DEATH OF FAMILY MEMBERS,

FEAR OF DISASTERS, TSUNAMI, EARTHQUAKES, DARK ROOMS.WHEN HE WAS IN 2ND STD. SEEN TSUNAMIS SINCE THEN FEARS IT TOO MUCH.

2. OCD-WASHES HANDS FREQUENTLY, HAVE FEELING THAT THEY CONTAIN GERMS AND BECOME DIRTHY.

FEELS AS IF FLOOR OF SCHOOL IS DIRTY SO HE DOES NOT KEEP HIS BAG ON FLOOR BUT ON BENCH.

FEELS HIS BOOKS GET DIRTYAS DESKS ARE DIRTY OF SCHOOL.

AVERSION OF BEING TOUCHED BY DIRTY HANDS

3. SENSITVE TO REPRIMANDS

4. FEAR OF FIGHTING

5. ANTICIPATORY ANXIETY DOESN’T TAKE THINGS LIGHTLY,

6. SUSPICIOUS

7. SENSITIVE TO OPINION OF OTHERS:

GETS HURT EASILY IF ANY OF GOOD FRIENDS DO NOT SAY HELLO OR HI TO HIM.SAYS 10TH STD BOYS CRACKS JOKE, LAUGH AT HIM AND TEASE HIM .THEN HE GETS ANGRY AND LOUDLY SHOUTS AT THEM

ANXIETY ABOUT COMPLETING HOMEWORK, WORRIES WHAT WOULD TEACHER SAY OR WILL SHE SHOUT ON LOOKING AT HOMEWORK, ESP SENSITIVE TO REMARKS GIVEN BY TEACHER

8. CANNOT PARTICIPATE IN RACING SAYS I ALWAYS COME LAST.

9. SLOW IN WRITING-HANDWRITING IS BAD.CHILDHOOD DYSLEXIA.SLOW LEARNING

10. CHILDISH

11. VERY CALCULATIVE ABOUT CALORIES IN FOOD ITEMS,GOOD AT REMEMBERING DATES.

FAMILY HISTORY:FATHER SCHIZOPHRENIC-ON TABLET LONAZEP 50 MG OD.

REPERTORIAL TOTALITY:

MIND - WASHING - desire to wash - hands; always washing her

MIND - FEAR - ghosts, of

MIND - ANXIETY - anticipation; from

MIND - SENSITIVE - reprimands, to

GENERALS - HUNGER - agg.

GENERALS - FOOD and DRINKS - chocolate - desire

GENERALS - FOOD and DRINKS - cheese - desire

COUGH - WARM - fluids - amel.

REMEDY SELECTION:

ARS ALB 1M SINGLE DOSE

ANTIMIASMATIC –SYPHYLINUM 1M

FOLLOW UP:

CASE DETAILS:

14 YEAR OLD BOY WAS BROUGHT BY HIS PARENTS TO IN PATIENT DEPARTMENT OF SHREE MUMBADEVI HOMOEOPATHIC HOSPITAL IN DROWSY STATE IN NIGHT AT 12:40 AM.PATIENT HAD SMALL BOUTS OF VOMITTING.PT WAS LOOKING COMPLETELY DEHYDRATED AND KEPT ON MUTTERING IN DROWSINESS.....

PATIENT WAS ATTENDED IMMEDIATELY AND IV ACCESS WAS TAKEN,BLOOD WITHDRAWN AND WAS SENT FOR SERUM ELECTROLYTES AND ROUTINE BLOOD INVESTIGATION ALONG WITH SERUM CREATININE AND URINE WAS TESTED FOR KETONES.....

BY THE TIME HISTORY GIVEN BY FAMILY MEMBER WAS THAT ON 28TH JAN i.e. 2 DAYS PRIOR GOT HIS RESULT AND FAILED IN SCIENCE SUBJECT.HE GOT 5 MARKS BUT TOLD HIS FATHER THAT HE SCORED 11 AND FAILED BY 1 TO 2 MARKS.HIS FATHER IN ANGER SHOUTED AND REACTED VIOLENTLY AND HIT HIM ON LEGS AND HANDSTHE DAY ENDED AND HE SLEPT NEXT DAY IN EVENINGVOMITTING HAPPENED IN SMALL QUANTITIESPROSTRATION 3+ AND DROWSINESS 3+....THOUGH VOMITTING HAPPENED ONLY TWICE BUT THERE IS SO MUCH PROSTRATION...PT WAS CLINGING TO HIS MOTHER AND CONSTANTLY WANTTED HER NEAR HIM AND AT THE SAME TIME HAD AVERSION TO ANY OTHER PERSON...HE HAD LOT OF FEAR OF DAD...FRIGHT AND GRIEF AFTER THE INCIDENCE AND DID NOT TALK TO FAMILY MEMBERS FOR 2 DAYS...IN DROWSINESS PATIENT WAS SAYING THAT HE IS SCARED OF HIS DAD AND DAD MAY HIT HIM....

WANTED TO SLEEP AND LIE DOWN....DIFFICULT TO AROUSE

THERMAL STATE:CHILLY PATIENT

O/E:

PULSE:70/MIN

BP-110/70 mmHg

RR-20/MIN

TEMP-AFEBRILE-98 F

SYSTEMIC EXAMINATION:

HIGHER FUNCTIONS:STUPORUS-STUPOR RETURNING IMMEDIATELY AFTER AROUSAL

IRRELEVANT RESPONSE TO VERBAL COMMANDS

RESPONDING TO PAINFUL STIMULI

NO NECK RIGIDITY

INVESTIGATIONS:

CBC-

HB-13.7 gm%

RBC-503000 cumm

WBC-9800 cumm

PLATELETS-3 LACK 17 THOUSAND

MCV-39.3

RANDOM BLOOD SUGAR-90

SERUM. CALCIUM-10.4

UREA-21.5

S. CREATINIE-0.7

URINE KETONE-PRESENT

S.ELECTROLYTES-

NA+ 141.2

K+ 4.33

Cl 106.2

CHEST X-RAY- NORMAL

TOTALITY OF SYMPTOMS:

1)AILMENTS FROM-BEING REPRAMINDED

2)PROSTRATION-VOMITTING AFTER

3)VOMITTING –SMALL QUANTITY

4)DROWSINESS

5)AVERSE TO COMPANY

6)CHILLY PT.

REMEDY SELECTION-ACID PHOS200 SINGLE DOSE AND SOS REPETITION

FOLLOW UP CRITERIA:
 

FOLLOW UP:

1/10/2016 1 AM
 

Dr rakesh gupta md(hom)mba(hcs)/dr namrata pandey dr surabhi chaturvedi/alice chettiar/hemangi mishra

CASE DETAILS:

72 year old male k/c/o gall stones & right ear glomus tympanicus tumor; got admitted at shree mumbadevi homeopathic hospital with sudden abdominal pain, worse jarring, better by warmth and lying on painful side, distension of abdomen, vomiting and obstipation (not passed stools and flatus since last 24 hours) on 30-7-15 at 5 am. H/o –eating chicken a day prior. P/h pancreatitis 6months ago. O/e- febrile, git- abdomen distended, dull note with shifting dullness, abdomen tenderness & guarding, abdominal girth-89.5 cm , bowel sounds absent.

Investigations (30-7-15) : - cbc - wbc – 19500, serum potassium -3.2meq/l, s.amylase-636, s.lipase-686, s.calcium-7.3mg/dl. Usg s/o pancreatitis with peri pancreatic fluid & bulky pancreas. Ascites, distended loops with sluggish bowel movements.

Diagnosis- acute relapsing pancreatitis with ascites with cholelithiasis with paralytic illeus leading to intestinal obstruction with hypocalcaemia with hypokalemia

Management : Maintain hydration/electrolyte correction; Gastric decompression: - ryles tube aspiration; Homoeopathic treatment bryonia 200 -> 1m

Treatment summary:- there was increase in abdominal girth from 89.5 cm  94 cm even after receiving antibiotic injections. patient was started on homeopathic medicine bryonia 200 every 2 hourly  1m initially diluted 2 hrly followed by whole dose 2 hrly. After the start of homeopathic medicine abdominal pain, fever disappeared, stool and flatus was passed. Abdominal girth reduced from 94 cm  81 cm, pleural effusion also disappeared. Wbc was also normal.

on 3-8-15 s.lipase: 48 normal s.amylase – 73 normal