Patient 23 years of age female was referred at
Civil OPD on 8-6-2011 by a Homoeopath who had treated her for her menstrual complaints for 5 years ; referred her to an
endocrinologist before two years under whom patient was taking treatment since
then .Patient has undergone several Hormonal investigations and was on following
prescription.
As patient was on steroids and synthetic
hormones for such a long time it was difficult to get true picture of the
disease so took the general approach and case was recorded as follows:
Female
Menarche : 14 years
Patient shy, introvert type
accompanied by her parents who were narrating her complaints. On enquiring anything patient seems to be
confused and could not reply at first instance .Patient always wanted mother to
be on her side v. much dependent on her mother .Patient is v. much protected in
her family as she is not much confident about herself in dealing with outside
world. She has unknown worry and anticipation for any incidence before it occurs (sort of clairvoyant type !)and
her anticipation proves to be correct most of the time according to her.
On asking about her complaint she
had much fear and anticipation as if she will not get well any more She had
almost lost all hopes as she is now
fixed in her mind that her problem will never get cured .
As she was on synthetic hormones true picture of
her Menstrual cycle was not present .On enquiring patient gave the history of having
complain of heavy bleeding for 8 – 10 days /every 30 +4-5 days /clots + liquid
/dark indelible stain since four years which
is now normal for 3 – 4 days /29 -30 days /flow normal dark /indelible stain
v.difficult to wash off with Allo Rx as above .
Few days before menses patient
has pain abdomen as if menstrual flow will start.
Weight increasing since 4 years .
Thermal: Hot
Thirst: Less
Craving : Salty ,Spicy
Stool : NAD
Urine : NAD
Dreams : Frightful
Skin : small warts with peduncles scattered all over the
body and mostly thighs like small mushroom having pin head
On asking about her likes and
dislikes patient revealed that during sun she feels uncomfortable all her
anxieties worries rises and settle down with sun .
From the above data collected
following symptoms were recorded :
1 Anticipation matters before they occur and
generally correctly
2 Despair of Recovery
3 Dreams
Frightful
4 Confusion of mind
5 Daytime Agg: Sunrise to sunset
6 Menses dark difficult to wash off
7 Pain Abdomen as if Menses would appear
8
Warts : pedunculated : pinheads ,with, like button
mushrooms on thighs and various parts of body and thighs
On 8-4-13 Patients father expired
of Ca .Patient again had no menses for next 2 mnths .Patient had always been
having symptoms of pain abdomen as if menses would appear.
On 15-6-13 Medorrhinum- 200 dispensed again .
Flow started on 17-6-13 having
tremendous pain in head with profuse menses. She complained of having stomach disorders esp. during menstrual
flow.
On enquiring further following
symptoms were recorded.
1
Menses generally
in daytime
2
Menses ameliorates
on lying down
3
Menses with stomach troubles.
4
Pain in forehead pulsating throbbing beating
during menses
5
Pain in forehead pulsating throbbing beating
during menses relieved by motion .
On Repertorising Pulsatilla was indicated and
amazingly giving one dose of Pulsatilla 200 all her complaints were cleared.
This is a
beautiful presentation of remedy relationships in Homoeopathy. Pulsatilla being
acute of Medorrhinum brought beautiful results and clearly defines how one
medicine is closely related to other .It is necessary to know whether the phenomena
presented in a given case are of sycotic, syphilitic or tubercular origin; for
the totality grouping of the symptoms must be around the symptoms of the active
miasm. Thus we can see that in Hahnemann's method the totality of the symptoms
includes the signs and symptoms of the miasms classified by their layers and
listed according to their development. The active miasm is the center on which
the totality of symptoms is built so that the remedy chosen matches the
underlying miasm syndromes. The symptoms should be arranged in such a manner so
that it is easy for the homoeopath to see the layers of the case so they will
know what to expect next.
DR. MAYURI SANGHVI
CIVIL HOSPITAL RAJKOT