Case of a 17 yr old presenting with lack of

confidence.
28 September 2011 at 14:26
Case of a 17 yr old boy comes to our clinic with a chief complaint of lack of confidence,
doesn’t trust his abilities.
4 yrs back, Patient’s coach pushed him inside the swimming pool, after that there is fear
of drowning.
3 years back stopped going for table classes as teacher was strict with him.
Recurrent cough and cold with change of weather.

Personal history:
Appetite: increased since 1 yr
Craving: spicy, junk food, salty food, potatoes, milk.
Aversion: vegetables.
Thirst: Thirstless.
Thermals: CHILLY
P/H: nothing significant.
F/H: father- Hyperlipidaemia.
Sensitivity:
<sun- headaches.=""></sun->

Life situation:

 Wants protection.
 Can’t go for school trips-Homesickness. Last time he went for school trip, came back.
 Gets angry very easily. Anger when things don’t happen his way.
 Obstinate.
 But outside home very shy and well behaved.
 Studies: doesn’t work hard for studies.
 Non diligent
 Very fond of computer designing
 Cries easily if anybody scolds him.
 if anybody talks against him then gets angry.
 Has many friends. But stopped playing in the building as other children would cheat and
are rude.
 Gets angry if anybody teases him.
 Previously good natured, but there is change since 3-4yrs.
 Gets easily influenced by people.
 Fear of animals.
 No fear of ghosts or darkness.
 >consolation.
 Doesn’t concentrate while studying , has lot of distractions.
 If while doing anything he fails, then gives up easily.
 Argumentative with family members.
 If mother is comparing him with other patients then he removes their bad points.
 Procrastinates. Keeps postponing . very lazy
 Restless. Doesn’t sit in one place for long.
 Reserved.
 Eats only things that he likes, doesn’t like to try new things. Also if anything New work
given to him there is difficulty coping up.
 Previously he was very money conscious, if he is going out with parents , then he would
ask the price of the commodity, and if its expensive then he would say not to buy it.

But now he has become opposite of it.

 Sensitive to rudeness- will reply back rudely.

 Plucks out hair while he is studying or concentrating.
 He does not have regrets with anyone, nor does friends have any negativity towards him.
 Attached to mother. Would feel lonely when mother would pay more attention to ailing
grandfather.
 Childish nature.

Observation:

 Height less for age.

 Effeminate.
 Gynaecomastia.
 Introvert.
 obese

Remedy given: Baryta Carb 1M 1 on 17th july 2009

Follow up:
31st oct 2009-

 Weight reduced from 74kg to 67 kg.

 Plucking out of hair while concentrating >>.
 Dandruff ++.

Adv: SL

13/1/2010:

 Dandruff –SQ- But itching of scalp better than last time.

 Occasionally plucks out his hair.
 Heaviness and congestion in maxillary sinuses.
 Abdominal obesity less.
 Confidence better but still shy with outsiders.
 Adv: SL

18/1/11:

 Eye no has increased.

 Left eye redness.
 Habit of plucking hair much better
 Concentration better.

Analysis: Syphilis: effeminate >>, gynaecomastia >>

Sycosis: looseness of eye muscles- lack of elastin.
Will- >> CONFIDENCE >>
Concentration better.

Adv: SL.

9/8/11:

 Eye no. is better. Vision Rt and Lt- 0.25.

 Boils and pimples on face.
 Weight >>
 Gynaecomastia completely gone.

Adv.: SL

 Analysis:

rubrics taken:

1) childish behaviour
2) confidence want of self

3)homesickness,nostalgia general

As patient was chilly, remdies coming up were Bar-c, Bell, calc, hyos, ign,phos,sil,verat.

patient was non conscientious- ign, sil ruled out.

 Bell.- R/O as patient was very lazy and indolence, no suddeness, no violence.

Hyos- R/O Patient very reserved, was not inciting nor mischievious.

verat, Phos- R/O No desire for cold drinks or ice creams.Only remedies left: Baryta and calc- on
probing further mother said that he is very shy in front of strangers, has complete lack of
confidence. Also very routinistic.Gets easily influenced.

 Baryta more indicated, since patient chilly+ obese+ reserved-- Hence baryta carb was given.
Case of seizure disorder
10 June 2013 at 20:00
Name: Baby I. Gaikwad
Age: 8 years Sex :Female
Occupation:Studies in IIIrd Standard.
Date:23-08-08

Diagnosis: SEIZURE DISORDER since 2 months

Chief Complaints :
One episode of epileptic fit on 12 june ,2008
Aurabegins :- severe headache before the attack ,
Followed by stiffness of the body and foam from mouth &
blueness of lips and eyes deviated to left side
Convulsionswith unconsciousness
Beforethe severe attack h/o- headache & vomiting [3times ] ,
eachat interval of 3 months ,< oily food
Vomitingof food particles , projectile vomiting, at that time patient was responsive tovoice , and
had deviation of both eyes to left side
GENERAL MAKE UP:
Thermals-Hot
Thirst-Thirsty
Appetite-good, Can’t tolerate hunger
Cravings-Sweets
Perspiration-Profuse all over the body.
Physical sensitivity:
Sensitivityto Sun - Headache
SPEED-Fast, hasty in drinking and eating, work speed is also fast

MENTAL MAKE UP:

Shedoesn’t like herself to be called a girl since childhood, she is like a boy veryoften she would
say boys have more strength were as girls don’t have ....so shealways wore men`s clothes and
men type foot wear....and even likes activitiesas men.
Likesto fight and can give strong punches when she fights.
Shehas all wishes like men, Doesn’t like to wear girl footwear
Shedoesn’t likes to see girl serials
Attacking& aggressive in nature
Tillshe doesn’t get what she wants she won’t keep quiet
Takestime to mix with new people
Verygood in studies, she gets 90%, she has done 7 levels in maths & intellect studies
Moody nature, She can do best at the 1st time and alternates with no desire to do anything.
She has elder sister & cousins, feels neglected & always prefers 1stpriority in all matters
Even amongst her friends when somebody is giving chocolates, she wants the charge
ofdistributing the chocolates to other children
Most sensitive point is RESPECT for her.
When not in mood most of the times need to be pushed to study
Behaves as matured girl
Doesn’t want anyone around her during illness
Will ask for medicines & narrates her complaints as elderly individual
Precocious,Very matured for her age
Likes to play a lot, Can’t sit in one place
Very hygienic and gets angry if anything is very dirty or unclean
Immediately would ask us to clean things then & there
When we go to native place in Nagpur, she complaints a lot regarding toilets not cleaned.
Sibling jealousy- if anything is given to her sister she doesn’t like that
Interested in painting & mechanical block games, plays very fast.
Keeps all her things very systematic
Doesn’t talk to the person who quarrels with her
Sensitive girl- If mother unwell will take care of her.

ANALYSISBY SIR:
SOA:G.I.T and Respiratory System
MIASM:Psoro-Syphilis
INTELLECT:Very Good
WILL POWER:Strong
MEMORY:Good
Mental make up:
PSORA

Sensitive to Criticism
Non Conscientious
Non Diligent

SYCOSIS
Introvert
Egoistic, Jealousy
Dominating, Angry
Consolation aggravates
Precocious, Positive

SYPHILIS
Mannish Habits of
Hurried(Haste)

PhysicalGenerals: Sensitive to Sun exposure aggravatesHeadache

Speed: Fast,Hastily eats and drinks
Thermal:Hot
Thirst:Thirsty
Repertorisation:
OnRepertorisation Remedies which came up were Carbo-Veg, Cimic, Nat- mur,Petroleum
andPlatina.

Cimicand Petr r/o because patient was Hot.

Carbo-Vr/o because she was not sluggish and slow.

Asshe was Hot, Thirsty, Consolation aggravates and Sun exposure causes Headache
Shewas prescribed Nat-Mur 1M SINGLE DOSE on 23/8/08 By SIR.

FOLLOW UP:
11.10.2008
· No Fits
· No Headaches
· Anger >>>
· Nature had improved >>>
· Cold,Coryza & sneezing ( Psora )
Remedy given :-SL
12.12.2008
· pruritis
· itching all over body
· headache>>>
· fever [approx 100` c] for 2 days
Remedy given :-SL
1.6.2009
· No Convulsions
· Rashes all over body
· mild headache
Remedy given :-SL
1.9.2009
· one episode of convulsion lesser in intensity
· Mild headache
· mild fever
Remedy given :-SL
1.12.2009
· no episodes of convulsions
· now having little dandruff
· generals – better
· mannish habits reduced >>>
· has become more feminine.
· stop hitting the sibling
Remedy given :-SL
Case discussion of a young boy presenting with
inguinal hernia and learning disability
31 October 2011 at 13:27
Name:Mst.xyz
Age:6 yrs. Qualification:1st std.student.
Date of interview: 9 Nov.2010
Diagnosis: Left sided inguinal hernia since 1 ½ year. Learning disability going to ADHD-
(performance IQ-92, verbal IQ-120…has 20% deficit, hence labelled so)
Presenting complaints:
1. Bed wetting –it has never stopped since birth.(was on other homoeopathic treatment)
2. Tonsilitis ( was on other homoeopathic treatment )
Difficulty in swallowing because of it . It is painful more on left side.
3. Recurrent cold and cough since 3-4years.
2007-Diagnosed as hypersensitive airway disease.
4.Constipation-he does not tell when he has passed stool.
Sometimes he tells . So urge is present but not toilet trained.
5.Nail biting.
6.Makes mistakes while writing..
Letters are disproportionate.
Handwriting is illegible.
7.Lack of concentration.
Restless-cant sit at one place when studying. Gets distracted easily.
8. frequent blinking of eyes---tics.
Journey of disease:
Birth----Premature delivery, twin delivery.
FTND,birth weight-1.3 kgs.
Cried immediately after birth.
1st month-One day,he had eaten food at around 8pm.
9pm-tightening of body, UROEB.
Also had regurgitation of food.
2007---Bronchospasm...used to take aerosol .
It stopped after milk stopped.
2008-Tonsilitis…..took antibiotics + other homoeopathic treatment.
2009-Inguinal hernia (left sided)
3cm. sac size reduced after taking homoeopathic treatment ,later again increased.
Pregnancy history:
May 2003: hysteroscopy and laproscopy with ovulation studies showed follicles not rupturing.
Injections and tablets taken for it but ovulation failed.
Intra uterine insemination done….gonadotrophins inj.taken.
End of 2003-conceived.
7th jan 2004:B-HCG levels done for confirmation of pregnancy.
USG-confirmed three gestational sacs.
20th Jan 2004-Bleedin PV for 1 day, moderate quantity.
 Mental state at that time-went from mother’s place to husband’s place as nephew
got conjunctivitis.
After 1 week-USG-only 2 gestational sacs seen.
5th—6th month of pregnancy-USG-1 sac showing small circumference of head. Dr.told her
that one fetus
not growing.reaction-got tensed.anxiety,anticipation about one
child.
Again USG done-it was proper….mentally,relaxed.
7th month of pregnancy-adviced to take steroids for respiratory tract maturity.Continued on
uterine relaxation tab.duadilan.
After 4 days-delivered prematurely.
Patient as a person:
App-decreased. Can tolerate hunger. he never asks for food.
Likes-chapati, rice, junk food, egg white.
Dislikes-sweets,ice creams,cold drinks.
Stool-constipation.
Urine—bed wetting
Perspiration-scanty.
Thirst-thirsty.
Sleep-sometimes talks in sleep.teeth biting.
Position-on sides or abdomen.
Dreams-not remembered.
Thermals-chilly
Vaccination history-all given,no complaints after any vaccine.
Milestones-slightly delayed.
Sensitivity-
<sun agg="" blinking="" and="" watering="" from="" eyes.=""></sun>
<tight clothing-cant="" tolerate="" around="" neck.=""></tight>
Motion sickness- nil.
Memory-sharp. he remembers fast but recollection not good. logical reasoning is good.
Intellect-good.
Speed-slow. Writing is slow. orally he tells answers fast.
Mentals-

 Hyperactive. he cant concentrate for a long time. not fully focused. gets distracted easily.
 Constantly complaints to mother about his sister or that people are troubling him or children
bulling him. he is never happy.
 Constant teasing , mischievous boy..eg-pulling,pushing friends,running around.
 Plays antics.
 Loves to read books,mostly story books. But non diligent- feigns sickness to bunk school.
 After coming back from school,he changes and starets reading,then he plays.
 Extrovert….he is fond of people.
 Mild as compared to his sister.
 Timid-can’t fight back. comes and complains to his mother.
 Fears-nil.
 Good in singing.
 Sensitive to rudeness---reaction-hurt.cries and withdraws himself.keeps sulking.
 Argues a lot-always one to one,be it elderly or anyone. Why I was wronged?
 Become more defiant.
 Childhood-easy going child.
 Mild,yielding.
 No arrogance.
 Dominating over sister not friends.
 Keeps teasing sister.
 Loves gifts and asks for it.
 Voluntarily said that I was a gold medalist…projection.
 Makes stories and tells lies…bluffing.

Analysis:

Psora:

 easy going, Mild,

 Non Diligent
 caring and affectionate
 sensitive to rudeness

Sycosis:

 Teasing.
 inciting
 mischievious
 playing antics
 timidity
 projection
 bluffing - making mountain out of mole hill.

Rubric: 1) Antic plays

2) Side left.

As the child was very hyperactive, always playing mischief, teasing.

Chilly + Thirsty, He was given Hyos 200 1 on 9/11/10

Follow up:

26/2/11:

 Left inguinal hernia -SQ-

 Bed wetting -SQ-
 Constipation -SQ-
 Blinking of eyes ..Tics -SQ-
 Writing still not legible. Verbal IQ good.
 Constantly complaining that people are troubling him , taking away his pencil.
 makes up stories- Like other children are bullying him.
 Bluffs a lot, Makes mountain out of mole hill.
 But still Projects that he is very strong to cover up his inferiority complex.
 No co ordination hence dygraphia -SQ-

Analysis: Since there was no improvement, We had to reconsider the case.

Improvement was to be expected in Tics, In Co ordination.
Then in hernia--- Elasticity less.

Here In this case:

 less of elasticity
 irritation of nerves- tics
 there is dysgraphia- Because of inco-ordination.
 the patient is projecting himself as very strong and making mountain of mole hill , bluffing to
cover his insecurity.
 Chilly + Thirsty

Remedy: Agaricus 200 1

In reverse repertory the following rubrics were covered-

1) Side- Left
2) Mistakes makes in writing
3) egotism reciting his exploits
4) winking inclination
5) pities herself
6) concentration difficult studying while.

Follow up:

26/4/11:

 hand writing better.

 mistakes while writing better
 blinking of eyes- tics better
 bed wetting -sq-
 left side inguinal hernia >>
 stools- constipation . But tells when he gets the urge.

Rx: SL

4/6/11:

 TICS -0-
 Letters are getting more proportionate.
 concentration better but still restless
 nail biting >>
 Inguinal hernia >>

Rx- SL
 Case Discussion of a Lady with complaints of
hairfall and dry,cracked skin.
3 September 2011 at 01:56
Case of 35 yr old female coming with a chief complaint of dryness of the body all over the body
except face since 14 yrs.
1) Dryness of skin is so much that skin starts peeling off and on appearance is like brownish
scales.
If moisturizer not applied then skin develops cracks and bloody streaks can be seen.
Complaints started since 14 yrs , initially skin was very soft.
2) Hairfall since 10 yrs.
3) Burning in the vagina since 4 -5 yrs.
Greenish leucorrhoea.
4) Obstinate constipation after marriage.
Has to strain a lot while passing stools.
5) Frequency of urination at night.
Has to sit for ½ hr and urine flow is drop by drop.
6) Recurrent throat infections
Stitching pain in the throat < spitting cough.
<swallowing saliva.=""></swallowing>
7) Tendency to corns.

Generals:
Appearance: lean and thin since childhood.
App: cannot tolerate hunger.
Cravings: chocolate, fruit juices, fruits.
Thirst: thirsty.
Stools: A/C
Urine: A/C
Sleep: Disturbed by thoughts , always wakes up at slightest thought.
Dream: of water, dreams continued even after she wakes up.
Thermals: Chilly+++

Mentals:

 Gets angry at slightest trifles. Husband says we all have to think before telling her anything. Can’t
tell her that she is wrong. otherwise can be aggressive, bangs her head, throws objects.
Hysterical.
 Irritability at slightest disturbance.
 If son is even breathing heavily, then whole night she will be tensed what if he gets his asthmatic
attack.

Will become hysterical and shout at doctors, nurses to give full attention to her son.

 At the same time very sensitive about criticisms, very conscious about her looks.
 Childhood:

 Anticipatory- lot of tensions regarding everything. Would think about future.Anticipation before
exams.
 Averse to household work.
 Very confident – started driving when she was 10 yrs of age.

 Timid: couldn’t stay alone. Fear of darkness. Fear of robbers.

 Very obstinate.
 Pampered child.
 Not much interested in studies.
 Extrovert.
 Could get her work done easily.Intense passion to get her things done.
 Got married at the age of 20 yrs.
 Lot of problems with Mother in law, As M.I.L very dominating.
 Since I was a pampered child , not much interested in household work. But M.I.L would be very
strict.
 Lot of restrictions.
 Anger against M.I.L out of fear and not respect, I can never respect my M.I.L. Malice against
M.I.L
 Anxiety++ regarding her health, says for me my hair is most important, My Hair is my Identity.
 Very concerned about it, says I feel I have become like a beggar now. Wherever I go , I see hair
of other women, I Envy them.

analysis:

Hello everyone well most of them, have come to the remedies like sep, nit acid, phos,moschus
based on the constitution. Now differentiate these remedies ,such that it should cover the
pathology , sphere of action , miasm as well.

Remedies given to this female were- calc carb 200 1, moschus 200 1, phos 200 1.

she responded well with calc carb 200 1, but after 6 months her cracks reappeared. urinary
complaints slightly better, hairfall increased.

So the above case was re evaluated and indicated remedy was given which is..................
Remedy given: NIT ACID 200 1
ANALYSIS:
• CHILLY+++
• THIRSTY
• ANGRY, irritable litigious, argumentative,
• Nervous, apprehensive.
• Recurrent Throat inflammation- stitching pains in throat.
• Scaling of skin , cracks on skin.
• Constipation- has to strain a lot. Gaseous flatulence < evening.
• Hunger aggravates.
• Craves: chocolates, frui ts.
• Decaying of teeth.
• Hatred for mother in law.

rubrics: 1) anger - violent.

2) hatred for persons who had offended him.
3)throat- pain stitching,swallowing on agg.
4) envy.

patient had responded well only to calc carb , hence the remedy has to be in relation to calc carb.

remedies which follow well: nit acid is one of the remedies.

nitric acid also covers:

1) anger at trifles.
2) anxiety driving from place to place.
3)anxiety hypochondriacal.
4) discontended.
5) obstibnate headstrong.
6) dreams continued , after waking.
 Introductory lecture By Dr Prafull Vijayakar on 21st
august 2011
21 August 2011 at 22:22
Date: 21/08/11

Introductory lecture By Dr Prafull Vijayakar to stimulate the youth to follow Right

Homoeopathy.

This seminar was specially arranged on request of the students ,as they are lost in this
era where there are too many schools of thoughts and no standardization in the practice
of homoeopathy. The whole purpose of this lecture was to encourage the youth ,not to
give up homoeopathy. To Show the miraculous and wonderful recovery of the patient with
Homoeopathy in simple and grave or terminal diseases.

Dr. Samuel Hahnemann sacrificed hid MD degree to discover this new science-
Homoeopathy:
Why did Hahnemann discover homoeopathy?
What was the necessity?
He discovered Homoeopathy:

 A science that was supposed to be better than existing allopathic system of medicine.
 A science that could treat the incurables with ease.
 A science that could treat emergencies with ease.
 A science that stands test of time.

We need to know ….

 That homoeopathic medicines do not cure diseases and symptoms..

 We have no medicines for cold, cough, diarrhea, dysentery, asthma, nor for diabetes,
arthritis, etc…..!

We just stimulate CURE…….!!!

Why single dose??

 As we just stimulate cure, We have an internal “ RMO” i.e Our immunity which needs to be
stimulated when health is deranged.
 Homoeopathy depends on Nature’s Law of Cure As stated in Aphorism 26. SO LEAST
STIMULATION IS NEEDED.

How does homoeopathic medicine act?

 Our medicine help in immuno- modulation.

 Hypersensitivity or hyposensitivity is normalized.
Eg: anti hyperglycaemic drugs bring down the sugar, hence patients sometimes goes into
state og hypoglycaemia which can be more lethal. Whereas right homoeopathy medicine
brings about a balance.

Why homoeopathy is Mathematics??

 True homoeopaths consistently prescribes keeping in mind the balance of Nature.

 Foot note 106 states:

“At first, about forty years ago, I was the only person who made the proving
of the pure powers of medicines the most important of his occupation. Since
then I have been assisted in this by some young men, who instituted
experiments on themselves, and whose observations I have critically revised.
Following these some genuine work of this kind was done by a few others. But
what shall we not be able to effect in the way of curing in the whole extent
of the infinitely large domain of disease, when numbers of accurate and
trustworthy observers shall have rendered their services in enriching this,
the only true materia medica, by careful experiments on themselves! The
healing art will then come near the mathematical sciences in certainty.”

 We can see mathematics in and around us.

In this vast universe,

We see Halley’s Comet can be seen once in 76yrs. Scientists can predict the exact date
and time when it can be seen.

 Earth goes around the sun in 365 days.

The world is ruled by mathematics.

 Seasonal changes:

Winter----spring---summer---autumn---winter.
This is the rhythm of nature.

“Mathematics is rhythm”.

 Conception-

A gynaecologist can tell you the Expected due date of the baby by calculation.

 Delivery- At the time delivery , Baby’s head comes out of first then the body.
 If the presenting part is not head, its termed as BREECH- i.e break in the nature’s law.

 Similarly, you see mathematics in all physiological processes of life e.g. Heart rate, pulse,
Menstrual cycle,etc.
 Why do we have a range in readings of reports then?
 Hence if all physiology, pathology, disease are Mathematics, then SO is Cure.

Need for genetic similimum:

 Cause of illnesses is in genes.

 Genes are responsible for

A) PHYSICAL MAKE UP.

B) MENTAL MAKE UP.
C) GENERAL MAKE UP.
D) DISEASE.

Aphorism 5 states that

“Useful to the physician in assisting him to cure are the particulars of the
most probable exciting cause of the acute disease, as also
the most significant points in the whole history of the chronic disease, to
enable him to discover its fundamental cause, which is generally due
to a chronic miasm.

In these investigations, the ascertainable physical constitution of the

patient (especially when the disease is chronic), his moral and intellectual
character, his occupation, mode of living and habits, his social and domestic
relations, his age, sexual function, etc., are to be taken into
consideration."

 Genes are the blue print or architectural plan of what he is going to be mentally or
physically.
 God has made us into two important parts- Mind and Body. One cannot exist without the
another.

Mind is the one that orders, whatever the body does is just follows the order from above.
Body and tissue cannot act on its own.
Hence when we consider only the x rays and blood reports, we are considering only Half
MAN. And we get Half Results And No complete cures.

Lastly,

Dr.HAHNEMANN has mentioned in his book Of Chronic disease-

 [ Author’s preface to the first edition of 1828 ]

 But in communicating to the world this great discovery, I am sorry that I must doubt
whether my contemporaries will comprehend the logical sequence of these teachings of
mine, and will follow them carefully and gain thereby the infinite benefits for suffering
humanity which must inevitably spring from thefaithful and accurate observation of the
same… or whether frightened away by unheard nature of these disclosures, they will not
rather leave them untried ,unitiated and therefore useless.

How true it is!! So many homoeopaths came up after this, yet nobody understood
homoeopathy like Hahnemann did…
This science is so perfect that if you practice it CAREFULLY, FAITHFULLY, without adding
your own, then you Shall gain infinite benefits from it , in curing the Suffering
Humanity…….
DISCUSSION OF A CASE OF SLE
19 August 2011 at 00:14
Date: 26/6/11

Name: Mrs XYZ

Age: 39 yrs
Qualification: diploma in optometry.
Occupation: working in optician shop.

Diagnosis:
1) SLE
2) APLA Syndrome.
3) Diabetes mellitus
[steroid induced]

C/C:
1) Hairfall since 2009
2) K/C/O Glaucoma- Heaviness felt in eyeballs, dryness,redness of eyes
Aug 09- cataract [central ] of left eye.
<sun- irritation="" lachrymation=""></sun->
Blurring of small letters while reading.
Vision- normal.
3) Pain in the left ear since 1 yr.
No discharge.
< talking over the phone for long.
4) Apthae in mouth since many years
<warm food=""></warm>
<spicy food=""></spicy>
Teeth caries+ tooth brittle.

5) Recurrent Tonsillitis since 1 yr

<hairwash.></hairwash.>
<hands in="" water="" for="" long="" time=""></hands>
<wet clothes=""></wet>

6) Pain in the left side of sternum since 2-3 months

Intolerable pain
<lying down=""></lying>

7) Loose motions since a long time.

8-10 times a day
Character of stool- loose,watery, offensive+++, yellowish
Taking antibiotics for it.
Impaired digestion- Bloating of abdomen.
Dull aching pain in the Right Hypochondrium- Feels hard
<after eating=""></after>
<spicy> butter milk</spicy>
<milk>Curd</milk>

8) Pain in the back radiating from shoulder.

Sore, bruised feeling.
<lying on="" one="" siide=""></lying>
<exertion.></exertion.>

9) Pain in the knees Rt>Lt.

Swelling in the knees < evening
Sensation as if it will break.

Journey of Disease:

1yr of age: chicken pox.

2 yr of age:- bronchitis + recurrent cold and nasal discharge.

Skin – allergy to soap.
5-6 yrs of age- injury to left side of collar bone.
8-9 yrs- jaundice.
17 yrs- Early greying of hair.
20 yrs- pleural tapping – right lower lobe ?Kochs
24 yrs- Malaria.
After that joint effusion started , Backache.
28 yrs- Marriage [ nov 2000 ]
29 yrs-2001- march – conceived, pelvic inflammatory disease. Breathlessness during
pregnancy.
30 yrs-2002 november- Vacuum delivery .
31 yrs-2003- MTP.
2003- Backache + Knee joints, elbow stiffness, movements restricted.
Taken 10 cycles for back- SWD.
35 yrs-2007 Sept- Retroperitoneal Haematoma 3.4.cm x 1.7 cm. Ant. Wall uterine
myometrial fibroid.
2007- Oct.: Breech Presentation. During 5th month Pregnancy – breathlessness and
joint pains.
8th month pregnancy- threatened premature labour. Gestational diabetes.Insulin 3 units
4 times a day.
37 yrs- 2009- 17th may- profuse menses in the night had to change 3-4 times.
Purpuric spots in lower extremities.
19th may 2009- Diagnosed as ITP. Treated with steroids.
17th June2009- USG- Multiple gall stones.
23rd Sept 2009- X Ray Chest- Left side consolidation middle lobe.
6th Oct 2009- APA- Ig G- 47.7 [0-10]
Ig M- 69.8 [0-10]
18th Nov 2009- AKT for 1 yr.
 20th Nov 2009- right profound hearing loss
1st Dec 2009- HRCT – Calcified LN in Rt Paratracheal sub carinal region. Fibro atelectic
segment in the lingular segment of Left lung.
38 yrs-July 2010 – USG abd- Right ovary follicular cyst. Nabothian cyst.
August 2010- glaucoma of both eyes.
Dec 2010-AKT stopped.

PHYSICAL GENERALS: CHILLY + THIRSTY

App: Good. Eats in hurry.

Likes: sweets++, spicy, salty.
Perspiration: moderate.
Stool: loose stools .
Urine: NAD
Sleep: good, salivation during sleep.
Even if woken up from deep sleep, starts working.
Dreams: -
Sensitivity: < tight clothing- suffocation.
< Cigarette smoke- cannot tolerate.
Menstrual history:
FMP: 12 Yrs
LMP: 16/6/11
FLOW: regular+ BRIGHT RED + PROFUSE++ .
Before menses: loose stools, bloating abdomen.

Obstetric history: G3 P2 A1 L2
G1= FTND- Vacuum delivery.
G2= MTP
G3= Breech delivery.

Mentals: staying with husband and 2 children.

 Very frank , outspoken

 Positive
 Anger out of control, impulsive.
 Hurried, impatient
 Dominating.

Childhood:

 Not interested in studies. But would never fail in exams.

 Memory- good. Till date remembers everything.
 Extrovert
 Restless child, would play around a lot.
 Would frequently hurt herself, not cautious, very hurried and impatient.
 Anger on contradiction. Would backanswer and retaliate. But no physical fights.
 Around 2009- Lot of anger and irritability. Even if its not concerning her, yet she would get into
fights and arguments.
 Injustice cannot tolerate.
 Abusive even for slightest things.
 Slightest contradiction aggravates.
 Will: strong. Confident.
 Courageous.
 Sensitive to criticism+++............ Reaction : irritable, will retaliate and back answer. Will not talk
for 2-3 days. Does not like consolation.
 Egoistic.
 Hardworking- has never denied any kind of work which needs to be done.
 Sympathetic and compassionate- ready to help anyone who is suffering.

A/F : March – April 2009 :

“I had to hear what I never expected. I was been misunderstood” “ Nobody to listen to my side of
story”
Patient’s youngest sister fell in love with her eldest sister’s husband. This patient didn’t like and
she went upfront about it in the family as she was Outspoken and frank. But she was been
misunderstood and all her sisters accused her of lying and even her own husband told her that
she was wrong.

Analysis :
Chilly + thirsty.

PSORA:

 Extrovert
 Non conscientious+ non diligent
 Playful, restless
 Hurried , Impatient
 Sensitive to criticism, contradiction

SYCOSIS:

 ambitious
 Egoistic
 Frank, can retaliate and backanswer, outspoken
 Sympathetic,compassionate
 positive
 Dominating
 SYPHILIS:

 Anger out of control, Impulsive

 Contradict disposition to
 Defiant
 Abusive insulting

Sensitivity: <tight clothing-="" suffocation=""></tight>

< cigarette smoke- cannot tolerate

Following were the rubrics considered:

1) generals- clothing pressure of agg.
2) generals- tobacco agg.
3) impulsiveness.
4) abusive, insulting.
5) positiveness.

remdy given : Causticum 50 M 1.

Since miasm is syco sphilitic , hepar sulph more psoro syhilitic hence ruled out.
mercury doesn't fight for others , they fight for themselves.
Nux vom more ambitious and ardent, patient was quarrelsome.
And likes cloudy weather--- rule in Causticum.

Follow up:
11/7/11:
Weakness >>
Pain in the popliteal fossa >>, swelling knees>>
Dryness in the eyes due to glaucoma >>
Hairfall >>
Pain in the left ear >>
Ulcers in the mouth >>
Numbness of soles>
Patient said that when I came here for the first time, I couldn’t walk but now i can walk easily.
Reports:
1/7/11: Hb: 11.6
Hematocrit: 34.3%
ESR : 50.
Differential WBCs: Band forms: 7%
Neutrophils: 67%
Eosinophils: 1%
Basophils: 0%

RBS: 180 mg/dl.

Generals >>
Rx: SL.

1/8/11: tapered dose of steroid to 5 mg wyselone now.

Weakness>> but still present.
Eyes -dryness>>
Eyeballs have become hard [ despite of reducing steroids and stopping eye drops]
Numbness on left side of leg>>
Reports:

13/7/11
28/7/11
Hb
12
12.2
haematocrit
34.7
34.9
platelet
1,65,000
1,67,000

H/O loose motions last month.

Rx: SL
Few QUERIES answered by Dr.Prafull Vijayakar and
Better Understanding Of Rubrics
6 August 2011 at 13:04
Questions:

1) If skin lesions are getting cleared above downwards, but patches are getting cleared
from centre to periphery…. RIGHT OR WRONG??
Ans: WRONG direction-
lesions which get cured from centre to periphery- RINGWORM. Miasm- Sycosis.
Psoric lesions cannot be blackish discoloured as psora is balance. And here there is
excess deposition of pigment.

2) Fibroid and ovarian cyst… which should go first??

Ans: Ovarian pathology- comes under the 5th layer [endocrine] and fibroid comes under
the 3rd layer [ connective tissue- myometrium ]. So ovarian cyst should be cured first.

3) In case of Parkinson’s disease- what should improve first?

a) Change of stature.
b) Rigidity .
c) Loss of voice.
Ans. If balance getting tilted, morphology affected, attack on the structure , then that
should be corrected first. First stature should improve as anatomy should be corrected
then physiology. Distortion of posture occurs last in advance cases of Parkinsonism and
it should be first to improve.
After child is born, alignment is first formed. Then physiological functions follow.

4) In case of Herpes – it spreads Dorso- Ventrally , so in which direction should

improvement take place?
Ans. Cure should also take place Dorso -Ventrally as HERPES is a process where the
body is throwing out virus from the nervous system / exteriorizing in outward direction so
it should be Dorso Ventrally.

5) Meaning of Pining boys?

Ans. Pining boys are young boys who are sad, melancholic, lean thin and emaciated.
Boys never complaining, never happy.
Remedies – Baryta mur , Lyco , Aur , Tub, Sanicula.

6) In Inordinary cold and cough, if the child is shrieking and wailing as if the noise is
piercing through you, [here even if the complain is psoric, it means that the child has a
precursor to go into destructive disease earlier in life, hence has to be corrected] then
remedy can be Ars or in relation to Ars.
Rubric: Lamenting , loud, piercing [syphilitic]
7) Lamenting ….. SYPHILIS- Aggressive complaining.
Moaning……… Sycotic - Subdued complaining.
Growling voice like a dog’s bark – Magnesiums , Ammoniums.

8) Difference between Timidity and Cowardice.

Timidity- lack of confidence, shy. Fearful. No confidence to go in front of someone. Not
related to courage.
Timid people can be courageous, timid mild ladies can be courageous also.
Cowardice- lack of courage….WILL symptom.
Eg: those people who come and sit quietly in front of you are shy,timid, but when it comes
to fight- they can be courageous.

9) Difference between:

a) Impetuous - like Jhatka ; Impulsive. Sudden impulse to do something.

b) Rashness- trying to do something which has no inhibition. Rashness concerns an

action.

c) Heedless- does not care for anything. E.g: child jumping from 1st floor.
Mental or physical attribute.

d) Audacity- people who suddenly come in amidst of a crowd and talks foolish.
Effrontery- show off. Comes across proudy.

e) Affectation- ‘Nautanki’ show to boost One’s Image. An attempt to exhibit what is not
Natural. False PRETENCE. Artificial behavior trying to project that he is
great…………[SYCOSIS EXCESS].

f) Hypocrisy - opposite of affectation. trying to hide himself- Jo vo hai,vo nahi hai.

Deceitfulness. ……………….[Sycosis less].

g) Impudence- disregard for opinion of others, not bothered what others think.

h) Impertinence- pertinence means pertaining to, relevant behavior. Over forwardness..

impertinence will have rudeness, in audacity it may not be rude.
e.g - a small child coming to clinic and sitting with his legs on the table- unsuitable
behavior not consistent with age.
Case of Behavioural disorder, depression and
erectile dysfunction
17 July 2011 at 18:00
A 27yr old Male working in a shoe shop, Married since 5 1/2 yr came to our clinic on 13th june
2011 with complaint of depression since 14-15yrs.
Diagnosis – Behavioural disorder, depression and erectile dysfunction.
Observation – leaning forward while narrating complaints.
Chief complaint –
1) Depression since 14-15 yrs.
Obsessive Compulsive Disorder – keeps checking locks of his door. Keeps on calculating even
though he has done it right.
Negative thoughts – “ I am not good looking.”
Suspicious if two people are talking he would feel that they are talking about him.
“I am unable to concentrate on my work, constantly these thoughts come to my mind.”
“Even if I go out with my wife, I feel that all people on road might be feeling that he is looking so
ugly and his wife is so beautiful.
No interest in sexual activity, premature ejaculation (frequency of intercourse-once in 15 days)
“Today, even in the shop of footwear where I work ,I don’t look in the mirror but sit somewhere
else, from where I cannot see myself. Also if I have to go to jewellery shop , I won’t look in the
mirror.”
Cause -
“14 years back when I was in 7th std. one of my teacher humiliated me in front of all students in
the classroom. The teacher was of some other caste, he was somewhat biased of my community
people [islam]. I was angry , so passed a comment on my teacher that he is bald , not loud
enough. But a classmate who had grudge against me , complained to my teacher. Next day he
asked me few questions and started humiliating me. He told look your face in mirror , ”you are so
ugly”. I felt very bad that day. And later on, few of my classmates also commented the same.
This thought is constantly in mind since then.” That I am very ugly.”

Generals –
Appetite – want of appetite , never feels hungry and can go without food for days and still work
regularly, he would tell his family that he had food outside.
Desire – Lassi ++, juices.
Aversion – Chicken (because he gets regurgitation of food ) spicy++
Sleep – Initially sleep increased as he was on antipsychotic medicine (allopathic), would sleep for
hours daily. Now sleeps late in morning, needs to be awakened forcefully in morning.
Stool - Has to strain, gaseous distension of abdomen. Hard stools , but no episode of bleeding
per rectum.
Urine – Burning micturition after sexual intercourse.
Habit – Smoking, since 10-12 yrs of age and drinks alcohol since many years but started drinking
beer since 2 years.
THERMALS: Chilly

Physical sensitivity –
Loud noise - makes him angry.
<tight clothing-="" prefers="" loose="" clothing.=""></tight>
Sun exposure causes increase in perspiration and lachrymation from eyes.
( Does not like to wear hat because he gets bad feeling about his looks . I am not good looking)
Past history:-
Operated for DNS 5 yr back
Abdominal Kochs 2yr back
Incidental finding: HLA B27 +VE.
Family history:-
Father - Ca liver.
Mind –
Stays with his wife, children, 3 younger brothers and parents. Born and bought up in Mumbai.
Childhood –
He was very introverted and reserved. Timid - couldn’t fight back. Also very thin in built.
Sensitive to reprimands- would be scared of his father.
Father was very strict and disciplined , patient was very scared of his father as father would get
angry on trifles.
Mischievious, Happy go lucky.
Patient was least interested in studies. He was eldest of 5 siblings.
Since young age he would get offended easily.
He is very sensitive to what others will say. What wife says is not important but what other people
say is important.
Indulgence in sexual activity in early age. History of masturbation since teen age [ but now no
interest], had increased desire and now feels guilty about it.
He was poor in mathematics, struggled to pass in lower standards. Left studies after 10th std.
Started selling lemons, but left as other people use to humiliate him and comment on his looks.
( patient looks normal, decent,with well defined and good features.)
Anger and self-criticism , finally took up a job in shoe shop.
Because of this incident, anger ++ and fight with a person in shoe factory and he was fired from
his work. “ I can break relations if such things happen but it was my bread and butter and hence I
had to go back.”
Since the, had to always suppress his anger.
7 yrs back fell in love with a girl but couldn’t tell her, because of feeling of ugliness, this was one
incident of disappointment.
Later got married 5½ yr back. No active sexual life. Fantasises about other females. But no
history of exposure outside.
I think my appearance should change rather than my sexual life because even while having
intercourse, appearance is more important and hence my appearance should be normal.
Weeps due to feeling of ugliness, it was not before. Comes home from work and abuses his
wife.
At work- speed very fast. Also very good at convincing his customers, can talk sweetly and
convince his customers to buy the footwear.
Has been thin throughout, would drink beer to put on weight.
Wanted to divorce his wife as she is very beautiful. I don't have attachment with anybody now in
the family, I'm VERY SELF CENTRED. I think about just myself and my appearance.
Also now I'm not interested in taking care of my family, even if father has Cancer, I don't get
tensed now.
Need: RESPECT. Likes to be appreciated but will never will ask for it.
Will: Weak willed.

Discussion between Dr. Prafull Vijayakar and the patient:

Patient: My weight is not increasing doctor, allopathic doctors have told me that I'm Suffering
from abdominal TB, Hence after the medicines my weight will increase but it is still the same. 5
yrs back it was 50 kg and even today it is 50 kg.
Dr. Vijayakar: I s Your weight same inspite of eating well ?
Pt: I try to eat even if I'm not hungry, I have tried eating nothing for days together. Yet I don't feel
hungry. I can still work but feel little weak. For increasing my weight I had started consuming
beer also, but weight is still the same.
Dr.: this means that the remedy should have tubercular diathesis [ diathesis, not MIASM!!!] As
Patient is lean thin, unable to gain weight and also H/O TB.

Dr.: Since childhood patient’s working speed is fast. And even now inspite of the illness, patient’s
activity is fast.

Pt.: yes, very fast.

Dr.: So, Here we need a remedy which is Fast , present before the disease and also in the
diseased state.
Dr. Hahnemann has stated in aphorism 210, 211 that we have to give importance to disposition
of the patient, pick up those innate characteristics of the patient which are present before the
illness and also in the diseased state. Here we cannot give importance to mental symptoms like
delusion, etc in a mentally deranged individual. He went into it as someone depreciated him and
it’s a disease symptom. We will have to go his psora.

So, Following has to be given importance in this case:

1) Speed: very quick and fast.
2) Always thin.
3) Chilly + thirstless.
4) Syphilitic remedy which can go to the extent of undermining confidence.

On further probing,
Pt.: I work in a footwear shop, I can speak very well and can convince any customer to buy a
particular footwear. But whenever this thought comes, then I’m unable to do so. My thinking
should improve, then I’m very talented.
Dr.: this shows that he is very intelligent, can be a sweet talker and manipulative.

Pt.: whenever I get angry or anxious- my hand starts trembling since before, even in my
childhood.
Dr.: this shows that the patient is timid, non fighter
Pt.: Since childhood I was poor in maths. I couldn’t score even 2 marks out of 100.
Dr.: Here, the patient is not dull, he is intelligent, yet he is unable to do calculations. Poor in
mathematics, but good in other subjects.
Hence Rubric: MATHEMATICS CALCULATING INEPT FOR. Has to be taken.
Note: if the child in general is dull, then this rubric cannot be given importance.
Here, it shows that brain does not have the ability to calculate.

Pt.: Also Doctor, I have joint pains and severe backache.

Dr.: patient’s HLA B 27 is +ve which means he has auto immune affection of joints and bones.
This shows that his esteem has been affected. As your skeletal system forms a structure. Hence
it has to be an ESTEEM Remedy.

Explanation by Dr.Prafull Vijayakar:

Analysis:

1) Will : weak willed.

2) Disposition: timid + sweet talker + manipulative.
3) Mathematics inept for.
4) Chilly+ THIRSTLESS.
5) Non conscientious+ Non diligent.
6) Fast remedy
7) Tubercular diathesis.
8) Esteem remedy.
Merc- R/O as he was not a fighter. He wanted to divorce his wife as she was beautiful.
Rhus tox- R/O- as Rhus tox doesn’t have so much of ego. Its not an ESTEEM remedy.
Caust.- R/O as patient did not fight back with his teacher. So we WANT an eseem remedy which
yielded to a given situation.

Remedy given: Calc Phos 1M 1

P.S: Most of the doctors would have taken delusion as a rubric , but Here delusions cannot be
considered, We have to go for something innate.
Case Discussion - encysted hydrocoele
17 July 2011 at 17:40
Date: 7/5/11:
Case of a 8yr old boy K/C/O small encysted hydrocoele of left spermatic cord lying at the
internal inguinal ring projecting into the inguinal canal since 3 years.
Swelling is non tender.
A/C:
1) recurrent upper respiratory tract infections- follicular tonsillitis. LEFT TO RIGHT.
2) Hypopigmented patch near the right eye.

Birth history: FT LSCS- breech presentation. Head towards the left side. Birthmark- Right
side of the thigh.
Conceived after 4 yrs of marriage.
Mother was TORCH +ve in Earlier pregnancy hence it had to be aborted.

Milestones:
TEETHING- lower incisors at 3 months of age.
Neck holding- after teething.
Walking- 15 months.

PAST HISTORY:
07- fissure in ano. Given duphalac.
April 08 - chicken pox.
Aug 08- was been treated by a homoeopath after which he did not like to be looked at.
Anger increased. For cough – antim tart 200 was given on 30th aug 08.
4th sept 08= 1st episode of viral myositis. Started walking on toes. Spongia 200 -6 hrly
given.
Nov 10- sore throat treated with homoeopathy--- developed viral myositis. Calf muscle
pains.
Generals:
App.: good. Can tolerate hunger.
Food: prefers warm.
Desire: chicken, fish, citrous fruits.
Thirst: THIRSTLESS.
Thermals: CHILLY.
Perspiration: Profuse esp. over neck.
Stools: He would pass motions standing with his pants on and pressing abdomen ,
bending forwards on sofa till 6 yrs of age.
Urine: NAD.
Sleep: ok.Even as a child would sleep after feeding.
Sensitivity:
Sun- nil.
Tight clothes- nil.
<noise- when="" he="" was="" small="" would="" get="" scared="" on="" hearing=""
sudden="" noise="" like="" mixer="" grinder.="" fear="" of="" thunderstorms="" and=""
 loud="" by="" crackers.="" even="" while="" going="" to="" a="" function="" gets=""
thinking="" that="" they="" burst="" crackers="" there.=""></noise->
Smell- Sense of smell very sharp.
Life situation:
Staying with a single mother [ parents separated few years back] and his grand parents.
Mother is a working lady.

 Clinging to mother whenever he is with her.

 Even at night, if mother is away prefers been with grand mother.
 Very shy and bashful. Embarrassed easily. Doesn’t express himself with outsiders.

e.g: Once he sprained his ankle while playing. While returning back home, he didn’t tell
about it to his uncle who came to pick him up. When he got down from the rick he started
weeping.
 CUSSION of a young girl Suffering from sudden fear
and anxiety attacks.
25 May 2011 at 23:05

18YRS/Female Came to our clinic on 14th may 2011. FOLLOWING IS HER CASE. Follow up
awaited. Still Dr.Vijayakar would liketo share this case for learning. So lets have a healthy
discussion as to the probable remedy and more importantly how you analyse the case.

C/O Fear and anxiety attacks

CHEIF COMPLAINT:

1. Episode starts with any one negative thought like if brother teases her that you are fat,
she will start criticising herself and keep on changing topics. During the episode she feels
heaviness of head, thoughts keep constantly coming in her mind with restlessness.
2. During the episode she pulls her hair, throws things, eyes become red, loses control over
herself with involuntary crying which is uncontrollable.
3. Previously with this episode she would threaten everyone that I will kill myself. Now
during episode she is more violent with shouting and shrieking.
4. Whatever she is creating like painting or drawing, she will do it 75 percent and then she
will start destroying it like scratching or tearing it.
5. When mother wakes her up in morning she gets up frightened.

ASSOCIATED COMPLAINTS:

1. Body ache since one year, more in morning weeping with pain. Along with it pain in neck
and back. Pain in all small joints.
2. Numbness of palms since one year.
3. Things fall easily from her hands. If she is holding something suddenly things fall from
her hands.

ODP:
Chief complaint started in 8th std. where she got her first cycle of menses. During that time
her best childhood friend shifted to patient’s school. Her friend started making new friends in
patient’s school thus patient started feeling neglected.
At the same time she was liking one boy in school but could not approach the boy for fear of
rejection. (patient said if I would have approached him at that time things would have been
different now).
MENTALS:

Before chief complaint started during childhood , nature of patient:

 Was good at studies but mother had to accompany her. Mind was very sharp as use to grasp
things just on hearing it.
 Introvert: she said I could not open up with people , I am afraid of people judging me , they will
not understand me , its difficult to judge people, I am just scared of getting rejected and my self
 confidence goes down. If people would come at her house she would not talk to them and keep
her head down.
 She never demanded anything.
 Would love to read romantic stories.
 Said dancing would be her stress buster.
 Patient said I feel lonely though I have friends. Now lots of thoughts going in my mind. mind
starts working very fast and during that time my legs become very restless. now she had
developed forgetfulness while talking.
 When you wake her up in the morning she is frightened. Since the time she is ill, she scores less
in her exams. Before she would start studying only late in the night after 1.20 a.m, would never
study in the morning.
 Patient said I had two or three times disappointment in friendship so I don’t really have close
friends now. I live in past and future and hardly in present.
 Now she tells mother that you were ruling my life.
 Now she make verses regarding love, family, and friends.
 Innovative. She doesn’t like appreciation on that she would tear that paper.
 Mother said that in childhood she use to fall often while walking and fear of going into tunnels.
Also when patient was very young, she would get scared to go to any new place like a garden,
but after taking her 5-6 times, she would enjoy and start playing.
 Shy, timid in childhood. If see is writing something and if teacher comes and stands besides her,
she will be scared and go blank for a while.

GENERALS:
Left sided mole on cheek.
App: when I think ,I desire more food.
Likes: salty and chocolate.
Hot + Thirstless.
Sleep: for long hours.
SENSITIVITY:
Sun- my skin burns.
Noise- scratching causes irritation.
Clothes -cannot tolerate around neck.
SENSES: All Are Acute.
Palms red and warm to touch.

OBSERVATION: While talking she was drifting from one topic to another.
When she stepped out of the cabin, she called the assistant doctor to ask Dr.VIJAYAKAR , she
should pursue which career.

ANALYSIS:

Miasm: Syco syphilitic

Child was mild, timid , introverted, sensitive.

MOST PECULIAR here is this case is loquacity jumping from one topic to another.

She strikes, she will tear, throws things ,there is SUDDEN onset of violent anger. Also there is
involuntary weeping.This shows syphilitic sphere of the patient-------------------------HYSTERIA.

Loquacity changing one topic to another

Left sided mole.

Very sharp in brain, memory, and intellect and recalling is very sharp

All senses are sharp.

RUBRICS TAKEN: 1) Verses Makes.

2) Hysteria.

3) Numbness insensibilty Hand.

PHYSICALS: HOT+ TL+ LEFT SIDED[ MOLE ON LEFT CHEEK]

Differential remedies: agar, am-c, lach, lyc,nat mur,stram.

4th rubric taken: 4) loquacity changing quickly from one topic to another.

1)+2)+3)+4) = agar,lach,lyc,stram.

Agar- chilly and talks about his exploits. Here the patient was quite sharp and very intelligent,
also patient is shy and timid.

lyc- ruled out- patient is non conscientious.

stram- stram R/O Patient had no fear of darkness. And did not need light while sleeping, and
usually they are chilly.

Snake will always attack. If she is been criticised then she will attack.

In loquacity snake will change topic and Nat. Mur has more of irrelevant talk.

lach confirmed with sensitivity to Tight clothing around the neck.

Remedy given: LACHESIS 1M 1.

FOLLOW UP:
 13/6/11:

 Patient says Heaviness of the head is much better.

 Even emotionally I feel better, not vulnerable like earlier.
 Can control Herself better now.
 Bodyache -SQ-
 Patient says I would have constant thoughts in my mind, Thats better now.
 Mother says she is better, but wants to get her hair straightened now.Rx: SL28/6/11:
 Weeping since few days, As in a particular dance performance, she's been placed in the second
row. Wanted to be in the front row.
 But no Violence like before. not pulling her hair, or shrieking or rolling on ground. But says I don't
want to go for dance rehearsals.Rx: SL13/7/11:
 Has taken admission in Interiors. Has made new friends in college, so happy about it.
 No episode of anger so far. But still has bouts of irritation.
 urticarial rash on face, after drinking Ice tea.
 Does not complain of pains any more.
 sleep >>
 Numbness of palms >Rx: SL
Case discussion of Rheumatoid Arthritis
12 May 2011 at 17:06
NAME : Miss ABC
AGE :22YRS/FEMALE
OCCUPATION: STUDING IN T.Y.B.COM
Date of Interview: 24/10/09.

Diagnosis: diagnosed as RHEUMATOID ARTHRITIS SINCE 2003

C/C: Present complaints:

-polyarticular pains in right extending to palms
-right elbow jt swelling medial aspect
-left ankle joint medial aspect pain since 7-8month
-right finger joint
Occasional pain and swelling in joint with stiffness
No redness

INVESTIGATION:
Hb -10.4gm%
Wbc -6600
L-25%
N-72%
M-2%
PLATELET-3.16%

JOURNEY OF DISEASE:
-Patient was asymptomatic till 2003
-started with pain in left knee joint
-swelling < walking
<waking up="">

MENTALS:
WAS IN TENTH PREPARING FOR BOARD EXAM.
MOTHER SAYS STUDIED FOR 4-5HRS AT A STRETCH IN 1 POSITION.
2-3MONTHS BEFORE EXAMS COMPLAINTS STARTED.
TOOK ALLOPATHIC MEDICINES-NO RELIEF.

-LT KNEE ARTHROSCOPY DONE

RA POSTIVE NOV 2003

ANA DONE

2YRS ALLOPATHIC TREATMENT

LT KNEE to RT KNEE to RT ELBOW
RT WRIST to RT FINGER JTS
SINCE 7-8NMONTHS PAIN AND SWELING ON LT ANKLE JT MEDIAL ASPECT.
 GENERALS:
THERMALS: CHILLY
WHILE SLEEPING WANTS COVERING AND DOESN’T WANT FAN.
FAN IN GENERAL DOESN’T PREFER IN NASHIK.
THIRST- THIRSTLESS
APPETITE –PREFER WARM FOOD/CAN TOLERATE HUNGER
LIKES –SPICY
PERSPIRATION – MODERATE
GYNAEC HIST:
LMP-20/10/09
-NON OFFENSIVE
-NON STAINING
-REGULAR,MODERATE NO CLOTS
OCCASIONAL DYSMENORRHOEA ON 1ST DAY
SENSITIVITY-
NO SENSITIVITY TO SUN
NOT SENSITIVE TO TIGHT CLOTHING
NOT SENSITIVE TO STONG ODOUR
-BRIGHT LIGHT
-LOUD NOISE
SLEEP- DEEP,SOUND ,REFRESHING
DREAMS –NOT REMEMBERED

MENTALS:

 INTROVERT.DOESNT MIX EASILY WIT ANYONE WHO COMES TO VISIT

 MOTHER SAYS SHE IS IRRITABLE ,GETS ANGRY EASILY
 WHEN ASKED –SAYS I GET ANGRY WHEN SOMEONE TAUNTS ME OR WHEN
SOMETHING IS NOT DONE ACCORDING HER WISH
 GETS HURT EASILY WHEN OTHERS SHOUT AT ME OR TAUNT ME
 I AM MORE EMOTIONAL
 DECISION GETS CONFUSED BUT WHEN A DECISION IS MADE THEN WONT CHANGE IT

COLLEGE:

 HAS MANY FRIENDS BT CLOSE TO ONLY 1-2 BEST FRIEND

CHILDHOOD:

 HAS 1 ELDER BROTHER 4YRS ELDER TO HER

 ON COMPARING THEIR NATURE
 PATIENT IS MORE EXTROVERT THAN BROTHER
 WILL APPROACH OPPOSITE PERSON
 SCHOOL: DILIGENT CONCENTIOUS QUIET CHILD,
 LIKED DANCING TOOK PART IN COMPETITIONS
 LIKED TO TAKE PART IN DEBATES
 WANTED TO GO IN MEDICAL FIELD WAS IN 11-12TH SCIENCE,HAS DONE D.PHARM,
 BUT DUE TO PROGRESSION OF DISEASE WAS NOT ABLE TO PURSUE FURTHER SO
WENT TO COMMERCE
 FEAR-NO FEAR OF DARKNESS
 FEAR OF LIZARDS,RATS,ETC
 PREFERS COMPANY
 ANTICIPATING ANXIETY BEFORE EXAMS,
 FASTIDIOUS

Remedy given on 24/10/09- Silicea 200 1 dose.

Analysis: CHILLY + THIRSTLESS + LEFT SIDED.

 Lean, thin.
 quiet, Introverted, not haughty.
 studious , always 1st upto 7th then 2nd.
 Lot of anticipation before the exams.
 need: support.
 Dilligent+ conscientious.
 attachment to mother.

follow ups:

28/11/09-

Pain intensity -SQ- , but has reduced the no.of painkillers.

Swelling -SQ-
Constipation >>
has stopped taking Inj. Biotrexate and other allopathic medicines.
ADV: SL

9/1/10:
Pain wrist >>
pain ankle >>
constipation -0-
adv: SL

11/3/10:
Rt Elbow pain >> Rt wrist >>
Rt FINGER JOINT PAINS>>
no swelling of finger joints.
Knee jt pains>>
ankle pains on and off.
adv: to stop all allopathic medicines,pain killers.

12/6/10:
accidental finding in USG- tiny renal stones.
Pain in UPPER EXTREMITIES .>>>
Pain In lower extremities +
RA test: -ve.

ADV: SL
</waking>
CASE OF MDR[MULTI DRUG RESISTANT] TB
LYMPHADENITIS
5 May 2011 at 13:21
Name- Mrs XYZ
age-27 years sex- female
marital status- married since 4 years
occupationhousewife

Diagnosis- tuberculosis lymphadenitis (MDR)

Chief complaint :
1)swelling in right upper part of neck(anterior triangle) since 2months
tender++
<pressure>
tingling in the swelling for 1-2 times / day for few seconds
continous type of pain
ODP- sept 2006 had got 1st swelling in the right side of
neck
FNAC and Mantoux done.
MT+ve for TB

Taken AKT-4 for 3 months and AKT-3 for

8 months

Ended in october 2007

Swelling in left posterior triangle of

neck

FNAC done

Positive for TB
AKT-4 for 3 months and inj. Ambistrin (streptomycine) for 2 months and since
then AKT 3 is going on

Swelling in the right upper part in anterior triangle in may’09

Still persisting
ODP- 23rd may 2006 delivery of baby.

24th may 2006 pain in the teeth in right lower jaw had
taken antibiotics and painkillers.

1st and 2nd june 2006 was going for root canal but while going pus started
flowing from mouth which continued for 2 days.
Then removal of both teeth

Pain and swelling continued still.

July 2006 again gone to dental surgeon who again opened all sockets and
cleared but stilll then swelling persisted

So he excised swelling from outside and removed pus

Evolution
In childhood- tonsilitis on and off. <cold things="" sour="" food="">
7 years - measles
10-11 years- episodes of epistaxis especially in summer
16-17 years - one attack of dysentery and one episode of blood in
stools
18 years - swelling in the left posterior
triangle Rx by antibiotics within 15 days
settled down
20 years -one episode of burning micturation , episode of hematuria , one episode of
migranous headache with blurring of vision.
22 years- got married
23 years -2006 pregnant ; 9th month severe cough; c/c
24-25 years -july 2007 episode of moderate hematuria

Physical genral
Thermal -chilly
Thirst - thirsty. prefers cold water to drink
Appetite good,
cannot tolerate
hunger
prefers any food non vegetarian
Stool -nad
Urine -burning occasionaly
Perspiration-scanty
Sleep- 6-7 hours of sleep refrishing sound sleep on back or sides
Dreams -occasionaly
Likes -spicy, onions, with more chillies in food, juices, fruits like apple, mango,
water melon, alll juicy fruits
Dislikes- sweets
Gynaec history-
32 days
regular
lower back pain and lower limbs aching
scanty bleeding with clots
Leucorrhoea-no staining.
Obstetric history - G2 P1 A1 L1 G1- male- 3 years FTND
 G2- MTP at 1 ½ - 2 months

1st pregnancy- 9th month severe cough

8th-9th month bed rest
Physical sensitivity
Sensitive to odour of petrol, cigarette smoke, diesel etc
- nauseated vomiting

motion sickness vomiting travelling in bus

<sun headache="" occasionally="">
aversion to tight cloth around neck
tendency to swelling of both halix toe in rainy season left>right.
Painful and nail falls off
Memory- good
Mental symptoms
Husband says that she is very good natured, adjustable and very frank
She says that i get angry but i don’t express my anger. She gets angry when
husband pays attention to “bhabhi” or brings anything for bhabhi, says i don’t like
that at all. Says i know that its wrong on my part but i get angry. Before
marriage only many people had told me about this, that can be one of the
reason suspicious about husband
Says then i talk to my husband and get angry on him. Due to this reason we
had many quarrels also but now everything is more or less settled.
Says whenever i get pimples on my face, i don’t like to go out. I go out
very less with my husband as what people will think that husband is doctor and
she doesent look good due to pimples
Sensetive to rudeness, criticism but says i cannot back answer to anyone. Even
if i backanswer then i will have total discomfort for 2-3 days
Says i fear that everytime some happiness is about to come in life, something
bad is also going to happen with me. eg- one day before marriage, a letter was
sent to her in laws place , speaking bad about her family and her character .
But in laws had come to her place and talked to them and cleared. But says i
was happy that i have got very good family, husband and this happened. Since
then there is a fear within me that at any point of time, he shouldn’t trust the
lettter.
After birth of child says i was happy as i had baby girl, everyone in family
was happy then i got this illness which is not getting better.
Weeps when anyone scolds her especially husband or points out her mistake.
Says weeps when alone cannot weep in front of everyone >consolation esp by
husband
Introvert person takes time to mix with other people
Says i like to listen to music esp slow hindi songs likes to go out in natural
places. She is a nature-lover likes to be in surrounding of mountains, rivers,
flowers etc
She likes everything to be in proper place says i keep everything properly but
due to lot of kids in house, things are thrown here and there but she explains
them to keep it properly, doesn’t get angry, she willl again keep it in place.
She says even medicines i take very properly, on exact time everyday
Childhood- she is eldest among brothers and sisters
She has studied till b.a. Says she was not much intrested in studies, but says
her memory was good, whatever she studied, she use to retain it very well,
never failed
She used to love dancing in childhood, says i use d to participate in all
functions. But after 8th std my parents use to scold me that girls don’t dance
in public and then i stopped dancing.
Was good in drawing. She liked to draw flowers, cartoon characters. She used
to love to draw rangoli, says her rangoli used to be very huge and everyone
used to apppreciate her
She was very close to grandmother. Says more than my parents, i was close
to her. When in 7th std, they were shifting to akola, she cried a lot. One day
along with her sister she left the house to go to village to meet grandmother.
Says they had been taught a poem on “aaji” in 9th std. Says that poem is
so close to her heart that still that page is with her.
She was more close to father than mother.
Says father was alcoholic since childhood. After drinking there use to be lot of
fight between parents and there use to a fear in her from childhood thatthey
should not do something which willl themselves or each other.
Investigation-
17-10-06- OPG- for mandible and both TMJ
visualised teeth
right left
1– 8 1 – 8 = 16
1- 8 1 - 5 = 13
a small lytic area with scelortic rim at right lower 8th. Impacted 3rd molar tooth
seen in both halves of upper jaws . Left lower third molar teeth impacted . A
round lytic lesion in right half of mandible ? Resolving.
20-10-06- cytology report
smear shows polymorphic population of lymphocytes, many histocytes, fibrous tags
seen. Epitheliod cells seen in groups and singly. No caseation in aspirate.
S/o granulomatous lymphadenitis
13-09-08- histopathology report : Right mandibular LN - sections show large area of
caseation seen in the ln substance which is surrrounded by fibroblast and
epitheloid cells. Langherhans cells and mantle of lymphocytes
Opinion:- tuberculous LN
12-3-09- TB Ig G- i55.6 u - latent
13-8-09- histopathology report
Excised lymphoid tissue from abscess left side of neck. A large area of
caseation seen in the ln substance surrounded by fibroblast and epitheloid cells.
Langhan giant cells and mantle of lymphochytes
Opinion- s/o tuberculous LN
7-3-09- x-ray chest P.A view -Healed koch’s right upper lobe.
Final rubrics :
Frightened easily
abscesses suppuration bones
ANALYSIS: chilly+thirsty
D.D Arsenic, calc- carb, calc-phos, china, conium, lachesis, lyco, ph-acid, phosphorus,
plat, puls, sepia, staph, sulphur
Rx
remedy given on 10/7/09: Phosphorus- 30(1)

7-09-09
swelling decreased after 1st month of medicine
much >> 70%
pain decreased now since 1-2 days pain again started
burning micturation 2
episodes now >

generally 70% >>

feels more
fresh
lymphadenitis>>

remedy- SL.
21-10-09
weight- 44
½ kg swelling
decreased of neck >> 70-80%
pain in both breasts R>L 4-5 days between menses
eruption at site of
scar acne
generally
>>>
coryza and cold during diwali
dry cough since 1 week
sun < reaction on skin 2 episodes
general
>>> glandular
swelling ->>
acne
Rx- SL
18-12-09
swelling neck >>> not visible now
general >>>
Rx- SL
17-02-10
occasional pain in right sub –mandibular region < physical
exertion cold,
cough++ chest
clear
bodyache on exertion
LMP- 29- 30 jan
pimples +++
appetite good
Rx- SL
16-07-10
swelling of the neck >>>
cough
bodyache and cramps
acne
menses regular but flow decreased
appetite-
increased
Rx SL
20-08-10
swelling of neck decreased (almost nil)
cough increased
pain in left hand >
tingling numbness left hand >>
menses regular
appetite- normal
pain occurred at site of operation
pain in right hand
weight- SQ
backache
Rx SL

09-03-11 swelling of neck >>>

tonsilitis on and off
weight has increased
generals >>>
acne >>>
Rx SL
</sun>
</cold>
</pressure>
 Case of Spinal Muscular atrophy
28 April 2011 at 18:22
Name: Mast XYZ
Age: 2yrs male.
Date of interview-22.4.08
c/c:
1) Cannot walk and stand on his own.
Needs support always.

Crawling –frog jump at 1 ½ yrs of age.

When made to stand outward turning of feet,
All other milestones normal.
Talking- early 6 months of age.

Mentally sharp no complaints.

BIRTH HISTORY: FT LSCS, breech presentation, didn’t cry immediately after birth.
Neonatal jaundice- Day 3. Phototheraphy for 2 days.
There was minor bleeding after 4 days when umbilical cord got detached.
All vaccines given , no complaints.
2-3 months of age- cold and cough.
Sticky, slimy mucus while vomiting. Taken syrups for it.
7-8 months of age- nappy rash. External applications.
14 months of age: loose motions, and vomiting, given antibiotics.

Mother’s history during pregnancy:

Lot of mental stress during pregnancy and after delivery.
Used to feel alone and lonely, was very sensitive at that time and would weep a lot. Would share
her feelings and talk with her child when he was in her womb, had become negative and very
depressed ‘ What will happen of my child.....Anticipation.
PHYSICAL GENERALS:
HOT+ THIRSTY.
App: hunger can tolerate.
Craving : fruits+++, dry fruits, cheese.
Urine: NAD.
Stool: occasionally straining and hard stools.
Sleep: 9-10 hrs refreshing.
Sensitivity:

 noise- could not tolerate earlier.

 Sun- cannot tolerate rays of sun on face.

F/H: Grandparents- depression.

Life situation:
Stays with parents and grandparents. Only child.
Gets scared easily if he hears loud noise. Would get scared earlier and start crying even if
anyone would scold him.
Can play alone. Shares his things with others. Mixes easily with others. Loves company. Loves
animals , likes to dance.
On his annual day function, he was not allowed to dance and was made a fruit vendor who just
had to sit whole time on stage. He was very angry at that time, he didn’t speak or eat as he had
practised the whole dance, and he was not allowed to perform.
When he performed in front of his family, he was satisfied. Started feeling inferior to his friends
now.
Fear of falling.
Memory- sharp. Very intelligent, quick grasping. Good with numbers and alphabets.
Possessive about family, wants attention always.
Attachment- mother.
Loves to hug, kiss parents, small children. When ill cries a lot and wants mothers constantly
besides with. Consolation aggravation.
Left handed person.
Investigation:MRI-28.11.07
Mild dilatation of ventricles.
Diagnosis by sir-weaknessand relaxation of lower part of muscles.
Lower part has suddenly stopped developing at age of 6-7 months. Invertion giving rise to
distortion.
Analysis:
Psora- A/F anticipation
Sycosis-as she would talk and shares feelings with her child when he was in womb.
Pathology-sycosis-less of elasticity
Syphilis-distortion
Remedy given- nat mur 200-1
Rubrics- 1. Relaxation of lower limbs
2. Delusion neglected he is
Other points covered-

1. Sensitive to rays of sun

2. Hot + thirsty
3. Sensitive
4. Timid
5. Consolation agg
6. Attachment-mother
7. Brooder

Follow up-
2.5.08
Fever 102-103. Yellowish expectoration. Dullness with weakness. Standing is better
Sl
16.9.08
Can stand on his own for 50 counts.gastric problem better.
 Sl

8.12.08
Started walking with support. Fears increased-fear of water,fear of falling,fear of heights.
Sl
13.4.09
Fear better. Gets up from sitting position.walking better.
Sl
19.5.09
Started walking few steps without support. Little bending of knee. Generals better.
Sl
7.9.09
Walks from 1 room to other without support. Knee bending,keeps right leg in outward position.
Sl
26.4.11
Enthusiastic in walking but had taken physiotherapy because of which legs are better but back
muscles weak.
Nat mur 50 m-1p
Like
 case of muscular weakness
12 April 2011 at 18:15
A 16 month baby was brought to clinic with following complaints: on 10th oct 03

1) Generalised muscular weakness ,on physiotherapy and has started to roll since 2-3 months.
2) inability to hold head and sit unsupported.
 cannot hold neck , tilts head to left side.
 cannot sit without support,bends forward.
 eyes completely turned upwards or downwards.

Birth history:
Normal delivery [ late by 7 days ]
labour was induced, mother had retained placenta.
patient had physiological jaundice- wrongly prescribed sedatives. slept for 2 days

P/H: operated for cleft lip- left side at age of 8 months.

Milestones: Delayed.

Vaccination: all given.

H/O abscess in rt. groin after 1st DPT.

Personal history:

App.: moderate.
craves: salty things.
Thermal: HOT.
THIRST: Thirsty.
Perspiration: profuse around nape of neck and head, wets pillow.
Stool: Sour smelling.
Urine: strong smelling.
sleep-good.
occ. smiling in sleep. sometimes sobs and wakes up crying.
restless before sleep.

Life situation: and Mentals:

Stays with parents and elder brother.

 active and restless- even in mother's lap continuously, move extremities making noise.
 likes physical activity.
 fast- speed.
 intelligent- at physiotherapy clinic, picked up movements taught to him quickly. Once he reached
that place he would start on himself.
 good in mimicking.
 memory: active.good
 Has always spoken to his maternal grand parents on phone only yet when they came to meet
him, patient recognised him from their voice.
 wants to sleep on father's lap only. sometimes awake till 2 a.m till father comes home.
 fear: dark. light needs to be on while going off to sleep.
 company desires.
 does not sit in the room alons, rolls upto kitchen where mother is working.
 fear of dark , probably because he cannot see anybody and feels alone.
 likes to be in motion and watch things in fast motion.
 anger++ father says we are scared of his anger.Anger when scolded or reprimanded, reacts by
shouting back with double intensity.
 obstinate. if he tries to touch something , you pull him back and he will do it again.
 likes surprises which suddenly springs.
 loves mimicking.
 shrieking.
 plays antics.
 will come quietly feeling that his father has not seen him , takes away his moblie, rolls fast and
shows him that I have flicked it without your knowledge.
 loquacious. constantly making noise which seems like he wants to talk.
 claws face of father and pulls mother's hair.
 bites.
 witty.

Mother's History during pregnancy:

Though it was planned pregnancy once she concieved, she felt probably 'I was not ready for it'.
There wasn't much excitement as compared to 1st pregnancy.
Irritation and bottled up anger, as she was working and had to take care of 5 yr old son and
family.
felt nobody gives support and bothers for me ,as husband has a very busy schedule.
would try and pick up fight with husband when he was at home.
says was not given proper attention.
anxiety conscience guilt and sadness that son had to be put in creche and son was not ready for
it.

Remedy given: 10/10/03

Stram 1M 1

Follow up:

21/10/03:
loose motions++, slight fever.
Rx- SL

30/12/03: neck holding slightly better. can turn his head on his own.
can sit for 5 to 10 min.
Initially used to roll to reach objects now he lifts his body.
Before would bend forwards on sitting, now sits without support.
making noise , trying to talk.
scalp has regained normal shape, the ball like bulge on sub occiput region has decreased.
blank look on face is better.
has started to open his left fist.
Rx- SL.

28/4/04-

sits independently and crawls and asks for things.

Stands on toes now.
Has become social, wants to go out.
speaks monosyllables.
has become cautious.
balancing improved , co ordination of muscles improved and has started to climb and sit on chair.
 Hemiplegia
4 March 2011 at 22:51
A 2 yr 9 month old boy was bought to the clinic with complaint of Right sided Hemiplegia. Cannot
grip or do any work properly with right hand. Walks on toes with right leg.

CT Scan: 28/4/07-
A 2.8x 0.7 x 3.0 cms size periventricular sub cortical old infarct involving basal ganglia, internal
capsule, corona radiata and centrum semiovale on left side.

Birth history: FT LSCS as cervical os did not dialte properly. after oxytocin injections, pain went
on increasing but os did not dilate. baby did not cry after birth. Baby was given oxygen and kept
in ICU for 2 days.
Had red patch on occipital region and a local ointment was applied.
Birth weight: 1.5 kg.

Milestones: Delayed.

Mother's history during pregnancy:

Had good appetite during pregnancy , but mother in law did not allow her to eat. so the mother
had to control her hunger and would be very angry about it.. lot of SUPPRESSED ANGER. when
she gets angry,she would keep quiet and not eat then.
weeping easily and when alone, better by consolation.

During delivery, B.P increased, and there was swelling all over the body.

Child's disposition:

 stubborn, timid, hits only people whom he knows or who is related, not unknown people.
 gets angry and throws things.
 fear of dark, desires company. no strangers.
 hugs, kisses grandmother and mother.
 speed fast
 memory: good, remembers places.

generals: Chilly + thirsty

cravings- fruits+3

remedy given: staph 200 1.

follow up: 5/12/08:

right side movement started, now when given object to hold catches it.
15 days back, developed flat eruptions,blackish on arms,trunk.
started to talk too much now.
understands now what to speak and what not to.
Rx- SL.

Ammoniums
31 January 2011 at 23:51
Ammonium- Similar to platina.
serious looking children, sharp features.
mixture of NV[irritab] + plat [haughtiness]
when you know them well, you come to know that they r not as haughty as platina
angry and irritable-don like to be in acompany. dont like to answer much.
Moroseness out of timidity, they can be very good friends, once you get close to them.
RIGHT+ THIRSTY.
Short sensation[ faling short of] tendons, courage, happiness, money, etc avarice.
stretching of parts agg.
weariness, torpidity, weakness.
angry, morose, EMBITTERED, sarcastic, discontended, seems haughty.
' I cannot extend fully'---- something held back...
cannot sleep with legs straight. has to keep pillow below legs.
hence sleep on abd.
as everything is falling short.
sim. to NV- but NV has more positivity, not coward like ammonium.
ammonium happiness is also short.
'things dont happen in my life' always negative, no completion, hhence morose, discontended.
ammon odour penetrates and remains long, excoriating.- doctrine.

Ammon carb-
sensitive to wetness, hydrogenoid,
sensitive to hurt and injuries, wounds do not heal, nostalgia- bad things remembered by him.
reaction- shortening.
amm carb- fat with thin legs; amm mur- lean thin.
aversn to water- touch cannot bear of water, bathing, washing dread of.
children who do not lik bathinG[ sulp, psor, ant crud]
PHYSICALS - injuries, blows falls. bites of snakes. wounds bleed freely. heal slow, gangrenous.
anxiety conscience of with weakness.
acrid watery discharges.
Practical tips on Materia Medica-Introverts
15 January 2011 at 17:37
IDENTIFICATION OF INTROVERTS:
1.Patients who do not talk on their own.
2.Patients who do not volunteer information on their own.
3.Patients who do not even provide a friendly smile when looked at.
4.Patients who look away or do not meet your eyes or stare.
5.Patients who love to be at a side or sit in a corner,all by themselves,busy reading a book or a
newspaper.
6.Patients who answer to the point,very shortly or curtly and do not expand a conversation.

INTROVERTS:
1.Out of timidity-carbons,ammoniums,natrums,magnesiums
others-diligent:arsenic,acid phos,silicea,ignatia
non diligent:hot remedies-puls,ambra grisea
chilly remedies-cocc indicus,rhus tox,gels,plumbum,stannum met.
2.Out of moroseness-
a)-angry when obliged to answer:hot remedies-nat mur,puls,bryonia
chilly remedies-nux vom,arnica,colocynth,acid phos,ars alb.
b)- sarcasm:hot remedies-lyco,bryonia,lach,tarentula.
chilly remedies-carbo veg,graphites,ars alb,nux
vom,cham,sepia,nitric acid,ignatia,caust.
3.Out of haughtiness:hot remedies-lyco,granite,lach,plat,sulph.
chilly remedies-nux vom,caust,staph,silicea,fer met,cup met,silicea,china
4.Out of gracefulness:diligent-aur met,iignatia,silicea,fer met,carcinosin,ars alb,nat carb.
non diligent-carbo veg,strontium carb,mag,nat mur,opium,bar mur,cocc
ind,viola odorata.
5.Out of sadness and melancholy:
a)consolation agg-nat mur,ant crud,ign,sepia,graphites.
b)consolation does not agg-puls,acid phos.
6.Out of indifference-hot remedies-plat,granite
chilly remedies-helleborus,carbo veg,sepia.
case of psoriasis
4 January 2011 at 23:32
Patient 30 year old male seen in Mahabaleshwar March 6, 2010.
Thin fellow with psoriasis. The lesions are everywhere EXCEPT the face, hands and feet = only
on covered parts. Dr.Prafull Vijayakar suggests he is an introvert. “An extrovert would show the
lesions everywhere,” The patient willingly showed us the lesions.
Dr.Prafull Vijayakar: the body is hiding the lesions (under the clothing). “You must be a secretive
person,” he said. Patient nods. “I never tell my thoughts,” he said.
Onset of psoriasis: 2002.
Sir: A/F separation = psoriasis. The scales are leafing off.
“All psoriasis is A/F separation.”
Patient says he feels separated from his home.
He is sensitive to rudeness. Brooding. He says he feels he is of two minds, one positive, one
negative. He wonders if he should do something or not do it. He has been going back and forth
on the idea of marriage
[Reflects long before answering. Reply, once it begins, is normal.]
He is too timid to tell a girl he loves her. Loves to read about meditation and spirituality. He is an
artist. While doing the first interview with the initial doctor, his mind wandered off. Tends to
distraction. Working here, mind elsewhere.
Every time he leaves home the psoriasis flares. At home it disappears.
Says he is more loved by his parents than his older brother is.
Nausea in car when it bounces (JAR, Stepping agg). In a train, no nausea as there are no
bumps.
“I am much happier at home.” At work his mind is on home.
Used to perform on stage which he liked. Likes to be in the limelight.
Few friends. Those he has,are close. Not mischievous.
Had wanted to be a teacher and go home to family at 5 p.m.
Not diligent. The man he works for makes him serve him. This angers him.
Sir: In childhood what did you not get?
Pt: He always wanted to be an art teacher but his parents had no money to send him to art
school. It was a big disappointment. Two years later his parents found the necessary money but
the course was no longer offered.
“If my father had money, I would not have psoriasis,” he said.
Now, he changes his tune saying home is not so important but money is. He wanted
independence.

Rubrics:
Answering, reflects long
A/F homesickness.
Irresolution
Sadness, thinking of his position
Jar, stepping agg.

Rx: Helleborus 200c

Approach to a case of asthma.
31 December 2010 at 12:26
ASTHMA Miasmatic View

1. Spasmodic contraction of respiratory tract due to irritation secondary to

hypersensitivity=Allergy=PSORA

2. Thickening of respiratory tract—chronic=SYCOSIS

3. Thickening of CV system with hypertension or later enlarged heart causing exertional

dyspnea=SYCOSIS

4. Destruction of alveoli, bronchi, bronchiectasis, emphysema=SYPHILIS

5. Severe irreversible spasm—a kind of croup=SYPHILIS

Never treat the acute spasm or acute attack with anti-spasmodic remedies or anti-asthmatic
remedies, e.g., acon, bell, mag-p, blatta, ant-ars

Need for the constitutional medicine but there is a time constraint when the acute problem arises.
So what to do?

We need to find the emotional reaction in an acute illness.

The emotional reaction tells us the disposition.

¶210 “…in all corporeal diseases the condition of the disposition and mind is always altered.”

¶211: “This holds to such an extent that the state of the disposition of the patient often chiefly
determines the selection of the homeopathic remedy…”

BASIC QUESTION TO ASK: “What do you do during the attack?”

It is not, “What do you feel?”

• Do you like people talking to you and asking questions?

• Do you like attention, care or help from others?

• Do you wake others at night or not?

• Do you weep during the attack?

• Do you become irritable and quarrelsome?

• Do you suffer quietly by yourself?

• Are you cheerful, happy?

Angry and irritable constitutions do not like people interrogating them. (AWOTA)

Need to observe. Is there a frown? Gestures.

“Please no more questions. Just relieve my asthma.”

Ask the person who accompanies the patient, “If you repeat a question, does the patient get
angry?”

When the person is doing something how does he react when someone disturbs him? (AWOTA)
& DISTURBED; Aversion to being:

Nux-v: anger when disturbed, with noise, children playing outside.

Ars-alb: anxiety about the disease. “Doctor, what do you think about my disease? Is it curable?
Do you think I should take this medicine or that one?” If Ars is disturbed when eating he can get
annoyed.

ANGRY WHEN QUESTIONED/DISTURBED:

HOT: bry, nat-m
CHILLY: nux-v, ars, ph-ac, coloc

Bryonia is very much like nux-v but hot. Short, thick neck. Strong finger joints (indicates good
business aptitude)

What is meant by consolation? A caress? Stroking the hand, the face?

Do you like it when someone inquires about you? Offers to get you water, etc.? If they say, yes,
you can use CONSOLATION amel.
Is there a difference between sympathy and consolation?
Consolation = “Don’t worry, everything will be fine.”
Sympathy = “Oh, you poor fellow, you shouldn’t have to suffer so much.”

CONSOLATION; amel:

CHILLY: ars, gels, hell, phos

Hell is slow in comprehension and reflects long before answering.

HOT: puls, carc, asaf, gels

CHANGING from hot to chilly to hot = CAMPH

CONSOLATION; agg.

HOT: bell, carc, nat-m, plat, sulph

CHILLY: ars, calc-p, kali-p, nit-ac, pall, sep, sil, stann

Does the patient weep during the attack? Which constitutions weep? The timid, the anxious,
those who want to attract attention, the hysterics.

Weeping, fearful, wanting help:

HOT: puls, calc-m, calc-s, sulph, lyc

CHILLY: calc-c, phos, kali-c

Calc is generally accompanied by someone every visit.

Needing someone the first visit, not the second: lyc, snakes

If the mother always speaks for the older child it could suggest DOMINATION by parent.
Those who perspire when they answer→PERSPIRATION; Talking agg.
Shaking hands: calc hand is soft. Hand can be flat, not curved.

Calc-m is more introverted. Seldom obese. Left-sided

Calc-c left-sided as a child. Later, right-sided. Sensitive as children.
Calc-i is a sad calcarea. Insecure, wanting support, money, god. Anxious, restless, glands++,
emaciation, loves trendy clothes and cycling. Desires open air but HEADACHE riding against the
wind. Small children after reading a few lines complain of HEADACHE.

Calc-s angry, egotistical Wants support of FAMILY, MONEY, GOD

Like all calc they are insecure, anticipatory,
Lamenting that he is not appreciated. Hates those who disagree. WEAKNESS; Anger:
Not into sports. Fear of being injured. Fear of sports. Desires to walk but loses the desire as soon
as he starts.
Calc-s is COURAGEOUS.

Calc-fl more money-minded. Insecure. anticipatory,

Accumulates money . Hardness of glands. Hair & nails grow fast (fl-ac)

DOES SHE BECOME IRRITABLE AND QUARRELSOME?

Arguing. Must prove a point. Decides to wake up husband in order to make her point that she
was not feigning, that it really was a severe attack.

Consider: kali’s, ophedias,

DOES HE QUIETLY SUFFER ALONE?

An attitude of, “I prefer to solve my problems alone.” Suggests the patient is independent. It
might be he does not want to disturb another person out of timidity, out of guilt, out of pride, out
of confidence.

A contented person v. an indifferent one.

Contented: op, mag-m, mag-s,
Opium is a good planner, has hyperacute senses. Can have deep sleep or light sleep,
Magnesiums: when to consider? Obese, round features, robust (MS), always smiling, never
complaining. A patient who comes back again and again and does not complain. Very patient
people. Slow, calm, composed, smiling. MS will talk to you only when they know you. GI Liver
infection.
Ask, “Can you eat immediately on waking in the morning? The magnesiums usually cannot
because of liver problems. Heavy head. (all magnesiums) Mag-c has more GI problems. Mag-s,
more connective tissue problems/ Mag-m affects the glands more.
Alumina a soft metal. Ladies smiling. Can be dominated by other stronger metals. Like Sil will
bend to an extent then not. Strong tendency to be constipated.

Contentment v. Indifference
Contentment more positive. Indifference more apathy.
Resignation. “I have to live with my fate.”
Despair. “Nothing works. I am never going to get better.”

One attitude: Why trouble others?

I’ll be okay tomorrow
Contented: op, mag-s, alum, phos, sepia

“This is an everyday affair.” op, mag-s, fl-ac, nat-m, sep

“I am strong enough and independent enough”→ merc, sep, aur, ferr,

Indifferent, does not like sympathy: sep, nat-m

Ego & haughty I don’t want others to know my weakness→plat, lyc, verat.

CONSCIENTIOUS: ign, lyc, aur

Anxiety of conscience: “I don’t like to trouble others as it would make me feel bad”: aur, alum,
psor
“My husband has to work hard all day and I don’t want to disturb him.”

Case of man with asthma. Never asked for help. Wife told sir. Please tell him to eat. He eats only
once a day. He will eat a small amount of food that he has allocated for four days and no more.
Why?
“I am afraid we’ll use up all the money if I eat too much.”
This man did all the housework. Afraid of his wife. When she took a bath, he stood outside
holding her clothes for her. Fear of poverty. Pessimist. Timid. Lean and thin. Given Psorinum.
Wife got Cenchris: DUTY; averse to domestic: cenchris, lyc, nux-v, sep, sil, sulph

Are you afraid and do you need someone to be near? = CONSOLATION; amel

Do you become panicky?

Timid, anxious, wanting support: calc, carc , gels, phos, puls, sil

Dominating and quarrelsome

Kali ars, lyc, verat, lach, china, nux, sulph, tarent, hep, snakes

Panicky:, acon, kali s, stram, sulph, puls

Those who suffer alone. They do not wake others. Why? Possibilities→

• Self-sufficient
• Conscientious
• Indifferent: cocc gels, mag-s, op, sep, stram
• Anxiety of conscience: aur, ars, alum, dig, chel, psor, sulph
• Introverted, timid
• Contented
• Despair
• Haughty, egoistic

Too timid to complain:

Carbons, carc, ign, sil, cocc, magnesiums, ph-ac