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CASE III
Mrs. Vimma, case no. 396-31
AGE- 30 YRS
U.S.G. - A 3.45*2.15 cm fundal mass is seen? fibroid.
Present Complaints -
Menses irregular – 1-2 days.
Clots – sometimes – dark blood with liquid blood –
last 5 days.
Before menses -
Pain – 2-3 days before the start of menses –pain increases
and decreases gradually, > warmth, passing flatus, pressure,
rubbing.
Gastric complaint > passing flatus.
During menses -
Pain increases
After menses -
Pain decreases gradually.
Pain in lower back.
Weakness
Generalities-
Appetite – normal
Thirst – less
Stool – not clear, first part hard.
Urine – normal
Sleep – normal
Temperament – nervous, weeks easily, thinks too much
Extreme hot & cold
Past complaint-
No history of any serious disease.
Analysis of the case-
After taking the case history of the patient we came to the conclusion
that there are enough valuable menstrual symptoms to prescribe upon,
so we started the case from the medicine indicated by the menstrual
symptoms.
Symptoms used for first prescription -
1.Menses changeable in appearance (Kent’s
repertory, page 725, Genitalia-Female: Menses; changeable in appearance-
PULSATILA grade-3)
2.Menses dark clotted last 5 days (Kent’s repertory, page725,
Genitalia-Female: Menses; clotted- dark – Lycopodium, Pulsatilla
grade-2 )
3.Pain appears suddenly and disappears gradually (Kent’s Repertory,
page1377, Generalities: Pain; appears suddenly-disappears gradually-
Pulsatilla grade-2).
4.Thirstless (Kent’s repertory, page 530, Stomach-Thirstless-
PULSATILLA grade-3)
First prescription –
Pulsatilla 200 was given on 16.10.2004 two doses at 15 minute intervals.
First follow up –
Patient came on 23.10.2004 gastric problem – increased flatulence,
which gives relief to abdominal uneasiness so Lycopodium 200 was
given two doses at 15 minutes interval followed by Pulsatilla 200
the fourth day. She could not tell any change in menstrual symptoms
because her menses was due in November.
Second follow up –
Patient came on 2.11.2004with reduction in menstrual bleeding
and pain so the same medicine (Pulsatilla 200) was continued weekly.
Third follow up –
Patient came on 6.1.2005 with complaint of nausea from smell of
food, colchicum 200 was given and advised the patient to undergo
urine test for pregnancy.
Fourth Follow up –
Patient came on 18.1.2005 with positive pregnancy test. There
was reduction in nausea from smell of food so colchicum 200 was
repeated
Second U.S.G – dt-27.1.2005- Pregnancy of 11 week’s
and 3days. No fibroid.
Fifth follow up –
Patient came on 28.1.2005 with normal ultrasound report.
CASE IV
Mrs. Saroj Case no 394-30 age-29yrs.
U.S.G. dated- 31.12.03 -Small left renal calculus with left sided
– indiscrete adnexal mass, most likely T.O. mass.
Lt. Kidney – 4 mm calculus in the lower calyx.
Left – Indiscrete solid mass of 4.8 x 3.9 x 3.4 cm.
Present complaint -
Pain in umblical region – extending upwards to chest –Pain
increases suddenly and decreases gradually – Cramp like pain
< pressure.
Nausea sometimes.
Pain with restlessness
Pain in whole body < right > movement, warmth.
Generalities-
Appetite – Normal
Thirst– Less / Normal
Stool – Normal
Urine – Normal
Menses – Scanty – Now normal.
Sleep – Normal
Temperament–Increased anger – expressive, irritation,
mental tension, nervous, weeps easily, thinks two much.
Extreme Hot & Cold.
Past Complaint -
Ring worm on hands and leg-Homoeopathic Treatment
Family History-
Father – alive – Arthritis
Mother – alive – O.K.
Analysis of the case –
After taking the case history of the patient the first medicine
which came into our mind was Pulsatilla.
Symptoms used for first prescription –
1.Pain increases suddenly and decreases gradually
(Kent’s Repertory, page1377, Generalities: Pain; appears suddenly-disappears
gradually- Pulsatilla grade-2).
2.Thirst less (Kent’s repertory, page- 530, Stomach-Thirst
less- PULSATILLA grade-3)
3.Weeps easily (Kent’s repertory, page-92, Mind: Weeping,
tearful mood, etc: PULSATILLA grade-3, Bovista grade-2)
First prescription –
Pulsatilla 200 was given two doses at 15minutes interval on 11.1.2004
followed by another two doses at 15minutes interval the next week.
First follow up –
Patient came on 24.1.2004 with slight improvement in pain and there
was no change in the symptoms. Pulsatilla 1000 was given two doses
at 15 minutes interval followed by another two doses after 15days.
Second follow up –
Patient came on 22.2.2004 with leucorrhoea thick, acrid, white,
follows menses. Leucorrhoea aggravated by movement.
(Kent’s repertory, page723, Genitalia-Female: Leucorrhoea;
Thick: Bovista-grade-2, Pulsatilla grade-2)
(Kent’s repertory, page723, Genitalia-Female: Leucorrhoea;
White: Bovista-grade-2 Pulsatilla grade-2,Pulsatilla grade-2)
(Kent’s repertory, page722, Genitalia-Female: Leucorrhoea;
menses, after: Bovista-grade-3, Pulsatilla grade-2)
(Kent’s repertory, page721, Genitalia-Female: Leucorrhoea;
Acrid, excoriating: Bovista-grade-2, PULSATILLA grade -3)
(Kent’s repertory, page723, Genitalia-Female: Leucorrhoea;
walking aggravates: Bovista-grade-3)
Bovista 200 was given on 22.2.2004 two doses at 15 minutes interval
followed by Pulsatilla 1000 two doses at 15 minute intervals the
next week. Medicine was given in a similar manner for another 15
days.
Third follow up –
Patient came on 14.3.2004 with improvement in leucorrhoea, same
medicine was repeated as stated above.
Second Ultrasound dated – 6.6.2004- Adnexae-Both the adnexae
including ovaries appears normal. No free fluid or mass lesion is
visualized in the pelvic cavity.
Fourth follow up -
Patient came on 6.6.2004 with normal ultrasound report. The treatment
was with same medicine for another three month to route out the
chance of reoccurrence.
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