Case of Smt.
R.M., 22 yrs female consulted for the treatment of
above condition along with prolapsed uterus. During
consultation on dated 2nd September 2006, she was pregnant.
Pregnancy of 7th month. She had a male child of approximately two
yrs old, means when she again pregnant, first child was one year & five
months of age. Surgeons advised her for so early pregnancy as they (surgeons)
were going for HYSTECTOMY after delivery of child.
Following complaints she had:-
- Vaginal
Discharge (Leucorrhea) since two years, after parturition. Earlier
constantdischarge now at the time
of consultation vaginal discharge paroxysmal with marked weakness. Nausea
with leucorrhea. Pain inguinal with leucorrhea. Appetite diminished with
leucorrhea.
- Losses
flesh since two years after parturition. Normally a women gain weight
after parturition.
- Nausea
at sight of food since one & half month.
- Nausea
& vomiting riding in carriage since childhood.
- Myopia
since two years. Lachrymation eye straining.
- Migraine
since four years. One sided headache with nausea. Headache from odors,
anxiety, riding, sleep disturbed, night watching, noises, fasting, cold
air, sun heat in summer.
- Hair
falling since two years after parturition.
- Burning
epigastrium since two months < tea drinking & fried eating.
- Constipation
since childhood. Passes stool anytime per day, sometime after one day.
Unsatisfactory stool, must strain.
- Bearing
down pain since two years after parturition. Prolapsed uterus with
Pruritus vulvae, backache, frequency of micturation
- Pain
calves since two years after parturition < after walking < after
exertion > rest & pressure.
- Itching
Eruptions generalized since ten days. Took A/T & gets better.
- Weakness
with bodyache since two years after parturition pressure.
PAST HISTORY:-
H/O Enteric fever relapsing seven years
back. Took A/T.
H/O Punctured Injury left leg three
years & seven years back. Suturing done with A/T.
GENERALITIES:-
Sleep : - Sleepiness
alternates with insomnia.
Dreams : - Unremembered
Appetite : - Diminished due to nausea at sight of food.
Thirst : - Normal.
Perspiration: - Normal
Stool : - Hard then soft, Offensive.
Urine : -
Burning before urination > during & after urination.
Desires : -
Spicy, Salty.
Aversions :
-Legumes
Thermal : -
Sensitive to both heat & cold.
MENTALS: -
Domination
of in laws after marriage.
Suicidal
Thoughts.
Humiliation
Worries
Grief of
Mother s death
Sensitive
Horrible
things sad stories affect her profoundly.
MENSTRURATION: -
Menarche
age 17th year. Ceased for three months after 1st appearance. Cycle
8-9 days/30 days. Normal flow without any other complaint.
After
parturition: -
Cycle 3-4
days/ 15 days.
Dysmenorrhea
with nausea & vomiting.
FAMILY HISTORY: -
Bronchial
Asthma & Cholilithiasis (Grand Mother)
Hypertension
(Father)
JOURNEY OF CASE:-
Uterine disease
appears because of following factors: -
1. Menarche
delayed.
2. Cessation
of menses after first appearance.
3. Childhood
complaint of constipation.
4. Her
extreme sensitive nature.
5. Domination,
Grief, Suicidal Thoughts, Humiliation contribute to increase disease to such an
extent of HYSTECTOMY after parturition.
REPERTORIZATION CONSIDERING ABOVE RUBRICS:-
Considering above rubrics
following repertorization done & in repertorization table remedy appeared
covering all rubrics NATRUM MURIATICUM & IGNATIA.

PRESCRIPTION: -
This case is poly miasmatic
disorder. Inflammation is of Psoric miasm. Prolapsed uterus because of breakage
of muscular supports of uterus means degeneration. Degeneration is Syphilitic
miasm. Dominating miasm is Syphilitic so starting potency decided 200. NATRUM
MURIATICUM 200*1 DOSE prescribed on dated 02-09-2006 followed by placebo tds
from next day.
FOLLOW UPS: -
12-09-06 APPETITE INCREASED &
NAUEA GETS BETTER. Placebo tds continuous.
13-10-2006
DELIVERED FEMALE CHILD NORMAL DELIVERY.
Took A/T hormonal during delivery
which interfere with action of remedy so decided to repeat NATRUM MURIATICUM
200*1DOSE followed by Placebo tds from next day. FOLLOW UPS (CONT.): -
20-10-06 Coryza appeared & gets better after placebo
prescription as SOS.
25-10-06 Bleeding uterine painful. Placebo tds and as SOS
continuous.
12-11-2006 Sleep better. Pains better. Appetite
Better. Nausea better. Bearing down pain better. Discharge vagina better. Urine
burning better. Backache persisting. . Placebo tds continuous.
07-12-2006 Peeling off of skin around nails of hand.
Backache persisting with slight vaginal discharge. Placebo tds continuous.
10-12-2006 Pain left side abdomen on sitting. Pain
throat right sided on swallowing. Skin around nails gets better. Placebo tds
continuous.
16-12-2006 Pain abdomen better. Pain throat right
better. Placebo tds continuous.
24-12-2006 Start Gaining Weight. Constipation better.
Now passes stool daily morning on waking. Backache & pain neck. Discharge
vagina & bearing down pain better.
18-01-2007 Frequent, unsatisfactory urine. Vaginal discharge
with backache. Bodyache. Appetite reduced with nausea. Hair falling which
earlier gets better again started. Symptoms relapsing means 200 potency
exhausted. NATRUM MURIATICUM 1000*1DOSE prescribed followed by Placebo tds from
next day.
30-01-2007 Urine frequency and urgency gets better.
Vaginal discharge with backache better. Appetite increased. Nausea better. Hair
falling better. Bodyache better. Itching whole body appeared and gets better.
Fever for 24 hours occurred and gets better. Placebo tds prescribed for one
month as patient shifting her native place NEPAL.
09-11-2007 Looking healthy and fleshy. All her
complaints better. Advised Ultrasonography for confirmation of uterine
condition. Placebo tds for three months. NATRUM MURIATICUM 10M*1 DOSE as SOS
prescribed with advise to take whenever leucorrhea with backache relapse.
28-05-2009 Feeling better regarding prolapsed uterus,
vaginal discharge, backache, sleep, stool, urine habit, migraine, hair falling,
menses regular & painless, and pains. Ultrasonography dated 12-06-2009
shows NORMAL STUDY (Photocopy enclosed).
07-07-2009 Case closed with best wishes. God Bless her.
No need of HYSTECTOMY.
Comments &
Suggestions invited respectfully. |