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A Case of Cervical Spondylosis and Ischaemic Heart Disease
Mr. H.M.
aged 49 years came to the clinic on 3rd January ‘95 with the following
complaints.
LOCOMOTOR SYSTEM Stiffness < while sleeping
Since 2 years Numbness++ < Afternoon nap
Lt > Rt Feels that Lt
Radiates from nape side is not present < when idle++
of neck. Decrease in the > when Occupied++
strength – 25%-30% > exercise
s of emptiness I > meditation++ the head No pain
RESPIRATORY SYSTEM Nose-block+++ A/F – humidity Since 1975 Coryza-white, <
cold water+++ Was better for 8 years watery sometimes > pressure on Started
again since Cough-sometimes root of nose 3-4 yrs-continuous Difficulty in
breathing
PAST HISTORY - Jaundice at the age of 24 yrs.
Operated for sinus in 1981.
Operated for hernia and Hydrocoele in April 1994.
Anterior Wall Myocardial Infarction in August1991.
FAMILY HISTORY -
Father - Mentally ill due to family problems.
Mother - Heart ailment
Elder Brother - Vitiligo
Younger Sister - Kidney ailment.
PERSONAL HISTORY -
Craving - fried foods+++ (fat)
Very much hurried in eating
Sleep - Does not like to sleep especially in the
Afternoon - since he is scared that he will be para,
lysed because of his illness-afraid of going to sleep.
Dreams - Quarrels frightful
Cannot tolerate extremes of temperature.
LIFE SITUATION
Patient was born on 20th August 1945. The financial situation of his family
was not good. So patient was sent to Porbandur to study in the Hostal from V
th to X th standard.
Patient’s father was mentally ill and did not look after his children
well-instead would always hit the children or threaten them. Patient used to
be frightened of his father. Would always be afraid
So the patient said that his childhood was very sad. He was always moodless
and a reserved person as a child. The cheerfulness was missing in his life.
Earlier would always stay away from people.
After his S.S.C. patient came to Bomay and joined Siddharth College of
Commerce. But in the first year of college he failed and started service.
Patient wanted to study further but financially his position was not good.
Patient has an elder brother and three younger sisters. So the
responsibility of his family was also on the patient - Even a lot of debts
had to be paid. Patient serviced for 4-5 years and then joined someone as a
partner for Estate Agents.
At that time patient’s brother was a book-seller and not doing too well. But
as an Estate Agent the patient really did well within a span of 2 years. His
business flourished.
Then in
1970-71 patient’s brother joined him. Now the patient’s way of business was
good, be would earn more than his brother. As it is, his brother’s word
could not be trusted, so his dealings would not be done. Elder brother did
not like that the patient was doing better than him. So fights began. The
years 1975-1979 were the years of turmoil for the patient. Finally both of
them separated.
Patient was married in 1973 and his wife’s nature is good. He also has good
relations with his 2 children-but cannot look after his children’s studies
because of his business.
Patient
is very ambitious. He still aspires for his business to grow in size.
Patient wants to be in centre of attention – wants people to notice him and
appreciate him. he is also of optimistic nature.
Patient
gets tensed very easily. Any new problems and he becomes anxious soon. Any
important assignment also, the patient will not give to anybody – he will do
it by himself. Does not trust anyone easily. While taking a decision also –
patient takes time because he is not sure whether he will be right or not
and what effect will it have in the future.
He is
also very sensitive and emotional. If he sees a poor person. Then will
always try to help them. He easily gets affected by sad events Even in
movies if he sees an emotional scene, he begins to weep.
Patient
becomes angry if anyone lies to him or tries to dominate him. Now the
patient is a builder, so comes in contact with the Government Officers or
with the unlawful elements. At that time patient keeps quiet. He is also
afraid of the unlawful elements.
Nowadays, patient has become more religious. He loves to read religious;
books. Spends a lot of time meditating and doing Yoga.
Patient
is also timid by nature. He is afraid of sleeping alone in darkness. Always
wants someone next to him. He is also afraid of ghosts.
He is also impatient by nature. At the same time hunied in the work, eating
and other movements. Very restless by nature.
When
patient sterted narrating his complaints in a span of first fifteen minutes,
he kept repeating the word “ samajhi gaya ne” which means ‘understood’
The patient also likes to talk to young beautiful girls. He also thinks of
sex when he sees any young beautiful girl. Patient is scared to get into any
relationship because of the fear of contracting - AIDS.
RUBRICS SELECTED
SYNTHETIC REPERTORY
MIND - Ambition
1.MIND - Anxiety about future
2.MIND - Cares, about future
3.MIND - Fear, apprehension, dread, alone, of being
4. MIND - Fear, apprehension, dread, alone, of being, bed in
5. MIND - Fear, ghosts of
6. MIND - Horrible things, sad stories affect her profoundly
7. MIND - Hurry, haste in eating
8. MIND - Lascivious, lustful
9. MIND - Libertinism
10. MIND - Religious Affections
11. GENERALITIES - Food and drinks, fat desire
12. GENERALITIES - Numbness, externally, left half of the body.
13. GENERALITIES - Numbness externally, unilateral
14. GENITALIA - Male, ejaculation, quick, too.
KENT’S REPERTORY
Nose - cbstruction
Skin - warts
PHATAK’S REPERTORY
Numbness - one half of body.
Case
Mrs. P.S.V., aged 45 years, came on 20.9.93 with the complaint of severe
pain in the left side of the chest and left upper arm.
Pain sharp, shooting < mental stress and tension
< morning
< evening
< motion
> pressure
Physical generals:
Appetite : increased
Thirst : violent
Desires : vegetables, milk
Perspiration : stains yellow
Sleep : disturbed by multiple dreams
Dreams : of huge house – all alone in the house, trying to find her
way.
Associated generals:
Stool : Constipation
Menstrual history:
Menarche : at 12 years
Cycle/duration : 28 days/4-5 days
Character of menstrual flow : Prouuse and dark
Dysmenorrhoea > Pressure
Leucorrhoea after exertion
Treatment:
Mag mur 200 was chosen as the constitutional remady while Paris quadrifolia
30 was the acute remedy chosen and given every 3 hours. Following treatment
with above remedies the patient showed remarkable improvement. |
