Name: Mrs. K S Sex/Age: F 49 yrs
Religion: Hindu Marital status: Married
Occupation Housewife Residence New Delhi
History of Presenting Illness
The patient presented the history of an ulcerated growth over the left margin of the base of the tongue. She took radiotherapy for that with no marked improvements. Asthmatic attacks in cloudy weather, pain in legs better with pressure and decreased appetite. Fearful dreams, irritable and angered easily. Eggs aggravate and desire sweets and fats. Very thirsty with dryness of mouth. Body feels as if grasped or air were filled in it.
Past History
On further enquiry, it was found that she had suppression of eruptions, asthma and erythema multiforme.
Family History
Not marked.
Patient as a Person
Appearance Moderate build
Skin Clean, fair complexion
Appetite Decreased
Cravings Sweets, fats
Food aggravation Eggs
Thirst Increased
Thermally Hot Patient
Emotional State Irritable, angered easily
Temperature Normal
Pulse 64 /Min.
Respiratory rate 16 /Min.
Blood pressure 126/82 mm Hg
Weight Not taken
Systemic examination
Respiratory system Wheezing (Mild)
Cardiovascular system S 1- S2 Normally heard, no murmurs
Local examination Small Swelling in left side of neck (Left parotiditis)
Investigations
Biopsy Tongue lesion Dtd. 27-02-2006 (AIIMS New Delhi) | Moderately differentiated Squamous cell carcinoma |
CECT Face and Neck Dtd. 01-03-2006 | CT findings are suggestive of well-defined enhancing focal lesion in lateral border of anterior 2/3rd of tongue – Mitotic- with few small (< 1 cms) cervical lymph nodes as described. |
Provisional Diagnosis
Moderately differentiated Squamous cell carcinoma left margin of base of tongue.
Constitutional Totality
Mentals
Ailments from cares, worries
Irritable
Violent anger
Thoughts persistent
Too religious and superstitious
Desires
Sweets, Fruits, milk and warm food
Food Aggravation
Eggs
Physical Generals
Moderate build
Hot Patient
Sun aggravates
Drafts of air aggravate
Evenings aggravate
Cancerous affection of advanced stage.
Acute Totality
Deglutition difficult. Severe drawing pains in left side of cheek and neck region. Worse 12 Noon, evening. Better nights. Pain radiates to left shoulder. Facial puffiness in morning.
Miasmatic Totality
Fundamental miasm Sycosis +++Syphilis + Psora ++
Dominant miasm Psora++ (Metastasis, Food aggravation etc.)
P2S1C3 Syphilis+ (Tissue Destructions)
(P= Psora, S= Syphilis, Sycosis+++ (Lymphadenopathy, Inflammatory
C= Sycosis) Changes, fibrosis, drawings etc.)
General Management
Good personal hygiene, highly nourishing diet and bed rest.
Specific Management
Strict control on any other medication.
Case Analysis
Mrs. KS F 49 13613 / 12-07-2008/ Cancer Base of Tongue left margin
1 MIND – SUPERSTITIOUS
2 MIND – RELIGIOUS AFFECTIONS
3 MIND – ANGER – violent
4 MIND – THOUGHTS – persistent
5 MIND – IRRITABILITY
6 GENERALS – WEATHER – cloudy weather – agg.
7 GENERALS – SUN – exposure to the sun
8 GENERALS – AIR; DRAFT OF – agg.
9 GENERALS – EVENING
10 GENERALS – NOON
11 GENERALS – NIGHT – amel.
12 GENERALS – CANCEROUS affections
13 GENERALS – FOOD and DRINKS – eggs – agg.
14 GENERALS – FOOD and DRINKS – milk – desire
15 GENERALS – FOOD and DRINKS – fruit – desire
16 GENERALS – FOOD and DRINKS – sweets – desire
17 MOUTH – CANCER – Tongue
18 GENERALS – PAIN – drawing pain
Repertorization
carc. | tub. | aur-m-n. | kali-ar. | med. | aur-s. | aloe | kali-i. | tritic-vg. | stram. | ||
636 | 613 | 609 | 540 | 521 | 510 | 498 | 484 | 482 | 469 | ||
1 | 1 | 1 | – | 1 | 1 | – | – | – | 1 | 1 | |
2 | – | – | – | – | – | – | – | – | – | 2 | |
3 | – | 1 | 1 | – | – | 1 | – | 1 | 1 | 1 | |
4 | 1 | 1 | 2 | 1 | 1 | – | 3 | 1 | 1 | 2 | |
5 | 1 | 2 | 2 | 1 | 2 | 2 | 2 | 3 | 3 | 2 | |
6 | – | 1 | – | – | – | 1 | 1 | – | – | 1 | |
7 | 1 | – | 1 | – | 1 | – | 1 | – | 1 | 1 | |
8 | – | 1 | 1 | 1 | 2 | – | – | 1 | 1 | 2 | |
9 | 1 | 1 | 1 | 2 | – | 2 | 1 | 2 | – | – | |
10 | 1 | – | – | – | – | – | – | – | – | 2 | |
11 | – | – | – | – | 1 | – | – | – | – | – | |
12 | 1 | 1 | 1 | 2 | 1 | 1 | – | 2 | – | – | |
13 | 1 | 1 | – | – | – | 1 | – | – | – | – | |
14 | 2 | 2 | 1 | 1 | – | 1 | 1 | 1 | 1 | – | |
15 | 1 | – | – | 1 | 1 | 1 | 1 | – | 1 | – | |
16 | 1 | 2 | 2 | 1 | 2 | 3 | 1 | 1 | 1 | 2 | |
17 | 1 | – | 1 | – | – | – | – | 2 | – | – | |
18 | – | 1 | – | – | 1 | – | 1 | – | 1 | 1 |
First Prescription
Date 12-07-2008
Carcinosinum 1M stat
Sac Lac TDS
Criteria
General symptoms matched. Mental and Physicals similar. Miasm matched.
Second Prescription
Comment
No improvement
Date 20-10-2008
Aur mur nat 6 X TDS
Criteria
Nearest match in repertorization after Carc and Tuberculinum No tubercular indication. Gross pathological changes. Hence low potency.
Third Prescription
Comment
Marked improvement
Date 01-04-2009
Aur mur nat 6x TDS
Criteria
Better
Fourth Prescription
Comment
Almost Asymptomatic. No more symptoms to discuss.
Date 29-08-2009
Sac Lac TDS
Criteria
Much better in general.
Fifth Prescription
Comment
Drawing pain in left side of neck, extending to shoulder. Otherwise better in general.
Date 07-06-2010
Aur mur nat 30 TDS
Criteria
Reappearance of some symptoms.
Sixth Prescription
Comment
Glandular swelling in left side of throat. Drawing pains better.
Date 26-01-2011
Aur mur nat 200 Stat.
Conium mac Q 10 drops TDS
Criteria
Glandular enlargement. Symptoms better.
Seventh Prescription
Comment
Better in general.
Date 06-05-2011
Aur mur nat 1 M Stat
Sac Lac TDS
Criteria
Persistence of thoughts and irritability marked.
Eighth Prescription
Comment
Much better.
Date 16-11-2011
Sac Lac TDS
Criteria
Almost asymptomatic. Little bit drawing pains.
Ninth Prescription
Comment
Anxiety about personal heath. Lest some traces of cancer might be there.
Date 17-03-2012
Sac Lac TDS
Criteria
No pain or more symptoms. Adv. CECT Neck and Biopsy.
Tenth Prescription
Comment
Much Better. Only few drawing pains are there.
Biopsy Dtd. 30-08-2012CR No : 146946 | NO EVIDENCE OF MALIGNANCY. |
Date 01-09-2012
Sac Lac TDS
Criteria
Cured
Result
Cured
Everything seems clear excepting the first prescription. Carc came at the top of repertorisation and yet prescribed in 1M inspite of gross pathological changes. While the same logic applied in case of Aur mur nat and was given in low potency. Here Carc appears to be the similimum on the basis of totality and not an intercurrent. The logic may kindly be further explained.
Carcinosin high was given on basis of miasmatic totality and amn low on presenting complaints.
Thanks with regards.
Your two articles viz., When signs are the clues and Treat the patient not the Disease are very informative. I would like to have your contact no / e-mail to discuss so many important things about Homeopathy. The so called big guns are not doing classical Homeopathy they are formulating their own theory.
Regards
Dr U K Srivastava
09415186852
Jhansi U P
Dear Doctor,
Can i know which repertorisation software was used to cure ?It’s great about homeopathy and great skill.Congrats .
Thanks with regards.
Radar 10
This i s a good case management and success. I think a specific medicine such as Kali Cynat. can be added as a complementary .. thats I have been trying ..
Dear dr. u have presented a very good case, with evidence. u are a much experienced homoeopath i have got some quaries.
do identifying the miasm helped in your prescription ?
can we prescribe the carc if the case is clearly diagnosed cancer, or tuberculinum in a case of T.B.?
I have explained miasmatic evaluation in places in this article.
Carcinosin is not indicated in all cancers and so as for tuberculinum for TB.
An overall study is essential in every case.
Regards.
DEAR DR,
U MAY BE AWARE THAT IN PAST JOURNAL ONE DR STATED THAT HE CURED SEVERAL CASES OF CANCER WITH ‘RUTA’ ONLY. I WOULD LIKE TO KNOW IF ANY OTHER DR HAS AN EXPERIENCE OF CURING CANCER WITH ‘RUTA.
THANKS
DR SHEKHAR
[email protected]
Dear R K Sharma,
Thanks for good case and good prescription.
With regards,
Prof Dr Shaikh Shamsur Rahman,
Abu Dhabi,
U A E.
excellent case