Age: 55 years.
Height: 5 ft. 4 inches.
Weight: 64 Kgs.
Present & past occupation: Teacher.
Only son died six years back.
1) Weakness and drowsiness more towards evening, aggravated by movement, exertion
2) Frequent urination.
3) Burning after urination: urethra feels scalded.
4) Disturbed sleep.
5) Wormy irritation in anus.
6) Headache occasionally in the evening. Shifting, piercing pain.
7) Hot / Chilly?
HEAD – (1) Hot feeling in vertex. (2) Occasional vertigo after day’s work.
MOUTH – (1) Dryness of mouth ; 2) Foetor oris.
TEETH – Swelling of gums.
ABDOMEN - Occasional gas & distension of abdomen.
STOMACH - Appetite : increased.
SWEAT - Profuse sweat, no odour.
URINE - (a) Yellowish colour. Occasionally turbid. (b) 18-20 times per 24 hours. Frequent urination, and profuse. More at night. (c) No odour. (d) Burning after urination. (e) Discomfort and uneasiness in urethra after urination.
STOOL - Regular.
UPPER EXTREMETIES - Occasional stiffness of small joints aggravated severely during new moon and full moon.
JOINTS - Painful stiffness of joints was severe during 1985, a little better after allopathic treatment.
LOWER EXTREMITIES - Occasional weakness & trembling of the lower extremities towards evening, after a day’s work. Stumbles.
MALE GENITAL ORGANS - History of masturbation during youth up to his 30′s, power deficient since. Lax penis.
SKIN DISEASE – (1) Dandruff. (2) Barber’s itch.
Irritable & indifferent attitude. Depression. Likes to be alone, introverted type. Gradual weakness of memory. Weepy +. Works slowly. Fear of incurable diseases.
FIRST CAUSE OF BREAK DOWN OF HEALTH:
Death of his son, 6 years of age: Never Been Well Since (N.B.W.S.)
History of masturbation during youth up to 30′s.
Allopathic medicines used for the last 4 years without appreciable effect.
(i) History of measles in childhood ; (ii) Malaria 2-3 times; (iii) Stiff joints (rheumatism), barbers’ itch treated with cortisone group of medicines (since 1985-86); (iv) Diabetes; diagnosed 4 years previously. V) Suffered from chicken pox in childhood.
Catches cold easily. Food desires: (i) Salty (+) (ii) Milk (+) (iii) Fruits (++) (iv) Chicken (+) (v) Cold food & drinks (+) (vi) Rich & spicy foods (++). Thirsty (+). SLEEP - Disturbed.
History of skin disease and pleurisy with father.
INVESTIGATIONS CARRIED OUT BEFORE AND DURING DR. BANERJEA’S TREATMENT:
8th March 1990: Blood Sugar Post Prandial (BSPP): 228
20th April 1990: BSPP: 171
20th June 1990: BSPP: 95
CASE ANALYSIS, MIASMATIC DIAGNOSIS AND FINAL PRESCRIPTION
i) Provisional diagnosis :- Diabetes Mellitus
ii) Miasmatic diagnosis :- Mixed Miasmatic.
iii) Constitutional remedy :- Acid Phos.
MIASMATIC INTERPRETATION OF ACID PHOS CASE :
|(1) Likes to be alone (Psora + Syphilis).||(1) Stiffness of joints.||(1) Urethra feels scalded (irritation & burning of parts).||(1) Wormy irritation, pinworms.|
|(2) Weakness aggravated by exertion, movement.||(2) Joint pains are also Sycotic painful stiffness.||(2) Depression & indifference.||(2) Foetor oris (Psoric + tubercular).|
|(3) Dandruff.||(3) Light physical exertion fatigues – patient stumbles (Syco-tubercular).||(3) Introvert.||(3) Diabetes is tubercular.|
|(4) Fear of incurable diseases.||(4) Barber’s itch.||(4) History of masturbation (++), with weakness of sexual organs.|
|(5) Gradual weakness of memory.||(5) History of pleurisy with father.|
|(6) Profuse urine (Syco -Tubercular)||(6) Weakness after micturition: Tubercular miasm.|
|(7) Tubercular miasm: Urine loaded with phosphate, sugar, etc. always tubercular miasm.
(8) Catches cold easily.
|(9) Polyuria, nocturnal.
(10) Small joint stiffness aggravated at full and new moon.
MIASMATIC DERIVATION FROM THE PATHOLOGICAL POINT OF VIEW
MIXED MIASMATIC : It is a secondary type of diabetes mellitus (a resultant effect of some primary degenerative condition or the after effects of some heroic drugs: here in this case prolonged cortisone-therapy). From the homoeopathic point of view, this secondary type of diabetes mellitus is caused by suppression of rheumatism by cortisone therapy –> resulting in diabetes mellitus.
Note : A dose of Causticum to end with, which will also follow Acid Phos., as well as Sycotic coverage and deep acting from the Psychic side too.
As here in this case the primary degenerative condition, rheumatism, was suppressed and currently is not present at its peak –> with the homoeopathic remedy the suppressed condition could flare up –> if it does not reach its peak –> the total status of the patient is favourable and curable.
1) Increased appetite.
2) Desire cold food / drinks, fruits++.
3) Mental – Kirritable / Indifferent – Gradual Weakenss of memory and Weepy+
4) Sleep – Disturbed.
POINTS FAVOURING THE CHOICE OF ACID PHOS.
1) Weakness and drowsiness : the system has been exposed to the ravages of excesses & grief.
2) Dryness of the mouth with polyurea (Clarke).
3) Vertigo towards evening (Boericke).
4) Profuse sweat (Clarke).
5) Burning after urination (Boericke). Polyurea at night (Boericke).
6) Great debility of the lower extremities & stumbles easily (Boericke).
7) History of prolonged vital drainage: masturbation.
8 ) Though always thinks of sexual enjoyment, but due to prolonged history of masturbation, the sexual power is deficient and the penis is lax.
9) The legs tremble whilst walking and the hands are as difficult to control as the thoughts (Clarke).
10) History of shock from the death of his son; since last 6 years. Effects of grief and mental shock (Boericke).
11) The miasmatic breakdown of Phos. acid is: Psora ++, Sycosis ++, Syphilis +, Tubercular +++.
PHOSPHORIC ACID : PSORIC+SYCOTIC+DEEP ACTING TUBERCULAR
1) Apathetic, listless, absent mindedness, indifferent attitude. It has the indifference of Sepia + Apis.
2) Mental debility first, later physical (–reverse Mur. acid)
3) Initial indifference –> mental prostration.
Phos. acid is considered an anti-tubercular remedy: so if the symptoms are suppressed during the youth –> by non-homoeopathic means –> debilitated tubercular state. So therefore the ill-effects of prolonged masturbation, polyurea, chronic diarrhoea or the indifference arising from a typhoid state and thereby resulting in debility –> if suppressed –> the lungs are affected.
4) Indigestion –> undigested food particles with stool –> yet canine hunger peculiarly uncommon –> associated with chronic diarrhoea –> empty all gone sensation (Anac., Chelid., Sep., Sulph., Phos., Zinc met.) –> though eats well, but indigestion –> so diarrhoea aggravates –> so the emptiness aggravates –> more hunger: alternately resulting profound apathetic, indifferent states –> thin and debilitated. The specific gravity of urine in diabetes mellitus is 1010 or below (Dr.N.M. Chowdhury says high). Whey, milky urine :–>weakness after urination –> empty, all gone sensation in lungs (chest), abdomen & urinary bladder (like Phos.).
5) There is also a post urination sensation of dryness in the entire skin –> characterised by the sensation as if the white portion of an egg was applied to the skin and dried up. Remember, Phos. acid patient is capable of getting up from the bed to go to the toilet even in the advanced stages of the disease, but due to profound melancholic mental prostration & indifferent apathetic attitude –> he does not have the intention to get up –> “let it go” feeling (attitude)–> lies like a log. The essence here is that the exhaustion is less in comparison to his advanced physical status.
Dr. N.M. Chowdhury suggests, indifferent, listlessness & apathy (ILA) are the red-strands of the remedy.
Impotency is the natural sequence, but it is not the total and complete impotence of Selenium. The sensibility of the penis is still there, erections happen, but they are weak and inefficient.
To make matters worse, they are troubled with a constant desire to urinate. The urine passed is larger in quantity than usual and is intensely debilitating.
Tripod for the choice of Phos. Acid in diabetes :
|Date||Report after Last Medication||Prescription done
on the basis of
|19th Mar’90||Acid Phos, 200 C : 2 doses.|
|23rd Apr’90||Sac Lac|
|23rd May’90||As a whole much better.||Sac Lac|
|25th Jun’90||Blood sugar normal.||Sac Lac|
Authenticity of cure :
Web Link: http://www.homoeopathy-course.com/case/case8/case08.html
Mr. M.L.M., a case of Diabetes, before treatment.