CASE RECORD:
Child XY, 10 years old, female, wheatish complexion and moderate build came to my clinic with her mother having a complaint of hair falling in spots on 09-Sept- 2018 and said to me can you stop my hair fall.
Present History: Patient had a complaint of hair fall in patches with some bald spots. She felt itching and dandruff at some places on the scalp. After scratching, dandruff gets removed in a little quantity. There is profuse sweating on the scalp along with itching.
Patient felt ashamed due to the bald spots. Hair falling aggravates while combing the hairs and even by touching gently. She had this complaint for the last 1-2 months. She was using known Ayurvedic hair oil from last 1 month but her complaint had become worse after a small interval of relief.
Past History: She had hair fall on combing the hairs 2 months before. She took Ayurvedic medicines with ayurvedic hair oil application and she got relief, but after 1 month hair fall become worse and the hairs start falling in bunches even on touch also.
Family History:
- Father: 36 yrs old, healthy alive, Building Contractor
- Mother: 32 yrs old, healthy alive, Housewife
Patient as a Whole:
Desire: Ice cream, cold drinks
Aversion: Vegetables
Appetite: 1-2 Chapatis/meal, 2-3 times in a day.
Thirst: 2-3 liters per day, takes cold water
Stool: Constipated, hard, pass with difficulty
Sweating: Profuse on scalp with itching
T/R: Chilly
Modalities: < combing, Touch
MIND: Shy nature
Ashamed due to bald spots
Introverted
Careless
Weak memory, forgets easily
ANALYSIS OF SYMPTOMS:
Mental Generals: Shy
Introvert
Careless
Ashamed due to bald spots
Forgetfulness
Physical Generals: Desire for Ice cream and cold drinks
Aversion vegetables
Hard stool and pass with difficulty
Chilly patient
Profuse sweating with itching
Particulars: Hair Fall in bunches
Hair Fall < combing
Hair Fall < Touch
Profuse sweating on scalp with itching
Dandruff on scalp with itching
Modalities: < on combing
< on touch
EVALUATION OF SYMPTOMS:
-Shy Nature
-Introverted
-Desire for ice cream
-Desire for cold drinks
– Hard stool and pass with difficulty
– Hair fall in bunches or spots
– Hair fall < on combing
– Dandruff on scalp
Synthesis Repertory has been selected due to marked particulars.
REPERTORIAL TOTALITY AND REPERTORIZATION:
Fig. 1 Repertory Sheet
ANALYSIS OF REPERTORIAL RESULT:
S.NO. | MEDICINE | MARK OBTAIN |
1. | PHOSPHOROUS | 20/7 |
2. | CALCAREA CARBONICUM | 16/7 |
3. | BRYONIA ALBA | 14/6 |
SLECTION OF MEDICINE:
Phosphorus was selected as it got highest marks on repertorization and covered maximum rubrics in higher grades. It had falling of hair in large bunches on forepart of head, and especially alopecia areata[5].
Itching of scalp, dandruff,.[6] The scalp is covered with dandruff; the hair falls out in patches leaving bald places here and there.[7] Calcarea covers almost all the rubrics but the grading was less than phosphorous. Bryonia does not cover the chief complaint of the case, i.e falling of hairs in patches or spots.
PRESCRIPTION
Date | Symptoms | Priscription |
09 Sept. 2018 | Hair fall in spots
Hair fall < on combing Dandruff on scalp present |
Phosphorous 200 1 dose
Rubrum 30 tds x 15 days |
Table 1: FOLLOW UP SHEET
Date | Symptoms | Prescribed Medicine |
26 Sept. 2018 | Status Quo | Rx
Rubrum 30 TDS X 15 days |
12Oct. 2018 | Status Quo | Rx
Phosphorus 1M 1Dose Sac. Lac. 30 TDS X 15 days |
28 Oct. 2018 | Dandruff and itching ameliorate
Hair fall constant
|
Rx
Sac. Lac. 30 TDS X 15 days |
15 Nov. 2018 | Hair Fall becomes less | Rx
Sac. Lac. 30 TDS X 15 days |
01 Dec. 2018 | Complaint comes to stand still | Rx
Phosphorus 1M 1Dose Sac. Lac. 30 X 15 days |
18 Dec. 2018 | Hair fall has stopped and in bald spots new growth of hairs appears | Rx
Sac. Lac. 30 TDS 6 hourly X 15 days |
05 Jan. 2019 | Hair growth continues | Rx
Sac. Lac. 30 TDS X 15 days |
22 Jan. 2019 | Bald spots start covered with hairs | Rx
Sac. Lac. 30 TDS X 15 days |
11 Feb. 2019 | Bald spots get completely covered with hairs | Rx
Sac. Lac. 30 TDS 6 hourly X 15 days |
Before Treatment
During Treatment
After Treatment
CONCLUSION:
This case shows the role of homoeopathy in the treatment of Alopecia areata. She is very happy now and as she doesn’t feel embarrassed any more. Her memory also improved during the treatment. This case shows how the constitutional remedy acts on the mental level also. It also shows that individualization is very important for effective homoeopathic treatment.
REFERENCES:
- Master J. Farokh. SKIN Homeopathic Approach to DERMATOLOGY. 2ndRevised Edition. B. JAIN PUBLISHERS(P) Ltd.2006
- https://www.icpcn.org/the-international-childrens-palliative-care-network-icpcn/
- Khanna Neena. Illustrated Synopsis of Dermatology and Sexually Transmitted Diseases. 5th ELSEVIER.2016
- Gupta Ramji, Manchanda R.K. Textbook of DERMATOLOGY for HOMEOPATHS. 4th Edition, B. JAIN PUBLISHERS(P) Ltd.2006
- Clark J.H. A Dictionary of Practical Materia Medica. B. JAIN PUBLISHERS(P) Ltd. Vol 1,2,3.2003
- Boericke William. BOERICKE’S New Manual of Homoeopathic MATERIA MADICA with REPERTORY. 3rdRevised and Augmented Edition. B. JAIN PUBLISHERS(P) Ltd.2007
- Kent J.T. Lectures on HOMOEOPATHIC MATERIA MEDICA. Low Price Edition. . B. JAIN PUBLISHERS(P) Ltd.2002
Hi,
I am not clear on what is Rubrum 30 mentioned in the prescription and what is the difference between Sac. Lac. 30 TDS and Sac. Lac. 30 TDS 6 hourly.
Thanks
Rubrum and Sac lac are both synonyms for placebo.
Well presented case with excellant result…thank you…thanks dr.manish sir, as I also was unaware of rubrum….