Case Quizes

A Case of 100% Occlusive Thrombosis in Brachial Artery

brachial artrey
Written by Amarsinha Nikam

A case Quiz from Dr. Amarsinha Nikam. Total occulusion of brachial artery. Can you solve it?

Can you solve this case? Send your solution, including rubrics chosen to: [email protected]



brachial_artreyThis patient was treated as an acute emergency with homoeopathy, only by observing his photograph and the telephone consultation with his son from Nagpur. This patient had 100% occlusive thrombosis in brachial artery extending to radial and ulnar branch.


This is the best example of how homoeopathy works in acute and life threatening emergencies. With the help of our established materia medica, the impending danger of the invasive surgery was totally avoided with the exact dose of homoeopathic remedy.


Thrombosis: It is the formation or presence of a blood clot within the vascular system. It is a life-threatening event because the clot can occlude a vessel and stop the blood supply to an organ or a part. If a large artery in one of the extremities such as the arm is suddenly obstructed, the part becomes cold, pale, and bluish and pulse disappears below the obstructed sites.


Gangrene of the digits or of the whole limb may ensue, due to deprivation in that part of oxygen, nutrition & warmth. The toxins produced in this gangrenous site, if circulated in the body through the veins, may threaten sudden toxemia and death. Hence to avoid the amputation, an emergency operation for the removal of the blockage has to be performed.


History is given by his son……

Consultation was done on the information given by his son on the telephone, which was as follows:


Complaints of..

Pain : Lt. hand – lancinating – extending downwards from elbow to fingers.  (Cry for oxygen by deprived cells).

Onset : Sudden.

Pain along with coldness & numbness of hand.

< Cold Air.           > Warm application.

< Touch                > When Occupied.

< Movement.

< Pressure.

< Wetting the part.

The Vascular surgeon had advised amputation as early as possible because radial pulsation was not felt at the (Lt) wrist.


  • Investigations

The color Doppler reports

ACUTE COMPLETE 100% OCCLUSIVE THROMBOSIS IN BRACHIAL ARTERY extending to radial and ulnar branch.


  • Past History :

D.M. since 15 yrs.

H/o traumatic pain in chest (Rt) side in 1986.


  • Physical Generals :
  • Appetite : Now diminished.
  • Desire      : Meat+, Milk++, Spicy++, Bitter++
  • Aversion : Sour, Dal.
  • Food<     : Sour < diarrhoea, eggs < diarrhoea.
  • Thirst      : Moderate.
  • Sweat      : Over face & chest, moderate.
  • Sleep       : Sound. 10 pm to 4 am, lies on (Rt) side.
  • Thermals : Towards HOT patient.


  • MIND :

     How is his nature?

He is short-tempered and does not like others disobeying him. He wants punctuality. He himself works very hard and expects others to do the same. But, at the same time, he is also very caring and becomes upset if any family m


Tell me how his life has been so far?

He has been through many hardships since childhood but he never complains about that. He leads a good simple life and is very attached to all of us (3 sons and 1 daughter). He worked very hard to build a house for all of us.


Any particular stresses?

Yes. Some years ago his brother deceived him and occupied some part of our property. Yet, father forgave him and bears no grudges. He has retired but still he gives the whole pension for our joint family.


What does he feels sad about?

My brother has not studied much and is not earning enough. Father is worried about him. He provides them money and everything they need.

Also my sister has no child. He is constantly worried about that.


His hobbies?

Nothing specific. Sometimes he visits temples, for Bhajans. He believes that work is God. He likes to roam in the open air. He doesn’t like to sit in a closed room.

  • Interpretation (photograph and information)

Looking at the photograph, the body language was studied and the study brought forth the following points.

The person in the photograph was a man of average build surrounded by family members. He had a big forehead (baldness).

In the second photograph he was seen with his wife and son on a sofa. He appeared more alert with erect posture…while the other two were relaxed and leaning backward for support.

He was performing some religious ritual with a smiling and contented face. His look was serious, yet friendly, non-egoistic, soft and caring. The home in the background was a simple but clean one without any lavish amenities.

His hair was sparse and face rounded with thin eyebrows. His body language thus spoke about a confident yet caring, non-intruding contented personality.


  • Remedy Selected : AURUM MUR 30.


  • Response :

The same day in the evening, the patient found that his pain had reduced slightly. But the coldness and numbness remained the same.

The surgeon advised that the patient be operated on promptly. His son became very anxious and pleaded for quick relief.

Reconsidering the case, Aur-Mur was clearly insufficient since though the pain had reduced somewhat, the numbness and coldness was untouched, indicating obstruction to blood flow.

So, after re-consultation, we found that he was thermally towards Chilly. The next remedy was given, which gave complete relief.

Find out that remedy with a proper totality and miasm………..


Can you solve this case? Send your solution, including rubrics chosen to: [email protected]

About the author

Amarsinha Nikam

Dr. Amarsinha Nikam is a renowned homeopath who runs Aditya Homoeopathic Hospital and Healing Centre in Pune. He started his career as R.M.O. at Lokmanya Hospital Pune, Homoeopathy Division and subsequently practiced as the consultant Homoeopath for 14 years at various places such as Beed, Khopoli, Chakan, Kate – Pimple, Pimple – Gurav and Pimpri Gaon, Pune. Dr. Nikam teaches students to understand the depth of homeopathic treatment and differentiate it from other pathies. He instructs them in his method of practice, but also inspires them to innovate and explore.


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