|Name: Mr. MNS||Marital status: Married|
|Age: 62yrs||Religion: Hindu|
|Sex: Male||Address: DEF|
|Education: Graduate||Date: 8-01-16|
Chief Complaints: Patient came with complaints of non-healing wound below the left great toe for one year. The patient was on allopathic medicines but there was no improvement in the wound healing. The wound was oval in shape measuring 1cm width and half a cm deep with surrounding dead tissue as if corroded. There was offensive odor and occasional bleeding on walking. He also has left leg pain agg on motion and amel on rest. The wound (Homeopathy Treatment for Wound) developed after the removal of a corn at the base of the toe.
Skin edges hard
|A/f Corn removal at base of toes||Left leg pain|
Diabetes Mellitus since 22 years and on hypoglycemic agents thrice a day
Grandfather: Hypertension Grandmother: Osteoporosis
Father: Diabetes Mellitus Mother: Rheumatism
Patient as a person:
Appearance: Tall Thin emaciated Diet: vegetarian
Appetite: Average Thirst: 5-6 glass/day
Desire: Spicy food++ Aversion: non specific
Bowel: Regular Urine: 4-5 times /day
Sleep: Sound Perspiration: Head++
Dreams: Daily routine Habits: Tea twice daily
|Covering||1 thin||1 thin||2 thick|
Life Space Investigation:
He is a retired serviceman staying alone with his wife. He is soft by nature but gets angry when he sees someone suffering because of another’s fault. He fights for the people if they are in need. He said that earlier he used to get angry easily and used to shout at others if they have made any mistake in their work but along with that he used to care about them and help them when they are in need. He feels very sympathetic for the poor people and also helps them as much as he can. Sensitive to seeing others getting hurt. Very much punctual and conscientious about his work. Even after retirement he works for the society and feels that it is his duty to do so as a member. Even with this condition of his leg, he attends meetings and works for everyone. Anxious about his health and want to get cured. Optimistic attitude towards life
T – 980 F P/R – 68/min RR – 16/min
BP-120/60mmHg Weight – 62kg
BSL (Fasting) – 160mg/dl BSL (PP) – 275mg/dl
Urine Sugar – ++, Haemogram- WNL
No signs of pallor, cyanosis, clubbing, lymphadenopathy and icterus
Respiratory System: Air entry bilaterally equal and clear
CVS: S1S2+, no murmur P/A: Soft, non-tender CNS: Normal
Diagnosis of Disease: Non-healing wound
Miasm: Syco syphilitic
Susceptibility of the case: Moderately susceptible
Analysis of symptoms:
|Mental Generals||Physical generals||Particulars|
Injustice cannot support
Misfortune of other agg
|Desires spicy food
Emaciation with good appetite
Perspiration on head
Extremity pain legs agg walking
Slow healing wound
Repertory used: Complete Repertory
Probable Remedies: Caust, Sulph, Nux, Nat-m
Constitutional remedy: Causticum Potency: 30
Reason: Causticum people are very conscientious and duty bound. They are sympathetic by nature and highly sensitive to others’ suffering and to injustice. Syco-syphilitic miasmatic state. Here you can also see some of the 4th Row issues such as Duty/work, Anxiety about health, Routine work/Performance and Responsibility. Thus the causticum gets highest marks in the repertorization and is prescribed.
Prescription: Caust 30 (4 pills) OD x 15 days + Syzygium jambo 10 drops Bd
Auxiliary measures: Daily Dressing of wound with Calendula tincture. Avoid sugar and sweet things; eat balanced healthy diet with vegetables and fruit juices.
Debridement of the wound was done by me twice during the treatment to remove the dead tissues.
|25-01-16||Discharges have reduced, no offensive odor from wound, leg pain still present.||Wait and watch||S.L. BD x 1month + jambo tincture|
|24-02-16||Generally feeling better, wound showing signs of healing with granulation, leg pain reduced 30%. Appetite improved, sleep sound
Fasting- 84mg/dl, PP – 138mg/dl, urine- +
|Wait and watch||S.L. BD x 1month + jambo tincture
|28-03-16||Wound healthy, no discharge, granulation tissue can be seen, wound almost 50% closed.
Leg pain significantly reduced.
Fasting- 68mg/dl, PP – 122mg/dl, Urine- Nil
|Wait and watch
Tapered Anti diabetic drugs twice daily
|S.L. BD x 1month + jambo tincture|
|24-04-16||Wound was healthy but not much improvement from earlier follow up. Debridement was done to remove dead tissue
Rest generally doing well
|Repeat the dose||Caust 30 OD
S.L. BD x 2wks + jambo tincture
|Significant Improvement in wound, almost 80% closed, No more leg pain, generally doing well.||Wait and Watch
| S.L. BD x 1month + jambo tincture
|05-06-16||Wound healed completely. He was overwhelmed by the response of homoeopathic treatment. At all levels he felt better.
Sugar levels are also good.
|Advised to stop the treatment
|Only to continue Tincture for few weeks and then stop.|