PRELIMINARY DATA-
Name- Ms S D
Age- 27 years
Sex- Female
Marital status- Single
Education- MBA
Occupation- HR
Date of case taking-24.01.17
CHIEF COMPLAINT –Sneezing and Coryza for the last 3 years
Onset and progression- gradual
SENSATION- Sneezing++ (3-4 times in one spell)
Coryza++
Watery nasal discharge+++
Nose block+
MODALITIES- Ailments from- Dust
< morning++
< cold weather+
< smell of fish or any perfume+++
>warmth
ASSOCIATED COMPLAINTS- Heaviness in head++
HISTORY OF CHIEF COMPLAINT-
The patient has sneezing, coryza and watery nasal discharge for past three years, which aggravates from cold weather, smell of fish or any perfume, in the morning and gets ameliorated by warmth. The complaint is gradual in progression.
PAST MEDICAL HISTORY-
Chicken- pox
FAMILY HISTORY-
Mother- Diabetes mellitus, allergic rhinitis
PAST TREATMENT HISTORY-
Allopathic medication for the same
PAST SURGICAL HISTORY-
No surgical history
PERSONAL HISTORY-
Diet- Mixed
Appetite- Good
Thirst- 2 liters per day
Bowel habits- Once per day; no difficulty
Bladder- 4-5 times per day; occasionally once at night; no painor burning or no other difficulty
Perspiration- Scanty
Craving- Ice-cream+++
Desire- Chicken++, Sweets++
Aversion- Vegetables++
Intolerance- Nil
Sleep- Good
Dreams- Unremembered
Thermal state- Chilly
MENSTRUAL HISTORY-
FMP- at 14 years of age
CHARACTER- Regular cycle, normal flow, dark red in color, no clots
No complaints before or after menses.
GENERAL PHYSICAL EXAMINATION-
Appearance- moderately built and nourished, lean and tall
Pallor- +
RESPIRATORY SYSTEM-
Normal vesicular breath sounds; no added sounds.
VITAL SIGNS-
Pulse- 76
BP- 130/80
Respiratory rate- 20
LIFE SPACE INVESTIGATION-
Patient belongs to a middle socio-economic family. Her father is a driver and mother is a housewife. She has two elder brothers and also has two elder sisters. She has been pampered by everyone at home and shares a good relationship with everyone.
CHILDHOOD- Uneventful. She was very good at studies and at extra curricular activities but neededmotivation from others. She had many friends at school.
COLLEGE LIFE- Even during college she had a good number of friends. She always wants people around her. Presently she is worried about her marriage.
She is very talkative, friendly, wants people around and is always fun loving. Has fear of thunder storm.
INVESTIGATION REPORTS-
IgElevels- 813.9/Iu/ml
REPERTORIAL TOTALITY-
Mental generals-Company desires
Consolation amels
Fear- Thunder storm of
Physical generals- Desires- Ice cream, chicken, sweets
Aversion- Vegetables
Perspiration- Scanty
Particulars- Sneezing- dust from, perfumes from
Morning aggravation
Result
(Repertorisation was done by synthesis)
- Natrummuriaticum- 9/12
- Phosphorous- 8/20
- Causticum- 8/12
- Pulsatilla- 7/13
- Sulphur- 7/12
( Natrummuriaticum, Pulsatilla and Sulphur are thermally hot.Causticum is predominantly chilly but has fear of death, fear as if something is going to happen, has timorous anxiety, has aversion to sweets, etc. Whereas patient doesnot show any such anxieties or fear, etc.)
Hence phosphorous was thought of as it was found the most similiar.
FIRST PRESCRIPTION
Rx a)Phosphorous- 200- 2doses 1-0-1
FOLLOW UP FIFTEEN DAYS-
No watering of nose.
Episodes of sneezing- 2-3 times/spell but has reduced.
Heaviness in head- better
Response to perfumes and fish odour- same
Rx a) Placebo
FOLLOW UP ONE MONTH-
Watery discharge from nose started again.
Sneezing spells better.
Perfume response- slightly better.
Heaviness in head- absent
Rx a) Phosphorous- 200- 4doses 1dose weekly
(same potency was administered )
Sent for IgE investigation
FOLLOW UP TWO MONTHS
Nasal discharge absent.
Sneezing episodes- 2-3/spell
Heaviness in head- absent
Perfume response- better
Patients feels 50% better.
IgE level- 541.6/Iu/ml
Rx a) Placebo
(Since patient was 50 % better, there was no need of repeating the remedy)
FOLLOW UP THIRD MONTH
Nasal discharge- absent.
Episodes of sneezing- once or twice.
Patient feels 80% better.
Perfume response- improved
Rx a) Placebo
(Sent for IgEinvestigations)
FOLLOW UP FOURTH MONTH-
Nasal discharge again since one week
Sneezing episodes- 8-9 episodes
Headache- frontal region, better by pressure.
Perfume response- brings sneezing again.
IgE levels- 128/Iu/ml
Rx a) Phosphorous- 1M- 1 dose
As the complaints were coming back again worse, so higher potency was required and hence phosphorous 1M
FOLLOW UP FIFTH MONTH
Nasal discharge better.
Sneezing episodes- twice or thrice.
Headache- not present.
Perfume response- much improved.
(Sent for IgE investigation)
Rx a) Placebo
FOLLOW UP SIXTH MONTH-
No episodes of sneezing.
No headache.
Nasal discharge absent.
Patient can bear the smell of perfumes now.
Also she is able to bear dust exposure with one or two sneezes.
Patient is 90 % better.
IgE level- 94.3 Iu/ml
Rx a) Placebo
The patient has not visited after this.
CONCLUSION- This case is not something extraordinary but this was only treated by a single remedy which shows the usefulness of THE SIMILLIMUM, which is the base of our system. In my personal experience I saw that the same potency can be used two or three times in a patient.Homoeopathy can bring down the Immunoglobulin E levels down, provided the patient gives you proper time and regular follow ups are monitored.
great case! simplified and straight forward. NO fancy methods of case taking makes it more appealing.