Clinical Cases

A Case of Seronegative Arthritis – 2

Written by Urvi Chauhan

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Other rubrics are-


Mind; ANXIETY; future, about

Mind; ANXIETY; pains, from

Mind; AILMENTS from; excitement; emotional, mental symptoms from

Mind; AILMENTS from; fright or fear; accident, from sight of an

Mind; AILMENTS from; grief, sorrow, care

Mind; AILMENTS from; injuries, accidents

Mind; DELUSIONS, imaginations; enlarged; he is

Mind; DREAMS; unsuccessful efforts to; do various things

Mind; SENSITIVE, oversensitive; general; pain, to


Mind; TRANQUILLITY, serenity, calmness; general

Mind; WEEPING, tearful mood; general; pains; with

Mind; WEEPING, tearful mood; general; easily

Generalities; SIDE; right

Generalities; MIDNIGHT; agg.; about

Generalities; INJURIES, blows, falls and bruises; general

Generalities; PAIN; general; joints

Generalities; PAIN; sore, bruised

Generalities; PAIN; tearing; internal

Generalities; SHOCKS; general; injury, from

Extremity Pain; RHEUMATIC

Extremities; STIFFNESS; general;

Extremities; BOENNINGHAUSEN; lower limbs; agg.; touch

Extremities; SEPARATED sensation; body, from, lower limbs; severed from his body, legs

(As patient narrated- he wants to cut his painful leg from his body and keep aside)

Remedy given: Opium 1M, one dose.

(Potency was selected 1M since his level of experience is relatively high, at Delusion level)

Follow ups: 20/09/04

D: How are you?

P: Fine (Smile on face). I feel my pains, complains will go away. It will get cured. I got pain episode twice but with much less severity.

D: So over all how do you feel?

P: I feel fresh. I do not get tired even with a lot of physical work, otherwise I used to feel tired, but now I feel fresh even in the last evening when I came home from my work.

D: How about your dreams?

P: No dreams. I feel out of depressions, hopelessness, I feel tension free, previously mood used to be sad without any reason. But now it’s not there.

Plan: Placebo

Follow Up: 01/11/04

D: How are you?

P: Very good. All these days no episode of pains. Energy level is also very well. Since last few days minimum pains in my fingers, very light pains (Shows terminal inter phalanges joints) But I can move my fingers without pain and no swelling as well.

Plan : Placebo.

Follow up: 22/11/04

D: How are you?

P:After 2nd day of last treatment, my mood changed, I was very short tempered, I used to get angry on small, small stuffs which is very unlike me as I do not confront anybody.

Now since last 2 days I am better.

Over all I am fine.

(A very good sign, before he used to control his emotions, now they are coming out)

D: So how are you since the time we have started with treatment?

P: No problem at all. No joint pains. A week later of last previous dose

(placebo) I saw a dream,

Dream: I was going out with 4-5 friends. They were ahead of me. I think we were swimming and it was all water around. I thought how is it possible to swim and go ahead but I heard some voice coming and telling me “you go ahead, you can do that.” So I started going and I reached the shore.

D: What was your feeling?

P: One needs to decide to go ahead. I feel there is a lot of change in my attitude. I don’t care about people what they think of me, which I always did. I always have compromised myself with everything, with my wishes, but now I feel what I want. I will speak and I will get that done. I will have the control of my life in my hands now; I will decide what I want and what I do not.

D: How do you like this change?

P: I like it very much. My confidence has increased.

D: Dreams?

P: More hopeful dreams, but I do not remember well.

(Observation: Stammering in his speech has reduced a lot.)

(A very good change we can see in him. Previously he never confronted anybody even if that hurt him, he would control all his emotions, and would keep them inside. But now, he retaliates back- “short tempered” — a homeopathic aggravation happening at emotional level which is a good sign as there will not be any suppression – “compromise” in his words. Now he doesn’t care about what others think about him, “something that previously held him back and his reactions are also much more balanced as he does what he feels is right. This is the positive shift in his attitude, his perception of life and along with that his c/c is much better. Also, we can appreciate the shift in his hopelessness- now he feels his joint pains will go away and he also feels one must decide to move ahead in life. )

Plan: placebo.

Follow up: 31/12/04

Continuous dry cough, pain in throat < deglutition < lt. Side

< Laughing

After initial 2 days of last treatment, loose stool lasted for 2 days then fine.

Plan: Opium 1m one dose.

Follow up: 10/01/05

Had kept a fast for two days where he did not eat/drink for 2 entire days while he was out for a pilgrimage). After opening the fast, he develops stomach upset, pain in epigastrium <touch <eating anything. No coughing No left pains. But restlessness at night because of these pains in stomach, vomited twice.

Dream: He saw himself on pilgrimage. Constant feeling was that he has to finish it and he is trying very hard to finish. He felt that he is very anxious and he is trying very hard to reach to the final point on pilgrimage but it’s not just getting over. He just sees himself trying too hard to finish a ‘never ending’ pilgrimage. This made him restlessness and he was very restless in his sleep during this dream.

Acidity ++

Feels lethargic.

Plan: Opium 1M

(Same state is aggravated after the fast that he kept. He again felt the task is too difficult (out of his reach), he is trying hard to get over that, so repeated the same drug.)

Follow up: 20/01/05

Gastric pain- dyspepsia >, now no pains, no vomiting.

Still appetite is not normal as before.

Still feels weak on exertion.

(He narrates his feeling during those dreams more clearly this time.)

After coming home from pilgrimage- I used to dream one dream, where constantly same feeling kept on repeating which made me anxious.

(The feeling was as if he has to finish his pilgrimage, time is less and task of finishing is very big. He is trying hard for that with inner feelings of how will he finish that and felt anxious. This dream kept on coming for 3-4 days and hence sleep was disturbed, unrefreshing. Now after the last medicine, much better, no such dreams.)

Plan : Placebo.

Follow up: 14/02/05

– > all

– No stomach upsets.

– No joint pains.

– Appetite good, as before.

– No weakness.

– Mood wise, very okay.

Plan : Placebo.

Follow up: 18/03/05

Medicines not taken since one week as got over. Got severe pains in right elbow joint- Maximum highest pains three days ago in night time.

Also pains in right side small joints of finger.

Now, at present no pains that severe pain lasted for one night. Now very little pain on movement of right elbow joint. Otherwise- everything is all right.

No Dreams.

Sleep: Good.

Plan : Placebo

Follow up: 15/04/05

No pain in joints at all.

D: Overall how are you?

P: Very good, Normal.

I feel everything is normal with me. So I have become irregular with my regular homeopathic dosage as no joint pains now. Life is also going very well.

No dreams now, sleep is good. Fresh in the morning.

D: How is your over all energy level?

P: Fine with my physical work and exertion – no tiredness in the evening.

Previously there were many tensions about life, financially, familial, health wise, but now positive thinking. “If it’s there, it’s going to be there, why to get bothered about by thinking it again and again.” Now I feel I need to go ahead in my business, in my life. Previously worried about others but now I think let them think what they want but I have to go ahead, why to worry about them.

(Last follow up on 22/11/04- Approximately 4-5 months back, he said the same thing “why bother” but now with that, there is a desire to go ahead, do more in business- that’s one more addition which indicates his way towards health.)

D: How is your mood now generally?

P: Cheerful, fresh.

D: How do you deal with day to day stress of your life?

P: Previously if anybody passed some comment I used to feel excited, angry and thoughts would start like “I’ll do this to him/ I’ll do that to him” which would go on and on. But now, I think let them talk what they want and then I feel I need to do this so I’ll do it, let them think whatever they want.

Previously towards life also, my attitude was somewhat sad, but now it’s not there. I feel total attitude change, more positive toward life.

D: How is your sensitivity towards health of family members, your kids?

P: Changed. I used to get irritated on my daughter, if she had not kept her things well on its place, now I think let me see how to deal with her. I don’t get irritated, in fact I do a lot of masti (fun) and we have a lot of fun with them.

D: How is that feeling of “beyond my capacity but I have to do it?”

P: now I feel whatever work I take, I feel it’s going to happen well, I feel sure about that. No doubts now in the mind like whether I’ll be able to do it or not.

D: Previously you got such dreams of “out of your reach” how about that feeling?

P: Now no such dreams. Everything is the same, house, family, money, and business. But previously it used to give me tension so I used to get excited over little stuff, I used get angry, feel like crying etc. But now I don’t feel it that ways. Now, total attitude has changed.

D: When you say tension “what you mean?”

P:Tension meaning I used to think about future and used to get tensed like what will happen, how it will happen, how I’ll I handle, am I capable to handle etc…

Now I feel much more confidant.

D: How is your speech? I see much difference than what it used to be in front of me. How you feel?

P: I feel there is some change, stammering has reduced a bit but since I stopped getting bothered about that I have not paid much attention to that, but now I will. I’ll let you know the next time.

Plan : Placebo.

(Patient was asked to stop the medication and see me if required. I saw him after a year, and asked him to report so as to understand his walk on the path of healing when he’s off all the medications.)

Follow up: 3/12/05

(More than a year after his first homoeopathic consultation with me)

Feeling fresh. No much joint problems now. Lots of change in confidence as well. Acidity is much better. Previously I didn’t have confidence. I used to think that in future my problem will also progress. So because of that I would always be under tension. Now I don’t have that thought in my mind. Now I feel tension free.

Previously, because my mind would be pre-occupied by such worrying thoughts I couldn’t give my 100% attention to business and family. I feel I have come out of this. I feel happy as if I have won a lottery (smiles).

Energy wise I am fresh. The enthusiasm was not there previously. I was sad. My attention was somewhere else. Now I feel that I must do something. Now I want to do something.

D: How do you feel because of such change?

P: How should I explain my happiness? I feel at peace. I can feel peace in my mind. It is like kind of change in my thinking that whenever any problem will come I will face it. I can face it. Recently, one of my friends got a problem at his family, I went there and explained and controlled the situation and the problem was solved. That time his uncle praised me for such tactfully speaking and controlling the situation. Before I used to think that because of my stammering speech I’ll have a lot of problem. But when the same speech was being praised, I felt proud of myself.

D: More about that peace, mental peace. How is that peace?

P: If there is a music playing somewhere, I would dance; it happened a few days back; there was a music going on in our neighborhood, I started dancing care-freely. When you are happy you don’t feel other’s presence like what they will think of me. Just enjoy. My daughter, my wife everyone was looking at me and I was dancing. I was enjoying. Let it be. Just enjoying. You can’t describe peace. You tend to remain happy. If I feel like dancing, I dance. That’s peace.

D: So all this change has come in you and you have started living in the present?

P: If I want to laugh, I laugh. If I feel like crying while watching a television serial, than why should I hesitate? I cry. Why should I bother about my wife and daughter as what they will feel….? If I feel like crying, then I should cry. That’s the change.

My mind remains at peace, healthy, even the wrong behavior of opposite person doesn’t spoil my thoughts like before. Previously, I wanted to break things. Wrong thoughts would come. But now it doesn’t happen.

D: How about your stammering?

P: There is a change. First there was fear. From where it has changed, how it has changed that I don’t know but there is a definite change.

D: What dreams do you get?

P: I haven’t had any dreams which I could remember. I can’t remember.

My sleep has been good.

D: Your Joint problems now?

P: Much better. Previously, before the homoeopathic treatment, it used to come at least twice a month for past 15 -16 years. [Gesture shows the finger joints- proximal inter-phalangeal joints] all middle joints used to pain and also my knee and hip specifically right side. Now, after the course of homoeopathic treatment, in past one year, no problems at all; once I had minimal bearable pain in finger joint that subsided on its own within a day without any medicinal help. Only, y’day, again it started paining in this finger joint, but now it’s good. It was there only for a night, now I don’t have it.

D: Overall?

P: I am very good. Much better.

Previously, I lived only for my work and home. My brother is very active socially. Be it religious work or social work. I never took part but now I take. Now I feel that I can do it. I should do it. I do feel at times that I am late. I would have involved right from beginning. Maybe it’s because of a lack of confidence that I haven’t participated. Though I am late but still there is much to enjoy. I should enjoy. I should do something for someone. I should participate. If I live only for myself then it’s of no use. Everyone does that. My thinking has changed. First I use to feel good only at my house but now I want to help others. I not only want to live for my family but also for others. This is one more change I have noticed.

I feel as if I had everything inside but now I am making use of it. And I am very happy about this change and realization.

Final Comments:

He continued feeling better, occasionally he did have joint pains (involving small finger joint) but with much less intensity and severity which went away in a day or two without requiring any medical interventions. His stammering is still present but much less in intensity. He also has become much more social, helping with a lot of religious activities happening in his area- something that he always wanted to do but could not out of his attitude- he said- this shift in his attitude besides positive shifts in his chief complaint has changed his life and his outlook towards life. Now he perceives and reacts according to the demands of the situation without getting paralyzed by negative attitudes that he previously harbored. This shift has opened a completely new avenue of his own personality which he never realized he possessed- and being aware about this side of his and acting and reacting accordingly has surged his life with a feeling of true joy and satisfaction, a feeling which keeps nurturing his life force to be more aware of his potential and function accordingly. He kept succeeding in his business as well. He still is a very sensitive person, but his sensitivity doesn’t curb his potential now or color his perception in negative ways as it did previously.

Your balanced sensitivity makes you a better human as it allows you to sense, feel and react to other’s problems – a true humanity without unnecessarily paralyzing your potential. And this is what he feels is a change in him and for this he expressed his gratitude towards homoeopathy and left with a smile.

Unfortunately, I have not presented any of his investigation reports with this case because they were lost in a mishap at his home. (Honestly, I do not recollect how I missed reporting investigation findings on his case paper- may be hush hush of patients in charitable trust where he came would have been the reason!)

All these years, this was the fact that kept me from presenting this case with such a wonderful result by homoeopathy in Seronegative arthritis. But recent encounters with the same patient reporting no signs of paralyzing pains in all these years off medications, helped me to overcome my restraint and come out with this case with the feeling that the detailed follow ups which has stood the test of time may help to overcome the misfortune of absence of supportive investigation reports. So, I humbly present this case with report of his investigation report that has lain somewhere in my memory.

What I could recollect is his ESR came to normal, which was very high after the first report before starting homoeopathic medication, and him being Seronegative, his RA always came negative and I do not remember the status of HLA-B27 prior and after homoeopathic medication. His x-ray lumbar region did not show any sign of Ankylosing spondylitis).


Dr. Urvi Chauhan
106, Dinar Building, 1st floor, 20- station road, Santacruz (West), Mumbai- 54. Maharastra. India.
PHONE: +91-22-26046245
Email: [email protected]
[email protected]

Vitae: Quite known for her elaborative in depth case exploration woven with necessary Yogic supplementations to her patients, it’s quite a promising journey to travel with her to unfold the case in the Case-Receiving Process as she names it and get a feel of the vital core of the patient. Besides being a “Responsible Healer” as termed by her patients, she also organizes and manages events and courses for national and international students teaming up with her husband Dr. Dinesh and also for Dr. Rajan Sankaran and his team. Regular contributor to various national as well as international Homoeopathic journals, she is one of the panelists on web portal Presently penning down her own book upon Ganges water proving conducted by the couple; she has also written the latest book by Dr.Rajan Sankaran “An Insight into Plants” Volume III.

About the author

Urvi Chauhan

Dr. Urvi Shah Chauhan heads the Philosia publications. She is the Head and Director of Swasthya Homoeopathic Healing, along with her husband, Dr. Dinesh Chauhan. The creative head of Swasthya Homoeopathic Healing, she is a practicing homoeopath, yoga consultant, publisher, editor, book- designer based in Mumbai, India. She was the editor-in-chief of three books by Dinesh Chauhan, namely, A Journey into the Human Core, A Wander with a Little Wonder: Child-Centric Case Witnessing and The Scientifically Intuitive Case Witnessing Process: The Journey of Three Steps.. She designed all the illustrative art work and the cover pages for the latter two books. She compiled An Insight into Plants-Volume III for Dr. Rajan Sankaran. Since 2007, she has run Athato Brahma Jigyasa Foundation (ABJF), a not-for-profit trust, with Dinesh Chauhan, where they organise free, educative homoeopathic workshops for Indian homoeopaths. She is the designer and developer of two of their web sites and She is a Guest Editor for Interhomeopathy – an online international homeopathic journal. She can be contacted at: [email protected]

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