Age : 72 , Female
Date : 20th April’18
This patient presented with complaint of stomach pain since two weeks. Profuse vomiting 3-4 times a day for the last week. Nausea, retching, constipation, abdominal distension.
The episodes are recurrent and the patient is well in between these episodes. The intermittent nature of symptoms and signs delayed diagnosis as well as definitive treatment. The patient approached me after being first consulting an allopathic physician, who confirmed the diagnosis with USG. The patient took allopathic medicines with no response and the doctor suggested surgery but the patient was not willing, due to financial constraints.
Observation: Obese, phlegmatic and dark complexioned.
Thermal – Chilly Patient
Thirstless – sips of water only
Desires – Oily, Spicy food
Sleep – anxious, restlessness – As observed by his son since the time of illness she prefers to sleep on the right side.
Nature and Behaviour:
She is angry and haughty in nature and cannot tolerate contradiction.
She had seven daughters and one son all of whom are married.
Very much attached to her pet dog
Husband died a long time ago
Irritability and anxiousness increased with illness.
All the above observation/sign/symptoms were correlated:
- Irritated nature and intolerant of contradiction. Gets irritated when someone makes noise or if TV is on.
- Anxiousness restlessness
- Miasm – considering obstructive pathology and severity of complaints Syco-Syphilitic
According Dr.Vijayakar’s Acute Chart it is a non-recurring acute complaint
- a) Anxiety increased
- b) Chilly
- c) Thirstless – sips of water only
- d) Better by lying on right side
- e) Sensitivity to noise also increased
This is acute totality:
Sensitive remedy, gets offended very easily
Her reactions to the suffering is anger and irritability
Remedy Selected on the basis of acute presentation: China officinalis
China 30(2) on 20/04/18
As it is an emergency condition, patient was advised to report after two days. I will observe for features of relief of obstruction, like reduction in vomiting and pain, and passage of stool/flatus, reduction in tenderness and abdominal girth; disappearance of visible/palpable bowel loops.
24/04/18 – Patient developed diarrhea after the medicine and vomiting subsided. Because of this she is quite relieved but abdominal distension is still there and there is visible peristalsis. I see right remedy reaction with slight aggravation initially.
Rx Sac Lac 1week
03/05/18 Eating improved and she vomited only once and had less abdominal distension and the postprandial discomfort subsided.
Greatest improvement is within a span of one week: NORMAL USG reported.
Rx Sac Lac 1 week
09/05/18 She has a cold and cough but her general health is good, so no medicine given. No postprandial discomfort, no vomiting since a week and abdominal distension subsided and she has no stomach pain.
Rx Sac Lac 1 week
16/05/18 Most of the complaints have resolved.
General condition better
Rx Sac lac
This acute case resolved with proper follow up. The complaints were syco-syphilitic and the second layer, i.e Endoderm pathology, was cured with a single medicine, in a rapid and gentle way.