History of presenting complaint:
A seventy year old women presented with a headache that started 1.5 years ago and had gotten worse in the last 15 days. Headache (Homeopathy for Throbbing Headache) was a pulsating type of pain, < afternoon, < after food, >sleeping
2) Generals weakness increased since 2 months
Soles burning increased since 2 months
Past history: Known case of hypertension and diabetes mellitus past 20 years. Under allopathic treatment
Family history: father – diabetes mellitus
Treatment history: She took allopathic treatment for diabetes mellitus, hypertension and tension headache.
Menstrual history: menarche at the age 14, menopause at age 59 (2007)
Obstetrics history: G2 P2 L2 A0
Physical generals:
Appearance – moderately built and moderately nourished
Appetite-reduced since the last few days
Thirst – 11 glasses a day
Cravings-sweets and fried food
Aversion- nil
Urine- 5 to 6 times / day
Bowels – 1/ day (sometimes hard )
Perspiration- all over body
Sleep-good
Dreams-unremembered
Thermals- chilly
General physical examination:
Moderately built and moderately nourished
Well oriented with time and place
No pallor, cyanosis, clubbing, icterus, oedema, or lymphadenopathy
Vitals: BP 120/70 mmhg
Pulse rate 74b/min
Weight 60 kg
Local examination:
Tongue white coated
Frontal sinuses are tender
Life space investigation: patient hails from high socioeconomic family. She has 4 siblings, all married and settled. She studied up to TTC and started working as a teacher in the government school.
She married at the age 22 and it was an arranged marriage. Her husband was a bank manager at a Karnataka bank, they had a good family life and have two children. The second son is working at Banglore and the other son settled in Canada. Both are well educated.
The patient is very much worried about her son. She is sad that they are not with her. She and her husband stay alone in the home. She does all the household work. She complains that her son spends money without knowing the value of it. She is very sensitive and cries easily
As a person : extroverted, very talkative, likes company, gets angry easily.
Constitutional totality:
Mental generals physical generals characteristic particulars
Desires company desires sweets pulsating type of pain
Sensitive thermally chilly pain in B/L temples2
Weeping easily reduced appetite <afternoon
Consolation amelioration weakness2
Talkative burning soles2
Diagnosis of the disease:
Tension headache
Miasmatic diagnosis:
Psora, sycosis
Reportorial analysis:
Phosphorus was selected as based on constitutional symptoms
Rx (14/10/2019)
Phosphorus 200 (2pkts) H S weekly
Sac Lac for 2 weeks
Follow-up criteria:
- Appetite
- Thirst
- Perspiration
- Bladder habit
- Mental tension
- Pulsating headache
- Weakness
- Burning soles
Progress notes:
(abbreviations)
< – Aggravation
> – Amelioration
+ – Present
D – Decreased
G – Good
S – Same
R – Regular
B – Better
A – Absent
Date | Symptom changes | Prescription | |||||||
1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | Rx | |
28/10/19 | G | G | B | R | D | D | B | B | 1. SL 4P (1P)HS Wkly
2. 3 gr tab 1-0-1 x 1month |
9/12/19 | G | G | D | R | A | P | B | B | 1. Phos 200 2P (1P)HS Weekly
2. 3 gr tab 1-0-1 x 2wks |
13/1/2020 | G | G | D | R | A | B | B | A | 1.SL 7P Alt HS
2. 3 gr tab x 2wks |
Follow up January 2020 : When I saw her at the end of the Jan 2020, she said she was overall feeling better and her strength had increased again.
Conclusion: A few doses of constitutional medicine relieved the patient’s symptoms of tension headache along with other altered physical generals.