This is the case of one of my friend’s housemaid.
Name: Miss S
Age: 20 yrs
Address: Chennai (Madras)
Miss S came with the complaints of vertigo since 6 months on 31/1/03.
H/O presenting illness:
She has vertigo especially in the morning and has to lie down for at least ½ an hr.
No other significant modalities could be elicited.
Patient as a person:
Thirst: Decreased, drinks only 2 glasses of water a day.
Desires: Boiled eggs
Menses: scanty since last 5 cycles.
Life space: She hails from a small village in Tamilnadu & has come to work as a house maid at Chennai (Madras) 8 months back. She says that all her complaints started after coming to this new environment.
General Physical Examination:
Pallor: + +
Tongue: white coated, dry
As I had not carried any medicine with me I promised to send it after reaching back to my place.
Taking the following rubrics, the case was repertorised using complete repertory.
[Female Genitalia] Menses: Scanty
[Generalities] Food and drinks: Eggs: Desires: Soft boiled
[Generalities] Food and drinks: Milk: Aversion
[Vertigo] Morning: Lie down, compelled to
One dose of Pulsatilla 200 was sent & placebo for 2 weeks.
Investigation advised: blood routine.
Patient called on 16/2/03
Vertigo was slightly better for first 4 days, but again came back.
Hb on 1/2/03 was 8gm%
One dose of Puls 200 was sent & placebo for 2 weeks.
Patient called on 02/03/03
Vertigo same, no change after taking this medicine.
Before giving a higher potency I thought of confirming one of the main symptoms which was left out in the repertorisation.
i.e., Ailments from coming to the city. As the simplest tool I used quick repertory of Hompath. The words used were ‘city’ & ‘girl’.
It was really interesting to know that Knerr repertory had the rubric we were looking for.
Rubric: “Knerr Repertory [Stages of Life and Constitution] Occupation: Servants, girls from the country become chlorotic in the city”
This beautiful description let me give one dose of Puls 1M and placebo for a month.
Patient called on 06/04/03
No episode for last one month.
Placebo for 2 months was given.
Patient called on 06/07/03
No attacks till now. Hb is 12.4 gm%
Menses become normal.
This case was an inspiration to learn more about the Knerr’s repertory. So I thought of sharing it with you.