A female age 47 presented with complaints of profuse menses for the last six months. She had been taking hormonal pills as advised by a gynaecologist but got no relief. Menses are painful, profuse, dark, clotted, and last more than 2 weeks.
Associated with frequent urination during menses
Pain during menses is ameliorated by lying on abdomen.
She was also complaining of pain in small joints the last 2 years, which got aggravated in winters, morning and ameliorated by hot fomentation.
Pain in joints – lasts for 1 hour
O/E- tenderness, pain and limitation of movements are absent.
Obstetrical and gynaecological history
P2 L2
L1 –FTNVD ;L2- FTNVD
LMP- 25-11-2018
Duration- 12 days
Cycle- 26-28 days
Character – profuse, painful, dark, clotted
PAST HISTORY:
NS
FAMILY HISTORY:
Father- Hypertension
Mother died 10 years back. Had fibroid uterus
PERSONAL HISTORY:
Born and brought up: Delhi
Developmental Landmarks: On time
Education: Bsc, PhD
Diet: Non vegetarian
Addiction: Nothing Significant
Occupation: lecturer
Marital Status: Married
GENERAL SYMPTOMS
Mental generals
Weak memory. She constantly feels that she is forgetting something. Fear of misfortune- she says “If something happens to me, what will happen to my children.” Impatient, she cannot wait, must do things immediately.
Physical Generals:
Thermal Reaction: hot
Appetite: Normal, 5-6 chappatis/day
Thirst: large quantity
Desires: cold water, sweets, ice
Aversion: Nothing significant
Stool: Satisfactory
Urine: D4-5 N1-2 , no burning , no pain
Perspiration: Non-staining, non-offensive
Sleep: refreshing 6 hours
PHYSICAL EXAMINATION:
General Physical Examination:
Build: Mesomorphic
Nutrition: Adequate
Anaemia: Absent
Jaundice: Absent
Cyanosis: Absent
Pigmentation: Absent
Clubbing: Absent
Oedema: Absent
Pulse: 88bpm
Temperature: 97˚F
Respiration: 22 /min
Blood Pressure: 120/80mm of Hg, Right arm sitting
Weight: 72 Kg
INVESTIGATIONS:
USG whole abdomen done on 21 dec 2017
Impression: bulky uterus s/o adenomyosis
PRESCRIPTION
After repertorization and going through the homoeopathic Materia Medica the following medicine was selected:
MEDORRHINUM 200/1dose
Followed by placebo 1vial of 1dram. 4 globules BID for 2 weeks
OBSERVATION AND FOLLOW UP :
| Date | Remarks | Medicine | Duration | |
| 4/7/18
|
Clots during menses reduced,
amount of bleeding during menses -moderate (6-7pads /day) Duration -8 days |
Placebo 2drahm,5 globules, BID
|
2weeks
|
|
| 18/7/18
|
Calmness of mind.
Memory improved No pain in small joints in morning |
Placebo 2 drahm,5globules , BID | 2weeks
|
|
| 1/8/18
|
Amount of bleeding during menses- normal
4-5 pads /day Duration -7 days |
Placebo 2drahm, 5globules, BID | 2weeks
|
|
| 15/8/18 | Severe Pain in small joints during morning
Frequent urination at night |
Medorrhinum 200/1 dose
Placebo 2drahm, 5globules, BID |
1month | |
| 16/9/18 | Menses become normal,
Duration- 5days Amount of bleeding become normal No pain in small joints
|
Placebo 2drahm, 5globules, BID | 1month | |
| 17/10/18 | No complaints | Placebo 2drahm, 5globules, BID | 1 month | |
| 18/11/18 | Patient is much better
Energy level is good |
|||
Overall, the patient is much better. Energy level is good. Mentally stable, anxiety is much better. Amount of bleeding during menses became normal.
INVESTIGATION Done on FEB 16 2019 (below)
MEDORRHINUM- GRAND KEYNOTES
Forgetful of facts, figures and names; of what he has read. Makes mistakes in writing, of spelling, and words. Time moves too slowly; everybody moves too slowly. He is in a constant hurry, in such a hurry that he gets out of breath. She is in such a hurry that she feels faint. Confusion of mind, dazed; fear of sensation; loses the idea when speaking.
Thinks someone is behind her; hears whispering. Sees faces that peer at her from behind the furniture (Phos.). Everything seems unreal (Alum.).
Wild desperate feeling as if incipient insanity. Weeps when talking. Exhilaration in evening. Changeable state of mind; one moment sad, the next mirthful. Presentiment of death. Frightened sensation on waking as if something dreadful had happened. Fear of the dark. Anxiety about her salvation.
Vertigo when stooping; ameliorated lying; aggravated from motion. Fear of of chronic rheumatism. Great disturbance and irritability of nervous system. Pains intolerable; nerves quiver and tingle.
Children dwarfed and stunted. Chronic catarrhal conditions in children. Nose dirty, tonsils enlarged, thick yellow mucus from nostrils; lips thickened from mouth breathing. State of collapse and trembling all over. History of sycosis. Often restores a gonnorheal discharge. Intensity of all sensations. Oedema of limbs; dropsy of serous sacs. Disseminated sclerosis.
BIBLIOGRAPHY
- Hering: The Guiding Symptoms of our Materia Medica; 7th impression 2010; B. Jain Publisher
- Herbert A Robert: The Principles & Art of Cure by Homoeopathy; 3rdedition; B. Jain Publishers
- J T Kent: Repertory of the Homoeopathic Materia Medica; edition; B. Jain Publishers
- Kent James Tyler:Lectures on Homeopathic Materia Medica; 3rd ed., Philadelphia: Boericke & Tafel, 1923
- William Boerick: Homeoepathic materia medica by william boericke, third revised and augmented edition 2007, B. J Publishers, page no:377, 378.
SOFTWARE
RADAR, VERSION 10.0 / SYNTHESIS REPERTORY
