The 65 yr old male patient came with the presenting complaint of uremia and his urea and creatinine levels in the blood were markedly elevated. He had been admitted in hospital for dialysis but he was discharged from hospital voluntarily due to poor economic status.
Urea-234, creatinine-4.79, urine albumin-1+
Dyspnea on walking, complete loss of appetite, prostration, pain in the all joints since 10 days.
While I was taking his case the patient asked that I give medicine only for his loss of appetite and said he would give details later. Then I asked his wife for a detailed case history.
Totality of symptoms
Dyspnoea from anger
Aversion to answer
Angry when obliged to answer
Habit of chronic alcoholism
Rx : Nux vomica 200/1dose
After Nux vomica 200 intense fevers continued up to 1 day. Continuous hiccough lasted for 2 days. Weakness better, no dyspnea, joint pain reduced 40%. Urine flow—comparatively more. Appetite –improved
Appetite good, no dyspnea, no weakness, no joint pain. He walked to my clinic. Before that he was lifted by two people, and without that support he couldn’t stand. Without any support he came to my clinic alone to get medicine.
Urine –albumin—fine trace
He was very happy to come to my clinic and told me “You have saved my life and I am very grateful to you.”
Urine out put—good
No weakness, joint pain or dyspnea.