Clinical Cases

A Case of Bronchial Asthma

Ramkrishna Valaki

Dr. Ramkrishna Valaki presents a case of asthma in a man of 26.

Role of Homoeopathy in Bronchial Asthma

Asthma is defined as chronic inflammatory disease of the airways that is characterized by increased responsiveness of the tracheobronchial tree to a multiplicity of stimuli. It is manifested physiologically by widespread narrowing of air passages, which may be relieved spontaneously or as a result of therapy, and clinically by paroxysms of dyspnea cough and wheezing.

Case Details

LocationSensationModalityConcomitant
1.  RS system

 

Since 7

years

 

 

 

 

 

 

 

2.  GIT

 

Suffocation

Coughing

Asthma

Dyspnea

 

 

 

 

 

 

Acidity

 

< Afternoon

Eating

< Night

< Overeating

< New cloths

< Cold damp

Weather

>Bronchodilator

 

 

 

  • A 26 year old man has complaints of bronchial asthma and acidity for the last 7 years. He is working in a jewelry shop. He is not able to do his work because of allergy to dust and metals.
  • He is very angry and irritable.
  • He has a jewelry shop and gets angry at the workers because of their poor performance in work. In anger he scolds them, but after that he feels guilty. During anger he experiences a feeling of suffocation.
  • He is very scared of heights. He feels vertigo and dizziness.
  • He used to get angry at his friends when they did not follow a time schedule.
  • When ask about what incidents affects him most, he said that there was a fight between his family and his uncle’s family. Because of that they were not willing to come in her sister’s marriage. At that time he got angry and screamed loudly. At that time he experience palpitation, suffocation, perspiration and was not able to speak.

Physical Generals

Desire – Spicy+

Aversion – Fatty food and bread which aggravates asthma++

Perspiration – Head +

  1. Past History -No major illness
  2. Physical Examination

Weight – 76 kg

Blood pressure – 122/ 78 mmhg

Respiratory rate – 17/minute

Pulse – 72/minute

  1. Systemic Examination

Respiratory system

At present wheezing not heard.

  1. X ray chest – NAD
  2. Diagnosis

Bronchial asthma

  1. Differential Diagnosis

Bronchitis

Emphysema

Pneumonia

Bronchiectasis

  1. Analysis Of Case

About chief complaint, he said that his asthma gets aggravated in the afternoon (after eating) which is his characteristic symptom.

He is an angry person (said by him, relatives, friends, workers) We should select the remedy having prominent anger.

  1. Repertorial Analysis

Mind : Ailments from Anger, Vexation

Mind : Fear High places

Food and Drinks : Fat and Rich food agg.

Food and Drinks : Bread agg.

General : Afternoon agg.

General : Eating overeating agg.

Respiration : Difficult Afternoon

  1. Repertorization

13. EXPLANATIONS

  • Here Pulsatilla covers all the symptoms but the Pulsatilla patient is very mild and gentle. Expression of emotion as weeping is more prominent in Pulsatilla.
  • If we have knowledge of plants and different families and their drugs then it is very useful.
  • Now we know that Pulsatilla belong to Ranunculancae family. So is there any remedy in this family in which anger is very prominent?
  1. Exactness with Materia Medica
  • Staphysagriya has extreme anger. Dr. Phatak says:

“Violent outbursts of passion.”

  1. Remedy: Staphysagria 200
  2. Selection of Potency
  • Here patient is at the emotional level so we have to give moderate potency.
  • Moderate amount of characteristics

 

  1. Follow Up
DateSymptoms         Prescription
5-7-2015Full case takenStaphy 200(single dose)

Placebo (TDS) 10 days

13 -7-2015Inhaler is not needed

Improved in cough+

Acidity improve+

Staphy 200(single dose)

Placebo (TDS) 10 days

21-7-2015Inhaler is not needed

No coughing

No acidity

Constipation+

Staphy 200(single dose)

Placebo(TDS) 15 days

4-8-2015All over improvement noticed

Coughing since last 3 days

Staphy 200(single dose)

Placebo(TDS) 15 days

18-8-2015Mild dyspnea after eating in afternoon

Inhaler is not needed

All physical generals are good

Staphy 200(single dose)

Placebo(TDS) 20 days

15-9-2015Cough+

Inhaler is not needed

Not any single episode of asthma

No acidity

Staphy 200(single dose)

Placebo(TDS) 20 days

1-7-2016Inhaler is not needed

All over good improvements

He is doing his work very well without any problem.

No respiratory complaint even in winter or monsoon.

Placebo (TDS)30days

 

 

 

5- 11-2016

 

Improve+++

 

Placebo (TDS)60days

 

 

 

  1. Bibliography
  • Asthma – Harrison’s 15th edition principal of internal medicine (Page 1456)
  • Material medica of homoeopathic medicine by Dr S.R.Phatak (2nd edition)
  • Complete repertory by Roger van zandvoort (First edition)
  • Homoeopathic posology by DrAjitkoulkarni
  • Physical diagnosis by Rustum JalVakil and Aspi f. golvala (12th edition, page 329)

About the author

Ramkrishna Valaki

Ramkrishna Valaki

Dr. Ramkrishna Valaki is from Mahuva. He received his BHMS from Swami Vivekanand Homoeopathic Medical College, Bhavnagar, Gujarat. He subsequently did the basic and master course at The Other Song International Academy in Mumbai. At present he is working as a lecturer and medical officer in Swami Vivekanand Homoeopathic Medical College. His personal clinic, Dhara Homeopathic Clinic, is in Bhavnagar where he has been practicing for the last two years.

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1 Comment

  • allopath doct. says I have panic attack.
    Symptoms:
    Chest oppression, tightness.
    Feel oppressed behind sternum.
    Too much belching.
    Heart beat increase when climb high
    Pain back, burning, stabbing, under back rib. First pain started Right. Now both left and right side of behind back ribs.
    While talking, increase face-jaw tensed, as if stiffed, can’t open mouth fully.. stiff jaw near ear..
    while talking with eating something food opressed in throat as if it will enter wrong way/ trachea/larynx.
    Sometime when trying to sleep, but sleeplessness, as if breathlessness trouble to sleep.
    sometimes, stiching pain in abdomen.. upper abdomen feels oppressed..
    Sweat in hand palm.
    please, help me with homeo medication