A male patient, 17 yrs. old came to my clinic complaining of severe pain in the right ear for two months. He had already been treated with allopathic medicines for this. A whitish sticky discharge started. Pain was aggravated from hot applications. There was extreme pain behind the right ear. The pain was in a single spot.
Chief complaint:
- Discharge from right ear since 2 months
- fullness of the ear
- Hearing loss
- Chronic ear drainage
- Persistent deep ear pain or headache
- Fever
- swelling behind the ear
Location | Sensations | Modalities | Concomitants |
Right Ear since 2 months
|
Pain in single spot,
Whitish thicky discharge Fullness of the ear |
< hot applications.
|
Past history
No major illness in the past
Family history
Mother Diabetic
Father Diabetic
Personal history:
Appetite – Average
Desires – Cold milk, peanuts
Aversions – nothing specific
Thirst 8- 10 glasses a day.
Perspiration moderate
Stool once a day usually after his afternoon meal
Urine 6-8 times a day
Sleep & Dreams – Good sleep. Doesn’t remember his dreams
General modalities -Aggravation – Hot, hot applications, 2-3 am
Mental generals:
Patient is a non-obedient child. He has a tendency to skip school. He is not bothered about studies. He likes to go to his uncle’s farm and walk a baby calf around. When scolded he will start rearranging the stack of hay in the farm. He is living in a joint family and always feels he is not wanted and that the people at home will poison him to death because he is not good in studies.
Vital data:
Temperature- 990 F
Pulse 78 /min
Blood pressure- 130/80 mm of Hg
Respiratory rate – 19/min
Weight 41 kg
Height 5ft 2inch
Pallor- +
Systemic examination:
Respiratory system
Air entry on both sides equal. No any added sound heard on auscultation. No any abnormality seen.
Cardiovascular system
No any abnormality seen. S1S2 normal, no any added sound heard on auscultation.
Central nervous system
All reflexes are normal. No any abnormality seen.
Gastrointestinal system
Abdomen is soft, no tenderness on palpation. Normal peristaltic sound heard on auscultation.
Physical make up:
Patient is average build with a frown on his face.
Investigation :
Lymphocytes =70%
E.S.R. = 42
Final diagnosis:
Chronic otitis media
Miasmatic background: syphilis
Analysis of symptoms:
- Forsaken, feelings
- Suspicious, mistrustful – poisoned, of being – Forsaken, feelings
- Work, general – aversion to mental work
- Milk, general – desires – cold
- Peanut, desires
- Discharges, from right ear
- Discharges, from – gluey, sticky
- Discharges, from – night – in warm bed
- Night, agg. – 2 a.m. – 2 a.m. to 3 a.m.
Evaluation of symptoms:
- Forsaken, feelings
- Suspicious, mistrustful – poisoned, of being
- Work, general – aversion, to, mental work
- Milk, general – desires – cold
- Peanut butter, desires
- Discharges, from – right
- Discharges, from – gluey, sticky
- Discharges, from – night – in warm bed
- Night, agg. – 2 a.m. – 2 a.m. to 3 a.m.
PDF:
Physical make up:
Patient is average build with a frown on his face.
Thermals: patient is thermally hot.
Miasm: syphilis: as the patient build is average, he has night aggravation, chronic otitis media which is degenerative.
Repertorial totality:
- Mind – suspiciousness, mistrustfulness
- Mind – forsaken feeling
- Mind – work, general – aversion, to, mental work
- Generals – night, agg. – 2 a.m.
- Food – milk, general – desires – cold
- Food – peanut butter, desires
- Ears – discharges, from – night – in warm bed
- Ears – discharges – general – thick
Repertorisation
Remedial differential diagnosis:
Pulsatilla 18/6
Lycopodium 11/5
Silicea 10/5
Calcerea carb 9/5
Final remedy:
Pulsatilla 200 single dose followed by S.L
Follow up summary
Sr.no | Date | Complaints | Remedy | Reason |
1 | 24/02/2015 | Discharge better slightly. | S.L | Complaint ameliorates |
2 | 24/03/2015 | Discharge better by 50%. Pain much better | S.L | Further improvement in condition is seen. |
3 | 12/04/2015 | No further improvement | Pulsatilla 1M repeated | Potency is changed as there is no improvement beyond certain limit. |
4 | 27/04/2015 | Patient feel much better | S.L | |
5 | 12/05/2015 | Mother accompanied the patient for the first time. She was delighted not only with the treatment but also with the behavioral change of the child. He now doesn’t miss school and waste his time in useless activities. | S.L | Improvement seen. |
6 | 12/06/2015 | Discharge completely gone. | S.L | Improvement seen. |
7 | 12/07/2015 | Discharge from ear started again after getting wet in rain | Pulsatilla 1M | Recurrence of complaints |
8 | 30/07/2015 | Not better
Discharge still present |
Pulsatilla 10M | Potency is changed as there is no improvement. |
9 | 15/08/2015 | Discharge better by 50%. Pain much better | S.L | Improvement seen. |
10 | 29/08/2015 | Discharge slightly decreased, no further improvement seen | Pulsatilla 50M | Paucity of symptoms seen |
11 | 14/09/2015 | Discharge better slightly. | S.L | Complaints ameliorates |
11 | 14/10/2015 | Discharge better slightly. | S.L | Improvement seen. |
11 | 16/11/2015 | Discharge completely gone. | S.L | Improvement seen. |
11/12/2015 | Better | S.L | Improvement seen. | |
16/01/2016 | Better | S.L | Improvement seen. | |
14/02/2016 | Better | S.L | Improvement seen. |
Comments
By analyzing the patient’s case in detail it was found that he has marked phlegmatic temperament. Considering his physical make up, he belongs to oxygenoid constitution and after repertorising, Pulsatilla was selected as the constitutional remedy. By considering his susceptibility I prescribed the drug in 200 potency. On prescribing, improvement was seen in chief complaints, but there was not complete relief. After giving the same drug in 1M single dose the general as well as particular symptoms of the patient improved. The symptom of discharge from ear recurred after getting wet in rain, hence the potency was increased. When a constitutional medicine is given in correct potency with proper repetition there is complete and gentle cure.
Good learning case. Thanks for sharing.
Thanks for sharing…