G .V – male age 45
appearance : short, thin, anxious
happily married with 4 children
works as cleaner
lives in council flat
He us in the process of filing legal papers to stay living in UK. His wife has citizenship and all his children have British nationality.
He was living as an illegal immigrant for the past few years.
1- I feel like shaking all over my body, specially when I am lying still in bed causing me insomnia and inability to sleep. This sensation is all over the body but worse from waist up to shoulder and neck. It’s like vibration accompanied by anxiety and feeling very warm and I start sweating. This sensation is worse standing still or lying down and sleeping and better by movement. (He is under hospital care for tests.)
2- Unable to sleep at night causing me severe distress and anxiety when I think about it.
3- Back pain over thoracic region better lying down.
Past medical history : None
Family history : Mother suffers from high blood pressure, father died of heart attack.
Medication : None
Head : sweating from waist up to head < during tremors
Nose : blocked – both nostrils, suffers from hay fever.
Chest : slight dry coughing aggravated by cold drinks , > warm drinks > honey and lemon
Heart : palpation and tremors < anxiety, < sleep
Stomach : hyperacidity < worse by stress.
Joints and extremities : pain left knee > rest < movement < shaking.
Nails : thick, easily break, ridges, ribbed and wavy ——-sycotic nails
active++, energetic++, angry+, impatient++++, neat and clean ++, punctual+++
caring, anxious, impatient, loving, honest, creative conscientious, passionate, safe person, serious, sincere, sensitive, forsaken
memory : weak
Fears : fear of heights when he was young, fear of incurable diseases, losing self control.
Happiest moment of his life: when he spends time with his family
Saddest incident of his life : when his father passed away.
Mental causative factor : very worried all the time. All his family are residents of UK but he is the only one of them who is an illegal immigrant, making him feel very anxious all the time.
Homeopathic generalities physical
likes and crave open air, fresh air
food: likes salt, sour, spicy, like fish, meat, chicken, eggs, like warm food
like hot drinks
Appetite : normal
Sleeps on the right side, intermittent sleep due to his tremors
dreams : none
Perspiration : normal
Urine and stools : normal
Hobbies: likes computers, editing videos
*hospital investigations all normal, including MRI scan and all blood tests normal.
*He was advised to take B blocker propranolol for his tremors
tremors —— sycotic,
Analysis of the case :
There is etiology in this case, long standing history of feeling trapped, unusual long mental exertion being an illegal immigrant waiting for his papers to be approved. As soon as his papers were completed he was offered citizenship and then he developed tremors, loss of control, trembling.
1- Unusual mental exertion
2- Unusual change of his home, moved from his country to UK
4- frightened all the time
5-lack of self confidence, unable to apply for any job
7- anxiety about illegal status causing him anticipation all the time.
Weakest link in this case:
Mental, nervous system, gastrointestinal
physical weakness :manifested by tremors, trembling extremities. incoordination
mental weakness: manifested by anxiety, lack of confidence, loss of control, insomnia
Miasmatic analysis :
psora +++, sycosis +++, Tubercular++++
*First consultation Arg nit 200c/1M
2 doses because of etiology of unusual, long continued mental exertion
*Second consultation 6 weeks later
mental energy, physical energy improved, appetite good
occasional tremors not every day, less trembling.
Prescription : Sac lac
Third consultation 6 weeks later:
Improving, less tremors and mental and general energy improved, still slight tremors at night when he is tired.
Fourth consultation after 6/12
Deteriorated, sleep still okay, but he is awakened by tremors again
Very worried and anxious due to recurrence of the tremors and trembling waking him. from sleep
Prescription : Repeat Arg nit 1M followed by 10M
Follow up after 12 weeks : Patient general wellbeing physical and mental much improved. He still rarely has occasional tremors at night, but it does not bother him.
Final Note: This patient never took any of the conventional medication prescribed by the hospital. This case illustrates the clear and simple approach taught at Allen College of Homoeopathy.
1- observation: patient’s look, gestures, behaviors
2-look for etiology
How to use your medication : Single globule dose taken in 500ml bottle of water. Dissolve, shake, and sip the water all day. Refill bottle when 1 inch left. First dose for 7 days. Stop 7days. Second dose: repeat the above procedure for 7 days .
Please kindly explain the questions asked to decide thermals,
Thank you for your question
The line was missed
Asked if he is hot or chilly
He replied he is hot like open air
Very nice presentation, Thank you…but dosing isn’t clear.
….”and sip the water all day” ……What is the amount and how long gap should be ? Again, 1M followed by 10M , …..After how long time i.e. what
is the gap between 1M & 10M ? Plz…make it clear.
Thank you for your question
Siping the water it means drink as much as you can use the bottomless as your drinking water the more you shake the bottle the mor your are plussing the dose whichever means 200c becoming 200c++
*** dose of 200c /1M worked for almost 6 month when he start to feel the tremors agin he was given repeat of 1M to take in water for one week then rest for 7 days the 10M to sip for 7 days the reason for 2 doses , is there is aetiology also Kent used to repeat every potency twice before exhausting the potency.
i just want to know that if u w’ll have to repertorise the case,what strong rubrics will u take…for the medicine to come out.
again next thing that apart from the case,that can u plzz explain urs method of dosing….
I went through the case for the second time and I found it to be enreaching.But madam let us know how -after considering mental totality to decide prescription -miasmatic analysis affected the prescription?