Introduction: Strokes result from ischemic infarction or bleeding into part of the brain (over minutes) with focal CNS signs and symptoms. It is the major neurological disease of our times (10/1000/yr, rising with age to 15/1000/yr at 75 yrs). Causes: *Thrombosis in situ or heart emboli. **Atherothromboembolism (e.g. from carotids).*** CNS bleeds ( increased Blood Pressure; trauma; aneurysm rupture).**** Failure of cerebral auto-regulation of blood flow.
Analysis of the patient: A 58 yr old woman suffering from this disease for three years was referred to me on 26TH of Jan., 2010. Her chief complaint was numbness, paresthesia and paresis of upper and lower limbs following an ischemic cerebrovascular accident. She was alert and cooperative and had a blood pressure of 160/87mm/hg. She had been suffering from weakness of memory, fears of being late, passing bridges, violence and quarrelling, narrow places or claustrophobia. She would faint if her groom quarreled with her. The force of her left lower limbs had decreased. The tips of her toes were cold.
Modalities: Her symptoms were worse during the day, by walking, by standing and by motion. She became better by sitting. She would lose her balance during walking. She used to walk fast before experiencing the CVA. During the last three years, she had been referred to different Neurologists, but got no effective result. Her brain MRI which had been taken on the 3rd of Nov., 2009. revealed : 1- Small high intensity foci on T2,PD & flair images in subcortical peri and paraventricular white matter, related to ischemic changes. 2 – Enlarged sella filled with CSF could be indicative of partial empty sella turcica. After taking the case thoroughly and converting the main symptoms to standard rubrics with radar software, Arg-n. was found to be the most similar remedy. Ten drops of the remedy in 30c were prescribed and taken by the patient.
Report of course of treatment: Prescription: Arg-n 30c in liquid form. As instructed, she called me seven days after dosing with the remedy. She reported experiencing an inner calmness and was sleeping better. I told her to repeat the remedy every three days and increase one drop each time up to 20 drops. She was instructed to succuss 12 times before each dose. The second time she called, she said that her upper limbs’ paresthesia had improved up to 80%, but her lower limbs had not changed. She was told to continue the remedy and add one drop each time up to 40 drops. The last time I talked with her she reported feeling very well. Her lower limbs had become more powerful and the numbness, paresthesia and weakness in her lower limbs had improved such that she could take daily walks. The tips of her toes were no longer cold. Her fears, mentioned above, had vanished.
Discussion: I prescribed 10 drops of the remedy and instructed her to call as soon as she experiences any changes. She did not take any allopathic drug. She had been suffering from symptoms of a chronic CVA for three years. After taking Arg-n. 30 c for less than 3 months, she feels much better and can now walk daily without experiencing the previous problems. She is feeling very hopeful.
Conclusion: The results of this case report, as an observational study, reveals multi-potential characteristics and capabilities of the prescribed homeopathic remedy, Arg-n. It not only improved her upper and lower limb symptoms, but also her mental state. The remedy has effected changes in the totality of her symptoms.
1- Dr. Kamran Jalali case reports, November of 2009 in the site www.homeodynamis.com
2- Boericke’s Homeopathic Materia Medica, 9th edition,2000 by William Boericke
3- Radar Repertory, version 8.1