A female aged 30 presented with swelling of face and amenorrhoea which had been happening for the last 6 months. Her TSH LEVELS were 24.63mIU/L. She had anxiety about her complaints. She also had hair loss, acne and oily face.
Family history revealed nothing except allergic rhinitis in her elder sister. Menstrual history revealed she’s had irregular, late menses since menarche. Duration and quantity of bleeding is normal; there are no concomitant symptoms before, during or after menses.
Her physical generals are normal. She has a craving for salt, milk and sweets. She fears expressing emotions, especially with loved ones, because she might be rejected by them. However, there was no history of any rejection in reality. She also fears worms. She is thermally hot.
The following rubrics were selected for
MIND- FEAR- animals of, worms of.
FEMALE- MENSES- late, too.
GENERALITIES- FOOD and drinks-milk desires.
GENERALITIES- FOOD and drinks-salt or salty food – desires.
GENERALITIES- FOOD and drinks-sweets- desires.
EXTERNAL THROAT-SWELLING-Thyroid Gland.
Based on the repertorization and M.M., Natrum Mur was selected.
05/03/2020 NATRUM MURIATICUM 200/2D
(1D stat and 1D s.o.s); followed by placebo for 15 days.
20/04/2020 – anxiety reduced, amenorrhoea, acne with oily face and hair fall
NATRUM MURIATICUM 200/ 2D – (1D stat and 1D s.o.s) followed by placebo for 15 days.
05/05/2020 – anxiety reduced, amenorrhoea persists, acne with oily face and
hair fall slightly reduced. Generals: Normal Placebo prescribed for 15days
21/05/2020 – Menses appeared on 20/05/2020, duration-5 days, normal bleeding, no clots, thyroid gland enlargement persists, anxiety reduced, acne with oily face slightly better.
NATRUM MURIATICUM 200/ 2D (1D stat and 1D s.o.s); followed by
placebo for 15 days.
Hair fall slightly better. Generals: Normal
07/06/2020 – Menses regular, acne with oily face reduced, anxiety reduced, acne reduced, thyroid swelling persists and hair fall reduced. Generals: Normal – Placebo prescribed for 15days
Menses regular, acne and hair fall reduced, anxiety reduced. Generals: Normal
NATRUM MURIATICUM 200/ 2D (1D stat and 1D s.o.s); followed by placebo for one month.
27/07/2020 – Weight reduced by 5 kgs, acne and hair fall better, menses regular and anxiety better. Generals: Normal
NATRUM MURIATICUM 200/1D – (1D stat) followed by placebo for 10 days.
01/08/2020 – TSH LEVEL: 08.91 Treatment still continues.