Chief complaint: Night suffocation and hearing illusion
This 34 year-old male patient works as a junior engineer in a thermal station He lives alone in the ground floor apartment surrounded by forest.
For the last three months, every night after falling sleep, he felt suffocated and also had the illusion of hearing that someone called him during sleep. He would wake up suddenly and feel suffocated, with stitching pain in his chest like angina. He would have to sit up, and experienced extreme fear and dread of being alone.
History: No history of heart or respiratory disease. His ECG and ECHO 2D Doppler tests were normal.
Night suffocation, illusion of hearing during sleep, palpitation, chest pain, and irritating dry cough.
Rubrics I selected
MIND: Aversion to talking, dread to be left alone, depressed, illusion of hearing,
HEAD: Suffocative spells after sleep
EAR: illusion of hearing
RESPIRATION : irritating dry cough, dyspnea at night
Heart: angina pectoris
Feeling of weight on heart
GENERALS: pulse weak
Reference : Boericke’s materia medica
11/08/ 2017 Rx: Naja 30 CH two times a day for 10 days
Next Follow up Date: 25/08/2017: C/O He was much better as night suffocation and hearing illusion were almost gone. No palpitation or chest pain. Sleep improved.
Rx: Naja 30CH once a day for another 15 days
Next follow up – Date : 20/09/2017 -C/O He was better and had no complaints.
Rx: Naja 30CH once in a day with SL for another 15 days
Patient was followed up regularly for 2 months and he is still without symptoms.