(Clinical Application of Inter-current Remedies )
This patient is a girl of 15 years who presented with the chief complaint of primary amenorrhoea (Homeopathy Treatment for Amenorrhea). She is very lean, weighing just 28 kgs. No appetite. Would not eat even when pressured to do so.
Past History–
Tuberculosis at age 10 – had taken AKT
No family history as such
Generals–
Appetite – Diminished
Cravings- Non veg- chicken, fish, fried rice and sweets
Aversions- Vegetables
Thirst – Thirstless
Urine- No complaints
Stools- Constipated, hard stools
Perspiration- On head and scalp
Thermals- Chilly – Can’t tolerate cold weather
Sleep- sound, salivation during sleep
Dreams
“Grandfather passed away a few years back. He visits my dreams and tells me that I am not dead, someone killed me and you need to take revenge.”
Nature and Temperament–
- Very sensitive girl, will weep on small things; will weep when mother scolds her
- Gets very nervous before exams- “If I get less marks, friends will tease me that I got less marks and they scored more than me.”
- Very very scared to go on stage—will get trembling of legs before any stage performance or examinations.
- She likes to be with her friends, likes to dance and play sports.
- Fears – cockroaches, lizards, rats
Observations – Nail biting, blue line on Gums
Case Analysis-
First Prescription
Calcarea Silicata – 200 bd for 7 days
Rx – Calc Silicata
Calc Silicata from Dr. Sankaran’s Soul of Remedies:
Calcarea silicata is a salt and represents a combination of feelings of both Calcarea and Silicea. Like Calcarea the person feels insecure, with the need for protection and like Silicea he feels the need to maintain a particular standard.
The need to maintain a certain standard gives Calcarea silicata its sensitivity to reprimands. Here it compares with Staphysagria in this that both drugs have a high sensitivity. This sensitivity to reprimands keeps him from confrontation and getting fired and hence maintaining the standard that his superior sets for him. He also becomes timid, bashful, yielding, irresolute, hesitant, since this will help him. Also, he has a lot of anticipatory anxiety before exams, interviews, meeting people or before beginning a new job.
He can have pleasant dreams of being with his family or talking to dead relatives.
Physical symptoms:
Physically they are lean, chilly patients.
o Sweaty palms and soles, especially cold, sweaty finger tips.
o Blue line on gums.
o Delusion, voices, hears and answers.
o Delusion, talking, dead people, with.
o Sensitive, reprimands, to.
o Timidity, bashful.
o Yielding disposition.
Follow Up after a Month-
Her appetite improved – weight gain – 3kgs
No salivation from mouth during sleep
Menses- didn’t appear yet.
State of mind –
Had exam stress – “Would I pass in exam or not- what will happen?”
She was very sensitive. Whenever her mother or some elder would scold her, she would weep.
Generals –
Thirst- would not drink unless encouraged- very thirstless
Cravings – Meat +, Chocolate ++
Sleep- sound- position on abdomen
Thermals- Hot agg
Hobbies and Interests- dancing , painting, art and craft work.
ANALYSIS-
Second PRESCRIPTION-
Carcinosin- 200 – Bd for 2 days
Follow up after a Month-
- Menses appeared- normal cycle
- Appetite improved further- weight gain further
- Overall doing good
She is now getting regular menstrual cycles and her general health improved.
Second Follow Up- ( May– 2017 )
- Menses appeared- normal cycle
- Appetite improved further- wt gain further
- Overall doing good
Now, it’s almost 8 months and she is on placebo, getting her regular menstrual cycles, her overall health is good, she is gaining weight gradually, and doing good in her studies.
Conclusions:
It is important to make keen observations of minute changes in the state in the follow ups and not being satisfied even when we see slight improvement. Studying the follow ups as a new case is the key.
Also, nosodes are not given as intercurrent but when indicated, when the whole state indicates them. Then they act beautifully.
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