Chief Complaints:
A 15 months old female child, T.G., was brought by her mother on 13-10- 2018 in OPD, presenting symptoms of dry itchy, scaly eruption on scalp for one month. Itching ameliorated by scratching. Discharge from left ear for 3-4 days. Character of discharge is thin and offensive in nature.
Past History
â–¡ H/O of Diarrhea (Green, watery stool) 3 months before.
Family history
â–¡ Father-H/O CA Throat
â–¡ Grandfather-H/O Hypertension
Personal history
â–¡ Milestones-normal
â–¡ Vaccination-Regular
Physical General
â–¡ Appearance-Looking Dirty, Dark Complexion.
â–¡ Appetite-Good
â–¡ Desire-Sweet, chocolate.
â–¡Thirst-normal
â–¡ Tongue- Moist, clean
â–¡ Sweat-Profuse, offensive
â–¡ Urine-NAD
â–¡ Stool-Clear, Regular, Soft
â–¡ Thermal reaction -Hot (Uncomfortable in Warm weather.)
â–¡ Sleep- Good, Lie on Back
Mental General
â–¡ Very active and Energetic
â–¡ Restlessness
â–¡ Usually put everything into the mouth
â–¡ Playful child
On Examination:
Auspitz sign is positive.
Investigation: Not done.
Miasmatic diagnosis: Psora is Predominant.
Totality of the symptoms:
â–¡ Restlessness.
â–¡ Appearance dirty look.
â–¡ Perspiration profuse and offensive.
â–¡ Hot patient.
â–¡ Desire for Sweet
Repertorial Analysis:
The repertorization was done using RADAR 10.0 by Kent Repertory. The medicine Sulphur got the highest mark. After consulting with materia medica Sulphur was prescribed.
Prescription (13-10-2018)
Rx,
Sulphur 200/2doses, OD
Followed by Placebo for 4 weeks
Follow up (10-11-2018)
Itching mildly decreased, Ear discharge diminished.
Appetite- good, Sleep- sound, Stool-Regular, clear.
No other complaints.
Rx,
Placebo for 8 weeks
Follow up (05-01-2019)
Itching and scales decreased, Ear discharge stopped.
Other general features are normal.
Rx,
Placebo for 8 weeks
Follow up (02-03-2019)
      Scales disappeared, No itching.
Pigmentation started.
Other General symptoms -normal
Rx,
Placebo for 8 weeks
Follow up (27-04-2019)
     The normal color of skin regained
Other General symptoms -normal
Rx,
Placebo for 8 weeks
Follow up (22-06-2019)
No relapse of symptoms.
Other general symptoms- normal Â
13-10-2018 (Before treatment)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â 10-11-2018
05-01-2019Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â 02-03-2019Â Â Â Â Â Â Â
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27-04-2019 (After treatment)