Female – 34 years
Chief complaints – She suffered from Rheumatoid Arthritis for 5 years before seeking treatment. She was also diagnosed with hypothyroidism 6 months before coming to me.
Rigidness of all joints
Pain in toes and finger joints
Pain aggravating from least motion and after rising in morning
Pain ameliorated after continued motion
Oedema in lower leg after hanging down
Fainting with headache in vertex region
Heaviness in lower abdomen – aggravating during menses
Sleeplessness at night but drowsiness during daytime
All complaints aggravating in a crowd and in a closed room
Suffocation during bathing. Cannot tolerate water on head from shower during headache.
Thermal -_ambithermal – Sensitive to extremes of cold and heat
Mind – Irritable – aggravating during menses
Cannot bear any comment about their social status
Very sensitive to opinion of others.
Medicine given: Pulsatilla 30 one dose
In this case I gave Pulsatilla after considering:
Suffocation in closed room
Rigidness of joints
Oedema in lower leg after hanging
After one month and three doses of Pulsatilla 30
Oedema of leg is gone
Rigidness of joints very much improved
TSH went to the normal range 3.4 from 6.2
I continued the case with placebo.
After one month the oedema with pain returned. She reported that she took paracetamol 500mg for fever three days ago, and after that the swellings and pain came back. I then gave her Camphor 30 one dose due to effects of allopathic medicine.
After 15 days she had improvement in swellings and pain. Then I gave one more dose of Pulsatilla 30. After one month her symptoms of swelling and pain were gone. Her serum RA is also normal.