Solution to Dr. Amarsinha Nikam’s Quiz : A Case of Wilson's Disease

You can read the original quiz here:

Totality:

– Positive.

– Anger contradiction from.

– Dominating.

– Fastidious.

– Quarrelsome.

– Trembling of lower limbs.

– Hemorrhagic tendency.

– < Morning (Pain calves).

– > Lying on sides

– > Covering.

– (Lt) to (Rt) complaints.

– Desire: Meat, Spicy.

– Thermal: CHILLY.

– Miasm: SYPHILIS.

Remedy Selected: NUX VOMICA 30.

Response to remedy:

I called her for a weekly follow up and also advised her father to observe & note the changes in her condition carefully.
Accordingly, after a week, when they came, her father was very happy. He told me that her abdominal pain had decreased on the 2^nd day itself.
By the end of the 1^st week, the swelling on the legs had disappeared.
The bleeding ceased totally and she started feeling strength in her lower limbs.
The calves stopped paining. At the end of 3 months she put on 5 Kg weight. (Wt. on 14.10.05 = 39 kg. & on 26.09.06 = 47 kg. to 8 kg wt. gain in a year’s time.)

Follow up reports

The investigation reports after 3 months were:

HB : 9.8 gm%

WBC : 9,000/mm3

Platelets : Adequate. Her gait also improved & for the next follow-up she easily climbed 20 steps in my hospital.

MERC-SOL: Also represents this terrific irreversible pathology & fast progressing condition.

She had bloody stool too. But < hanging limbs, < waking in the morning, pain in the abdomen >lying on sides, > bending double are the peculiar modalities of NUX VOMICA.
Nux is thermally more chilly than MERC. NUX VOMICA is > covering & more fastidious than Mercurius
Mentally NUX VOMICA is intelligent, fastidious, ambitious, censorious & quarrelsome.
But they can be submissive & yielding because of their consciousness of health. NUX VOMICA is good mannered though quarrelsome.