Clinical Cases

Solution to the Case of Spindle Cell Carcinoma

Solution to the Case of Spindle Cell Carcinoma

(Editor’s Note: This case was originally presented in the May 2013 issue of this journal. https://hpathy.com/case-quizes/a-case-of-spindle-cell-carcinoma/  Reader’s solutions are shown below this answer.)

 

Observation :

I observed the behavior of the baby. He was trying to scratch different parts of his body, a number of times. I noted this typical body language and his activities. I felt that the boy was very hyperactive and restless and even wanted to be carried by family members. Another thing that I observed was that he was not only weeping, but also screaming loudly. His parents tried to calm him and he did so at a gradual pace. I was astonished seeing the patient’s behavior just while sitting on his father’s lap; he was stretching his arms to get hold of anything that was on the table.  He picked up the receiver and tried to stretch the telephone wire. A few moments later, he suddenly turned back and happily looked at a flower – a garland on Lord Ganpati’s photo-frame. The next moment, he stretched out to hold that garland. He reached it and pulled it. I was observing all his actions silently. His parents watched helplessly and smiled.

 

  • Totality :

–         Anger – irascibility.

–         Biting things.

–         Irritable.

–         Restless.

–         Excitable.

–         Shrieking, screaming, shouting, and violent.

–         Gesture makes – picks at raw areas.

–         Gestures – grasping / reaching at something.

–         Discharges acrid.

–         Itching at raw area.

–         Scratching himself.

–         Thirsty

–         Desire – sweet

–         THERMAL : TOWARDS CHILLY.

–         MIASM : SYPHILIS.

  • Remedy Selected : It wasn’t an easy prescription, many remedies like CINA were possible, but I decided to give ARUM TRIPHYLLUM 30, which covers the totality.

 

  • Response :

I told them to report back after 15 days. When he returned the wound was nearly healed with no discharge at all. The itching had reduced considerably and the baby was sleeping very well. I warned the parents not to use any local creams or powders and asked them to keep regular follow up.

On the next follow-up, the wound healed completely within a month with total disappearance of itching. Now he is a chubby, healthy boy going to school doing all the vigorous activities like running, playing cricket and that too without any pain in leg. The swelling never recurred and the boy has become quite calm in nature, much to the delight of his parents.

 

  • D/D :

 

CINA : Is also similar in these itching symptoms. It is equally irritable, restless but more cranky. The obstinacy is of a higher grade, not satisfied by anything. Besides being towards a Hot drug, CINA has < open and cold air and does not have such acrid discharges.

 

ARUM TRIPHYLLUMIn Clarke’s Materia Medica :

 

Characteristics :

–    Excitable and irritable in mind and body.

–    Scarlatina of malignant type.

–    Raw, bloody surfaces with itching. Picks itching areas until they bleed.

–    All discharges are acrid.

 

Readers’ Solutions  to the quiz:

A Case of Spindle Cell Carcinoma  (May 2013)

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Anurag Mittal    –  Rhus Tox    

The case you presented of a little child was really heart wrenching, salute to you for treating such complex cases successfully.  The remedy I could think of shall be either “Arsenic” or “Rhus-Tox”.  Seeing the level of restlessness, “rhus-tox” looks more close, here are the symptoms matched to select the remedy:

Appetite                 : Increased, wants feeding multiple times.

Desire                    : Milk, Mother’s Milk, Sweets++, Boiled eggs.

Thirst                     : Small quantity at small intervals – thirsty.

Acrid, honey like discharge

Restlessness

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Dr. Anastasia Kimtsou   Sulphur

 

Skin: burning,acrid ,itching( ++ ) , worse scratching{ the intense itching making him cry loudly trying to scratch the part continuously}.

Discharge honey like, the scar raw.

Irritable, angry and selfish, no regard for others ,affections vitiated {he beat his sister if she takes his toys, groans loudly and threatens with closed fists}.

Standing is the worst position,it is always uncomfortable{ he is restlessness and never remains in one place for long time}.

Becomes wide awake  suddenly and slightest noise awakens.

Violent ebullition of heat throughout entire body {high grade fiber with febrile convulsions with twitching of the whole body}.

Chronic catarrh but suppressed with allopathic treatment.

Excessive appetite

Desire sweets++

Drinks much

Modalities: worse:night(afraid of the  dark),at rest,when standing

better: in open air,fast music(makes him happy)

Thermal: chilly

Rubrics: Mind:Selfishness:10 ( Sulphur )

Generalities:Vaccination. after:9 (Sulphur )

 

———————————————————
 V T Yekkirala         Cina

 

GENERALS – CONVULSIONS – heat; during
SKIN – ERUPTIONS – discharging – corrosive
SKIN – ERUPTIONS – discharging – glutinous
GENERALS – CANCEROUS affections – sarcoma – spindle-cell
GENERALS – CANCEROUS affections – sarcoma
GENERALS – TUMORS – fibrosarcoma
GENERALS – CANCEROUS affections – surgery; after
STOMACH – APPETITE – increased – children; in
STOMACH – APPETITE – insatiable
MIND – ANGER – children; in
MIND – STRIKING – anger, from – children; in
MIND – RESTLESSNESS – children, in
MIND – BITING
MIND – FEAR – injury – being injured; of
MIND – STRANGER – presence of strangers – agg.
GENERALS – SLEEP – roused from sleep agg.; being
MIND – OBSTINATE – children

 

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Wayne Butcher – Calc Carb   

Anger: general; violent
Fears,phobias, general; dark
Cautious, behaviour
Bite; objects; bites
Waking, general ;agg., general on waking
Itching; skin; burning
Oozing, skin
Itching ; of ears
Milk; general; desires
I consider perspiration on the head, desire for milk and eggs to be Calc Carb generals.
There were 3 main contenders, Calc, Lycopodium and Arsenicum
Oozing from the skin also helped me come up with my answer.

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About the author

Amarsinha Nikam

Amarsinha Nikam

Dr. Amarsinha Nikam is a renowned homeopath who runs Aditya Homoeopathic Hospital and Healing Centre in Pune. He started his career as R.M.O. at Lokmanya Hospital Pune, Homoeopathy Division and subsequently practiced as the consultant Homoeopath for 14 years at various places such as Beed, Khopoli, Chakan, Kate – Pimple, Pimple – Gurav and Pimpri Gaon, Pune. Dr. Nikam teaches students to understand the depth of homeopathic treatment and differentiate it from other pathies. He instructs them in his method of practice, but also inspires them to innovate and explore.

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