Mr. A. J Age 23yrs Education BCom
Date-22/10/2010
Occupation: Working in private firm in sales dept.
Living in rental apartment with a senior citizen “Bapu” as a paying guest with whom he has formed a father/son relationship.
Father- age 58, now retired
Mother –age 48, housewife
1 E sister age 25,
1 Y brother, 21,
C/C:
Since 6 months he has frequent fullness of abdomen, Gas++
Heavy body
Trembling < excited when in anger++
Nausea+
Pulling in hands and legs++
Stools watery (3-4) with pain in abdomen at times <over eating
P/H– Malaria 2006
App-Good – Craves -Spicy++,apple, banana, salty++
Thirsty++ 5-6 lit /day
Perspiration –on back, offensive++, stains yellow+
Ambithermal
Sleep-sound, only disturbed when thinks of health and whether he will get well or not.
Life space-
Mr A J, 23 yrs came with an uncle in whose house he is staying as a PG since 1 yr. They are both from the same city and formed a bond of father/ son relationship.
From childhood he has faced a lot of hardships. When young his father would beat him without reason with hot spatula. That anger towards his father he carries till today. He wanted to leave his father and go away some place. When he thinks of all this he feels like slapping his father. His father was frustrated with his own problems which he displaced onto the patient. He could not leave his parents as people will say” he left his parents.”
There was no bonding between parents and children. They never thought about the childrens’ education or career or their future. They all grew up with their own thinking and in their own way. If he now compares his relation with Bapu, he feels there is fatherly care, understanding . His family has never supported him from childhood and he had to face all hardships on his own, struggle on his own,”kisi ko kisi se lena dena nahi hai. He gets so angry that he wants to walk out with baggage. There was a time when there was not proper food, clothes, and he gets angry at his father for not providing . Now at this age, his dad can’t give him the things he wanted in childhood.
He has been sick with stomach complaints ,weakness and headache. He feels depressed and wants to commit suicide, as he feels in spite of so many doctors he is not alright. He scolds Bapu for not directing him to the right doctor. When well he will laugh, play and eat a lot. He is short tempered. He is a very straight forward person. He wants to achieve something in life, work in a good company, have a good post.
Totality:
A/F Anger suppressed
A/f Abuse physical
Excitable easily
Anger contradiction from
Trembling <anger with
Injustice cannot support
Anxiety health
Ardent
Ambitious much
Desire spicy
Perspiration offensive
Perspiration stain yellow
Rx Nux vomica 200 one dose
Follow up-
From Oct 2010 to August 2012 ,he would come frequently with gastric complaints, at times with headaches, bodyaches and lots of stress with anger feelings towards his family and subordinates. He could not tolerate any contradiction. He wanted people to behave as he wanted them to. He found a place to vent his frustrations and would visit frequently to PP clinic.
His anxiety about health is very marked. He gets very scared when unwell, hopes it’s nothing major. He seems like a hypochondriac, all the time complaining. His symptoms were functional.
Nux vomica 200,later 1 M was given in infrequent doses.
Review in September 2012
Hyperaciditity continues
He was feeling lonely, felt he had no one to support him. He keeps his problems to himself. He was pondering deeply about his life ,the hardships he had to go through, his father’s beatings, their acceptance of him only if he provides money to them and looks after their needs. He dwells on his family not being supportive and caring and the wrongs he underwent through for no fault of his own. There is anger and sadness in his thoughts .A lot of thoughts go on in his mind as to why he is suffering. There is no bonding between siblings , everything is “matlabli”, which he does not like
He thinks of colleagues with less ability who have higher positions than he does. HIs thoughts trouble him and he has become a loner without a friend with whom he can share his personal thoughts. He expects his parents to change in time but they don’t. If he has to get some work done, he will fight, quarrel,, abuse, threaten and get his way.
He is trying to find his answers in religion as to why he is suffering so much. He wants to find out about God, his existence, his power, where the soul goes after death. He has read a lot of religious books, trying to find answers.
Analysis
Lack of love, care, nourishment, support in life
Feels Forsaken from family
Lonely
Ambivalent relation with parents
Pent up anger and frustrations in life
Aggressive
Strightforward
Thoughts deep, profound
Brooding
Religious affn , Q on meaning of life
Craving spicy++,salty++
Haughty
Dictatorial
Conscientious/committed
Rx — Natrum mur 1M to 10 M was given in infrequent doses from September 2012 to end of Dec 2013 with occasional doses of Nux vomica 1M,but his vexed state continued and also his functional complaints.
He was dissatisfied, angry at everything and was getting into arguments. He wanted people to work his way, think his way.
In early 2014 he got married with a divorcee of another caste .She wasdoing well for herself career wise. Her parents were only too happy. He went against his parents and married her in her hometown in Calcutta. He felt happy that he had found a companion to share. Within a short period of 3 months their marriage was breaking apart. His MIL had come to stay with them, and was interfering in their personal life. He was trembling in anger. They got divorced.
He used to come with lot of acutes of cold /cough
In March 2014 he came with chill with fever
Swelling in Lt jaw
Pain in lt jaw<hard chewing++, sour > Movement of jaw
Diagnosis was Parotiditis
Rx— Staphysagria 200 one dose given.
His swelling in jaw reduced, app improved, sleep improved
He felt more relaxed, complaints subsided.
In past 1 year till date 2 doses of Staphysagria 1M have been given.
He comes less frequently for follow up. He still gets stressed out but can manage his life better. He is doing well in his career and looking for job options abroad after his divorce. He is no longer bothered about his divorce and wants to get over the issue on mutual consent. He wants to look forward in life. He needs respect and for him, prestige is more important than money. He is more of loner, though when in company he laughs, mixes well. He is still excitable but can manage his anger. It does not trouble him.
Totality retrospective:
A/F anger, vexation;suppressed from
A/F Abuse
Excitement, excitable, tendency
Anger; irascibility; tendency; contradiction from
Anger; irascibility , Tndency; trembling with
Anger; irascibility; tendency; trifles at
Injustice cannot support
Anxiety; health about
Anxiety; hypochondriacal
Forsaken feeling; beloved by his parents, wife, friends, feels is not being
Company; aversion to; agg; solitude fond of
Unfortunate feels
Thoughts tormenting
Dwells on past disagreeable occurrences
Ardent
Ambition; much; ambitious
Haughty
Reproaches others
Dicatorial; domineering; dogmatic; despotic
Conscientious about trifles
Inquisitive
Inquisitive ; supernatural or spiritual matters about
Malicious
Desires spices, condiments, piquant, highly seasoned food
Desires salt or salty food
Perspiration; odor offensive
Perspiration; Staining the linen yellow
Lyco 42/24; Ars 35/18 ; Staph 34/20 ; Nat mur 34/18; Sulph 33/21; Nux vom 32/18
Inference:-
I felt this patient’s main issue is sensitivity. He is sensitive and reactive to each and every life situation .The DD was between Nux vomica and Staphysagria. Here the family classification helped. The structure related to one issue in his life that something was missing so ruled out mineral kingdom.
So the difference was between Ranunculaceae and Loganiaceae.
Ranunculaceae has the main sensation of Vexed, excited easily, raw nerves
Morbidly sensitive
Many emotions
Irritability, excessive anger with ,grief, guilt, shock and annoyed, distressed, harassed.
Insulted, Dreams vexatious
Sharp, stitching, stabbing, stinging and sticking pains
Their active reaction of patient is…….
Nervous tension
Inner conflicts, many emotions excited together, one on top of the other
Somatisation
Outbursts, brooding, passionate
Tremors from emotions, tensions prolonged
Mental and physical connections or alternations, suppressed
Sensitive to trifles
Loganiaceae- Main sensation is Shocked, let down, disappointed, torn to pieces, shattered, ruined
Active reaction is they are beside themselves, excitable and go into convulsions
Staphysagria was better suited for the case.
