Varicose Ulcer in a Woman of 69

First visit: 3.08.2018.

Chief complaint: suppurative varicose ulcer on left leg that was resistent to allopathic treatment.

Observation: very bizarre clothing ( long, dirty, black dress, very intense make up, with a big, black braid in her hair) – showing eccentrically how she mourned.

Case history: 20 years before, her daughter (pregnant with the second child), died in a car accident – big loss for her → she had to raise her first granddaughter who was a  9 year old at that time.

• She had never recovered from that pain of loss.
• She cried a lot, was sleeping in a house surrended with dogs
• She could not communicate with anybody
• 5 years after the death of her daughter the varicose ulcers developed on both legs
• She also has HBP treated with allopathic medicines   (Irbesartan, Betaserc, Tertensif and Amlohexal)

Temperament:

• Very optimistic before the tragedy, desire for amusement – singer in a folkloric ensemble and used to sing at parties – she missed those times. They were the first things she spoked about!
• She played key roles, her nickname was “ fucking bitch” – speaks a lot about this aspect.
• “ I’m a mad” – she lives with 12 cats now, but before she lived with 22 cats.
• She likes jewelry, talks about herself in a laudative manner
• She speaks a lot, jumping from one subject to another, difficult to follow.
• Very attached to her family members and materialistic.
• Very secretive nature – nobody saw her leg ( that is why she wears that long, black dress)
• She cared for her mother many years, but this for her was “ a drama”, so she started to drink daily to can cope with her responsabilities (diaper changing etc.)
• Heteroanamnestic data (from her sister): she used to drink since many many years, daily, at home. Her house is a whole mess, with so many cats everywhere, and she didn’t use to wash herself, never washed her feet. ( her delusion  – it’s not good to put water on her ulcers)
• Fears: snakes and snails, reptiles in general
• Sleeplessness
• Sleep position: right side

Physical  generals

• Heat-flushes
• Surgery for uterine fibroids many years ago (nobody from her family knows about her illness.)
• Warmblooded, ameliorated by cold
• Thirstlessness
• Food: desire for fat, cheese, eggs, tomato
• Aversion for bread and potato
• Urination frequent in the night
• Perspiration on the neck
• Does not tolarate anything around her neck!

F.D._3.08.2018._MIND  

Sum of symptoms and degrees  –  Sum of symptoms and degrees  –  Intensity is considered

1	1234	3	MIND – AILMENTS FROM – grief	92
2	1234	3	MIND – AMUSEMENT – desire for	17
3	1234	3	MIND – HAUGHTY – mania; in	11
4	1234	3	MIND – HIDING – himself	44
5	1234	4	MIND – LOQUACITY	200
6	1234	3	MIND – PASSIONATE	57
7	1234	4	MIND – SECRETIVE	36
8	1234	3	MIND – SINGING	105
9	1234	2	MIND – VIVACIOUS	132

	lach.	hyos.	bell.	stram.	aur.	ign.	phos.	verat.	nux-v.	plat.
	93	66	63	58	56	56	56	56	52	50

 F.D._3.08.2018._Phys.-Gen.  

Sum of symptoms and degrees  –  Sum of symptoms and degrees  –  Intensity is considered

1	1234	3	EXTERNAL THROAT – CLOTHING agg.	41
2	1234	1	EXTERNAL THROAT – PERSPIRATION	22
3	1234	2	STOMACH – THIRSTLESS	181
4	1234	3	FEMALE GENITALIA/SEX – TUMORS – Uterus – myoma	77
5	1234	3	EXTREMITIES – VARICES – Leg – ulceration	8
6	1234	2	EXTREMITIES – VARICES – Lower limbs	53
7	1234	2	SLEEP – POSITION – side; on – right side; on	38
8	1234	2	SKIN – ULCERS – Areola – indurated	21
9	1234	3	SKIN – ULCERS – bluish	28
10	1234	2	SKIN – ULCERS – sensitive	71
11	1234	2	GENERALS – COLD – amel.	107
12	1234	2	GENERALS – FOOD and DRINKS – alcoholic drinks – desire	233
13	1234	2	GENERALS – FOOD and DRINKS – bread – aversion	65
14	1234	2	GENERALS – FOOD and DRINKS – wine – desire	70
15	1234	3	GENERALS – HEAT – flushes of	310
16	1234	2	GENERALS – STANDING – agg.	147
17	1234	3	GENERALS – VARICOSE veins – ulceration	51
18	1234	2	GENERALS – WEATHER – wet weather – agg.	178

	lach.	puls.	lyc.	ars.	sulph.	calc.	sil.	phos.	sep.	bell.
	138	114	109	95	95	91	82	78	76	73

The remedy selection was easy considering that she presented strong keynotes of Lachesis, the first remedy which comes up also on repertorization.

Treatment: she started with Lachesis CH 30 , followed by Lachesis LM 4 daily for 4 weeks

Follow up after 2 weeks: Better as per general state, she has no more heat-flushes, her incontinence ameliorated a lot (she didn’t speak about this at first consultation, because of her secretive nature), but the ulcer is still sensitive, although in some points there is also new tissue formed. She continued  the treatment and locally used Calendula MT diluted in water.

Follow up at 5.09.2018.  – the ulcer can be seen below in the photo – partially healed. Another very good result of the treatment was that she stopped drinking!

Follow up at the end of Sept. 2018.: the ulcer healed completely