|
Case
of the month
Uterine polyp / fibroid
Presenting complaints
20/02/2004
LBA
3 31/2 years. Comes up suddenly after exertion. (I
dont realize why and when it started and similar
suddenly it is gone)
Amenorrhea
1 year. Told by gynecologist that she is going through
menopause.
Has
uterine polyp for which advised surgery.
Observation
Actions
of patient are very fast. So is her speech as if she is
in hurry to narrate her complaints or she is very
impatient by nature.
Dark
circles around eyes giving a look that the patient is
very weak.
Past H/o
Irregular
periods since last 4 5 years. Was told she is going
through menopause.
Has
been suffering from cervical spondylitis off and on.
Right shoulder and arm pains more than left.
Psoriasis
9 years of age. Does not remember which area was
affected.
Used
to have CSOM mostly from right ear.
ESD
Patient
is a divorcee who used to live with her younger brother
and daughter.
She
was working as PA to one of leading gynecologist of
Hyderabad.
Last
year daughter has left for Brussels after which she gave
up her job. Now is doing some part time job to keep
herself busy.
Her
younger brother is an alcoholic.
Physical generals
Ap.
N Th. N
St. N
Ur.
N Sw. N
Sl. N
Dr.
Nothing significant.
Thermals
Chilly.
She cannot bear cold. Does not like excessive heat also.
But among heat and cold she prefers warm to cold.
Desires - Aversions
Desires
Fresh food; alcohol*
Aversion
Fruits ( Fruits always last on my agenda)
(* The patient told her desire for
alcohol on second visit. It was not taken up for
analysis)
Mind
Q.
Tell me about your nature?
A.
I am a fun loving woman who does not like to take any
nonsense.
Q.
Tell me more?
A.
Why? What are you going to do by knowing my nature? I
have come for LBA. My reports says I have uterine polyp.
Treat it.
Analysis
I
never expected this kind of harsh answer.
This
answer to first question was complete in one sense. The
answer to second question was also complete and not
abrupt, short or curt.
But
her entire talk is abrupt. Her talk is in haste,
complete but abrupt.
The
miasm of patient is Sycosis.
Though
abrupt behavior is syphilitic but this patient is
answering all answers completely.
Mental
Generals
Talk
hasty; Talk abrupt;
Physical Generals
Side
right; Aversion coffee; Aversion fruit; Pains appear
suddenly; Pains disappear suddenly; Chilly.
Prescription & Follow - up
Remedy
given Sulphuric acid 30
Followed
by Vital Force 30 three times a day.
20/04/04
Pains
have reduced. Patient is active. She has developed
leucorrhea.
Continue
Vital force 30 times a day.
16/06/04
Physical
generals are normal. No complaints.
Followed
by Vital Force 30 three times a day.
17/07/04
Pains
have reduced. Patient is active. She has developed
leucorrhea.
Continue
Vital force 30 times a day.
10/08/04
No
complaints. Advised for U/S abdomen scan.
Followed
by Vital Force 30 two times a day.
04/09/04
U/S
NAD.
Continue
Vital force 30 once a day and stop the medicine after
finishing the medicine given.
 |
