A case of Non-Insulin Dependent Diabetes Mellitus (NIDDM)Analysis & Prescription Dr. Dhiraj Nanda MD

Presenting complaints
Patient came to me for diabetes on 02/12/03
FBS – 251; FUS – 2%; PPBS – 351; PPUS – 2%

History of presenting complaints

•Diabetes discovered accidentally when he was to undergo surgery for piles.

•His brother was a doctor at the hospital. He advised the patient to start insulin to control blood sugar level and under go surgery. PPLS was above 500 in the month of September 2002.

•Post operative his RBS was 182 (vide I.P/ O.P. No 17150 Ward No. OR dated 29/11/02). 

Observations

•This patient had discussed many times about himself as he used to accompany his daughter and / or his wife who were already under my treatment.

•His daughter was under treatment for ovarian cysts with leucorrhoea.

•His wife under treatment for Bronchial Asthma, HTN and OA.

•His sister – in – law for treatment of non-malignant lumps in breast B/L. 

•The first patient from his family who was brought under my care was his brother’s son with cancer of brain in terminal stages. He had already undergone partial craniotomy twice. He couldn’t be saved.

•The results of other his other relatives: his daughter is cured from her ovarian cysts with leucorrhoea; His wife’s for asthma and blood pressure is under control though she has pain knee because of OA after physical exertion; His sister – in – law does not have any lumps in her breast.

•Over past two years his family and relatives have been coming to me.

•He himself has referred quite a few patients to me, even couple of patients who were suffering from diabetes.

•While taking appointment for others or when accompanying them for the first time he used praise my medicine like any thing.

•But for his problem he has taken more than one year to come to me. 

Deduction from observations

•Q. - What does this tell you about the patient?

•A. - He wanted to see the response in others before subjecting himself to my treatment. 

Past History

•Nothing significant except tensions because he is a lawyer.

•Underwent surgery for piles (non-bleeding) last year. 

Physical generals

•Ap. – Normal;                                  

•Th. – Thirstless;      

•St. – Normal; first part is hard.

•Ur. – Normal;                                   

•Sw. – Normal;

•Sl. – Normal;                                   

•Dreams – Nothing particular; 

Thermals

•Can tolerate cold better than heat. 

Desire / Aversions

•Desires - Likes sweets; always keeps toffees - candies with him.

•Aversions – Nothing in particular. 

Mind

•“Doctor, as you know I am a lawyer. I cannot afford to be sick and my court for a long time. Can you tell me how much time will it take to cure my disease?”

Analysis

The miasm

•This patient is sycotic miasm. 

The patient

•Mind -  Cowardice; Lacking in confidence; Flatterer; Pompous; Boaster.

•Physical – Thirstless; Thermally hot; desire for sweets – candies. 

                                               Repertorial Analysis

Prescription
• Two remedies that come up after repertorization are Lycopodium and Sulphur. Of the two is more diplomatic is Lycopodium.
• Lycopodium 30 / 1 dose followed by Vital Force 30 three times a day.
• Advised to test Gycosylated Hemoglobin.

Follow - up
12/01/04
• Blood sugar under control (dated 10/01/04)
• FBS - 100 PPBS – 105
• FUS – Nil PPUS – Nil
• Patient is feeling active. Physical generals are normal.
• Continue Vital force 30 three times a day.
• Advised for blood sugar report again next visit.


Follow - up
27/01/04
• Blood sugar under control (Dated 24/01/04)
• FBS - 111 PPBS – 148
• FUS – Nil PPUS – Nil
• Patient is feeling active. Physical generals are normal.
• Continue Vital force 30 three times a day.
 

Follow - up
16/02/04
• Patient is feeling active. Physical generals are normal.
• Continue Vital force 30 three times a day.
• Asked to reduce allopathic medicine

13/04/04
• Over all better. Blood sugar report WNL.
• Continue Vital force 30 three times a day.

• 15/05/04
• Overall better.
• Continue Vital force 30 three times a day.

• 24/07/04
• Over all better. Blood sugar report WNL.
• FBS – 76 PPBS – 94 (Dated 22/0704)
• Continue Vital force 30 three times a day.

Follow - up
16/08/04
• Overall better.
• Continue Vital force 30 three times a day.
• Asked to further reduce allopathic medicine.

15/10/04
• Overall better.
• Continue Vital force 30 three times a day.
• Asked to stop allopathic medicine totally.

Follow - up
21/01/05
• Blood sugar WNL (dated 18/01/04).
• FBS – 65 PPBS - 118
• Continue Vital force 30 three times a day.

09/03/05
• Overall >>
• Continue Vital force 30 two times a day.

Follow - up
25/04/05
• Blood sugar WNL
• Continue Vital force once a day.

Discussion

E'ach' case is a unique learning experience. It is rightly said that with e'ach' case we, as classical homoeopaths enter a new world. 

This case enlighten about the clinical usage of the rubric, ‘cowardice’. The rubric ‘Cowardice’ belongs to sycotic miasm. Let us study cowardice in brief as the rubric of this month. 

Rubric of the month - COWARDICE 

Meaning - This rubric is applicable to patients who cannot face difficult situations such as fear, pain and danger and try to escape from it. In common language word spineless is used to describe coward people. 

Miasmatic background – Sycosis 

Remarks – Escapism in testing times is manifested as cowardice behavior.