WriteUps By Dr komal vansadiya
Dr komal Dilipsinh Vansadiya
Pg scholar (Department of practice of medicine)
Rajkot Homoeopathic medical College
Parul University
A 34 yrs old male patient present with:
CHIEF COMPLAIN:
No.
LOCATION
SENSATION
MODALITIES
ACCOMPANIMENTS
1.
Skin
Inner part of thigh
Back
Buttocks
Abdomen
Both Axilla
Calf muscle
Neck
Ear
Face
O-1yr
f-continuous
-Itching++
-Burning++
-Scratching++
-Black discoloration
-occ. White discharge (buttock only)
<++Meat
<+++Fish
<++Egg
<++Night (11-12pm)
<++perspiration
<++Wet clothes
<++Sun
>++scratching
>++Fan
>Allo Rx
PHYSICAL CHARATERISTIC:
APPEARANCE: Fair complexion, medium built
PERSPIRATION: profuse+2
Back+2, chest+2, Abdomen+2, Hands+2, leg+2
Odour+, Stain: - white delible
DIGESTION: Appetite:-Thirst: 15-20 glass/ day
Craving: pungent+3, sweet+2, meat+2, milk+2
Aversion: - Sour+3
ELIMINATION: Stool: normal Frequency: - 2times/day
Urine: normal. Frequency:-3time/day, 1time/ night
SLEEP: Duration: 8 hours
Position: On Abdomen
Life space: CHILDHOOD: Patient was born in AMOD. At that time family consists of mother, father, grandmother grandfather, four uncles, four aunty, five cousins and one elder brother. Patient has a good IPR with all family members. Pt's father was good by nature and has vegetable lorry. Pt’s grand further was also good by nature and sit in shop of household things. Pt’s mother was also good by nature. Pt’s uncle was separated when patient was five years of age.
SCHOOL LIFE: Patient was study up to 10th standard in AMOD. In school patient has 8 to 10 friends and having good IPR with them and share all things with him. Patient also takes part in other activity like running, high jump and cricket. Patient not takes part in stage activity because he was not interested in it. Patient is not interested in study so that fail in 10th standard. Pt thinks that “અડધીજીંદગીતોભણવામાંજજતીરેવેપારકરવોસારો” so he left the study.
AT WORK: After fail in 10th patient does not do anything for one to two years. After that he started lorry of plastic things for 15 years. Now since 10-year patient has shop of hardware. He and his elder brother work together in one shop. Financial management was managed by his brother. Whenever patient wants money, he takes it from his brother. There was no any calculation done by his brother that how much money he gave. Selection of material of shop was done by both brothers together.
MARRIAGE LIFE: Patient gets married in 2009. Patient’s wife was cool and calmed by nature when patient not taking the things which order by his wife at that time, she become angry so patients ousted on his wife and said that “I had some other work it takes it later on “ after that Pt’s wife become silent.
PRESENT LIFE: At present pt stay in AMOD with his brother and his family & patient’s wife. Both brothers were work together in one shop. Now patient gave more time to shop than before. Before that he passed more time with his friends.
PT AS A PERSON: Patient was cool and calm by nature. He doesn’t like to argue with other. Sometimes become angry. In anger he spoken out and sometimes want to beat other but after that he feel regret. One time he beat his friend also beat his son when he throws the things here and there. When the separation of land was done his uncle not give his part at that time patient does not do anything patient that “અમનેનથીજોઈતુંબધુંસારુછેએનાકરતાંસુખીઅમેછીએ” has hobby to travelling with family. Patient was also helping poor people.
REACTIONS – PHYSICAL FACTORS:
MOTION & POSITION: NAD
METROLOGICAL: NAD
THERMAL:
SUMMER
WINTER
MONSOON
FAN
5
×
2
COVER
CHADAR
CHORSO
CHADAR
BATH
TEPID
HOT
WARM
D. CHRONOLOGICAL SEQUENCE:
PAST HISTORY: NIL
FAMILY HISTORY: NIL
PHYSICAL EXAMINATION:
PULSE: 84/min WEIGHT: 68 kg CONJUCTIVA: pink BP: - 130/80 mmhg
NAIL: pink TONGUE: moist, pink
SYSTEMIC EXAMINATION: -
Respiratory: BL=AIE; Breath Sound: Vesicular
Per abdomen: soft
CVS: S1S2 – Normal
CNS: NAD
DIAGNOSIS:
PROVISIONALDIAGNOSIS
FINALDIAGNOSIS
1.
PITYRIASIS VERS.
-Hypo pigmentation
-Itching without scaling
-Burning
-Mitosis further organism
TINEACORPORIS:-
-Fungal infection on Thigh ,BACK , buttocks ,abdomen, face, neck
-Round lesion with papules on the edges with raised margin
-Burning
-Itching
-Scaling
REPERTORIAL REPERSENTATION:
Mind- Benevolence
Mind- Irresolution
Mind- Laziness
Mind- Mental exertion- Aversion to
Mind- Prostration of mind
Mind- Violent – friends toward his
Sleep- Position- Abdomen on
Perspiration- Odour- Offensive
Perspiration- chest, back, Abdomen, hand, leg
Gen- F&D – Pungent things- Desire
Gen- F&D – Sweet - Desire
Gen- F&D – Mutton - Desire
Gen- F&D – Sour- Aversion
REPERTORIAL RESULT:
Sulph – 29/13
Nux v. – 24/13
Phos – 27/12
Sep – 26/12
LACH – 21/11
Puls– 20/11
KALI P.-. 14/10
Calc.:-. 16/9
Cal. P. 9/7
DIFFERENTIAL MEDICINE: -
CALC.CARB
CALC. PHOS
Cool & calm
Lazy
Dullness
Helpful
Av to study
Perspiration- back, chest
Cr- Ice-Cream, pungent
Chilly
Peevish
Restless
A/f grief, vacation
Discontent
Friendly open
Sensitive
Fear- Dark, alone
Anger- Hungry when
Cr- smocked, sweet
Chilly
FINAL REMEDY : CALC.CARB so on 1 St preion I give him sac lac f/b calc carb 30 in repetation doses.
within 2 month patient improving without no appearance of other complaint.
after 3 month of regular follow up patient having no any complaint.
SO it's indicated that homoeopathy medicine works actually very good if we prescribe exact similimum to the patients.
