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Jan 31, 2014

A case of Multiple Warts

© Dr. R. S. Mann 2014 

A 40 yr old man presented with multiple warts of different sizes and shapes. He was suffering from 5 years and tried multiple treatments under various system of medicine from allopathy, ayurveda, unani, homeopathy to even surgical removal but all in vain. Warts are on face, corner of mouth, angle of lips, in ear, on chest, between thighs, near genitals, on back, on upper limb, on fingers, back of hand and everywhere. Warts were hard, horny, soft, pedunculated, broad, large and has variety of colors from skin tone to darkest.

Patient is an overburdened journalist who has to work late in night until 2 am. He is much stressed, displeased, disappointed and under pressure from very keen responsibilities on his chair. Very irritable, get angerd easily, can’t bear even mild contradiction, but has to hide all his feelings and disappointment on work. This stressed and depressed environment at workplace make him aggressive at home. He accepts, he misbehaves with his wife on slight contradictions. He felt left behind in comparison to his friends, in carrier. Displeased about loss of money in past. Fear of failure. He feel he made some mistakes in past. Very cautious about mistakes. Very anxious.  During work he feels he is doing wrong, making mistakes which irritate him, make angry. Lack of confidence in work and others. So, don’t share him with others. Very sad and in grief. Talks very much and explain by emphasizing on unnecessary details. Patient has persistent thoughts which make him sad. Very timid to make bold decisions. Facing property disputes between siblings. 

Thirst very much, drinks a plenty of water. Likes salty food. Hypertensive. Just quit smoking and tobacco chewing 6 weeks back, was heavily dependent on tobacco. Now on antidepressant, antihypertensive and sedative medicines for 8 years.

Rubrics Selected

Following 34 symptoms selected.

MIND - AILMENTS FROM - grief
MIND - AILMENTS FROM - money; from losing
MIND - ANGER - contradiction; from
MIND - ANXIETY
MIND - ANXIETY - fear; with
MIND - CAUTIOUS
MIND - CONFIDENCE - want of self-confidence
MIND - CONTRADICTION - agg.
MIND - DELUSIONS - fail, everything will
MIND - DELUSIONS - right - doing nothing right; he is
MIND - DELUSIONS - wrong - done wrong; he has
MIND - DISCONTENTED
MIND - FEAR - failure, of
MIND - FORSAKEN feeling
MIND - IRRITABILITY
MIND - LOQUACITY
MIND - MENTAL EXERTION - agg.
MIND - RESPONSIBILITY - agg.
MIND - RESPONSIBILITY - taking responsibility too seriously
MIND - SADNESS
MIND - SADNESS - grief, after
MIND - SADNESS - money - losing; after
MIND - THOUGHTS - persistent
MIND - TIMIDITY

FACE - WARTS - Lips
MALE GENITALIA/SEX - CONDYLOMATA
EXTREMITIES - WARTS - Fingers
SKIN - WARTS
SKIN - WARTS - hard
SKIN - WARTS - horny
SKIN - WARTS - large

STOMACH - THIRST
GENERALS - FOOD and DRINKS - salt - desire
GENERALS - HYPERTENSION



  








Repertorization

Aurum met  28/57,  Calc carb 24/57  Thuja 23/42, Natrum Mur 22/47,  Causticum 22/45,  Sepia 22/43,  Sulphur 22/42, Nitric acid 21/44, Silcea 21/39, Ars Alb 21/37.
   

Mental history of severe stress, anxiety, disappointment and hopelessness guide for Aurum Metallicum in this case.

Jan 7, 2014

Aurum Metallicum 200 C,  3 doses prescribed half hourly with sac lac for a week.


Jan 30, 2014


Patient reported on Jan 30, 2014 with a surprised recovery of all the warts, not a single one remained behind. Mental stress very less. Patient looks happy, charming and satisfied. Has discontinued sedative and antidepressant drugs. Sadness, aggressive behaviour, anxiety all gone.

Sac Lac prescribed for 15 days.

Feb 20, 2014
(edited on April 5, 2014) 

Sleep, mood are in very good shape. Blood pressure comes under control. Has dropped all the allopathic medicines. All the warts are gone without any trace. Patient has decided to shift to another job with better incentives. Earlier he was unable to decide and was not much courageous to take decisions.

No medicine was prescribed.

Jan 22, 2014

A case of Medicinal Aggravation and Antidoting

 © Dr. R.S.Mann 2014

A 38 year old woman presented with a burn by spilling hot tea on her right hand on Jan 8, 2014. And she was prescribed Cantharis 30, BD for 4 days. On Jan 13, 2014 she presented the following case:-

Patient started itching on Jan 12 in afternoon. Earlier it was mild, and in evening it increased, itching becomes voluptuous at night, redness all over the body, very restlessness, burning with and after scratching, warmth aggravated, no thirst from last evening and appetite wanting. Patient was red all over the skin and was scratching wildly all over.

No food or environmental changes in last 4 days. No new eatables were used in last days. No history of any skin lesions earlier. No history of allergic disorders. It was Cantharis overdosing which was prescribed for burn. Repertorization chart prepared for the case and cantharis was there. 





Antidoting was necessary. Pulsatilla was chosen, on the totality of the case, which is a listed antidote of Cantharis. Pulsatilla 30, 2 doses prescribed on 13th Jan in evening. Next morning patient reported that she slept well last night, itching reduced a lot much before going to bed and this morning no trace of itching, burning and redness was there.


Conclusion:-

  1. Either in an acute case or a case of injury, frequent repetition may be harmful and aggravating for the patient.
  2. Accidental provings are more common in clinical setup in daily practice.
  3. If we are in habit of repeating frequently, every new symptom arising in a case should be cross checked in materia medica under prescribed medicine.
  4. Antidoting must be based on totality of presenting signs and symptoms, choose a antidote from list of antidote remedies under earlier prescribed medicine which also cover the totality of symptoms.