A Case Of Hiatus Hernia with Reflux Oesophagitis

© Dr.R.S.Mann 2011

 Presented By 

Dr. R. S. Mann

 A patient, Mr S.Kumar, 33 yrs male, has following complaints since last 7 years, increasing year after year.

Eructations, violent, continuous, loud, starts from morning, increase in afternoon after lunch and constantly increasing, pain in hypochondriac region, epigastrium, back, chest, sometimes left arm, sometimes pain knee with these eructations. Vomiting which relieves for few minutes. Burning and pain in epigastrium region which relieves by eating (it seems a mild relief) and sitting bent. Sleep disturbs by these eructations, have wake up and stand up so that he can eruct and get relief when flatulence passes that is collected in stomach. Can sleep very late and not more then 4 – 5 hours. When he has flatulence, no position gives him relief, sometime lie down, sometime stand up and then sit up but no relief anyway.

He thinks how good it would be if there is no need and provision to eat. He is very much worried about his disease, works very far from his native place, he thinks to resign the job and shift back to that place, thinks what will happen about his wife and kids after him. Thinks if he will die so far, how his dead body will go to his native place.

Angry, very easily on kids when they want to play with him, even he slap them, get angry on wife, noise hurts him.

Thirst very less, not want to eat.

Due to vomiting, he feels rawness in throat and eruptions, which bother him.

Stool hard sometimes. Go once for stool in a day.

Pulse slow. He says his pulse drop as less as to 62 sometimes, and then he feels become much more worried about his health.

Endoscopy report says he has Hiatus hernia and gastritis.

D/H – Taking different kind of antacids, antibiotics off and on since his disease.

P/H – Three years back he quit tobacco chewing.

Repertorization

Radar :

STOMACH - BENDING - forward - amel.

STOMACH - THIRSTLESS

STOMACH - ERUCTATIONS - constant

STOMACH - ERUCTATIONS - violent

STOMACH - VOMITING

STOMACH – PAIN

ABDOMEN - PAIN - Hypochondria

ABDOMEN – FLATULENCE

STOOL - HARD

BACK - PAIN

EXTREMITIES - PAIN - Upper arm

EXTREMITIES - PAIN – Knee

SLEEP - DISTURBED

GENERALS - NIGHT - midnight - before

GENERALS - CHANGE - position - amel. - not amel.

GENERALS - NOISES - agg.

GENERALS - FOOD and DRINKS - food - aversion

GENERALS - PULSE - slow

GENERALS - VOMITING - amel.

MIND - DESPAIR - recovery, of

MIND - ANXIETY - health; about - own health; one's

MIND - ANGER - easily

MIND - DEATH - thoughts of

MIND - FEAR - happen, something will - himself; to

Phos 22/48, Puls 19/43, Acon 19/32, Ars 18/42, Lyco 18/42, 
Nux V 18/38, Sulphur 18/35, Ferrum Met 18/32, Kali Carb 18/31,
Lach 18/31

Another Repertorization on

Complete Dynamics

Generic Symptoms:
Throat; pain; sore, bruised
Heart & circulation; pulse; slow, brachycardia
Back; pain
Sleep; disturbed
Generalities; food and drinks; food in general; aversion to
Generalities; noise; agg.
Generalities; vomiting; amel.

Stomach:
Stomach; bending; amel.; forward
Stomach; eructations; constant
Stomach; eructations; empty; profuse
Stomach; eructations; violent
Stomach; pain
Stomach; thirstlessness
Stomach; vomiting
Abdomen:
Abdomen; flatulence
Abdomen; pain; flatulence; from
Abdomen; pain; hypochondria
Stool; hard
Extremities:
Extremities; knees
Extremities; pain; upper limbs
Mind:
Mind; anger; easily
Mind; anxiety; health, about
Mind; death; thoughts of
Mind; despair; recovery, of
Mind; fear; happen; something will; family, to, or to him

Prescription:-
Phosphorus is the most similar medicine for the case which comes out in both repertorization.

Oct. 14, 2011

Phos 200 CH 3 doses prescribed 6 hourly. With Sac lac for 10 days.

Oct. 21, 2011

Very much relieved, no vomiting, eructations reduced lot much. Sound sleep. After many years he has some days when he has no burning, eructations or abdominal discomfort.
Sac Lac for 15 days.

Nov. 5, 2011

Remain normal on every alternate day. Mild eructations on alternate day for few hours.
Pain throat as if raw and stinging.
Phos 1M CH 3 doses prescribed 6 hourly. With Sac lac for 10 days.

Nov. 8, 2011

Vomiting this morning, just after drinking water, water becomes hot as if boiling in stomach, and vomited out.
Restless, anxious.
Note*:- Phos 1M must not be given; it was early to shift to upper potency, early repetition.
Sac lac prescribed with assurance.

Nov. 16, 2011

Eructations, burning, pain, vomiting reduced.
If he has some discomfort after eating, it remains just for half to one hour.
Sleeping very well.
Stool normal.
Appetite good can eat everything now without any burning and worry about abdomen.

Sac Lac prescribed for 10 days.

Nov. 26, 2011

Very much improved.
Eructations only 2 times in 1 day.
Sleep very good.
No vomiting.
Sac Lac prescribed for 10 days.

Dec. 6, 2011

Pain head, from 3 days, continuous whole the day, with vertigo.
Throat feels raw and heavy.
Eructations better.
Vomiting once, just 2 days before.
Worried again for his disorder, although better.

Phos 200  1 dose.
Sac lac for 10 days.

Dec. 17, 2011

Head pain and vertigo improved on next day of last prescription.
Sac Lac for 10 days.

Dec. 27, 2011

Patient has started some discomforts again. Eructations which improves after eating.
Burning pain in throat which also ameliorates after eating. Patient is feeling feverish constantly.
Throat inflamed. 

Another Repertorization on
Radar: 

THROAT - INFLAMMATION
THROAT - PAIN - burning - eating, after - amel.
THROAT - PAIN - burning
THROAT - PAIN - rawness
STOMACH - ERUCTATIONS
FEVER - FEVER, heat in general
GENERALS - EATING - after - amel.

Mez 7/15, Phos 6/17, Merc Sol 6/15,Natrum Mur 6/15,Puls 6/15, Sepia 6/15,Aconite 6/14, Hep 6/14, Lachesis6/14,Nux V 6/14,Sulphur 6/14.

Phos prescribed on Dec. 6 although help in headache and vertigo but it produced new symptoms in patient. On repertorization Mez seems best similar now which also antidotes the Phosphorus.

Prescription:- Mez 30 Ch 3 doses prescribed with sac lac for 10 days.

Jan 7, 2012

All the symptoms relieved very next day of prescribing Mez 30. Not any symptom and discomfort present.
Sac lac for 10 days.

Jan 18, 2012

Not any discomfort or symptom is felt by patient. Medicine is discontinued.

Clinical Cases By Samuel Swann. M.D.

This article on clinical cases was published originally in "The Hahnemannian Monthly   Vol  6, September 1870." Repertorization part is prepared to understand the case by modern tools.This article is presented by Dr Ravinder S. Mann.

Clinical Cases

By Samuel Swann. M.D.

Acidum Lactis in Morning Sickness during Pregnancy

Mrs.H., a healthy brunette, two months pregnant with her first child, had nausea and vomiting in the morning on rising and after eating, with water-brash so profuse as to require the constant use of a spittoon, while at night her pillow was saturated with saliva. Gave one dose Acid Lac. 1 M and in less than an hour the water-brash had ceased, and she had no return of that or the nausea.

In this, as in several cases where the morning sickness had been cured with Acid Lac., I did not again see the patient till confinement, there being apparently entire exemption from the usual derangements attendant on pregnancy.

I use the 1 M potency, because one dose at night is sufficient, while with the 15th, 30th and 200th, I have sometimes been obliged to repeat the dose.

Repertorization:

MOUTH - SALIVATION - sleep, during

MOUTH - SALIVATION – profuse

STOMACH - VOMITING - pregnancy, during

STOMACH - NAUSEA - pregnancy - during

STOMACH - NAUSEA - morning - rising - agg.

STOMACH - NAUSEA - eating - after

STOMACH - VOMITING - morning

STOMACH - VOMITING - eating - after

STOMACH - ERUCTATIONS; TYPE OF - water brash - pregnancy, during

On repertorization  Lactic Acid come prominently with Natrum Mur, Lyco, Nux Vomica, Sepia, Phos, Sil  as indicated remedy. In small Rubrics + Small Remedies group it comes on 1^st rank.

                              

Cerebral Irritation- Apis Mel.

A male infant, seven months old, with the large head and large prominent hazel eyes. Symptoms: single, sharp, shrill scream, both while sleeping and waking; at the same time raising the hand to head back of the ears; bores the head in the pillow; breathes heavily and with difficulty, and gasping; vomits food as soon as taken, followed by retching; retention of urine twenty-four hours; small movement from the bowels, dark, and smelling brassy; high fever; full pulse; short sleep; eyelids half open, pupils turned up. Gave Apis 1 M, one dose dry on tongue. In one hour after, he urinated profusely; urine of a dark color and strong, ruinous odor. Six hours after, had a profuse evacuation, olive green, slimy, and full of bright red lumps, like chopped beet, with colic and tenesmus. The next day he was well and continued so. The mother states, that after taking the remedy he did not scream and the breathing became easier very soon.

Repertorization:

MIND - SHRIEKING - sleep, during

MIND - SHRIEKING - waking - on

HEAD - BORES head in pillow

STOMACH - VOMITING - eating - after

STOMACH - RETCHING - vomiting - after

RESPIRATION - DIFFICULT

RESPIRATION - GASPING

BLADDER - RETENTION of urine

STOOL – SCANTY

STOOL - ODOR - brassy

Combined Rubric

STOOL - DARK

STOOL - BLACK

FEVER - INTENSE heat

GENERALS - PULSE - full

SLEEP - SHORT

EYE - TURNED - upward

EYE - OPEN eyelids - half open

Out of 16 rubrics :  Apis 16/33, Ars 13/29, Arnica 13/25, Lyco 12/28, Bell 12/26, Cupr 12/24, Zincum 12/24

Clinical Experience By Henry N. Guernsey,M.D.

The following article on clinical cases was originally published in “The Hahnemannian Monthly” Volume 6,   August 1870.

Repertorization part is prepared to understand the case by modern tools.

Clinical Experience

By Henry N. Guernsey,M.D.

Case 1.  Mrs. A., of Delware, called on me a few weeks since, complaining of what she termed dyspepsia. Upon asking her to relate her symptoms in the order of their severity as it seemed to her, she replied, that a feeling of emptiness or goneness in her stomach discomforted her more than anything else, but she thought it of no account, as she vomited all her food soon after taking it, and she would naturally feel emptiness and goneness from want of food. I desired her to state merely facts, and I would draw my own conclusions. She replied: “It is a fact that I vomit nearly all my food; I have a painful sensation of emptiness in my stomach all the time; my sleep is broken and does not refresh me, my bowels are very costive, the stools being knotty and very difficult, and they have scarcely been moved for two years without an injection, and I do not think they would be moved now at all without an injection; my urine is cloudy and offensive, and a hard crust settles, that it is difficult to scrape from the vessel; I am very weak and miserable, have spent over two hundred dollars during the past two years for medicine, and despair of becoming any better; but I was compelled by my husband to consult you.”

I always prescribe sepia when a train of symptoms like the above in italics occur in a single case. In this case I gave the patient a few pellets of Sepia 55 m, dry on her tongue, and three packages containing twelve powders each of sac.lac.; one to be taken every night; and enjoined upon her that she should on no account resort to any more injections or other measures for the relief of her bowels, or of other symptoms, and to report to me in forty days. She thought she would not live to see me again if she were to leave off taking injections.

A few days ago she reported that she had not vomited since seeing me, her vowels had become regular very soon, and that she had no need of injections; indeed, she said, she got well so fast her husband was frightened. He was coming to the city that day on business, and he wished her to come and ask particularly what had been the matter, as she had been so sick so long, and now had gotten so well so soon. He did not understand it.

Sepia 55m, a single dose, always produces similar results in similar cases, if plenty of time is allowed the single dose to act. I do not give my experience hastily, nor base it on a single case. I only delineate my path where it has been well trodden; that others may follow it is safety.

Repertorization :  Radar 9

STOMACH - VOMITING; TYPE OF - food

STOMACH – EMPTINESS

RECTUM - CONSTIPATION - difficult stool

STOOL - KNOTTY, nodular, lumpy

URINE - SEDIMENT - crusty

URINE - ODOR - offensive

URINE – CLOUDY

SLEEP - UNREFRESHING

SLEEP - WAKING – frequent

Case 2. Two months since a married lady consulted me in regard of her health. She was weak and unhappy, particularly in the morning, when she would feel on awakening, friendless, forsaken and very unhappy. The same symptoms would occur if she chanced to waken during the night. Had a poor appetite, bowels very costive, with a feeling of constriction of the anus, so much so that for months she had not attempted to defecate without the aid of an injection; urine scanty and dark-colored. She had any other symptoms, but the above were the most important. She attributed these sufferings to domestic troubles. The above italicized symptoms always turn my thoughts to lachesis; particularly the mental symptoms. I gave her a single dose of Lachesis 4 M, in my office, and charged her to take no more injections, nor in any way to interfere with the treatment. In about two weeks the unhappiness had greatly improved; the vowels had become regular; and in about six weeks from the first and only dose of Lachesis 4 M, she reported herself quite well in all respects.

Repertorization:  Radar 9

MIND - SADNESS - morning

MIND - FORSAKEN feeling

GENERALS - WAKING, on

STOMACH - APPETITE – diminished

RECTUM - CONSTIPATION

RECTUM - CONSTRICTION – Anus

URINE - SCANTY

URINE - COLOR – dark

Case 3. June 12^th, was called to see a little boy 18 months old. Found him restless; must be carried all the time to keep him quiet; very sleepless day and night, would sleep only in short naps. He had a disagreeable filthy smell about him all the time, thought great effort was made to keep him clean by frequent bathing and changing of dress. Could not keep milk on his stomach but a short time; it would be rejected sour and in curds. Weak beef-tea or water could be retained. His stools were of a pale, brown fluid, smelling like rotten eggs. He was getting very weak. The italicized symptoms reminded me of Psorinum more than of any other remedy. I gave Psorinum 42M, a single dose only, in the morning. He slept well the following night, the next day the bowels were better, and the bad smell about his body was lessened. On the next day still improving; bowels well; no more bad smell from his body; resumed his milk diet and has been well since. But a single dose of Psorinum, as above, was given and no other remedy.

Repertorization: 

MIND – RESTLESSNESS

GENERALS - ODOR OF THE BODY - offensive

GENERALS - WEAKNESS

GENERALS – EMACIATION

GENERALS - FOOD and DRINKS - milk - agg.

STOMACH - VOMITING; TYPE OF – sour

STOOL - BROWN

STOOL - ODOR - eggs, like rotten

SLEEP – SLEEPLESSNESS

 Case 4. May 19^th, visited a little boy about 9 years old, and found him in the following condition; urine nearly suppressed, but passed in small quantities once in twenty-four hours. Stools dark-brown, fluid, and passed involuntarily; delirious much of the time; lies on his back with his knees drawn up; complains much of the back of his head; pulse 120 and hard; breath very fetid; bores his nose very much; nostrils raw and bloody, even into the corners of the mouth; picks his skin in places, making it raw and bloody when he bores into it with much force, and he seems vexed that he cannot bore it deeper, on account of the pain seems to give him; he seems very intent in his efforts to bore and pick the raw surfaces. The italicized symptoms directed attention at once to Arum triphyllum, which was given in water, in the 20 M dilution, every two, four or six hours, as it might seem necessary. Next day he was better and the medicine was discontinued. After two days it was found necessary to repeat a few doses as before. He continued to improve, in all respects, finally under this treatment, till the 31^st of May, when there were no indications left for Arum, but as there were passed considerable quantities of red sand with the urine, one dose of Lycopodium 6M was given. On the 14^th of June, one dose of Lycopodium 100 M was given, and today (June 25^th) he is perfectly well and romping about in the country.

Repertorization: 

NOSE - DISCHARGE - bloody

NOSE - BORING in nose with fingers

FACE - PICKING – Lips

MOUTH - ODOR - putrid

RECTUM - INVOLUNTARY stool

STOOL - BROWN

STOOL - THIN

BLADDER - RETENTION of urine

URINE - SCANTY

GENERALS - PULSE – frequent

Case 5. March 25^th, visited a little girl about ten years old and found her in the following condition: Perfectly delirious day and night; cannot be roused to consciousness even for a short time; urine and feces are passed involuntarily, in bed; had, while she could express herself, much pain in the occiput, and down in the spine; is very restless, particularly every night after midnight, but there is a marked degree of restlessness constantly, and much distress; the breath is cold, and the skin is cold and clammy; the lips, teeth and tongue, – so much of it as could be seen – were dry, black and covered with sordes. She took a little water from a spoon frequently, or would occasionally suck a wet rag. It seemed like a hopeless case, but our conclusion, drawn from the italicized symptoms, was that Arsenicum Album 8M would do good if anything could. It was accordingly given in water, every one, two, three or four hours, as it seemed best to the nurse, in accordance with instructions given her. In the morning I found the child somewhat better. The medicine was thereupon discontinued, to be administered as before, if she got decidedly worse. She became worse before next day and repeating the medicine brought no relief. Arsenicum 15 m was now given, as at first, and prompt relief followed and continued several days and purple spots, with pus in their tips, came out on back and hips. She became worse again, in spite of the medicine, when Arsenicum 40 M was had recourse to, and completed the cure. She is now (June 25^th), fit and perfectly well. In every improvement, medicine was withheld, and repeated when it seemed necessary.

Repertorization: 

MIND - DELIRIUM

MIND – UNCONSCIOUSNESS

MIND - RESTLESSNESS - night - midnight – after

HEAD - PAIN - Occiput

FACE - DRYNESS - Lips

MOUTH - DRYNESS - Tongue

TEETH - SORDES

STOMACH - THIRST - small quantities, for - often; and

RECTUM - INVOLUNTARY stool

BLADDER - URINATION - involuntary

BACK - PAIN - Spine

RESPIRATION - COLDNESS of breath

PERSPIRATION - CLAMMY

SKIN - COLDNESS

A Case of Chronic Gastritis

© Dr.R.S.Mann 2011

Presented By

Dr. R S Mann

Mr S.. kumar, 35 yr male, From Nainital, has following complaints since 10 years.

Burning in stomach, whole abdomen, with eructations which starts every time after eating. Lot much thirst and frequently drinks water, with dry lips. Constipation with insufficient stool. Heaviness of abdomen with tight feeling.

Dose not want to involve anywhere, not want to work, not want to talk and aversion to noise.

No taste in mouth. Aversion to fatty food, sweets. Desire salt. Weakness, want to lie down always. Feel coldness in back.

Frowning constantly while explaining his complaints. Very thin person.

Likes winter, remain healthy comparatively in winters but worse in summers from beginning of March to October. Complaints aggravate at change of weather.

Personal history of recurrent jaundice from many years. Jaundice at beginning of summers in march, every year from few years.

Drug History: Taking antacids of many types daily since many years. Lot much burnings if he miss even a single dose.

Repertorization:- Radar

GENERALS - EATING - after

GENERALS - LEAN people

GENERALS - PERIODICITY

GENERALS - SEASONS - summer; in - agg.

GENERALS - WEATHER - change of weather - cold to warm agg.

GENERALS - FOOD and DRINKS - sweets - aversion

GENERALS - FOOD and DRINKS - salt - desire

GENERALS - LIE DOWN - desire to

GENERALS – WEAKNESS

MOUTH - TASTE - wanting, loss of taste

STOMACH - ERUCTATIONS - eating - after

STOMACH - THIRST - large quantities, for

STOMACH - THIRST - large quantities, for - often; and

STOMACH - PAIN - burning - eating - after

ABDOMEN - PAIN - burning

ABDOMEN – HEAVINESS

RECTUM - CONSTIPATION – insufficient

BACK – COLDNESS

SKIN - DISCOLORATION – yellow

MIND - FROWN, disposed to

MIND - LAZINESS

MIND - TACITURN

Combined Rubric:-

MIND - NOISE - aversion to

MIND - SENSITIVE - noise, to

 Medicines: Total 24 rubrics are taken into account. Out of 24 score is -- Nat Mur 24/56, Sulph 21/47, Ars Alb 21/40, Nux V 20/40, Phos 19/46, Lyco 19/40, Sep 19/38, Bryonia 19/38.

Natrum Mur. covering every symptom of the patient.

Prescription:-

19 October, 2011

Natrum Mur 200  CH  3 doses prescribed 6 hourly, with Sac Lac for a week.

Patient does not returned after a week.

26 December, 2011

Patient came for weakness after viral fever.

All his gastric complaints cured magically, after 4^th day of prescription on 19^th October 2011, patient start to relive, day by day all the complaints gone. No eructations, no burning afterward, no weakness. Now he works smoothly all the day without tiring.

A case of Duodenitis, Gastritits, Reflux Oesophagitis and Hiatus Hernia

© Dr.R.S.Mann & Dr. Vandana Patni 2011

Presented by 

Dr. R S Mann & Dr. Vandana Patni.

Mr G. Singh, 33 yrs, Male patient presented the following complaints

March 25, 2011.

Pain abdomen, cramping, eating after, stool before which ameliorates after stool. Flatulence, distension of abdomen with rumbling. Stool mucous on and off. Flatulence very offensive, alternate constipation and diarrhea. Constipation on eating meat.

All the problem for many years, diagnosed for Reflux Oesophagitis, Hiatus hernia, Gastritis and duodenitis on Endoscopy. Using antacids and many other medicines for years. 

Repertorizations  in Radar 9:-

ABDOMEN - DISTENSION - flatulence - from
ABDOMEN - DISTENSION - painful
ABDOMEN - FLATULENCE
ABDOMEN - PAIN - cramping - eating - after
ABDOMEN - PAIN - cramping - stool - after - amel.
ABDOMEN - PAIN - cramping - stool - before
RECTUM - CONSTIPATION
RECTUM - DIARRHEA - alternating with - constipation
RECTUM - FLATUS - offensive
STOOL - MUCOUS
GENERALS - FOOD and DRINKS - meat - agg.

Prescription :-

Sulph 200 CH  2 dose on 2 hours gap.

China 30 CH  One dose daily.

Pulsatilla 30 CH One dose daily.

For a week.

April 2, 2011.

A little better but have few another complaints not described earlier and was not present on first visit because he was continuously using Antacids, now because antacids are stopped after first prescription, some more symptoms are here.

Stomach burning pain which aggravates after eating. Flatulence offensive, rumbling in abdomen here and there. All the complaints aggravates after eating. Heaviness stomach after eating.

Prescription :-

Lycopodium 30 CH One dose daily.

Robinia 30 CH One dose daily.

For two weeks.

April 19, 2011

Flatulence, Burning in stomach, rumbling improved.

Pain Hypogastrium ameliorate by pressure.

Burning  pain in all over the abdomen, better by drinking water.

Repertorizations  in Radar 9:-

STOMACH - HEAVINESS - eating - after

ABDOMEN - PAIN - burning

ABDOMEN - PAIN - Hypogastrium - pressure - amel.
GENERALS - FOOD and DRINKS - water - amel.

Prescription :-

Iodum 30 CH  Two doses two hourly.

Sang Can 30 CH  One dose daily

Robinia 30 CH One dose daily

For one week.

April 27, 2011

All complaints better with very mild distress.

Prescription –

Lycopodium 30 CH  One dose daily.

Robinia 30 CH One dose daily.

For one week.

May 7, 2011

Burning abdomen.

Rumbling, flatulence.

Mucous stool.

Abdomen pain cramping.

Earlier symptoms returned back.

Prescription:-

Sulhpur 200 CH  Two doses on 2 hours gap.

Nux Vomica 30 CH One dose daily on bed time.

For one week.

May 13, 2011

All complaints relieved again.

Prescription:-

Sac. Lac. Only

For a week.

May 24, 2011

Stool thin, not formed properly.

Mucous with stool only one day.

Pain burning abdomen which aggravates after eating.

Flatulence, distension.

Prescription –

Sac. Lac. Only

For a week.

June 2, 2011

Has good appetite, but easy satiety.

Stool fatty, greasy, stick to pot.

Repertorizations  in Radar 9:-

STOMACH - APPETITE - easy satiety

STOOL - FATTY, greasy

Prescription:-

Platina 200 CH 2 doses with an interval of two hours.

Sac. Lac.

For One week.

June 14, 2011

Get Coryza.

Sneezing.

Raw, sore throat.

Prescription –

Ars. Alb. 30 CH One dose Daily

For 3 days only.

June 30, 2011

Flatulence.

Stool Black.

Pain Epigastrium.

Repertorizations  in Radar 9:-

STOMACH - PAIN - Epigastrium

ABDOMEN – FLATULENCE

STOOL - BLACK

Prescription –

Vertarum Album 30 CH One dose daily.

Cuprum Met 30 CH One dose daily.

For one week.

July 9, 2011

Heaviness in stomach which aggravates on eating.

Burning in stomach ameliorates by drinking plain water.

Burning and acrid eructation.

Sluggishness.

Repertorizations  in Radar 9:-

STOMACH - ERUCTATIONS; TYPE OF - burning

STOMACH - ERUCTATIONS; TYPE OF – acrid

STOMACH - HEAVINESS - eating - after

STOMACH - PAIN - burning

GENERALS - SLUGGISHNESS of the body

GENERALS - FOOD and DRINKS - water - amel

Prescription –

Phosphorus 200 CH  2 doses with gap of two hours.

Lycopodium 30 CH One dose daily.

July 18, 2011

Pain epigastrium.

Pain gnawing.

Pain eating after.

Stool thin, mucous.

Symptoms  on July 9, 2011  are also included in repertorization.

Repertorizations  in Radar 9:-

STOMACH - ERUCTATIONS; TYPE OF - acrid
STOMACH - ERUCTATIONS; TYPE OF - burning
STOMACH - HEAVINESS - eating - after
STOMACH - HERNIA; HIATUS

STOMACH - PAIN - burning
STOMACH - PAIN - eating – after

STOMACH - PAIN - Epigastrium

STOMACH - PAIN - gnawing

ABDOMEN - PAIN - gnawing
STOOL - MUCOUS

STOOL - THIN

GENERALS - FOOD and DRINKS - water - amel.

GENERALS - SLUGGISHNESS of the body

Prescription –

Last prescription was right.

Sac. Lac.

For one week.

July 25, 2011

Stool mucous for 2 days.

Pain and Burning improved.

General weakness, desire to lie down.

Meat causes constipation.

In summers patient feel much aggravations.

Always remain cheerful and happy. (Enters consulting room smiling)

Pain lower limbs.

Appetite with easy satiety.

Repertorizations  in Radar 9:-

MIND - CHEERFUL
STOMACH - APPETITE - easy satiety
STOOL - MUCOUS
EXTREMITIES - PAIN - Lower limbs
GENERALS - LIE DOWN - desire to
GENERALS - SEASONS - summer; in - agg.
GENERALS - WEAKNESS

RECTUM - CONSTIPATION
GENERALS - FOOD and DRINKS - meat - agg.

Prescription –

Lycopodium 200 CH 2 doses with two hours gap.

Sac. Lac

For one week.

August 5, 2011

All symptoms improved.

On August 4, eaten meat but no constipation today.

Prescription –

Sac. Lac.

For one week.

August 25, 2011

On August 11 mucus stool, pain stomach, rumbling, cramping pain and urging for stool eating after, all these complaints subsided next day.

On August 24, waken in morning with uneasiness in stomach, drink some water which vomited out after sometime, very sour, then ameliorated immediately after vomiting.But stil have desire to drink chilled water.

Pain epigastrium as well as he started breakfast.

Feeling lot much appetite but could only eat one chapatti (Bread).

Bloated feeling, eating after.

Weakness, wants to lie down.

Heaviness of head.

Sneezing paroxysmal with post nasal discharge.

Repertorizations  in Radar 9:-

HEAD - HEAVINESS
NOSE - DISCHARGE - Posterior nares
NOSE - SNEEZING - paroxysmal
STOMACH - APPETITE - easy satiety
STOMACH - PAIN - eating - after
STOMACH - VOMITING - drinking - after
STOMACH - VOMITING; TYPE OF - sour
GENERALS - FOOD and DRINKS - cold drink, cold water - amel.
GENERALS - FOOD and DRINKS - cold drink, cold water - desire
GENERALS - LIE DOWN - desire to
GENERALS - WEAKNESS

Prescription –

Phosphorus 200 CH 2 doses with gap pf two hours.

Sac. Lac.

For one week.

September 10, 2011

All complaints better.

Patients says he never felt so much easy and light in his stomach.

No Prescription.

November 1, 2011

No complaints.

Inferences –

1. Earlier, case started with few symptoms, and wrong prescriptions were given.
2. The cases which are under allopathic treatment does not disclose all the symptoms on first visit, because they are hidden, after discontinuing those medicines we get more symptoms on later visits.
3. Phosphorus and Lycopodium cured the case finally.
4. Prescribing more then one medicine at a time, only complicated the case.
5. Earlier prescriptions just push the case towards more clear features.
6. Many similar medicines can give relief to patient but they does not cure. And their effect does not continue for a long time. 
7. Daily prescriptions in chronic cases, like this, only prolong the case unnecessarily.  

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© Dr.R.S.Mann & Dr. Vandana Patni 2011