A Case of Constipation

 A Case of Constipation

© Dr. R.S.Mann 2014

A 32yr, female has described her primary complaint of constipation for years, since childhood. No desire to stool even for days, once or twice a week, urging for stool. (India is a tropical country, in tropical areas urging are more frequent) Stool hard, difficult. Thirst less person, no desire to drink. Appetite normal. Desire for cold foods. Patient is very extroverted , communicative and talkative. Lean and thin.

She accepts, she is very irritable and get angry very easily. Menses is regular and normal in quantity. Sleep well but favorable position is right can not sleep on left side.

Very uncommon and strange feature in this case is that she has burning on upper eyelids whenever she is badly constipated. Another symptom is, she feels that her anus remains open even long after stool. 

11 Sep, 2013

Phos 200, 3 Dose prescribed with SL for a week.

18 Sep, 2013

A little better in constipation. Not much progress.

SL prescribed for a week.

25 Sep, 2013

Stool is not hard, but formed and easy, first time in her experience in her lifetime. Feel thirsty many times a day.

SL prescribed for a week.

1 Oct, 2013

Came a day early to report. She has wonderful experience of urging for stool everyday. Stool soft, formed and very very refreshing.

No burning on upper eyelids since last 15 days. No abnormal feeling of open or loose anus now.

SL prescribed for 20 days. And advised to report, if any abnormal symptoms or feelings she has. 

Remarks:- 
       I never seen any chronic case responding so early and so quickly. First time I found, in a single case, the strange, uncommon symptoms, guiding symptoms, characteristic symptoms and unique positional modalities of a single medicine with physical constitutional match. 

PHOSPHORUS By G.W.Harvey, M.D.

The

Homeopathic Recorder

Vol. XX. Lancaster, Pa., December, 1905 No. 12

PHOSPHORUS.

By G. W. Harvey, M. D., Pittville, Cal.

Edited By: Dr. Ravinder S. Mann

This remedy comes more and more into my daily practice as 

time goes by, and I have learned to prize it highly in many cases 

aside from sexual ailments. I recently cured a man of pruritus 

ani who had tried all sorts of sure cure for blind, bleeding and 

itching piles without more than temporary relief, with Phosphorus. 

In this case there was constant moisture of the parts, evidently a weeping 

of the prostate gland into the rectum, as the odor, so the patient 

informed me, was always one of smegma instead of feces as he thought it 

ought to be. Five drops of Phosphorus in alcohol enough to moisten a 

dram vial of No. 35 blank sugar pellets, and five of these three times a 

day, cured him to stay cured, so he says. 

Another cure was one of bleeding gums, where there had been 

a history of scorbutic taint. There was present also not a little 

pyorrhoea alveolus, but the Phosphorus cured the bleeding perfectly 

and very materially benefited the pyorrhoea. 

I have had many cases of haemoptysis and nose bleed, where 

there were small amounts of blood discharged at frequent intervals 

that were perfectly cured by small doses of Phosphorus. In 

uterine haemorrhage of passive type where the patient is anaemic 

and of pale, sickly color of skin, Phosphorus will very materially 

benefit her and help toward a perfect recovery. 

In nausea and vomiting, where Ipecac nor Nux seem to be indicated. 

Phosphorus will generally do the work and do it well. 

As a prophylactic measure in chloroform anaesthesia I give 

Phosphorus gtt. 1, aqua dest. q. s. to four ounces, and one teaspoonful 

of the mixture before giving the chloroform. This generally 

prevents the terrible nausea and vomiting that so often follows 

this necessary procedure. 

In cirrhosis of the liver from alcoholism, Phosphorus is a sheet 

anchor. It controls the fearful vomiting that often attends this 

disease and promotes the resolution of the diseased gland quite 

rapidly, but I generally combine it with Chionanthus and 

Lycopodium to hasten results. 

Some months ago I was called to attend a lady of forty odd 

summers who evidently was a victim of gall stone colic, but in 

addition to this she also had “jiminy fits,” as she called them, 

with severe uterine haemorrhage and passage of polypi every 

three or four months. Dioscorea, Nux and Chionanthus would 

give relief, but that was all. I finally gave small doses of Phosphorus 

for the haemorrhagic condition, and you may imagine my surprise to 

learn that I had cured the whole collection of ills, polypi, haemorrhages, 

“jiminy fits,” and what made the patient feel most good over, 

the terrible colic that had troubled her years without any material relief. 

Phosphorus will cure many cases of chronic hoarseness where 

there is no acute inflammation. 

Phosphorus will often relieve and cure that terrible itching and 

biting in the skin, following jaundice. It will also cure the purple 

haemorrhagic spots on the hands, following wrongs of the liver. 

Phosphorus is a fine auxiliary remedy with Bryonia and Ipecac, 

in pneumonia with rusty sputum following, hepatization of lung 

tissue. — California Med. Jour. 

A Case of Chronic Headache

© Dr. R. S. Mann 2013

A married woman, 35 yrs old, was suffering from chronic headaches for 10 years. Pains are severe 2-3 days every week but mild pains remain always. She does not feel head light anytime since a long time.

Pains are one sided, mostly on right side, aggravates from anger, noise, exposure to sun, mostly at forenoon around 11 AM, better by pressure. She eats lot much salt and salty things. She wants to lie down quietly and silently when headache. Always lie on painful side which somewhat relieves the pain. Headache is associated with vomiting which does not relieve.

Patient has hypothyroidism for few years and is on Thyronorm 50. Her uric acid levels fluctuate off and on and her physician prescribe medicines to keep it under normal range accordingly.

Rubrics Selected:

MIND - QUIET; wants to be

HEAD - PAIN - accompanied by - vomiting

HEAD - PAIN - anger; from

HEAD - PAIN - forenoon

HEAD - PAIN - lying - side, on - painful - amel.

HEAD - PAIN - noise, from

HEAD - PAIN - Sides - one side

HEAD - PAIN - Sides - right

HEAD - PAIN - sun, from exposure to

GENERALS - FOOD and DRINKS - salt - desire

GENERALS - LIE DOWN - desire to

Nov 29, 2012

Prescription:   

1.     Natrum Mur 200  three doses with 30 minutes interval.

2.     Sac Lac twice a day for seven days.

Dec 8, 2012

 Head pains are better in severity. Severity reduced. Mild pains which were continuing everyday earlier are now stopped.

Prescription:

Sac Lac twice a day for fifteen days.

Dec 31, 2012

Severe head pain started from 30^th Dec, this time on left side, in occipital region, very much irritability during pain and her husband told that she is weeping many times a day.

Rubrics Selected:

MIND - IRRITABILITY - headache, during

MIND - WEEPING - easily

HEAD - PAIN - accompanied by - vomiting

HEAD - PAIN - anger; from

HEAD - PAIN - forenoon

HEAD - PAIN - lying - side, on - painful - amel.

HEAD - PAIN - noise, from

HEAD - PAIN - Occiput

HEAD - PAIN - Sides - one side

HEAD - PAIN - sun, from exposure to

STOMACH - THIRSTLESS

GENERALS - FOOD and DRINKS - salt - desire

GENERALS - HYPOTHYROIDISM

GENERALS - LIE DOWN - desire to

GENERALS - SIDE – left

 

Prescription:

1.     Natrum Mur 1M three doses with 30 minutes interval.

2.     Sac Lac twice a day for fifteen days.

  

Feb 28, 2012

Prescription of Dec 31, does not relieved. Her pains were very much, she again started pain killer as per requirement. In two months she again fed up with painkillers and decided to Start Homeopathy again.

Case is taken again with details.

Patient is of very angry nature, get angered easily, very irritable. Fear of cancer. Remains sad. Talk very hastily. Most of Symptoms of headache are same, some new symptoms are added. Head pain when she works in kitchen and due to heat. Sensation of a ball rolling in head. Head pain from lying down (Change from earlier symptom). Pain in occiput and vertex. Thirstless. Uric Acid level are increased which are causing pain in thighs on walking and squatting. Insomnia and disturbed sleep. Desire for salt is very much. Amelioration after sleep and very much weakness by exertion. 

Rubrics Selected:

MIND - ANGER

MIND - ANGER - easily

MIND - FEAR - cancer; of

MIND - IRRITABILITY

MIND - IRRITABILITY - headache, during

MIND - SADNESS

MIND - SPEECH - hasty

HEAD - BALL; sensation of a - rolling in brain

HEAD - PAIN - anger; from

HEAD - PAIN - Forehead, in

HEAD - PAIN - heated, from becoming

HEAD - PAIN - lying

HEAD - PAIN - noise, from

HEAD - PAIN - Occiput

HEAD - PAIN - sun, from exposure to

HEAD - PAIN - Vertex

STOMACH - THIRSTLESS

EXTREMITIES - PAIN - Thigh

EXTREMITIES - PAIN - Thigh - walking

SLEEP - DISTURBED

SLEEP - SLEEPLESSNESS

GENERALS - FOOD and DRINKS - salt - desire

GENERALS - LIE DOWN - desire to

GENERALS - SLEEP - after sleep - amel.

GENERALS - SQUATTING - agg.

GENERALS - URIC ACID - diathesis, lithemia

GENERALS - WEAKNESS – exertion

 

 Part 1

Part 2

Prescription:

Phosphorus 200  three doses with interval of half hour, prescribed with sac lac for fifteen days. Marked irritability during headache and very much desire for salt with lean thin constitution of patient was the reason to prescribe Phosphorus.

March 12, 2013

Pain is better, frequency and severity reduced. Sac Lac prescribed for ten days.

March 26, 2013

Pains are mild, less frequent, easily bearable but not stopped. Sac Lac is prescribed for fifteen days.

April 22, 2013

Head pain from April 21, started from morning, very very severe with vomiting.

Phosphorus 200  one dose prescribed with sac lac for ten days.

May 2, 2013

Pain is better but a mild pain always remains in head which is not easy to locate. Sac Lac is prescribed for fifteen days

May 10, 2013

Pain started again in forehead, vertex after exposure to sun. With pain in lower limbs, thighs which aggravates in walking. Feel very much weak. Irritability, sadness and hopelessness are there. Insomnia.

Phosphorus 200 one dose was prescribed.

May 20, 2013

Pains are improved, less frequent but patient does not feel normal at all. Mild pains are always there.

On evaluating, it is found that earlier prescription was partially similar which somewhat relieved the symptoms but not cured the patient. Desire for salt and irritability during headache are given unnecessary weight age in evaluation.

Preference is given to hasty speech, profound sadness, uric acid diathesis. And one more important point is that, head pain exposure from sun is found in Sepia and Not in Phosphorus. In my Radar Version it is a wrong entry.

Prescription:

Sepia 30  three doses prescribed with thirty minutes interval with sac lac for fifteen days.

Patient has not reported for a long time.

July 20, 2013

Patient came for his son’s sickness and told that in last two months, she has no headache, angry mood, irritability, sadness, ball sensation, insomnia, pain in lower limbs. She feels quite well. Head is light, no heaviness and even she does not feel any ‘mild’ thing there in head now. Even desire for SALT is gone which mislead earlier for wrong medicines.  

Amazingly, her thyroid profile come under normal range and her physician

reduced her Thyronorm 50 to Thyronorm 25 daily. Her uric acid level come under normal range.