Name : MRS P D .
Age/ Sex 32 DOB:1986_Marital Status:Married Occupation: House wife
C/o- Post partum Depression , since around 45 days PP ( baby had severe constipation, stated off with worry about baby)
Anxiety ++ generalised & about child, Palpitations often
Aversion to all work, people
Left arm , neck & upper chest pain ( cx spondylosis , from carrying baby), giddiness < exertion
K/C/O- Hypothyroidism
Medication :anxiolytics, thyronorm 12.5 mg
| Appetite & Diet: Less, due to anxiety/ Vegetarian Thirst: Sometimes dry mouth, normal thirst Desire: ns Aversion: ns Bowels: Mild constipation Urine: N Sleep: N, occ palpitations Dreams: NS Thermal Rxn: NS , sometimes feels hot or chills Perspiration: ++ , recently Seasonal Modalities: NS Tongue: Central fissure, party coated Sexual Functions: NS O/E: Cold extremities, dark circles, acne scars Constitution: Lean, tall Height & Weight: 55 kg, 5’6’ Habits: NS Ob/Gyn: Menarche at 15 y; G1, 4 yr old F, regular mc, pain – tolerable |
| P/H: Acne ++ with scars Cx spondylosis of long standing PCOD, took allopathic medicines 5 years back F/H: GF- anxiety disorder Investigations: TPO 1300+ in 2012, TSH -5 on thyronorm 12.5 mg Mental Symptoms: Thoughts of disease, cardiac arrest, anxiety about own health , child Fear of anything new or unfamiliar, Insecurity+++, esp. related to her marriage Aversion to husband, feels unsupported Earlier she was confident & outgoing Homesickness+++ Close & dependant on M & F Likes cooking & crafts Quit job after marriage, was assistant professor Complaining ++, anger and abruptness recently Observations- Doubts/ mistrustful; asks same thing again, needs reassurance? |
| DATE | C/o | Investigations | Prescription |
| 20/9/18 | 1st rx | Ars alb 1 m Twice a week Whitechest nut BD Thyroidinum 3x BD Adv to reduce anxiolytic Thyronorm 12.5 mg | |
| 3/10/2018 | Better, no severe episodes or attacks Mild anxiety when meds got over TSH 8.3 Giddiness < 5 days Arm pain , mild | Thy 1 m stat Ars 1m twice a week Whitechestnut BD Thy 3x BD 1 m Thyronorm 12.5 mg | |
| 17/12/18 | Reduced anxiolytics, feels low now TSH 3.89 | Thy 1 m stat Ars 10 m twice a week Whitechestnut BD Thy 3x BD 1 m Stop thyronorm | |
| 21/01/2019 | Dullness since few days Neck pain < cold weather < lying on same side Took pain med & b 12 supplements Anxiety less, but still at times | Rhus tox 30 QID for 5 days followed by Thy 1 m stat Ars 10 m twice a week Whitechestnut BD Thy 3x BD 1m | |
| 24/04/2019 | Anx- occasional Sometimes due to pain, she feels restless Shoulder pain + radiates to chest at times Homesickness < winter season | TSH 5.71 | Thy 1 m stat Ars 10 m twice a week Whitechestnut BD Thy 3x BD 1 m Rhus tox 1m SOS for pain |
| 9/9/19 | Patient shifted to HYD Neck pain < exertion , taking physiotherapy also Anxiety, almost nil, has not been taking homeopathy Was taking anxiolytic as SOS sometimes | TSH 6.7 | TSH 30 once a week Ars alb 10 twice a w eek White chestnut BD Thy 3x BD 1m |
| 21/01/2020 | Overall better Stopped all meds Neck pain at times No anxiolytics taken | TSH 2.5 | Thy 1 m stat Ars LM 1 twice a week Whitechestnut BD Thy 3x BD 3 months |
| 19/4/2020 | Asked to stop all meds & monitor TSH once in 6 months Patient is well. | TSH- 3 | |
REPTORY SHEET –
CONCLUSION:
As per the symptom picture , many remedies came into consideration- Kali Carb, Sepia, Ars, Calc etc.
Arsenic was selected on the basis of observations- mainly, self doubts, desire for reassurance, patients description of complaints , body language, tubercular diathesis.
THANKS!
Dr.Anshita Singh Rathore
BHMS,MD,DCC,CCN,CYT
Homeopathic Consultant, Counsellor & Nutritionist
Pune