A 47 year old housewife presented
with the following complaints.
Cough[1 week] with watery frothy expectoration.
<lying down especially right
side.
<walking,cold
>warm drinks,expectoration
Breathing difficulty[1
week]following cough
<coughing,cold weather
>warm drinks
Sneezing[5-6months]
<morning 5-5:30 am
>as day progresses
Pain in right chest- stitching type[1 week]
< coughing,deep inspiration,lying
on right side
>lying on left side
Stitching pain in whole body[1 week]
HISTORY OF PRESENTING COMPLAINTS
Complaints started as stoppage of
nostril &
sneezing 6 months
back ;had occasional
asthmatic attacks ;
aggravated since 1 week,
no treatment taken.
PAST HISTORY
Similar attack 1
year back.
No other relevant history of
illness.
Recurrent attack of Allergic
rhinitis
FAMILY HISTORY
Mother- Asthmatic
PERSONAL HISTORY
Daily labourer
Studied upto
fifth standard
Hindu
Economically poor
Married, has one son
Generals
Appetite: decreased ( since 1 wk )
Thirst: decreased ( since
1 wk )
Sleep: disturbed due to cough
Eliminations:
Bowel: regular
Urine: normal
Sweat: normal
Intolerance to cold weather
Desire covering
Desire warm food and drinks
Sleep: desire to lie on left side
Thermally chilly
PSYCHIC FEATURES
Reserved
REGIONALS
Head: Heaviness of head, occasional
Ear:Itching of both ear
Larynx and trachea: Tickling in
throat
SYSTEMIC EXAMINATION
Chest: bilaterally symmetrical
Chest expansion reduced on right
side
VF-Reduced on right side
VR-Reduced on right side
Rhonchi-Disseminated-expiratory
INVESTIGATIONS
BLOOD Dt-29.09.2006
TC-11,400
cells/mm3 DC-N55 L30 E15
ESR-32 mm/hr Hb-10g%
PROVISIONAL DIAGNOSIS
MIASMATIC EXPRESSION
REPERTORIAL TOTALITY
Mind Reserved
Generalities
cold <
Cough lying side right
Cough warm fluid >
Chest pain side right
Respiration difficult <walking
Expectoration frothy
Generals pain stitching
Generals food&drinks-warm
food desire,warm drinks
desire
Stomach thirst decreased
Sleep position side on,left side on
REPERTORIAL RESULT
Sulphur12/7
Ars alb 13/6
Bry 11/5
Lyco 10/6
Chel 9/5
Kali carb
9/5
MIASMATIC CLEAVAGE
PSORA
Desire warm food
& drinks.
cough >warm drinks.
Chilly and sensitivity to cold
SYCOSIS
Stitching pain in
various parts.
Breathing difficulty < cold,
lying down.
SYPHILIS
Nil
TUBERCULAR
Cough < cold
PSORA SYCOTIC PREDOMINANCE
MANAGEMENT-GENERAL
Adequate bed rest
Oxygen therapy
Gluten free diet
Nutritious diet
MANAGEMENT-MEDICINAL
First prescription: Kali carb 30 1 dose dated 01.10 2006
Basis of prescription
Stitching pain right sided<lying
on painful side>painless side
Stitching pain whole body
Cough&Breathing difficulty<cold
Cough>warm drinks
Thermally chilly
(Our master says that persons suffering
from ulceration of the lungs can scarcely get well without this anti-psoric, ie, Kali carb Kali carb is a
double edged sword and should be given with much caution. The potency was
selected as 30, considering the susceptibility according to the age and
pathological advancement.)
Follow up
02.10.2006
Appetite Improved
Thirst
Sleep Improved
Bowel Regular
Urine
Cough >
Breathing difficulty -
Chest pain >
04.10 2006 Given SL-1D Daily
09.10.2006
Relieved and discharged
giving BT for two weeks.
Suseela 47/F - CXR PA
03.10.2006 (Before treatment)
•
Wedge shaped opacity consistent with segmental collapse,
lower segment right lung.
Suseela 47/F - CXR PA
27.10.2006 (After treatment)
Wedge shaped opacity markedly reduced
