Expert Opinion Requested. - Page 2

Dr. MAS · #11 (**permalink**) 11th January 2002, 08:01 AM

Hans,

I will not agree with on this point. I am not the only person who are saying this point.

I will put up on monday a live case here. please do read and comment.

Dr. Saboor · #12 (**permalink**) 13th January 2002, 08:25 AM

This calls for Thanks to all the participants for their valuable advices, food for thought and kindness to share their knowledge.
Dr. Mas did pains takingly analyzed the case and had me in doubt of my prescription. But ofcourse Dr. Mas knows that skimmed milk is not a problem in Pakistan as we living in small towns get enough pure milk to drink. Rather the acidity caused by the excessive use of milk is a problem seen in the patients when due to the prolonged alkaline reaction of the milk stomach starts producing excessive acids.

Patient’s name is XXXXXXXXXXX, resident of suburbs of Gujrat. He was registered at my clinic case # XXXX.

Was previously prescribed:
Tub.1M., Lyc.30 & 1M., Iod. 1M., Sul. 30 & 1M., Puls. 30., Nit-Ac. 1M.,
Sil. 1M., Thuj. 1M., Rhus-t. 200., Alum 30.
Natr-p., & Natr-s., was also used as drainage remedy.

Partial changes were observed by the patient but nothing significant happened.
Please wait for the full analysis of the case and the outcome.

Curiosity begets rewards.

[ 17 January 2002: Message edited by: jonh ]</p>

Dr. Saboor · #13 (**permalink**) 13th January 2002, 04:11 PM

My analysis of the patient and the provided symptoms.
Age 38 years, married Father of three children, medium height and built, healthy looking.
Past History:
For three years use to masturbate while living away from home.
Sexual urgings are a natural thing and what you do to satisfy those is a personal matter. Moreover he was not a habitual masturbator rather an occasional to satisfy his strong urges.
Headache started in 1990 when in UAE after a meal containing flatulent food causing flatulent distention, vomiting.
This is how the disease started, he thinks it was due to that food but during the case taking he never mentioned it again except for a passing reference so nothing significant.
Constipation since childhood.
[b]Constipation Chronic[b]
Use to eat clay and charcoal when a child and the stool used to be of black color. Have at least passed worms once. Stool used to be knotty, small ball shaped, without urging for days. Takes allopathic medicine on regular basis for constipation.
Stool was black due to the color of charcoal, and not due to any other reason such as intestinal hemorrhage. Obviously when a child is eating clay / dirt he ingests ova of worms. The type of stool is also significant of the constipated children who are bottle feed and are eating clay and charcoal. Allopathic medicines caused more dryness to the colon and rectum.
Parent’s history:
Father dead had tuberculosis. Made me consider Tabes Mesenteric.
Mother still alive and well.
Present symptoms:
Headache comes on almost on weekly basis that is after every seven days often appears a day earlier than a week. Knows headache will be coming on such and such day.
Headache showing periodicity of six days which was not available as a rubric so I will consider the rubric
Head Pain-periodic.

Headache begins after flatulency starting from nape of neck extending forwards to the forehead and centering on the left eyebrow.
Flatulency in general can be the rubric to be taken but in the absence of the type of headache I will not bother with the extension part of the headache rather will take the rubrics
Head Pain-constipated, while
Head Pain-forehead above left eye.

Before headache:
Starts taking tablets to remove constipation
Heaviness of the abdomen
Dullness of mind.
Pain, aching whole body.
Flatulency.
Vomiting of food and mucous. Not ameliorating.
Due to constipation.

Frequent urging for stools. No ameliorating.
Due to the use of allopathic drugs.
During headache:
Sour eructations.
Forceful retching.
No more space for food to move forward so it will cause these symptoms.
Strong aversion to drink anything.
Can be due to the fullness of the stomach and the digestive track upto the rectum yet I will take the rubric as it shows a strong aversion.
Stomach Aversion to drinks.

Desire strong for coitus. (probably full rectum irritating prostates to cause erections. )
Reason has already been given so not significant.
Strong desire for salted things.
Desire for salt and salted things is not in general so it could be the popular thought at the back of it. To reduce nausea, sour eructation, retching and vomiting.
Desires to sleep yet can not, though better after sleep.
This symptom we will consider later.
One year ago, had an accident in a car, head injury, lost a lot of blood, left upper limb multiple compound fractures, broken bones were repaired through surgery. Has developed cicatrices on the wounded spots, elevated, hard, nodulated and painful to pressure.
For loss of blood I think chin was prescribed, fractures operated and unified but the cicatrices on the wounded spots for which probably Sil. And Thuj. Were prescribed about some 10 months ago, and according to patient the situation has worsened than that of getting any better. I have not seen the cicatrices after the injury so either I will have to depend upon statement of the patient or consider the general rubric. I will take the rubric
Skin Cicatrices-become painful.
Mind.
Except irritability nothing special.
Mild temperament.
Nothing significant.

So the symptoms to be considered were:

Head Pain-periodic
Head Pain-constipated, while
Head Pain-forehead above left eye

Rectum Constipation

Stomach Aversion to drinks

Skin Cicatrices-become painful.

All the symptoms are taken from Kent repertory section. Using the C A R A repertory program, the remedy stood forward was Lach. other remedies that stood close to Lach. Were Nux-vom., Puls., Ign., non having anything to do with Cicatrices, only other remedy that had Cicatrices become painful did not have the other two major symptoms namely headache while constipated and Aversion to drinks.
But the Lach. Sleeps into agg. And not amel. After sleep esp. headaches. I was struck. But the general rubric
Sleep-after > made me decide in favour of Lach. So I decided to prescribe Lach 200.

I gave the patient Hydrastis 6 tds as Liver Drainage remedy to start with instructions to stop as the symptoms would start to appear and a single dose of Lach 200 at the appearance of the symptoms with sac lac for 5 days.

It worked like a wonder symptoms appeared but were very mild in severity. Painful cicatrices were soothed. No retching and vomiting occurred. Headache was mild and symptoms ceased after the stool. Next periodic appearance of symptoms was also milder in nature. Patient started passing stool after every three days. So far, no other remedy is prescribed except sac lac to keep the patient satisfied while patient is getting better.

This case shows that the case though not properly taken due to the short comings of a busy clinic as had no Strong mental was decided on physical symptoms and an odd aversion to drinks that is considered as a second highest ranking symptom to mental and of course the totality of symptoms after weighing all the represented symptoms could add to the glory of the Homeopathy.

I would appreciate any comments, questions or critics on this case open heartedly so feel free to shoot.

Question.
Isn’t this a case showing the totality of symptoms?
Isn’t this a case showing the power of single dose?
Isn’t this a case showing the power of single remedy?

Curiosity begets rewards.

Dr. Saboor · #14 (**permalink**) 17th January 2002, 06:46 PM

I am still waiting for comments/answars to the questions raised.
Any one who would like to discuss any further.

Curiosity begets rewards.

kiko NYC · #15 (**permalink**) 17th January 2002, 11:34 PM

i will say that the most peculiar of all that he said was HIMSELF talking about the musterbation.
i would ask if his problems started at the same time or after this period, what does he feels about it and why did he mentioned it?? guilt? shame?
it was the only thing he voulnterly said that is not conected to his ailments. that it is the key of undersatnding the case.
so we have here:
musterbation disposition,

if problems started after the musterbation period , might consider ailments from onanisem.
the only thing that stands out is his sexuality.
so i will take it from there.
maybe CONIUM.

kiko

[ 17 January 2002: Message edited by: kiko NYC ]

[ 18 January 2002: Message edited by: kiko NYC ]</p>

Dr. Saboor · #16 (**permalink**) 18th January 2002, 07:32 PM

Dear kiko NYC

Case taking is an art.
It is said so and through the year of practice you learn it to be true. While taking the said case I did ask him about his sexual life. He mentioned masturbation slightly and then he said I used to masturbate not frequently but as need to be. He being a Muslim living away from family and in a country where there are no out lets to the sex, I considered it quit natural.
More over as mentioned in the case Constipation was since childhood hence a chronic Constipation. When he was a child he might have improved on other remedies but the time passed and with the time his case became complicated as the regular remedies failed to act due to the deep seated chronicity.

Curiosity begets rewards.

kiko NYC · #17 (**permalink**) 19th January 2002, 12:21 PM

so beacuse he is a muslim and beacuse he mentioned it i would take it as a sign.
also the erections that are troubles some( although you say its beacuse of the prostate) i disagree.
it feels that thats the art of taking this case.
and it doesnt contra indicate his constipation.
kiko

Dr. Saboor · #18 (**permalink**) 19th January 2002, 07:32 PM

Dear kiko,

Muslim or not Muslim does it make difference but of course it makes a lot of difference to those who know nothing about a certain religion. Can you take as a sign for what ever a patient mentions? Read the case again it says:

Past History:
For three years use to masturbate while living away from home.

Desire strong for coitus. (probably full rectum irritating prostates to cause erections. )

Then again the patient mentioned a strong desire for coitus and not to masturbate so it seems my assessment was quit right. If you are aware of the anatomy of human beings then you can well imagine the truth in my statement.

Furthermore the case was cured so far he has not complained anymore Headaches and is getting better on the constipation. No more complaint of strong desire for coitus as constipation is not what it was and now he is living with his family so he can satisfy his urges.

Curiosity begets rewards.

Dr. MAS · #19 (**permalink**) 26th January 2002, 11:21 AM

Kiko NYC

Geir Marcussion is an expert homeopath. After his prescription. I have no courage to argue with you.

For his answer you can visit his website. I hope you know the address.

Dr. Saboor · #20 (**permalink**) 27th January 2002, 06:12 PM

Dear Dr. Mas

your post was quite a riddle to solve. I understand that it has to do something with my case.

You wrote:
For his answer you can visit his website. I hope you know the address.

I would like to have the address if it has some thing to do with the case bearings. Thank you.

Curiosity begets rewards.

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