patient age 26
male
married

Found recently Hepatitis - B

Anxious and worried about this problem

No symptoms

How do we can treat this kind of patient?

First Name:
Age: 25
Height: 5 feet 6 inches
Weight: 50 kg

1. What is your chief complaint (CC)? Tell as much about it as you can, including what is the worst part of it and why it's the worst: the sensations, the kind of pain, the location, how your energy has been affected (for example, has the complaint made you restless, weak, nervous, anxious, irritable, hypersensitive, effected your thirst and appetite, your body temperature, and so on). In other words, how you are different since you became sick?
I don't know the chief complain but I am hepatitis b positive
2. When did this problem begin? What happened in
your life around that time? What do you think
caused it?
In my village, this problem is spreading day by day. I was asked to check my blood for lab investigation. The lab reports reveals that I am Hepatitis B +ive
3. What aggravates the CC and what brings it on?(for example, certain types of food or weather, movement, light, noise, company, talking,
heat/cold, or anything else that you can think
of; please be specific) and what makes the CC better (for example hot or cold, massage, eating, lying still, music, company...)? In other words, what does it make you do to try to feel better, to cope?
No Aggrevation but after eating feels discomfort. uneasy ness and slight burning but I am feeling much more after diagnosing Hepatitis C
4. At what time of the day or night is the CC the
worst? Specify an hour if you can.
Not any specific -
5. What symptoms can you identify that accompany
the CC (whether directly related or not; for example, headache with nausea; or menstrual cramps with diarrhea; a cold with irritability and anger)?
Nothing
GENERAL QUESTIONS
6. Environment: With regard to the seasons, weather, outdoor temperature, indoor temperature, drafts, air quality, airconditioning, ocean air, mountain air, humidity, the sun/rain/thunderstorms/clouds/fog, etc.: what environmental factors give you comfort and relief, and which ones cause discomfort and distress? Try to give examples.
Coryza in cold or on change of weather
7. What position is most uncomfortable for you?
No
8. a)Do you tend to be chilly or warm? Are there parts of your body that are colder or warmer than the rest of you? Is there a special time of day or night when they are colder or warmer? b) Do you perspire a great deal? If so, when? And where on the body? (feet, head, hair, chest, armpits, etc) Does it leave a stain of a particular color? Is there a particular odor?
balance
[b]9. Describe what your tongue looks like./[b]
clear
MENTAL/EMOTIONAL
10. What do you worry about? How do you deal with
worries?
Never bothered but I am worry about my present disease Hepatitis
11. How do you keep your house/your desk/your room/your study/your bathroom?
clean
12. How easily do you cry? In what situations?
I generally face the problem
13. When you are upset, what do you do to help yourself feel better?
Nothing special in this question for me
14. What makes you angry? What do you do when you're angry?
The patient is loughing on each question (Doctor's comments)
15. Do you have an emotion that predominates; such as anger, depression, irritability, anxiety, jealousy, joy...or possibly two emotions that tend to alternate predictably?
anxiety about hepatitis and now anxiety about answering this long list
16. What fears do you have?
Hepatitis B
17. What have been the most difficult circumstances in your life? How did you cope?
Hepatitis
18. What are the greatest joys you have had in
your life?
Earlier I was but not this time. I am thinking about my hepatitis
19. What was your childhood like?
My mother is not the world . Please ask this question to my mother. I don't have any idea.
20. What bothers you most in other people? How,
if at all, do you express it?
I never think about this...
21. What causes the most problems in your relationships?
I did not understand
22. Do you have any recurring dreams? What are they about?
About hepatitis problem :razz:
23. What would you need to feel happy?
when I will be recover from my ailness
24. What do you do for work? Ideally, what would
you like to do?
not understood
25. If you were made President for a day, what would you change?
don't joke with me doctor. I am very much serious about my disease and you are joking with me. I think you are not taking my problem seriously. If you don't want to treat me. Tell me I will see another doctor who will take care about my disease.
26. When people have criticized you, what were they complaining about? Similarly, when people have praised you, what did you receive praise for?
27. What would you like to change most about
yourself?
Don't waste my time. I am tired now.
FOOD
28. How do you feel before, during and after
meals? How do you feel if you go without a
meal?
When I am hungry. I suffer with frequent urination problem.
29. What would you most like to eat (if you did
not have to consider calories, fat, anything
you've read about the right way to eat)?
Not special
30. What foods do you dislike and refuse to eat?
What foods do you react badly to, and in what
way?
feel discomfort after eating sweet things.
31. How much do you drink in a day? Include
sodas, juice, coffee, tea, milk, and
alcoholic beverages as well as water. How
thirsty do you tend to get? What temperature would you like your drinks to be?
one glass. weather is cold. tea two cups now a days.
SLEEP
32. How is your sleep?
was better but now slightly irregular. You know it is due to the news that I am hepatitis B patient.
33. Do you do anything during sleep? (speak,
laugh, shriek, toss about, grind your teeth, drool, snore, walk, talk, etc.)
My wife never complained about such things. it means nothing special to observe.
34. Do you have trouble falling asleep? What keeps you awake? Do you wake always at a certain time? What causes you to wake up? What position do you sleep in?
No

HEALTH HISTORY
40. What medications are you taking at present?
thinking about homeopathic medicine. No medication earlier
41. How frequently do you get colds and flus?
after three to four months
42. Have you had any childhood illnesses twice,
or in a very severe form, or after puberty?
can't say
43. Have you had any vaccinations since the
standard childhood ones? Have you ever had an
adverse or unusual reaction to a vaccination?
no
44. Have you had any surgery? What and when?
minor surgery in the form of circumcission.
45. Have you had at any time (mention year):
warts, cysts, Polyps, or tumors? Where were they located? How were they treated?
nose polyps slightly enlarge
46. Do you tend to have any discharges (nasal,
vaginal, etc.)? What is the color, consistency?
no
SENSITIVITY
47. a) Do you tend to need a smaller dose of
medications than most other people?
small quantity
b) Do you need less anaesthesia than others,
or have a hard time coming out of it?
no experience
c) Do you tend to react to vitamins and herbs
and/or need hypoallergenic vitamins?
no
d) Are you sensitive to paint fumes, exhuast,
dry cleaning fluid, fragrances etc.?
no
48. Family history: Mention diseases, causes
and ages of deaths of father, mother,
sisters, brothers and grandparents on both
sides.
father: respiratory infection and phlem formation common
mother: died after typhoid attack
49. Construct a time line: Mention from birth
on to the present day, all IMPORTANT events
(emotional and physical traumas,
heartbreaks, divorces, work-related events,
diseases or traumas your mother had while
being pregnant with you, family stress,
death in the family or of friends,
disappointment, etc.) Mention the symptoms
experienced at those moments or which you
can date to those traumas.
hepatiitis conscious
50. When you stand in line at the bank or supermarket, how do you feel?
In Pakistan we don't have any such kind of tradition.
51. When your family member was last sick, what did you do?
no remember
52. How is your sexual energy?
weak after listening hepatitis news
53. How do you react to consolation
not believe on lie consolation
54. What part of your life do you have the most difficulty coping with.
no
55. What are your hobbies?
no hobbies. but like to play cricket and football

There seems to be no symptoms in the case except for the diagnosis and the shock of the bad news,
for which Ignatia could possibly be the remedy, but you might ask him, "How do you feel since the bad news?" You have to treat this because it's the top layer of the case and an energy leak, which will further stress the liver unless it's treated. Check the rubric: Mind, News, bad news, ailments from.

If you can get this cleared away, find out what his symptoms are if you can find any:

Color of tongue--a yellow tongue points to certain remedies, such as Nat-sulph and Chelidonium.

Is there diarrhea?--Diarrhea stands out in Arsenicum, but profuse yellow diarrhea would make you think of podophyllum.

What color are the stools?

What was the cause? Think of Ars. for bad food and water. China--bad food and water with gas and bloating.

Gas and bloating? Think of China and Lycopodium
(Lycopodium--desires sweets but is worse for them)

The #1 remedy by the way is Chelidonium. Yellow tongue, possibly yellow sclera, itching, brown urine, white or yellow stool.

Do you have a therapeutic book? A book of differentials which lists the major ailments followed by the remedies that typically treat them and the necessary information for choosing a particular remedy? It would be good to have one or more of these. Roger Morrison has a good one called Desktop Companion to Physical Pathology.

In the absence of symptoms, an herbal tonic for the liver, and the cell salt for the liver, which I believe is Nat-sulph 6X, taken 3 or 4 times a day would be a good way to start.

Snoopy

After the effectiveness of new classical homeopathic defination. You can prescribe on disease too. As I am lurking since 1985.

I am not a compound practitioner. I always prefer to prescribe single remedy. This is my record. I do not believe on combination therapy but as a habit and being an opposition leader. I will prefer to act according to new approach started by Dr. Peter Chappell,

Dear Aamir,

YOU can give following medicine to your patient. All classical doctor are doing same thing

Chelidonium, chionanthus, cardus mar, felturi, china and see few more medicine in materia medica in mother tincture form. These are herbal. So don't say it is combination therapy. Put five to ten drops from each 10 bottles and direct yur patient to take after meal.

In the mean time you can take phos 1 m, nit acid 1 m, sulph 1m, nux vom 1m, nat sulph 1m, cham 1 m, ignatia 1m and few more relating medicine just like nat mur 1 m on alternate days. don't use them in combination. YOU can take in series of medicine. It is also not combination as all classical homeopaths are doing.

Believe me your patient will cure

__________________
Hafeez
Forum Pk

Dear Aamir,

Absence of symptoms usually associated with hepatitis - loss of appetite, nausea, vomiting, fever, abdominal pain, jaundice, etc - suggest, I) the infection is not of recent date and 2) the patient is in a chronic carrier state. Have him tested for HbeAg and HbsAg. In all probability, HbeAg will be negative as the patient seems to be in a non-replicative stage. These tests may not help in selection of the remedy but will certainly help in assessing the progress at a later stage.

Try to retake the case. With the scanty information, it is second to impossible to suggest a remedy.

__________________
Best regards<br />Ghazi<br /><a href="http://www.sph.homeoweb.net" target="_blank">www.sph.homeoweb.net</a>

Ghazi,

You seems to have good knowledge over the status of homeopathy in Pakistan. Please tell us about your opinion that whether Pakistanis use mother tincture with single remedies....????

In which category these doctors fall who use mother tincture (two or three) with other single remedies (constitutional) on their patients.

Is this a classical approach.???

Stranger, that would be a long discussion and for sheer lack of time, I do not want to be drawn into such discussions. Briefly, most of Pakistani Homeopaths do prescribe a concoction of mother tinctures and at times do get good results. However, strictly speaking, that is not homeopathy - that is mixopathy.

[ 11. February 2003, 06:34: Message edited by: Ghazi ]

__________________
Best regards<br />Ghazi<br /><a href="http://www.sph.homeoweb.net" target="_blank">www.sph.homeoweb.net</a>

Ghazi,

As Sir David Johnson said our first priority is to give relief to patient by any means in HIV or in other discussion.

If mother tincture which is a first or second or third potency then what is the hurdle of using these potencieis. we have to cure the patient and not to see mixopathy or homeopathy.

peter chap also manufactured mixopathy medicine. it is very effective. I have contacted my friend in england to procure that medicine and send the medicine to pakistan. if the patient got cure after using that medicine then what is the problem with you.

__________________
Muhammad Raza Hussain<br />Z.C Post Graudate College

DR.MAS

You said this formula is effective against hepatitis

Chelidonium,
chionanthus,
cardus mar,
felturi,
china
and see few more medicine in materia medica

Sir please complete the formula / combination secret. what are those other medicine. Please tell us. It is important becuase this disease is spreading day by day. If your formula is effective then please reveals it crearly. Is it a seriuos formula or you are just fiddling.

phos 1 m,
nit acid 1 m,
sulph 1m,
nux vom 1m,
nat sulph 1m,
cham 1 m,
ignatia 1m
Nat mur 1m
and few more relating medicine

Tell us this second formula is harmful or not? Is it safe. Couid we give it to any person irrespective of age?

__________________
Muhammad Raza Hussain<br />Z.C Post Graudate College

Dear Aamir

I agree with Dr. Ghazi that you can not predict about a remedy without taking full case. With scanty information, you can only guess the remedy but you can't treat with confidence. Try to retake the case.