Minutus

HI FRIENDS AT MINUTUS,
this is dr.renu from bbay, india.i have recently joined the group and would
highly appreciate ur help in this unsolved case of mine.
this case is of a 50 yr old male pt. he came to me 2yrs back with the chief
complaint of chronic gastric prob.which started 27 yrs back. started with
amoebiasis&dysentry.sometimes alt diarrhoea & constipation h/oburning in abd
ghee.he feels >only when occupied with his work when
idle constantlyoccupied with his comp.he is also very inquisitive about it
as in he read all medical books regarding his comp.and also keeps asking
alot of q,s to me about how our med. works &its potency etc.
cr. spicy,sweets
sleep on lt. side
also all c/o r lt. sided.
MENTALS:SINCE CHILDHOOD lot of anticipation

Dear Dr Renu,
Can you please give us an indication of what remedies you have tried on your
patient so far and if there was any improvement with any of them however
slight.

Regards
Rochelle
www.rochellemarsden.co.uk
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Warm regards,

TORONTO HOMEOPATHICS
Carolyn Ramos, RHom., PCH
Cara Distributor - Canada
North American Technical Support - Miccant
www.miccant.com

DEAR ROCHELLE,
sorry to have forgotten to add that information.
i started with lyco.there was considerable impt. with that, as in throbbing
in abd. was much >which used to disturb him alot.but it did not help him in
his anxiety,constant uneasiness in his abd. ,etc.
later i changed a lot of remedies like nux-vom,sep,calc,ign,ars.he had also
taken merc in the past,many yrs back whenever he used to have a episode of
dysentry as adviced by somebody else.also his anxiety is not exhibited at
the physical level,it is at the mental level only.whenever he comes for a
follow-up he sits &talks at length about his c/o&likes to discuss about it
in detail,& asto what i am doing on my part since he is not feeling >.but he
has not responded to any Rx in as much a favourable manner as lyco.
i hope this info is enough to evaluate this case.
thanks
REGARDS RENU.
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Dear Dr Renu

After reading your case (of long standing diarrhoea etc) I would suggest you
have a look at ARGENTRUM NITRICUM which has the following:-

Anticipation before events
Forsaken feeling
Hurried
Anxiety felt in abdomen
Will not undertake anything unless they are good at it or know they will
succeed
Thinking of complaints >> when occupied)
Desires sugar but usually is << for it
Dreadful diarrhoea - often green with much flatus
Also constipation - very dry stools

Seems to cover much of your case

Good luck, best wishes, Joy Lucas

Dr. Renu,

Have you considered Oxalic acid?

Complaints worse thinking about them
Occupation ameliorates
Anxiety
Burning abdominal pain, which can be worse after eating
Left sided
Chilly
Diarrhea

Best regards,
Arlene

Dear Renu,

I can see where Joy gets Arg.Nit. from but I also suggest that you look at
the remedies in the following rubric.

Murphy - Mind
ANXIETY, hypochondriacal mania to read medical books (7)
3 CALC, 2 carc, 2 nux-v, 2 puls, 1 staph, 1 sumb, 1 sulph

Regards,
Rochelle
www.rochellemarsden.co.uk
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Dr Renu
You are presenting case of elderly person of 50 years age who is suffering
for last 27 years.He has taken veriety of treatments.So his VITAL ENERGY
will be low and his suceptibilty is low .In this type of cases,it is
difficult get one simillimum.Better to go ,step by step.First try to find
symptoms of his gastric symptoms + constitution symptoms like
thirst,stools, sleep ,sweat,appetite ,tasteand ccoating on tongue.Select
a remedy and administer in low potency like 6th,wait for 1-2 days ,if he
has releif wait further,if symptoms relapse once again ,raise to next
potency of same medicine say 30 and administer and wait till improve ment
is there.Medicine you may consider are MERE SOL,KALI BICH ,Nux vom ,Ars alb
all in low potency
You have selected Lycopodium as curative,it only aggravates. first select
palliative remedy ,once he gets relef ,his vital energy impronves ,you can
attempt curative

I hope this helps.If you want anything more dont hesitate to come back

With Good Wishes

Ramachandra,
Hyderabad,INDIA

At 01:23 PM 5/11/02 +0530, Renu Galrani wrote:
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Dear Dr.Renu,

You wrote:-
1.)">childhood not very good.quarrels betn. parents. fa. very

Such revealing things about one's parents especially in the Indian context,
where we are traditionally bound to accept our parents as angels and not
to pass coments on them bears significance.
This appears to be the central theme of this case, since you have been
prescribing him for the past 2 years and there is not much benefit
even after giving him the seemingly indicated medicines. So the rubrics
"MIND - AILMENTS FROM - discords between - parents; one's"
"MIND - AILMENTS FROM - domination - children; in -
parental control; long history of excessive"
are to be given our most important consideration now.
A harsh upbringing leaves its own imprint on the developing mind and
depending upon the inherited miasma, this further complicates them
and "carc" is strongly suggestive of such cases to unravel them.

2.)>"he is also very inquisitive about it
- This again is strongly suggestive of carc..

3.)> "very angry person in the past.wife says when children were very
Normally I am inclined to consider the above theme by spliting up
into its constituient elements as follows:
MIND - ANGER - interruption; from
MIND - ANGER - violent
MIND - STRIKING - children; striking one's own
But since his harsh childhood conditions are now known and this
behaviour is more like his acting out his own father's role playing and
hence I don't propose to consider this aspect for rep.

4.) Sleep position ,when marked is another important characteristic
and so "SLEEP - POSITION - side; on - left side; on' is to be considered.

5.) We can consider both the rubrics, MIND - OCCUPATION - amel;.
and MIND - THINKING - complaints - agg.; thinking of his complaints
as both essentially represent the same idea; but combine them to form
a single rubric , so that the same remedy doesn't get counted twice and
thus get unduly highlighted.

6.)"> MENTALS:SINCE CHILDHOOD lot of anticipation very conscientiousabout his work.wants to do it perfectly.
"MIND - DUTY - too much sense of duty"
"MIND - RESPONSIBILITY - taking responsibility too seriously"
again combining the two to form a single rubric as is done in item 5 above.

8.)">since then he is constantly occupied with his comp.constantly
"RECTUM - CONSTIPATION - preoccupation with bowels"

9.) ">feels constant throbbing sensan in his abd" will be considered as
"ABDOMEN - MOVEMENTS in"

REPERTORISATION.
In the light of the above discusion the following rubrics are selected
and the remaining are self-explanatory.
MIND - AILMENTS FROM - discords between - parents; one's
MIND - AILMENTS FROM - domination - children; in -
parental control; long history of excessive
MIND - OCCUPATION - amel.
MIND - THINKING - complaints - agg.; thinking of his complaints
MIND - ANXIETY - hypochondriacal - read books; mania to -
medical books
MIND - ANXIETY - abdomen; with distension of
MIND - DUTY - too much sense of duty
MIND - RESPONSIBILITY - taking responsibility too seriously
SLEEP - POSITION - side; on - left side; on
ABDOMEN - MOVEMENTS in
STOMACH - ANXIETY
RECTUM - CONSTIPATION - preoccupation with bowels
RECTUM - DIARRHEA - nervous, emotions agg.

ANALYSIS
Results on Radar8 gives mag-m as top ranking and even the Vithoulkas
Expert system is suggesting mag-m for interrogation.

Recommendation. Please study mag-m in Scholten's books and
carc in Vithoulkas and Rajan in addition to the other books
and then review your case to see the fit.
Mag-m with an occassional dose of the antimiasmatic (carc)when
the response is either lacking or slakening will turn the
case into order.
Hope this helps,
V.T.Yekkirala.