This is a case of a 35-year-old male with no other comorbidity and presenting with vitiligo over hands and legs.
On enquiry it was found that the vitiligo started after his marriage. It first appeared in genital region and then advanced to his hands and legs. There was some marital discord which caused a lot of stress in patient’s life.
Patient was then asked about any problems with urination. To which he answered affirmatively and said, he was having difficulty in passing urine. Nat mur 1m/ 1 dose (only one more dose was repeated after few weeks interval) was prescribed, with resultant disappearance of lesions in few months.
Explanation
While in conversation with the patient, the body language of patient was reserved. After he admitted to having problem in urination (I started thinking of staph), a further question about his use of public toilets was put forward. To which patient replied, in having inability to use public toilets as he found it difficult to urinate in front of strangers.
There are 5 medicines viz nat mur, hep sulph, mur ac, also ambra and tarent which have inability to urinate in front of strangers (Phatak repertory, urination difficult presence of others in.)
With a h/o discord and grief (most probable exciting cause) resulting in such a lesion starting in genital (location, orifice, Phatak repertory) and the above mentioned concomitant nat mur was prescribed.
Aude Sapere
Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/
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