A case of Autism Spectrum Disorder treated with TUBERCULINUM
(homeopathy)

I feel a sense of pleasure writing about his case. Today I received this child, now 8 yrs in age, whom I had first seen when he was 4yr old. The parents came with a diagnosis of autism spectrum disorder, labelled by a highly prestigious institute, where he also had been evaluated on various parameters. The child had learning difficulties, delayed developmental milestones, and was very aggressive and restless. The child was speaking single words barely, he had no eye contact and had no control over urination even at night. The bowels were severely constipated. He desired cold drinks, which he would ask using sign language. The mother had been treated for tuberculosis just before her pregnancy. Tuberculinum 10m 1 dose was administered. During the next few months, he gradually started making eye contact, started speaking two letter sentences, and calmed down remarkably. For acute complaints he was given various short acting medicines in between. By the time he was 5 and 1/2yrs old, the father admitted him in a regular 1st standard despite advice otherwise, he nevertheless coped decently in his class and was compatible with peers. He was given cal phos 1m, 1 dose at this point for some headaches that he complaint.  Further follow up was lost for 2 yrs due to coronavirus pandemic. When the child turned up in OPD today, not only did he greet confidently, he shared his new found interests with me. There is still a stammer in the voice and the child is finding languages (he is learning 3 languages simultaneously in school) difficult to pick up. He, however has a keen analytical mind, is very good in mathematics and has highly developed analytical thinking (according to the father he is able to solve puzzles which he himself cannot solve). There have been few advices given to parents related to his academics, and furthering his interests in computers and mathematics. Notwithstanding, it was a delight to meet the child and marvel at the science of homeopathy, something which we haven’t been able to still figure out as to how it works. Is it a gene expression modulation!!

Explanation

A history of tuberculosis, delayed and disharmonized development, great desire for cold drinks were few of natural indications for Tuberculinum. It has not completed the whole cure but did definitely nudged the development in right direction. The child still needs treatment and lot of supportive therapies but he has come a long way from where we started.

Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Download the pdf version of the file below.

A case of cough treated with BADIAGA

A 65 yr old male with hypothyroidism came with complaint of cough for last 15 days. He was not able to describe the cough in any manner. No modality, no character was described. He had covid 20 days back for which he took allopathic treatment. After lot of questioning, he mentioned that that phlegm flew out of his mouth every time he coughed. On this limited detail Badiaga 30/ 3 doses /od were given, with instruction to stop medicine as soon as amelioration sets in. He was asked to come after 3 days for follow. After 3 days he reported that he took all the 3 doses but felt much better after the first day itself. He was given placebo for another week with complete resolution of cough.

Explanation

The prescription in this case was done on very limited information provided by patient. That information however was very characteristic of the medicine (mucus flying from mouth and nose on coughing). The patient should have stopped the medicine after 1st dose as it gave relief, but sometimes this does not happen in practice and he took all the 3 doses. Luckily the later doses did not do much harm. (Repetition of dose when none is needed can spoil the case).

Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Download a .pdf file of the case below:

A case of Acute Conjunctivitis treated with ACONITE

57 yr old male with no comorbidity came with severe conjunctivitis of left eye. It started suddenly after riding a bike. He was given aconite 200 4 pills 2 times a day for 3 days.

Explanation

Sudden onset, severe inflammation and complaint starting after exposure to cold air(causation) led to the prescription of aconite, with complete resolution of the inflammation in 3 days.

Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Download the pdf file of the case below.

A Case of Acute Stomach Pain Treated With BRYONIA

A mother contacted over phone for her 3 yr old child who was crying for last 1 hour continuously for no apparent reason. The child had no fever, no cold, cough or any other complaint. There was no problem on urination and child had passed motion previous day. Thirst was normal. When questioned the child was holding stomach and was sitting on couch. When the mother tried to carry the child, she refused to be moved. On this basis Bryonia 200 one dose was given to child. Within 2 min the child stopped crying, became comfortable and started playing.

Explanation

The child was probably having a colic. We generally think of colocynth, mag phos, cham etc in such cases. I too thought of them. However, the modality that the child did not want to be moved and was sitting still, led to the prescription of Bryonia (motion agg).

Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Download the pdf version of the case below.

A case of anxiety treated with LAUROCERASUS

A 45 yr old lady came with cardiac anxiety. It started after a scare about an accident of her only son. Though nothing happened to the child, she developed these anxiety attacks every time she heard anything out of ordinary. She was in a constant state of tension. There were constant eructations, more so when she was empty stomach. She complained of leaving things here and there without remembering them, after that incidence. She was given one dose of Laurocerasus 200. Follow-up after a month resolved her complaint to a large extent. She was given kali phos 6x for another month.

Explanation

After a sudden fright, we usually think of medicines like aconite. This case with its sudden onset, fright, and anxiety was also taking me towards prescribing aconite. However, the unusual manifestation of memory loss struck me and made me search further. The memory loss after a fright (cause and effect) led me to laurocerasus (sudden loss of memory, from pain, fright, etc. (Boger Synoptic Key)). The result spoke for itself. I, nevertheless wonder what would have been the action of aconite in this case. Only if there was a parallel universe.

Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Download a .pdf version of the case below.

Case of heel pain and undefined heel lesion, homoeopathy and ANTIUM  CRUD

This is a case of a 35 yr old male, obese with no other comorbidity, c/o heel pain b/l for last six months, and an unspecified eroded lesion of 3 cm diameter on left heel. His serum uric acid was normal and the X-Ray heel advised by the previous doctor did not show any abnormality. He had severe pain in getting up in the morning and keeping his foot down on the floor, which reduced after some time as he moved out of the bed and walked around. His tongue was deeply coated white. He was given ant crud 1m/ 3 doses, and silicea 6x 3 tabs twice daily for a month.

The next follow-up revealed a healed lesion and no pain.

Explanation

I encounter heel pain as presenting in many patients but most of them have no reason to which it can be attributed. Some may have uric acid levels raised or some may have a calcaneal spur which might be causing a plantar fasciitis. This patient had a whitewashed tongue which (heel pain and white-coated tongue) prompted me to give ant crud and since the pain was acute, a moderately high potency in repeated doses was given. A biochemic was added as a supportive. His heel pain and lesion healed completely on the follow-up.

Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Download the pdf file of the case here.

Case Of Superficial Thrombophlebitis Treated with VIPERA

A 67 yr old male came with pain in rt leg with a localized area of redness. On examination, it was found that he had varicose veins in the leg and one of the superficial veins had thrombosed and gotten inflamed (on examination one could appreciate the cord-like structure running along the length of the vein). He has a standing job and never took any treatment for varicosity. He was on antihypertensive medication. He was given Vipera 30/ 3 doses/ od with local application of arnica Q and asked to come back with venous doppler study of both the legs, to see the extension of thrombosis (a thrombosis in the deeper vein can embolize to lungs causing acute/ subacute or chronic pulmonary embolism). He came back three days later with the report showing evidence of superficial thrombosis only. The extent of thrombosis had reduced almost by 90% (on palpation only a small area of thrombosis was left) and the superf. inflammation of the skin gone. Vipera was stopped and local application was continued till another 3-4 days when the thrombosis resolved completely.

Explanation

Vipera is one of the main medicines for inflamed veins- phlebitis. Along with this the bursting sensation that the patient complaint pointed towards Vipera (veins thrombosed, bursting sensation).

Since nothing else could be found a lower potency was chosen with limited repetition and a local application.

Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Case of Varicose Ulcer treated with LACHESIS

A patient of mine consulted for a relative, a contractor (construction) 54 yrs, who had developed a non-healing varicose ulcer in the left leg and was advised a skin graft as all treatment failed. The patient had no comorbidity. Since his job included long-standing, he had suffered from varicose veins bilaterally for years. 2-3 years back he developed this ulcer near the left medial ankle which refused to heal despite conventional treatment, hence the advice of skin grafting. The only information I got was that he had severe burning pain in the lesion and it prevented sleep. Lachesis 200 one dose was given. A local wash with calendula Q was also advised regularly. The next day the pain reduced and the patient was more comfortable. Nothing else was given (not even a placebo) and patient kept reporting every week. There was a remarkable change in the appearance of the lesion within 10 days, with granulation tissue appearing and ulcer becoming shallower. Slowly the ulcer started healing and after 3 months of the only dose, it healed completely.

Explanation

As this case was not under my direct observation that is why I decided to go with a moderate potency. It was a left-sided varicose ulcer and had marked burning as a symptom. There are many other medicines having varicose ulcers but none have such burning (it was the sensation voluntarily given by the patient) as Lachesis. Based on this a single dose was given (Lachesis- left-sided, varicose ulcer, burning pain). And since the patient kept improving the dose was not repeated (had the progress stopped, I would have had to think about a second prescription).

This case is also interesting as I did not give a placebo to the patient (I could not, as the medicine was prescribed over the phone). Improvement in the first few days convinced the patient that his treatment was on the correct path and he followed every instruction that was given to him, diligently. Aude Sapere

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

Download the .pdf file of the case below

Clubbing of fingers and Lauroceracus

Clubbing is a physical sign, seen as knotting at the end of fingers and loss of normal nail curvature.

There are various causes of clubbing of fingers, commonest of which are enumerated below:

  • Cyanotic Congenital heart diseases
  • Subacute bacterial endocarditis (SBE)
  • Lung abscess
  • Bronchiectasis
  • Empyema
  • Bronchial CA
  • Inflammatory bowel diseases- ulcerative colitis/ crohn’s disease
  • Some cancers

Lauroceracus can either be curative (when chosen on basis of characteristics or peculiarities) or palliative (if given purely on a pathological basis in those with anatomical defects.) in the above conditions. Let us now discuss these conditions and symptoms that indicate the remedy pathologically in these diseases.

  • Children born with cyanotic heart disease (blue babies (Boger synoptic key)), often show signs of distress and cynosis on exertion. Their skin may have a bluish discolouration. Clubbing of fingers is a well-known sign in such patients (Toe and finger nails become knotty. Clubbing of fingers (Boericke materia medica))
  • Apart from clubbing SBE may present with neurological symptoms such as seizures and twitching also present in lauroceracus symptomatology. (Convulsive twitching. Epileptic convulsions, with foam from the clenched mouth ( BBCR)
  • Bronchiectasis/ lung absecss – (Cough, with copious, jelly-like, or bloody expectoration (Boericke materia medica))
  • I could not find any overt symptoms (pathologically) of inflammatory bowel diseases in Lauroceracus, though it could come as remedy in individualization of the case.
  • Lauroceracus is known to have some cancers in its pathologically and may be helpful in these conditions if clubbing of fingers is found to be an associated symptom.

Complete repertory states two other medicines in clubbing of fingers viz cal iod and beryllium. In Cal Iod the suppurative pathology could probably explain the clubbing. I do not know much about beryllium as medicine, so would refrain from commenting on it.

Knowledge of disease helps us in diagnosis, prognosis, management, and its prevention. It is not possible to always cure a disease due to a variety of factors. Though we generally use characteristics and individualistic features for the selection of remedy, knowledge of pathology (of both disease and medicine) also helps in remedy selection in such cases.

References

  • Boericke materia medica
  • Boger synptic key
  • Boger Boenninghausen materia medica and repertory.
  • French diagnostic index
  • Harrison’s principles of internal medicine

Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/

SOURCES OF MICRONUTRIENTS IN THE BODY

Our body is a dynamic system that is constantly exchanging matter with its surroundings: taking in something and giving out something else. To function and maintain itself properly it needs substances of different types in large or small quantities.

Those minerals and chemicals needed in smaller quantities are called micronutrients. They play a vital role in metabolism and their deficiency in the body can lead to various diseased states. Therefore, it is of paramount importance for a physician to know these nutrients and their deficiency diseases, as a simple substitution in diet can correct the disorder without any medication (as they are mainly because of errors of diet and act as maintaining causes in treatment of chronic illnesses).   The physician can effect a ‘cure’ even without any medicine. Below is a comprehensive but not exhaustive list of various micronutrients and their dietary sources that a physician can advise to her/his patients and prevent deficiency diseases, by simply advising a nutritious healthy diet.

(§4
He is likewise a preserver of health if he knows the things that derange health and causes disease, and how to remove them from persons in health)

To know more download the below PDF file