CASE OF MENORRHAGIA
BY Dr. SANA AFSAR KHAN
MD PART 1(2023-2024)
DEPARTMENT OF ORGANON AND HOMOEOPATHIC
PHILOSOPHY
GUIDE- Dr. MANISHA LATE
DATE-
PRELIMINARY DATA-
NAME- Mr. AMIT KUMAR
AGE/SEX- 43/M
OCCUPATION- PRIVATE JOB
PRESENTING COMPLAINTS-
PATIENT C/O- K/C/O HYPERTENSION.
HE WAS HAVING HEADACHE AND HIGH BLOOD PRESURE SINCE 6
MONTHS.
THROBBING TYPE OF PAIN IN OCCIPITAL REGION.
HEART BURN AND FLATULENCE IN WHOLE ABDOMEN PRESENT.
HISTORY OF PRESENTING COMPLAINTS-
LOCATION- OCCIPITAL REGION OF HEAD.
SENSATION- THROBBING TYPE OF PAIN.
MODALITIES- AGGRAVATED BY EXERTION AND STRESS.
AMELIORATED BY CLOSING THE EYES AND REST.
CONCOMITANT- HEART BURN SINCE 3-4 MONTHS TAKING
ANTACIDS. SOUR TASTE OF MOUTH. FLATULENCE IN WHOLE
ABDOMEN.
PAST HISTORY-
H/O- CONSTIPATION AND APPENDICITOMY
FAMILY HISTORY-
FATHER- DM TYPE 2
MOTHER- OSTEOARTHRITIS
PHYSICAL GENERALS-
DIET- MIXED
APPETITE- NORMAL
THIRST- NORMAL
DESIRE- SWEET THINGS, WARM DRINKS
AVERSION- NS
STOOL- CONSTIPATED
URINE- 4-5 TIMES
THERMAL- CHILLY
ADDICTION- ALCOHOL
SLEEP- DISTURBED
MENTAL GENERALS-
IRRITABILITY
GREEDY
ANGER-VIOLENT
MILD WITH SUPERIOR AND HARD WITH INFERIOR
FAULT FINDER
PHYSICAL EXAMINATION-
BUILT- FATTY
HEIGHT- 5’4”
WEIGHT- 80kg
PULSE- 68/min
BP- 140/100mmhg
RR- 20/min
TEMP- 98°F
ANEMIA- ABSENT
CYANOSIS- ABSENT
TOUNGUE- CLEAN
SYSTEMIC EXAMINATION-
GIT- SOFT AND NON TENDER
CVS- S1 S2 AUDIBLE
CNS- CONSIOUS AND ORIENTED
RESP- B/L LUNGS CLEAR
DIAGNOSIS- STAGE 1 HYPERTENSION
MIASMATIC DIAGNOSIS- PSORO-SYPHILITIC
ANALYSIS AND EVALUATION OF SYMPTOMS-
MENTAL GENERALS-
IRRITABILITY
GREEDY
ANGER-VIOLENT
MILD WITH SUPERIOR AND HARD WITH INFERIOR
FAULT FINDER
PHYSICAL GENERALS-
THERMAL- CHILLY
DESIRE- SWEET AND WARM FOOD AND DRINKS
ADDICTION- ALCOHOL
PARTICULARS-
HEADACHE IN OCCIPITAL REGION
THROBBING TYPE OF PAIN
AMEL FROM CLOSING THE EYES AND REST
AGG FROM STRESS AND EXERTION
HEART BURN.
SOUR TASTE OF MOUTH.
FLATULENCE IN WHOLE ABDOMEN
TOTALITY OF SYMPTOMS-
IRRITABILITY
AVARICE
ANGER-VIOLENT
DICTATORIAL
CENSORIOUS
THERMAL CHILLY
DESIRE SWEET AND WARM FOOD AND DRINKS
ADDICTION ALCOHOL
HEADACHE IN OCCIPITAL REGION
THROBBING TYPE OF PAIN
AMEL FROM CLOSING THE EYES AND REST
AGG FROM STRESS AND EXERTION
HEART BURN.
SOUR TASTE OF MOUTH.
FLATULENCE IN WHOLE ABDOMEN
SELECTED RUBRICS-
MIND- IRRITABILITY
MIND- AVARICE
MIND- DICTATORIAL
MIND- CENSORIOUS
MIND- ANGER-violent
GENERALS- FOOD AND DRINKS- sweets
GENERALS FOOD AND DRINKS- warm food
STOMACH- HEARTBURN
HEAD- PAIN- occiput
HEAD- PAIN- THROBBING
HEAD- PAIN- straining eyes from
ABDOMEN- FLATULENCE- eating after
MOUTH- TASTE- sour
PROBABLE REMEDIES-
Nux vom, lyco, ars, sep, sil,
PRESCRIPTION-
LYCOPODIUM CLAV. 200 OD FOR 3 DAYS
PLACEBO 30 BD FOR 7 DAYS