A STUDY OF HOMEOPATHIC THERAPEUTICS
ON COMMON PEDIATRIC DISEASES
INTRODUCTION
The term punditries, is derived from the Greek words “Pedia” (Meaning) a child or pertaining to a child), “iatrika” Meaning treatment) and “ics” (meaning a branch of science), as already pointed out, the contemporary understanding of this Greek terms: “Science of child care, preventive as well as curative.” Pediatrics, therefore, is concerned with the health their growth and development and their attaining full potential as adults. A pediatrician’s responsibility is not only to care for the physical, mental and emotional health form to maturity but also to demonstrate concern for the social, environment and cultural influences that are known to have considerable fall out on children and their families.
GOBRI: 5 Points of UNICEF
UNICEF declared the folleuries slogan of 5-point formula [GOBRI] for infant care.
(i) G: Growth monitoring through the use of such measuring device as growth charts to enable the mother to detect early signs of malnutrition and deal with it.
(ii) O: Oral dehydration therapy consisting of a simple treatment with salts and glucose in water for a child suffering from diarrhea dehydration, The member child killer.
(iii) B: Brest feeding to nourish and protect the young infant from infection and good wearing practices malnutrition.
(iv) R: Respiratory care in another essential item to preserve child health.
(v) I: Immunization against measles, tetanus, polio, whooping cough, diphtheria and tuberculosis which cripple and kill millions of children every year.
DISEASE PATTERN
In observation in the considered area dissolves namely, series systemic infections (Primarily tuberculosis, pneumonia, measles, and whooping cough), diarrhea disease and skin disease were mainly marked in child.
METHODOLOGY OF THE STUDY
Type of the Study
The study was taken on child health. Patients of both sex aged with 12 years were included in the study. Infants commit express their problem. Observing subjective and objective symptoms of the patients applied homeopathic therapeutics.
PLACE OF STUDY
The study was occurred at Lalbagh, Dhaka. Most of the patients associated in this study besides in Lalbagh and Azimpur area in Dhaka.
STUDY PERIOD
1st February, 2008 to 31st July, 2008.
SAMPLE SIZE
A total number of 100 child patient, with different disorders were the instrument of the study, out of that 10 cases of common pediatric disorders elaborated in this dissertation.
DATE COLLECTION TOOLS AND PROCEDURE
a) Observing subjective symptoms.
b) Observing objective symptoms
c) Clinical examination
d) Applied homeopathy therapeutics
DATA ANALYSIS AND RESULTS
Details data furnished in relevant portion of the dissertation. During the 6 month study period homeopathic Therapeutic applied on 100 child patient and of that 66 patients are full cured 44 patients are partially cured and under treatment.
4.00 CASE HISTORY
4.01 CASE HISTORY NO: 1
INFANTILE DIARRHEA
Definition:
The passage of three or more loose or watery schools (taking the shape of the container) within 24 hours is defined as diarrhea. Infants and young subjects are very prone to looses of the bowels. Brest feed babies often pass loose pasty stool, His cannot be considered as diarrhea.
CAUSE
In many cases diarrhea occurs purely as a symptom of some constitutional diseases or condition, but generally is indicative of disturbance of the gastro-Intestinal canal, especially of the small intestines.
FEEDING DURING AND AFTER DIARRHEA
The breast-fed infants should be allowed breast feeding as the infant desires. Non-breast feed infants should be allowed is normally consumed by him, will may diluted with an equal volume of water until diarrhea scops, especially for infants.
1. PROFILE OF PATIENT
Name : Tahmida
Age : 11 Years
Sex : Female
Address : 52 Azimpur Road, Dhaka-1205
Religion : Islam
Date of examination : 09.02.2008
2. PRESENT COMPLAINTS:
Stools bloods streaked before stools. Rumbling and cutting colic. During stool chilliness and parriin the back. Nausia in H roque.
3. MENTAL CONDITION: Under Uexation anger.
4. GENERAL CONDITION:
i) Thirst : Thirstiness but thirsty and 2.00
ii) Tongue : Yellow.
iii) Aversion : drink
iv) Sleep : Normal
v) Perspiration : Normal
vi) Pulse : 79/p.m
vii) B.P : 102/72 mm of hg
viii) Urine : Normal
ix) Stool : Mucous Bloody with colic
6. DIAGNOSIS: R.B.C +Ve
Acute Amoebic Dysentery.
10. REPERTORISATION:
a. Mind : After vexation becomes anger.
b. Stomach : (i) Nausia in throat
(ii) Desire : Lemonade
(iii) Aversion : Drink
c. Stool : Mucous of R.B.C Found in investigation.
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | Mind: Anger after vexation (P-2) | Nausia Throat(P.-510) | DesireLemonade
(P-485) |
Aversion Drink(P-480) | Stood: Mucous Bloody(P-639) | Total | |
| Rubric | Grants | |||||||
| Aconite Nap | 03 | 03 | 03 | 01 | 4 | 10 | ||
| Chamomile | 03 | 03 | 03 | 3 | 09 | |||
| Calcarcaro | 03 | 03 | 01 | 3 | 07 | |||
| Arsenic Alb | 03 | 01 | 03 | |||||
| Podophyluma | 02 | 02 | 02 | 04 | ||||
8. Remedy Scoring:
Pulsatilla : 13/6
Nuxvome : 9/3
Belladog : 7/4
9. Selected 1st Remedy: Pusatilla.
10. REASON FOR CHOICE OF THE REMEDY:
The mental, physical, general particular symptoms of the patient are very similar to pulsatilla.
11. Management:
1. Bed rest
2. Liquid diet,
12. Treatment:
1st Consultation : 9.2.2008
Pulsatilla-30
2nd Consultation : 13.2.2008
Pulsatilla-200
Patient improved, pulsatilla-200
3rd Consultation : 22.02.08
Improved
Pulsatilla-14/1
4th Consultation : 12.02.08
Patient cured no remedy present bed: SACLASE.
Pulsatilla-14/1
13. Assessments:
Pulsatilla seemed to suit to the patient as similar. As a result her physical disorder recurred.
4.02 CASE HISTORY NO.2
Acute Amoebic
DYSENTERY
FIG: ENTAMOEBS
HISTORYTICA
(BOOK PRACTICAL PATHOLOGY P-85)
DEFINITION
Amoebic dysentery is the intestinal variety of amoebiasis which results from infection of the colon with endameba historitics generally characterized by a febrile diarrhea of several volumes stood, passed daily containing brownish necroses.
ACTIOLOGY
Causative organization entamoeba historytics.
Clinical Features:
1. SYMPTOMS:
(1) Frequent loose stools with blood, Pus, mucous with tenesmus 10 to 30 times in 24 hours.
(2) Pain may present over caccum and pelvie colon.
(3) Fever may & may not be Present.
(4) Loss of appetite.
2. SIGNS:
(1) Anxious faculties, ill looking
(2) Pulse of temperature usually normal.
(3) Tederner over the caccum and polnic color.
3. INVESTIGATION:
Stool: Chocolate color, offensive, Acid with blood and mucous, microscopic examination: vegetative forms of E.H. are seen in frees stool.
4. 10 Complication:
(i) Itacmorrhage.
(ii) Melaane
(iii) Pni caecal and penricolic abscess.
5. 10 TREATMENT AND MANAGEMENT:
(i) Bed rest.
(ii) Liquid diet
(iii) Symptomatic remedy.
1. PROFILE OF PATIENT
Name : Tauhid
Age : 04 years 6 months.
Sex : Male
Address : 44/p, Azimpur Estate, Dhaka
Religion : Islam
Date of examination : 07.02.2008
2. PRESENT COMPLAINTS:
Loose motion, Defalcation 8 times in the last 24 hours.
3. MENTAL CONDITION: Irritable
4. GENERAL CONDITIONS:
i. Thirst : Normal
ii. Desire : : Cold drinks
iii. Aversion : worm food.
iv. Sleep : Normal
v. Perspiration : Normal.
vi. Pulse : 78/pm.
vii. B.P : 96/66 mm of Hg.
viii. Urine : Normal.
ix. Stool : Greenish Watery.
x. Teeth : Dentition pain.
5. Pathological Report
Stool
Colour : Greenish Watery.
Odor : Fow souric offensive
Mucus : Nil.
Pescell :
Veg.cell : +Ve
R.B.C : Nil.
6. DIAGNOSIS: INFANTILE DIARRHEA
a. Mind : Irritable (P-57)
b. Teeth : Dentition difficulties.
c. Stomach : Desire cold drinks (P-458)
d. Stomach : Aversion, food momor, offensive odour.
e. Stool : Watery, greenish, offensive, odour. (P-643)
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | Mind: Irritable(P-57) | Teeth: Dentition, difficulties(P-431) | Stomach:Desire food, worm (P-481) | Stomach: Aversion, food, worm(P-643) | Stool: Watery, Greenish, offensive odour(P-643) | Total | |
| Rubric | Grants | |||||||
| Aconite Nap | 03 | 03 | 03 | 01 | 4 | 10 | ||
| Chamomile | 03 | 03 | 03 | 3 | 09 | |||
| Calcarcaro | 03 | 03 | 01 | 3 | 07 | |||
| Arsenic Alb | 03 | 01 | 03 | |||||
| Podophyluma | 02 | 02 | 02 | 04 | ||||
8. Remedy Scoring:
Aconite Nap : 10/4
Chamomile : 09/3
9. Selected 1st Remedy: Aconite Nap.
10. Reason for choice of Remedy:
The mental, Physical, general and particular symptom of the patient is very similar to Aconite Nap.
11. Management:
Advised to take soft a liquid diet filtered boiled water and complete bed rest.
12. Treatment:
1st Consultation : 7.2.2008
Acomite-30
10 Dose distilled water.
2nd Consultation : 12.2.2008
Acomite-200
5 dose in distilled water.
3rd Consultation : 22.02.08
Aconite – SACLSE.
13. ASSESSMENT
Aconite Nap secured to suit to the patient as similar, therefore his particular disorder recovered.
4.03 Case history no. 3
Scabies
DEFINITION:
It is a form of itching dermatitis characterized epidmal burrows caused by female Acarus Scabies.
MODE OF INFECTION:
Infection is mainly acquired by very close and long continued contact thus sleeping with an infected person or using the clothes, blankets or even by sexual contact the disuse ins transmitted. Children may acquire it during holding hands of each other or from their Parents.
CLINICAL FEATURES:
(1) Itching, (2) Impetigo, (3) Burrow
(4) Located in the epidermis
(5) Irregular zigzag in shape.
(6) Greenish in colour or black due to dirt.
PROFILE OF PATIENT
Name : Taniem
Age : 11 Years
Sex : Male
Address :
Religion : Islam
Date of examination : 27.02.2008
2. PRESENT COMPLAINTS:
Eruption in bend of Joints, behind the ears, on back of head neck and in border of hair. Moist eruption, with gluey discharge, great manners and soreness of skin, Terrible itching in the night.
3. MENTAL CONDITION:
Anxiety in night Fear of death
4. GENERAL CONDITIONS:
xi. Thirst : Thirsty
xii. Desire : : Lemon
xiii. Aversion : Meat.
xiv. Perspiration : Normal.
xv. Pulse : 76/pm.
xvi. B.P : 110/75 mm of hg
xvii. Urine : Normal.
xviii. Stool : Normal.
xix. Weight : 32 kg.
Scabies
5. DIAGNOSIS:
REPORTORSATION
- Mind : Anxiety in the night fear of death.
- Skin : Eruption : Scabies
- Generalities : Rapid weakness.
- Desire : Lemon
- Aversion : meat.
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | Mind | Skin Eruption Scabies(P-44) | Generality Rapid weakness(P-1418) | Aversion Meat(P-481) | DesireLemon | Total | ||
| Anxiety in night | Fear for death. | Rubric | Grade | ||||||
| Arsenic | 03 | 03 | 03 | 03 | 2 | 1 | 6 | 15 | |
| Sulpher | 2 | 3 | 3 | 3 | 8 | ||||
| Pulsatilla | 3 | 2 | 3 | 3 | 8 | ||||
| Calcania Carb | 2 | 3 | 1 | 3 | 4 | 9 | |||
| Broynia | 2 | 2 | 2 | 3 | 6 | ||||
7. Remedy Scoring:
Arsenic : 15/6
Clacaria carve : 9/4
8. Selected 1st Remedy: Arsenic Albans .
9. Reason for choice of Remedy:
The mental, Physical, general and particular symptom of the patient is very similar to Arsenic Albans.
10. Management:
a) Separate bed for the patient
b) Cloths, Bed cover pillar cover should be boiled a heated, By ironing , at least in the sunlight.
11. Treatment:
1st Consultation : 2.3 .2008
Arsenic Albans, 30
2nd Consultation : 09.3.2008
Patient Cured
No Remedy Prescribed
4.04 Case History no-04.
Ascariasis
(Round worm infection)
ASCARIASIS
1. Definition
The manifestation due to infestation by Ascaris lumbricoides are known and Ascarissis.
2. AETIO PATHOGENESIS:
The infection by Ascaris Lumbricoids takes place by swallowing the ova containing nature embryos passed out with the stool of an infected person. If fertilized eggs are swallowed by a human being these pass into the intestine, liberate larvae which penetrate the bowel wall, enter the portal. Straw, pass into the liver and lings and therefore by trachea and esophagus they reach the intestine. Ove appear in the stool of the new host in 2 to 512 months.
3.1 Clinical Features:
Abdominal Pain, Capricious appetite, nausea, visiting, diarrhea, abdominal distention etc, may be present.
3.2 Obstruction of the gut appendix or bleary tract may occur giving rise to colic or jaundice.
3.3 Allergic reaction, vig, Urticaria, Fever, Leoffier’s syndrome or bronchitis, Symptoms of pneumonia etc may be presented.
3.4 Anaesnia, puffiness of face, oedema etc may occasionally be present.
3.5 Grinding of the teeth at night in sleep. Picking oat the nose, cerebral symptoms may be presented.
4. DIAGNOSIS:
4.1 Stool – May be show OVA of the worms.
4.2 Blood – Slight beucocytosis with increased cosinophils.
4.3 History of passing adult worms into vomit or in the stool.
4.4 X-Ray of intestine (B4-meal) may show the worms.
These ingest barium and east shadow.
5. Complications:
a) Obstruct on of intestine, bleary tract and respiratory tract
b) Pneumonia
c) Perforation
d) Peritonitis.
e) Appendicitis
f) Intussusceptions
6. Profile of Patient
Name : Jarin Jahan Suba
Age : 02
Sex : Female.
Religion : Islam.
Address : Baily Garden, 44/1, Azimpur Road
Date of Examination : 27.03.08
7. Present Complicates / Symptoms.
Abdominal pain, capricious appetite nausea, vomiting, Grinding, of the teeth at night in sleep and picking at the nose.
8. Mental condition
Fear while walking
9. Perspiration
Perspiration in night
10. General condition
10.01 Aversion : Mother’s Milk.
10.02 Desire : Many things.
10.03 Pulse : 120/p.m
10.04 Urine : Normal
10.05 Stool : Normal
10.06 B.P : 87/57 mm of Hg.
10.07 Temperature : 970F
10.08 Sleep : Deep
10.09 Weight : 13 Kg.
REPERTORISATION
- Mind : Fear, while walking.
- Perspiration : Night.
- Aversion : Mother’s Milk.
- Desire : Many things.
- Sleep : Deep.
- Stomach : Vouniting, nausis.
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | MindFear: while walking (P-47) | perspiration night(P-1294) | Aversion mother’s Milk(P-481) | Desires many things (P-485) | Sleep Deep(P-1234) | stomach vomiting (P-531) | Total | ||||
| Rubric | Grade | |||||||||||
| 1 | Cina | 2 | 1 | 1 | 3 | 3 | 2 | 6 | 12 | |||
| 2 | Arsenic | 3 | 3 | 2 | 6 | |||||||
| 3 | Pulsatilla | 3 | 3 | 2 | 6 | |||||||
| 4 | Aconite | 1 | 3 | 2 | 6 | |||||||
| 5 | Nuxvom | 2 | 3 | 2 | 5 | |||||||
12.00 Remedy Scoring:
Cina : 12/6
Arsenic : 06/2
Pulsitilla : 06/2
13.00 Selected 1stRemedy: Cina.
14.00 Reason for choice of Remedy
The mental, Physical, general and rare of uncommon symptom of the patient is very similar to cina.
15.00 Management
Prophylaxis: It consists of proper disposal of the stool and general cleanliness of the children
16. Treatment
1st Consultation : 27.3 .2008
Cina, 200
2nd Consultation : 05.04.2008
No remedy required Given Saclac
Advised not coalterned again.
17. Assessment
Cina seemed to suit to the patient as Similar therefore her patient’s symptoms/disorder removed.
4.05 Case History no. 5
Diphtheria
DIPHTHERIA
Definition
It is acute infection and communicable disease caused by Coryne Bacterius. Diphtheria Characterized by a formation of sperm membrane most commonly in the region of pharynoc.
2.00 Aethology caused by a gram positive bacillus, coryne Diptheirae. There group of organizations- Gravis, Intermediacy and mitis.
Age : Mostly children (1 to 15 years)
Season : More in temperature gone
Sex : both
Predisposing Factors : An operation about the nose and threat, low social-economic states etc.
Incubation Pariod : 1 to 7 days.
Patient’s Profile
Name : Marrium
Age : 6 years.
Sex : Female.
Religion : Islam
Address : “Kanek Chapa” 126, Azimpur Road Dhaka.
Date of Examination: 8-4-2008
5 PRESENT COMPLAINTS/ SYMPTOMS
1. Croupy cough 2. Sore throat 3.Different in swallowing 4.Hoariness of voice
5. Restless 6. Quick Pulse.
6. Mental condition:
Restless
Pulse Rate 80/p.m
B.P 94/64 mm og Hg.
Temperature 1010F
Stool Normal
Urine Normal
Weight 21 kg.
REPERTORISATION
- Mind : Restlessness (P-72)
- Perspiration : In general (P-1292)
- Desire : Sour, acid etc (P-486)
- Aversion : Drink (P-480)
- Respiration : Different (P-767)
8. DIAGNOSIS
DIPHTHERIA
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | Mind Restlessness | perspirationin general
(P-1292) |
Aversion Drinks(P-481) | DesiresSour, acid etc
(P-486) |
Respiration Difficulties(P-767) | Total | ||||
| Rubric | Grade | ||||||||||
| 1 | Bell | 3 | 2 | 1 | 2 | 2 | 5 | 10 | |||
| 2 | Brg | 3 | 2 | 2 | 3 | 4 | 10 | ||||
| 3 | Acon | 3 | 2 | 2 | 3 | 7 | |||||
| 4 | Ars | 3 | 2 | 2 | 3 | 4 | 10 | ||||
| 5 | Anac | 3 | 1 | 3 | 3 | 7 | |||||
10.00 Remedy Scores:
Belladora 10/5
Broynia 10/4
Arsenic 10/4
12. Reason for choice of Remedy
The mental, Physical, General and rare, uncommon and particular symptom of the patient is similar to Belladong.
13.00 Management
i) Isolation ii) Regular
iii) Immunization IV) Bed lost with minimize movement.
v) Liquid food, if feeding by mouth’s not possible, intravenous Glucose.
14. Treatment
1st Consultation : 22.3 .2008
Belladong – 30
2nd Consultation : 28.03.08
Beyonis-30
3rd Consultation : 8.4.08
Saclae
4th Consultation : 8.4.2008
File No. Patient cured
Advice not consulting more.
15. ASSESSMENT
Belladong and Isponia seemed to suit the Patients similar Hence her Particular disorder removed.
Case History No-6
MUMPs
MUMPS (Epidemic Parodists)
01. Definition
Mumps or epidemic Parrots san acute infector disease marked b enlargement of the salivary glands. Usually the parotids
02. Axiology
Age Children and young adults. Sex is mostly male. Caused by virus is present in saliva and spreads by droplets. Common site is partial glands, but sybmendibular glands, testicles, brain, pancresse, Ovary also may be affected.
3. PATHOLOGY
The affected parotid gland glands and the surrounding tissue become hyperemic and oedematous some of the acinar cells disintegrate with round cell infiltration but later, on these heal completely without only scarring.
4 Clinical Features:
i) Fever with chill
ii) Headache, weakness, malaise
iii) Sore throst (IV) Epistaxis.
v) stiff neck vi) pain and swelling in partial regions
vii) Increased salivation viii) In ability to open the jaw.
5. Signs
- restricted jaw movement
- Tenderness of partial region and swelling
- Toxic Spasm for muscatels of masticating.
- Speller, of ten just paepable
- Orifice of stensions duct usually swollen.
- Temperature present
- Pulse usually slow.
7. COMPLICATES:
i. Orchitis
ii. Oophoristis
iii. Myocarditis
iv. Masstitis
v. Acute pancvetits
vi. Otitis media
vii. Labryinthits
viii. Memingitis
ix. Pevipheral neuritis
x. meningism
xi. Prostatistis
xii. Meningotencephalitis
xiii. Neuritis of 2nd, 7th, 8th and 3rd Covina nerves.
8. PATIENT PROFILE:
Name : Ahammad Jawadul Islam
Age : 5 years
Sex : Male
Religion : Islam
Address : 44/H, Azimpur Road Dhaka.
Date of Examination : 9-5-2008
9.00 Present Complaints / Symptoms
Fever with chilling Headache
Inability to open jaw
10.00 Physical Condition:
Pulse Rate 76/p.m
B.P 90/60 mm of Hg.
Temperature 1010F
Stool Scanty
Urine Normal
Weight 27 kg.
11. Investigation:
Complement Fixation test- ‘+e’
12. RERERTORISATION
a. Mind : Desire to go home (P-51)
b. Head : headache, Is general (P-132)
c. Fever : With chill (P-1248)
d. Perspiration : Night (P-1294)
e. Stool : Scanty (P-641)
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | Mind desire to go home.(P-51) | Head: headache(P-132) | Fever with chill (P-1248) | Perspiration Night(P-1294) | Stool Scanty(P-641) | Total | |
| Rubric | Grade | |||||||
| 1 | Bell | 1 | 3 | 3 | 2 | 2 | 5 | 11 |
| 2 | Brgo | 3 | 3 | 2 | 2 | 2 | 5 | 12 |
| 3 | Puls | 3 | 3 | 1 | 3 | 10 | ||
| 4 | Rlus tax | 2 | 2 | 3 | 3 | 7 | ||
| 5 | verat | 2 | 2 | 2 | 2 | 4 | 8 | |
| 6 | Calc | 2 | 3 | 3 | 2 | 4 | 10 | |
| 7 | Hyos | 1 | 2 | 1 | 3 | 4 | ||
12.00 Remedy Scores:
Bryonia 12/5
Belladola 11/5
13. Selected 1st Remedy
Broynia
14. REASON FOR CHOICE OF REMEDY:
The mental, physical, general and particular symptoms of the patients similar to Bryonia.
15. MANAGEMENT:
i. Bed rest
ii. Isolation
iii. Oral hygiene to be maintained.
iv. Liquid diet till mastication is painless.
16. TREATMENT:
1st Consultation : 17.5 .2008
Bryonia-30
2nd Consultation : 23.05.08
Belladong-30
3rd Consultation : 27.5.08
Saclac
4th Consultation : 2.6.2008
Saclac
Patient improved
Advised not to report again.
18. Bryonia and Belladona seemed to suit the patient as simila. Therefore his particular symptom/disorder recovered.
Case History no. 7
Whooping Cough
WHOOPING COUGH
DEFINITION
Whooping cough (or pertusis) is an actuate, infectious, communicable disease affecting the respiratory tracts, Characterized spasmodic attacks of coughing and accompanied by an aspiratory whoop.
AETIOLOGY
Causative organism Haemophilus pertysis (or Bordetella pertuasis)
Age : Mostly under 5 year
Sex : Mostly Female.
Season : Usually colder month.
Spread : Droplet infection.
PATHOLOGY:
The whole respiratory test from nasopharynx down to bronchi is involved in a necrotizing inflammation along with inflammation of the peri bronchial and tracheo-bronedical Symphonic tissue.
CLINICAL FEATURES:
Incubation period 1 to 3 years.
INVESTIGATION
1. Blood- W.B.C count high, total count as high as 1,00,000 cu mm with lymphocytes about 90%
2. Culture of swab and sputum ¾
H. Pertussis (Positive ‘ droplet’ culture settles the diagnosis).
3. X-ray will show enlarged hilar glands.
COMPLICATIONS:
1. Pneumonia 2. Atelectasis
3. Emphysema 4. Bronchitis’s
5. Pneumothorax. 6. Convulsions
7. Meningitis. 8. Toxic encephalitis
9. Cerebral haethorage. 10. Umbilical hernia
11. Proapse 7 section 12. Fernal Ulcer
13. Entesitis 14. Otitis media
15. Acute nephritis 16. Pulminant tuberculosos
17. Pigeon chest.
PROGNOSIS
Better in order children and in the aged but comparatively worse below 3 years.
PATIENT’S PROFILE
Name : Khadiza
Age : 11/2 years.
Sex : Female
Address : 57 Lalbagh Road, Dhaka.
Religion : Islam.
Date of Examination: 27.4.2008
PRESENT COMPLAINTS/ SYMPTOMS
Severe cold as sneezing, headache, coryza, itching of the nose hoarseness and a distressing cough.
MENTAL CONDITIONS
Fear, when alone
Pulse rate 63/p.m (Slow)
B.P 110/75 mm of Hg
Temperature 980F
Stool normal
Urine Normal
Respiration 32/p.m
DIAGNOSIS
Whooping Cough
REPERTORISATION
- Mind : Fear, When alone (P-42)
- Respiration : Difficult, cough with (p-768)
- Sleep : Comatose (P-1234)
- Perspiration : Night
- Fever : Chill, night.
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | Mind Fear, cough with(P-42) | Respiration Difficult, cough with(P-768) | Sleep:comatose
(P-1234) |
PerspirationNight
(P-1294) |
Feverchill, night (P-1294) | Total | |
| Rubric | Grade | |||||||
| 1 | Antimtant | 1 | 3 | 3 | 1 | 1 | 5 | 9 |
| 2 | Dsosera | 1 | 3 | 2 | 1 | 3 | 5 | |
| 3 | Ipecae | 3 | 1 | 1 | 3 | 5 | ||
| 4 | Bell | 3 | 1 | 3 | 3 | 7 | ||
| 5 | Bryo | 1 | 3 | 2 | 4 | |||
Remedy Scores:
Antimtant 9/5
Bell 7/5
SELECTED REMEDY
Antimtant
REASON FOR CHOICE REMEDY
The mental, physical, general and particular symptoms of the patient is similar to Antimtant.
MANAGEMENT
i. Bed Rest in a well ventilated room.
ii. Liquid and semisolid diet
iii. Feeds should be given after paroxysms and should be small and frequent.
TREATMENT
1st Consultation : 27.4 .2008
Antimtant-30
2nd Consultation : 5.5.08
Patient Improved
3rd Consultation : 17.5.08
Saclac
4th Consultation : 22.5.2008
Antimtant – 120
5th Consultation : 9.6.2008
Saclac
Adv. Not to report more too His complaint.
ASSESSMENT
Antimtant seemed to suit to the patient as similia. Therefore he particular symptoms disorder removed.
CASE HISTORY NO-8
PNEUMONIA
Pneumonia
Definition: Inflammation of the lungs caused by various organism.
Types: (1) Lobar-Involvement is segmental
(2) Bronchi-Patchy distribution
Acute Lobar Pneumonia
It is an acute infectious disease characterized by toxemia, high continued fever usually ending by crisis and a homogeneous consolidation of one or more lobes or segments of the lung caused by diplodocus pneumonia.
Aetiology : Age-All ages, sex- both, session- mostly in winter and spring
Predisposing cause – (1) Previous attack of viral inflection
(2) Low body resistance
(3) Source of inflection- Tonsil
Clinical Features: Onset is sudden:
Symptoms- (1) High fever high chill and rigor (2) Pain chest (3) Dyspnoea (4) Cough with tenacious, gradually rusty sputum (5) Malaise, weakness, headache, loss of appetite etc.
Signs: Toxi features-(1) Sweating, sunken cyanotic, dyspnoic, dry coated tongue (2) Tachy cardia (3) High temperature (4) Dysponea (5) Pulse/ respiratory ratio is altered (normal 4:1 may be 2:1.)
PATIENT’S PROFILE
Name : Ihsan
Age : 4 years
Sex : Male
Address : 26 Jagannath Shah Road, Lalbagh, Dhaka.
Religion : Islam
Date of Examination: 29-5-2008
7. Present Complicates / Symptoms
Fever with chill and rigor Deep pain in chess weakness Headache,
Appetite, diminished omitting, Nausea, constipation, Thirsty.
8. Mental / General / Particular / rare / uncommon / symptoms Restlessness, night
9. Temperature – 1300 F
Pulse rate – 63 p.m (s(as)
Respiration rate – 32 / p.m
B.P – 88/38
Weight – 28 kg
Urine – Urination during sleeping
Stool – Constipation
9. INVESTIGATION
T.C of R.B.C OWBC
(1) W.B.C 26000 cmm of blood
(2) R.B.C 4.5 million/common of blood
Comments: WBC increased
RBC decreased
DIAGNOSIS
a. Mind : Restlessness, night (P-72)
b. Stomach, Allelite? diminished (P-476)
c. Stomach, vomiting (P-531)
d. Fever, chill with (P-1284)
e. Stomach, thirst (P-527)
f. Rectum, constipation (P-606)
REPERTORISATION
(Kent’s According to repertory)
| No. | List of RubricsName of Remedy | Appetitediminished
(P-476) |
Vomiting(P-531) | Restlessnessnight
(P-72) |
Fever chill with(P-1284) | Thirst (P-1284) | Constipation(P-606) | Total | |
| Rubric | Grade | ||||||||
| 1 | Ant-C | 1 | 3 | 1 | 2 | 1 | 1 | 4 | 7 |
| 2 | Ant-t | 1 | 3 | 1 | 1 | 4 | 6 | ||
| 3 | Phos | 1 | 3 | 3 | 4 | 10 | |||
| 4 | Carb-V | 1 | 2 | 2 | 3 | 5 | |||
| 5 | Sang | 2 | 1 | 2 | 3 | ||||
Remedy Scores:
Phosphorus – 9/5
Antimcarde – 7/4
Antim tart – 6/4
13.0 Selected 1st Remedy
14.0 Reason Phosphorus for choice of remedy
The mental, general is particular symptom of the patient is similar to phosphors.
15. MANAGEMENT
Rest in bed in propped position
Tepid Sponging to lower
The temperature
Control of infection
Nutrition (high diet)
16. Homeopathic Therapeutics
1st Consultation : 23.4 .2008
Phosphorus
2nd Consultation : 30.4.08
Saclse
3rd Consultation : 4.5.08
Patient curved
4th Consultation : 20.5.2008
Patient cured
Adv. Not to attend none us this diseases
17. ASSESSMENT
Phosphorus seemed to suit. The patient hence his particular symptoms/disorder removed.
Case History no. 9
“Measles”
[Morbilli or Rubeola]
MEASLES
[Morbilli or Rubeola]
DEFINITION
Measles or robeola is an acute, infections and highly communicable diseases marked by prodromal catarrhal symptoms, Koplik’s spot’s and a typical rash.
AXIOLOGY
Caused by a filterable virus and may occur in sporadic, endemic or epidemic forms. Age-all ages, sex-both, the transmission is direct; by means of droplet transmission is direct, by means of droplet infection. IN cubation is period 10 to 14 days.
B.W CLINICAL FEATURES
A. Prodromal stage (2 to 4 days)
1. Sudden onset
2. Temperature raised
3. Coryza and sneezing
4. Hoarseness of voice
5. Conjunctivitis and photophobia
6. Kopli’s spot, bluish white spots “Appearix mucous membrane of mouth, surrounded by a red areoba, rough appearance.
B. Eruptive Stage (4 to 7 days) – (Usually on the 4th day)- skin rash appervstist on the face, neck, behind ears, forehead and progressing above downward, all over the body, light pink colour. (Pin head in size). Firstly macular is then maculopapulsr.
C. Stage of effervescence
1. Temperature falls by crisis or lysis
2. Rash fades from the face downward in the same sequence as its appearance all leaves brown staining.