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Mr. AM, a 70 year old politician came to me on 30 July 1911 for the treatment of actinomycosis on left foot for 20 years. It was between joint of his great toe and 2nd & 3rd toe. There were recurrent swelling, effusion, and eruptions. It was operated earlier followed by long continued use of antibiotics and antifungals, which were used to affect his Liver Metabolism as well as increased Serum Bilirubin levels. He has to do his Liver Profile every 3 months.

He also had fungal infection in the groin for which he used to apply local Antifungal along with steroid ointments.

He was known Hypertensive since 15 years.

He was having L5-S1 disc prolapse since 2002 for which he has consumed Allopathic Medicines.

Since 10 years, he is having Sun Dermatitis. He has to wear full shirts for the same.

He used to suffer a lot from Flatulence generally at 4 pm after eating farinaceous food.

He is also suffering from Nasal Polyps which used to obstruct his nose at night.

Past History:

Angioplasy was done 5 years back.

Prostatectomy was done 4 years back.

Both Cataract were operated.

Family History: Father Hypertensive died 5 years back.

 

Personal history: A typical Politician who was past minister sat in a chair with typical Pompous Attitude, Dominating, Dictatorial, Boasting about his achievements in a Egoistic tone. He was quiet Reserved used to frown a lot during conversation. He used to tell various Theories while explaining his disease. He is quiet Religious & used to follow religious aspects for longer period. He was very much Sensitive to all matters in the society as well as in the environment. He was quiet Doubtful about recovery of his disease.

General Examination:

Face: Greasy.

Weight: 89 Kg

Pulse: 77/Min

B.P.: 145/76 mm Hg

 

Miasmatic Analysis: Syco-Syphilitic

 

 

 

Rubrics Selected & Result of Repertorisation

Remedy Name

Lyc

Sulph

Calc

Verat

Ars

Nux V

Sep

Puls

Merc

Lach

Totality

45

32

26

25

24

24

24

23

21

24

Symptoms Covered

16

14

11

11

11

11

11

11

11

10

Kingdom

 

 

 

 

 

 

 

 

 

 

[Complete ] [Mind]Frown, disposed to:

3

1

 

1

 

4

1

 

 

 

[Complete ] [Mind]Dictatorial:

4

1

 

1

1

3

1

 

3

3

[Complete ] [Mind]Contradiction:Intolerant of:

4

3

 

3

1

3

4

1

1

3

[Complete ] [Mind]Theorizing:

1

4

1

3

1

 

3

1

1

3

[Complete ] [Mind]Boaster, braggart:

1

1

1

1

1

1

 

1

1

1

[Complete ] [Mind]Reserved:

1

1

3

1

1

1

1

3

1

1

[Complete ] [Mind]Importance, feels his, pompous:

3

1

1

3

 

 

 

 

 

 

[Complete ] [Mind]Sensitive, oversensitive:Impressions, to all external:

4

4

3

4

4

4

4

3

3

4

[Complete ] [Mind]Religious affections:

3

4

3

4

4

1

4

4

1

4

[Complete ] [Face]Greasy:

1

1

3

 

1

 

1

1

3

 

[Complete ] [Skin]Actinomycosis:

 

 

 

 

 

 

 

 

 

 

[Complete ] [Generalities]Food and drinks:Sweets:Desires:

4

4

3

 

4

1

3

3

3

 

[Complete ] [Generalities]Sun:Agg.:Sunburn:

3

3

 

1

 

 

 

4

 

1

[Complete ] [Mind]Egotism, self-esteem:

3

3

3

3

 

1

 

 

1

3

[Complete ] [Mind]Doubtful:Recovery, of:

3

1

2

 

3

1

1

1

3

1

[Complete ] [Abdomen]Flatulence:Afternoon:Four pm.:

3

 

 

 

 

 

 

 

 

 

[Complete ] [Nose]Obstruction, obstructed sensation:Night:

4

 

3

 

3

4

1

1

 

 

 

 

 

 

Analysis of the Case

In this case, thematic presentation also denotes the Lycopodium. After Repertorisation, the remedy was more confirmed. I have considered the miasmatic view i.e. Syphilitic aspect of the case & from Bio-chemic Medicines, I have considered the Calc Fluor. So, I have started the case as:

30 July 1911:                    Advised:                Weight Reduction

                                      Lycopodium        30       3       Doses

                                      Calc Fluor            6x      tds    10 Days

 

Follow-Ups

 

9 August 1911:   No recurrence of the swelling, eruptions, nodules.

                             Nasal obstruction as it is.

                             Flatulence in abdomen is much better.

                             P: 82/Min            B.P.: 142/78 mm Hg    Wt: 88 Kg

                                       Advised:              Weight Reduction

                                       Calc Fluor           6x      bd     15 Days

 

 

27 August 1911:     No recurrence.

                             Nasal obstruction much better.

                             Flatulence much better.

                             P: 78/Min            B.P.: 148/80 mm Hg    Wt: 87 Kg

                                      Advised:              Weight Reduction

                                      Calc Fluor            6x      od     1 Month

 

1 October 1911: Even though, there is no recurrence, his Ego was

asking me where is the result? He was doubtful about the recovery & the way he asked me was having the tone of Domination & Egotism. So, I have increased the potency as:

                                    Lycopodium        200     3       Doses

                                    Calc Fluor            6x      od     2 Months

 

6 December 1911: No recurrence of the eruption or swelling or nodules. His itching in the groin is increased & used to burn a lot < Night.

                             P: 80/Min            B.P.: 144/76 mm Hg    Wt: 88 Kg

                                      Advised:              Weight Reduction

                                      Calc Fluor            6x      od     continued till the next follow-up as there was no recurrence which used to recur again & again earlier.

28 July 2012:      There is no recurrence of the eruptions, swelling, and nodules.

                             P: 88/Min            B.P.: 150/86 mm Hg    Wt: 89 Kg

But, he was still in doubt whether he will be cured completely or not. His dominating attitude which was much better in between again came up. His voice tone was again showing high pitch. He was not following the diet which was advised him to reduce the weight. So, I have again increased the potency of Lycopodium.

                                      Advised:              Weight Reduction

                                      Lycopodium        1M      3       Doses

                                      Calc Fluor            6x      od     continued...

 

Discussion

After starting the Homoeopathic Medicines, I have stopped all the allopathic medicines for Actinomycosis. Only, Anti-Hypertensive was continued as he was not ready to reduce or stop it. Even after one year, there is no recurrence of the disease is observed. But still, the case cannot be considered as cured. But, it definitely shows the rays of hope in Actinomycosis with Homoeopathy.

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Replies to This Discussion

Dear Dr Prasad. Thank you for very thorough case taking notes and explanation of remedy selection and progress report. I will wait to hear what other members think. It seems to me that a lifetime of behavior, mindset, and lifestyle takes time to go in a new direction. Life is a journey and does not always turn on a dime. Blessings, Debby

Dear Debby,

Many thanks! I am also interested to know the various reply so that I can go ahead with this case.

Thanks once again.

Dr Prasad...

Dear  Dr Prasad Arvind Rasal,

     The case you have presented is very nice and as per you is showing only satisfactory results not complete cure. As per repertory chart the patient should be followed with Sulphur and Calcarea carb as we had been taught as per the requirement and patients symptoms. I am unable to understand why is calcarea flour been given for such a long time when your chart and our therapy also indicates Calcarea Carb... this is my personal opinion can suggest you better only if we see patient personally. Of course we cannot jump to Calcarea directly without sulphur being given as an intermitant medicine as per our books.

Regards

Dr.Mukesh.H.Dipani 

Dear Sir,

even I am thinking in the same plane regarding the use of Sulph & Calc. But as there is no recurrence, I am still waiting for it. It's always better to be little late that early in repetition of the dose or remedy.

I am always using the biochemics in my practice in order to enhance the progress of the cure. I have selected the Calc Fluor on its properties of destructing the bones as on syphilitic back ground. It's always debatable issue for everyone that is it really necessary to interfere with the biochemics? My simple & practical answer to this question is, if it really works without causing any harm to your patient, then why not to use it? My thought might look wrong for anyone but I am telling what I am doing without hesitation. I am working on this since last 20 years & now I am too confident to make a bold statement that Calc Fluor in 6x potency has a capacity to dissolve the bony out growths, osteophytes, bony tumors etc. It looks like a allopathic thought but the medicinal potency is also not purely dynamic but semi dynamic. This is just my thought I have shared with you as you have asked regarding the use of it.

Thank you very much Sir.

With regards,

Dr Prasad Rasal,

Sangamner.

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