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A Case of Systemic Lupus Erythematosus SLE

Mr. Kumareshan a 58 year old gentleman hailing from Koilpetti Thamil Nadu consulted me on 15th September 2011. He was under the treatment of an orthopedic surgeon at Madurai for rheumatism. His Anti Ds DNA was negative and ANA (Anti-Nuclear Antibody) was positive. (See Lab Result – 1)

He was diagnosed as a case of SLE and was under steroid and non-steroidal anti-inflammatory drugs. As he was assured from the orthopedic surgeon that he would be cured within 2 months, he was sent home and was advised to report after 2 months. He was also told to repeat ANA after 2 months. He reported again on 15/11/2011 with his lab report. (See Lab result 2).

 

He was unable to walk because of pain in both knee and ankle and was still under allopathic medicines. Almost all joints were swollen and painful. Analgesics gave temporary relief and ineffective in repetition.

As usual, the case had been evaluated for constitutional homeopathic treatment. Kumarashan was told to narrate his story and simulataniously rubrics were noted.

 

Kumareshan was born and bought up in a poor family at Koilpetti Thamilnadu. Kumereshan's childhood was a little bit miserable as his father had a stroke when he studied in 6th standard. His mother, who is a nice singer of his village, took the responsibility of 5 children and she made it wonderfully through using her divine talent of singing.  Kumereshan and his younger brother Kaasinadh also are talented singers. (MIND - ART - ability for). But, their mother never allowed them to sing, other than in school, as she believes that singing outside the home or school, would constitute singing for money. Only she was compelled to sing to make a living.  

 

Kumereshan was an able speaker. Once he spoke in front of the Chief Minister of Tamil Nadu receiving public appreciation. (MIND – ELOQUENT) He studied up to the 10th standard and was the first boy in his village who completed this grade, the private pride of his village.


Immediately after completion of his 10th standard he was called by a leading political party of his state to lead a student’s forum in his village. He was not allowed to study further by the politicians. He became a member of the local body at the age of 20, then rose to a district leader in Madurai soon. (MIND - POLITICS - ability for)  

 

He became a voracious speaker of his party and was interested in traveling, as well as, public speaking that made him a state level leader. (MIND - TRAVELING - desire for, MIND - POLITICS - ability for, MIND – ELOQUENT).

 

He married a nice girl who took care of the entire family. His mother stopped singing for money, but continued it as worship after the death of his father. His life grew with the fragrance of two children, one male and the other female.  Unfortunately, he encountered a confrontation with a top level leader in his party. Kumareshan received a good round of applause in a meeting compared to the other leader in a public meeting. That made the top leader jealous of him. From that day onwards he was tortured by the satellites of the top level leader in his party. He was discounted on many occasions and sidelined to a corner in his party.  

 

A pain and numbness started in his hand that lead to pain under left scapula within few months. He was evaluated by a medical team at Theni Medical College and declared psycho-somatic Myalgia. (MIND - AILMENTS FROM - discords - chief and subordinates; between).

 

Though it was not appropriate, I interfered in his story at this point and asked:

What were your feelings in this incident? Anger? Grief?

He replied “nothing hum…. I felt unhappy that’s all”.

(MIND - AILMENTS FROM – unhappiness)

 

Finally, he quit his party and joined a comparatively smaller political party to show his ability as a leader. He decided one thing from the very beginning of his entry to this new party: that he will quit politics within three years. (MIND – DETERMINATION)

 

He started a farm simultaneously at his village and that became the leading one in Madurai district. (MIND - BUSINESS - desire for).

All domestic animals like cow, pig, hen, rabbit, swan, sheep etc. were cared under one roof in his farm. He did it with dedication and passion. (MIND - ANIMALS - love for animals).

A feline farm exclusively for cats is the unique and the first of its kind in Tamil Nadu and that was solely cared by him. He bought cats from Europe worth 50,000 to 1, 00,000 Indian rupees! (MIND - ANIMALS - love for animals – cats).

 

Simultaneously he reduced spending time for politics and speeches. He ended his political career when at his peak in his new party, just after 2 years.  He stopped traveling much and concentrated on his business, then pains spread to all most all joints. (GENERALS - SEDENTARY habits).

 

His business kingdom spread it’s wings all over Tamilnadu and he started a new educational business at Madurai. Mudurai was not fit for him, as his colleagues in the old party were there to welcome him with dirty politics. He was attacked from all corners. He literally failed in that business because of the interference of his old colleagues in big political party. He lost everything including his health.(MIND - AILMENTS FROM - business failure).

 

He sold his farm, his palace like house, and shifted to a rental house. His mother started singing for money again. He also joined with his mother for music programmes on and off.  His wife stood with him, though her family compelled her for divorce.  He fell into a worst form of depression and became silent. (MIND - UNFORTUNATE, feels). He stayed in house for 6 months without any public contact. Nobody reach at him either for a consolation or for confrontation.

                  

Resilient, he bounced back within six months and started a printing press with a loan from a local bank. He turned his memory back to his political lime light. Kumareshan started writing his old speeches as articles, and evaluated present political scenario in his state comparing them to the era in which he was active in politics. 

 

These books made a political upside-down change in his district and nearby districts. His book made waves in society as he wrote it with freedom to write the truth. (MIND – CONFIDENT, MIND - FREEDOM - doing what he had to do; remarkable freedom in,)  

 

His maiden party lifted him up again for political gains. He earned money and fame without perspiring.  He was about to become an MLA of his assembly constituency, but he turned in to music again! He joined with his mother conducting musical entertainment programmes. He mercilessly refused the offer to become a member of the Thamil Nadu Legislative assembly and become a popular singer! Music was his passion in this episode. Now he was stepping back from everything because of the pain and sufferings and was planning to go back to writing by appointing someone for dictation. (MIND - CHANGE - desire for)

Apart from his life story, we have some additional information regarding his family. His paternal brother died of myocardial Infarction and a paternal sister died of cerebral thrombosis. His paternal grandparents died earlier because of some unknown disease.  His maternal sisters are nice artists and his maternal grandparents are alive with almost good health. 

Aversion to milk, increased perspiration and feeling of chilliness during pain are the additional information squeezed through leading questions.

His case was filtered through the following questions for final selection of medicine.

Whether the case is to be treated or not?

Yes. As an auto immune disease this case is under the unique folder of Homoeoapthy.

What is the Choice of treatment?

Drug?  Medicine? or Remedy?

Remedy level prescription is needed to establish permanent cure. But drugs may be needed in the beginning if severity of acute symptoms occurred.

What is the numerical totality of (rubrics) the case?

The following is the numerical totality of the case.

MIND - AILMENTS FROM - business failure

MIND - AILMENTS FROM - discords - chief and subordinates; between

MIND - AILMENTS FROM - unhappiness

MIND - ANIMALS - love for animals

MIND - ANIMALS - love for animals - cats

MIND - ART - ability for

MIND - BUSINESS - desire for

MIND - CHANGE - desire for

MIND - CONFIDENT

MIND - DETERMINATION

MIND - ELOQUENT

MIND - FREEDOM - doing what he had to do; remarkable freedom in

MIND - POLITICS - ability for

MIND - TRAVELING - desire for

MIND - UNFORTUNATE, feels

GENERALS - SEDENTARY habits

GENERALS - AUTOIMMUNE diseases

What is the disease Totality out of numerical Totality?

GENERALS - AUTOIMMUNE diseases

What is the Patient Totality out of numerical Totality? (Those symptoms not related to disease but have to be considered and to be removed by medicines)

MIND - AILMENTS FROM - unhappiness

MIND - AILMENTS FROM - discords - chief and subordinates; between

MIND - AILMENTS FROM - business failure

MIND - UNFORTUNATE, feels

GENERALS - SEDENTARY habits

Nat Mur,  Sulphur, Nux Lyc, Sepia. 

What is the Person Totality out of numerical Totality? (What left after removing patient totality and disease totality)

MIND - TRAVELLING - desire for

MIND - POLITICS - ability for

MIND - FREEDOM - doing what he had to do; remarkable freedom in

MIND - ELOQUENT

MIND - DETERMINATION

MIND - CONFIDENT

MIND - BUSINESS - desire for

MIND - ART - ability for

MIND - ANIMALS - love for animals - cats

MIND - ANIMALS - love for animals

MIND - CHANGE - desire for

Sulphur, Carcinocin, Tub, Lach.

 

Whether the patient falls into category of Plant, Mineral/Imponderable, Animal, Nosode or Sarcode?

As the disease is an auto immune one, there is fight inside so it can be an animal. But, he maintains the structure in politics, society, business and even in art; and never quarreled with those who tortured him, so an animal shall be excluded and a mineral shall be thought of. But the kingdom is not confirmed in this case so it is better to refer the case for nosode or sarcode.

 

Miasmatic ratio:

Paternal side purely syphilitic because of early death, cerebral thrombosis, Myocardial infarction   and maternal side more shows psora.

Psora + Syphilis

So a compilation of Psora and syphilis indicates tubercular miasm and changeability of patient ability of art destructive disease with functional dynamic symptoms confirms Tubercular Miasm.

What is his temperament?

He is chaotic as well as melancholic (3 chaotic 2 melancholic) and not choleric 
 

Define the patient in a single sentence.

Kumareshan is a self-made determined leader and an artist who wants changes always and will bounce back like a cat to the previous condition in any calamity.

 

Plan of Treatment

Antimiasmatic treatment was planned and it was decided to give drugs to reduce pain if necessary. 1 year treatment and follow up was planned and the ultimatum of treatment has fixed as 15/09/2012 and the same was told to patient.

Selection of remedy.

Remedy selected on the basis of following things.  Kumareshan was born to a syphilitic father and a psoric mother. So the inherited miasm is Psoric-Syphilitic i.e Tubercular. His acquired miasm was also tubercular as he changed from one profession to other and was never satisfied in anything, plus having artist talent and love for cats. The nearest available anti-tubercular remedy in person level repertorisation is TUBERCULINUM itself.  Tuberculinum comes under Chaotic as well as melancholic temperament in combination. A destructive disease with lots of dynamic functional symptoms further confirms miasm and remedy. As Tuberculinum indicated in every sense drugs to reduce pain are avoided.

Monthly follow ups done.

Date

Observations 

Prescription

15/09/11

First consultation

TUB 1M 1 dose

SL BD

BT BD

18/10/11

Pain improved in the beginning but < since 4 days.

SL BD

BT BD

21/11/11

Pain < in the beginning now can fold fingers, Swelling stand still

SL BD

BT BD

10/12/11

 Severe pain in all Joints since exposed to cold

TUB 1M 1 dose

BT 2 hrly

29/12/11

 Pain > but not completely swelling >

SL BD

BT BD

15/1/12

Not much improvement as compared with previous consultation

Tub 10M 1 dose

SL BD

BT BD

20/2/12

Relieved very much shall walk swelling > almost completely

SL BD

BT BD

15/4/12

No pain swelling engaged in activities like singing, farming, and writing.

SL BD

BT BD

20/6/12

No complaint. Active in politics, weight increased. Highly active in social works, farming, writing, singing.

SL BD

BT BD Advised for ANA investigation.

8/7/12

No complaint active and engaged in social works business. ANA – Negative (See Lab Result 3)

No Medicine advised to discontinue medicines and report symptoms if any over telephone and investigate, ANA, Anti Ds DNA, ACCP every 3 months for 1 year and in every 6 months thereafter for 5 years and to report symptoms if any.

 

 

 

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Comment by Dr.Sharad Shangloo on December 12, 2012 at 12:11am

very well documented case

 

Comment by Dr Muhammed Rafeeque on December 5, 2012 at 5:31am

Keep it up doctor.

I hope Mr. S will also include Homeopathy whenever he goes for public speaking. Homeopathy really needs such promoters.

Comment by Dr Gopal Patel on December 4, 2012 at 11:25am

Thank you Dr Biju for Sharing the case.

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