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During my recent visit to Karachi while doing a case, I was introduced to a new term, “MYASTHENIA GRAVIS.I looked into it and found that it is an auto immune neuromuscular disease.

It causes fluctuating muscular weakness and “fatigability.”

It is said that it is “ caused by circulating anti bodies that block acetylcholine receptors at the postsynoptic neuromuscular junction, inhibiting the exciting effects of the neurotransmitter acetylcholine in nicolinic receptors throughout neuromuscular function”

The disease is rare and occurs in 3-30 cases per million per year.

There are various classification of the disease, given by “MYASTHENIA GRAVIS FOUNDATION OF AMERICA.”and it refers to eye muscles, limb or axial muscles,bulbar and or/ respiratory muscles.

The pertinent feature of MG is “fatigability”. The muscles become progressively weaker during period of activity and improve after period of rest.

The onset of disorder can be sudden, and often symptoms are intermittent.


Weakness of the eye muscles resulting in Ocular Mayasthenia.

Can result in drooping of one or both eye lids , ptosis, diplopia,.

Waddling gait.

General weakness of limbs

Change in facial expression.

Difficulty in swallowing,dysphagia.

Difficulty in breathing due to weakness of muscles controlling breathing.

For treatment conventional medicine uses various drugs,such as Prednisone, Cyclosporine, Mycophenolate, and Azathioprine.

In my patients case Dr had prescribed AMYGRA.


As mentioned above,i had the experience of seeing a patient with the following symptoms. Since he was under the treatment of a conventional doctor, I did not want to take up the case as I would be returning back to Miami in next 48 hours, however on insistence of my elder I consented.

The patient a driver by profession,about 41 years old married with children. He is tall and slim,and seemed as if he was suppressing his emotion and anger inside.

I asked him to talk about his health issues, which can be summarized as follows.


When he gets the attack his muscles stop working in his upper extremities,specially both arms.

He feels numbness during the attack.

He feels very weak as if there is no strength.

There is sweating all over

His tongue does not respond

He states that immediately after drinking water there is extreme urge to urinate,and sometimes results in involuntary urination.

He is thirsty person and takes 12+ glasses of water.

He sweats profusely on his head and forehead whenever he has his food, even in an air-conditioned space/car.

He is a nervous,irritable person and gets angry very easily.

He is a chilly person.

Some of the pertinent symptoms that comes during the attack are:

His voice becomes hoarse during the attack.

His fingers become stiff and he can not operate them.

His eyelids droop down,practically closing the eyes.

No desire to talk during the attack.

He feels as if some one his pushing him and his body feels light.

He has difficulty in breathing and swallowing during the attack.


Based on above symptoms I repertorized the case with Boenninghausen,s repertory using P&W OpenRep software. The rubrics used were as given in the analysis chart.

> CHART /span>

The medicine that came up were


The medicine I suggested was CALC, and had asked them to inform me after he had used it as directed.

I am awaiting news from the patient

It is interesting to note that the TRIO of medicine is clearly reflected in the analysis. CALC—LYCO—SULPH.

I am awaiting the outcome and will update accordingly. The idea of presenting the case was to show that Homeopathy can help such cases where we can avoid allopathic drugs and seek results without worry of side effects. Your candid comments will be welcome.

REF; Wikipedia, P & W software( Open Rep),


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Comment by Dr. Wequar Ali Khan on July 1, 2013 at 4:15pm

After a long wait the employer of the driver contacted me yesterday on phone and told me that the patient desired to talk to me. 

He told me that he was feeling much better, feeling more energetic. But still had problem while talking,he also told me that his urinary problem of involuntary urination has now improved much, and there is control on it. He now has less perspiration as compared to before.

Advised to continue CALC as directed and contact me in 2 weeks time.

Comment by Dr. Wequar Ali Khan on May 21, 2013 at 9:11am

I am always ears and eyes for comments,and take suggestion positively.


Comment by Dr.Rahul Singh on May 21, 2013 at 9:07am

Dr. Wequar Ali Khan sir, i am too young to advice anything , but the repertorisation u hv done , and the rubrics u have considered , would always give medicines esp, calc , sulph and lyco , so nothing new in this.

u should take only peculiar symptoms nd not more than 5-6 rubrics in order to get perfect similimum to the case 

Comment by Dr. Wequar Ali Khan on April 3, 2013 at 3:51pm

Thank you. I will appreciate if you give your rubrics, as it will help all of us to understand ones approach.OR give your computer analysis.

Comment by Dr. Habib Khan. on April 3, 2013 at 12:26am

I think corrcect medicine is Phosphorus. 

Comment by Dr. Wequar Ali Khan on March 28, 2013 at 9:07am

Thank you,i am still awaiting response.

Comment by Dr Muhammed Rafeeque on March 28, 2013 at 8:34am

I hope the case will respond positively.

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