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Case Study : P.C.O.D.

History

A 36 year old female came with complaint of, IRREGULAR MENSES since 3 months. USG showed signs of P.C.O.D. Patient also complained of Acne,Hairfall,Frequent mood changes,Lethargy. Patient was on hormonal treatment for 2 months before starting with homeopathy. ASSOCIATED COMPLAINT:
  • Dandruff since 8-9 months Itching of scalp with:dandruff flaky
  • Bloating of abdomen
  • Dryness of soles with scaling since 10 years Cracks on soles <winter+
MENSTRUAL AND OBS HISTORY: MENSTRUAL HISTORY :
  • F.M.P:13 YRS
  • P/M/H: 3-4 days/28-30 days
  • L.M.P:21/2/22(with medicine)
  • Complaints menses Before: Acne,Weeping,Lethargy,Diarrhea occ/L.B.P During: Frequency of stool and urine increased After: Offensive odour of body
OBS HISTORY:

G4P2A2L2 A2 : 1 MTP & 1 Miscarriage in 1st month
L2: FTLSCS (No complaints during both pregnancies)

P/H & F/H:

F/H: ? H/O T.b
P/H: N.S
PHYSICAL GENERALS
THERMALS
  • App: Hunger agg (Irritability/Headache)
  • Likes: Warm food,Curd+,Fish+,Lassi+
  • Dislikes: Milk
  • Thirst: 3L/day
  • Perspiration: Moderate, on axilla and back, Offensive++,N.S
  • Sleep: Sleeps on back/sides, Talks or shrieks sleep during
  • Stool: N Urine: H/O Rec UTI (3-4 times)
  • Sun< (Headache/Photophobia)
  • Tight clothing<
  • Noise<
  • Strong smell<
  • Fan: Wants in all season
  • Bathing: Lukewarm water throughout year
  • Covering: Seasonal
  • Season: Likes: Rainy+
    Dislikes: Summer
    AGG: Winter(Skin complaints)
  • Thermally Hot+
    • MIND
    TOTALITY OF SYMPTOMS
    • Anger at trifles+ shouts or shrieks in anger/locks herself in room. Weeps during anger.
    • Fear- of future/dog(after incident)/lizards.
    • Weeps easily+, >weeping, weeps when alone.
    • Inquisitive nature+ Likes reading
    • Likes to sit quietly in closed room.
    • Feels no one understand me.
    • Choked sensation in throat when I cannot express emotions.
    • Health conscious.
    • Fastidious.
    • Memory good.
    • FOOD: Lassi+
    • Fasting<
    • Perspiration offensive(Bitter)
    • >Rainy+
    • Warts+
    • Tongue: Trembling/black streaks on edges

    PRESCRIPTION

    Rx,
    Aristolochia clematis 30 → 200→1M
    Elaps 200(2P) after 10 days
    S.L 200 (4d) 5-0-5
    Date
    Prescription
    Follow up
    18/04/22
    LMP : 20/03/22 14/04/22
    Painless menses
    Acne ->-
    LBP -o-
    Lethargy->-
    Dandruff ->-
    Rx,
    Aristolochia clematis 30→200→1M
    Elaps 200(2P)
    S.L 200 (4d) 5-0-5
    19/05/22
    LMP : 07/05/22
    Acne during menses ->>-
    L.B.P-o-
    Hairfall reduced
    Dandruff ->-
    Rx,
    Aristolochia 1M(1P)
    Elaps 200(4P)
    S.L 200(4d)+(1d)
    12/07/22
    LMP : 05/06/22 09/07/22
    Flow improved
    Acne->>-
    Dandruff-o-
    Pain at rectum Weakness after stool
    Rx,
    Aristolochia 1M(2P) every 15 days
    Elaps 200(4P)
    Nitric acid 30(4d) 5-0-5
    06/08/22
    LMP : 04/08/22
    Feels low, laziness,
    drowsiness with Mental stress
    Pain in rectum
    Rx,
    Ct all×1 month
    Adv Bevon
    01/11/22
    LMP : 29/10/22 04/10/22 30/10/22
    Acidity-o-
    L.B.P-o-
    Energy->>-
    Flaking-o-
    Cracks on soles < winter 2 episodes of fissures
    Rx,
    Ct all×1 month