Homoeopathy
By
Rajneesh Kumar Sharma
BHMS , MD
Homoeo Cure and Research Centre P. Ltd.
NH 74- Moradabad Road, Kashipur
Uttaranchal – Pin 244713
Ph. 09897618594
CASE STUDY -5
Name: Mr. Virender Singh Yadav Sex/Age: M 47 yrs
Religion: Hindu Marital status: Married
Occupation: SI in UP Police Residence: Bareilly
History of Presenting Illness
The gentleman presented with six months’ standing severe episodes of colicky pain in epigastrium, which extends to the back and accompanied by vomiting of sour taste. Vomiting does not ameliorate. Severe heart burn and sour eructations. No thirst. Sleep normal. Condition worse only in day time. Anorexia. Weak, emaciated.
Past History
Alcohol and tobacco.
Family History
Mother died of carcinoma breast two years ago.
Patient as a Person
Appearance Emaciated
Skin Normal
Appetite Anorexia
Cravings Alcohol, Tobacco, Salt
Aversion Sweets
Thirst Thirst less
Thermally Hot
Emotional State Irritable, depressed, sad.
Temperature Normal
Pulse 72 /Min.
Respiratory rate 16 /Min.
Blood pressure 140/92 mm Hg
Weight 56 kg
Systemic examination
Respiratory system NAD
Cardiovascular system S 1- S2 Normally Heard, no
murmurs
Local examination Tenderness at epigastrium.
Investigations
Biopsy at Malhotra Lab Biopsy stomach- the biopsy is
Services, Chandigarh highly suspicious of malignancy
On 14-11-2003 Adenocarcinoma.
Biopsy at AIIMS Biopsy from growth in the
New Delhi stomach shows features of an
on 09-12-2003 Adenocarcinoma.
Spiral NCCT & CECT Diffuse infiltrating thickening of
Whole abdomen at ADS gastric wall in fundus body- the
Diagnostic Centre possibility of gastric adeno -
New Delhi on 06-12-2003 carcinoma needs to be ruled out.
Provisional Diagnosis
Gastric Adenocarcinoma
Constitutional Totality
Mentals Irritability
Sad
Depressed
Desires Salt, Alcohol, tobacco
Aversion Sweets
Food Aggravation None
Physical Generals Emaciation, cachexia
Hot Patient
Day time aggravation.
Acute Totality
Burning, colicky pain at epigastrium, < day time, Better night, Accompanied with vomiting which does not ameliorate, Pain extending to back.
Miasmatic Totality
Fundamental miasm Syphilis
Dominant miasm Psora++
(Irritability, colicky pain, desire alcohol, tobacco etc.)
Syphilis+++
(Emaciation, Tissue Destruction, Ulcerations, irritability)
Sycosis+++ (Day time aggravation, Aversion sweets, Irritability, severe pains, adenoid growth etc.)
General Management
High protein diet.
Specific Management
Strict control on diet. No alcohol or tobacco.
Case Analysis
Virender Singh Yadav M 47 Adenocarcinoma Stomach
Prominence - Prominence - Intensity is considered
S. No. Intensity Rubrics Remedies
1 2 MIND - IRRITABILITY 642
2 2 MIND - SADNESS 761
3 3 GENERALS - CACHEXIA 46
4 2 GENERALS - CACHEXIA - cancer; from 23
5 2 GENERALS - FOOD and DRINKS - alcoholic drinks - desire 243
6 2 GENERALS - TOBACCO - desire for tobacco 79
7 2 GENERALS - FOOD and DRINKS - sweets - aversion 84
8 2 GENERALS - EMACIATION 298
9 1 STOMACH - CANCER 82
10 2 STOMACH - THIRSTLESS 186
11 3 STOMACH - HEARTBURN 250
12 3 STOMACH - PAIN - Epigastrium - extending to - Back 8
13 1 STOMACH - PAIN - Epigastrium - cramping 33
14 1 STOMACH - VOMITING; TYPE OF - sour 113
15 2 GENERALS - DAYTIME 30
16 2 GENERALS - NIGHT - amel. 12
17 1 GENERALS - PSORA 222
18 3 GENERALS - SYCOSIS 185
19 3 GENERALS - SYPHILIS 182
Repertorization
nux-v. caust. lyc. phos. nit-ac. calc. ars. nat-m. plb. sulph.
2191 2097 2086 1968 1841 1834 1799 1729 1717 1703
1 3 3 3 3 3 3 3 3 1 3
2 2 3 3 2 3 3 3 3 2 3
3 - - - 1 3 1 3 1 1 -
4 - 1 1 - 1 1 1 - - 1
5 3 1 2 2 - 1 3 1 1 3
6 1 - - 2 - - 2 - 1 -
7 1 2 2 2 1 1 2 1 - 2
8 3 2 3 3 3 3 3 3 3 3
9 1 - 3 3 - - 3 2 1 2
10 1 1 2 1 1 1 2 1 1 1
11 3 2 3 2 1 3 2 2 1 2
12 2 - 2 - - - - - 2 -
13 2 1 1 1 1 1 - 2 - -
14 3 3 3 3 1 3 2 2 1 3
15 1 1 - 1 2 1 - 2 - 3
16 - 1 - - - - - - - -
17 1 1 2 1 2 2 1 2 1 3
18 1 2 2 1 3 2 2 2 1 2
19 1 2 2 2 3 - 2 - - 2
First Prescription
Date Nux vom 200 HS
11-12-2003 Sac Lac TDS
Criteria General symptoms matched.
Mental and Physicals similar.
Desires and aversions matched.
Second Prescription
Comment Mentally cheerful. Little improvement.
Date Causticum 30 TDS
20-12-2003
Criteria Most of the symptoms gone except Heart burn.
Third Prescription
Comment Much improvement
Date Causticum 30 TDS
03-01-2004
Criteria Case improving rapidly. Weight gain of three Kgs.
Fourth Prescription
Comment Much better. No pains.
Date Causticum 30 TDS
11-01-2004
Criteria Better in all respects.
Adv. Biopsy
Fifth Prescription
Comment Biopsy done at AIIMS on 17-01-2004. Report- Specimen sent as omental deposit and mesenteric deposite both show fibroadepose with focal dermic inflammation. No tumor eposit is identified in either of the specimens.
Date Sac Lac TDS
20-01-2004
Criteria Asymptomatic. Cured.
Sixth Prescription
Comment Symptom less. Cheerful.
Date Sac Lac TDS
19-02-2004
Criteria No pain or more symptoms.
Seventh Prescription
Comment Much better. No pains. But had tension if he may have some more disease remaining in stomach.
Date Causticum 30 TDS
20-03-2004
Criteria Suspicious. Anxious about healh.
Adv. Biopsy
Eighth Prescription
Comment Biopsy done at SRL Ranbaxy Lab, Mumbai on 24-03-2004. Report- Gastric biopsy from antrum. No specific diagnostic pathology, inflammatory or neoplastic.
Date margins are free of tumor.
30-03-2004 Sac Lac TDS
Criteria Cued completely.
Result
Cured
Anatomical and Pathological Discussion
Adenocarcinoma of stomach
Synonyms
Gastric adenocarcinoma.
Age
Peaks in the 60's.
Sex
Slight male predominance.
Anatomic Location
Anywhere in stomach.
Clinical Information
If symptomatic, usually pain and weight loss.
Gross Appearance
Variable. May present as ulcer, exophytic mass or as diffuse infiltration of stomach wall (linitis plastica).
Behaviour
Prognosis is related to clinical stage. Majority of cancers present in late stage, hence there is an overall poor prognosis.
