Wednesday, 20 November 2013

A CASE OF HYPOTENSION WITH DOMESTIC CALAMITY



On one evening, one of my old patients came to me to seek advice on the problem he is going through. He was a middleman in her sister in law’s (his wife’s sister) marriage. There is lot of disputes between new couple. Directly or indirectly life of my patient got disturbed. Discussion cum argument entered in his life. He narrated like this----
Maza sadu daru pito, patnila nit vagvat nahi. Ata ti delivery la geli hoti. Devlivery nantar tichya maherchi mandali tila parat pathavayala tayar nahit. To tyanna sarkha phone karto ani dhamkya deto. Ghyala yeto….pathwa…..etc. nahitar vichar karun deva…..etc. tyanni yacha phone ghenache band kele. Mob switch off karun thevtat. Amchi jababdari mhanun amhi milaf ghadava mhanun bolalo. To amhalach bolayal lagala ki he tumachyamulech hote ahe. Tumchyamulech amchyat problem hot ahet. Mi tyala ordun sangitale amcha kahihi sambhand nahi. To kadhi kadhi mazya baykola pun phone karto…. Dhamkya deto… ata mala tension ale ahe kay karu?
Mala bhitine dhad-dhad hote. Guilty vatate. Pashchyatap hoto. Ya nalayakala kashyala mulgi suchvali. To mazya varach arop karayala laglay ki he tumchyamulech hote ahe. Jyat mazi kahi chuk nahi. Madhyasthi vaktiche kam sthal suchvane ani lagnanantar thode divas jababdari aste ki sagle vyavasthit chalu ahe na…..ata ek mulga zala tari ha sudhrat nahi….nalayak manus ahe he…tyala daya maya kahi nahi…..manuski nahi… bindok ahe to… tyache tyachya aai-vadilanshi patat nahi….te pun tyala oradtat…..
After listening his problem he asked for medicine to be relaxed ---
MIND - ANXIETY - palpitation – with
MIND - ANXIETY - conscience; anxiety of
MIND – REMORSE
MIND - DELUSIONS - accused, she is
And most important rubric is ---
MIND - DELUSIONS - devil - persecuted by the devil; he is - crimes he had never done; for
Devil= A cruel wicked and inhuman person
Persecute = to harass, to annoy with persistent approaches
Persecuted means persistently harassed though not continuously

Remedy came to be Zincum met with satisfactory relief.

Thursday, 26 September 2013

Learning From Failures----- Kreosotum Case



A lady suffering from Migraine was taking treatment from me since couple of months. She was given 3 medicines till now as state seemed to be changing after some days. She was feeling little bit better with every medicine but not as we expects. Meanwhile her husband disclosed that she has no desire to have sex. She was asked about it. She told it is since 5-6 yrs when my second child born. After that I am having no desire rather fears when my husband even talk to have it. It shatters me. I am having unknown fear about it. I escape at that time due to fear. Then I could relate her physical complaints directly with sexual drive which became so cold. Then I searched through repertory and I got 1 rubric which did its job and now, she is having migraine relieved with NORMAL DESIRE TO SEX (of which her husband told smilingly).
MIND - ANXIETY - coition - thought of; from - women; anxiety in
MIND - FEAR - coition - thought of coition in women; at
She was given Kreosotum 30.


The information given by pt. during every meeting (since 1st visit) is given below. It was in scattered form which after linking gives state of kreosot in this particular patient:
Pt:  (Due to headache) chittach lagat nahi, (MIND - WEARISOME) ubaglyasarkhe vatate, (MIND - WEARY OF LIFE) marun javese vatate, (MIND - DEATH - desires) udas sarkhe vatate, (MIND - SADNESS) khup paisa kharch hotoy pun farakh nahi padat, (MIND - DESPAIR - recovery, of) marayche ekdache (MIND - DEATH - desires - despair, from) Bare hoil ki nahi? Parat parat hot ahe he, (MIND - DOUBTFUL - recovery, of) changli dava dya mhanje than-thanit vhayala pahije (MIND - CARRIED - desire to be carried)
(About sex problem) Ase ka hotey tech mala kalat nahiye, (MIND - CAPRICIOUSNESS) nakoch vatate. Te javal yayala nako ase vatate. Tharkap hoto, tithun nighun jate. Tyani nuste tyabaddal charcha jari keli tari mala ghabarayala hote (MIND - ANXIETY - coition - thought of; from - women; anxiety in) (MIND - FEAR - coition - thought of coition in a women; at)    
Ata mi yenar navhati tyana mhatle Dhulyala chala
Why?
Farakach nahi padat mhanun (MIND - DESPAIR - recovery, of)


Wednesday, 3 July 2013

LIL-TIG------CONFUSION BETWEEN SEXUALITY AND RELIGIOSITY


 
1.    MIND - FEAR - moral obliquity lil-t, manc
2.    MIND - FEAR - moral obliquity - alternating with - sexual excitement   lil-t (only remedy)

A)   Moral  
   naOitk , naItIlaa qaruna Asalaolaa , naIitt<vao , naOitk Aacaar
adj.
1 concerned with the principles of right and wrong behavior and the goodness or badness of human character.
2 adhering to the code of behavior that is considered right or acceptable
n.
1 a lesson that can be derived from a story or experience
2 (morals) standards of behavior, or principles of right and wrong
B) Moral
1 a: of or relating to principles of right and wrong in behavior: ethical ‹~ judgments›
b: expressing or teaching a conception of right behavior ‹a ~ poem›
c: conforming to a standard of right behavior
d: sanctioned by or operative on one's conscience or ethical judgment ‹a ~ obligation›
e: capable of right and wrong action ‹a ~ agent›
2: probable though not proved: virtual ‹a ~ certainty›
3: perceptual or psychological rather than tangible or practical in nature or effect ‹a ~ victory› ‹~ support›
syn moral ethical virtuous righteous noble mean conforming to a standard of what is right and good. Moral implies conformity to established sanctioned codes or accepted notions of right and wrong ‹the basic moral values of a community›. Ethical may suggest the involvement of more difficult or subtle questions of rightness, fairness, or equity ‹committed to the highest ethical principles›. Virtuous implies moral excellence in character ‹not a religious person, but virtuous nevertheless›. Righteous (sadacarNa , p/amaaiNakpNaa) stresses guiltlessness or blamelessness and often suggests the sanctimonious ‹wished to be righteous before God and the world›. Noble implies moral eminence and freedom from anything petty, mean, or dubious in conduct and character ‹had the noblest of reasons for seeking office›.
2mor·al
1 a: the moral significance or practical lesson (as of a story)
     b: a passage pointing out usu. in conclusion the lesson to be    drawn from a story
2 pl: moral practices or teachings : modes of conduct
3 : morale
Moral=
1.    Concerned with principles of right and wrong or conforming to standards of behavior and character based on those principles e.g. "moral sense"; "a moral scrutiny"; "a moral lesson"; "a moral quandary"; "moral convictions"; "a moral life"
2.    Psychological rather than physical or tangible in effect e.g. "a moral victory"; "moral support"
Obliquity:
1.    The quality of being deceptive
Obliquity:
1: deviation from moral rectitude (rectitude a: the quality or state of being straight
b: moral integrity: righteousness (
sadacarNa  p/amaaiNakpNaa ,adhering to moral principles)
c : the quality or state of being correct in judgment or procedure)
or sound thinking
2 a: deviation from parallelism or perpendicularity
3 a: indirectness or deliberate obscurity of speech or conduct
b: an obscure or confusing statement

Obliquity= naIitBa/YTta
Meaning of whole rubric no. 1 is naIitBa/YTtocaI BaItI
There is conflict and confusion in the mind of Lil-tig between religious ideals and sexuality (MIND - RELIGIOUS AFFECTIONS - too occupied with religion - sexuality; conflict between religious ideals and) (MIND - RELIGIOUS AFFECTIONS - too occupied with religion - alternating with - sexual excitement) He tries to control, hide rather suppress his impulses as he feels if he does not control it at this level he will surely go mad (MIND - DELUSIONS - insane - become insane; one will) (MIND - DELUSIONS - insane - become insane; one will - hold himself; if he did not = lil-t single remedy) (MIND - FEAR - insanity) So, he turns towards religiousness which actually the opposite of sexuality where it is taught that sex is evil act or crime and should be refrain from it (MIND - RELIGIOUS AFFECTIONS - too occupied with religion - melancholia) So, he keeps busy in religious work, reading etc. so that his sexual thoughts will go away (MIND - BUSY) (MIND - BUSY - fruitlessly) (MIND - BUSY - must keep) But this conflict or struggle drains his energy (as it not healthy easy going act, it is deliberate act which exhaust him) and he gets confused and makes mistakes, can not concentrate.

MIND - CONCENTRATION - difficult - crazy feeling on top of head, wild feeling in head with confusion of ideas
MIND - WILD feeling in head
MIND - WILD feeling in head - sexual desire; from suppression of
With the suppression of the sexual energy comes a type of frantic state with a crazy or wild feeling in the head.
MIND - CONFUSION of mind - muscles refuse to obey the will when attention is turned away
Simple meaning or cross references of above rubric is =
1. MIND - CONCENTRATION - difficult - working, while - work; must concentrate continuously on his work or 'his hands forget what they are doing'.
2. MIND - WILL - muscles refuse to obey the will when attention is turned away
It means that he has to be careful, vigilant of his acts. He should concentrate on his work. Whenever he turns his attention from the work in hand his muscles refuse to obey his will. This is literary meaning of it. But in case of Lil-tig the context of rubric is =
CONFLICT BETWEEN SEXUAL EXCITEMENT AND RELIGIOUS IDEALS
There is a deep conflict inside the patient between a strongly sexual nature and an equally strong moral side. This conflict or any other strong inner conflict produces a type of frustration which is expressed mainly through anger (MIND - ANGER - sexual excitement; after = lil-t) (MIND - RAGE - sexual desire; from suppressed = lil-t) when patient crosses limit she becomes very sexual (MIND - NYMPHOMANIA) and can not restrain these feelings. However, when her equally deep moral or religious feelings return she feels great remorse (MIND – REMORSE) and subsequent depression.
He tries to keep himself busy so that sexual thoughts or ideas will be forgotten but he can not fully succeed in it. If he tries deliberately to fly from thoughts it comes with much force.

(it is not present in Anxiety-conscience of and Reproaching himself with but it is present in remorse)

MIND - DELUSIONS - wrong - done wrong; he has




The patient will take offense (=n. a lack of politeness; a failure to show regard for others; wounding the feelings or others) no matter how kindly she is treated.
MIND - INDIFFERENCE - done for her; about anything being

Monday, 1 July 2013

CARCINOSINUM-----a brief study


CARCINOCINUM…..A brief study

Development from the expectation of others

In this world of competition every parents expect their child should earn money, fame, etc. They expect that their child should do much more in life (when they see the achievements of children around them esp. of relatives, neighbors). They have “Extraordinary expectation” from child. Carcinosinum person evolves from this situation as a child.

MIND - AILMENTS FROM - expectations of parents too high: Carc

Here, parents do not care whether their child is having ability to achieve, compete, etc. Out of selfish motive to gain esteem in society, they expect child should complete their wishes and please them AT ANY COST!!!
At this time, what is the passion of child, what they really want, what is the aim of them, or what they want to become is ignored. By keeping aside all the wishes (of children), it is important that they should fulfill their parents wishes.

MIND - AILMENTS FROM - mentally suppressed; from being: Carc
MIND - DESIRES - suppressing his desires: Carc

He does not get chance to recognize his abilities, what can he do.

MIND - AILMENTS FROM - opportunities to realize his abilities; lack of: Carc

In this situation, he is dominated by parents. He is abused. His upbringing is done very harshly. They behave to him very rudely. They reproach, reprimand, and punish him. He remains sad due to this “hard influence of others.”

MIND - AILMENTS FROM - domination - children; in: Carc
MIND - AILMENTS FROM - domination - children; in - parental control; long history of excessive - harsh upbringing: Carc
MIND - AILMENTS FROM - domination - long time; for a: Carc
MIND - AILMENTS FROM - abused; after being: Carc
MIND - AILMENTS FROM - abused; after being – children: Carc
MIND - AILMENTS FROM - abused; after being – sexually: Carc2
MIND - AILMENTS FROM - abused; after being - sexually - children; in: Carc2
MIND - AILMENTS FROM - abused; after being - sexually – rape: Carc2
MIND - AILMENTS FROM - abused; after being - violence; from: Carc2
MIND - AILMENTS FROM - abused; after being - violence; from – children: Carc2
MIND - AILMENTS FROM – punishment: Carc2
MIND - AILMENTS FROM - punishment – children: Carc
MIND - AILMENTS FROM – reprimands: Carc2
MIND - AILMENTS FROM – reproaches: Carc
MIND - AILMENTS FROM - rudeness of others: Carc
MIND - AILMENTS FROM - scorned; being: Carc
MIND - AILMENTS FROM - unhappiness - influence of other people; due to: Carc

This is the ‘Wrong suffered’ state of Carc patient.

MIND - DELUSIONS - wrong - suffered wrong; he has: Carc
MIND - DELUSIONS - wrong - suffered wrong; he has - children; in: Carc

Due to this torturing, he becomes angry but he swallows his anger.

MIND - AILMENTS FROM - anger – suppressed: Carc
MIND - AILMENTS FROM - anger - indignation; with: Carc
MIND - AILMENTS FROM - anger - silent grief; with: Carc

MIND - ANGER - abused; after being: Carc
MIND - ANGER - abused; after being – children: Carc
MIND - ANGER - children; in: Carc
MIND - ANGER - humiliated; after being: Carc

Humiliation means:
1) State of disgrace or loss of self-respect
2) An instance in which you are caused to lose your prestige or self-respect

MIND - ANGER - asthmatic respiration; with: Carc

Asthmatic respiration means smothering feeling; inability to breath as per one’s wish i.e. can not live according to one’s wish- ‘Ghutansi Hoti Hain.’

WHY? Because he is helpless on emotional and mental level:
MIND - HELPLESSNESS; feeling of - emotional level; on: Carc
MIND - HELPLESSNESS; feeling of - mental level; on: Carc

He feels if he revolts against them, he will not be accepted, cared i.e. he will be rejected. Already he has suffered a lot where he has not got emotional attachment for which he starved since long time.
MIND - AILMENTS FROM - rejected; from being: Carc
Reject means refuse to accept or acknowledge. His proposals, his emotions, his passions, are always rejected.

Actually, a Carcinocin child feels:
MIND - CARESSED; being - wants to be caressed: Carc

But what happens? Only sadness comes to him and he feels unfortunate.
MIND - SADNESS - love; from disappointed: Carc
MIND - UNFORTUNATE, feels: Carc

He goes into the grief state, but this grief is not expressed.
MIND - AILMENTS FROM - grief - silent grief: Carc

Though he is sad, he can not weep (weep mean to make visible, to express) and this grief remain for long time.
MIND - WEEPING - cannot weep, though sad: Carc
MIND - GRIEF – prolonged: Carc

Then it leads to ‘hollowing out’ of him.
MIND - GRIEF - undermining the constitution: Carc
Undermine means:
1. Damage or weaken esp. gradually or insidiously
2. Dig or excavate beneath so as to make it collapse.

‘Forsaken feeling’ is the theme of Carcinocin


He feels that:
‘I am not loved by anyone.’
‘No one pay attention to me.’
‘No one praise for what is done by me.’
‘I have no friend.’
‘No one understands me.’
‘He is discarded by world.’
Now, he fears for aloneness that seems to come. He feels very sad when he feels alone.

MIND - FORSAKEN feeling - isolation; sensation of: Carc
MIND - DELUSIONS - alone, being - always alone; she is: Carc
MIND - DELUSIONS - alone, being - belong to anyone; she did not: Carc
MIND - DELUSIONS - appreciated, she is not: Carc2
MIND - DELUSIONS - forsaken; is: Carc
MIND - DELUSIONS - friendless, he is: Carc
MIND - DELUSIONS - misunderstood; she is: Carc
MIND - DELUSIONS - neglected - he or she is neglected: Carc
MIND - DELUSIONS - protection, defense; has no: Carc
MIND - DELUSIONS - separated - world; from the - he is separated: Carc
MIND - FEAR - alone, of being: Carc
MIND - FEAR - solitude, of: Carc2
Actually this rubric is from cross reference for Fear-abandoned being.
Abandoned means forsaken by owner; leave someone who needs or counts on you.
MIND - SADNESS - alone – when: Carc

When he is alone, he is in need of company, caressing, kind words, etc.
MIND - COMPANY - desire for – amel in company: Carc
MIND - COMPANY - desire for - children; in: Carc
MIND - COMPANY - desire for - children; in - rejected; who are: Carc

In this state of sadness, he feels like to talk to someone, wants to share. Once he tells or shares for a long time (because it is aggregated for a long time and to the deepest level) he feels better.

MIND – COMMUNICATIVE: Carc
MIND - TALKING - amel the complaints – prolonged: Carc

Out of it he desires sympathy and affection from others. He longs for sympathy and affection which is not given to him.
MIND - SYMPATHY, compassion - desire for: Carc
MIND - AFFECTION - children craving for: Carc

He expects someone should talk ‘sweet words’ with him, should listen to him, which gives him relief.
MIND - CARESSED; being - wants to be caressed: Carc
MIND - CONSOLATION – amel: Carc
MIND - CONSOLATION - kind words; from: Carc2


Meticulousness of Carcinosinum

The meticulousness of Carcinocin patient is MALIGNANT (i.e. it is too much extreme, hyper).
It is said that Over Perfectionist person prone to CANCER. So is the disposition of Carcinocin patient.

The rubrics in this category are:
MIND – FASTIDIOUS: Carc2
MIND - FASTIDIOUS - disease; in: Carc
Disease is the condition in which you are unable to do normal activities i.e. dis-ease; discomfort feeling. Means even in any condition (worst, discomfort) he has to be fastidious. It is out of helplessness feeling.

MIND - FASTIDIOUS - work; in his: Carc
MIND - CLEANNESS - mania for: Carc
Mania- irresistible motive for a belief or action i.e. it is a passion.
Cleanness- without dirt or other impurities Here dirt means disgraceful gossip about the private lives of other people. ‘Jo bhi karega itna perfect karega ki koi ungli na utha sake.’

MIND - ORDER - desire for: Carc
Order is the quality or meticulous nature.

MIND - PROPER - too - children; in: Carc4
Proper means marked by suitability or rightness or appropriateness.
Too means to a degree exceeding normal or proper limits.

MIND – TASTEFUL: Carc
Tasteful means showing good aesthetic judgment or appropriate behavior; free from what is unbecoming. Synonym- neat which means clear and organized

MIND – TIDY: Carc
Tidy means
1. Marked by order and cleanliness in appearance or habits e.g. a tidy person, a tidy house.
2. Put (things or places) in order e.g. Tidy up your room!
3. Neat and clean.

WHY he is so?
The fastidiousness of Carcinocin patient is not inborn. It is conditional.
MIND - UNTIDY - perform; except when he has to: Carc

He is fastidious for the wishes of others. He is tidy till he has to impress others, please others. Otherwise he is not tidy enough. If he does not behave like this, he will confront PROBLEM!
This is reality of Fastidiousness of carc. He has TO BE fastidious to please others esp. parents for the fear of rejection, reproaches etc.
MIND - PLEASING - desire to please others: Carc2
MIND - PLEASING - desire to please others – parents: Carc
MIND - PLEASING - desire to please others - parents – father: Carc
Father is the highest authority, dominating person in the family. Otherwise he will be reproached, criticized which Carcinocin does not want.
This is the ONLY reason why Carcinocin becomes fastidious.

MIND - FEAR - reproaches; of: Carc
‘Koi chillaega, datega ye teri vajah se hua hain’ is bat ka dar rahata hain.

MIND - FEAR - dirt; of: Carc
Dirt means disgraceful gossip about the private lives of other people.

MIND - SENSITIVE - criticism; to: Carc3
‘Log meri taraf kichad uchalenge, jo main nahi chahata.’


To please others, Carcinocin works hard, does not take rest until everything is done meticulously.
MIND - REST - cannot rest when things are not in the proper place: Carc

Due to such hard work prostration comes upon him.
MIND - PROSTRATION of mind - working too hard: Carc
MIND – TORPOR: Carc

Then he feels to take rest.
MIND - REST - desire for: Carc

But, fear and anxieties remains in his mind that if he does not work or perform properly, he will be in problem. So, even in disease condition he is fastidious.
 If he unable to fulfill the expectation of others esp. parents he will be troubled, hurt, reproached, reprimanded, punished, and lastly will be rejected. And he will not able to gain position in the eyes of parents.
MIND - FEAR - recover, he will not: Carc

List of rubrics that support the theme of reason of carc to be a fastidious are as follows:

MIND - ANXIETY - time is set, if a: Carc
MIND - CHECKING - twice or more; must check: Carc
MIND - FEAR - attacked; fear of being: Carc
MIND - FEAR - danger, of impending: Carc
MIND - FEAR - everything, constant of: Carc
MIND - FEAR - failure, of - children; in: Carc
MIND - FEAR - failure, of - examinations; in: Carc
MIND - FEAR - humiliated, of being: Carc2
MIND - FEAR - hurt, of being – emotionally: Carc
MIND - FEAR - punishment; of: Carc
MIND - FEAR - reproaches; of: Carc
MIND - FEAR - suffering, of: Carc

All this is because of

MIND - AILMENTS FROM - rejected; from being: Carc

The aim ‘to fulfill expectation of others’ becomes duty and responsibility for him and he performs conscientiously for it as he becomes used to this situation.
MIND - DUTY - too much sense of duty: Carc
MIND - RESPONSIBILITY - taking responsibility too seriously - children; in: Carc
MIND - CONSCIENTIOUS about trifles - children; in: Carc

While doing so, he suppresses his desires, anger, and emotions which are the big SADNESSES in his life.
But, when it becomes unbearable for him, he revolts against AUTHORITY. Now, he does not listen to anyone. He becomes indifferent to the feelings of others.
Reaction of Carcinocin is expressed in the following rubrics.
MIND – REBELLIOUS: Carc
MIND - DISOBEDIENCE - children, in: Carc
MIND - FIRE - set things on fire; wants to: Carc
MIND - INDIFFERENCE - loved ones, to: Carc
‘unke khusi ya gum ka asar padata tha vo ab nahi padata.’

MIND - CONTRARY - parents; with: Carc
MIND - ANGER - destroy things; with tendency to - children; in: Carc
MIND – WILDNESS: Carc
MIND - SPEECH – sharp: Carc
Sharp means clearly defined, ending in a sharp point, harsh.

MIND - INJUSTICE, cannot support: Carc3
MIND - TOUCHED - aversion to be: Carc
Touch means to come in contact with; a communicative interaction; affect emotionally.

Previously, he desires Caressing, but now due to dissatisfaction, he is reluctant to sympathy and consolation.
MIND - CONSOLATION – agg: Carc2
MIND - CONSOLATION - agg - sympathy agg: Carc
MIND - SADNESS - sympathy agg: Carc

He is in discontentment now.
MIND - DISCONTENTED – children: Carc
This feeling takes him away from humankind and he develops affinity toward nature.
Nature ONLY gives us but does not EXPECT in return.
MIND - NATURE - loves - children; in: Carc
MIND - SEASIDE – loves: Carc
MIND - ANIMALS - love for animals - children; in: Carc

He becomes artistic due to which he feels happy because here he can live life according to HIS WISH. There is nothing expected from him.
MIND - ART - ability for: Carc
MIND - DANCING – amel: Carc
Dancing is to enjoy to the fullest what is being done, to involve complete happily.
MIND - DANCING – children: Carc
MIND - DANCING - love to: Carc
MIND - DANCING - rhythm; with marked sense of: Carc

It is out Fastidious, Proper too, Tasteful nature to which he become habituated.
MIND - MUSIC – amel: Carc
Music is any agreeable (pleasing and harmonious) sound.
MIND - MUSIC - desire for - children; in: Carc

This is from my understanding. It is one view, which may vary person to person. Suggestions, additions are always welcome.
LET’S LEARN TOGETHER!

Thank you!

Dr Sanjay Jadhav MD(Hom)