A Male 53 years presented the complaints of weakness and drooping of lower part of the face towards the right side since 2 weeks. (Refer plate 1) He had difficulty in closing the left eye, difficulty in chewing foods, loss of sensation over the lower part of the left side of the face and pain inside the left ear. His complaints started after a travel, exposure to dry cold air, associated with tiredness of the body. He was unable to do the work even for two hours. He is a known Diabetic since one year
H/O typhoid fever at the age of 42 years on 2007, took modern medicine and recovered.
H/O angioplasty done on 2009 when he was 44 years old
H/O right sided facial palsy on 2013 at the age of 50yrs, took modern medicine treatment with physiotheraphy recovered with in 12 weeks.
Father died at the age of 83yrs due to ageing,
Mother is known diabetic,
Sibilings: 2,1-elder brother, 1-younger sister
Appetite: diminished since 1 week.
Thirst: taking 2-2 ½ ls /day dryness of mouth with thirst.
Urine: frequency 7/ 3,with burning micturation.
Stool: once /day with itching in the anus while passing stool.
Sleep: disturbed due to increased frequency of urination.
Perspiration: scanty over the face while physical exertion
Thermal relation: hot
Desire: cold climate,
Bathing : warm water Fanning: needed
Covering: aversion Prefer warm drinks
likes spicy foods
Aversion : bitter guard
Complexion : dark,
Habit: H/o smoking 10 cigarettes/day for about 15yrs before 10 yrs,now stopped
Habit of taking 4-5cups of tea /day
BP: 130/80mm of Hg; PR: 78 beats/minute;
T- 98.6 degreeF;Ht: 158cms; Wt: 74kg
R.S : NAD
Angle of Mouth: drooping towards right side
Bell’s phenomena: present in left eye
Sensory loss: left cheek
Nasolabial fold : right sided is more prominent than the Left sided
Buccinator: left sided muscle weakness,Escape of air on blowing
Diagnosis: left sided Bell’s palsy
Evaluation and Analysis
Dark complexion,right to left side,Ailments from long travelling in draft of dry cold air,Drooping of lower part of the face towards right side, associated with numbness of the lower part of the left side of the face with difficulty in chewing foods and difficulty in closing the left eye,as well as pain inside the left ear. Tiredness of the body++
2. Phytum / ( 3-0-3) bf for 2weeks
Follow Up 1 1.12.208:
- Patient feels better
- Drooping of lower part of the face towards right side,associated with numbness of the lower part of the left side of the face is mildly reduced,
- difficulty in chewing foods is reduced,
- difficulty in closing the left eye is improved
- pain inside the left ear persist,
- tiredness of the body persist
- appetite: improved,stool: itching in the anus while passing stool persist,sleep improved, urine frequency 6/2
O/E: Bell’s phenomena reduced++,drooping reduced+, Sensory loss-left cheek improved+,buccinators-weakness reduced+,nasolabial fold prominence of left side improved+
. 1. Rubrum /1D
2. phytum /(3-0-3) bf for 2 weeks
Follow Up 2 15.12.2018
Patient feels better,Drooping of lower part of the right side of the face reduced,numbness of the lower part of the left side of the face is reduced,difficulty in chewing foods reduced,difficulty,difficulty in closing the left eye is improved,pain inside the left ear improved but < while bathing,tiredness of the body is reduced
App: good, stool : no itching in the anus while passing stool, urine frequency 6/2, sleep: refreshed
o/e: Bell’s phenomena reduced+++,drooping reduced++,sensory loss-left cheek improved++,buccinators-weakness reduced++,nasolabial fold prominence of left side improved++
1. Rubrum /1d
2. Phytum/(3-0-3)bf for 2 weeks
Follow Up 3 5.1.2019
No drooping of lower part of the right side of the face, absent of numbness of the face,ability to chew foods without difficulty, able to close the eyes easily,pain inside the left ear is absent, patient had no tiredness of the body and able to work. App: good, stool: regular, urine: 4/0:sleep: refreshed (Refer Plate II)
O/e: Bell’s phenomenon absent No drooping, No Sensory loss,buccinator: no escape of air while blowing,nasolabial fold equal on both sides
In homoeopathic system, totality of symptoms can solely be enough to hasten the restoration of the dynamically dearranged vital force of an individual disease ,along with Totality of symptoms , key note symptoms of the drug can also be considered to cure the patient.As per foot note of aphorism 153,A neurological case of Bell's palsy is treated with causticum as exact simlimum and got relieved without any allied management within short duration. Hence same has been explained by our stalwart Dr. Constantine Herring in other ways as a three legged stool.