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A young girl aged 18 years presented the following history
Past History - No history of any illness
F/H MO: Cerebral hemorrhage. (died)
Patient as a person:
Appearance : stocky
Perspiration : moderately increased on back, legs
Craving : Ice cream
Aversion : spicy food
Bowel & bladder habits : Normal
Thermally chilly pt
Menstrual history
Attained puberty at the age of 15years.. Pain abdomen for the first 2 days,28 days cycles,
Duration: 6 days.
General Physical ExaminationNo pallor B.P : 120/80 mm of Hg Wt: 57 kg
Local Examination
P/A : NAD LIFE – SPACE INVESTIGATION
Patient hails from middle class family. She has one brother and a sister. She did her schooling in her native place. She lost her mother. When she was in X std. After a year her father married again. Her relationship with her stepmother is good. She has no problem in the college. She is very mild by nature. Likes to be with friends always. Patient weeps very fast while speaking about her mother. After her mother’s death, Pt is indecisive, [which is been evident as she delayed in approaching the physician by 1 month even after the confirmatory USG report
Please refer PlateI
General Physical Exam:
On exam no pallor, cyanosis, oedema, clubbing, lymph nodes, thyroid abnormalities.
B.P - 120/80 Weight -57 kg
Local examination
Per Abdomen No visible / palpable swelling or tenderness
Other systemic examination
Within the normal limits. Since the patient had already brought the USG report dated 15/3/2002, and also with the clinical presentations it was diagnosed as PCOD.Constitutional Totality:
The mentals considered were Mild, Weepy, Indecisive, Likes company and consolations.
The physical generals for prescription were stocky appearance, increased perspiration, increased thirst, craving for ice-cream, prefers spicy food but disagrees her thermally chilly.
Characteristics particulars
Irregular and delayed menses. Fullness of abdomen and mainly less by spicy food. FM Sycotic (M)
Intercurrent totality:
Hypertensive —> DM Sycotic PCOD, Irregular menses.First Prescription 18 – 4 – 2002
R/x
1) R: Pulsatilla 200 (4) weekly HS start.
2) 5 grain tab. 1-0-1 x 1 month
Follow Up 1 22 – 4 – 2002
L.M.P 19/4/2002
R/xSl packet (15 p) (IP) alternate days
Follow Up 2 27 – 5 – 2002Menses expected on 19/5/2002 But she did not get her periods
R/x
Puls 200 (IP) start
5-grain tab 1-0-1
Follow Up 3 13 – 6 – 2002
LMP: 30/5/2002 Flow: Moderate, no clots, bright red colour, duration 6 days. White discharge after menses, no itching or acridity. Distention of abdomen < pulses
Rx
1Thuja 200/2p(IP) 2 dayvwwws
Follow Up 4 27 – 6 – 2002
Patient had to report today Distension of abdomen: occasionally Belching Tongue: Central furrow, dry, Posterior: 2/3 rd coated white
Rx:
Puls 200 IP Hs. Today (IP) HS dailyFollow Up5 4 – 7 – 2002
LMP: 2 – 7 – 2002 Flow: Moderate dark red blood No other complaints
R/x
SL-7P (IP) daily
Follow Up 6 18 – 7 – 2002
Throat irritation and itching of ear, sneezing And coryza 1 day Occ: Cough expectoration O/e: Tonsils are congested
Rx
Sabadilla 30 TDS x 4 daysFollow Up 7 25 – 7 – 2002
No complaints LMP: 2 – 7 – 2002No sneezing / cough
R/x
Thuja 200/IP start
Asked to review USG 31/8/2002
Please refer Plate II
Follow Up 8 1 – 8 – 2002
Menses: regular No Complaints Generals: Good
Rx
5 grain tab 1-0-1 x 2 weeks
Patient had reported to the OPD. She is getting regular menses since many months.
Conclusion
1. In the study it is mostly the young girls in the reproductive age group are affected.
2. Sensitive issue in a girl’s life PCOD affects the person as a whole , as there is hormonal imbalance.
3. The importance of diet and general management like weight reduction is well understood.
4. Though acute symptoms can be taken care with help of specific, for permanent and lasting cure the constitutional and intercurrent remedies are needed.
