Dr. T. Semparuthi is a leading practitioner;
practices at the temple city Madurai, Tamil Nadu. He had authoured
many scientific articles and also presented scientific papers
in seminars. He graduated from Fr. Muller’s Homoeopathic
Medical College and recently he has done his post graduation
at Vinayaka Mission’s Homoeopathy Medical College, Salem.
Here he presents a case of Epiploic Abscess.
A 46 years old male, Head constable by profession
consulted me for the following complaints on 17.08.2009
When he was 12 years old had severe abdominal pain and had an
injury to the right knee one year back
Mother: H/O Haemorrhoids, hysterectomy (Dysmenorrhoea)
Appetite : Good(can eat only little or else<pain in abdomen)
Diet : Mixed
Desire : Non veg++(fish), spicy+, pickle++, sour++, (before:
Intolerance : Spicy, non.veg<burning during stool.
Thirst : 200ml/time, less than 2L/day
Urine : Regular; burning micturition with red urine during fever
since 10 days offensive.}
Stool : Regular, [constipated <non veg; spicy]
Sleep : Disturbed since 10 days. Snores during sleep
Dream : Forgets [like falling from bridge, wakes up startles,
his dead father or mother talking to him.]
Sweat : Present, salt deposits.
Thermal : Hot
habit of taking 2cups of tea /coffee per day and addicted to
alcohol from the age of 18years.
to horn sound, gets irritated.
Life space Investigation :
Born and brought up in Chennai, got married at the age of 25.Consanguinous
marriage. Has 2sons, 2nd son died 1week after birth. Siblings:
1 sister, 1 brother.
Angered easily and shouts harshly, beats the person whoever
it is. At times there is shivering of extremities. Angered if
any injustice happen beats them immediately and file a case.
Once his higher officer blamed him for something which he has
not done, so he couldn’t tolerate this, he beat that person
(DEFIANT), and he was suspended. Cannot control his anger, he
cannot sleep, difficult to get rid of it .Eyes waters during
anger. Difficult to forgive till he is convinced.
During childhood he would play with snake. Bold to face any
should follow what he has decided (DICTATORIAL) or else gets
during new moon. Prays daily.
the age of 18 - 21 he used to spend money well for movies etc.
Helps the needy –financial etc, his eyes waters on seeing
the cry of suffering people. He has no savings till now, because
he used to spend well for others [needy] (SYMPATHETIC).
is must or else he himself cleans it.
even when ill.
the accused; if others torture them he used to advice them not
to do that.
An Ultrasonogram was done on 10.08.09 which gave the impression
as “A small pericolic abscess 2cm x 3cm” and on
11.08.09: C.T.Scan revealed “Evidence of inflamed, oedematous
and pus filled epiploic appendicitis/diverticulitis of splenic
flexure and adjacent descending colon with abscess 3.4x2.43
Refer Plate - I
Pericolic Abcess : an abscess just outside
the colon as a result of perforation complicating diverticulitis.
If not treated properly can go in for large abscess/acute abdomen
Miasmatic Understanding: Syco-syphilitic
Following rubrics were taken for analysis:
1. MIND - DICTATORIAL, domineering, dogmatic, despotic (&Elimination)
- SY COTIC
2. MIND - SYMPATHETIC, compassionate - PSORIC
3. MIND - DEFIANT (&Elimination) - SYPHILITIC
4. MIND - VIOLENCE, vehemence - deeds of, rage leading to -
Lycopodium was selected on the basis of thermal and thirst;
Hot and Thirstless and 1 M was selected on the basis of the
speed and severity of the disease.
First Prescription 17.08.2009
Lyco 1M single dose
Follow up 1 28.8.09
Had high fever on 17th night and drenching sweat. Sneezing++
since 2 days >since last night (PSORIC RESPONSE). Pain abdomen
better 75%. No fever. Rumbling abdomen, Appetite: Good, eats
well. stool – regular, Urine - Normal
USG: NO PERCOLIC COLLECTION VISUALISED AT PRESENT
Refer Plate - II
Follow up 2 13.01.10
Still under regular follow-up, No complaints or complications.
So called surgical condition managed with Homeopathy.