Case

Dr Rajat Chattopadhyay is a leading academician and practitioner, Head of the Department in Medicine at Mahesh Bhattacharyya Homoeopathic Medical College Calcutta. He had presented many papers in seminars, authored books and articles, received awards from reputed organizations. Here he presents a case of Poly Cystic Ovarian Disease.

A female patient aged 27year, unmarried, assistant of an old allopathic physician had been suffering from irregular and painful menstruation and diagnosed as a case of bilateral polycystic ovarian disease consulted me She presented irregular, painful menstruation for last 3 years, and the character of blood being clotted, blackish and scanty in amount. No significant past history. Strong sycotic family history in proliferative disorders like warts, tumours etc
Her blood parameters are normal and Ultrasongram of pelvis reported “ Multiple cysts in the ovary"

Homoeopathic Generalities

· Physical constitution – short but stout with dark complexion.
· Chilly patient; general aggravation in winter.
· Appetite – good.
· Desire for egg, fish, extra salt, salted food++.
· Intolerance to onion++.
· Moderate thirst for large quantities at long interval.
· Stool hard, occasionally with mucus.
· Urine clear at regular interval.
· Sleep sound.
· Dream of dead persons (specially of her dead father), falling from the height++.
· Tongue – large, flabby and moist with little whitish coating & imprints of teeth.
· Palm – warm & moist.
· Teeth have irregular alignment.
· Mind - Co-operative but suspicious.
Dull weak memory, cannot narrate her problem properly.

CHARACTERISTIC TOTALITY :

Mental generals :
· Mentally dull
· Weak memory, with difficulty to express her troubles.
· Suspicious

Physical generals :
· Dream of falling from height
· Dream of dead persons
· Dream of his dead father
· Chilly patient
· Aggravation from onion
· Craving for salty food

Particular Symptoms :
· Painful menstruation
· Character of the menstrual blood – clotted, black.

RUBRICS TAKEN FOR REPERTORISATION :
· MIND, DULLNESS, SLUGGISHNESS, difficulty in thinking and comprehending
· MIND, SUSPICIOUS
· MIND, MEMORY; Weakness of, expressing one’s self, for
· SLEEP, DREAMS, Dead relatives
· SLEEP, DREAMS, Dead of the
· SLEEP, DREAMS, Falling from high places
· GENERALITIES, WINTER in
· GENERALITIES, FOOD, onions agg.
· STOMACH, DESIRES, salt things
· GENITALIA FEMALE, MENSES, painful, Dysmenorrhoea

RESULT OF REPERTORISATION
· Lycopodium, Phosphorus scored highest & got 15 each,covering the seven symptoms out of ten symptoms.
· Thuja got 13 marks and covered the eight symptoms out of ten symptoms.

COMMENTS
· Lycopodium and Phosphorus scored highest & got 15 each, but Thuja covered the eight symptoms out of ten symptoms. After consulting with Materia medica, Thuja is preferred to be prescribed first. Typical sycotic background, sycotic constitution, chilliness of the patient gave more importance to prescribe Thuja.

Prescriptions and follow up

    Thuja occidentalis 30 / 4 doses OD on 12/06/2002. Patient was advised to come after 45 days.First two months there was no such improvement, but in general there was no aggravation and patient was in good condition. Her appetite, sleep, thirst all were normal.

    After two months the painful menstruation was not so severe as it was in the past. The general feeling of the patient was much better. The character of the blood was also changed from black to reddish and there was no clot (in the last menstruation). Since after the first prescription only placebo was prescribed in different form from time to time.

    On 10/01/2003 the menstruation became again painful with little clots with the flow, but the general feelings of the patient was better. Thuja 200 / 1 dose was prescribed.

    Since then for four months placebo was given and the patient was totally symptom free. The menstruation was regular in time, the character of the blood was red with no clot, no pain during menstruation.

    Ultrasonography done on 10/05/2003, and study of uterus & ovaries appeared within normal limits with no evidence of any cyst seen in ovaries Since then till today patient is better and there is no complaints of irregular or painful menstruation.

Refer the plates I and II.