An Acute Respiratory Case

Case of Dr Deepa Karia (Thakkar ) for Organon Club study group

Mr T.M., 37 yo

Patient with history of allergic rhinitis which deteriorated after marriage with further development of bronchospasm. Previous treatment with homeopathy was not very effective and had to take Ventolin on many occasions. Now presenting with following acute signs & symptoms:

Chief Complaint:

Location	Sensation	Modalities	Concomitants
Respiratory system
Head: since 15 days	pain	< morning
Above R eyebrow, since 2 days		> pressure
Bronchi Since 1-2 days Frequency: 1x per 15/20 minutes	Cough wet+ Wheeze Expectoration: sticky+, Yellow++, Thick++ Breathless		Sleep disturbed, had afternoon sleep, fresh when got up
Throat: since 2 days	Irritation		R eye lachrymation after straining eyes
Since yesterday R sided	Pain	> Warm Drinks	R eye-medial canthi: Itch ++, Burning++, > avoiding fan
			THIRST
Nose On way to clinic R sided	Sneezing Coryza watery Sensation of obstruction	< Exposure Draft	Lachrymation R>L Chilly: normal thermal

Physical examination findings:

Throat: R side congested
Nose: R nostril congested
R frontal sinus tender
Chest auscultation: wheeze all over

1.    Arrive at the diagnosis of the acute presentation.
2.    Arrive at the acute totality. Determine miasm, susceptibility & sensitivity.
3.    Come to probable remedies with the help of repertorial references.
4.    Arrive at the simillimum, after reference to homeopathic materia medica. Discuss grounds of differentiation.

Solution:

1. Diagnosis: acute episode of bronchial asthma with sinusitis, pharyngitis & rhinitis.
2. Sphere of action: mucous membrane of respiratory tract

Pathology	inflammation irritation; allergic component mucous release infection +
Characteristics	thirst decreased (concomitant symptom) lachrymation ++ (concomitant symptom) throat pain > warm drinks (modality) < Draft (modality)
Totality	< draft throat pain > warm drinks thirst decreased lachrymation
Susceptibility	moderate
Sensitivity	high
Characteristic	++
Pathology	functional
Miasm	sycotic

Group of remedies:

	Sabadilla	Pulsatilla	Arsenic	Hepar sulph
Onset	-	Gradual	Sudden intense	Sudden
Thermal	Chilly	Hot/ Chilly	Chilly	Chilly+++
Thirst	Thirstless	Thirstless with dry mouth Thirst increased sips often	Thirstless Thirst increased unquenchable	-
Lachrymation	Lachrymation when in pain < open air	Lachrymation++ > in open air	Lachrymation+	-
Throat pain	> warm	-	> warm	> warm
Generalities	Bruised pain in various parts of body right => left	Changeability Mental state	Debility Mental state	Hyper sensitivity
Discharges	-	Thick catarrh Bland Yellowish green	Acrid – Burning pain, Thin, Scanty	Profuse, foul like old cheese. Sour

4. Treatment: Sabadilla 200C 4 hourly
   
5. Follow up:

• Next day better by 50%
• Within 2 days complete relief
• No acute episode since then; no further constitutional treatment given

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