A Female 36yrs, Housewife with Knee pain – Right : 4-5 months duration.
Intense pain aggravated 3-4 days. Aggravated by walking, rising from sitting, ascending stairs . Pain in finger joints – vague pain, with mild stiffness aggravated in the Morning
.Pain in wrists - occasional
She had temporary relief with pain killers at the beginning. The case was diagnosed as RA by an Post Graduate (GM) doctor. He referred the case to Homoeopathy.
On enquiry there was a history of Skin eruption 10 yrs back – On dorsum of feet – for about 3-4 yrs. Had AGN in the course of
treatment. Both relieved with allopathic medication. Twin sister has Eczema - RA;
Mother has DM
and Father* - HTN Husband is a Auto driver
and has two children ( 5,1)
she has a sensation of
heat and the
Appetite is diminished.
She
Desires sour
food and has Unsatisfactory stools.
she had Perspiration of face (Observed Symptom)
and Itching between thighs, with discolouration and desquamation–7-8 yrs duration. She had recurrent
Brittle finger nails, Shapeless. – 2-3 yrs duration.
she has Ingrowing nails – toes – 4-5 yrs duration
and
Back pain – lumbar – during menses.
Husband was a bit handicapped. He corrected his complaint recently with a surgery. Now
she is living in her house with her mother for the last 5-6 months. She never mentioned
anything about her family problem.
Investigation : Before : 20/08/11.
RA Factor - Positive : 86 IU/ml.
Investigation : After : 27/10/11.
RA Factor - Negative
Rubrics :
1.Extremities; ingrowing toenails
2.Extremities; eruptions; feet; back
3.Extremities; inflammation; chronic; joints
Repertorial Result : Caust Sil Thuj Hep ( Sil and Thuja - Complementary; Sil and Hep - Antidote )
Remaining symptoms :
1. Extremities; pain; knees; ascending stairs agg. : Thuj.
2. Extremities; pain; knees; right : Caust., Thuj.
3. Extremities; pain; fingers; joints : Caust., Sil., Thuj., Hep.
4. Extremities, pain, rheumatic, knees : Caust., Thuj.
5. Skin; eruptions; suppressed : Caust., Sil., Thuj., Hep.
6. Generals, Heat, sensation in body : Caust., Thuj.
7. Generalities; food and drinks; sour, acid; desires : Thuj., Hep.
8. Rectum; constipation; insufficient, incomplete, unsatisfactory stools : Sil., Thuj., Hep.
9. Face; perspiration : Sil., Thuj., Hep.
10.Extremities; excoriation; thighs, between : Caust., Thuj.,Hep.
11.Extremities; brittle; nails : Caust., Thuj., Hep.
12.Back; pain; lumbar region, lumbago; menses; during : Caust., Thuj.
Some important facts!
If you are making a Repertorial prescription, identifying the thermals is less important. What is more important is finding out the rubrics with moderate number of medicines ( characteristics ) for Repertorisation proper. Hot patient means 'Warm in general agg' and Chilly patient means 'Cold in general agg'. These rubrics contain 542 and 664 medicines respectively - that means both are common symptoms ! More over both of them are synthesised rubrics.
It is better to follow this in repertoisation.
"Two or more
rubrics from the same sphere or region should not be taken for
repertorisation proper, unless unavoidable. If selected, two from the
same region should not be considered for elimination process"
I have have selected all the three rubrics from the same location i.e. extremities.This is because
In my own repertory the chapter division is almost like that in Murphy with 76 chapters. ( Nails, Feet and Joints - separate chapters ) The selection rule I tried to explain was based on that. But when other repertories are considered, there arises some confusion because many locations come under a single chapter.
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