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Mrs. S, a 52 years old West Indian lady consulted for
Lichen Planus on the 23rd December 1999.
She developed a skin rash on her left foot about 15 months
back and spread to feet, both the legs, hands and back in
about three months time. It was diagnosed clinically as
Lichen Planus and confirmed with a biopsy. It was an
extensive form of Lichen Planus affecting about 45% of the
body area. It did not affect her mouth or vagina, however.
She was complaining of mild itching on the skin.
Other complaints:
She has been a hypertensive patient and has been receiving
antihypertensive medication for last five years. She is
also diabetic with controlled blood sugar with oral
hypoglycemic medicines.
Personal history:
She is a fair skin, average build. She eats well. She
desired fish very much. She hated boiled vegetables! Her
thirst was average. She would prefer cold more then heat.
She would perspire more on back without any strong odor.
Her bowels do to move regularly for which she takes herbal
purgatives.
She had had hysterectomy four years ago due to uterine
fibroids. Her sleep is not sound. She would wake up
several times, suddenly. She sleeps on her sides. She does
not see peculiar dreams.
Her Family:
She is a housewife. Her family consists of her husband (60
years old, retired), son (31 years old, advertising
officer), son (26 years, computer animator), Son (
software engineer, settled in the US), Daughter-in-law,
son (20 years)
About her mental sphere and emotions:
She is mild person. She is quite and less communicative.
Tends to be sad and reserved. Does not share her feelings
with others, does not talk about her problems with others.
Keeps her sad emotions within. Dwells on past unpleasant
events. When some sad event takes place, recalls the old
but similar events and feels the sadness afresh! Tends to
have silent grief.
Concerned about family,. Cares for everyone. Sacrificing.
Weeps easily, not in presence of others, though. Sheds
tears when alone. Does to expect any consolation. However,
if consoled sincerely, she feels better.
Kind hearted, helpful, sympathetic. Very systematic in her
work, perfectionist. Anxiety about lichen planus.
Past history:
:: Hysterectomy
Family history:
:: Her father had tuberculosis, maternal uncle had cancer
of liver.
Past Treatment:
She had used cortisone creams as well as some oral
steroids with temporary relieve. Since she is diabetic,
she was discouraged to take more oral steroids.
Homeopathic Treatment:
Case Approach:
After the case study as above, the total understanding
about the case was gathered. She is an introvert lad with
strong emotions harbored within, which has provably given
her a tendency to have physical 'let-out'. The Lichen
Planus was probably a socialization of her emotional
mind-frame. She did not have any specific disturbing
event, however, her personify was that of an introvert and
self-suffering type.
Based on this theme and incorporating her other physical
attributes as described above, a Homoeopathic remedy
called Natrum Muriaticum was selected for her as a
constitutional remedy.
Natrum Muriaticum was prescribed to her on the 23rd
December, 1999 in certain dose. The patient was received a
month later, when her itching has reduced drastically but
the eruptions remained the same. Her sleep had improved
remarkably, which was considered as a good sign of general
improvement.
The Lichen Planus eruptions are deep rooted, take time to
show changes. The remedy was continued further in
appropriate dose for one more month. She was seen again on
the 25th March to find that her Lichen Planus was better
by over 50%. The medicine was continued for two more
months.
All the eruptions disappeared completely. Her treated was
terminated. At the time when this case-study is being
written (10th April, 2001), we contacted the patient over
the telephone to find our the latest status. It was
reported that she is completely free from Lichen Planus
eruptions. She had no relapse till the date.
Note: The above cases
illustrate the method of case analysis and approach. The
medicines prescribed in the above cases were based on
their individual features and are not suggested to any one
else without scientific analysis of the case. |