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60 year old lady, Mrs. A. S. B.
(Patient reference number: L8661) came to us with a
complaint of a non-healing Varicose Ulcer. She had a
Varicose Ulcer on her Left ankle since 10 years. She had
performed an Endovenous Laser Procedure 10 months ago for
the ulcer and it had healed completely after the surgery.
But 5-6 months after the surgery she developed the ulcer
again on the left ankle joint. She was again advised
surgery by her treating Interventional Cardiologist [CVTS
Surgeon]. At this point the patient refused to go in for
another surgery and instead opted for homoeopathic
treatment. She had been prescribed broad spectrum
antibiotics for a month without any benefit. On
examination she had a varicose ulcer on the left ankle
with redness, tenderness and heat of the affected part.
There was also some oozing of discharge from the ulcer.
She was an obese, vegetarian lady with a normal appetite.
She had liking for sweets and dislike for salty foods. She
was sensitive to cold climate in general. Her sleep was
sound and she would occasionally dream of urinating.
She stayed with her husband, who worked as an accountant.
She had 3 daughters, who were married. Previously she
lived in a joint family set up. She had done tremendous
hard work all her life. She had experienced lots of
hardship, doing all the household chores of 10- 12 family
members by herself. This included cooking, washing
clothes, cleaning utensils and cleaning the house. Her
mother in law was a critical and nagging lady, who gave
her a very hard time; patient would feel tortured by her
attitude.
She not only bore the misery in silence but she also
served her mother in law faithfully till her end. She
would feel let down by her brothers-in-law whom she nursed
as her own children. They
were in good financial positions
and despite the patient having done a lot for them, they
did not care for her and her husband, on the contrary they
would say that she had not done anything for them She also
had anxiety about her daughters.
She had not suffered from any major illness in the past
except Fibroid of uterus for which she had undergone
Hysterectomy. Her parents had died of cardiac arrest and
apart from this there was no history of any other illness
in the family.
Reports of her investigations:
Doppler Findings:
Incompetence of sapheno- feromal and popliteal short
saphenous junction is seen.
Endovenous Laser Procedure Report: Closure of superficial
varicosities and perforators in Left leg Great Saphenous
Vein [GSV] observed by Ultrasound after completion of
procedure.
Based on the above
history, she was prescribed Kreosote 200 for the
non-healing varicose ulcer. She reported about a week
later with some improvement in the pain of the ulcer.
Later she was prescribed Hepar Sulph 1M along with the
previous medicine. After about another 4 weeks of
medication, her ulcer was completely healed. She was asked
to continue medication for some more time to prevent
further relapse of the complaints. |
