Baroda symposium final presentation on chronic utricreapptx

It is a case of chronic urticaria treated with homoeopathy

1. Case of Chronic Urticaria By:- Dr. Saunil Malvaniya Dr. Meeti Gokani Dr. Maitri Lava

2. Sensitive issues of child Being single child + pampered = Provided all attention and care. Always comfort is gratified Along with this pampering from PGP+ grand uncle aunt vs strict parenting – causes gap and brought frustration & confusion. Suddenly attention of family was diverted to PGF during his sickness which child wasn’t able to accept and it < frustration. Along with this lock down added fuel where his creative activities got blocked. Oral stage was positively resolved, ??unresolved oedipus complex & anal fixation, creating rigidity and possessiveness. As all comfort was provided by adults, child has poor negotiating skills, the expression of which comes out in form of sensitivity and frustration, causing somatization as urticaria

3. Sensitive issues of Parents Family with both parents working, PGP out of instinct, pampered. Generation gap between parents and PGP created different parenting techniques. Parents had to give more attention to PGF’S ill health for 1 year, in covid situation. FA:- fastidious, perfectionist, couldn’t see the child’s suffering.

4. No  Event key word  Onset  duration Life space Characteristic expression  PPT  attribute interpretation 1 Mother’s pregnancy 24/9/2015 9 months Good support from both sides of famillies . APH- 4 th month PSORA/TUB 2 Dentiton 2017 Breastfeed for 2.5 yrs. Due to ? Dental problems to pt., it was advised to stop. Dental problems. Pt. Stopped it in a day without any hassles. Satisfactory oral stage 3 Parental bonding - Fa - meticulous, angry, workaholic. -Mo- optimistic, attends work full time. Strict. Parents strict Scolded by Parents if misbehaves. -Att3 to father, -Possesive3 about fa and his things, -Cry if fa is not there for a day. - Wants mother to be around him constantly as she returns from work. -First priority to mother always, -Can’t sleep without mother, Holds Mo’s hand during sleep, - Doesn’t trust anyone other than family members. Superego well developed. Over compensation of mother’s attention. LIFE SPACE TABLE

5. N0 Event key word Onset duration Life space Characteristic expression ppt Attribute Interpretation 4 Joint family, Pampered by PGP in absence of parents, they follow the pt. PGF nags and scolds pt. They complain to parents when they return. Dominates them. things should be according to him only. Weeps 3 if his wish is not fulfilled. - Angry3 Counters back, if he is not at fault, You don’t know about matter, it’s not my fault. I am leaving this place, don’t want to stay here. Would not apologize easily, gradually do so. Never gets back to parents after they scold. -Anger suppressed, walks in anger, changed facial expression Cries in anger A/F contradiction. Irritable3 Egoistic2 Unable to accept the double standards of PGP. frustration to accept the reality.

6. N0 Event key word Onset duration Life space Characteristic expression ppt Attribute Interpretation 5 Trip -needs to sleep in same room, go out in same car, bath in his bathroom only, Ties a band over eyes, so that he can’t see driver’s face. Fixed Ideas3 6 covid lock down 2020 march Online classes Active3 loved studying online for few days only. Wants to make good impression in front of teachers and friends Concentration decreased. Beginning of frustration in work area. Unable to satisfy the ID 7 PGF ill and covid lock Down 2020-21 -Family was busy with PGF’S care. Less attention to pt Irritability increased. - Urticaria increased since last 1 yr, esp 2-3 months. - Inability to understand and accept the situation.

7. N0 z Event key word Onset duration Life space Characteristic expression ppt Attribute Interpretation 8 PGF death March 2021 cried3, sat beside him, didn’t allow to take away PGF . Does not remember PGF so often now. Affectionate2 Lack of clarity about concept of death. 9 Maid’s comment May- june 2021 Maid asked if he wants sibling I don’t want to share my parents especially MO with anyone Possesive3

8. N0 Event key word Onset duration Life space Characteristic expression ppt Attribute Interpretation 10 PT as a Person wouldn’t like being talked about to anyone. -Sad3 if scolded in presence of others. -Doesn’t like if family member favors other cousin, on consolation weeps and hug Would lock himself in other room. doesn’t play with kids if his rules are not followed. Fear dark3, needs light. Fear cats2 Possesive3, would keep all his things even if they become old. Can’t tolerate teasing. Egoistic2 Dominating3 Sensitive3

9. Domenering3 Irritable3 Possessive3 Sensitive3 Affectionate2 Egostic2 Fixed ideas3 Both Parents Working Mother – Working Whole Day GENETIC BIOLOGICAL ENVIRONMENT DISEASE Joint Family Single Child Pampered by PGP – All Demands Fulfilled Strict Parents Given Comfort Zone Inability to Adapt Out of Comfort Changes Unacceptable Suppression Somatization Hypersensitivity P S O R A Fundamental Miasm-Psora1 sycotic2 Clingy to Mother Possessiveness Insecurity COVID Lockdown + PGF death Boredom + Lack of attention ID satisfied by PGP VS SUPEREGO by Parents Poor negotiating skills ? Anal fixation ? Unresolved oedipus Frustration + Anger Inflammation Itching URTICARIA PSPD

10. MENTAL STATE I M B A L A N C E SOCIETY WORK FAMILY DISSATISFACTION I.P.R. STATE: NATURE & CAUSE EVIDENCE EMOTIONAL INTELLECTUAL ACTIVITY +++ INACTIVITY A C T I O N FUNCTIONING BEHAVIOUR REACTION A/F Domination A/F contradiction A/F Anger Suppressed Anger Irritable3 Sorrow3 Egotism2 Possessive3 Fear Dark3 Fear cats2 Affectionate2 Thinking Fixed3 Concentration Decreased Drive strong Dominating3 Weepy2 Locks Himself In Room Skin – chronic Urticaria AMB with PGF Parents Strict Lack of attention by family Domination by Friends Hypersensitivity

11. EET ) er PSORA SYCOSIS TUBERCULAR SYPHYLIS M I N D B O D Y D I A T H E S I S D I S FUNCTIONS STRUCTURE Asthma- PGF, MGM,MU All URT- Fa Suppression Somatization Cr:- salt3, sweet3, curd3, buttermilk3 Av:-spicy3 Persp profuse3, on head3, wets pillow, CH3 Feet uncover3 Chronic Urticaria Fa :- idealistic3, fastidious3,irritable3 Mo:- angry3 outspoken3 PGF-PT= AMB Parents strict3 Not play with frnds who don’t comply him Cry3 when fa not at home Mo 1 st priority, can’t sleep holds mo’s hand Anger A/f contradiction Suppressed in front of parents doesn’t apologize easily 2015 APH - Trip Fixed room, car, didn’t use bathroom PGP pampering, PGF nagging Weepy3, when Wish Unfulfilled . Online classes Concentration decreased Didn’t allow dead body to be taken away. 2021death of PGF 2021 june maid’s comment 2020 covid lockdown Will not share mother Keep belongings forever sad3 if scolded in front of others Fear dark3 Irritable3 Dominating3 Possesive3 Rigid3 Egoistic2 Affectionate2 Sensitive3 Hives :- folds, back. A/f perspiration, hot weather < change in food , < morning3 < anger, when free >cold application3 >rub bing3

12. Selection of Approach :- Kent’s Approach:- Because case has qualified mental generals, characteristic behaviour , characteristic physical generals.

13. Totality of symptoms:- Repertorial syndrome Anger suppressed3 Anger from contradiction3 Irritable3 Sensitive3 Dominnering3 Egoistic3 Rigid3 Fear dark of3 Perspiration head3 Perspiration profuse3 Sweet desire3 Salt desire3 Spices aversion3 Feet uncovered3 Potential Differential Field Affectionate2 Fear cats2 Weepy2 CH3

14. REPERTORIAL TOTALITY

15. REPERTORIAL RESULT

16. Lycopodium Sulphur Aversion to appearing in any new role:- RIGIDITY (kent) Irritability (Kent) Sensitive disposition ( clarke ) Obstinacy (clarke) Cannot bear to see anything new( SR PHATAK) Fear dark ( TF ALLEN) Obstinacy( SR PHATAK) Egoistic (clarke) Irritability disposition to angry (clarke) SULPHUR doesn’t cover ailments from anger suppressed, sensitive children Spices aversion Uncovering feet LYCOPODIUM doesn’t cover Rigidity (thoughts persistent) Salt desire Spices aversion Uncovering feet Remedy Differentiation

17. SR. No. Define with reason states Potency choice Repetition 1 Susceptibility ( tissues) Skin – Hypersensitive Rxn , Sudden Onset, Functional Change 200 /1M Cautious Repetition 2 Sensitivity (Mind & Nerves) Mind++ :- Reacting Immediately to Contradiction, Irritability+++, Sensitivity+++ 1M Infrequent 3 Suppressions (If any) Grade 1 :- Anger Suppressed+++ On Anti-Allergic DAILY 200 Frequent 4 Correspondence Const. RX At the Level of Mind – Dominating+++ Irritability+++, Egotism++, Rigidity+++ At the Level of Generals – Sweet Desire+++, Perspiration Profuse+++ 1M Infrequent 5 Correspondence Sector RX Skin – Urticaria, Warmth Agg. 200 Infrequent P&P For LYCOPODIUM

18. Sr. No. Define with reason states Potency choice Repetition 6 Correspondence Inter-current RX NA NA 7 Functional Changes Yes, Reversible 200/1M Infrequent 8 Structural Changes - NONE 200/1M Infrequent 9 General Vitality Good 1M Infrequent 10 Presentation – Fundamental Miasm Psora 200/1M Infrequent B. Dominant Miasm Psora ?Sycotic 200/1M Infrequent C. Sector (Acute / Exacerbation) partial 200 Cautious Rx:- LYCOPODIUM 200, Infrequently

19. Predisposition Precipitating Maintaining Pattern of response Physical Asthma- PGF, MGM, MU Allergic urt :- FA Perspiration Hot weather Food with chemicals Chronic urticaria Psychological Fa - fastidious3, irritable3, idealistic. MO:- angry3, outspoken. contradiction intolerant of Poor negotiating skills Inability to adapt out of comfort zone irritable3 Dominating3 Possesive3 Egoistic2 Sensitive3 Suppressed anger + frustration Social Joint family with 6 adults and only child both parents working fulltime Online education Lack of attention( PGF sick) Difference in Parenting techniques Doesn’t play with children who do not obey him DIAGNOSTIC NET