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Professional  Engage  Diseases Seminars Calculators Course 

Clinical Cases

Bronchial Asthma in a Man of


57
October 20, 2020 • 2 Comments • by Amit Kumar Vyas

Dr. Amit Kumar Vyas shares a case of bronchial asthma in a


man of 57. Fear of death, impatience, hopelessness, throat
pain on swallowing and craving salt were among the
symptoms leading to the simillimum.

Abstract:   Dr. Amit Kumar Vyas shares a case of bronchial


asthma in a man of 57. The simillimum resulted in removal of
symptoms within three weeks.

This is a case of a 57-year old male patient who presented


with complaints of pain on swallowing and dyspnoea for the
Professional  Engage  Diseases Seminars Calculators Course 
past month.  There was pain on swallowing while eating.
 Breathlessness occurs when talking a lot at work. He said
that due to ulcers in his mouth, he was barely able to open his
mouth for the last month. The patient had been on allopathic
treatment since then, but without effect. The physician
advised that he consult a surgeon. The patient was very
scared, so he was not ready for any pathological investigation.
After some convincing, he agreed to get a complete blood
count.

NAME OF PATIENT: – R.P.     /      MALE – 57 YEARS

REGISTRATION DATE: – 22/09/2018

PRESENT COMPLAINTS:

1. PAIN ON SWALLOWING FOR ONE MONTH 2. DYSPNOEA.


2. LOSS OF APPETITE. 4. SLEEPLESSNESS.
3. RESTLESSNESS. 6. GENERAL DEBILITY.

CONSTITUTION:

1. HEIGHT:- 5’10”
2. WEIGHT:- 53 KG
3. SKIN/NAIL:- DARK GRAY/ WHITISH

PHYSICIAL EXAMINATION:

1. BLOOD PRESSURE: 100/65 MM/HG


2. PULSE RATE: 68/MINUTE
3. R/R: 18/MINUTE
4. SpO2: -96

MIND:-
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1. ANGER: DEPENDS ON CONDITIONS, IRRITABLE
2. SORROW- DESPAIR FROM ILLNESS
3. HATE: FOR LIES.
4. FEAR: FEAR OF DEATH
5. LOVE: TO ALL FAMILY MEMBERS, ESPECIALLY DAUGHTER
6. TENSION/STRESS: NO.

SYMPTOMS RELATED TO A PARTICULAR ORGAN:-

1. HEAD: MEDIUM/ HEADACHE OCASSIONALLY.


2. FACE: OVAL/ PITTED.
3. EYES/VISION: NORMAL/ MAY BE DOUBLE.
4. NOSE: – NASAL POLYP/ BLEEDS IN WINTER.
5. MOUTH/TONGUE: MOUTH ULCER OCASSIONALLY/ WHITE COATED/
BITTER TASTE
6. TEETH/ GUMS: LOOSE/ PYROHHOEA
7. RESPIRATORY SYSTEM- COLD & COUGH, EAVY FEELS in CHEST, PAIN AT 
BOTH SIDES OF RIBS,  HOARSENESS OF VOICE, 
                                                 RATTLING IN THROAT.
8. DIGESTIVE SYSTEM: UPSET, GASTRITIS, BITTER TASTE OF MOUTH,  
TIGHTNESS FEELS  OF  STOMACH AFTER MEAL.
9. EXCRETORY SYSTEM: CONSTIPATION, HEAVINESS FEELS ANYTIME IN
RECTUM, FLATULENCE AFTER MEALS.
10. REPRODUCTIVE SYSTEM: N.A.D.
11. LOCOMOTOR SYSTEM: N.A.D.

GENERAL SYMPTOMS:

1. APPETITE: LESS/ 2 CHAPATIS/TIME.


2. THIRST: 6-8 GLASSES/DAY.
3. STOOL: NOTHING SPECIFIC.
4. URINE: NO ODOR/ PALE YELLOW OR NO COLOUR/ 4-5 TIMES A DAY/ 1
TIME AT NIGHT
5. PERSPIRATION – SEASONAL/ NO STAIN/NO ODOR
6. SLEEP/ DREAM: ADEQUATE/ NORMAL, FORGETS
7. DESIRE: PANEER, SALTY
8. AVERSION:BITTERGUARD.
9. STOMACH AFTER MEAL: DISTENDED.
10. MODILITIES:
Professional  Engage  Diseases Seminars Calculators Course 
AGGRAVATION: FROM COLD APPLICATION, OPEN WIND, IN
SUNSTROKE, IN WINTER, EVENING AND NIGHT

      AMELIORATION:  FROM HOT APPLICATION, CLOSED


ROOMS, RIDING IN BUS, TRAIN ETC..

PAST HISTORY:-

SELF:  The patient became ill with tuberculosis in 1997 and


recovered with allopathic treatment.

FAMILY HISTORY:

Father: died f rom a heart attack.

Mother: alive. Suffering f rom diabetes mellitus.

INVESTIGATION:- After the C.B.C. revealed that Eosinophilia is


more than 3, which can be a cause of allergic asthma.

Fig 1 CBC before treatment

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Rubrics:

1. Mind- fear of death


2. Mind- Impatience
3. Mind-Irritability, children in
4. Mind- Hopeless
5. Eyes –Double vision
6. Throat-Pain-Swallowing.
7. Generals-Food and Drinks – Salty – Desire
8. Generals- Mental Depression.

    Rx:  NITRICUM ACIDUM-1M /1DOSE  22/09/2018 –   SAC


LAC-30/ 4 PILLS AT 3 TIMES A DAY for 15 days.

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  10/10/2018 :  All symptoms are reduced: Pain during
swallowing, no distended abdomen, no complaint of
breathlessness.

Rx:       SAC LAC-30/ 4 PILLS AT 3 TIMES A DAY.        15 DAYS

FIGURE 2:- C.B.C. REPORT AFTER TREATMENT

FIGURE 3:- C.B.C. REPORT AFTER TREATMENT

Professional  Engage  Diseases Seminars Calculators Course 


Discussion: From the repertorization, Nitricum Acidum came
up as a prominent remedy. Considering his mental generals
and his physical generals Nitricun Acidum  was selected as
the simillimum.

Conclusion : This case af rms the effectiveness of a single


dose and the reportorial approach on the basis of the totality
of symptoms. In the rst report of this case, the Eosinophilia
was greater than 3, which further indicated allergic asthma.
After 15 days of administration of Nitricum acidum 1M, the
Eosinophilia number was reduced to 3 and the patient was
feeling better than before. After this, I only gave Sac-Lac 30 to
Professional
the patient Engage
andafter 
15 days Diseases
he again Seminars Calculators
got a C.B.C. Course
in which the 
number of Eocinophilia was only 2 and the patient was
completely ne.

References:

Boericke Materia Medica and Repertory

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About the author

Amit Kumar Vyas


Dr. Amit Kumar Vyas, BHMS - Attended National Seminar 2020 On
Gender Sensitization At N.S.P. College, Bikaner, National Conference
2019, Faridabad, Oral Presentation, National Conference 2019,
Shriganganagar, Oral Presentation, International Conference N.R.C.C.
Bikaner, Oral Presentation. National Homoeopathy Conference
Vigyan Bhawan, New Delhi, Oral Presentation. Indo-Japan World
Homoeopathy International Conference, New Delhi, National
Conference Oncology And Homoeopathy S.P. Medical College.
Pushkarana Gaurav Award 2020 By A.B.P.N.S. Bikaner. Teacher
Award 2014, Pushtikar Day Festival, Dhanwantari Award 2012, Shri Ji
Sansthan.

View all posts

2 Comments

Martin Earl
November 3, 2020 at 9:47 pm

Thank you for this nicely worked case. Excellent analysis.

Martin Earl

Reply

Sanjay jhaveri
November 16, 2020 at 11:00 am

Dr Amit ji I want to consult you how I can contect you my mobile no


9879512656

Reply

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Professional  Engage  Diseases Seminars Calculators Course 
Professional  Engage  Diseases Seminars Calculators Course 
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Professional  Engage  Diseases Seminars Calculators Course 
Professional  Engage  Diseases Seminars Calculators Course 
Professional  Engage  Diseases Seminars Calculators Course 
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