A CASE OF PUO (PYREXIA OF UNKNOWN ORIGIN)

A CASE OF PUO
(PYREXIA OF UNKNOWN ORIGIN)

She was given Puls then Ign with temporary relief.

Case was called for ‘Retake’.

Q: tumchya trasabaddal savistar sanga.

A: tras tar barach ahe. Lagn houn kahi divasach zale & yanche bolane khave lagtat. Aly aly tanavat.

Q: kasala tanav?

A: mala maheri tan-tanavat rahnyachi savay navhati. Tithe sagle vyavstit (purepur) hote. Pun ithe alyavar kahi divsat bharpur tanav  aale. Ithe vatavaran ekdum strict ahe. Thodesehi ikde tikde chalet nahi. Thode kahi chukle tar samjun ghet nahi. Ekdum tomne martat, takun boltat. Jase kahi aapan yanche kuni nahich nahi. Ekte asalyasarkhe vatate. Asach chalet rahile tar pudhe hi lok apali kay kalaji ghetil? Tasi kahi shakyata vatat nahi. Aplyala asach sodun detil. Mala samjun ghet nahi yacha raag yeto. Tyanna khup bolavese vatate pun tase kahi bolat nahi. Mothyancha man thevala pahije, ase aplayala shikvalele ahe. Mi ajari padale tar mala sadhe vicharat suddha nahi ki kay hote ahe? Kay pahije? Durlaksh kartat. Ithe aaple ase kunich nahi ase vatate. Navara pun tyanchech aikto. Mi tyana sangte pun te suddha durlaksh kartat. Mazya kamat thodya jari chuka kadhalya tari utsah kami hoto. Maza swabhav asa ahe  ki thodya thodya goshtivarun chid-chid hote & mug utsahpun nughun jato. Kase aste aapan jar kahi kele tar tyache kautukpun zale pahije na. Nahitar  tyacha kay upyog. Mi saglyansathi karte mazyasathi kunich nahi. Ase ahe maze tensions. 

Rubrics considered:

MIND - REVERENCE for those around him

MIND - LAMENTING - appreciated, because he is not

MIND - DESPAIR - criticism; from the smallest

MIND - IRRITABILITY - trifles, from

MIND - MOCKING - others are mocking at him; thinks

MIND - SENSITIVE - reprimands, to

MIND - SENSITIVE - reproaches

MIND - SENSITIVE - rudeness, to

MIND - AILMENTS FROM - scorned; being

MIND - DELUSIONS - neglected - he or she is neglected

MIND - DELUSIONS - appreciated, she is not

MIND - DELUSIONS - alone, being - belong to anyone; she did not

MIND - DELUSIONS - forsaken; is - care for her; no one would

MIND - ANGER - misunderstood, when

REMEDY:
Hamamelis: 30

Response:

Considerable relief in Fever and related weakness for 3 weeks

Thereafter, high grade fever for almost 3 days (of course 2^nd day with intense fever). During this she complained, “kuni vicharle pun nahi, kay zale mhanun”

Placebo was given hrly.

Thereafter no episode of fever till today

Hamamelis Virginiana

MIND - VIVACIOUS

MIND – CHEERFUL

He is very cheerful and vivacious natured personality. He is very industrious also. He works hard and tries to achieve (nothing but respect from others) what he wants and to prove herself.

MIND – INDUSTRIOUS

By doing hard work and achieving what he wants, he claims himself that he does everything right. Everything he does is refined that no one could find fault in his work done.

MIND - TIDY

MIND - DISORDER, sensitive to

MIND – HAUGHTY

Haughty- Having or showing arrogant superiority to and disdain of those one views as unworthy

(Combination of Egotism + Contemptuous)

With this success one gets sense of ego and he feels he should be respected by others. Ego rises directly proportional to the success. As rich person in locality, thinks that he should be called for when other people are in need or as judge when there is dispute between them. So sense is he should give respect n his opinion should be weighed.

MIND - RESPECT, thinks he earns (Complete Rep.)

MIND - RESPECTED - desire to be

MIND - OPINIONS - respected; expects her opinions to be

MIND - DESIRES - full of desires - grandeur; desire for

Grandeur -  n. splendor and impressiveness.

High rank or social importance.

The quality of being magnificent or splendid or grand

The quality of elevation of mind and exaltation of character or ideals or conduct

Topmost Rubric carrying FEEL of Hamamelis:

MIND - DELUSIONS - great person, is a - reverenced by all around her; she ought to be

It means all near and dear ones should consider him to be a great person and give proper respect.

He wants to have conversation with people. So, he makes lot of public contact. But object behind it is to hear words of recognition, respect.

MIND - CONVERSATION - desire for - sublime, to hear

Sublime – feeling of profound respect and admiration

If his opinions do not followed then he gets angry. He feels despised. He feels he is not appreciated. His opinion is neglected. Feels People are mocking and laughing at me. He feels his terror cum respect is lost and everybody looks down upon him. No one would respect in future.

MIND - ANGER - contradiction; from

MIND - DELUSIONS - despised; is

MIND - DELUSIONS - appreciated, she is not

MIND - DELUSIONS - neglected - he or she is neglected

MIND - DELUSIONS - laughed at and mocked at; being

He feels very bad. He becomes sensitive to smallest of reprimand, reproach. It hurt him a lot. Rudeness of others affects him. Smallest of criticism lands him in despair.

MIND - SENSITIVE - reprimands, to

MIND - SENSITIVE - reproaches

MIND - SENSITIVE - rudeness, to

MIND - DESPAIR - criticism; from the smallest

Here he goes into depression due to disrespect shown by others which he feels he does not deserve.

MIND - SADNESS - slight, from an undeserved

Slight-

n. an insult caused by a failure to show someone proper respect or attention.

Undeserved - adj. Not deserved or earned

He laments that people do not value his opinion, work etc.

MIND - LAMENTING - appreciated, because he is not

“Bhalaika to jamana hi nahi raha. Logo ko acche admi ki kimat hi nahi.”

Survival of Hamamelis is RESPECT. So he wants to regain his lost respect. For this again he goes into Industrious mode to regain what he lost. But now he is not as powerful as earlier. So, he has to wait for long time. It irritates him. He becomes impatient due to slowness of execution of his ideas and gain out of it.

MIND - IMPATIENCE - slowly; everything goes too

When he is in this downfall, he is jealous of other people. What he deserves is not getting. Other people are getting success but he is not. So, thinks though others have achieved but in reality they do not deserve it. (As he is lamenting that he is not appreciated).

MIND - DELUSIONS - falling - he is

MIND - JEALOUSY - appreciate anything; desires that others shall not

Contemporary Homoeopath Dr MM had given lecture where he mentioned about Hamamelis. Verbatim from his lecture is given below to invigorate our study of Hamamelis:

Hamamelis is a main remedy for piles…a disease where there is pain and bleeding…

The pain is such that…”keh bhi nahi sakta aur sah bhi nahi sakta”. This is the condition of Hamamelis. This loss of respect he can not directly convey to anybody but he will always creep in an indirect way (MIND - LAMENTING - sickness, about his)

The main symptom of Hamamelis is that there is bleeding from rectum. The quality of blood is dark and mostly clotted… Let us understand what is blood?

Blood is a vital fluid…every organ of the body is connected by the blood. Once circulation of blood is stopped at that particular organ then the respected organ becomes dead. So, blood is that vital fluid which connects every organ of the body…metaphorically one of the meanings of blood is relationship… (Khun ka rishta)

Hamamelis expects that he should get that due respect from his near and dear one’s or whom he is related with and when he doesn’t get that he feels that this relationship or these near and dear ones (blood) are of no use (dark and clotted). Without any injury blood comes out from anus…anus is an outlet of the body through which all waste material comes out…and in case of Hamamelis the blood (which is so vital and pure & who nourishes every organ) becomes dark and clotted and oozes out from anus in the form of stool…thus thing which is so vital (Respected) so valuable now becomes waste product (stool like). This is the correlation of the bleeding piles of Hamamelis with the mental state of the remedy…

MIND - AVERSION - family; to members of

MIND - DELUSIONS - alone, being - belong to anyone; she did not

MIND - DELUSIONS - forsaken; is - care for her; no one would

MIND - DELUSIONS - friendless, he is

MIND - INDIFFERENCE - family, to his

MIND - INDIFFERENCE - household affairs

MIND - INDIFFERENCE - loved ones, to

MIND - INDIFFERENCE - relations, to

Case rubrics:

MIND - REVERENCE for those around him

MIND - LAMENTING - appreciated, because he is not

MIND - DESPAIR - criticism; from the smallest

MIND - IRRITABILITY - trifles, from

MIND - MOCKING - others are mocking at him; thinks

MIND - SENSITIVE - reprimands, to

MIND - SENSITIVE - reproaches

MIND - SENSITIVE - rudeness, to

MIND - AILMENTS FROM - scorned; being

MIND - DELUSIONS - neglected - he or she is neglected

MIND - DELUSIONS - appreciated, she is not

MIND - DELUSIONS - alone, being - belong to anyone; she did not

MIND - DELUSIONS - forsaken; is - care for her; no one would

MIND - ANGER - misunderstood, when

Usual (esp. in an acute phase) presentation of Hamamelis:

MIND - LAMENTING - sickness, about his

MIND - IRRITABILITY - exertion; from

MIND - SPOKEN TO; being - aversion

MIND - LAMENTING - appreciated, because he is not

MIND - REST - desire for

THANK YOU!

Dr. Sanjay  S. Jadhav

                             MD (Rep.)

Dr. Jadhav Homoeopathic Clinic,

13, 2^nd floor, B. A. Marathe Complex,

Station Road, Pachora-424201

Dist- Jalgaon

Cell: 9970831063