A case of PIVD failed Back Syndrome: Age: 50,M, years, Marital status: Married, Occupation: supervisor, P/H: 1996-foot drop left was operated, Underwent laminectomy, L4/L5 Discectomy, F/H: One Brother is suffering from cervical spondylosis, Other is suffering from CAD. RBS --112mg /dl, CBP, ESR, - Normal, and MRI (110604): Post operative L4/L5 Laminectomy, diffuse disc bulge at L4/L5 region causing complete obliteration of bilateral neural foramina. Minimal bulge at L3-L4 causing thecal sac indentation minimal narrowing of bilateral exiting nerve root. Clinical diagnosis: PIVD failed Back Syndrome. Clinical classification: dynamic chronic fully developed miasmatic disease, Miasmatic diagnosis: psoro syphilitic. Reportorial totality 29/09/04: Mind - Brooding, Mind – weeping tendency, Generals – cold air – desire, Generals – warmth aggravation, Stomach - thirst small quantities. Sleep - sleeplessness - thoughts - activity of thoughts; from, Back - pain - drawing - sitting, while Back - pain - drawing –moving –aggravation, Back-lying back--aml , Extremities: tingling prickling buttocks.nates Repertorial result: Calcaria Carb 14/8, Lycopodium.17/8, RhuTox 16/8, Sulphur 17/8 . Lycopodium covered all the mental, generals and particulars symptoms, also and suits the patient’s constitution. On 30/9/04 Lycopodium, 200, 3 doses,29/10/04 Able to walk, difficult to pass stool, tingling in both feet, pain in calf muscle still persisting, < sitting for long time, Rubrum for 30 days ,15/11/04, In general patient was feeling better. Tingling in both feet, pain in calf muscle still persisting, < sitting for long time, Lycopodium 2003dose, 14/12/04 Pains are better, sleep is better. Rubrum for 15 days 10/01/05, Able to walk 100meters without pain, tingling is less, sleep better. Lycopodium,1M 1dose, 14/02/05, Able to walk ½ KM without pain, tingling is less, sleep better. Joined duty, Sulphur 200 3 doses, Patient stopped treatment. (1,2,3)