A case of Geriatric problems, Homoeopathy, Dr G R Mohan

Smt P 70F
PRESENTING COMPLAINTS:
Whitish discoloration over face,
Weeping tendency,
Falling tendency
• HISTORY OF PRESENTING COMPLAINTS:
• Patient belongs to lower middle class, widow, dependent, discoloration over face since 2 decades, worried about her complaints, thinks that because of her discoloration over face granddaughters may not get matches for their marriage , weeping tendency, falling tendency to sides, wants company, Inferiority complex due her discoloration over face, memory bad, indifference, fear of croud, fear of dark, suspicious.
• PAST HISTORY : nothing particular
• TREATMENT HISTORY : multiple treatment like Ayurvedic,Unani, Allopathy
• Fmily History : nothing particular
• PERSONAL HISTORY: aversion to milk, cold in general aggravation thirst less, appetite poor and bowel movement: constipation m sleep struggling to get sleep.
• LIFE SPACE INVESTIGATION: patient was not in a position to give information
• PHYSICAL EXAMINATION & SYSTEMIC EXAMINATION: BP 130 / 86 mm HG, Weight 54Kgs. CVS, RS, GI system no abnormality, HYPOPIGMENTED PATCHES over face, lower limbs, non anesthetic hypo pigmentation patches.
• INVESTIGATIONS: Complete blood picture : it revealed she is Anemic
• CLINICAL DIAGNOSIS: Leucoderma, Depressive disorder,
• RESULT OF REPERTORISATION:
Pulsatilla 21/9, Causticum 20/9, Lycopodium 20/8, Phospurus 19/8

REMEDY SELECTED : 02092005 Pulsatilla 1M one dose and placebo for 15days, no improvement , placebo for 15days, 16092005 no improvement , Pulsatilla 1M one dose and placebo for 15days was repeated, 18102005she came after a month with following improvement, constipation relived, appetite slightly improved and able to get sleep. placebo for 15days was repeated. 21122005 two months after she came and said fear and dullness was better, placebo for 15days was repeated. Patient did not turn up after.
FOLLOW UP
CASE SUMMARY: case belongs to lower middle class, widow, dependent, with multiple social and psychiatric problems, as she is a burden to her son; leucoderma has become a social problem for her and for her grand daughters who are to be married. In this case I could not cure her health problems; she was slightly recovered from depression with homoeopathic treatment. Geriatric problems are very difficult as it is inter linked with multiple social and psychological problems, as case is with multidimensional problems it takes long time to recover.

**** case was published in Asian Journal Homoeopathy ,VOL 5 NO 2 (15) May 2011 -july 2011