1. CASE OF Dyspepsia & Amoebiasis
By Dr. Jawahar Shah
M.D.(Hom)

2. NOTE: To protect the patient’s identity, we have used a
model’s picture or photographs for the purpose of presentation.

3. A 43 year
General manager of a big company with severe pain in the abdomen

4. The complaint started
after taking Erythromycin tablets for
a throat infection about 10 months ago

5. Severe & constant
pain in the abdomen
& epigastric region
Mucous in the stool. ++
Had taken treatment
for amoebiasis without relief

6. Constantly feeling hot in the abdomen
Gets up in the middle of night
Keeps tossing in bed due to the sensation
Has to rush to toilet immediately on eating

7. Anxiety about illness ++
The anxiety about the pain
was so well marked that even the thought of pain would produce jitters
Due to this tremendous anxiety, he would develop anorexia & lose weight

8. Pain had no specificity
No diagnostic relevance
All investigations were negative
Fears that
he would die because of sickness

9. Other Complaints
Backache worse by
Sleep during
First motion
Better by
Daytime
Past History
Typhoid
Rheumatic fever

10. Family History:
Father: IHD; Acidity
Mother: Facial paralysis
Sister: Valve replacement. Expired.

11. Personal history
Appetite: Anorexia since five days
Does not feel like eating due to pain
Thirst : +++. Frequent. Glassful at a time

12. Perspiration:
Scanty. He hardly perspires
Thermal:
Prefers cold weather, but cannot tolerate cold. Must cover himself, even in summer

13. Dreams
Of office matters
Business about
Buying a Flat
Sleep: Disturbed only because of pain

14. Born in a village,
in a middle class family.
As the youngest in the family
he was pampered by his parents
Came to Bombay
after his B.E. started working
as a manager in a reputed company

15. Anxious about his work.
He is anxious about his health + +
Very anxious about illness.
Restless during pain
Cannot feel comfortable
in any position when in pain

16. Basically irritable by nature
Gets disturbed very easily,
even if the telephone rings often
He prefers to be in company
and always likes to meet people

17. On Examination:
Wt. : 60 Kg
Black circle around eyes
Tongue Coated
Teeth Caries.
Hair loss ++
Graying of Hair ++
Hyperextensible Fingers
BP - 148/100
Upper part of body emaciated

18. 10th February
SILECEA PN
SL x 7 days
SL pills every 4 hrs

19. 17th February Sleep better + Burning decreases +
Constant pain in abdomen
Change in colour of stool from black
to yellow
Continue all x 15 days

20. 25th February
After 15 days
Pain SQ
Continue all x 14 days

21. 14th March Pain SQ No major improvement Burning in Abdomen
Worse by night & lying down
Gets up in the middle of sleep with pain Restlessness with pain
Not comfortable in any position
Weight loss
Ars. Alb.200 1P now.
SL 2 pills every 4 hrs.
SL x 14 days

22. 26th May
Much better
Mild pain sometimes
Continue all x 1 month

23. After 3 Months
Changed his eating habits
Started taking spicy food,
but since 2-3 days very mild burning pain
Ars alb 200 1P stat
SL x 2 months
SL 2 Pills every 4 hrs

24. 20th August
Nearly after 1 1/2 year interval,
patient developed the symptoms again,
but not with the same intensity or anxiety

25. Learning
Physician must be open to the symptomatic evidence expressed by the patient.
If your remedy is right it has to produce relief, you should not have any hesitation in changing it.

26. If sensitivity of patient is right he will give response immediately at least one of the levels gets relieved
Physically
Emotionally
Intellectually
Sub consciously

27. If patient is suspicious or anxious he may not take your prescribed medicine as advised. In these circumstances give 1 dose of indicated medicine right in front of you on the patient’s tongue.

28. This will allow you to be sure that the patient has at least received the right constitutional medicine to start with.

29. E: info@specialtyclinic.com
Clinic No. 2, Cupid Apt., 66-E, Linking Road, Khar(West), Mumbai – , Maharashtra, India.
T: / 5713 (5:00 PM – 8:30 PM)
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