A lady aged 40 years had pain abdomen since
2 months. The pain was constant and felt over right hypochondrium.
Pain < spicy food . She received injections to palliate
Sinusitis for many years
She is one of the twins.
One of the twins died in childhood, consanguineous marriage
Her periods were regular
usually lasts for 2 days with scanty flow. She doesn’t remember
her menarche age.
4 children, one died after
one month survival
• Appetite: Now reduced; usually can’t tolerate hunger,
feels giddiness, fainting
• Thirst : 200ml/time, 2 liters /day
• Sleep : Sleeplessness since 4 months. Wakes at 4am.
• Stool : Regular
• Urine : Normal
• Sweat : Profuse all over when in tension. Stains white.
• Desires : Warm foods, spices, sour, fish++, mutton++
• Aversion : Strong odours-
• Intolerance: Potatoes and plantain <es eructation
• Thermal: desires fanning in low speed, Cannot tolerate
Headache < sun exposure,Aversion
crowded area,She has disgust to sweat smell of others.She has
aversion to petrol, diesel smell+++, leaves that place. She has
aversion also to scent smell++.Palpitation++ < sudden noise,
sudden death news and seeing accidents in televisions Loud noise
of televisions makes her irritable+++
She is the youngest of family.
She has one elder brother. She is illiterate. She is good in giving
suggestion. She used to guide her husband in all matters. She
was once admitted in ICU for one day as she suddenly fainted at
home- 2 times 1 yr back when her husband was alive. Her husband
died of interstitial lung disease 6 months back. It was a great
shock to her. Now often tells that better to commit suicide than
living like this. All relatives of her are avoiding her. One year
back itself she had mental worry coz 1st daughter’s mother-in-law
tortured her daughter, so she was sick since then. Only for the
sake of husband and to live with her husband, she left all her
relatives including her siblings. She is very courageous. Once
decided then she will do it. Now she has loathing of life and
vexed after the death of her husband. She does not want to worship
God. When she consulted a gastroenterologist, she was advised
to undergo cholecystectomy as early as possible, as she has multiple
calculi, in distal end and also in cystic duct. Now she worries
whether her complaints will get cure or not.
She is sympathetic ++. Don’t
calculate in anything, help much for others. She gets anger rarely.
She gets anger when children not obeying her, she shouts at them.
She gets palpitation during anger. In spite of sickness, she works
actively, diligent. When seeing any fight scenes or sad scenes,
she can’t tolerate. So, she avoids it. She feels disgust
on seeing any injured person. She wants basic neatness. Introvert.
She never went anywhere alone, Wants Company. Never shares her
worry with others. Don’t mingle with others easily. She
thinks and decides. She is adjustable.
Scan report dated 05.10.09:
Gall bladder is moderately distended and shows multiple calculi
of size ranging from 5 to 8 mm. Wall thickness is minimally increased.
Common bile duct is dilated, measures 7mm and shows calculus measuring
5mm at the distal end. Cystic duct shows calculi.
Analysis and Evaluation
1 MIND - LOATHING - life, of
2 MIND - HORRIBLE things, sad stories affect her profoundly
3 MIND - INTROVERTED
4 MIND - SUICIDAL disposition - courage, but lacks
6. 10. 2009
CHINA 200 1D