A young girl aged 18 years presented the following
B.P : 120/80 mm of Hg
Wt: 57 kg
P/A : NAD
Past History - No history of any illness
F/H MO: Cerebral hemorrhage. (died)
Patient as a person:
Appearance : stocky
Perspiration : moderately increased
on back, legs
Craving : Ice cream
Aversion : spicy food
Bowel & bladder habits : Normal
Thermally chilly pt
Attained puberty at the age of 15years.. Pain abdomen
for the first 2 days,28 days cycles,
Duration: 6 days.
General Physical Examination
LIFE – SPACE INVESTIGATION
Patient hails from middle class family. She
has one brother and a sister. She did her schooling in her native
place. She lost her mother. When she was in X std. After a year her
father married again. Her relationship with her stepmother is good.
She has no problem in the college. She is very mild by nature. Likes
to be with friends always. Patient weeps very fast while speaking
about her mother. After her mother’s death, Pt is indecisive,
[which is been evident as she delayed in approaching the physician
by 1 month even after the confirmatory USG report
Please refer PlateI
General Physical Exam:
On exam no pallor, cyanosis, oedema, clubbing,
lymph nodes, thyroid abnormalities.
B.P - 120/80 Weight -57 kg
Per Abdomen No visible / palpable swelling
Other systemic examination
Within the normal limits. Since the patient
had already brought the USG report dated 15/3/2002, and also with
the clinical presentations it was diagnosed as PCOD.
The mentals considered were Mild, Weepy, Indecisive, Likes company
The physical generals for prescription were stocky appearance,
increased perspiration, increased thirst, craving for ice-cream, prefers
spicy food but disagrees her thermally chilly.
Irregular and delayed menses.
Fullness of abdomen and mainly less by spicy food.
FM Sycotic (M)
Hypertensive —> DM Sycotic PCOD, Irregular menses.
First Prescription 18
– 4 – 2002Sl packet (15 p)
(IP) alternate days
Follow Up 2
– 5 – 2002
Menses expected on 19/5/2002
But she did not get her periods
1) R: Pulsatilla 200 (4) weekly HS start.
2) 5 grain tab. 1-0-1 x 1 month
Follow Up 1
– 4 – 2002
Puls 200 (IP) start
5-grain tab 1-0-1
Follow Up 3
13 – 6 – 2002
Flow: Moderate, no clots, bright red colour, duration 6 days. White
discharge after menses, no itching or acridity. Distention of abdomen
1Thuja 200/2p(IP) 2 dayvwwws
Follow Up 4
– 6 – 2002
Patient had to report today
Distension of abdomen: occasionally
Tongue: Central furrow, dry, Posterior: 2/3 rd coated white
Puls 200 IP Hs. Today (IP) HS daily
– 7 – 2002
LMP: 2 – 7 – 2002
Flow: Moderate dark red blood
No other complaints
SL-7P (IP) daily
Follow Up 6
– 7 – 2002
Throat irritation and itching of ear, sneezing
And coryza 1 day
Occ: Cough expectoration
O/e: Tonsils are congested
Sabadilla 30 TDS x 4 days
Follow Up 7
– 7 – 2002 No sneezing / cough
No complaints LMP: 2 – 7 – 2002
Thuja 200/IP start
Asked to review USG 31/8/2002
Please refer Plate II
Follow Up 8
1 – 8 – 2002
5 grain tab 1-0-1 x 2 weeks
Patient had reported to the OPD. She is getting
regular menses since many months.
1. In the study it is mostly the young girls in the reproductive age
group are affected.
2. Sensitive issue in a girl’s life PCOD affects the person as
a whole , as there is hormonal imbalance.
3. The importance of diet and general management like weight reduction
is well understood.
4. Though acute symptoms can be taken care with help of specific, for
permanent and lasting cure the constitutional and intercurrent remedies