Introduction:

   Dr. Sheetal Adayar is academician and clinician serving in the Department of Physiology and Bio chemistry, Fr.Mullers Homoeopathic Medical College, Mangalore since five years. Here she presents a clinical case on constitutional treatment.

   Constitutional treatment refers to the treatment of person as a whole, addresses the chronic condition consists of taking single remedy at a time has long term and profound benefits. It takes into consideration mind, body, complete health history, family history, inherited illness, tendencies and current state of health. Constitutional treatment aims at eventual cure of the patient, not just suppression or relief of immediate symptoms. With a right constitutional remedy the overall health is improved and it lessens the susceptibility to illness. In other words it improves the whole constitution. The clinical utility of the constitutional treatment is illustrated by a case

Preliminary Data
Ms VP aged 27yrs, computer engineer by occupation hails from Mangalore.

Presenting Complaints

Past History
Nothing significant

Family history
Nothing significant

Physical Generals
Appetite – good
Thirst – increased for cold water
Perspiration - cold sweat on soles and palms
Bladder – regular
Bowels – regular
Dreams – recent past events
Craving - spicy
Aversion – nil
Appearance – lean
Thermal state – chilly patient

Menstrual History
Menses – FMP at 13yrs of age, regular with moderate flow

Life Space Investigation
Patient hails from a middle class family. Her childhood was uneventful. She has 1 brother and 2 sisters. She was good in studies and secured good marks in exams. She is ambitious. She is mild by nature and reserved type of person. She has a lot of stress in work area. She has very limited friends. She will not express her feelings with others.

General Physical Examination
No signs of pallor, clubbing, cyanosis, icterus, oedema and lymphadenopathy

Local examination
Nose – no abnormality
Throat – no signs of inflammation

Systemic examination
R.S – Normal vesicular breath sounds
CVS – S1, S2 heard

Provisional Diagnosis
Vasomotor rhinitis

Constitutional Totality

Mental generals: Reserved, Intelligent, Timidity
Physical generals: Lean
Thirst increased for cold water
Craving – spicy
Perspiration cold on palms and soles
Chilly patient
Dreams of recent past

Characteristic particular
Dry cough, Coryza, A/F stress
Based on the constitutional totality after repertorisation, Silicea was given

First Prescription 18-3-08
Rx
Silicea 200 1 H.S
Placebo for 2 weeks

Follow up-I 29-3-08
Complaints were slightly better
Cough and coryza >
Rx
Silicea 200 1 dose H.S weekly
Followed by Placebo for 2 wks

Follow up-II 15-4-08
Complaints were better
No cough and coryza
Generals – good, Perspiration <
Rx
SL for 1 month

Follow up-III 13-5-08
Complaints were better
Generals good. Perspiration >
Rx
SL for 1 month

Follow up-IV 10-6-08
No cough and coryza
Perspiration present
Thirst increased
Other generals good
Rx
Silicea 200/2 dose once in 15 days HS
Followed by Placebo for 1 month

Follow up-V 23-7-08
No cough and coryza
Generals – good
Perspiration
Rx
SL for 1 month

Follow up-VI 25-8-08
Complaints were better
No cough and coryza
Generals good
Rx
Silicea 1 M 1 dose HS
Followed by placebo for 1 month

Follow up-VII 25-9-08
Complaints >
No cough and coryza
Generals good, perspiration >
Rx
SL for 1 month