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     A tall, moderately obese doctor, aged 58 is suffering from left sided Hemiplegia since three years. When he was engaged in practice suddenly fainted and hospitalized, neither an alcoholic nor a smoker. He adds to his past history that has had exposure. His Blood studies and Blood pressure are normal. MRI gave the impression of transient ischaemic attack and a dose of Barayta Carb 200 was prescribed without relief.

     Then Lachesis 1M also tried on the basis of side affections. Now he has Giddiness, numbness in upper and lower limbs on left side. He likes coition with others and dislikes wife. He argues that he is correct always. Avoids critical situations in the family and not bothered about his sons and daughters. Likes cold water intake and frequently constipated.

   
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Dr.P. Mukudan M.D.(hom)
Harish Homoeopathic Clinical Research Centre
#15, Perambanur Main Road,
Salem - 636 007.
Ph : 0427 - 2314446

     Dr.P.Mukundan a leading Homoeopath practicing more than 22 years at Salem finds remedy to this case with available data.

     I hope Causticum will be better choice since it covers the trio miasmatic background. The side affection and general modality also favours the remedy with an additional call with constitutional make up of the patient.

     Now the patient is in psora syphitic state let me advice with this powerful antipsoric and watch the symptoms for further following accessory symptoms to prescribe on the peculiar keynote symptoms.

If satyriasis persists
· Picric acid,
· Barayta Mur
· Salix nigra
may fit him well.

More over the symptomatology may fit the remedies like
· Plumbum Met
· Gelsemium
· Curae
· Opium and even Hellebore and Stramonium
based on totality and repertorisation. The importance may be given more to the surface miasm