Introduction:

   Dr. Shreepad Hegde is a leading, enthusiastic academician and clinician having good experience in the dynamic field. He is a Professor and renders his service at Government Homoeopathic Medical College, and Hospital Bangalore. He had presented scientific papers in CME, State and National seminars and also authored many articles.

A female patient aged 49 yrs came with the complaints of severe jaundice, yellowish discoloration of the skin, and eyes for 2 months. Severe itching all over the body for 2 months. High colored urine for 2 months. Patient was diagnosed to have viral hepatitis B, HbsAg +ve, admitted and treated for 2 weeks without much benefit.

On Examination:
Patient is lean, tall women, with severe scratching, and cutting marks on the arms, abdomen, thigh, back; due to severe itching and burning. Skin is dry deep yellow, shriveled, conjunctiva golden yellow, nails are deep yellow.
Patient as a person

Appetite : Reduced
Thirst : for cold water
Desires : for spicy and salty things
Aversion : Nil
Thermal : Hot patient, wants open air and fan
Stool : Constipation with bad odour, once in 2 days
Urine : High coloured, yellow, scanty, sometime burns
Skin : Deep Yellow, with rough, dry, over sensitive

Mental Generals :
Patient was restless, fear of disease, of death, easily exited, aversion to talk

Physical Generals:
Pulse : 78/min, regular
B.P : 110/72 mm of Hg
R.R : 18/min
Weight : 52 Kg
Temperature : Normal
Menstrual history : Regular cycles
OBG history : 2 Children F T N.D
Past history : NAD
Family history : NAD

Treatment history :
Took Ayurvedic and Allopathic medicines without much benefit
Systemic Examination
Abdomen : Distended, tender at left hypochondriac region, some mass palpable. No ascites.

Investigations :
Reports attached.
L.F.T done
Elisa for Hepatitis B Surface antigen positive
Scanning suggests Situs Inversus with dextrocardia.
Nosological Diagnosis:
Viral Hepatitis B
Miasmatic Diagnosis :
Psora sycotic
Remedial Diagnosis :
Acute : Chelidonium
Constitutional : Phosphorus

Repertorial Analysis :
Following symptoms are taken for evaluation and repertorization.
Jaundice
Yellowish, high coloured urine
Yellowish skin and eyes
Dry, itching, burning skin
Restless, oversensitive
Fear of disease and death
Thirst for cold water
Liver inflammation and enlargement
Distended abdomen
Constipation hard offensive stool
Lean tall women
Weakness exhaustive feeling
Hot patient ,wants open air and fan
Desire for spicy and salty things
Appetite reduced

First Prescription             28-10-2009
Phosphorus 200 T.D.S for 2 days followed by Chelidonium Q 10 drops b.d. in water for 5 days Advised Proper diet and other regimens accordingly.

 

Discontinued, His wife might have conceived

Discussion
The symptom similarity matched Nux vomica , but failed to improve the sperm count . Lycopodium which was prescribed on organ affinity wonderfully and dynamically improved the count, increased the libido which was prime aim of the treatment. Haemamelis Q which was prescribed to accelerate and complement the action and didn’t affect the dynamic action of Lycopodium