12/04/2025
A CASE OF COLITIS
39years Male patient
Chief Complaints:
- Pain in abdomen
- Frothy and mucoid stool
- Weakness
- Laziness
- Acidity
Associated Complaints:
- Ringworm on gluteal region
Investigation:
- USG Abdomen: Mild non-specific inflammatory pathology involving long segment of distal/terminal ileum and caecum
Repertorization:
- Rubrics:
- Stool - Frothy
- Extremities - Eruptions - Nates
- Abdomen - Inflammation - Colon
- Skin - Eruptions - Ringworm
Treatment:
- Natrum Mur 0/1 TID for 2 weeks.
Follow-up:
- Significant relief in abdominal pain
- Significant improvement in ringworm symptoms.
[FROM CLINICAL DESK OF DR. SAMADHAN GHULE]
11/04/2025
A CASE OF DELIRIUM TREMENS
( DTS , Alcohol withdrawal delirium )
At one fine evening one of my colleague
friend called me to attend a patient admitted in multispeciality hospital.
In fact patient had got road accident while driving bike . Patient is alcoholic. During accident he got head injury so he undergone through craniotomy to remove hematoma.
Patient was in delirium , he becomes violent , hitting , shouting , abusive and biting. He tried to escape from hospital so has to restraint him. Threatening to his son and wife as he would jump down from window.
Two causative factors are important in this case , one is head injury and other is alcohol withdrawal.
Rubrics :
1. Mind - Delirium tremens - escape, attempts to
2. Mind - Threatening
3. Head - Injuries of the head, after
Remedy :
Stramonium 200 stat.
Follow up - Patient slept sound within 15minutes after a dose of Stram. At second day patient discharged from hospital , once more they felt need to repeat same dose then there is no more attack of violence.
[ From clinical desk of Dr.Samadhan Ghule ]
27/11/2024
A CASE OF CORN
A 11 Years girl came with following complaints:
Pain & Redness about Rt. Foot when sitting down
Exostosis (Bony growth) on outer side of right foot.
Painful Corn on Rt. Sole of foot
PHYSICAL GENERALS :
Menarche: 5 months ago
Dysmenorrhea
Me**es delayed by 2 months.
Chilly+
Thirst++
Want of appetite
Sleep: position on Right Side.
MIND: She can't remember what she read.
RUBRICS:
EXTREMITIES- DISCOLORATION-
foot-redness
EXTREMITIES - Exostosis
EXTREMITIES -Corn
SLEEP- POSITION-Side on -Right
MIND- MEMORY - Weakness of Memory read- for what he has
RX: Phosphorus 0/1 TDS × 2 weeks
SL × BD × 2 weeks.
FOLLOW UP:
Appetite improved.
Me**es appeared within 2 days after taking medicine.
Corn disappeared in 2 weeks.
No pain
No redness of foot.
21/11/2024
■A CASE OF FISSURE■
A 35 year old lady Consulted with complaints of fissure. Medicines like Nitric Acid, phosphorus, sulphur failed to relieve pain of fissure, so reconsidered the totality.
C/O :
Tremendous pain after stool.
Type of pain: Stitching
Constipation : Hard stool followed by soft stool.
Per re**um bleeding during stool
GENERALS:
Chilly
Thirstless
MIND: Weeping with the pain.
RUBRICS:
RE**UM- FISSURE
MIND- Weeping- Pains with the
RE**UM- Pain- stool - after agg.-Stitching
RE**UM- Hemorrhage from a**s - accompanied by - Constipation
STOOL-HARD- followed by-soft stool
RX : Sepia 30 3 doses one at every 10 minutes.
FOLLOW UP after one week :
No Constipation
No Per Re**um Bleeding
Pain Relieved Significantly.
[ From clinical desk of Dr.Samadhan Ghule]
16/11/2024
A CASE OF ASTHMA
A 37 years old lady consulted with complaints of Asthma.
CHEIF COMPLAINTS:
Cough with Breathelessness.
06/11/2024
A CASE OF FROZEN SHOULDER WITH SCIATICA
A male patient of 42years consulted with severe acute pain of right sciatica and left frozen shoulder.
Complaints :
Radiating pain in right lower limb from gluteal region to heel.
Pain and restricted movement in left shoulder , he could not raise shoulder.
Hyperacidity , profuse bilious vomiting.
Curiously I saw clinical rubric from complete dynamic repertory :
Extremities - Frozen , general, shoulders : Iod, Iris.
Through eliminating method this rubric is compared with next rubric :
Extremities - Pain - lower limbs - sciatica nerve
( Synthesis Repertory )
Only common Remedy in between these two rubric is Iris which is also well known for its bilious action on gastric mucosa (Boericke)
Rx
Iris 30 stat.
Follow up - Just within some minutes before leaving the clinic patient reported significant relief in both shoulder and sciatic pain.
[ From clinical desk of Dr.Samadhan Ghule ]
01/11/2024
A CASE OF HEMORRHOIDS WITH UTI
A middle age women consulted for her complaints of Hemorrhoids and UTI. She was severely suffering from burning pain in re**um and urethra.
Previous prescription Berb.v failed to relive complaints.
This time she entered in clinic and abruptly said , " Now dont ask me any more question , first relieve my burning pain ! "
Literally I shut up and calmly gave her a dose of medicine and asked her to wait for 15-20 minutes.
Follow up : I anxiously asked , "How are you now ?" She silently answered , "I am quite better ! ".
Rubrics :
Mind - Carried - desire to be carried - fast
Mind - Abrupt - harsh
Rx
Ars.alb 30 stat.
[ From clinical desk of Dr.Samadhan Ghule ]
29/10/2024
A CASE OF TENSION HEADACHE
A 40 years female had complaints of headache since 10months.
Left sided headache with pain in left sided eye, ear, throat and occoput .
She also feels fits of palpitation, nausea, vertigo,chilliness and weakness. Loss of taste.
Associated complaints :
Pain along right lower limb ( Sciatica)
Pain in joints since one month.
Desire sweet and pungent.
Hot but feel chilly when tensed.
Onset - 10 months ago she had frequent quarrels with her mother in law on the matter of property disputes.
Now she was on allopathic psychiatric medicines ( anxiolytic) and some analgesic medicines.
Rubrics :
Mind - Ailments from - quarreling
Stomach - Nausea - pain , during
Mouth - Taste - wanting , loss of taste
Generals - Food and drinks - sweet - desire
Generals - Food and drinks -pungent things - desire
Head - Pain - sides - left
Rx
Nat.m 1M Stat.
Psychiatric allopathic medicines stopped.
Follow up after 10 days :
No headache , all other complaints relieved significantly.
[ From clinical desk of Dr.Samadhan Ghule]
18/10/2024
A CASE OF VIRAL FEVER
C/o:-
Onset - vomiting followed by fever
fever < after bathing
headache with fever
Investigation report:
CBC :
Platelets -139000/cu.mm
( thrombocytopenia)
Neutrophil-85℅
Lymphocyte -11℅
Personal history :
Hot
Thirtless
RUBRICS:
•Head- pain- accompanied by -fever
• Stomach- vomiting- heat -before
• General- bathing-agg
Rx.
Natram.mur 0/1
6 doses,
1dose at every 10 minutes.
Follow up at 3rd day :-
No fever
No headache
No vomiting
Platelets count -152000 /cu.mm
Neutrophils -66℅
Lymphocyte -28℅
Wbc -8100/cu.mm
[ From clinical desk of Dr. Samadhan Ghule]
16/10/2024
◇A CASE OF HEMORROIDS AND CERVICAL SPONDYLITIS◇
A 38 years old, mild, timid lady talking In low soft voice presented with
C/O
Hemorroids since 3 years.
Burning in re**um
15/10/2024
A CASE OF PROTRACTED ME**ES.
A 17 years old female patient came with complaints of protraced menstrual flow since 15 days.
¤ CHIEF COMPLAINTS:
Mestrual Flow since 15 days.
Sleepiness due to flow.
Headache before during and after me**es.
Feels dizzy during headache.
Weakness when exposed to heat of sun.
Vertigo during me**es.
Feels weakness.
loss of apetite.
Burning at urethra.
She lives in hostel for studies & came to opd with her friend.
She told she had late Menarche at 15 years of age. Had depression 1 year ago after scoring less marks in exam. She has stress of exams and worried about study due to strict parents. She gets angry easily. She made many mistakes while speaking.
She narrated her complaints without making eye contact, all the time She was looking sideways evading the look to another person.
¤ PHYSICAL GENENRALS :
Hot
Thirstless
Perspiration: Feels exhausted and suffocted when perspiring.
Apetite: Ravenous : Irritable when hungry
11/10/2024
A PEDIATRIC CASE OF ASTHMA
A 9 years old boy came with his father with complaints of
● cough, headache, breathelessness , coryza & Fever since 3-4 days.
●Crackling cough with abdominal respiration & breathing through mouth.
● Asthmatic respiration
● Recurrent attacks of asthma since 3 years.
●Yawning with cough
Patient was very quick in answering questions, he answered his phone number,age and his complaints within seconds when asked; actually he answered even those questions which was expected to be answered by his parents.
He was constantly yawning with coughing.
Family History:
Paternal grandfather: Asthma
On Examination:
Respiratory system: Wheezing
SPO2 : 94%
Pulse rate: 116 bpm
RUBRICS:
MIND: Quick to act
RESPIRATION- Abdominal
RESPIRATION: Asthmatic
RX:
Spongia 0/1 : 6 doses at interval of 10 minutes. Followed by SOS doses.
Follow up : At same day complaints relieved.
After 3 days
No Cough
No Fever
No Coryza
No Headache
Pt. Feeling Absolutely fine.
[ From clinical desk of Dr.Samadhan Ghule ]