INTRODUCTION
Homoeopathy,
a holistic system of drugs offers rationally with many multisystem
endocrinopathies and their psychosomatic bases. Amongst them polycystic ovarian
syndrome will be effectively managed with out artificial hormonal remedy and even sequel
of PCOS like anaemia, weight problems, infertility and so on, and even useful in regaining
hereditary traits of the illness with effectively chosen homoeopathic similimum on
the bases of ideas of homoeopathy.
PCOS is a heterogenous, multisystem
endocrinopathy with options of oligomenorrhoea, non-ovulation, weight problems,
hirsutism and infertility. Itoriginates from insulin resistance; hyperinsulinemia and weight problems are linked.1
PCOS
is a multifactorial. Causes embrace 1. Genetic, 2. Way of life, food plan, stress. 3. Hypothalamo
pituitary axis dysfunction, 4. Idiopathic i.e. drug induced.2
The case chosen for this
research is having multisystem endocrinopathies, overactive ovaries leading to
delayed menstrual cycle and sequel of illness in type of anaemia, infertility
and so on. and a few psychological corelation with the illness. Chosen case is exhibiting
effectivity of homoeopathic treatment chosen on the bases of holistic strategy.4
Case
is having constitutional signs and Homoeopathic constitutional remedy
helps to stability hyperactivity of glands, regulate hormonal stability, dissolve
the cysts and improve regular functioning of ovaries thereby eliminating the
want for hormone therapies and surgical procedure.5
CASE HISTORY:
A married
feminine of age 25years previous got here on twenty fourth sept 2023 with the complain
of irregular menses since menarche.
Age
of menarche – fifteenth 12 months of age.
Cycle
– irregular, Menses delayed because the age of puberty, delayed for 1 to 2
months.
Length
– 6 to 7 days, each time circulate is variable in character.
Move
– for first 2 days it’s extra in quantity, then scanty and variable in character.
Investigations
– 2014- USG reveals left ovarian cyst.
P/H/O
Stomatitis continuously.
Gastric
headache – off an on because of outdoors meals or heavy meals, and indigestion.
27/01/2022
– USG reveals – Early modifications of PCOD, Hb – 9 mg/dl.
LMP:
Eleventh sept 2022.
Menses
– Delayed each time, delayed for 10-15 days to 1-2 months. No a lot signs
earlier than menses she feels, boring and paleness of face. Solely on first day – extreme
decrease stomach ache, thighs sprain, irritability elevated. Pt has to take
painkillers. Feels slight reduction in ache with heat compression. Leucorrhoea yellowish
greenish – current generally after menses.
Affected person
has taken few homoeopathic treatments too, like Silicea, Natrium muriaticum,
Lachesis, Folliculinum and so on. however no enchancment.
Location
Sensation
Modalities
Concomitants
Feminine genitalia
Menstrual
cycle – Irregular, principally delayed as much as 1 to 2 months
Elevated
irritability
LMP:
Eleventh Sept 23. Move is variable in character, first 2 days extra
circulate. With extreme decrease stomach ache, thighs sprain
Ache
> by painkillers, heat compression.
Leucorrhoea
– gentle, yellowish greenishafter menses.
Head
Ache,
after outsidefood or heavy meals which causes indigestion.
Left
sided ache, A/F – Starvation
>by
consuming
GIT
Unfastened
motions, watery, semisolid stool.
A/F
– outdoors meals, heavy meals.
Headache
PAST HISTORY:
In
childhood – measles 3-4 instances.
H/o
As soon as 3 years again – greenish diarrhoea.
Movement
illness, feels giddiness and nausea whereas travelling via automotive or bus.
Aphthae
– many instances
FAMILY
HISTORY:
Father:
Alive and wholesome.
Mom:
Alive and wholesome.
Paternal
Grandfather: Pure demise, had no main Sickness.
Paternal
Grandmother: Alive and having Osteoarthritis.
Maternal
Grandfather: Alive and having Hypertension.
Maternal
Grandmother: Alive and Wholesome.
PHYSICAL GENERALS:
Urge for food: In morning
starvation results in headache (left) > consuming.Thirst: thirst much less,
with moist tongueDesire: Bitter, Sweets,
Chilly water, Chilly drinks.Aversion: Heat water.Thermal: Scorching.Stool: Diarrhoea (stool
– free in consistency). Heavy or outdoors meals causes as soon as semisolid
stool, cake causes
blackish stool.
Urine: No any
complaints.Sleep: Sound.Perspiration: much less.
MENTALS:
Delicate
and fairly by nature on the whole. Delicate, slightest issues impacts her temper
profoundly, Irritability is marked. Worry of darkness, (delicate to stated of
individuals to her, destructive feedback), Dancing is her interest, she weeps simply,
Weeping ameliorates, Temper will get modified.
DIAGNOSIS:
PCOS
On
the bases of: Medical findings – irregular, delayed durations.
Ultrasound
exhibiting – a number of follicles, enlarged ovaries.
Differential
analysis – Thyroid illness, Hyperprolactinemia, Congenital adrenal
hyperplasia, Cushing’s syndrome.
INVESTIGATION REPORTS:
ANALYSIS AND EVALUATION OF SYMPTOMS:
Changeable
temper, Worry of darkness, Delicate,
oversensitive individual. Smallest matter or stated of individuals have an effect on her. Feels
disturbed and irritable. Typically feels higher by weeping. Want- bitter, chilly
meals and drinks, Aversion- heat meals, Stool – diarrhoea free in consistency, Thirst
much less and moist tongue, Irregular, delayed, scanty menses since puberty, Cystic
development esp of left ovary, Stomatitis. Gastric Headache > consuming.
Worry- darkish – Psychological generalSensitive – oversensitive. – Psychological generalReserved – Psychological generalDesire – bitter – Bodily
generalDesire – chilly drink –
Bodily generalDesire-cold meals – Bodily generalAversion – heat meals – Bodily generalMenses late – Bodily
particularTumours – ovaries – cysts. – Bodily particularPain – gastric – Head – Bodily particularAphthae – Mouth – Bodily particularThirstlessness – Bodily general9
REPERTORISATION:
Delicate light and tearful, but she is remarkably
irritable, not in a way of pugnacity, however simply irritated, extraordinarily sensitive,
wise to each social affect. Lots of the complaints are related to
weak spot of the abdomen and indigestion, or with menstrual problems. Ladies
with varied irregularities of the menstrual circulate, the psychological signs are
typically related to the ovarian and uterine difficulties. One sided criticism
is peculiar to Pulsatilla. Periodic sick complications. The stomach bowel
signs are related. The haemorrhoids it cures appear to be the flowers of the
plant, so infected, purple and bleeding, tender to the touch. Menses too late, menstruation
has been painful since puberty.7
In women of gentle disposition, when puberty is un
duly delayed, menstrual operate is defectively or irregularly carried out. Menstruation,
anaemia. Signs ever altering.8
With above references, on the bases of totality and
repertorisationi.e. selecting holistic strategy Pulsatilla Pratensis was
chosen in I M Efficiency.
PRESCREPTIONN AND RESULT –
twenty fourth sept 2022 – PulsatillaPratensis 1M,
single dose, adopted by SL two instances a day for 15 days.
eighth
oct 2022 – LMP -1st oct 2023, lasted for 5-6 days, circulate was regular,
on first day gentle decrease stomach ache, headache as soon as earlier than per week however higher
than earlier than. Diarrhoea as soon as after outdoors meals. Pulsatilla 1 M, 1 dose,
adopted by SL 2 instances a day for 15 days.
Eleventh
oct 2022- Pt. had c/o gentle Belly ache, diarrhoea, with semisolid stool
twice, felt higher after passing stool. Suggested to extend fluid consumption and
mild food plan. SL for subsequent 20 days.
eighth
Nov 2022 – LMP-4th oct, circulate was regular, dysmenorrhoea gentle on first
day, circulate lasted for six days. Robust scent causes nausea and vomiting, diarrhoea
not now, generally bloating emotions. SL for 20 days was prescribed. thirtieth
oct – pt complained of stomatitis however gentle suggested to use glycerine over
ulcers.
fifth
Dec 2022 – at the moment first day of circulate, recognizing solely, no ache in decrease stomach. SL
prescribed for 20 days. twenty ninth Dec 2022 – constipated few days again
with gentle bleeding per anus. H/O similar complaints few years again. Puls 1M, one
dose, adopted by SL for a month.
twelfth
Feb 2023 – LMP-Eleventh Jan & Eleventh Feb, with 6 days
regular circulate and no signs of PMS or headache, stool – regular, no stomatitis
now. SL for a month.
twenty sixth
March 2023 – LMP – twentieth march, no any complains now. Repeat USG
reveals above modifications.
CONCLUSION
Homoeopathy is
fairly efficient in PCOS in nature and positively the very best different remedy
by correcting hormonal imbalance and thereby correcting the ovulary cycles as
effectively very proficient in managing signs of ovarian cyst.
Homoeopathy
treats psychological signs with superbly performing medicine.4 (§.210).Homoeopathic
constitutional remedy helps to stability hyperactivity of glands, regulate
hormonal stability, dissolve the cysts and improve regular functioning of ovaries
thereby eliminating the necessity for hormone therapies and surgical procedure.5
BIBLIOGRAPHY
HOWKINS AND BOURNE SHAW’S TEXTBOOK of
gynaecology,18th version by VG Padubidri and SN daftary.DC DUTTA’S textbook of gynaecology, eighth
version by Hiralal Konar.DR. SUBRATA BANERJEA, Miasmatic prescribing,
Second prolonged version.DR. SAMUEL HAHNEMANN’s ORGANON OF MEDICINE,
sixth version translated by R. E. DUDGEON, with an introduction and commentary on
the textual content by B.Ok SARKAR.H. A ROBERTS, The precept and artwork of remedy by
homoeopathy, 2nd Version.J.T. KENT, Lectures on homoeopathic Materia
Medica by Kent JamesTyler, 2nd editionRepertory of the Homoeopathic Materia Medica, sixth Version
by Ehrhart and KarlHENRY C ALLEN, Allen’s keynotes – rearranged
and categorised with main treatments of the Homoeopathic Materia Medica and
Bowel Nosodes, tenth version.ZOMEO Homeopathic software program – bjainrx
ABOUT THE AUTHOR
Written by
RUKAIYA SABHAI, 4TH
BHMS, BHMCH, Vadodara, Gujarat.
Guided
by DR. FALGUNI PATEL (MD.
HOMOEOPATH, CR),Clinician and HOD, Dept of follow of drugs, Baroda
homoeopathic medical school and hospital, Vadodara, Gujarat.
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