CASE PRESENTING COMPLAINTS

Name: Parul
Sex : Female
Age : 30
Occupation : Housewife

Complaint : Itching eruption on leg with blackish discoloration since 6 months
Symptoms : NA
Location : Right Leg, now starting on left leg
Modality : Itching < Night , In Bed , Warmth, > by scratching , oiling , allopathic ointment
Sensation : Itching
Observation :

Rough , Dry , Blackish Patches, more on right leg. Circular type patches. 

Onset : Gradual, increasing day by day
How : Started with simple itching and eruption, now becoming dark and thick patches .

History :

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Milestone : ON TIME
Dietry : VEGETARIAN

Hobbies : NOT PRESENT

Grandfather - Diabetes mellitus
Grandmother- Joint disease
Father - Allergies
Mother - Thyroid disease

• Thermals- HOT 2+
• Thirst- THIRSTLESS 3+
• Desire - SWEETS
• Aversion- FATTY FOOD - INDIGESTION AFTER POODI AND OILY FOOD .
• Stool- EARLY MORNING DIARRHEA , ONCE IN A DAY
• Snoring- GOOD - ON BACK,
• Dreams ABSENT
• Perspiration - GENERALISED, NON OFFENSIVE , NON STAINING
• Tongue - SLIGHT COATING AT THE BASE
• Birth mark - PIGMENTED SPOT ON RIGHT ARM ( LEHSUN )
• Side affinity - RIGHT
• Sensitive to Artificial jewellery - NO
• Sensitive to Noise - NO
• Sensitive to Odor - YES 1+, WITH HEADACHE
• Sensitive to Neck - YES 2+
• Sensitive to Tight clothing - YES 2+
• Sensitive to Covering - SUFFOCATION ON COVERING FACE
• Sensitive to Sun - NO

• Menses duration- 1-3 DAYS
• Cycle duration- 30 - 35 DAYS , ALWAYS LATE NEVER ON TIME
• Associated complaints- BACK ACHE , LAP
• Leucorrhoea- ABSENT
• GPAL- G2, P1, A1, L1
• PREGNANCY HISTORY- EXCESSIVE VOMITING FOR 3 MONTHS
• Abortions/ Dnc/Any Hormonal Treatment- ONE DNC

• General nature:
  

  Extroverted , talkative, narrating her complaints in one flow.

• Childhood behavior :
  

  Shy nature , wants to remain in home , likes household work, fear of father and elder brother , didnt go to school much.

• Best trait: Helping Nature
• Worst trait: Hurt easily and get irritated and angry on trifles
• Fears : Dark Places, Being Alone, Somebody is following me, Congested area
• Anticipation : Reach on time .
• Friends / Mixing up : childhood only one friend in village , now many after coming to delhi.
• Trust in himself and others : very confident
• Weeping : yes much present, if anybody says about me, after watching someones grief in relative.
• Hurt : very Easily
• Behavior during other illness : Very Caring for children and husband
• Behave during self illness : Wants someone near me. but feel nobody is there for me
• Sensitive to horrible things: Yes
• Spending / Bargaining: barganing not good, shopkeeper bhi toh kamane ke liye bheta hai.
• Aim: family sahi se rahe , waise mai teacher banana chahti thi
• Decision Making: Good
• Management: Good, dont get hesitated in marriage function party
• Lack of: Love from husband
• Consolation: wants
• Religious disposition: much present , believe in her kul devi.
• Teachers view : Absent
• Parents view : Good Girl, but not good in academics
• Relative view : Absent

Repertorisation /Rubric Used :

Lichen Planus  

Analysis   -  HOT , THIRSTLESS, RIGHT SIDED, MILD TIMID , DESIRING CONSOLATION , EMOTIONAL , WITH SCANTY AND DELAYED MENSES. 

OBSERVATION  -  PATIENTS WAS TALKATIVE, EMOTIONAL , WANTS REASSURANCE OF CURE , SITTING WITH HAND RESTING ON TABLE. 

Justification of Medicine Selcted( Analysis and Observation) :

Puls 200