Male patient aged 23 years came
with c/o dust allergy, sneezing, oral ulcers, and acne. The case Has been
Edited For brevity.
D: Tell me about your complaints?
P: Dust -allergy, Sneezing,
oral ulcers, acne, Discoloration under eyes < During exams, Burning urination, Sweet especially over buttocks and
inguinal region.
D: which is most bothering complaint out of these?
P: Acne. The scare of the acne remain. Then the ulcers. Haven’t
used ‘Non-mark’ cream due to the side effects. Cant work due to sweet in the
inguinal region.
D: Tell me about Ance?
P:Black heads on the face look bad. I compare my skin with my
friends’ skin. They have good skin but I don’t have. It is uncomfortable.
D: Tell me about
‘uncomfortable’?
P: friends identify the spots. With friends one talks freely but
due to this problem I avoid talking to
them. I avoid going out with them.
( He compares his skin with that
of his friends’ , his skin is not good in comparison to their and so be he
avoids going out with them. This avoidance is sychotic aspect. We have to know what he avoids which
will give us the sensation.
D: Tell me about I avoid going out with friends ?
P: As compare to them I am a loser. All have good skin but I don’t.
They are better than me.
D: Describe this a bit more?
P: our group boys as well as girls. Once when we are going out, a
girl from my group did not ride pillion with me. I felt that the other friend
is better than me so she sat behind him. I m a loser, everyone is competitive
in this world.
D:Tell me more about the loser feeling?
P: Anyone can feel that he should get good marks than others.
( This is how he perceives his
world that every one is competitive in this world where some one is wins and
some one loses.)
D: What dream do you get?
P: Of Routine activities.
D: what is your aim in life?
P: To satisfy my parents. Good behavior in the community.
Name :Ance, allergic rthinitis, sneezing, oral ulcer, burning
urination, Discoloration below eyes , excessive sweating.
Fact- < dust, black heads. Discoloration below eyes < during
exam.
Emotion- Doesn’t look good, feels uncomfortable in friend circle,
Avoids their company
Delusion:- Other are better
than me I am a loser.
Sensation:- There is competition in the world. Someone wins &
someone loses. Me versus the other. Here me versus the friends.
The way he perceives the reality
is that there is competition. Someone is better than you, winning and losing, ‘me’
versus my friends, I am a loser you are a winer
Which animal? If one had to think
scientifically we need to find the subkingdom.
He avoid going out with friends
be cause to be with friends means you are a loser ( for him).
Also it is important for him to
behave good in the community, in fact that is his aim
Feeling left out of group is an
important feature of the mammals.
Rubrics:
Delusion Small he is
Delusion diminished
Delusion looked down upon
Think himself too little
Contemptuous of himself
Fear, falling of
Remedy: Lac caninum 1M
Follow up: After 15
days-Acne reduce. Sweet reduced sneezing reduced
After 2 month in general feeling
better. Mentally feels good. Confidence improved. Feeling of rejection has
reduced. Now I communicated well with friends.
D: How is the comparison feeling?
P: Not faced a situation where I will have to compare. All the
physical problems have reduced to 80%.
After 4 month- Feeling Constipated
since 3 days. Mentally feels good. Confidence improved. Repeated Lac can 200 single
dose.
After 5 month from the treatment
reported by mother. Much better. Ance reduced almost gone. Confidence improved.
Taking up advance course in the field of engineering. Has mild constipation
since 3 days. Repeated Lac can 1M/ 1dose. In all he has received 4 dose of the
remedy.
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