Monday, 9 March 2015

A Case of Lac Caninum

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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