32 yrs old female
Date of consultation: 25th May 2013
Diagnosis: Hypothyroidism
PASSIVE CASE WITNESSING
D: Hi…! Tell about your problem. Also, tell me about you as a person.
P: I am stressed due to this hypothyroidism. My TSH level had gone up to 10. I am on 50mcg Eltroxin table. I get tired very soon. I have been losing a lot of hair recently.
There has been a lot of tension post marriage. Actually this is my second marriage. My first marriage was a bad experience. In a month I got divorced and got remarried after 2 years.
As a person I am an introvert. I am very shy. I always run away from negative thoughts. I get afraid to go to too close to anyone. On a social front I am very bad. I don’t showcase my work. I don’t command over others. I am pretty docile. I am a good listener. I don’t stand by myself. Sometimes I feel I am very insignificant.
Before I do anything I analyze a lot. Whatever I want to buy e.g I keep thinking should I buy or not, my husband will not like it. I need to take consensus.
I am very emotional. I don’t like to watch TV. I don’t like to read newspapers. I get affected by bad news. Someone kills someone. Poor victims….! I imagine that situation. Suddenly a Sad feeling creeps in and that sadness remains within me. e.g rape victims.
D: What else about you? Just go on…
P: If someone praises me I become suspicious. I feel they have some selfish intension. I don’t like to get into limelight. I feel people are judging me; I am worried I will look like a fool. As compared to the others am I really doing that well? Sometimes I tend to get competitive.
As a child I had a lot stage fright. I used to practice but the moment I used to go on the stag suddenly I used to get blanked out. I used to sweat, nervous, shaky. I am too shy. Suddenly something used to rise like a knot in my throat. I used to feel choked, suffocated and restless. I used to feel very conscious. What if I say something wrong? It is very difficult for me to advertise myself. I used to feel I should win this competition but I used to feel nervous on stage.
I had a friend. I always used to compare myself with her. I used to fear what if I am not in the first three ranks? Very uncomfortable feeling!
D: More about you and your surroundings…what else affects you?
P: Situation in the office, at work sometimes becomes very stressful. In IT there is a lot of competition goes on, on a day to day level. One is always trying to undermine the other. Prove that I am stronger. Somehow all want to do better, lot of selfish approach. They have a villain type of attitude. They want to prove their presence. They want to showcase themselves, want to be in the lime light. They always want to get appreciated. I don’t do all that.
Amongst my relatives I am careful. I am not the kind of person who would make their presence felt. I shy away. I would prefer to be in one corner, but I always want some kind of movement. I do socialise but don’t have too many friends. I am a cleanliness freak. I hate dirt.
I have a fear of dark. Inside a dark place there can be anything. I wake up from my sleep suddenly if I hear a small sound. I have a bigger fear of insects. I feel dirty seeing creepy crawly insects. I feel some insect would come and go in my ear. There is also some kind of unknown fear, suddenly this fear creeps in, and you are blinded in the dark, suspense.
D: what else like this naturally comes up?
P: I hate being out of my comfort zone. It shakes me up. Something unexpected happens and suddenly I have to face it then I don’t like it. My husband comes home as says pack your bags let us go out. And I am taken aback. He is too unpredictable.
D: Do you remember some dreams?
P: I remember a dream of falling from a hill. Actually someone pushed me down from there. I was standing and someone pushed me. I felt a start in the sleep. I got up. It was so sudden, so unexpected.
D: Any other dream?
P: I used to also have some dreams of having skin infection on my face. I used to feel very dirty.
ACTIVE CASE WITESSING….to confirm the focus
D: you were talking about being in the limelight, winning the competition, showcasing yourself; the people want to make their presence felt? What do you mean by this?
P: I never do that…
D: No generally talk about it?
P: They just want to be noticed. They want that appreciation. Be the talk of the town. Like showing off!!?
D: hmm…what do you mean?
P: Just showing off…..extremely selfish approach. They will just suddenly come in your way.
D: You spoke about the dream of some skin infection? What was that?
P: I saw like I have some infection of the face. It felt so dirty. I mean I will look so dirty.
D: Lastly, you said you don’t like insects?
P: yes I am very scared and disgusted of insects, especially cockroaches, they are dirty. I get a feeling that they will go in my ears and bite. I sometimes get up from my sleep with a sudden jerk when I feel so.
ACTIVE-ACTIVE CASE WITNESSING PROCESS
D: You keep talking about something sudden, something unexpected like how it happened in your dream, or what your husband does to you or how you suddenly feel scared in the dark, how suddenly a knot rises in your throat when you are on the stage……
Can you describe this sudden and unexpected….?
P: It is something that blanks me out. I become timid, yell feel like running away. I don’t register anything; I just want to run away. Everything just stops. There is a panic, palpitation.
It is like you are being murdered and you are running to save your life. Something big, very big is out there to hurt you.
D: What do you mean?
P: Somebody is coming to attack, I am running away. Everything just shuts off, closes down. Any slightest deviation in the existing pattern of things something small happens and I become alert. The senses sharpen. You cannot run fast, you fall down and pretend to be dead. You lie down without activity, or run and hide.
D: What do you mean?
P: You are so insignificant, you cannot win this competition. The person who is attacking is so strong. So you need to find another way of survival. The best thing to do is to run away as hard as you can, helter shelter without thinking about anything…..if you don’t they you will be crushed.
D: What comes to our mind when you talk about all this?
P: Some yukkkyy creepy animal. May be a cockroach? They are so disgusting.
D: What about cockroaches?
P: They are creepy. I hate them. Dirty obnoxious living beings!
D: more about it?
P: They run away even if you tap your feet on the floor. So scared they are.
Analysis of the case
Out of order themes / word / sentences in passive case witnessing
Out of order themes / word / sentences in Active-Active case witnessing
KINGDOM: Animal.
All throughout the case we see the themes of competition, comparing, big versus small, survival.
Sub-Kingdom: Insecta
Source:
Cockroach: Blatta orientalis
Source information (From Vital quest homoeopathic softwear)
Rubircs (From Proving of Blatta oreintalis by Dr. Munjal Thakkar)
Proving themes: (From Proving of Blatta oreintalis by Dr. Munjal Thakkar)
REMEDY: BLATTA ORIENTALIS
POTENCY: 1M
PLAN: Blatta 1M one dose at night……and I asked her to reduce her Eltroxin to 25 mcg.
Follow up after 2 months: (July 2013)
She saw some change in her energy. Generally she was feeling enthusiastic but that’s it. Nothing else! Her hair fall was a little better.
I asked her to stop Eltroxin to 25 mcg. and followed it up with a monthly thyroid hormone reports. TSH Level was normal.
Plan: S.L.
Follow up at 4 months: (September 2013)
She reported she is feeling very good. She is feeling confident from within. She does not shy away from people any more. She has also started supporting her decision and does not give in. she stands by herself in a situation. She has not got any bad dream since the first visit.
TSH: 2.43
Follow up at 7 months: (December 2013)
Her father passed away. She was in a big shock. She felt the similar kind of knot like suffocation all day in her throat. She also got bad bronchial cough. She felt like running away from her family. She wanted mental peace. In this acute state similar state words started coming up. She felt betrayed; someone was trying to crush her down. So I decided to repeat the medicine
Plan: Blatta 1M in water dilution for 5 days.
TSH: 4.48. (Off Eltroxin now for 5 months)
Follow up at 13 months (April 2014)
She has improved quite a lot. Mentally, emotionally, physically, pathologically.
TSH: 2.48 (Off Eltroxin now for 11 months)
PLAN: S.L. continue.
It has been over 2 years now. She stopped treatment 3 months back. all her latest reports were normal.
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