This is a case of secondary amenorrhea since nine months of a young girl aged seventeen year and with the same episode in age of 15 years came to me on 20-9-2014; I used the case witnessing process to understand her holistically.
Prior counseling given to patient
Homoeopathy is the treatment which require understanding of the patient fully, that is about both body as well as mind, we can’t separate mind and body, both together comprise the individual. So to understand a person’s individuality the homoeopath should know all about the person. And for a single diagnosis there are thousands and thousands of medicine in homoeopathy, but only a single medicine’s among those thousand accordingly unique and suiting to your individuality as a whole, only will cure you. What is coming instantly at this movement talk freely, ok.
The case begins... (NOTE: The case is divided into three steps – passive, active and active-active. Peculiar sentences are highlighted in italics and/or bold. [My explanations, observations and noted are underlined in plain brackets]. D, P, stand for Doctor and Patient respectively. HG indicates Hand Gesture. Follow ups have been summarized at the end of the case.)
PASSIVE CASE WITNESSING PROCESS
D: Tell me what is all about?
P: I am having irregular menses, now since 9 months I did not get my cycle. The same thing happened when I was in tenth[15 yrs] std, that time also I did not get my menses for 7 months, then it was ok, but menses came 3 month once like that , I attended my age[menarche] while I am studying 8th[15yrs].
When I am happy or sad I can’t eat and I am eating very slowly. I am getting anger frequently, menses time it is aggravated.
Other stress is when I changed the school from Tamil to English so I had some difficulty in studies.
I lived in a joint family in my childhood, now I am living with my parents, I am the only daughter, my uncle and aunty went to Karnataka for the sake of job, what they did made me sad and angry on them. Now after going there they are not giving response to me , I am not able to bare that thing, they are not talking to me as before, their behavior is so strange and odd to me ,I am always repeatedly thinking the same thing again and again, while they are with me I am so happy and jolly but now, there is no sharing they are not talking to me even for one hour, simply 2 to 3 words they are speaking and disconnecting the phone immediately , once I had thrown the phone and broke it in anger, before they used to came to Trichy for diwali but nowadays they are not at all coming . Nothing else that’s all.
D: Tell me little bit more.
P: I will sing nicely, in childhood for singing I got lot of prize, but now I left that ……
I will cry for every small matter, immediately I won’t mingle with others …….
Near my home, my aunt’s house is there and her son is somewhat having mental disorder, and when he comes to my house , he breaks TV, showcase all that, during that time only my 12th exams were going Because of this problem, I did not studied well, after that joined in college.
From childhood onwards I am with my friends only, always I will go somewhere with my friends, now I am not going ‘nothing else what to say’?
D: You are doing so well I have to understand little bit more about you, take your time, and slowly tell me more about you.
P: In school days I am very much active, eat nicely, I will study nicely, then main problem is I will vomit before exam and having cough and smell of curd causes me to vomit, and during menses I am having lot of pain in abdomen , I will curl and sleep in bed during menses time that’s all.
In my home my mother won’t talk to me much but my uncle and aunty used to talk with me and then they even feed me keeping myself in their lap even at this age, I like that love but they are not talking to me as much as before, they will call me only in my pet name. This is so disappointing to me.
I like to go to park, tour, different places but cannot go anywhere due to my father’s job. Then I am having pimple which is other problem, not much suffering then in 10th std because of studies sleep was less so 10th marks were less. So to get seat in 11th std became much more difficult. In 12th std even though got good marks, college seats, I did not get in my friends college, then I joined in other college. In inter college meet we were doing miming and we got first prize that time was ok after that all are busy in their work and I am not able to go to them and mingle with them. That is also a problem now I am not having any interest to go to college I does not even like to go to college, before that I won’t be in house or with my family members, I will always be with my friends only, won’t put any leave to the school, we will share every thinks, enjoy and there is no hurting but now. Now even to ask small help I am hesitating, right I can’t ask to them.
D: mmh…. continue
P: I am not able to forget the past. That’s why, before I used to be jolly and happy, there was no problem, in 10th std, I had a close friend, I know her since 5 years but we were in different section when we went to 11th std, both of us will spend the time always together, when school finishes, we will meet and talk nicely, suddenly one day she stopped talking with me, usually we both will together go to our home from school, but on that day she went with another girl, she left me and I called her through cell many times and she did not attended the call, she picked the call and told that hereafter I won’t speak to you and she disconnected the phone, [crying] , I had sacrificed a lot for her, I will write every home work correctly, because of her not finishing the home work, I too won’t submit, but of times she won’t bring the lunch, I will give to her my lunch tell her I am not hungry and you eat and I will be hungry, even she had a problem to pay her school fee , I made arrangement to pay that also, I am always for her, even I won’t talk with other friends always I will spend my time with her only but she did not understand me ………
……..suddenly all went upside done, I felt so lonely, I can’t learn that, can’t digest that, [crying]
D: hmm…
P: I did not expect this think, it disappointment me so much, how she can do this to me
ACTIVE CASE WITNESSSING PROCESS
[Up to this repeatedly she is talking about “disappointment” from her family and friends, which is expressed with the higher level of experience than the normal talk, so I became ACTIVE with the FOCUS “disappointment”]
D: Disappointment! What you felt at that moment of time?
P: It is a shock to me, after that for so many days I did not even had my food properly, no sleep ,everything collapsed.
D: Shock, collapsed?
P: Sudden! Unexpected !, shock !, I felt-giddiness and sat down at that moment, I can’t do anything at that moment, everything stopped I am blank, I could do nothing , shock !
D: What is the experience in that moment in your body, physically what is the experience?
P: Shock! Body parts burst in to many pieces, small small pieces and thrown out, my heart broken into pieces. I was blank, can’t do anything.
D: Can’t do anything…..?
P: It is like numbness, no movement, like paralysis, can’t do any thing
D: How you reacted at that moment?
P: I did not cry ,I did not do anything I silently came down, not spoken to anyone ,I controlled my anger ,I did not tell to any one, I just controlled my anger. I did not show [reaction-miasm]
D: Why?
P: I don’t know, I went silently, not talked to anyone , for 5days, even not had food properly , my parents also started worrying about me, from that day onwards my sleep is disturbed, not having a good sleep.
ACTIVE ACTIVE CASE WITNESSING PROCESS
When we direct the focus in one direction it reaches the sensations like shock, sudden, unexpected, numbness, giddiness, broken in to pieces and thrown out, blank, no movement…..so from the sensation we can understand the center of the case so, further to conform the center of the case we can go to another area .so I proceeded ACTIVE ACTIVE as follows.
D: Tell about your uncle and aunty, not talking to you.
P: I was not happy, it is also a disappointment!
D: Not happy, disappointment! How that bothers you? Any other situation you felt stressed other than this.
Yes once my friend asked me, my neighbor nearby, had an accident and died, that time also I felt the same shock! , I was so shocked, can’t do anything, it is also so unexpected and I can’t digest that, even now when I think that, my body gets shiver all that thing comes to my eyes, his father cried, everything, at that moment, even I can’t cry, it is shock, I don’t know what happen to me, nothing I remember after that incidence also I did not slept tor many months.
D: Describe shock, unexpected, can’t do anything.
P: Shock! I felt numb, can’t do anything, as if paralyzed
D: When you are with friends how you feel?
P: Happy
D: What is happy in that?
P: I feel much excited, so happy
D: Tell about dreams?
P: No dreams, in sleep only dream will come, I am having disturbed sleep, so no dreams.
D: Any childhood dreams.
P: Snake used to come in my dreams frequently in childhood, I have fear of snake
D: How you feel on seeing the snake?
P: I will get up suddenly from the bed.
D: What is the experience in seeing the snake?
P: Only fear and sudden shock, I get up from bed that’s all
D: What is the experience in that?
P: Don’t know, I can’t remember.
ANALYSIS OF THE CASE:
Center of the patient:
Kingdom: PLANT
Family: LOGANACEAE
Miasm: CANCER
Remedy: Ignatia
Potency: 10 M [as the patient reaches the sensation without any resistance and in her day to day life she is in sensation level of experience]
Dose: 1 dose in empty stomach and followed by SL (1-1-1) for 1month
Follow ups:
On 21-10-2014
Continued with the SL as such…..
On 21-11-2014
On 23-12-2014
On 23-1-2015
After 2 months on 28-3-15
In the course of 1 year of treatment till now she is better, the medicine was repeated twice for her acute complaints in lower potencies. She is totally better and happy in her life still now.
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