case of alopesia areata

A case of Alopecia areata


In Kent Repertory in introduction Kent had mentioned that we have to go ‘SLOW FAST’. Never repeat the dose as long as new symptoms appear.

A female age 32 yrs. Married, came consult me for her hair fall in patches (Alopecia areata).She is house wife. Before marriage she used to go for work for accounting. Left the job & got married. Now working as a house wife.


Chief Complaints :
Head, hair, Since 5-6 month :
Falling ++ in Patches
< bathing ++ Itching of ++. Dandruff ++
Left side, Headache++( Parital region)
< menstruation during, tension when

Female, 6 month Only for one day, Less, Scanty Irregular
< tension

Associated with Backache

Appearance

Height

:

5 feet
Built : Lean, Thin, Neck emaciated.
Hair : Thin, Brown.
Gait : N
Skin/Nails : Pale, Fair complexion.

Comments :
Lips are red, Dark circle around the eyes.
Mind

Emotional :
Weeping while telling her symptoms, alone when, > weeping < consolation++
Intellectual :
Mistake in counting money.
Mental

Anger

:

< Contradiction,
Sadness : Death of FIL
Love : Love FIL,
Hate : BIL
Fear : Quarrels, Rebel.

Anxiety, Anticipatory

:

About family quarrels.

Conflict
:
with BIL

General

Appetite : Decrease++
Thirst : N
Craving : Ice cream++, cold drinks+
Aversion : Sour food
Sleep : N
Dreams : Death of FIL



Systemic

Head : Hair falling baldness in patches
Face : Pale
Mouth/Tongue : Red tip, corner
Urinary : Burning < sun heat

Thermal

Sun
:
< headache

Fan/Air Condition

:

D++
Bath : Tepid water
Covering : Whole body
Ice : D++
Ice Cream : D+
Thermal State : C1H4

Female

Menses: Menarche/LMP/Menopause/Cycle :
LMP 25/02/ 08, Bleeding for only one day, irregular, not on time.
Menses During :
Headache++
Pregnancy, Lab our, Puerperium :
G1 FTND

Life Situation :
She is from middle class family, Father was Drunkard, Childhood was under Stress, She completed her Graduation & Started working under CA.
Fall in love with man who is 5 year elder than her, there is tremendous opposition of her family but, Finally got married with him. Father died from IHD. After marriage in find support in her FIL, He was very good person, she said that he was my second Father. He also died & left her alone she wept a lot which is saddest moment in her life. BIL is drunkard, everyday there is conflict in her Family, but she can not rebel him because of husband Restriction. No privacy in her family because of joint Family. She weeps a lot from the same. > weeping, < consolation. Some time she has tear with laughter.

History
Past History :
No any
Family History :
F: HTN/ IHD(died)
M: HTN/ IHD
Provisional diagnosis:
ALOPCIA AREATA
Miasmatic interpretation:
Sycotic-syphylitic = Tubercular miasm.

Reportorial totality:

1. Mind, weeping, tearful mood etc: alone when.
2. Mind, consolation agg.
3. Mind, love, ailment from: disappointment.
4. Head, pain, headache in general: menses during.
5. Head, pain, headache in general: from exposure to, aggravates.
6. Head, hair: falling.
7. Stomach, desire: cold drinks.
8. Genital, female: menses scanty.
9. Genital, female: menses: Late.


Result of repertorisation:

Nat Mur 9/23
Sep 7/18
Lach 6/15
Lyco 6/14

Selected medicine: ON 16/03/2008.Nat Mur 200, Single dose, SL OD.


Follow ups

Date
Symptom changes
Management

30/03/08 Headache +
LMP: 25/03/08 no headache during menses.
Sleep: N, no dreams.
hair growth + SL OD
07/06/08 Hair growth +++, no hair falling.
No headache at all in sun heat, menses during, LMP: 26/04/08, 27/05/08.
Menses regular with normal bleeding.
No desire for sex, No sensation. Nat Mur 1M
Single dose. SL OD.
Finally she accepts her family situation, never thinking of her past event, weeping reduces completely. Now enjoying her family life & her sexual problem went completely.

Here single & minimum dose is required to stimulate the vitality of the individual; patient himself has to cure.