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Volume 106 Number 2
68 AJHM Summer 2013
Dr. Kusum S. Chand
is known that often there is no molecular or genetic
explanation justifying an increase of susceptibility to
infection. The immediate cause could be microbial, but the
whole ‘terrain’ plays an important role in the expression
of disease. Antibiotics focus on the immediate cause of
the disease (microbe) and homeopathy focuses on the
teleonomy of the patient’s reaction.
6
Case histories
Case 1: Genitourinary Tuberculosis
-- S M, Female, 22
years old.
Patient was treated by a gynecologist for primary infer-
tility and menstrual complaints. Pelvic scan on May
7, 2010 showed enlargement of both ovaries with
the features of typical PCOD (approximately cystic
glandular hyperplasia). Endometrial biopsy on May
8, 2010 showed the presence of Mycobacterium tu-
berculosis complex. [Color photo of pathology slide
is in Editor’s files, sent by Author. Its essential detail
does not show in a black and white print, so the slide
is not reproduced here. – Ed]
She was put on anti tubercular treatment
Akt4
(comprised of Isoniazid, Rifampicin, Pyrazinamide
and Ethambutol)
,
on May 8, 2010, but this was dis-
continued on June 4, 2010 due to severe dysmenor-
rhea with clotting, anorexia, and vomiting. Liver
enzymes increased from SGOT 42 (nl: 10-42) and
SGPT 34 (nl: 10-40) on May 8, 2010 to SGOT 271
and SGPT 333 on June 2. She was then referred to
a gastroenterologist on June 4, 2010 for genitouri-
nary tuberculosis and drug-induced hepatitis. She
was next treated with injection
Streptomycin
and
Mycobutol
;
udiliv
(
ursodiol)
to help the
intestines
to metabolize fats),
analiv (L-ornithidine-L-aspartate),
an hepatic protector for the drug induced hepatitis; Zevit
(multivitamin) and
Zentil
(vermifuge). When the SGOT
and SGPT levels fell from 271 to 137 and 333 to 263
respectively on June 16, 2010,
Risorine
and
Oflox
(anti-
tubercular) were added.
She complained of irritation in her eyes, difficulty seeing
and acidity on July 7, 2010, but treatment was continued till
July 28 when SGOT and SGPT again rose to 217 and 351
and she complained of severe pain in right hypochondrium
and epigastrium.
Risorine
was stopped immediately; the
other medicines were continued. Mild hepatomegaly was
seen (13cm in mid-clavicular line) on August 3, 2010. All
medicines had to be stopped on August 5, 2010 due to
severe eye symptoms. She was referred for homeopathic
treatment on August 9.
Homeopathic history
:
1.
Delayed and prolonged menses since menarche at
age 13.
2.
Menses every three months, lasting for 1
1
/
2
months.
3.
Profuse leucorrhoea staining the linen.
4.
Short tempered, reserved and wept when angry.
5.
Aversion to coitus which was associated with burn-
ing during the act.
6.
Throbbing headache made worse by talking.
7.
Sleep disturbed, worried because of inability to con-
ceive even after three years of marriage.
8.
Pale, sallow complexion, sad and wept while talking.
The patient was diagnosed with primary infertility and
biopsy-proven endometrial TB. Antibiotics had failed be-
cause of intolerable side-effects. Patient was tense and
depressed. She was regularly monitored by the infertility
team of doctors and the gastroenterologist. The presenting
symptoms were repertorized (figure 1).
Analysis
: Three medicines came out strongly. She had
the mentals of
Natrum-muraticum, Sepia
for the location
of disease in the uterus,
and
Phosphorus
for drug-induced
acute hepatitis and no appetite.
Tuberculinum-bovinum
was
also strongly considered as anti-miasmatic for tuberculosis.
Treatment plan
:
•
Tuberculinum bovinum 200C
1dose once a week on
Sunday morning
•
Natrum muraticum 200C
1 dose twice a week on
Tuesday and Friday morning
•
Sepia 30C
1 dose once on Monday, Wednesday,
Thursday and Saturday morning
•
Phosphorus 30C
twice a day before lunch and din-
ner.
Visit on August 23, 2010 revealed headaches were sixty
percent less, leucorrhoea twenty percent less and aversion
to coitus and burning during coitus improved by fifty per-
cent. Sleep was sound and she was looking much better.
SGPT had reduced to 225 from 351 on August 27, 2010.
Assessment
: improvement without new symptoms.
Figure 1: Case 1, First repertorization on Radar software program 10.0