A 22 yr. Old male patient frightened, when he saw his died grandfather, after which he became insane but from homoeopathic treatment he freed from insanity but still suffered from headache which was successfully treated by Merc. Sol. On indication.

1. A Case of
Psychosomatic Illness

2. ABSTRACT
• A 22 yr. Old male patient frightened, when he
saw his died grandfather, after which he became
insane but from homoeopathic treatment he
freed from insanity but still suffered from
headache which was successfully treated by
Merc. Sol. On indication.

3. KEYWORDS
Psychosomatic illness, Tension Headache, §§
225-227, Merc. Sol.

4. • O.P.D. Regd. No. 69777
• Name of the Patient: S. Islam
• Age: 22 Sex: Male
Religion: Muslim
• Address: Domkal
Police Station: Domkal
• Date of examination/ Case taking: 01/
February/2014

5. PRESENT COMPLAINTS
As narrated by the Patient:
• Headache; whole head < at night, hot weather, >
Pressure; Mild heaviness.
• Mucoid stool with tenesmus, which is not
relieved by stool. Since 2-3 years ago.
• Itching in whole body < in hot weather.
History of Present complaints:
• Complaint (Headache) gradually started 4-5 years
ago without any significant history.

6. PAST HISTORY
Insanity 4 years back (For one year he was
insane for which he took Homoeopathic
treatment, prescription not having). He
mentioned that after seeing of his late
grandfather he was insane. Fear of Ghosts

7. FAMILY HISTORY
• Paternal: Father: Breathing Difficulty, Piles.
• Maternal: Mother: Paralysis of Left side

8. PERSONAL HISTORY
• Addiction: Tobacco Chewer, Beetle Chewer
• Occupation: Student
• Marital Status: Unmarried
• Relation with family members and in the field of
occupation: Not good
• Habits and Hobbies: nothing
• Dietetic Errors: Irregular
• History of Vaccination: Not taken
• Medications being taken regularly: Allopathic
medicines as well as homoeopathic
• Living Environment: Damp house
• Socio economic condition: Poor

9. HOMOEOPATHIC
CHARACTERISTICS
(GENERALITIES)

10. A. Physical Generals
• General Modalities: < Night, summer, hot things, > Cold season
• General Sensation and Complaints: Nothing
• Thermal reaction: Hot patient
• Digestion:
Appetite: excessive, can’t tolerate hunger. Take excess meal at a
time.
Craving / Desire: Spices, salt, Meat (not fatty), cold food
Aversion: Sweet
Thirst: thirsty, excessive, take large amount water which is cold.
Tongue: Flabby, moist, imprint of teeth, posterior yellow coating,
Salivation profuse.
Taste: Nothing abnormal
• Bowel: Mucoid stool with tenesmus not relieved by stool.
• Urine: Profuse urination especially at night.
• Perspiration: Excessive on whole body, offensive
• Sleep: disturbed in summer due to hot.
• Dreams: nothing abnormal
• Sexual function: Nothing abnormal

11. Mental Generals
Dull minded, slow comprehension, villagers
tease him as insane. He wants to live alone,
can’t tolerate contradiction. Stubborn

12. PHYSICAL EXAMINATION
• General survey: Nothing abnormality
detected.
• Systemic examination: Nothing abnormality
detected.
PROVISIONAL DIAGNOSIS
• Tension Headache

13. Differential Diagnosis
Tension Headache
• mild to moderate dull or
aching pain
• duration of 30 minutes to
several hours
• no nausea or vomiting
• no aura
• uncommonly, light
sensitivityor noise
sensitivity
Migraine
• moderate to severe pain
• duration of 4 hours to 3 days
• periodic occurrence; several
per month to several per year
• located on one or both sides
of head
• pulsating or throbbing pain
• nausea, perhaps with vomiting
• Auras
• sensitivity to movement, light,
and noise

14. CLASSIFICATION OF SYMPTOMS
General Symptoms
• Craving: Spices, salt, Meat (not
fatty), cold food
• Aversion: Sweet
• Thirst: thirsty, excessive, take large
amount water which is cold.
• Tongue: Flabby, moist, imprint of
teeth, posterior yellow coating,
• Salivation profuse.
• Bowel: Mucoid stool with tenesmus
not relieved by stool.
• Urine: Profuse urination especially
at night.
• Perspiration: Excessive on whole
body, offensive
• General Modalities: < Night,
summer, hot things, > Cold season
• Thermal reaction: Hot patient
Particular Symptoms
• Headache; whole head < at
night, hot weather, >
Pressure; Mild heaviness.
• Mucoid stool with
tenesmus, which is not
relieved by stool.

15. EVALUATION OF SYMPTOMS
Characteristic Mental General
• Dull minded,
• Slow comprehension
• can’t tolerate contradiction
• Stubborn
Characteristic Physical General
• Craving: Spices, salt, Meat (not fatty), cold food
• Aversion: Sweet
• Thirst: thirsty, excessive, take large amount water which is cold.
• Tongue: Flabby, moist, imprint of teeth, posterior yellow coating,
• Salivation profuse, ropy and bad taste
• Bowel: Mucoid stool with tenesmus not relieved by stool.
• Urine: Profuse urination especially at night.
• Perspiration: Excessive on whole body, offensive
• General Modalities: < Night, summer, hot things, > Cold season
• Thermal reaction: Hot patient
Characteristic Particular
• Headache; whole head < at night, hot weather, > Pressure; Mild heaviness.
• Mucoid stool with tenesmus, which is not relieved by stool.

16. MIASMATIC ANALYSIS

17. SYMPTOMS MIASM
Dull minded Syphilis
Slow comprehension Syphilis
can’t tolerate contradiction Psora/Syphilis
Stubborn Syphilis
Desire for Spicy Psora + Syphilis
Desire for Salty food Psora + Syphilis
Desire for Meat Psora + Syphilis
Desire for cold food Syphilis
Salivation profuse, ropy Syphilis
Urine: Profuse urination especially at night. Syphilis
Perspiration: Excessive on whole body, offensive Syphilis

18. SYMPTOMS MIASM
General Modalities: < Night, Syphilis
<summer, hot things Psora/Syphilis
> Cold season Syphilis
Headache; whole head < at night, hot weather Syphilis
Mucoid stool with tenesmus, which is not relieved by stool. Syphilis

19. MIASMATIC DIAGNOSIS
Psoro-Syphilitic with
predominance of Syphilis

20. TOTALITY OF CHARACTERISTIC
SYMPTOMS
• Dull minded, slow comprehension, villagers tease him as
insane. He wants to live alone, can’t tolerate contradiction.
Stubborn
• < Night, summer, hot things, > Cold season
• Thirsty, excessive, take large amount water which is cold.
• Tongue: Flabby, moist, imprint of teeth, posterior yellow
coating. Salivation profuse.
• Perspiration: Excessive on whole body, offensive
• Headache; whole head < at night, hot weather, > Pressure;
Mild heaviness.
• Mucoid stool with tenesmus, which is not relieved by stool.
Since 2-3 years ago.
• Itching in whole body < in hot weather.

21. • PRESCRIPTION
Rx
Mercurius Sol. 0/1, 16 doses x O.D. x 16 days
followed by
Mercurius Sol. 0/2, 16 doses x O.D. x 16 days

22. FOLLOW UP
on 05/March/2014
• Headache a little better than before, itching still
persist and mucoid stool has reduced in frequency.
Merc Sol. 0/3 and 0/4 has been given.
on 11/April/2014
• Headache better than before, itching still persists
and mucoid stool has reduced. Merc Sol. 0/5 and 0/6
has been given.
on 10/May/2014
• Headache is much better than before, itching was
also reduced and mucoid stool sometimes seen.
Merc Sol. 0/7 A.D. has been given.

23. Discussion

24. § 225
• There are, however, as has just been stated,
certainly a few emotional diseases which have
not merely been developed into that form out of
corporeal diseases, but which, in an inverse
manner, the body being but slightly indisposed,
originate and are kept up by emotional causes,
such as continued anxiety, worry, vexation,
wrongs and the frequent occurrence of great
fear and fright. This kind of emotional diseases
in time destroys the corporeal health, often to a
great degree.

25. § 17 f.n.
• A warning dream, a superstitious fancy, or a solemn
prediction that death would occur at a certain day
or at a certain hour, has not unfrequently produced
all the signs of commencing and increasing disease,
of approaching death and death itself at the hour
announced, which could not happen without the
simultaneous production of the inward change
(corresponding to the state observed internally); and
hence in such cases all the morbid signs indicative
of approaching death have frequently been
dissipated by an identical cause, by some cunning
deception or persuasion to a belief in the contrary,
and health suddenly restored, which could not have
happened without the removal, by means of this
moral remedy, of the internal and external morbid
change that threatened death.

26. § 16 f.n. (Sixth Edition)
• Most severe disease may be produced by
sufficient disturbance of the vital force
through the imagination and also cured by
the same means.

27. § 226
• It is only such emotional diseases as these, which
were first engendered and subsequently kept up
by the mind itself, that, while they are yet recent
and before they have made very great inroads
on the corporeal state, may, by means of
psychical remedies, such as a display of
confidence, friendly exhortations, sensible
advice, and often by a well- disguised
deception, be rapidly changed into a healthy
state of the mind (and with appropriate diet and
regimen, seemingly into a healthy state of the
body also.)

28. § 227
• But the fundamental cause in these cases also is
a psoric miasm, which was only not yet quite
near its full development, and for security’s
sake, the seemingly cured patient should be
subjected to a radical, antipsoric treatment, in
order that he may not again, as might easily
occur, fall into a similar state of mental disease.

29. THANK YOU