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Case of Acne by KENT METHOD
- 1. Case of AcneVulgaris by Kentian method Name – Dr.Sayali Payelkar MD Hom (Sch)
- 2. Preliminary Data : •Date: 7/7/2022 • Name: Miss APA • Age: 27 years • Sex: Female • Religion: Hindu • Education: B.Com • Occupation: Working in a BPO • Marital Status: Unmarried • Address: panvel.
- 3. Chief Complaints-The patientpresented with reddish eruptions on her face, back and shoulders. These were observed to be maculo-papular eruptions, a few nodules and pustules on face, forehead, shoulders and upper back. Location Sensation Modalities Concomitants Acne on face, forehead, shoulders and back since 5-6 years, most prominent on both the cheeks, along with redness Itching3+ Redness Burning2+sensation on affected parts < from eating sour fruits < from drinking milk < even from slight emotions > by Eryacne gel (Erythromycin Topical) local application Anxiety Fear and despair
- 4. • Past TreatmentHistory • The patient had taken allopathic treatment for this complaint two years before. The treatment included the local application of Eryacne Gel (Erythromycin Topical) and Acnil soap, which was discontinued by the patient on her own, as this used to give only temporary relief and later on led to marked dryness and exfoliation of skin and irritation. • Past History No other major illness in the past. • Family History Nothing significant. • Personal History Diet: Both Vegetarian and Non-vegetarian • General Examination • Pulse- 72/min • BP- 110/70 mm of hg • Temperature- afebrile • Weight- 47 kg • Clinical signs like pallor, oedema, lymphadenopathy, icterus and cyanosis were not present. • Physical Generals • Appetite- good • Thirst- Normal • Craving- Tea and coffee • Aversion- Sweets; milk disagreed • Sleep- Disturbed due to itching • Dreams- Nothing specific • Bowels- Twice a day, satisfactory • Urine- Normal • Menses- No complaints, regular cycle • Thermal Reaction- Chill
- 5. • Systemic Examination •There was no significant abnormal finding on examination of her nervous system, cardio vascular system, respiratory system and the abdomen. • Local Examination • Red maculopapular eruptions, nodules on the face, back and shoulders were observed. • Life space Investigation • Miss APA, a 27 year old female, a BPO employee, stayed with her mother, father and younger sister. Her mother was a housewife and her father was a school teacher. Her younger sister was a college student. The patient shared good relation with her parents and her sibling.
- 6. • Her childhooddays were typically like that of the ‘middle class family’, where there were a lot of financial restrictions. Now, the family’s financial condition had been better yet this patient had a fear of poverty. She was an average performer in her education and career. Now she had a job in a BPO Company yet there was a constant fear of failure as she said that this was very hard earned. • Her parents had been searching for a suitable life partner for her; however, she was quite anxious about her looks due to oily, greasy skin full of acne. When, in the family, the topic of her marriage used to come up, she would get disturbed. Even the slight emotions affected her. She was very close to her family, yet she preferred to be alone. • She had taken allopathic medicines and had tried many local ointments in the past. It gave her a temporary relief but the situation reverted back. Now she had given up hope of recovery from acne problem.
- 7. Case Processing Classification ofdisease– Chronic disease Disease diagnosis- Acne Vulgaris RUBRIC ANALYSIS OF SYMPTOM Mind, Sadness Mental Characteristic, Emotional Symptom Mind, Fear, Poverty of Mental Characteristic, Emotional Symptom Mind, Desire to be alone/Company aversion to Mental Characteristic, Emotional, Behavioral Symptom Mind, Fear, Failure of Mental Characteristic, Emotional Symptom Mind, Despair, Recovery of Mental Characteristic, Emotional Symptom Mind, Anxiety Mental Characteristic, Emotional Symptom Generalities, Cold in general aggravation Physical general characteristic aggravating symptom. Generalities, Food, Fruit, Sour Physical general characteristic aggravating symptom. Generalities, Food, Milk, aggravation Physical general characteristic aggravating symptom Face, eruptions Acne, itching Physical particular symptom
- 8. • Selection ofRepertory • After building the totality of symptoms for a case ( See Table 2), the most important criteria in the selection of repertory is the reliability of the information found in the repertory. In this case, Kent’s Repertory was selected as it is the most reliable and authentic source and contains symptoms and drugs that have been frequently confirmed and verified clinically. • Kentian method of repertorisation has been adopted as it is based on the philosophy of deductive logic i.e. from generals to particulars. This case contains mental general characteristics, physical general characteristics and particular symptoms and hence Kent’s Repertory is best repertory to be used for this c • Repertorisation - On repertorisation using Kent’s Repertory, with the following rubrics, Psorinum came up to be the most prominent remedy.
- 10. REMEDY MARKS OBTAINEDTHERMALLY Psor 25/11 Chilly Sep 23/9 Chilly Calc-c 23/9 Chilly Nux V 20/9 Chilly Sulph 19/8 Hot • Remedy Selection and Prescription • On repertorisation, the closely coming remedies are Psorinum, Sepia, Calcarea Carb, Nux Vomica and Sulphur. The patient is chilly, therefore Sulphur is eliminated. Fear of failure and aggravation from sour food are the prominent symptoms of the patient. Sepia, Calc Carb and Nux Vomica lack these symptoms hence are eliminated, which is promptly covered by Psorinum. • Acne has made this patient not only look ugly, but also feel ugly. It has hit right on her self- confidence. Due to chronicity of the complaint, she has given up the hope of recovery which is aptly covered by Psorinum. • Considering the mentals and the physical generals, the final drug of choice is Psorinum.
- 11. • First Prescription:Psorinum 200 • The factors taken into consideration for selection of ‘200’ potency are: • Age: Young adult with greater susceptibility • Occupation: Working in BPO, Hence night shifts and irregular sleeping habits • Chronic Disease: Duration of disease is since 5 to 6 years, so cannot start the treatment with higher potency like 1M or 10 M, to avoid the rigorous homeopathic aggravation. • Also, as per Dr Kent’s Doctrine of ‘Series in Degrees’, one must begin with lower potency and gradually increase the potency with patient’s response to the treatment. So the treatment was started with 200th potency.
- 12. Date Anxiety level Fearand despair Appetite / Thirst Acne and itching Action 6/8/2022 Same Slightly improved Improved Slightly improved Psorinum 200 single dose. S.L. 4 pills BD X 15 days 27/8/2022 Improved Improved Improved Marked Improvement SL 6 pills BD X 15 days 13/9/2022 Patient came with Marriage invitation card. Had slight anxiety Slight No change Slight acne on Forehead and cheeks Psorinum 1M Single dose. SL 6 pills BD X 15 days 2/10/2023 No Complaints No Complaints No Complaints Absent SL 6 pills BD X 1 month
- 13. Conclusion • Overall improvementin the patient was noted with Psorinum. Hence she was kept on placebo and she was advised to report only if symptoms recurred. • It is observed that the cases of acne do not get cured with superficially acting homeopathic remedies. Instead, deep acting constitutional remedies that are chosen and given judiciously bring about complete relief in the symptoms and the skin lesions resolve permanently. When a remedy is selected on the basis on generals (mental and physical), the particulars fall in line and the patient gets complete relief. This case demonstrates the efficacy of ‘Kentian method’ of repertorization in a case that has such general symptoms.
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