History: Chief complaints:** Hypoglycemia with autonomic nervous system dysfunction.(Syncope with unconsciousness,diaphoresis and weakness.. < hunger & occasionally morning .** Lactose intolerance (diarrhea with fetid odour and spinach ache and diaphoresis)** Sulphur hypersensitivity: Diarrhea with diaphoresis morning.**PUD : Borborygmi and burning epigastric pain < hunger, milk,proteinous food.***PMH :-Total hysterectomy (2008) ,myomectomy and h/o irregular menstruation.CONSTITUTIONWeight =85kg. Obesity; Dark complexion; Bulimia; Always very hungry. Indolence.*** All symptoms are accompanied by excessive sweating & weakness.Craves : sweet, egg. Air Aversion: Milk MODALITIES: Rest, sweets, after meal.. LABS:S. aureus… E-coli.Normal insulin level… ** FASTING HYPOGLYCEMIA… No insulinoma.. Normal Abdominopelvic CT studies. Left adnexal mass.
I first prescribed
Tab Syphilinum 1M ptc i q4h x 48 hrs.
Tab Syphilinum 10M i bd x 1 wk.
After a little while I prescribed sulphur 1000C with similar repetition.
Then sulphur 10M once.
Wk 1 she got better… Ovulation and menstruation became normal.. But was weak.
Wk 2 Bulimia reduced …. No hypoglycemic crisis… No vaso. vagal syncope