CASE OF THE WEEK.. MURPHY REPERTORY..A 19 years old Christian girl, 2nd yr. MBBS student, NRI suffering from-Skin eruption, papules to pustules, very painful with severe itching, < sweating, summer. Heels with blackish discoloration around the inner aspect of thigh including groins, since many years. She has taken Allopathic & Ayurvedic medication but not better. She also complained of hard stool & difficult stool with fresh bleeding & mass protrusionPast History: NADFamily History: Father -D.M. & Hypertension.Personal History: appearance: Stocky, fair dressing untidy.Perspiration : profuseThirst: 2 glass/ dayAppetite: goodDesire: chocolate, bakery item, sweet.Menstruation: irregularly irregular, duration – 7days, LMP.- 12/5/03Mind: fear of ghost, consolation>, insecurity feeling as she is away from family.Life space: she hails from well to do family. Parents are settled in Dubai. She was born & brought up in Dubai. Now she has come down to India for her education. So she feels lonely & insecure. She has friends but does not like to share her problem with them. She likes to be alone and think.Examination findings: local: skin:- eruption – red papules to pustules, many in number on inner side of the thigh, from peri anal region to the knee with blackish discoloration. The part is very hairy.P/R – 2nd degree internal pilesDiagnosis: Folliculitis with 2nd degree internal piles
12/8/03 – no further improvement. Rx. Sulph 1m. 1dose morning.
26/8/03 new eruption no menses. Rx. No 2 pills.
5/9/03 – no improvement. Rx. Puls 1m 1dose/ H.S.
17/12/03 – skin slightly > no other improvement.
Rx. Puls 10m. 1 dose/ H.S.
12/02/04 No much improvement. Case was restudied. On inquiry it was found that she likes to sit alone to think and along with that she likes to write poems or recite poems especially in the evening, sitting near the window when sun is setting down. She likes to see that glow of the sunset.
This symptom was found in Murphy’s repertory in chapter Mind. The rubric is Sentimental, at twilight which contains only drug Antim. Crude.
So Antim Crude 1m 1 dose was prescribed.
1/3/04 – LMP- 27/2/04.no new eruption,old eruption started healing, Rx. No 2 pills.
6/4/04 – few eruptions. LMP – 30/3/04.
Rx. Antim Crude 1m/ 1dose
11/6/04 LMP – 1/6/04. Few new eruptions. Blackish discoloration fading. Rx. Antim Crude 10m/ 1dose