Case of Miss K. P.

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Interview with Homeopath :

Body Language – Patient is resting her arms on the table. Head in arms. Not looking at the physician. The patient was asked to answer some questions, but she refused. The physician talks with the patient’s mother:

Dr. – What is her problem?

Pt’s mother – In the last 6 months her irritability has increased. She doesn’t listen to anybody. After getting angry she asks, “Why did you talk like that?”

Dr. – What does she say? (Patient resting arms on table. Head in arms.)

Pt’s mother – She says why did talk like that? If I scold her she becomes very angry and runs to beat me. She beats Didi (elder sister) when there is a quarrel. Sometimes on getting angry she says, ‘I will go and stay with my grandparents.’

Dr. – What else?

Pt’s mother – Sometimes she throws things away.

Dr. – Since when has this irritability increased?

Pt’s mother – Six months ago her very close friend left the school as his father got transferred. She could not bear this, and since then she is behaving in this manner. (Patient looking at her Mother.) They were always together. He used to stay near our house. So while going and coming from school and even after school they were playing together. They even shared the same bench in the class. (Head down in arms.)

Dr. – How did she react?

Pt’s mother – In the beginning she was thinking a lot about why he left her, as he was her only friend. She took it as an insult. She thinks that he should have at least informed her before departing the town. Now she is not interested in friendship with others, and if anybody says anything against him, she gets angry. She asks other classmates, “Do you remember him?” Then they say, “no.” Then she tells them that he was a good guy. Then others say, “No, he wasn’t.” Then she becomes angry. (Not paying attention to immediate surroundings.)

Dr. – What were her complaints at that time?

Pt’s mother – When her friend left, she suffered from a viral infection. During the fever she used to mutter unconsciously. Now while playing, she remembers him, then suddenly becomes serious and starts crying. (Arms crossed, head within arms. Absorbed.)

Dr. – What else is she complaining of?

Pt’s mother – She doesn’t have any other complaint except her irritability. Before this incident she used to get up early and finish her work quickly (when she was in junior class and first part of senior class). This all happened in the later 6 months of senior class. But now she feels bored and she has become lazy.

Dr. – How is she at studies?

Pt’s mother – She is good at studies. But now we have to force her. Before she used to study on her own. She understands the work, but her grades are lower. Her teacher has noticed that her performance in school has dropped down. She has changed a lot as compared to last year. She doesn’t pay attention in school. (Arms up & holding forehead with hands and closing the eyes.)

Dr. – What else?

Pt’s mother – She is very obstinate.

Dr. – Tell me more about it.

Pt’s mother – She talks to everyone the same way, whether they are younger or older. With everybody she talks in the same rough manner, i.e. arrogantly. When  talking with elders, she doesn’t talk in a respectful way. She compares herself with the elders, and says ‘If you can do this, why can’t I?’

When I say “I am not going to talk with you”,  she can’t bear this. (Right hand thumb in mouth.) Then she keeps quiet and says ‘I can’t understand why I am doing this?’ Sometimes she’ll say things in a self-contradictory way i.e. opposite. (Again head below in the grip of arms. Arms crossed.)

Dr. – Does she mix in school?

Pt’s mother – No. She doesn’t mix with anybody in school, doesn’t have intimate relation with anybody.

Dr. – Does she quarrel?

Pt’s mother – There are no quarrels. I don’t know the details but there are no complaints from school.

Dr. – How many people are at home?

Pt’s mother – We four are staying together. KP and her elder sister and we two – husband and wife.

Dr. – Tell me about her sister.

Pt’s mother – She is 13 years older than KP.

Dr. – Does her older sister take care of KP?

Pt’s mother- She is good-natured. But if she is very angry she can hit KP.

Dr. – Does KP hit her back?

Pt’s mother -They hit each other when they quarrel. (Reacting sharply and closing herself. Angry face). KP is more intelligent than her sister. She knows what to do next.  She argues a lot.

Dr. – Argues?

Pt’s mother- Yes. Her arguments are really horrible. I often feel “This is enough for now” and that I should stop her.  It is not inquisitiveness but making arguments. On any subject she asks ‘Why is this?’ After a quarrel she keeps arguing on the same topic. (Hands on mouth, shutting mouth forcefully.)

Dr. – You mean debating at an intellectual level?

Pt’s mother – Yes.  The day before yesterday her grandmother told her “I know you are giving your mother a lot of trouble.”  Then she replied, “How do you know that? Do you possess any video CD of this?” She is very smart in giving answers. Many times we may not understand what to say, but she knows very well.

Dr. – How domineering is she?

Pt’s mother – Somewhat domineering. If we are talking about some household matters, then she also wants to say something. She thinks that others must listen to her.

Dr. – Does she weep?

Pt’s mother – Weeping is a common event. She finds weeping as the only choice for everything. (Patient playing with right hand fingers.) Talks with weeping only. So we have to fulfill her demands.

Dr. – How does she weep?

Pt’s mother – She cries loudly to the extent that others become angry.

Dr. – Tell me about her father.

Pt’s mother – Her father is a quiet man, not irritable. He doesn’t understand her. If KP becomes obstinate, he doesn’t take any step to distract her. She likes to dress herself up and put ornaments on.

Dr.- (to patient) Why do you become angry so much?

(Mother and physician are insisting patient to tell them, but patient doesn’t co-operate.)

Dr. – What is the name of that boy?

Pt – (Playing with her fingers.)  “Nimesh”.

Dr. – What did you feel after he left you?

Pt. – Why did he leave me?

Dr.- Did his father get transferred?

Pt-I don’t know.

Dr.- Did you ask him?

Pt- No.

Dr.- What else did you feel?

Pt- Nothing more. (Playing with fingers of both hands, and then keeping them on forehead)

Follow up after administration of a remedy:

(Body Language: Resting at the back.)

Dr. Tell me KP, how are you?

Patient: I am feeling nice. (laughing)

Dr. Nice means?

Patient: I am feeling better. (Arms crossed in the legs and shyness with smile.)

Dr. Feeling better! How much do you play?

Patient: Very much. (Responding quickly to physician’s question)

Dr. Are you going to school every day? Do you talk with friends there?

Patient: Yes.

Pt’s Mother: Tell me about school.

Patient: I like my school. First prayer, then we study English and Mathematics. Then we take our lunch. Then again school classes. Then we go to the playground.

Dr. What else you do?

Patient: Nothing else, we just chat with each other on the bus.

Dr. With whom do you chat most?

Patient: Ankita is my best friend, I chat with her. We go to a garden in the evening.

Dr. Do you like the garden?

Patient: Very much.

Dr. Why?

Patient: Because there are many toys, there are trees. That’s why I like it.

Dr. How many times do you go to garden?

Patient: Many times. Cars are parked over there. Fountains are there. Bhel (spicy fast food) is also there. While eating I watch that. (Laughing – covering her mouth).

Dr. Which song you like? Will you sing a song?

Patient: (singing a Hindi song)

Dr. to patient’s mother: Tell me how she feels after treatment.

Patient’s mother: Her anger is much less. It has definitely decreased. She wakes early in the morning to go to school. She does all the morning activities quickly and on her own. She studies nicely as before. She mixes with everybody and makes new friends.

Dr. What other change you have come across?

Pt’s Mother: There is a lot of change. Previously she was not eating properly. Now she takes sufficient food. Now she listens if we explain something to her. Previously when she was out of station (to visit her relative), we had to call her repeatedly. If we didn’t call, she used to get very upset. Now one call is sufficient for her. This time she stayed nicely for eight days with the relative.

(Both mother and patient laughing)

Questions –

1.     Analyse the data and write what you see as her problem.

2.     What are her dispositions (mood, temperament) ?

3.     What clues do you get from her body language?

4.     What are her innate and deviated temperamental states? (What was she like and how has she changed.)

5.     What is going on here?

  • Is it disappointment in love ?
  • Is it separation intolerance ?
  • Is it a vacuum ?
  • Is the concept of love developed at her age of 6 years?

6.     What are the differential remedies? Compare and discuss the remedies that seem to fit.

7.     Find the similimum and give appropriate reasons.

8.     Give your suggested posology and repetition schedule.

Give it your best and Good Luck!

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Title your email as ‘August Quiz Answer’

About the author

Ajit Kulkarni

Ajit Kulkarni

Dr. Ajit Kulkarni M.D. (Hom.) is a veteran homoeopath, an academician and a famed international teacher, known for his innovative ideas. Dr. Kulkarni has presented 70 international seminars around the world and more than 100 seminars in India. He is Director of the Homeopathic Research Institute, Pune, India. He is a prolific writer on homeopathy and his works include co-authoring Absolute Homeopathic Materia Medica, and authoring “Law of Similars in Medical Science”, “Homeopathic Posology”
“Kali Family and Its Relations”, Body Language and Homeopathy”, as well as 22 books in the Russian language. He received the Award of Excellence in Homoeopathy (2011), from the Post-Graduate Association of India, the ‘Homoeo-Ratna’ award (2014) from ‘Homoeo-Friends’, India, and the “Life Achievement Award”, (2018), from the Sontara Bhansali Charitable trust and Indian Homeopahic Forum.” Dr. Kulkarni has represented homeopathy on Bulgarian TV and gave an address at Kachare Classic, Erandwane, near New Karnataka High school, Pune. Visit him at his website: Website: www.ajitkulkarni.com E-mail ID: [email protected]

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