Clinical Cases

A Case of Infective Arthritis (Tubercular Arthritis)

Last modified on February 16th, 2013

A case of knee pain from Tubercular arthritis is cured with Natrum carbonicum.

In 1978 this male patient was affected by tuberculosis of the knee joint. He had undergone 60 streptomycin injections and get relief from pain. But in 2004 again he was suffering from knee pain, crackling on walking and also had a pain in left ankle and foot pain. Until now he was taking BP tablets from 1999. First his right knee was affected then it shifted to his left knee.

Treatment history—

From 2004—2011-he was taking diclofenac daily. If he didn’t take it, he developed severe pain and fever and he couldn’t do his job.

Physical generals—

Appetite-normal

Thirst—1 lit/day

Motion—morning unsatisfactory

Sleep—reduced from 4 years, waking frequently

Position—lying on right side – hand below head

Sweating—normal

Urine—uncontrollable—from 1 year, urging to urinate.

Climate—summer—sweating—irritating—tiredness

Aversion

Cold water, cold food causes cold attack only in summer time.

Bathing—cold water bathing

Covering– uncovering all season.

Food and drinks—

Desire—fish 2+, potato.

Bitter food 2+

Spices

Aversion—sweets

Disagree- potato

Face-warts

Mind—

I felt upset when my wife died; it is the major incident that affected me.

From last four years I had no deep sleep. I don’t have a care, proper food. If she is alive she cares me and nourishes me with proper food, but now I alone have to prepare for myself. I miss my conversation with her. I feel forsaken. I don’t have help now and I am alone. I feel depressed when I am alone. I don’t have a care, consolation and nourishment.

Nature-

I love Tamil literature; I have created stories, verses.

I want the things to be in the proper places

I love silence

I want to do a work quickly; I don’t want to postpone my work and it should be done as soon as possible.

I am always sincere in my work. I am always responsible in my work. My work should be done perfectly, genuinely, accurately.

I love appreciation; I want to be appreciated in my work.

If someone did not give respect and insulted me, I don’t want to see his face even throughout life period. E.g.—one day I went to the barber shop. I was first to sit in the shop, but the barber called another person to get a haircut. I felt insulted, he didn’t give a respect. Thereafter I never go to his shop till now, even though he was my close friend. I want to be respected.

His relative cheated him about property, so from that issue he hates his relative and doesn’t want to see his face.

My analysis—-Traditional approach—

Rubrics—

MIND – AILMENTS FROM – mortification

MIND – CONSCIENTIOUS about trifles

MIND – FASTIDIOUS

MIND – FORSAKEN feeling

MIND – HATRED – persons – offended him; hatred of persons who

MIND – VERSES, makes

MIND – OBSTINATE, headstrong

MIND – DUTY – too much sense of duty

RECTUM – CONSTIPATION – ineffectual urging and straining

BLADDER – URGING to urinate

EXTREMITIES – PAIN – right then left

SLEEP – POSITION – side; on

SLEEP – WAKING – frequent

GENERALS – FOOD and DRINKS – bitter food – desire

GENERALS – FOOD and DRINKS – cold drink, cold water – agg.

GENERALS – FOOD and DRINKS – cold drink, cold water – agg. – hot weather, in

GENERALS – FOOD and DRINKS – fish – desire

GENERALS – FOOD and DRINKS – potatoes – aversion

GENERALS – FOOD and DRINKS – spices – desire

GENERALS – FOOD and DRINKS – sweets – aversion

Above I am fitting the symptoms mechanically into rubrics.

I want to note the peculiar symptoms in the repertorial chart.

GENERALS – FOOD and DRINKS – cold drink, cold water – agg. – hot weather, in

I consider this peculiar symptom as an eliminative symptom. He was affected by a cold attack only in a summer climate, when he consumed cold food and drinks.

The remedies are:

1.bry

2. kali carb

3. nat carb

4. veratrum alb

Bry— agg. MOTION, amel. REST. Materialistic. Possession oriented. Thoughts, talks about BUSINESS. Great THIRST for large quantities (often or long intervals) Dryness

Kali carb—-Systematic, proper, routine-oriented. work, duty,family-oriented. Starting easily. Fears: being alone. Company desires, agg. 2-4 A.M. STITCHING pains, agg. DRAFT

Kingdom approach-

Periodic table–

4 th row—safety, security, protection, task, job,

1st column—-dependent like a child, incapable, incapacity

I don’t have the capacity to protect myself. I am dependent.

Natrum carb—

Forsaken feeling, Diligent, Verses making, Potatoes – desires

Cold drinks < hot weather

Jan scholten —Carb——diginity, worker, self worth.

Natrum—theme––Sensitive -Alone, depression -HATRED – persons – offended him who. Mortification, Bitter food, fish—desire -Sun intolerance.

Kingdom approach—Periodic table—–

3rd row, 1st column

3rd row—-forsaken, Alone, Care/uncared, Nurturing

1st column—- dependent like a child, incapable, incapacity

Natrum carb–I don’t have the capacity to find my own nourishment and care. Loneliness. No one to care

Veratrum album—-Haughty, rudeness. Dictatorial. Wants social position. Love cold refreshing drinks, Collapse, Maniacal

Natrum carb fit in material medica, rubrics, Jan Scholten method and kingdom approach of Rajan Sankaran, so my choice is 100% sure.

24/3/11

Bp—140/110

Rx – Narum carb 200/1d

31/3/11

Knee pain increased, foot, knee swelling increased, continues fever—99.9f, come to the clinic with cane and help of other. Unable to stand. All the complaints are extremely aggravated.

Sleeps—well

Urine—uncontrollable—mildly changed

Stool-normal, satisfactory.

Rx SL

10/4/11

Pain, swelling reduced, fever on and off. sleep-normal.urine—able to control.

Rx SL

24/4/11

Fever completely stooped. Pain, swelling better. Generals—good

Rx SL

8/5/11

BP—140/90

Generals—good

Knee pain, swelling, 70% better

Advised to take ice cream and cold drinks, because in May whenever he took cold drinks,ice cream, it immediately leads to cold attack, cough and running nose which continued up to 20 days .

Rx SL

30/5/11

No cold attack even after he drank cold, ate water ice cream in May.

Able to sit on Indian toilet, whereas before he could not sit on Indian toilet. Pain, swelling—considerably better.

Rx SL

12/6/11

Sleep—better compared to before, but waking 3 am and can’t sleep— from last 3 days.

Knee pain-mildly increased, swelling –mild.

Mind—feels alone, helpless.—last 3 days.

Rx

I want to repeat the drug, but I fear to give the dry dose, because of aggravation, so I decided to give split potency.

Nat carb 200/1pill/15ml water + 30 drop alcohol—stock solution

Advised to give 2 drops (from stock solution) in 100 ml water—take only 1 spoon from the tumbler, whenever the pain is greater.

28/6/11

1 spoon taken, One time (split dose)

Pain , swelling increased again, but tolerable.

Generals—good sleep

Rx SL

13/711

Pain, swelling. Good sleep. Generals—good

Rx SL

28/7/11

Pain, swelling—75%better

Sleep-good. Mind—better compares to before—alone feeling reduced.

Rx SL

11/8/111

One spoon of dose taken—due to pain. Knee pain, swelling—better, sleep—good, no frequent waking, urine—controllable –60% better

Rx SL

23/8/11

Knee-70% better. Able to flex

Sleep—waking –3 am, but after waking can fall back to sleep. Generals—good

Rx SL

7/9/11

One time water dose taken. Pain , swelling—75% better. Able to ascend the stairs without pain.

Rx SL

28/9/11

Bp—140/90

Mild pain only on continuous walking, but tolerable.

Generals—good

Rx SL

15/10/11

Bp = 148/100

One time water dose taken.

Sleep-good.

Pain-better but on and off after heavy work.

Rx SL

20/11/11

140/100

Two water doses taken as per my advice by phone

Mild heart burn

Pain better

Urine—urgency-mild

Rx SL

30/12/11

Sleep—feels alone; whenever thinking about this I don’t have sleep.

Pain, swelling –improved

Rx

Advised to take 1 spoon from 1st tumbler (1st tumbler contains 100 ml water mixed with 2 drops of medicine from stock solution)—twice a week.

20/1/12

Heartburn –better

Pain-reduced at same level. Swelling completely gone

Rx SL

9/2/12

Generals—good. pain at same level.

Mind—alone feeling—there, but reduced

Rx

Advised to take 1 spoon from 1st tumbler (1st tumbler contains 100 ml water mixed with 2 drops of medicine from stock solution)—weekly 2 times

29/3/12

Crackling sound on walking

Pain improved at same level

Sleep—good

BP—126/90

Rx SL

22/4/12

Mild elbow joint pain—10 days

Sleep-good

Mind—well

Rx SL

18/5/12

BP-130/80

One time water dose taken

Elbow pain gone

Sleep, mind—well

25/6/12

BP-130/90

Knee pain –4 days

Ankle pain—2 days

Generals—good

Rx : advised to take one time water dose

12/7/12

Knee, ankle pain—better

Generals—good

Rx SL

28/7/12

BP-122/90

Pain—reduced—85%

Crackling of knee-mild

Generals—good

Mind –considerably changed, forsaken feeling gone

Rx SL

Advised to stop the BP tablet.

13/8/12

BP—130/80

Knee pain,flexing,swelling—all complaints considerably better

Mental well being is good

Generals—good

Rx SL

17/9/12

BP—130/80

Physically, mentally—good

Rx SL

8/10/12

Last 19 months he is able to do his work without help of others.

He is still working; pain and swelling are considerably improved

BP—tablet— stopped completely

Physical and mental well being is good

Rx SL

About the author

Dr.S. Arul Manickam

Dr. S. Arulmanickam BHMS, DFN, DGC. Homoeopathic consultant, Velumathi Homoeo Clinic, Police street, marakadai, lakshmangudi, Tiruvarur DT, pin 614102, TN, Cell 9843134564. He graduated with degrees in homeopathy, food and nutrition and guidance and counselling. He practices according to the true classical principles and methods of Hahnemann.

1 Comment

  • Very good case analysis and case management skills. The reasons
    for preferring 3rd row Nat-c to 4th row Kali-c are not mentioned.
    However it is clear that Nat-c acted as the true smm in this case.
    Congrats.
    Dr V T Yekkirala

Leave a Comment

Your email address will not be published. Required fields are marked *

варденафил купить

www.plasticsurgery.com.ua

kokun.net