How a simple case of hairfall can lead to deep disturbance within!!

Each case is a different experience for the physician.
He never knows what new world is it going to open up
for him!!
At times apparently looking simple complaints may be impregnated with deeper disturbances waiting to be uncovered
by a carefully observant physician.

As quoted in $98: ……the investigation of the true, complete picture and its peculiarities demands especial circumspection, tact, knowledge of human nature, caution in conducting the inquiry and patience in an eminent degree.

Listening to the patient with faith and belief that each detail though seemingly trivial is important,
there comes a stage in case where dots start connecting and the case unravels…
read below such a case primarily presented with complaints of hair fall and see what it turns out to be…

Pt: hair fall. Both side of the head. But due to long hair baldness can’t be seen easily to others.
Dr.: when it starts?
Pt: last 1-2 years. Before it there was no hair fall. Even i don’t know about it. But now it’s clearly seen.
Dr.: have you taken any treatment for it?
Pt : no. I haven’t. I think there’s no any treatment for it.
Dr : ok. Now I need to understand you as a person regarding your stress, emotions, worry etc. These all are important for me to know about you.
Pt : death of uncle. We stay in joint family. I was in 12th at that time and very innocent. After death of him; problems start at home. By all these I became mature and gave more priority to home; at that time I don’t understand that I’m going through stress.
After the death of uncle grandpa got shock & became mentally retard. So all burden of business come to the papa. He is the only one who earn and 11 members in my home. I m studying in engineering I want to help him but he say no. We are financially able to handle all but I know what the situation is.
So, I always fill that I should help my father and that’s why constantly thinking how I can help him. But till now I can’t be successful in that. Even last night I can’t sleep because of it. finally, I have to sleep by force. These all are my problems. No problems outside.
Dr. : what do you feel??
Pt : I felt my uncle get cure soon. Thought never come in mind that he die But, he died. After that I became mature.
Our business was nice. We had good fame in it. But, after the death of uncle some problems came and we had to close one branch.
Dr. : what do you feel at that time?
Pt : 11 members at my home from them 4 are children. Within few years marriage will come at the gap of 1-1 year. So this is my problem.
Dr : what do you feel? What affects you more in all these?
Pt : I tried to do something to balance the pressure which my papa going through. I want to do something to help him but mysteriously because he doesn’t want me to work now. My father’s way to work is different than mine. But both we want to help family.
Dr : how’s the pressure?? What’s his situation?
Pt : he has to handle 4 firms now. In past 3 of them handle it. Now the whole burden comes on his shoulder.
He is short tempered. Because of it some works goes wrong and then can’t get profit from it. He is the only one who has to care for everybody’s minor things.
Dr: so you are the only one who knows the situation of him?
Pt: Yes. Because all are younger than me. I went to the firms and see everything how problems come and how to solve them; I want to solve but without permission of papa I can’t.
Dr: like?
Pt: papa is not good in management of finance. And when need comes there should be something with you.
Dr: then how to manage? What do you feel??
Pt: he spent money in food and basics and I think if we use little more amounts in our firm then the profits will be more.
Dr: you said you want to balance that pressure. Describe it in more words. You are going nicely. Just describe it more.
Pt: I started on my own risk our old firm which was not in working situation since the death of my uncle. Without informing my parents I applied for government loan and loan approved I tell him but he didn’t show much interest in it. So I had to step back. But started that firm again and now it works well.
Dr: who started it?
Pt: papa started it but after my constant insisting. I gain so much knowledge for its work from everywhere now I reach up to 40 to 45% of it. My parents doesn’t know that I m gaining the knowledge for it. Papa work hard but don’t use logic sometimes so it’s like people of UP. They known for their hard work but then also they remain there only from where they begin.
Dr: means?
Pt: with physical work we also should apply some mind and strategy. But he doesn’t want to develop something new. Doing that old one…. He thinks but don’t apply it. His 1st and 2nd priority is something else.
Dr: what do you feel?
Pt: if I was his place I didn’t do that. Papa is not 100% wrong. But he is not doing 100% right.
Dr: what changes you want??
Pt: we have lot many works which are not developed so much they all are in sequences. If one will be better; the other one will be automatically going towards betterment.
Dr. : tell me about your dreams.
Pt: nothing important. Constantly thinking in sleep that I should do something by my own. Though I have exam on next day my mind is working for this.
Dr: something my own means?
Pt: every body hope on me that I do something. I thought a lot and tried to but I need support of papa. Because if I think for 100% then practically only 60% will occurs.
At the age of mine papa has so many dreams and hobbies. But now due to all pressure he cannot fulfil them so I want to do something so that he can enjoy his life.
Dr: how do you feel when he can’t enjoy life?
Pt: I feel bad for him. One of mine friends papa share every minute details of their business with him and here, the situation is totally different; I ask papa about business but he never share. His father is practical. I know everything about world by news and all but not about my home and business. He told me if he shares his pressure with me then I can’t handle it because I’m short tempered. But, I remain angry for 5 to 10 mines only. And I know my hair fall is because of this stress which I m going through.
Dr: what else Other than hair fall?
Pt: headache; when stress at that time headache occurs. It occurs at forehead. When I use spaces headache not occur. Only on front of head which remains constant. > By closing the eyes and by deep breath. I feel my mind stop working when close the eye and then I feel better.
Dr: when you didn’t do this then?
Pt: this much I don’t think. When I am alone this happens; not when surrounded by people.
Dr: what you feel when you are alone?
Pt: I m too much moody. When in nice mood I explore new places, like to eat new things.
Dr: what do you like in food?
Pt: anything which is good.
Dr: favourite?
Pt: dalbati and Chinese.
Dr: something you don’t like to eat?
Pt: nothing specific.
Dr: if you ask to do something how it should be?
Pt: if I decided to do it then I complete it anyhow.
Example: I was weak in maths in board exams. I decided to bring good score in it. I went to one of my classmate who was good in maths. One day in casual talks he told me let’s see who will score more. I knew I can’t beat him because I was Learn from him but his words hurts me and decided to bring more no. then him and I started preparation for it. I got highest in my class and proved that I’m better than him.
Dr: tell me more about your headache.
Pt: when I’m going through more stress it occurs. I had headache and then I checked out for no. Then start using spaces.
Almost from 1 & ½ year suffering from it. When think a lot it occurs.
Dr: other than headache anything else?
Pt: stamina is less. In past I used to play a lot outdoor games. But now, after little more thinking heartbeat increases.
Dr: how’s your sleep?
Pt: it’s good.
Dr: anything else you want to share?
Pt: this much is enough.

Common things in the case:
 Responsibility
 Neglected his responsibility
 Thinking a lot
 Doing a lot
 Pressure
 Stress
 Want to work
 Needs support
 Want to decrease pressure
 Demand
 Hard working
 Anger
 Practical
 Dedicated
 Change
 competitive
 Business
 Earning
 Economy
 Management
 Strategy
 Security
 Balancing the pressure
 Want to do something by own.
 Develop something
 Development of business
 Priority to money
 Stamina reduced
 Headache while thinking more
 > By closing the eyes.

Problem areas of the case and how cope-up with them:
 Duty
 Exams
 My job
 Business
 Stress
 My family
 Security
 Challenge
 Want to develop
 Tried a lot
 Headache
 Constant thinking
 Family demands, money,
 Security
 Challenge – acceptance – hard work – win
 Security -money – hard working – initiation – development – trying
 Continuous thoughts – want to do something own – own identity – security for future.
 Stamina
 Determination
 Strong will power
 Strength
 Strong minded

Kingdom: mineral
 Systemised / organized
 Structure of economy / strategy
 Want to gain a good position
 Lack of structure
 Lack of support
 Balance the pressure
 Want to develop (construction)
 (Projection – father is disorganized in terms of business)
 Standing on own feet
 Statics
 Strategy
 strength
 Tension / stress
 Weakness.

By understanding the whole case the: pace, Weakness, pressure for work, dedication, and headache all coincides more with acid group.
Characteristics of acid group: [source book:- J. D. Patil]

Characteristic Mental Symptoms:

Hurriedness is another symptom that is often accompanied by tiredness or exhaustion.
Exhaustion, most common and well know the characteristic of the acid is exhaustion e.g. – ph acid.
Irritability leads to vindictiveness and hatred.
Extroverts, they are extroverts and talk easily and openly.
Perfectionists, they have a tendency to be perfectionists.
Aggression, There is an aggressive side in acids which is expressed physically in violent biting, itching character of the complaints, as in aphthae, ulcers, fissure, etc.
Unification, They has desire to become one with everyone and everything.
Perceiving power is decreased even then understanding and interpretations are wrong.
Weary of life and despair of recovery.
Cowardice, malicious, jealous, suspicious and loquacious is the key symptoms.
Weak memory, there is great weakness at mental level. Their memory is weak and they are lacking in self-confidence, and have destruction of all thinking power. Forgetfulness. Absent-mindedness.
Confusion, They are in a confused state of mind and lack of concentration.
Industrious, They must be occupied in some work otherwise physical complaints increase, < when free or thinking of complaints.
Disorientation of time, space, and identity, Person has disorientation of time, space, and identity, sometime forgets his own relatives.
Aversion to company. They do not participate in any pleasurable events.
Anxious and excited and become angry when upset.
Obstinate, They are obstinate and develop obsessive-compulsive neurosis.
Nymphomania, their sexual desire is high but low endurance. They have lewd thoughts, lascivious mania and nymphomania
Drowsiness, they are drowsy with muttering and moaning constantly. Stupor.
Impulsive, they are violent furious and impulsive then they go into mania.
Egoistic, they have self-egoism and attention towards pleasure seeking inputs.
Fastidious, They are very neat and tidy.
Indolence, indifference and apathy are their main features.
Violence and restlessness are the marked features of acids.

Characteristic Physical Symptoms:

Burning, extreme weakness, debility, destruction, haemorrhage, ulcer, septicemia etc are predominantly seen at the physical level.
Burning of acidic organs, chest, and urethra. Due to irritation of nerves
Suddenness, Symptoms appear and disappear suddenly.
Loss of vital fluids, trembling, shivering and debility after loss of vital fluid diarrhea, vomiting, seminal emission lactation, profuse sweating etc.
Debility marked at both mental and physical level
Discharges are watery acrid, sour and strained with blood, excoriating, offensive. Soapy, thick stringy alkaline secretion.
Over sensitive to external stimuli.
Weakness with destruction of tissue inorganic acid
Weakness without destruction organic acid.
Pseudo membrane, They have tendency to form pseudomembrane so indicated in diphtheria.
Deficiency, Many of the acids are useful in scurvy, particularly when it has arises from diet of salts food with deprivation of vegetables.
Skin: – sepsis, loss of hair and brittle nails it is more marked in inorganic acids than in organic acids.
Tongue: – thin burning, cracked ulcerated blackish or brownish-coated margin.
Taste: – sour and putrid.
Desire: – Alcohol, acidic food, citrus fruits tanned, and indigestible food (Chalk pencil, mud, paint, egg, meat, etc.)
Aversion: – Heavy food, pulses, sweets oily, fatty food, cheese, icy cold things, ice cream etc.

COMMON GENERAL MODALITIES: –
Aggravation:
Night, exertion, cold food and cold drink, loss of vital fluid, loss of sleep, mental tension anxiety, worries, grief, touch, etc.
Amelioration:
Rest, heat, short sleep eating after, relief from discharge like profuse urination, etc.

PICRIC ACID WAS GIVEN IN 1M POTENCY.
Total 6-8 doses were given during treatment as and when required.
Sign and symptoms of picric acid:
Murphy M.M.:-
Pic-ac. and its compounds are among the most powerful explosives known,
lydite being an example. Pic-ac. like Glon. has occipital headaches and
Bursting headaches. The headache, frontal or occipital is worse on any
attempt to use the mind and it may extend down the spine. There is also a
headache extending from the top of the spine up over the head to the eyes.

Substance of Homeopathy:-
Picricum acidum seems to be concerned with a tremendous effort in the
direction of intellectual achievement. The failed state of Picricum acidum is
dullness, sluggishness, inability to think long, mental work becomes
impossible. Such a state is reached usually in a person who has made a
tremendous mental (intellectual) effort and is now exhausted – brain fag.
This may be seen, for example, in students preparing for highly competitive
exams.

Follow up 1(2months later):
Hairfall has decreased significantly.
Headaches almost gone, infrequent episodes of headache.
pain and Intensity are very less compared to earlier.
I am feeling much better.

Follow up 2 (1 year later):
Headaches gone!! I don’t remember when last did I get such headache.
Hairfall has stopped.
No episode of fever with weakness.
Physical and mental exhaustion has gone, Energy levels much better.