Case of a tribal women

Dr Abhay Talwalkar
M.D.
This 20 year primi
(first time pregnant
women) came to my
hospital in labor,
She had no
previous anti natal
treatment with us .
She came to the hospital at
about 9.30 pm and was
complaining of pain and a
reddish discharge per vagina.
On p.v. examination which she
allowed with difficulty as it was painful
it was found that the O.S was 2 finger
dilated and the head had fixed
She was advised admission for further
management as she was obviously in
labor.
 After some time we could hear shouting and
shrieking from the ward and we rushed to find
it was this patient, the pains had suddenly
intensified and she was shifted to the labor
room for a re- examination.
• She did not allow the p.v examination at
this time how ever, it was noted that she
was having intense labor pains and was
not willing to lie on the labor table, she was
shouting & shrieking with pain, and calling
her attendant ladies ( about 8-10 of them)
in a loud voice saying please do something,
I cant bear this, the pains are too much
Moments later she was rolling on the floor as the
pain became more intense.
She was behaving like a mad women , shouting
screaming and rolling on the floor, then getting
up and running to the door wanting to go out, so
much so that the attendants had to hold her.
• we had to close the main gate of the
hospital, it was a real scene with this
women now rolling on the floor in the
waiting area of the hospital surrounded by
4-5 women each trying to pacify her and
the remaining party outside the main gate
assuring her don’t worry this doctor will
help you.
Then she started vomiting & spitting
This was the whole presentation which
was in front of me and that was all that
was there in the case .
• I was just observing the whole phenomena
objectively.
• So how do we proceed in this kind of a case.
• One thing we are sure of is that this is a acute
situation.
• And some information I got about the progress o
from my wife, was about the dilatation- the tightness
or the spasmodically contracted os
 My thought process …
• I thought to my self how can I make some sense of all
this nonsense going on in front of me.
• And it occurred to me that this state that I am seeing is,
a sudden acute and violent state.
• Only other information that I had is the condition or the
nature in which the os. is contracted spasmodically.
• The whole picture pointed out to a state that
was violent , sudden and spasmodic .
• The pains were so intense that the patient was
rolling on the floor and wanted to escape .
• Rage,spitting,shrieking.
 Prescription

• Belladona – (solanaceae acute – rem)

s
• After one dose of bella 1m within 5 mins
the patient was very quiet and relaxed
• 10 mins after she was much relaxed
,walked back to the ward ,allowed P.v.
examination which revealed that the
dilatation had increased to 5 cms .
 After some time
• She again was given
another dose of bella
1m.as she became
restless and started
experiencing the pain
again
• At 10:55 pm she
delivered a healthy baby
boy.
 Learning from the case
• This case highlights the followning
aspects –
 Aphorism 210 of organon which
states

• Those who were patient when

well often become obstinate,
violent, hasty, or even intolerate
and capricious, or impatient or
desponding when ill; …those
formerly modest often become
lascivious and shameless.
• A clear-headed person
frequently becomes obtuse
of intellect, while one
ordinarily weak-minded
becomes more prudent
and thoughtful; and a man
slow to make up his mind
sometimes acquires great
presence of mind and
quickness of resolve, etc.
• and in all cases of disease we are
called on to cure the state of the
patient's disposition is to be
particularly noted, along with the
totality of the symptoms, if we
would trace an accurate picture of
disease, we would be able to treat
it homeopathically with success.
 Aphorism 211
• This holds true to such an
extent, that the state of the
disposition of the patient often
chiefly determines the
selection of the homoeopathic
remedy, as being a decidedly
characteristic symptom which
can least of all remain
concealed from the accurately
observing physician.