Case of Recurrent Urticaria

Case Details:
A female patient visited my clinic with a history of recurrent urticaria. She had been suffering from this condition for a long time and had tried various treatment modalities, including allopathy, ayurveda, and homeopathy, without relief. The patient was referred to me by one of my existing patients. 

Case Discussion by Dr Kailas Bhagawan Salunkhe

Dr.: Kab se aapko yeh problem ho rahi hai? 
Patient: Yeh problem 2 saal se hai, jab mere husband ki death hui thi. Unke guzarne ke baad yeh takleef shuru hui. 

Rubrics:
  – Mind; Death; ailments from, agg. 
  – Mind; Death; ailments from, agg.; loved ones, of 

Dr.: Jab unka dehant hua, toh aapko aur kya mehsoos hota tha? 
Patient: Bahut dukh hua, kyunki unki umar sirf 52 thi aur meri 48. Unke guzarne ke baad mujhe laga ki ab is duniya mein mera koi nahi hai. Mujhe ghar ke maamle mein koi interest hi nahi raha. Har cheez se udasi aur udaasi ke saath indifference ho gaya tha. 

Rubrics : 
  – Mind; Grief; ailments from, agg. 
  – Mind; Sadness; indifference, with 

Patient continued: Mujhe logon ke saath baat karna pasand nahi tha, akela rehna theek lagta tha. Lagta tha ki koi meri madad nahi kar sakta. Aisa mehsoos hota tha jaise main duniya se alag ho gayi hoon. Duniya mein rehne layak hi nahi rahi hoon. Mujhe lagta tha ki ab meri dependency badh jayegi aur mere apne log mujhe sambhalenge ya nahi, ismein bhi doubt tha. 

Rubrics: 
  – Mind; Alone; amel. 
  – Mind; Delusions; locked away within herself; one is from the world 
  – Mind; Delusions; separated 
  – Mind; Delusions, imaginations; unfit for; world, the 
  – Mind; Dependent; mercy of others, at 
  – Mind; Doubtful; relationships, about 

Patient further added: Ghar mein log toh hain, mujhe dekhte bhi hain, lekin mujhe har waqt akelapan mehsoos hota hai. Aage kaise manage karungi, iski chinta mujhe rehti hai. Is wajah se main kuch karne ki himmat hi nahi karti. Kisi se baat cheet karne ka mann nahi karta. Lekin jab koi meri takleef dekhta hai ya khayal rakhta hai, toh thoda acha lagta hai. Jab zyada takleef hoti thi, toh mai excited ho jati thi, ki mujhe handle karna hai ya nahi ho paayega. 

Rubrics:
  – Mind; Forsaken feeling, loved, beloved by his parents, wife, friends, feels is not being 
  – Mind; Helplessness 
  – Mind; Handle things anymore, cannot, overwhelmed by stress 
  – Mind: Initiative, lack of 
  – Mind: Reserved 
  – Mind: Insecurity 
  – Mind: Excitement, excitable; eruptions, with 


Analysis and Prescription

Based on the emotional and mental picture presented by the patient, *Ignatia* was my first thought due to the history of grief. However, after repertorization of the case, the remedy *Astacus fluviatilis* emerged as the most indicated remedy. 

Physical Sphere:
The patient’s physical symptoms matched the sphere of action of Astacus fluviatilis
Skin Symptoms: Urticaria with intense itching. 
– Associated complaints included: 
  – Swelling of lymphatic glands. 
  – Erythema. 
  – Sensitivity to air and cold. 

Prescription:
Rx
Astacus fluviatilis


Remedy Insights:

Astacus fluviatilis (Crawfish): 
Skin Affections: Particularly effective in conditions like urticaria, crusta lactea, and skin diseases associated with liver dysfunction. 
Keynotes
  – Nettle rash with intense itching. 
  – Erysipelas and jaundice with urticaria. 
  – Enlargement of lymphatic and cervical glands. 
  – Worse uncovering and sensitivity to air.


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