Case Study – Byssinosis
By: 
Dr. Tamilarasan Bhms.
109,West Kailasapuram, Thathaneri main road,
Madurai -625018
+91 9597915213
tamilarasanbhms93@gmail.com
NAME : Mr. Xxxx
AGE: 73 yrs
SEX: male
OCCUPATION: Tailor
DWELLINGS: YYY, with his elder son
DATE: 26th June, 2018
PRESENTING COMPLAINTS:
1. RESPIRATORY SYSTEM
Since 15yrs,
C/o Cold, Sneezing, Running nose+++, Whitish watery discharge, Breathing Difficulty Tickling pain in the throat
A/F Cotton dust, < Morning++ < 4 a.m + < cold season >sneezing+
Associated with (concomitant), since 3yrs Tiredness, Sleeplessness, Constipation++
HISTORY OF PRESENTING COMPLAINTS :
Patient had developed the complaints before 20 yrs, While working in the cotton industry. He quits his work,When his complaints get more worsen (before 15years)
He also has NIIDM since 10yrs and Hypertension since 10yrs
PAST HISTORY :
At 15yrs of age –Chickenpox, relieved by traditional treatment
At 50yrs of age – Renal calculi, relieved by allopathic treatment
During the year of 2015 – Undergone cataract surgery (Right eye)
FAMILY HISTORY :
Wife died before 13 yrs due to cardiac complaints
GENERALS :
Desire : Spicy foods, Cold climate, Hot water
No fanning, No covering
Appetite : Normal
Thirst : Normal, desire for hot water
Urine : Increased during night
Stool : Hard stool, Passes once in 2days
Sleep : Disturbed
MENTAL GENERALS :
Egostic
Reserved
Religious
Responsibelness
Suppressed anger
GENERAL EXAMINATION :
Mild Pallor, No Edema, No Clubbing, No Cyanosis
Pulse rate : 78/min
BP: 140/110mmHg
RBS : 210mm/dl
MIASMATIC EXPRESSION :
Fundamental Miasm : Psora
Dominant Miasm: Tubercular+++
TREATMENT :
Rx
1. Lycopodium 1M /1dose OD
2. Sac lac tds/1week
BASIS OF SELECTION :
SUSCEPTIBILITY : Slow onset, Moderate Progress
SENSITIVITY : High sensitivity (Mind+++)
GENERAL VITATLITY : Poor (vital organ affection –lungs, High BP)
FOLLOW UP :
02-07-2018 evening 5.30pm
Patient feels better. Complaints slightly reduced.
Appetite : Normal
Thirst : Normal
Stool : Passes without any difficulty
UrineU: Increased in Night
BP : 140/110mmhg
Rx
1. Lycopodium 1m Od
2. Sac lac tds/1week
09/07/2018 Evening 6.10pm
(Patient with full of smiles in his face)
Didn’t develop any nasal discharge last week (rainy climate). Have sound sleep. Tickling sensation in the throat reduced.
Appetite : Normal
Thirst : Normal
Sleep : Sound sleep
BP: 130/90mm/hg
RBS: 184mm/dl
Rx
1. lycopodium 0/3 od/5days
2. Sac lac tds/5days
15/7/2018
Complaints reduced . breathing difficulty reduced. Have good bowel habits. No disturbance of symptoms in night .Patient gradually improving
Appetite : Normal
Thirst : Normal
Stool : Regular
Sleep : Sound
BP : 130/90mmhg
Rx
1. Lycopodium 0/3 od/5days
2. Sac lac tds /5days
Patient advised for further follow up to keep Blood pressure and sugar level under control.
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