A homoeopathic case of

alopecia areata
• PRELIMINARY DATA:
•  
• NAME: Mr. Devendra Singh
•  
• ADDRESS: 104/32, MHB nagar, Gaikwad Nagar, Malad west, Mumbai 95.
•  
• AGE: 31 years ; SEX: Male ; RELIGION: Hindu ;
•  
• OCCUPATION: Politician
•  
• PHYSICIAN IN CHARGE:
•  
• OPD NO: 2613/18
•  
• DATE OF CONSULTATION: 3/08/2018
•  
• CHIEF COMPLAINTS:
•  
• 1. Hairs fall since 2 years.
•  
• Previously hair fall in strands. More on the vertex area. Hairs falls now in spots+.
•  
• Has taken medicine from Richfeel and has taken other medicines. But patient was not better.
•  
• <washing hairs <combing
•  
• Applies oil 3 to 4 times a week.
•  
•  
• 2. Restrosternal burning since 3 years
•  
• Heaviness during episode especially in the sternal region. Nausea accompanied with regurgitation with food.
•  
• <over eating <empty stomach >antacids
• PATIENT AS A PERSON:
•  
• APPERANCE: Moderate built. Wheatish complexion. Light hair, robust.
•  
• DIGESTION: App: good. Can tolerate hunger.
•  
• LIKES: Spicy+2, chicken+2
•  
• DISLIKES: ---
•  
• FOOD/DRINK/AGG/AMEL: ---------------
•
THIRST : 1 to 1.5 Liters per day. Sips of water.
•  
• Wants cold water.
•  
• ELIMINATION: STOOL: satisfactory URINE: Nothing significant.
•  
• PERSPIRATION: moderate, more on head
•  
• SLEEP: 6 hours of sleep. Refreshing. Snoring during sleep.
•  
• DREAMS: Lascivious dreams once a week.
•  
• GENERAL REACTIONS: HOT PATIENT
•  
• Can’t tolerate heat. Wants fan throughout the year.
• Baths with cold water throughout the year.
• Covering only in winter which is thin.
•  PAST HISTORY: Malaria at the age of 12 years.
•  FAMILY HISTORY: Mother – DM + HTN
•  
• MENTALS:
•  
• Stays with parents, brother, sisters.
•  
• Studied till B.Sc in mathematics and now in politics.
•  
• Always wants to be superior.
•  
• Keeps grudges.
•  
•
Stubborn. Wants the thing he wishes for.
•  
• Indifference towards family.
•  
• EXAMINATION:
•  
• GENERAL: BP – 150/84 mm hg. RR – 16 / min.
•  
• PULSE: 76/min. TEMPERATURE: a febrile.
•   
• DIAGNOSIS: ALOPECIA AREATA+ APD
• Reasons: Hair fall in strands to now in spots
• retrosternal burning <overeating <empty stomach
•  
•  
• HAHNEMANNIAN CLASSIFICATION OF DISEASE:
•  
• Chronic dynamic miasmatic disease with fully developed symptoms.
 ANALYSIS AND EVALUATION ORDER:
Lascivious dreams. Characteristic mental subconcious
 
keeps grudges. Characteristic mental emotion
 
Indifference towards loved ones. Characteristic mental intellect
 
Hot patient Characterictic physical general thermal modality
 
Likes spicy2 Characteristic physical general desire
 
Likes chicken2 Characteristic physical general desire
 
Hair falls in spots+ Characteristic physical particular intensity
 
Hair falls more on vertex. Caharacteristic physical particular location
 

MIASM:
SYCOTIC MIASM
Patient is known to keep grudges which develop over time
Also he has now developed indifference towards people whom he once loved
Hair fall is from strands to now leaving a spot on vertex
• TOTALITY OF SYMPTOMS:
• 31 year male patient of a moderate built, wheatish complexion, light hair, robust
constitution of Alopecea arata and APD characteristic of which are as stated below:
• Alopecea arata (since 2 years) on vertex
• Retrosternal burning (since 3 years) <overeating, <empty stomach
• Mental characteristic symptoms are:
• Lascivious dreams
• Keeps grudges
• Indifference towards loved ones
• His dispositional features are:
• Hot patient
• Desires – spicy2, chicken2
 CONVERSION OF SYMPTOMS TO RUBRICS:

SYMPTOMS RUBRICS REPERTORY

Lascivious dreams Dreams, lascivious KENT
Keeps grudges Mind, hatred KENT
Indifference towards Mind, indifference, apathy, KENT
loved ones loved ones to  
Hot patient Generals, warm, KENT
  Aggravation  
Like spicy 2
Generals, food and drinks, KENT
  spices, desire  
Like chicken 2
Generals, food and drinks, KENT
  chicken, desire  
Hair falls in spots+ Head, hair, falling, spots, in KENT
Hair falls more on Head, hair, falling, vertex, KENT
Vertex From  
• DIFFERENTIAL REMEDIES:
• PHOSPHORUS
•  FLOURIC ACID
•  LYCOPODIUM
•  SULPHUR
•  
• Differentiation of Remedies:
• Flouric acid, lycopodium and phosphorous all are known to keep grudges and be stubborn
• All these remedies cover hair fall in spots
•  However, only Phosphorus and Flouric acid show indifference to loved ones.
•  Fluoric acid however, doesn’t cover dreams lascivious.
•  Phosphorous is indicated more, as it covers dreams amorous (lascivious), exhibits indifference towards loved ones, holds grudges
when not obeyed.
•  
• INDICATED REMEDY
• PHOSPHOROUS
• Dreams Lascivious- amorous
•  Hair falls in spots
•  Hatred
•  Indifference towards loved ones
•  Likes spicy
•  
• SUSCEPTIBILTY: HIGH.
•  Good symptom similarity
• Chronic disease
• More number of characteristics symptoms at mental and physical generals.
• Disease at functional stage
• Middle age patient
• No history of suppression.
•  
• POSOLOGY: 200(2P)
• High Susceptibility.
• Good symptom similarity
• Characteristics at mental and physical general.
•  
• PRESCRIPTION:
• DIET & REGIMEN:
•  
• Fresh fruits and vegetables especially leafy vegetables, berries, and tomatoes, as they
are high in antioxidants which combat inflammation and promote normal immune
function.
•  
• Healthy fats like olive oil, flax seed. Non animal sources of proteins like whole grains,
beans, nuts, seeds. Food high in calcium – nuts, milk, leafy greens.Vitamin B rich foods-
nuts, tomatoes. Vitamin C rich foods - lemon, amla for healthy scalp and good follicles.
 FOLLOW UP:

  FOLLOW UP TREATMENT
  17/08/2018  
1. Hair fall in strands --------- > ------  
Hair fall spots are reducing.  
<washing hairs < combing  

2. Retrosternal burning ---- > 30 % -----  

No nausea. Heaviness is there but not same as before.  
<empty stomach.  
    Rx,
3. Generals : Appetite is normal phosphorous 200 2P
  Thirst – normal SL 30 tds * 15 days
  Stool/ urine: satisfactory  
  31/08/2018