By Dr Preety Shah and Dr Prajakta Vaidya

CHIEF COMPLAINTS

Uterine prolapse :

When I cough, use toilet all my parts protrude.
I don’t want to go for surgery. Because of this chronic cough the doctors have put me on several antibiotics and other medicines for years but it doesn’t resolve.
Cough is constant, it comes in bouts. I have to vomit the cough. living with it for 11 years now
Once the cough attack starts- it wont stop.
My face goes red, I cant breathe, I cant talk, involuntary urination
I have to retch the phlegm out

Frequent Urine infection

Chronic Constipation

Verbatim of case

Doctor: What is bothering you? 

P: This frustrating cough, it comes any time, suddenly, and its too severe that my whole face becomes red. Eyes are bloodshot, its so much that I cant sleep at night. 

Doctor: Tell more about this frustrating cough? 

P: Its irritating, something constantly is hurting in the throat. My whole head starts spinning. My brain is rattling in the skull. There is actual literal movement in my brain. 

This makes me feel like falling. It shakes me literally. 

It has pushed me off the bed in the night many times

Breathing gets affected. I am a shallow breather.

Have used oxygen cans, take puff

I feel, I am caught up and stifled

Doctor: Describe more ? 

P: Frustrating, there is tenacious phlegm, and you are with NO BREATH. Literally gasping, NO CONTROL. I feel blocked, chocked, suffocated. 

Doctor: Describe this more? 

P: its like as if someone is preventing you from breathing. And there is heavy load on my chest. There is discomfort in my throat and chest. Its SUFFOCATING ME. And taking me under his control. 

This is a rattling cough, my lower limbs, chest everything hurts

The phlegm is tenacious. All my passages are blocked.

I am like an alarm power, Detonator … It can go off anytime.

Suffocated can not do anything during cough…

I have feeling that I am going inside

Respiratory passage going through me, sinking feeling. 

I just don’t want to see anybody, don’t want to eat 

Uneasiness in my stomach, cold tickling sensation in my stomach

I cannot control my feeling.

While coughing I want to hold something, otherwise I go to fall .

Just wearing tight bra also causes greenish, bluishness, dark pink expression.

I don’t like tight clothing

Its controlling me. There is pain , which disgusts and frustrates me. I was getting irritable, Slight tapping was getting me angry and I just don’t want that to happen. 

Doctor: Describe this anger, frustration, what comes to you? 

P: its just I don’t want it. Even if somebody touches me at that time I get angry. Its hurting me. I feel harassed, tortured. 

Doctor: talk about harassed and tortured ? 

P: I start abusing them. I want to hurt them more. It just bottles up. And its not like I want KILL them or something.  

Keep these people at arm’s end. 

LIFE SITUATION

All my complaints started after my marriage. He used to abuse me, beat me and I was just helpless at that time. I felt the same anger and frustration. It used to suffocate me to death. 

D: Describe suffocation to death?

He was the worst nightmare for me and my children

He used to beat us, I have left him in the past several times. But this it has been 5 years.

He is diagnosed cancer and I am cold to him. He can die for all I care

Now I am staying with my brother. I have 4 children, I am separated from my husband in 2014, now I am happy 

ONE INCIDENT

• He has got all that angry…resentment. Everyone else has done him wrong. Now more self centered.  I keep him in his space.
• Then things..i used to be..
• As if…demon..eyes would change…screaming…my child came to me..He flinged him…skin and bones…
• I was hyperventilating shaking..saying things…from my mouth..
• I was shaking.. mouth was shaking… I was scared..what is the next move. …Then..sometimes silent..
• Oh.. you have no respect for me, not replying. Try to say good thing..
• Literally torturing me..i am paying al the bills, all groceries. 
• Harassing me.
• I used to shake..tremble…mouth shaking.

DREAM 1

I have frequent dreams of falling from height.

Falling from height…deep blue sea. Deep dark dark sea.

Spiral winding stairs…I don’t know…with a spiral no banister.

Falling down down down…

I can feel…falling..uncomfortable..pressure.

Doctor: Describe pressure?

P: just something, Pushing me….Right through.

Doctor: talk more

P: falling..drowning..falling from stairs..

Falling deep down

SOME IMPORTANT WORDS THAT CAME DURING THE CASE

• People take advantage of me
• These children they kept coming one after another
• I am suffering because of my mother
• No love, no freedom
• I am afire but now smothering fire if i compare my self to scapegoat i feel iam trapped
• Panic and run

DOCTOR: how are you with animals?

P: I don’t like fur. I am not used to countryside. 

Asthma 2008 always kept away from them,

I don’t like all reptiles, big sea creatures sharks, octopus

MOSTLY reptiles

DOCTOR: what about them?

P: dirty, monsters and of course predators..on TV 

DOCTOR: what about reptiles

P: from house lizard..salamanders.. jurrasic parks..i cant bear to see those things.

ANALYSIS

• Animal Themes
• Someone is taking control, harass, torture
• Alarm/Detonator
• Suffocation
• Tightness, heaviness in chest
• Respiratory passage closes in
• Caught up, stifled
• Control
• Rattling, shaking..
• Tight clothing
• HOLD TIGHTLY DURING COUGH or will fall
• Strategy: Constriction and not poison

REMEDY

Boa Constrictor 200

REMEDY UNDERSTANDING

The Boa constrictor (it is one of the few species whose common and scientific names are identical) is a constricting snake found throughout South America. It is a gentle, nocturnal snake. Its docility and beauty make it a popular pet and it is bred to produce morphs with even more remarkable skin patterns than are generally found in nature. It has been worshipped as an idol in South America.

The Boidae family, which also includes the Python, is a primitive form of snake. Some species have tiny vestigial rear legs. They are non venomous and kill by wrapping themselves around their prey and constricting until lung and circulatory functions are fatally compromised. They have well developed senses in particular the forked tongue and Jacobson’s organs allow them to sense odours very accurately and in stereo. They have infra red sensors in pits between the nostril and eye, which give them an accurate picture of warm blooded creatures around them even in absolute darkness. The Boa tends to hunt at night where it has the advantage of its heat vision. It manages to maintain its body heat in the darkness and does not need to warm up in the sunshine as do most cold blooded animals. After catching its prey, usually ambushing it during the hours of darkness, they swallow it whole and spend several days quietly digesting it.

The primary emotional expression of the remedy seems to be a need for order and control of the immediate environment. The immediate reaction to a loss of control is one of anger, indignation and behaviour that others find offensive. The effort put into constricting and controlling the environment in itself restricts activity and behaviour and so becomes constricting. The patient feels restricted and suffocated by their environment and by their interaction with it.

The most important word in describing sensations and pains is “dragging“. Dragging pains and dragging sensations are experienced in almost all parts while the proving coordinator stated “None of the trials which I have ever taken part in have dragged themselves out for such a long time.” Mentally this was expressed in lethargy and procrastination, an aversion to carry out her duties.

Reference: https://www.hominf.org/remedy/boa.htm

Follow up after 1 year

• Uterine Prolapse much better, no protrusion, no surgery required
• Constipation 80% better
• Cough on and off, bouts when she is completely better
• Mentally much better