A CASE OF URTICARIA
Dr Rupal Karwa MD (Hom) Nagpur
A lady of 28 yrs old presented with eruptions all over the body especially trunk & thighs. Eruption was pink-red colored around 2mm-6mm in size with slight elevation. The rash was very itchy with <touch, >rubbing. Only change was in diet, as she was fasting so she had meals only once a day for about a month.
Past History- Not specific
Menstrual History- cycle of 28 days with a regular average bleeding. Discharge is bright red colored.
Obstetric History- full term one male child delivered by caesarean section.
Appetite - decreased, takes meal only once a day.
Thirst – increased.
Sweat – on covered parts.
Stool – constipated.
Sleep—disturbed due to itching.
Mental generals—she gets easily angry and is highly irritable. Does not wish talk with anybody.
Weight- 54 kg.
B.P—120/70 mm of Hg.
Respiration –difficult after midnight (3 a.m)
TOTALITY OF SYMPTOMS
· Reddish rash all over the body.
· complaints aggravate after scratching
· Difficult respiration
· Midnight aggravation.
· difficulty in respiration at 3 am
Belladonna 200 BD on empty stomach
Placebo for 8 days TDS.
Rash disappeared partially.
Breathlessness during night <3 a.m.
Kalium carbonicum 200 BD on empty stomach.
Placebo for 15 days TDS.
Rash disappeared completely.
No burning, no itching.
Placebo for 8 days,
The drug is based on totality and prescribed on psoric plethora which has benefited the patient. till now there is no recurrence.