PRELIMINARY INFORMATION:

NAME: Master S.V.

Sex Male
Date of birth: 04-06-1991
Religion/caste: Jain Kutchi
School: I.H. Bhatia English Medium School.
Standard: II
Father: 38 years
Mother: 35 years Housewife
Siblings: 1 brother, 11 years old
CHIEF COMPLAINT

Intellect: A known case of Dyslexia. He writes the opposite

mirror image like. e.g.: F for 7, b for d. Difficulty in reading and
writing. Speaks one thing and writes another. He has been
receiving remedial training at M.S.S.
EDUCATIONAL ASSESSMENT REPORT SUMMARY:-

Master S.V. shows deficits in area of position in space. He has

difficulties in sustenance of attention for a required amount of time,
as well as attending to finer details. He lacks efficient strategies for
learning. His auditory analysis and synthesis are weak and phonetic
associations are poor. His cognitive abilities are not age
appropriate. All these lead to his academic performance being below
average.
Diagnosis: DYSLEXIA
ASSOCIATED COMPLAINTS:
Since birth: Coryza 2, thick blakish crusts + from the nose. < COW 2
Occassional. Epistaxis
H/O Recurrent Acute Otitis Media (AOM)

PAST HISTORY

3 attacks of Hepatitis 94, 95 , Jan., 2000

History of Accidental consumption of caustic soda solution in
December 94
Reccurent Heat boils.
Family History:

Paternal Gr. Father Died 3 years back Cancer

Paternal Aunt H/O Kochs ,
Paternal Gr. Mother Diabetes M.
BIRTH HISTORY:
FTND (Full Term Normal Delivery)

Antenatal Nil. Post Natal Nil

Motherss mental state during pregnancy Normal
CIAB No other significant abnormalities
MILESTONES:

Head holding -?
Dentition 7 months
Walking 9 months
Talking 1 years single words, no double syllables Mama, Papa
etc., Delayed.
Vaccination: Fully immunized up to age
PATIENT AS A PERSON:

Appearance: plump child, chubby.

Appetite (N) G: Curd 2
Perspiration profuse Gen. 22 Odor (++) offensive
Stools (N) Occ. 2 4/d
Urine (N) Nocturnal enuresis -3 months sleep: light.

Dreams:
Sleep: Occ. Startles in sleep, Occ. Talks in sleep
Thermal: Sun < Epistaxis more frequent in summer
Needs the fan in summer but slow in winter. Likes to Cover himself
and occasionally needs woolen sweater in winter.
Examination:

Rhinorrhea +
Chest Clear
Moles +
White spots on nails
LIFE SPACE:

Master S is an 8 year old child from a middle class Kutchi Jain

family. He was accompanied by his mother. Since the last 3 months
they were living as a nuclear family mother, father and 2 sons.
Earlier they were staying in a joint family with paternal grand
father, paternal grand mother, 1 paternal uncle, his wife and
daughter. The paternal uncle is the fathers younger brother. There
were a lot of conflicts in the family after paternal uncles marriage.
Till then things were fine. These conflicts between family
members were about financial issues and household chores. His
father runs a Kirana store (grocery shop). Paternal uncle is in
service. The mother assists at the shop as it is at close to their
house. Mother said that the quarrels in house affected her children
very much. She explained that S always had a typical frown on his
face, which has reduced now since they have separated. She said
that the children would always be very concerned about her. What
if they do something to my mother? He carried a fear that paternal
uncles family would harm her mother especially in the fathers
absence. He didnt take her with him when going out and left them

alone. S never liked to spend time with his paternal uncle or

paternal aunt. Recently a cousin sister was born. His mother said
that the patient went to his teacher and told her that he doesnt have
any cousin sister and he will never go close to her. His mother
explained that she never encourages such ideas and this was his own
thinking. The dreams that he described also showed a lot of
resentment towards parental uncle and his family. He was attached
to paternal grandfather. He always used to spend time with him
when his mother went to the shop. After paternal garnd fathers
death, the patient used to remember him all the time. He remained
in a depressed mood and always said that he wanted to go to him.
Mother also said that the elder brother takes care of the patient.
Last year when the mother was sick, they managed all the work.
The patient is also quite independent. He does all his work on his
own. He enjoys staying at maternal garnd fathers place. Since
there are a lot of people around, he mixes with other children there
and is playful. He is extremely impulsive. Recently he chopped off
his eyebrows with a scissor. He goes into the tank to hide there. He
plays a lot of pranks with other children in school. HE is quite a
restless, impulsive child. Has no fears, and when questioned about
this he said that parents beat him if he doesnt study. Mother
reported that patient gets along extremely well with his father.
In the interview when mother was talking about the family conflicts,
the patient started crying and had to be sent out to play. Later he
was observed to be playing on the slide.
The supervisor reported that child went to his cabin was standing
there for some time and then lay down on the examination table.
He described the child as `BINDAS (ready to take risks). We see
here a lot of discrepancy in the picture that mother gave and the
observation made by others. But she was probably better able to

appreciate to the problems and psychological pressure of this child.

She said that the elder brother doesnt allow the patient to play with
him and so he generally plays with children younger than his age.
HOMOEOPATHIC UNDERSTANDING: -

Here we have explained the dynamic interaction between the child

and his environment The child is extremely sensitive to the conflicts in
the family, which have affected him very badly. There has been an
insecure feeling. He has a lot of resentment for the uncle and his
family, which he harbors all the time : He has a frown on his face.
He settles down somewhat after the separation into a nuclear family
set up.
Also there was the state of grief after the loss of paternal garnd
father, whom he was very attached to. His resentment towards his
uncle is reflected in his dreams and the way he discusses his cousin
sister. His behavior during the interview in terms of weeping further
reflects tendency to harbor emotions. Though mother has shown
sensitivity towards the childs educational problem, there was a
slightly mistaken perception regarding the emotional impact that he
had from certain key events and other social inputs e.g., his
relationship with peers, brothers perception of his problems and
their interactions etc. Corrections of these, would go a long way in
the further progress of the child. Currently, it was all being
compounded by behavioral problems. He is an extremely restless and
impulsive child. It is out of control. The way he hides in the water
tank, clips off his eye brows etc. demonstrates this.
From the above understanding the following totality emerged:
R.S

<Grief

- Brooding
- Hatred

- Weepy
- Restless
- Impulsive
- Insecurity
- Perspiration- profuse
- Perspiration- offensive
PDF
Speech delayed
< Summer, hot weather
< COw
The prominent remedies which came up
were Causticum and Natrum Mur.
Causticum covers the sadness part with weepiness and
impulsiveness. But it does not cover the features of deep hatred and
resentment. Based on this understanding Natrum Mur was selected
as the remedy.
With an analysis pointing to moderate susceptibility, we started
with Natrum Mur 200 1 PHS
The dominant miasm was understood in the Tubercular zone based
on his restless, impulsive behaviour and suppurative tendencies.
However some of his dispositional traits like attachments, brooding
tendency and physical appearance, delayed speech show Sycotic
traits.
MOTOR PATTERNS

SENSORY PATTERNS

Impulsiveness, Restlessness

Weak auditory analysis and synthesis.

Writing, Reading difficulties

Poor phonemic associations.

Writes in mirror images eg. b for d

Visual process deficits.

Deficits in area of position in space.

Delayed speech.

SENSITIVITY

EGO SUPER EGO

Sadness.

Poor self esteems.

Brooding.

Nervousness.

Resentful.

Insecurity.

Weepy.
Hatred.

Remedy: NATRUM MUR

DISCUSSION:

MULTIDISCIPLINARY PLANNING AND PROGRAMMING:Master S. has been studying in a school which has a provision for
remedial education. He had already been assessed and had received
remedial education at another institute which co-ordinated with his
school. His behaviour has not shown any improvement.
The psychologist then referred him to our institute for the purpose
of Homoeopathic management and schooling.
S was taken up by our miltidisciplinary panel and it was decided
that he would need a proper structured programme with
coordinated care as he had not responded in a normal school with
remedial back up. So he would need to be admitted in a special
school for children with learning disabilities.
Since the problems are at multiple levels, a holistic approach was
required with the help of a multidisciplinary team of
1.
2.
3.
4.
5.
6.

Homoeopath
Remedial Teacher
Occupational Therapist
Speech Therapist
Psychologist
Yoga Therapist

The input of this multi-disciplinary approach are as follows:

Our homeopathic care would remain incomplete without proper utilization of

auxiliary measures.
Remedial teacher provides educational inputs through various special
techniques keeping in view the childs perceptual difficulties.
Occupational therapist stimulates the system and helps to bring about
moderation in the aberrations of the sensitivity. Here sensory integration
therapy is very helpful.
Speech therapist helps in speech and language development.
Psychologist helps in assessment and counseling.

TPD:
(1) Learning disability Dyslexia
(2) Behavioural problems Impulsiveness
- Restlessness
TPR:
(1) Homoeopathic Rx medicines
(2) Structured remedial programme
(3) Individualized Educational Programme
(4) Behaviour Modification
(5) Sensory Integration therapy
(6) Speech therapy
(7) Yoga.
FOLOW UP NOTES:
Initially Homoeopathic medication was started
On 25/2/2000, child received his 1st dose of NATRUM MUR 200
Initially doses were repeated weekly
After 3 weeks mother reported that there was a remarkable

improvement in his behaviour. There was no impulsiveness and

restlessness.
Child was not receiving any therapy at that time
In June 2000 he was admitted in our special school for LDS. He
became so calm that mother was worried about him becoming lazy.
He was made monitor in the class which he enjoyed.

 He started taking initiative and made it a point to finish his

homework himself. His speech improved, his pronunciation became

much clearer.
Nocturnal enuresis has almost stopped.
He has now receiving weekly- fortnightly, repetition of NATMUR
MUR 200. He has also received 3 doses of Tuberculinum bovinum 1M
Dr. Praful M Barvalia

Shalibhadra Society
148, Hingwala Lane Extention
Near Popular Hotel
Ghatkoper (East)
Mumbai 400 077
Ph: 022 2516 5885
022 2513 4467
Email: praful@bom3.vsnl.net.in
Website: www.holisticfoundation.org