Aurum Metallicum – A case of Lower Back Pain

NAME: Laxmi  Maharjan
AGE: 40year
SEX: Female
ADDRESS: Kirtipur, Nepal

Present Complain : ( 2066/11/18)-4 years before

Low back pain: since 4 month

  • No h/o of trauma
  • < sleep with supine position, working by bending forward
  • taking medicine (pain killer)
  • Stinging pain
  • No radiation of pain
  • No swelling ,
  • no tenderness

H/o of treatment:

  • She had consulted with doctor and had done X ray of lumbar spine.
  • Reports found normal.
  • She had taken medicine but was not better so she came to our centre for treatment
  • Pain less at the time of taking medicine only.

Both breast pain:

  • Since 8 year
  • <Before 15 – 16 days of menstruation
  • It was less without medicine after menstruation. She has breast pain before menses of 15 days or 2 weeks before each menses

H/O of treatment

  • She had consulted with gynaecologist and taken medicine many times. Better after it.
  • Burning chest occasionally
  • No h/o of HTN, Diabetes, PTB

Personal History:

  • No smoking,
  • Occasionally drink alcohol during festival
  • Profession: Farmer
  • Married, 1 daughter, 1 son
  • Husband Profession : Driver
  • Desire: Beaten rice as common
  • Aversion: no specific
  • Appetite: normal
  • Thirst : 1 lit /day
  • Tongue: Moist
  • Sleep : 6-7 hr/ night
  • Sweat – less
  • H/C : hot pt.avoid or does not like  hot weather
  • Stool: Regular
  • Urine : Clear, no burning
  • Menstruation: Regular

Past History:

0-10yr :NAd

0-20yr: At the age of 12yr, father died

Married at the age of 20yr

20-30yr: At the age of 23yr suffered from tonsillitis

30-40yr : NAD

No h/o of surgery

Family History:

Mother, 1 elder sister , 2 younger brothers

Mother: HTN-(Hypertension-High Blood pressure),Diabetic

Elder sister – leg pain

Mental:

  • desire for company,strong

On Examination:

  • BP : 110/70mmhg.
  • Pulse: 76/min
  • JALCCOD : NADJaundice,anaemia,lymph glands,cyanosis,clubbing,odema,dehydration(JALCCOD)
  • Chest: Clear
  • Cardiac S1S2 – NAD

TREATMENT:

  • Aurum met 200/3Dose

1) Follow Up (2066/12/03)-one month after

Complaint:

  • low back pain – mild less,
  • Breast pain – less
  • Rt side of throat pain
  • Headache
  • Apt: normal
  • Sleep : normal
  • Stool : hard
  • Urine: clear

On Examination

BP: 90/70mmhg

Throat : NAD

TREATMENT:

  • Aurum met 200/0/4Doses- only placebo used

2) Follow up ( 2066/12/15)-15 days after

Complaint:

  • low back pain – slightly increased
  • Breast pain – less
  • Rt side of throat pain – NP
  • Headache – less
  • Apt: normal
  • Sleep : normal
  • Stool : hard
  • Urine: clear

On Examination

BP: 100/70mmhg

Throat : NAD

TREATMENT:

  • Aurum met 300/0/4Dose – only placebo used

3) Follow up ( 2067/1/15)-one month after

Complaint:

on examination

  • low back pain – less
  • Breast pain – less
  • Rt side of throat pain – NP
  • Headache – less
  • Apt: normal
  • Sleep : normal
  • Stool : hard
  • Urine: clear

On Examination:

BP: 100/70mmhg

Throat : NAD

TREATMENT:

  • Aurum met 400/0/8Dose-placebo

4) Follow up ( 2067/2/16)-one month after

Complaint:

  • low back pain – less
  • Breast pain – NP
  • Rt side of throat pain – NP
  • Headache : NP
  • Apt: normal
  • Sleep : normal
  • Stool : hard
  • Urine: clear

On Examination

BP: 90/60mmhg

Throat : NAD

TREATMENT:

  • Aurum met 500/0/4Dose-placebo

5) Follow up ( 2067/04/05)-three  and half month after

Complaint:

  • low back pain – less
  • Breast pain – NP
  • Headache – NP
  • Apt: normal
  • Sleep : normal
  • Stool : hard
  • Urine: clear

On Examination

BP: 90/60mmhg

Throat : NAD

TREATMENT:

Aurum  Met 200/3D

6) Follow up ( 2067/06/19) two month after

Complaint:

  • low back pain – less
  • Breast pain – NP
  • Headache – NP
  • Apt: normal
  • Sleep : normal
  • Stool : hard
  • Urine: clear

On Examination

BP: 100/60mmhg

Throat : NAD

TREATMENT:

  • Aurum Met200/0/1dram-Placebo

7) Follow up ( 2068/01/26) -7 months after

Complaint:

  • low back pain
  • left leg pain
  • Headache
  • Apt: normal
  • Sleep : normal
  • Stool : hard
  • Urine: clear

 

On Examination

BP: 100/80mmhg

Throat : NAD

TREATMENT:

  • Aurum met 200/2D

8) Follow up ( 2070/12/9) 2 years after

Complaint:

  • Breast pain  tingling sensation < menopause after
  • Headache – NP
  • Lt leg pain – NP
  • Apt: normal
  • Sleep : normal
  • Stool : better
  • Urine: clear

On Examination

BP: 100/80mmhg

Throat : NAD

TREATMENT:

  • Aurum  M et 200/1Dose

DR PRADHANANGS NOTES:

I would like to open this case up for discussion as to why I chose Aurum Met for this case.

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