Trigeminal Neuralgia Atypical

For special attn. to: Maheeru Sir and Dr. Punkaj


HISTORY: HOMEOPATHIC MEDICAL TREATMENT OF P. PRAKASH

Medical Condition : Dr. P. Prakash

1. Patient’s Name: Dr. P. Prakash
Qualification: D.Sc.(USA), B.Tech.(Hons.), F.I.E., C.E., F.U.W.A.I.
Date of birth: July 2, 1941
Ex: General Manager and Director of DCM Group, and of an American Concern in India, etc.
Designed & Developed many new machines for the state and the country
Now author of: about 15 books including text books for XI and XII, technical and reference books, dictionaries.

2. General Health: as on Sept. 30, 2010
Fair enough
Age: 69 years but quite agile
Ht. and Wt.: 5’ 11”; 97 kgs.
.

3. DISEASE

ATYPICAL Trigeminal Neuralgia (TN) of the left side

When did it start?

My left lower wisdom tooth (molar) was impacted. Because of this molar, I had started having shooting pains again and again at intervals of first 6-7 months, then 2-3 months. They would start by themselves, stay for a few days then die away. I now feel that these pains probably were due to the so-far-dormant TN which was trying to start full fledged.

This impacted molar had to be taken out by breaking and extracting on 23/9/05. I had tremendous neural pain after the dentist gave the last blow of his hammer on the last remains of this last molar or in its cavity. The intensity of pain was so much that I shivered in the entire of my body although I was under anesthesia.

In the succeeding days there was a lot of swelling and pain. Worst type of pain (as if some electric current flew from the inside of the forehead to left temple for a fraction of a second) started on 13/10/05. This was the start of my present TN, i.e. on 13/10/2005.

Probable causes:

( i ) Above extraction of my impacted molar.
( ii ) Business failure (1970 – 1980) because of which I had to go through very harsh period financially,
( iii ) This period was so bad that my marital life was ruined. Divorce took place. I had one kid only, a daughter.
My wife wanted to live together with my daughter, away from me to which my daughter also consented
to which I gave in although after trying for non-separation with all possible efforts.
( iv ) No contact with them for the last 15-20 years. I certainly have soft corner for them, especially for my
daughter. I never wished them ill. Under all circumstances I wished them welfare, always. I had
always thought (before my marriage) that my wife will be the happiest person in the world. So, this agony
of failure must be somewhere in my system yet, very deep inside – although, externally, I may not show it.
( iv ) 1980 onwards I started jobs, very senior jobs in very highly reputed organizations at top positions but which
I had to leave because of one or other clash with my Managing Directors, although I made record
successes of the organizations during my tenure with them. I still get DREAMS as if I am being isolated
and neglected by my MD in some job or the other and I am feeling awfully lonely, miserable,
insulted and vulnerable.
( v) One other type of dreams also comes. I am flying in air. Just like that without any mechanical aid.
Perhaps by moving hands up & down. Hovering over the place which I belong to. Down below are kids and
persons of the place looking up at me, shouting and wanting me to come down. I am sort of afraid. Don’t
want to come down but I am tired. Perhaps I go to some nearby deserted place to get down.
( vi ) There is yet another type of dreams, kind of which has come 2 or 3 times in recent past. I have come
to a new place/railway station. I don’t know how to get back to my place. I am asking people to guide. But
they too are ignorant to guide me properly. I am sort of panicky and tired.
( vii ) Yet another queer dream which I had rather recently. I have reached to a very lavish 5 star hotel. All
sorts of really beautiful wood works, furniture, walls with drawers inside drawers extremely nicely & smugly
fitted, one in another, statues and some girl-guides. Things having designs and workmanship beyond
compare and imagination. I am not feeling at ease. Somehow I want to come out of it. I am sort of fear-
stricken.
( viii ) Lastly but probably the most probable emotional cause which could have triggered the present
disease. I lost my younger brother who was 5 year younger to me on November 19, 2004. He had been
living with me for past 10-15 years. He was an M.Stat. yet a very simple and innocent person. Very
intelligent but very reticent also. Was not able to use his intelligence in any practical manner. So always felt
rather suffocated. He was schizophrenic. The first attack of schizophrenia came when he was doing Ph.D.
and his university friend (a girl) showed that she did not love him ( in nineteen sixties ). He was treated
and recovered, but these attacks did occur again and again at some years intervals. Though he was not a
smoker yet his lungs got infected in 2003-04 somehow and he died of lungs failure on 19/11/2004.
He was very dear to me. For quite some time, even after his death, I used to wonder: I had been taking his
care here, who will be looking after him now.

( ix ) FAMILY BACKGROUND:

- Very satisfying childhood
- Very satisfying parents and brothers. If required, I will like to be reborn to the same parents again and again and have the same set of brothers.
- My father was married twice. He got two sons from his first wife. Both got expired in early childhood because of TB. After the death of his first wife, he married again. His second wife was my mother. She bore seven children (all sons). However, I saw only five (including me) of them. No real sister. I would have been a happier person if I had a sister. My mother had TB, but she had got cured of it.
- There is history of TB and Schizophrenia in the family. Two of my brothers had schizophrenia. My mother and two of my brothers had TB.


4. AS ON JANUARY 1, 2009

( i ) PERSONALITY TRAITS
[ According to Kent, they may not be considered as my general symptoms because they were there even
before my present disease. So, they should not be considered as the disease symptoms. They may be
considered to determine my constitutional medicine, if there is one. ]

Tall & bulky, bald-headed
Eye-sight: normal with glasses. Both eyes have been operated upon for cataract
Diabetes: No.
Blood Pressure: Slight hypertension. B.P. = 145 – 155 / 80 on taking Amlopress AT one tablet a day
Urination: Frequency is more than normal. Long time in starting. Slow flow. Satisfaction is not achieved at one go. Enlarged prostrate. Laser treatment was taken but condition did not improve. I, however, do not have any burning sensation or pain during urination
Cravings: for sweets and extra salt in food items

I am a hot person who likes cold surroundings
I am an engineer and a physicist.
Author of 15 books including text books for XI and XII, technical and reference books

Intelligent, very highly ambitious (but a failure yet as per my own standards although some people consider me even a celebrity), perfectionist, leader, very rich imagination, aggressive, introvert, hard worker, clear thinker ( either black or white ), extremely persistent, absolutely religious who is sure that whatever is happening is happening because HE is causing it to happen in this manner, non-drinker, vegetarian , non-smoker


( ii ) PARTICULAR SYMPTOMS

Intensity of pain: If 10 means unbearable pain and 0 means no pain, then the pain ranges from 2 to 10 all the time.

Sometimes there is sudden discharge of electric current from one point to another, at some place or the other inside the left side of face.

Sometimes as if somebody is cutting by saw the joint (angle) of the upper and lower left jaws. Sometimes all normal.

Sometimes slightest touch of the teeth of left lower jaw (even by the tongue) produces excruciating pain while at all other times all the teeth are as normal and robust as stone.

Sometimes as if there is one or two boils on the inside of the left lower lip which give very bad burning sensation on the slightest touch by the tongue. At all other times there is no such boil.

Sometimes some rat sort of animal starts nibbling the flesh beneath the left cheekbone. Sometimes it is all normal. Sometimes there is great burning sensation there.

Sometimes there is throbbing or lightening pain at the left temple. At all other times all normal.

Sometimes there is sparking pain at the left side of the forehead. Sometimes nothing.

Sometimes there is eruption of pain of very high intensity of lightning/sparking/throbbing/piercing type at the left forehead/temple. In such cases I cannot even swallow saliva what to talk of swallowing even some SOS medicine. My left lower lip starts quivering. Saliva starts dripping down; left eye becomes red full of tears. I start running helter skelter, start taking breadth with open mouth in and out in quick succession. This is the WORST CONDITION.

Sometimes I have to wake up even while in deep sleep due to any one of the above types of pain.

So, you can say that I had all the usual symptoms of TN i.e. electric shocks, burning, boring, cutting, lightning, darting, piercing, nibbling etc pains at left temple/cheekbone/inside left cheek/joint of jaws/left lower canine and its root. One peculiar pain is very severe burning boring/piercing pain at one (only one) sharp point on the inside of left lower lip.

( iii ) MODALITIES


Aggravations take place generally

1. In cold weather / winter season
2. during sleep / physical inactivity
3. when empty stomach
4. when constipated or when rectum / urinary bladder is full
5. by overeating or eating one/two day old eatables
6. by eating salted cookies bought from the market
7. trapping of wind inside the body-system
8. when external air (as from a fan) strikes the face even humbly
9. because of eating sugar (by crushing sugar crystals) or “saunf” after meals
10. Talking
11. Eating (while). [ after eating, however, amel.]
12. Most vulnerable time of the day to get an acute attack of TN: Early hours of morning like 3 AM, or just after getting up from sleep, in the morning or afternoon.

Amelioration takes place generally

1. on taking pain killers e.g. Mazetol 200, Tegrital 200, Tramazac etc.
2. by giving light pressure and warmth to the affected part by keeping cupped palm on it
3. on drinking water
4. on walking to and fro briskly and inhaling and exhaling air in quick succession
5. by putting scarf/muffler around the face
6. on doing light physical exercises.
7. After having taken meals

( iv ) CONCOMITTANTS:

1. Swelling and numbness on both feet without any itching/pain/perspiration. Numbness (or whatever you call it) is so strong that even after taking chappals (foot wear) off the feet, I still feel that I am wearing them.
2. Slightly more than normal itching on the back, more on the shoulder blades. But not much. Mainly after taking bath.


4. AS ON SEPT 30, 2010

It appears only Particular Symptoms have changed.

PRESENT SYMPTOMS, etc.

Type of pain: Burning, cutting, boring/piercing, continuous but generally pulsating/throbbing pain

Place: Either left temple, under the left cheek bone, inside the left cheek, joint of left jaws, inside the left lower lip, left lower canine or its gum

Time: Worst and most likely when I get up from sleep but it can start or be anytime

Main Modalities:
1. Hard pressure and rubbing by right hand ameliorates, but not instantly.
2. Other modalities remain unchanged, more or less.
3. I cannot sleep on the back or on right side. It aggravates.

Concomitants:
1. Swelling and numbness of both feet without any pain, itching or perspiration. The intensity has
lessened.
2. Slight but more-than-normal itching on my back, mainly on the shoulder blades
3. Pain in the wrist of right hand but it must be the residual drug symptom of Calc-C which I had taken last.

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Kindly tell me if you need any further info to suggest further treatment to erase the disease from its roots.