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Rishimba pls help - sleeplessness and erctile dysfunction

Please read following assessment form,this is my friends form,I have interviewed him personally and on his behalf ,with his request and permission ,I have posted his case here.Please read answers to all questions and help him out with suggesting homeopathic treatment. I WOULD FEEL HAPPY IF ANYBODY FINDS OUT CONSTITUTIONAL REMEDY FOR HIM,AS IN MY VIEW IT WILL HELP HIM MORE THAN MULTIPLE REMEDIES.WAITING FOR SINCERE HELP.If you need more specific or more detailed information about any aspect of his health or mind parameters,please ask me,I would try to get answers to them by asking those questions to my friend again.Thanks a lot in advance.

1. Your age & sex
27 yrs /male

2. Describe your appearance i.e. weight, height, body type (thin, medium, chubby, fat etc)
5.11 “ / 70 kg , muscular body
3. Your profession
Computer engineer

4. Describe your personality (stubborn, easy going, always in a hurry etc.)
He is Extrovert- mingles easily with new people, enough talkative, easy going, ready to help friends without expecting anything in return, quite funny always crack jokes and make fun of friends but not to hurt them, very much straight forward In talking ,speaks true things in front to people not behind without fear of results, very much courageous ,do not fear of anybody, short tempered and aggressive for strangers or other people if they bother him or commit anything that affects him in bad way or make insult of him, but he will not trouble others or strangers if they do not come in his way, instead he will help strangers also If they ask help in polite or friendly way. But he will not get aggressive or furious if same mistake is committed by his friend .He is very soft with friends and close people .He can easily forgive them and never keep anything bad in mind about friends. His mind is clear and he is very much innocent but not dumm. Generally he is smart and active. But gets angry very soon if stranger tries cross his way. Recently he has lost his job and for some other reason his GF had fight with him and it was almost like break up so he was very much sad and hopeless for life. But he will not show his pain outside so easily.He don’t like sympathy of others when he is in pain. If somebody tries to condolence him , he will get angry on him but after some time he will say sorry that person. Also he had lost his father when he was very much small and his mother left home after that leaving him and his brother along with his paternal aunt and grand-mother .Since then he lives with them only but now he is not happy with them to live together as they always ask for more and more money from him,as per he told. Now many times he visits his mother who lives at different place and he loves his mother very much.Also he has very much respect for his father who is no more and he told me that he misses his father and mother. Many he feels very much lonely when he is great worry or sad. Also he has GF and wants marry that girl but there is some problem from his GF parents side,they are not agree till he gets well settle in life financially. So has fear that he would lose his GF if he can not match her parents expectations. And he loves her very much and don’t want to lose her.

5. What is your main health problem & its symptoms
His main problem is sexual debility and Erectile dysfunction.
Erectile dysfunction- he reported that he takes more time to get erection than before,and needs hand stimulation for erection, where as before 3 years he used get instant hard erection with just visual stimuli or thinking without hand stimulation. Also hardness after erection is decreased to great extent .Also there is early ejaculation and can not maintain erection for more than 30 seconds to minute and he gets ejaculation. Also he feels sexual debility in general. He has lost confidence and as he reported whenever he is planning for intercourse he gets tensed that he will ejaculate early.

6. When did this main problem begin
He reported that his sex problem started GRADUALLY over period of 2/3 years and its at its peak now. He is very much worried for his problem and feels hopeless, but he do not sit alone like depressed person, he is active ,but somewhere inside he has great worry, and as I am his close friend ,he tells me his problem and worry but other person will not recognise him as having any worry inside.

7. Can you relate any event or events which triggered this problem
He was having habit of consuming alcohol quite regularly with friends but not daily, for period of 2 years and then he suddenly stopped drinking alcohol,by own wish,so after same time he reported started having sex related problem of slow and weak erection.

8. What makes the main problem better
There is nothing like that .

9. What makes it worse
When he is stress problem of ED increases more. But nothing specific like that .

10. How do you feel mentally & emotionally during this problem (weepy, irritable, restless, sad, hopeless, fear of death etc.)
He feels very depressed and sad when he faces this problem of ED and PE .His mood for sex totally goes off. And as per he reported he gets angry on himself that he can not perform sexual acts as intensely as he could do before. Also he reported that he is in great worry that if this sexual problem continues in future his GF might leave her. I think he feels little guilty for himself, as he had taken VIAGRA tablets many many times in past to have intercourse with many different girls apart from his GF in past.So he thinks he is only responsible for his problem. He has tried some other medical help for his problem but it couldn’t help him so he is great worries that whether he will get alright ever? Also 2 months back he had lost his job,so he is in that stress too.

11. What other health problems do you have
There are few other roblems he is having
a) Sleeplessness- He gets very less sleep. He told he tries to sleep but, he can not sleep easily.He sleeps at about 2-3 am in night everyday and then wakes up early in the morning about 5 to 5.30 AM without any alarm. He keeps on chatting on mobile in night till he feels sleepy, to pass time till feel sleepy.But he told once he starts feeling sleepy he stops all work or chat and directly go to sleep.So he wants to improve his sleep like other guys of his age.Some times he again sleeps in the afternoon.
b) He gets severe sun reaction to skin when he is exposed to sun in afternoon.Usually he avoids to go in hot sun but if he is got exposed to sun,his skin gets lots of elevated red patches to exposed bodyskin,itching to skin and he gets irritated mentally.He gets lots of sweat generally and in sun it increases to many times.He gets all wet. He feels weak. And when he comes under shelter after some time he feels sleepy and when he takes nice sleep he feels better and all body skin becomes normal and red elevated patches vanish automatically. He reported that nothing works over this skin problem,he tried many things,but only thingcan help is to avoid sun exposure. If he could not get sleep after he is exposed to sun and got skin reaction,his face and eyes will swell,and swelling will only come down after sleeping for sometime .
Also he has got fungal infection in his groin area,both side arounf genital organ.He said that he keeps that area clean and shaved properlybut due lots of sweat ,this infection comes again.He has this infection from last 2/3 years and its getting cure.He just applys some antifungal ointment loclally,it goes and again comes back
c) He feels acidity more occasionally after eating spicy food or sometime even after eating nonspicy food.
d) He told nowdays he is suffering from moderate forgetfulness.He goes blank when he wants remind recent past things happend or told to him.But he has good long term memory,that is not affected.He remembers all child hood and school days events and memmories very well.Also he told his intellectual power and concentration all are affected badly.His work performance also becoming affected due to low concentration ability in work.
e) He feels very weak and exhausted and all body pain and backache ,even after small journey or when he goes small picnic or outing and enjoys with friends.Before few years he was not having such complaint.This body pain makes him take rest compulsorily.

12. What makes these other health problems better or worse (explain each problem)
a)sleeplessness –increases in mental stress like family issues,fight with GF or loss of job

b)Skin problem- when he is exposed to hot Sun in afternoon.
His itching fungal infectio in groin increases when he gets more sweat in that part due to physical exertion.Sometimes when his mental stress increases ,his fungal infection in groin also increases and so itching also increases
C) Acidity- increases after eating spicy food. He don’t take tea or coffee at all from childhood only.
d)memory problem he could not relate to anything.
e) weakness and body pain is more after moderate to long journey or even after small outing in car,without walking or physical exertion.
13. How do you relax
When he is alone or sad ,he likes to be in DARK ROOM ALONE.He also likes to sleep in DARK ROOM.
Otherwise he likes to meet friends and spend time with them to relax.He also plays guitar but not for relaxing.

14. Do you normally fight or avoid confrontation
He fights problem ,do not avoid as far as possible.

15. What animals or insects are you afraid of
Nothing like that.he don’t like cockroach and lizard but not afraid of them.

16. What situations are you afraid of (e.g. heights, closed spaces, ocean, darkness etc
Nothing like that.

17. What occupies your mind mostly
Nowdays ,he always thinks for his job,GF and securing financial growth.Also he is worried lot for his sexual problem.

18. How do you respond to consolation & sympathy
He don’t like all these.He will get angry if somebody tries to show sympathy for him,when he is in problem.But afterwards he will say sorry to that person.

19. Do you want to stay alone or with people
When sad wants to be all alone.When happy or generally likes to be with people.

20. How is your sleep
Very much affected.Disturbed sleep.He do not get sleep properly.Gets very late sleep.And wakes up soon

21. Do you have any recurring dreams
.He told that he gets many dreams related to sexual things but he do not remember them,nor recognise dream while he is experiencing those dreams.And when due to nightfall he gets wet,he will wake up and comes to know that he was in dream.


22. What type of weather do you like and how it affects your complaints
He likes cooler environment but not raining.Hot and temperate environment causes him to sweat lot and then he feels irritated.Also sweating increases his groin fungal infection.

23. Do you normally feel hot or cold
Hot.When he gets angry ,he told,his head feels hot and blood vessel near head on leaft side of forehead starts thrombing with force.

24. What type of clothes you wear (tight, loose, around neck etc)
He likes to wear body tight and fashionable clothes.But not very much tight that makes him uncomfortable.He is very much choosey for his clothes.He will refuse to wear very much tight or very much loose clothes.
Also he likes to wear and use all BRANDED CLOTHES,WATCHES,SHOES,GOGLE.He is very much fond of taking his lots of snaps in different poses and show to friends on social media sites.I think he likes others attention when he is in good mood.

25. What foods you love
Chiken and fish and nonveg food.

26. What foods you hate

Very much spicy and very much hot food.

27. What taste you love (sweet, salty, sour, bitter)

Sweet
28. What taste you hate
verymuch spicy
29. Do you like warm or cold food
Warm food

30. Do you want to eat indigestible foods (chalk, mud….)
NO

31. How is your thirst (less, moderate, excessive)
Very much thirst.He drinks lots of water whenever he gets chance.

32. Do you have dry lips or mouth or both
No

33. Any coating on tongue first thing in the morning
Yes he gets yellow moderate thick coating on toungue daily.When he tries to clear it with toungue cleaner it is white colour coating inside or under the yellow coating.He cleans toung coating after every 3/4 days.

34. Any taste or smell from your mouth first thing in the morning
No specific smell or taste,but he told that he gets bad smell in mouth in morning,may be due to toungue coating.Also he has yellow colour teeth.He tries to clean them a lot but teeth colour remains moderate yellowish only.

35. How is your skin
Skin is with good texture,moderate hairy,wheatish fair coloure skin.Skin gets red elevated patches and itches when gets exposed to hot sun rays.Face skin is verymuch oily and becomes more oily when it sweats more.

36. Details about your sweat (where mostly, how much, smell, stain color) no bad
Ecessive sweat but no bad smell or colour. But he told when sweat dries up,white colour patches are seen on the clothes ,that may suggests that salt content of sweat is more.

37. Any problems with ears, nose, chest, throat
Not now.But in childhood he use to speak sludd speech.But as he grown his speech became normal.But now also WHENEVER HIS TOUNGUE GETS COLD(say by having icecream) HIS TOUNGUE FEELS HEAVY TO HIM,AND HE PRODUCES SLUDD SPEACH TEMPORARILY FOR THAT PERIOD.

38. How is your stool (details of how often, consistency, any blood, any particular smell etc.)
Stool smell normally,but not very much offensive.No blood or mucus in stool.Stool is neither very much hard nor very thin liquid.It alters ,not same daily.But stool is not consistent or continuous in flow,it comes out in parts.He needs to pass stools twice a day,or he would feel pain in abdomen,he can not adjust with that.He never had constipation or pilesand related problems.He eats nonveg and can digest well.But he gets regurgitations often in morning.

39. How is your urine (details of color, smell, any blood etc.)
Normal slight yellow colour in morning and afterwards white water clour urine in whole day.No problems or complaints related urination.No history of urine tract infection.Urine frequency is average and matches with intake of water per day.

40. How is your sexual life & desire
His sexual life is affected a lot due to ED and PE.He feels low confidence.

41. Males genitals (erection, pain, itching etc.)
No problem or pain with genital organ but erection is late and last for very short time.Also semen volume also decreased a lot.WHENEVER HE TRIES FOR INTERCOURSE,HE FEELS FEAR OR WORRY THAT HE WOULD EJACULATE SOON AND SAME HAPPENS THEN.HE CAN NOT AVOID THOSE NEGATIVE WORRY DURING SEX THAT HE WILL EJACULTE SOON.

42. Females menses details for regularity, flow, clots, discharge other than menses (reply to all these points)
NoT RELATED

43. What illnesses are running in your family, mother’s side & father’s side & brothers/sisters
NOTHING HERIDITARY

44. Are you taking any medicines (allopathic, homeopathic, supplements, acupuncture etc.)
He is taking antifungal drug prescribed by doctor ,FLUCONAZOLE 200 ,10 days course, no steroid orally or local application.
Also for sexual problem help he is taking Ayurvedic tonic syrup that contains- ASHVAGANDHA,SHILAJIT,SHATAVARI,SAFED MUSLI,SHVET CHANDAN,KESAR,GOKSHURA.But this tonic is not helping him for his sex problem,may be he has started recently before few days only.

45. Have you had any surgeries or implants, if yes, give details
No

46. Have you had any long term treatment (physical or psychological)
No

47. What homeopathic remedies have you taken in the past (potency, dose, approx. time frame)
NO
[message edited by dranandpt on Fri, 29 Aug 2014 10:47:19 BST]
[message edited by dranandpt on Fri, 29 Aug 2014 10:48:35 BST]
 
  dranandpt on 2014-08-29
This is just a forum. Assume posts are not from medical professionals.
I very much apprediate your painstakingly taking the details of your friend's case.

To me NATRUM MUR seem to be the constitutional remedy for him which is to be given in very high potency. To start with !M or may be in milicimal potency starting from 0/3 or 0/6.

Apart from that his life style seems to be very bad, which needs to be modified with proper counselling, which you can do, as you enjoy his confidence so much.

AGRIMONY in Bach flower & KALI PHOS in Bio-chemic will help him for the time being to gain his self confidence.
 
daktersaab 9 years ago
Thanks sir for ur reply.I will ask my friend to start with all medicines prescribed.
But please suggest me doses for
Nat. Mur - like 1M potency,how many times day or week? is to repeat remedy everyday or only one dose and then wait and watch?
Also what dose frequency for agrimony?and how many drops?
And for biochemic medicine,what dose,potency and frequency?3x or 6x?
Also does he need to start with all medicines,or just start natnatrum mur first and then to see other medicines?
Also I will see counseling partpart,which is also atmost important.
 
dranandpt 9 years ago
I suggest to give three doses of (5 pills each) of NATRUM MUR 1000 (1M) every six hourly just for ONE day & forget for at least 8-10 days.

Keep a watch on his mental make-up.Do not worry about any physical symptoms but he should get a feeling of well being. You can easily observe that bcos you are a compassionate friend of him.

just watch him unobserved by him from a distance.

Let us wait & NOT give KP & Agrimony now.
 
daktersaab 9 years ago
OK sir I will follow ur instructions,and update here.
My main concern for him is his sleep should come to normal and he should get sound sleep naturally.
Although I am physiotherapist and deal with my patients with modern medicine principles;I have great faith and trust on homeopathy ,I wish my friend get out of his health issues soon.
 
dranandpt 9 years ago
For a sound sleep he will have to work on himself.

1, make set routine to go to bed in time & get up on time.

2. Do some breathing exercise.

3. A hot cup of milk just before going to sleep.

4. Some creative visualisation of a sound sleep without dreams etc.

This will all take some time but will work nicely.
 
daktersaab 9 years ago
I would have started treatment with NUX VOMICA 200C as this narrative matches the essence of this remedy including the modalities and etiology of his present symptoms.
 
rishimba 9 years ago
Respected Rishimba,I have already given Nat. Mur 1M to my friend 1 day four times with gap of 6 hrs.

But there is no specific symptoms change,as per he reported.

With due respect to dactarsaheb,from in this case of my friend,from beginning only I delebrately wanted Rishimba to take this case,asas I have got my previous posts cases handled by him..but as there was no reply and my friend was in hurry,I tried wid nat mur
But I wanted to continue with Rishimba,so sir plz suggest me for doses of Nux vomica .

First of all I say sorry to both respected forum members dactarsab and rishimba for creating confusion,and humbly request both of you that don't mind,as it was done due to need of patient.
 
dranandpt 9 years ago
When have you given the doses? You may wait for a few days to see the response if any.

After a week or so, if there is absolutely no response with NatMur, you can give him 2 doses of Nux Vom 200C on a single day, one in the morning and another in the evening.

Along with this remedy your friend has to change his lifestyle as well. He needs to stop taking alcohol, eat well and exercise at least 3 times a week.

Share notes after 15 days of taking the remedy.
 
rishimba 9 years ago
Respected Rishimba,
Plz guide with Treatment
Starting Dose of nux comics and frequency.
Also I wanted ask you,that according to u,is nux vomica is constitutional remedy for my friend or its remedy to detoxification purpose only?
Sorry for asking you many qquestions,but its also process of learning for me.
Thanks in advance.
 
dranandpt 9 years ago
He may not be a Nux personality but looking at the etiology and his modalities, Nux should help him.
 
rishimba 9 years ago
Respected dactersab,
with due respect to u,its humble respect dat plz dont mind,as I am asking rishimba to take d case.
Thanks for ur genuine help and expect ur help in future for my other posts too.
Thanks a ton again.
 
dranandpt 9 years ago
Respected rishimba,
I will follow ur instructions,after 15 days I will update here.
He used to consume alcohol in past and left drinking at least a year before,completely.I will ask him other things like exercise.
Thanks.
Before giving Nux I will update here once
 
dranandpt 9 years ago
Dear DRNAND,

I highly appreciate your candid expression & respect your decision with all humility.

Please go ahead without any reservations.
Thank you to be so sensitive.
Daktersaab
 
daktersaab 9 years ago
I have given my friend nux vomica 200 c,before 2 weeks only two dose for single day as per u advised .after taking remedy on 2nd only he reported me dat he felt his 'mind fresh'. But after 2 days he told in evening he gets moderate headache and that lastlasts till he sleeps.he cud sleep with headache.headache is not that severe he can not sleep but it will be there.then next day also headache will be there but less in intensity and again in evening he will get same headache.
So what should be next treatment sir?
And he gets sleep but he gets very stress out due to his full day work..so he says that he don't know is it natural sleep or due to exertion or due to homeopathic treatment?
And he did not report anything about his ED problem to meme this time,may be he is not getting time to try out sexual activities.when started treatment he was in home only but now he has got some project ,that would last for few days.
Plz suggest further treatment sir.
 
dranandpt 9 years ago
Please ask him to take a few more doses of Nux Vom 200C, once a week or so.

Gradually, his health will improve and the headaches as well.

Let him report to you on his main ED problem.
 
rishimba 9 years ago
OK sir
Thanks
 
dranandpt 9 years ago

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