Chronic case not getting resolved

Ok, will post it.

I wanted to avoid the effort of copying the relevant info if no one is interested.

I have sent the case details back to the patient after removing all identifiable information. Once he okays it, I will post it.

Male 5’ 9” 46 yr 165 lbs. My original built was thin with stooped shoulders. I used to weigh 125 lbs when I was 18 yrs. Did a lot of weight training and gained muscle mass to reach 165 lbs. Has been like that ever since. Never used any drugs. Don’t smoke or drink. Eat very healthy, exercise regularly.

1. What is your main health problem & its symptoms
Pustules on nose, boils on face & infrequently on rest of the body

2. When did this main problem begin
Since puberty when I was around 15

3. Can you relate any event or events which triggered this problem
There are a couple of very unusual events in my life which probably are the cause of my health issues. Here are the details:
I was initiated into sex at around 4 years of age when a maid used to suck my penis whenever she got a chance to be alone with me. I enjoyed it and didn’t know what was happening. She never had sex with me though. This continued for almost 1 year. These episodes made me aware of sex and I started masturbating since then. I got extremely turned on watching other women’s breasts and even at that young age, I knew a little bit about the act of lovemaking, didn’t know till puberty the exact details and ejaculation. Sex was always on my mind. I would like to be alone to do masturbation as it would be the only thing that I enjoyed.
At around age 11, my parents had to move because of my father’s job so I was left with one of my aunts for a little over a year. She caught me being the peeping tom while she used to change and also staring at her breasts on several different occasions. I’d masturbate thinking about her. Later on she used to turn me on knowingly by doing various things e.g. hugging me and mashing her breasts in me, move braless in the house knowing how it affected me. I loved getting all this and used to masturbate thinking about her. She had figured it out that I liked all this and she kept doing this more & more at every opportunity she got. We never actually had sex, just these episodes. One night she came to my room and sneaked in my bed with her breasts almost coming out of her shirt, hugging me and rubbing my hard penis against her genitals and so on. After that night, it became a routine, she would come to my room at night and we’d do this sort of stuff. She initiated me further into real sex. There were several weekends when we would not get out of the house and just had one marathon session after another. This continued for almost one year when I had to leave.
At around age 13, I was molested several times by a male teacher. Surprisingly, it didn’t feel bad or good or traumatic probably because he was doing this with several other boys who were our friends, so it was common knowledge amongst boys he taught.
At around age 15, the time of my puberty, I was in a boarding school and that time was EXTREMELY tense for me. Fear was the main feeling I was constantly living under for around 2 years. The fear of being sexually molested as some of the boys were constantly after me. It was a constant non-stop fear. I was never molested during this time. When I reached puberty, it seemed as if all hell had broken loose and I had a great outbreak of acne. It started off with boils on the nose and then all the face was covered with pimples, pustules, boils. My horrible acne (my face was literally full of pimples, boils, pustules) made me avoid people. I got hooked to porn after puberty and continued masturbation. The acne made me so look & feel so ugly that never got the courage to ask any girl out. The acne reduced after mid 20s. I got married in my late 20s and now have a very happy married life with kids & wife.
Sex is still on my mind most of the time, even though I have weak erections but were my erections fine, I’d have sex as many times as possible. The only thing which stops me is that excessive sex causes boils on my face. I still ogle women especially their breasts and buns. I still like porn but my choice in porn is very specific. I like to see interracial sex (white women with black guys) and bestiality (women having sex with horses).

4. What makes the problems better
Eating a healthy fresh vegetable diet, sleeping adequately, avoiding sex, exercising slightly

5. What makes it worse
Eating fried food, eating nuts, excessive sex, lack of sleep, cheese, starchy food (corn, peas, okra)

6. What other health problems do you have
The following health problems have appeared over time eversince using homeopathic treatment as these were not there in the beginning. The oldest one is listed on the top, the newest one on the bottom of the list. Approx age when these problems appeared is also listed:
Diminished sense of smell & taste as long as I can remember
Post nasal drip first thing in the morning as long as I can remember
Sensitive teeth to cold food 12 yrs
Excessive plaque on teeth at 13 (worse after eating fats & red meat)
Constipation 13 (worse after eating processed food, lost sleep)
Acne (boils, pimples, pustules) outbreak on face and back at puberty 15
Swollen nipples at puberty 15
High Triglycerides at 16
Premature graying of hair at 18
Varicocele (left testicle) discovered at puberty, probably by birth
Pre-diabetic at 22
Left ear hearing weak at 38
Bleeding gums at 40 (worse after eating sweets)
Weak erections at 40
Brown moles outburst on chest after a remedy at 41
Excessive graying of hair after a remedy at 41
Hawking mucus from throat very frequently at 42
Lot of mucus generation in throat after eating meals at 42 (worse with starchy foods e.g. yogurt, corn, green peas, zucchini etc)
Constant feeling of semi blocked nose, worse at night at 44 (worse with starchy foods & yogurt)
Borderline high BP at 45
Now more & more foods cause aggravation with nasal congestion

7. How do you feel mentally & emotionally (weepy, irritable, restless etc.)
Unhappy, disgruntled, not interested in life, feeling of worthlessness, not very social rather quiet. Used to think about suicide in late teens but then came to grips with life. Now no more suicidal thoughts. Just not interested in life because of never ending health issues.

8. Describe your personality (stubborn, easy going, always in a hurry etc.)
Jealous, suspicious, stubborn, reserved, always in a hurry, getting on time extremely important, sex is always on my mind, would love to masturbate and have sex all the time, religious, get angry easily when contradicted. Kind hearted can’t hurt anyone. Weep easily on seeing emotional movies. Very cautious.

9. How do you relax
Actually I never relax, I am always busy and doing something. My relaxation is sex. I still have strong desire for sex but now I have no or weak erections otherwise it would have been my favorite pastime.

10. Do you normally fight or flight
Fight

11. What animals are you afraid of
Crawling animals (Lizards, Snakes etc)

12. What situations are you afraid of (heights, closed spaces, ocean, darkness etc)
Heights, closed spaces, loud noises startle me easily

13. What occupies your mind mostly
Sex, how to have more

14. How do you respond to consolation & sympathy
Makes me weep

15. Do you want to stay alone or with people
Want to be alone mostly to have sex/masturbate

16. How is your sleep
Very good

17. Do you have any recurring dreams
No

18. What type of weather do you like and how it affects your complaints
I like all types of weather

19. Do you normally feel hot or cold
Cold

20. What type of clothes you wear (tight, loose, around neck etc)
I like to wear tight clothes

21. What foods you love
Everything unhealthy which my body reacts badly to e.g. fried foods, eggs, sweets, ice cream

22. What foods you hate
Slimy foods e.g. oyster

23. What taste you love (sweet, salty, sour, bitter)
Sweet and then salt

24. What taste you hate
Sour

25. Do you like warm or cold food
Warm

26. Do you want to eat indigestible foods (chalk, mud….)
Yes, chalk

27. How is your thirst (less, moderate, excessive)
Very less

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

29. Any coating on tongue first thing in the morning
No

30. Any taste or smell from your mouth first thing in the morning
No

31. How is your skin
Oily, acne prone, unhealthy, acne marks take very long to resolve

32. Details about your sweat (where mostly, how much, smell, stain color)
I sweat little but when I do it’s on forehead, under arms sweat stains the vest slightly yellow in color

33. Any problems with ears, nose, chest, throat
Left ear hearing is less due to nerve problem, Post nasal drip, nose feels partially blocked always, hawking mucus after meals

34. How is your stool (details of how often, consistency, any blood, any particular smell etc.)
Tendency to constipate unless eat a lot of fiber, feeling of incomplete relief after passing stool as if some stool still remained

35. How is your urine (details of color, smell, any blood etc.)
Normal, depends on how much water I drink.

36. How is your sexual life & desire
Mostly strong desire, always on my mind, weak erections usually. Very rarely do I get strong erections. I never have a night sleep discharge, no matter how many days I go without sex. This is strange and unusual.

37. Males genitals (erection, pain, itching etc.)
Varicocele left testicle with drawing pain, sometimes

38. What illnesses are running in your family, mother’s side & father’s side & brothers/sisters
Father: Heart disease at 50, old age diabetes.
Uncles & Aunts: Heart disease at 50.
Mother: Scoliosis, Post nasal drip, excessive mucus generation in nose
Maternal uncles & aunts: Depression, cholesterol.

39. Are you taking any medicines presently (allopathic or homeopathic)
No

40. What remedies have you taken in the past
As I recall, I have taken the following remedies as main or intercurrent in various C & LM potencies from 1999 till 2013 without any cure. There is always a short palliation of week or ten days and then the symptoms revert. Always, single remedy treatment.
Staph
Nux-V
Arg-N
Nit-Ac
Lyc
Sulf
Sil
Sep
Nat-M
Cal-C
Lach
Merc-S
Thuj
Aur
Phos

41. What surgeries have been done on you
Tonsils removed at age 10

Edited to ad Phos & Aur.
[message edited by fitness on Thu, 21 Nov 2013 12:50:54 GMT]

I have asked many questions to this patient but my remedies are still coming within those that he has already used without any success.

I don't want to influence your evaluation with my analysis hence will restrict myself.

The patient is literally like an open book and if you have questions, please ask.

Thanks for the comments.

I have edited the list of remedies as I missed adding Phos & Aur.

Nux, Staph, Arg-N, Lyc & Sepia were used upto 1M & LM. All others were used in 200c.

His last blood tests were done in 2011 and was an exhaustive test showing no other deficiency, only Vit-D was borderline low.

I will review Acid Phos as it never came up in my repertorization and neither has he used it.

For any remedy to be prescribed I will try to follow the classical prescribing guidelines only.

RP would you like to share your basis for Carc.

rishimba, the patient is open book to the homeopath, otherwise he is a reserved person.

I had checked with a psychologist friend of mine and per her, since the patient was initiated into something at such an early age which he was not supposed to be, it could have altered his brain functioning in an irreversible manner getting him addicted to sex. Only expert evaluation can determine this.

My evaluation & approach for the and all cases is that unless I am certain about a remedy, I don't prescribe.

Staph has not been tried on him in 10M or higher yet. He has not shown any response at all to Staph upto 1M.

The other remedy coming out is Aur-M, that too in 10M or higher.

Thanks RP. Let me review Carc.

I have seen nosodes abused so would be careful in their use.

Simone, I think there is no harm in Bach flowers but would these be curative or palliative?

If palliative, we are still back to square one as many remedies have been palliative in the past.

A very crucial part of this case is gradual worsening of everything despite all interventions. What is this hinting at.

A very experienced homeopath has suggested that its a one-sided case which is incurable. Keep giving him palliative remedies as going in too aggressively might bring out things which are difficult to handle and we may be worse off!

Lets review the case again.

The patient has not come to us to alter his thinking pattern. He is here with a certain set of physical problems.

Will suggesting him to take Bach or even psych counselling alleviate his symptoms?

With the above approach, we are assuming that if we fix his sex mania, all his health problems will be resolved. Is that the case?

Keeping his symptoms in mind, using elimination repertorization, I think the following remedies are partial match:

Arg-N, Phos, Lach, Sulf, Sep, Cal-C, Thuj

Applicable remedies are:
Staph, Nux-V, Nit-Ac, Lyc, Sil, Nat-M, Merc-S, Aur

Out of these, in my view Staph, Nux & Aur are closest matches.

Will appreciate critical inputs.