Abstract
Jaundice, also called hyperbilirubinemia is a condition where we notice yellowish colouration of the skin, mucous membrane and eyes. This health condition indicates the problem in the liver or bile ducts. In this case report we will discuss the clinical issue faced by a 27-year male with jaundice, which was beautifully cured through individualised homoeopathic medicine within a few days. This case report shows the effectiveness of homoeopathy in acute emergency cases
Keywords
Jaundice Bryonia Homoeopathy Individualisation
Introduction
Jaundice is a medical condition in which due to increase in the bilirubin level in the blood there is yellowish discoloration of skin, eyes and mucous membrane. Jaundice in itself is not the disease, it is the symptom of several possible illnesses related to liver, blood, bile duct.
Bilirubin is the yellow pigment that is found in the hemoglobin of red blood cells. hemoglobin is the protein which helps to carry oxygen and gives red color to the blood.in jaundice there is increase in the level of bilirubin, due to destruction of red blood cells. Jaundice can develop at any age but most commonly in newborns. About 80% of the babies have jaundice in the first week of their life.
Jaundice is classified as unconjugated, hepatocellular, or cholestatic. The first type is unconjugated or haemolytic jaundice appears due to destruction of red blood cells. The second type appears when liver cells are damaged so severely that the ability to transport bilirubin diglucuronide into the biliary system is reduced, and allow the yellow pigment to flow in the bloodstream. The third type also called obstructive jaundice appears due to obstruction in the biliary tract. (1)(2)(3)(4)(5)(6)
Case Report
The case of a 27-year-old male reported on 30 July 2024 with complaints of jaundice (yellowish coloration of skin, mucous membrane, urine was yellow, eyes were yellow) itching over the whole body, Loss of appetite, constipation. Bilirubin was (8.00 mg/dl) He had consulted ayurvedic doctor earlier but without any significant change, moreover that time the bilirubin was (3.0 mg /dl)(fig 1) but after the ayurvedic treatment it raised to (8.00 mg /dl)(fig -2)
Fig (1)
After ayurvedic treatment bilirubin increased up to 8.00 mg/dl
FIG-2
Patient decided to go for homoeopathy
History of Present Illness
- Yellowish skin sclera of the eye
- Itching without eruption
- Thirst increased
Past History-
- Fatty liver grade -2
- Hair fall history for 2 years
Family History
- Father having hypertension and rheumatism
- Mother having hypothyroidism
Treatment History
- Took ayurvedic treatment for jaundice, but without any significant change
Patient History
- Patient is non- vegetarian
- Education- BA
- Marital status- unmarried
Physical Generals
- Appetite – no appetite, mouth taste bitter
- Thirst– increased, due to dryness in mouth patient drink alot
- Sleep- not able to sleep due to itching
- Stool-constipation
- Thermal – in general patient is hot
- Dreams-NS
- Urine– yellowish
Mental Generals
- Patient financial status was very poor, he was running a small business of (kulche cholla), his business was not running properly last 2 month which puts him in a lots of anxiety
- When I ask him about the stress, he told me that my work is not in a flow and I have to pay my loan EMI, which puts him in a lots of stress
- Even after suffering from jaundice, he was running his business
- His family members told him to take allopathy, but he denies because of money
- Very irritable in nature
Repertorial Chart
Prescription: Patient thermals was hot so I prescribe him: BRYONIA ALBA 200, PLO FOR 2 DAYS
Follow up after 2 days-
- Appetite was slight better
- Irritability decreased
- His concern for health increased, he asks me to give me the best medicine, not bothering about the money
- Now able to pass stool, earlier the stool was constipated
PLO- 5 DAYS
FIG-3
Follow up
- Skin tone, color of sclera was better, urine color was better
- Patient was very happy, cheerful
- Appetite was normal
- Sleep was better
- Stool was better
FIG-4
FOLLOW UP
DATE | BILIRUBIN LEVELS | CHANGES IN PATIENT | PRESCRIPTION |
29/7/2024 | 8.00 mg/dl(fig-2) | Yellow skin, sclera, appetite wanting, constipation, irritability, | Bryonia 200, PLO for 3 days |
2/8/2024 | 7.90 mg/dl (fig-3) | Appetite was slight better, Irritability decreased, able to pass stool, very slight improvement in itching | PLO for 5 days |
8/8/2024 15/8/2024 | 2.40 mg/dl (fig-4) | Skin tone, color of sclera was better, urine color was better, Patient was very happy, cheerful, Appetite was normal, Sleep was better, Stool was better, itching was totally better Patient was totally fine, every complaint of him was better, he started going to his job and other domestic work | PLO for 7 days PLO For 7 days |
Discussion
In this case study, we see a case of jaundice with bilirubin levels of 8.00 mg/dl. patient choose homoeopathy due to his poor financial Stata and his avarice nature
Homoeopathy is a system of medicine that embraces a holistic approach in the treatment of the sick. In homoeopathy detailed case-taking is done to get unique individualizing symptoms, the totality of which forms the basis of prescription. After case analysis and Repertorisation, BRYONIA ALBA was selected as a Similimum.
Conclusion
The case contradicts the myth about the slow working of homoeopathic medicine in treating the acute emergency cases. Once we our properly well known to our knowledge of Materia medica, Repertory, organon of medicine, pathophysiology of the disease we can treat any type of acute emergency cases with fast recovery
Patient Consent
The author certifies that he has obtained appropriate consent from the patient. In the consent, the patient has given his consent for reporting his clinical information in the journal. The patient understands that his name should not be mentioned and published, and due efforts will be made to hide his identity, but anonymity cannot be guarantee
References
- Gillott C, Fletcher J. Jaundice: Causes, symptoms, and treatments [Internet]. Medicalnewstoday.com. 2017 [cited 2024 Aug 20]. Available from: https://www.medicalnewstoday.com/articles/165749
- Wikipedia contributors. Jaundice [Internet]. Wikipedia, The Free Encyclopedia. 2024. Available from: https://en.wikipedia.org/w/index.php?title=Jaundice&oldid=1240926556
- Moore K. Yellow skin (jaundice): Pictures, symptoms, causes, and diagnosis [Internet]. Healthline. 2018 [cited 2024 Aug 20]. Available from: https://www.healthline.com/health/jaundice-yellow-skin
- Canadian Cancer Society / Société canadienne du cancer. Jaundice [Internet]. Canadian Cancer Society. [cited 2024 Aug 20]. Available from: https://cancer.ca/en/treatments/side-effects/jaundice
- Jaundice [Internet]. Hopkinsmedicine.org. 2024 [cited 2024 Aug 20]. Available from: https://www.hopkinsmedicine.org/health/conditions-and-diseases/jaundice-in-children
