A CASE SEPIA

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• A CASE - SEPIA

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• Preliminary data
• Name- Mrs. B. G
• Age- 34 Yrs
• Sex- female
• Edu- 11Std
• Occ- house wife
• Religion- Hindu, maharashtrian, married to kutchi
  jain.
• Add- sewri

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• Children- 1 daughter, and 1 son
• Father- expired
• mother- expired
• Brother- 2(elder)
• sister- 2 (elder)

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Patient as a person

• Desire fish, mutton, spicy.
• Aversion sweets
• Perspiration scanty. non offensive, non
  staining
• Stool normal urine normal

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• Menstrual function
• Regular
• Moderate
• Bright red
• Offensive2
• For 2-3 days
• 30 days cycle

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• Leucorrhoea NAD
• Pregnancy history NAD
• Obs hist G2 P2 A0 L2 FTND
• Past hist NAD
• Family hist father and mother
• myocardium infarction
• Thermal state - chilly

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FAMILY

• Middle class maharashtrian family
• Father worker in mill.
• Mother house wife.
• Both good by nature.

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Family

• Conservative family.
• Did not like fashion like dressing up.
• Wearing different types of clothes.
• Simple living.
• No difference of opinion.

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Childhood

• No responsibilities.
• Stable financial condition.
• Failed in 12 std.
• Learned many things typing, stitching, and
  beauty parlor.
• Would assist her friend for work wherever she
  used to go.

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Marriage

• Love marriage. Inter cast
• Husband Gujrati
• Opposition from both family.
• Parents and in laws reluctantly agreed for
• the marriage.

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After marriage

• Husband forced by family
• To leave the house and business.
• Had to stay separately.
• Started working in the company.

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Husband

• Very good nature and supportive.
• Gave her lot of freedom.
• Helped pt in adjustment of new culture.
• Very close to husband.

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Financial stress

• Husband limited amount from his job.
• Birth of children.
• Difficult to manage.
• Some time had to go to bed without food.
• No family support.

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• Maiden family
• Parents and siblings angry on her.
• All other relatives were also angry.
• Develop lot of tension regarding money,
  children, and their future.
• Came up with DEPRESSION.

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• With the help of friends and husband came out of
  depression.
• Now financially stable.
• Husband own a factory.

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IPR With family members

• No intimate relation ship.
• Dont go often to meet them.
• When they come, serve them well.
• Goes to in laws when they have some work or any
  religious function.

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• Feels that when she needed help no one was there.
• Could not ask for help from her family, as it was
  her decision to marry him.
• So she had to go ahead with her decision.

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• Genesis

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Family
Loving and caring
Protective Environment
No tension
No worries
Failed in 12 std
Took interest in typing And mehendi
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Fallen in love
Opposition from both families

Marriage

Against parents wish
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Financial stress
F I N A N C I A L
E M O T I O N A L
Loss of support
INSECURITY
Dissatisfaction
Disappointment
Depression
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Now

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Totality

• A/F Disappointment2
• A/F Insecurity2
• Vexation3
• Irritability2
• Indifference2
• Thermal chilly

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Differential remedies

• Natrum mur
• Sepia