Patient name – S
Age – 34
Sex – Female
Occupation – Sales
Marital status – Married
CHIEF COMPLAINT
Patient came with the complaints of Allergic sneezing and occ itching of eye aggravation by dust, No other modality She noticed a lump in right breast
HISTORY OF PRESENTING ILLNESS
Shen noticed lump in right breast and consulted Modern Medicine and done investigation
PAST HISTORY – NAD
FAMILY HISTORY – NAD
O/E – Left Breast- NAD
Right Breast – Palpated movable mass non tender mass in right breast
No axillary lymph nodes enlarged
O/l – USG – 1.9*1.2 cm hypoechoic leshion at 11’o Clock position right breast
BIRADS -3
GENERAL PHYSICAL EXAMINATION
Well built & Nourished
No Cynosis, Pallor, Oedema etc
Pulse 72/min
BP – 120/80 mm of Hg
Weight – 66.5kg
PERSONAL HISTORY
Appearance – Obsese
Appetite – Good
Cr – Sugar
Thirst – decreased
Bowels – occ constipation
Bladder – Regular
Sleep – Good
Perspiration – Increased axilla and head
Thermally – Chilly
LIFE SPACE INVESTIGATION
Patient hails from a middle class family, working as sales girl, 2 kids Her husband working in work shop, She has financial difficulty and need to support her Husband, Very co operative and understanding Lady, Worries about financial difficulty, Very tolerant lady, Anxious about her health
DIAGNOSIS
Allegic Rhinitis With Fibroadenoma BIRADS- 3
TOTALITY
Anxious
Timid
Decreased thirst
Constipation
Chilly
Sneezing <Dust
Right Breast lump
GENERAL MANAGEMENT
*Avoid over use of Carbohydrates & Sweets
*Include more vegetatables in diet with portion control
*Suggested weight loss
REMEDY
Calc Carb 200 to 50M
Scrophularia Nod tincture 10 dropr in 1 Ounces water tds
Heckla Lava 6x 2 * 3

In between a dose of Thuja low to CM

After 6 months of treatment

Patient O/I – Right breast no lump &
Sneezing and Itching of eyes completely cure
Weight reduced upto 4-5 kg