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45 years married female. C/O- Melasma on the forehead . Irregular of menstrual period, clotted. Backache, Headache, pain abdomen before menses. Flashes on the head Acidity Thirsty Less. Desire- meat++ sweet++ sour+Hot food. Aversion-Cold food++ Intolerance- Egg++ DREAM- Snake.++ Mind- Talkative++ Anxiety+ .

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Rx sepia 200 b.d/3days

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Lecasis

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Lachesis is well indicating in this case with all these symptoms mentioned. But i think little more information will help to diffrentiate between carcinosin and lachesis. For now lachesis 200 shoud be given 3 doses on interval of 1 hour. And then watch on the case for atleast 1 wk and retake the case again. If required repeat the doses.

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Sepia 200 fortnightly × 3 dose

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Sepia 30 lacheses 30

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Rx LACHESIS 200

Graphite 1M .

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Kali brom 200

Lachesis

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