How to manage this case?

A 67 years old female with complaints of following synonyms.. Low appetite Want of huge quantity of cold water Profuse exhausting,offensive perspiration Stomache upset with distension,burning & acidity after eating.heavy stomach after eating Chronic constipation with hard dry stool followed by diarrhoea. Dryness of hairs with hairball All complaints aggravating after eating Vertigo with nausea & sleepiness may cause committing&visual problems. Vertigo relieves from rest & holding some object. Vertigo has sensation of raising above the ground and worsening from turning the bed and on standing. Most complaints start in the morning. Hot drinks & foods worsen and there is desire for cold drinks and meals Cramps in shoulder and upper arms Can't raise hands or touch her back back. I need your expert opinion to help her in gentle & rapid cure. Note.. Her MRI report on 9/03/2003 reveals a gray matter lined nodule in subependrymal lateral ventricle region,and mild bilateral partiyo occipital atrophy. Again on 22/02/2020 It showed "CEMR brain findings are suggestive of small focal area signal alteration with delayed enhancement in the left half of the pituitary?Microadenoma???

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You have a good symptoms Our good way to select similimum is totality of symptoms Evaluate the symptoms and then repertrize the symptoms to find out similimum

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Dx Aam, Indigestion Rx Abhyadi qwath BD Galo ghan tab 1bd Panchsakar powder HS for 3 week.

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Most of the symptoms are indicative of --Bryonia--but an acute medicine. Mental symptoms, P/H ,F/H etc of the patient needed to find out a deep acting medicine to cover microadenoma or tuberculoma...?

Rx Constitutional remedy with PQRS

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Phosphorus 200

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According to case history most of the symptoms indicate Bryonia. So I like to suggest Bryonia

As per case history according to repertorisation medicines may helpful (1)BRYONIA ALB .200/morning & evening .(2) CARBO VEG.200/during noon. (3)IRIS VERSICOLOR 200/at night .... continue the medicines for 4 weeks then repot afterwards...

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Nat - mur 30 weekly one dose

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Bryonia alba/30 QDS Cal fluoricum/6x QDS

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Treat according to severe complaints to lesser complaints doctor Start with Gelsemium 200

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