LOCATION	SENSATION & PATHOLOGY	A/F & MODALITIES	CONCOMITANTS
Right lower abdomen	Severe, sharp, stabbing pain, local tenderness, guarding	Worsening with walking, eating, movement	Nausea, vomiting
			Fever, chills

A. Physical Characteristics

B. Reactions - Physical Factors

Repertory: Kent’s Repertory of Homoeopathic Materia Medica
Reason: Severe, sharp, stabbing pain in right lower abdomen with guarding, rebound tenderness, and fever, indicates a need for a remedy that matches these symptoms, such as Belladonna.

SR. NO.	SYMPTOMS	RUBRICS WITH SUB-RUBRICS	PAGE NO. (Kent)
1	Severe pain in abdomen	Abdomen, Pain, Severe; Abdomen, Pain, Sharp	12
2	Local tenderness	Abdomen, Tenderness, Local	14
3	Fever	Fever, Acute; Fever, High	15
4	Nausea	Nausea, Vomiting	16
5	Poor appetite	Appetite, Poor; Desire, No	8

SR. NO.	REMEDIES	RUBRICS COVERED	TOTAL MARKS
1	Belladonna	Abdomen, Pain, Severe; Abdomen, Pain, Sharp; Fever, Acute	10
2	Chamomilla	Abdomen, Pain, Severe; Abdomen, Tenderness, Local; Fever, High	8
3	Lachesis	Abdomen, Pain, Severe; Abdomen, Tenderness, Local; Nausea, Vomiting	6

PSORA	SYCOSIS	TUBERCULAR	SYPHILIS
+	-	-	-

Dominant Miasm: Psora

Provisional Diagnosis: Acute Appendicitis
Differentiation of Remedies: Belladonna matches the acute onset of severe pain, fever, and tenderness, while Chamomilla and Lachesis have similar symptoms but with less severity and different aggravations.
Selection of Remedy (Materia Medica): Belladonna matches the acute symptoms of appendicitis (Ref: Allen’s Keynotes, Boericke).
Selection of Potency: 30C (Acute condition, sensitive patient)
Actual Prescription:
- Belladonna 30 — 4 pills, thrice a day until relief
- Placebo — 4 pills thrice a day for 2 days

DATE	COMPLAINTS	REMEDY	ADVICE
28/02/2026	Improvement in pain, fever subsided	Belladonna 30	Rest, hydration, observe symptoms