Acute Bronchitis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 12, Sankarsheth Road, Deccan Gymkhana, Pune 411004
- Occupation: 25-year-old IT Professional (Long hours in an air-conditioned office)
- Religion: Hindu
- Date: 28/02/2026
- Age: 28 Years
- Sex: Male
- Education: B.E. in Computer Science
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Throat & Chest | Severe cough with yellow sputum, difficulty breathing | Worsening at night, >rest, > steam inhalation | High fever, chest tightness, fatigue |
| Throat | Burning sensation, scratchy throat | Worsening after eating, > warm drinks | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Allergic rhinitis in childhood, occasional colds
- Family History: Father had bronchitis in his 50s
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Decreased
- Desires: Cold drinks
- Aversions: Warm foods
- Thirst: Thirsty during the day
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Increased
- Sleep: Restless, > lying on side
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: Worsening during winter
- Position: Worsening when lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable
- Anxiety: High anxiety about work and health
- Fear: Fear of not recovering quickly
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 172 cm | Temp: 102°F
- RR: 28/min | Pulse: 100 bpm | B.P.: 130/90 mmHg
- Face: Pale
- Tongue: Coated
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Respiratory: Bilateral wheezing, decreased breath sounds
- CVS: S1, S2 Normal. No murmurs.
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: High anxiety (Grade 5)
- Physical General: High fever, cough, difficulty breathing (Grade 8)
- Particular: Severe cough with yellow sputum (Grade 9)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on generals (high anxiety, high fever) and particulars (severe cough with yellow sputum).
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • High anxiety
• High fever
• Severe cough with yellow sputum
• Difficulty breathing
• Chest tightness
• Fatigue
• Burning sensation in throat
• Scratchy throat
• Decreased appetite
• Restless sleep
• Chilly thermal state
• Worsening during winter and when lying down
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | High anxiety | Anxiety 1st, Anxiety 2nd, Angst | 18, 20, 21 |
| 2 | High fever | Fever general, Fever intermittent | 24, 33 |
| 3 | Severe cough with yellow sputum | Cough dry, Cough with yellow expectoration | 15, 26 |
| 4 | Difficulty breathing | Dyspnoea, Orthopnoea | 21, 34 |
| 5 | Chest tightness | Tension in chest, Tightness in chest | 23, 25 |
| 6 | Fatigue | Lassitude, Prostration | 21, 34 |
| 7 | Burning sensation in throat | Burning sensation in throat, Scratchy throat | 27, 30 |
| 8 | Decreased appetite | Indifference to food, Loss of appetite | 19, 21 |
| 9 | Restless sleep | Insomnia, Restlessness at night | 20, 21 |
| 10 | Chilly thermal state | Coldness of body, Coldness of hands and feet | 16, 17 |
| 11 | Worsening during winter | Worsening during winter, Worsening in cold weather | 29, 32 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Antimonium tartaricum | Anxiety 1st, Cough dry, Dyspnoea, Tension in chest | 28 |
| 2 | Digitalis | Angst, Fever general, Lassitude | 24 |
| 3 | Phosphorus | Cough with yellow expectoration, Orthopnoea, Prostration | 26 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| | | |
Dominant Miasm: Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Acute Bronchitis
- Differentiation of Remedies: Antimonium tartaricum covers anxiety, cough, and dyspnoea, making it the top remedy.
- Selection of Remedy (Materia Medica): Antimonium tartaricum matches the symptom picture of severe cough, difficulty breathing, and anxiety. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Antimonium tartaricum 30 — 4 pills, thrice a day until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 01/03/2026 | Improvement in cough, less difficulty breathing | Antimonium tartaricum 30 | Continue medicine, rest, and steam inhalation |