Acute Carpal Tunnel Syndrome
1. PRELIMINARY DATA
- No.: 114/2026
- Patient's Name: JKL
- Address: 123, ABC Lane, Pimpri, Pune, 411018
- Occupation: Data Entry Operator (8 hours of typing at a computer)
- Religion: Hindu
- Date: 26/02/2026
- Age: 28 Years
- Sex: Female
- Education: B.Sc. (Computer Science)
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Right Hand | Severe numbness and tingling in the thumb, index, and middle fingers, which worsens at night while sleeping | >Amelioration: Waking up and moving the hand | Nociceptive pain in the wrist |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Hypothyroidism, treated with medication
- Family History: Mother has diabetes
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal
- Desires: Salted foods
- Aversions: Fatty foods
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: 6 hours
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: No relation
- Position: No relation
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Slightly anxious
- Anxiety: Fears losing her job
- Fear: Fears snakes and spiders
6. PHYSICAL GENERAL EXAMINATION
- Wt: 58 kg | Ht: 160 cm | Temp: 98.6°F
- RR: 16/min | Pulse: 72 bpm | B.P.: 120/80 mmHg
- Face: Normal
- Tongue: Normal
- Nails: Normal
- Skin: Normal
7. SYSTEMIC EXAMINATION
- Neurological: Decreased sensation in the median nerve distribution of the right hand
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Normal (no abdominal tenderness)
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: 3/5 (Grade 3)
- Physical General: 3/5 (Grade 3)
- Particular: 4/5 (Grade 4)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The patient presents with numbness and tingling in the median nerve distribution of the right hand, which worsens at night while sleeping. This is consistent with the symptoms of Belladonna, which matches the rubrics "Numbness; hands, 784" and "Pain; wrist, 795".
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Numbness; hands, 784
- • Pain; wrist, 795
- • Anxiety; fears losing her job, 18
- • Fear; snakes and spiders, 22
- • Desire; salted foods, 13
- • Aversion; fatty foods, 15
- • Thirst; normal, 12
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Numbness | Numbness; hands, 784 | 784 |
| 2 | Pain; wrist | Pain; wrist, 795 | 795 |
| 3 | Anxiety | Anxiety; fears losing her job, 18 | 18 |
| 4 | Fear | Fear; snakes and spiders, 22 | 22 |
| 5 | Desire | Desire; salted foods, 13 | 13 |
| 6 | Aversion | Aversion; fatty foods, 15 | 15 |
| 7 | Thirst | Thirst; normal, 12 | 12 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | 784, 795, 18, 22, 13, 15, 12 | 7 |
| 2 | Nux vomica | 784, 795, 18 | 3 |
| 3 | Lachesis | 784, 795, 18 | 3 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| [...] | [...] | [...] | [...] |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Carpal Tunnel Syndrome
- Differentiation of Remedies: Belladonna matches the symptoms of numbness and tingling in the median nerve distribution of the right hand, which worsens at night while sleeping, and anxiety about losing her job.
- Selection of Remedy (Materia Medica): Belladonna matches the symptoms perfectly (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 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 27/02/2026 | Improvement in numbness and tingling, | Placebo | Continue with Belladonna 30C |
| no pain in the wrist | | |