Acute Cellulitis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 145, NIBM Road, Kondhwa, Pune - 411048
- Occupation: Software Developer [long working hours with inadequate sleep]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: B.E. in Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Right leg | Sudden onset of severe pain, swelling, and redness on the skin. | Aggravated by walking and pressure. | Fever, chills. |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant medical history.
- Family History: Father has hypertension, mother has diabetes.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Increased
- Desires: Ice cream
- Aversions: Vegetables
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Increased
- Sleep: 4-5 hours, restless
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: Better in cold weather
- Position: Worsens in sitting position
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious and restless
- Anxiety: 8/10
- Fear: Fear of missing deadlines
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 170 cm | Temp: 38.5°C
- RR: 24/min | Pulse: 120 bpm | B.P.: 140/90 mmHg
- Face: Pale
- Tongue: Red, dry
- Nails: Normal
- Skin: Warm, swollen, and tender on the right leg
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Abdomen normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Restless, anxious (Grade 8/10)
- Physical General: Swollen, painful leg (Grade 9/10)
- Particular: Sudden onset, fever, chills (Grade 9/10)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on generals (mental restlessness, physical pain), particulars (sudden onset, fever), and modalities (better in cold weather).
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Sudden onset of pain, swelling, and redness on the skin.
- • Aggravated by walking and pressure.
- • Fever, chills.
- • Anxious and restless.
- • Better in cold weather.
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sudden onset of pain, swelling, and redness on the skin. | Acute <pains> <in> <legs> <in> <sudden> <onset>, Acute <inflammation> <of> <skin> | 15, 22 |
| 2 | Aggravated by walking and pressure. | <Pains> <worse> <from> <movement>, <Pains> <worse> <from> <pressure> | 17, 20 |
| 3 | Fever, chills. | <Fever> <in> <acute> <diseases>, <Chills> <in> <acute> <diseases> | 5, 4 |
| 4 | Anxious and restless. | <Anxiety> <in> <acute> <diseases>, <Restlessness> <in> <acute> <diseases> | 2, 3 |
| 5 | Better in cold weather. | <Better> <in> <cold> <weather> | 1 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | Acute <inflammation> <of> <skin>, <Fever> <in> <acute> <diseases>, <Chills> <in> <acute> <diseases> | 30 |
| 2 | Bryonia | <Pains> <worse> <from> <movement>, <Pains> <worse> <from> <pressure> | 25 |
| 3 | Arsenicum album | <Anxiety> <in> <acute> <diseases>, <Restlessness> <in> <acute> <diseases> | 20 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Cellulitis
- Differentiation of Remedies: Belladonna matches better in cold weather, fever, and chills. Bryonia matches pains worse from movement and pressure. Arsenicum album matches anxiety and restlessness.
- Selection of Remedy (Materia Medica): Belladonna matches the symptoms of acute inflammation of the skin, fever, and chills (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 |
|---|
| 28/02/2026 | Improved symptoms, less pain. | Belladonna 30 | Continue medication, rest leg. |