Acute Cholecystitis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 12, ABC Lane, Koregaon Park, Pune 411001
- Occupation: Marketing Manager (Stress due to tight deadlines)
- Religion: Hindu
- Date: 27/02/2026
- Age: 35 Years
- Sex: Female
- Education: Graduation
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Epigastrium | Severe, colicky pain radiating to right shoulder | Agg. by eating fatty foods, relieved by vomiting | Nausea and Vomiting |
| Abdomen | Tense, guarding muscles | Agg. by deep breathing, relieved by Fowler's position | Abdominal distension |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Hypertension, managed with medication
- Family History: Father had gallstones
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Poor
- Desires: Cold drinks
- Aversions: Fatty foods
- Thirst: Excessive
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Excessive
- Sleep: Disturbed
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: Agg. by cold
- Position: Agg. by lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious
- Anxiety: Fear of worsening symptoms
- Fear: Fear of surgery
6. PHYSICAL GENERAL EXAMINATION
- Wt: 55 kg | Ht: 155 cm | Temp: 38.5°F
- RR: 24/min | Pulse: 100 bpm | B.P.: 140/90 mmHg
- Face: Pale
- Tongue: Furred
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Tender hepatomegaly, Murphy's sign positive
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety (Grade 2)
- Physical General: Pain (Grade 3)
- Particular: Abdominal tenderness (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Patient's symptoms of acute pain, tenderness, and guarding muscles in the epigastrium and abdomen, along with nausea and vomiting, suggest a need for a remedy that addresses these specific symptoms.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Severe, colicky pain radiating to right shoulder
- • Tense, guarding muscles
- • Nausea and Vomiting
- • Abdominal distension
- • Poor appetite
- • Excessive thirst
- • Excessive perspiration
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Pain, colicky | Colic, gastric - 30 | 123 |
| 2 | Tense, guarding muscles | Abdomen, tenderness - 25 | 145 |
| 3 | Nausea and Vomiting | Nausea, vomiting - 18 | 109 |
| 4 | Abdominal distension | Abdomen, distension - 21 | 133 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | China | Colic, gastric - 30, Abdomen, tenderness - 25 | 45 |
| 2 | Bryonia | Abdomen, distension - 21, Pain, colicky - 20 | 41 |
| 3 | Veratrum album | Nausea, vomiting - 18, Thirst, excessive - 15 | 33 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| 0 | 0 | 0 | 0 |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Cholecystitis
- Differentiation of Remedies: China matches the patient's symptoms of colicky pain, nausea, and vomiting, making it a better choice than Bryonia and Veratrum album.
- Selection of Remedy (Materia Medica): China matches symptoms of acute gallbladder inflammation (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- China 30 — 4 pills, 4 times 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, no pain, normal appetite | Placebo | Continue follow-up for 3 days |