Acute Colic
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: RKL
- Address: 456, Bhandarkar Road, Camp, Pune - 411001
- Occupation: Software Engineer [Prolonged sitting hours, screen exposure]
- Religion: Hindu
- Date: 28/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor of Engineering
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Abdomen | Severe, crampy, & colicky pain, mostly in the right lower quadrant | Agg. by eating spicy food, > by lying down | Vomiting, diarrhea |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant medical history
- Family History: Father has diabetes, mother has hypertension
- 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: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Diarrhea
- Perspiration: Increased
- Sleep: Disturbed
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: No specific reaction
- Position: Lying down provides some relief
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Restless
- Anxiety: Present
- Fear: Nothing specific
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 165 cm | Temp: 98.8°F
- RR: 20/min | Pulse: 100 bpm | B.P.: 130/80 mmHg
- Face: Pale
- Tongue: Dry
- Nails: Normal
- Skin: Moist
7. SYSTEMIC EXAMINATION
- Abdomen: Tenderness in the right lower quadrant
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Abdominal distension
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Restless, anxious (Grade 2)
- Physical General: Abdominal pain, vomiting, diarrhea (Grade 3)
- Particular: Severe, crampy, colicky pain in the right lower quadrant (Grade 4)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The patient's symptoms, such as severe, crampy, & colicky pain in the right lower quadrant, worsened by eating spicy food and improved by lying down, are characteristic of Belladonna (Bell).
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Severe, crampy, & colicky pain in the right lower quadrant
- • Worsened by eating spicy food
- • Improved by lying down
- • Vomiting
- • Diarrhea
- • Restless, anxious
- • Increased thirst
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Severe, crampy, & colicky pain in the right lower quadrant | Abdomen: Colic, Severe; Agg. by eating spicy food; > by lying down | 33, 34, 35 |
| 2 | Vomiting | Vomiting: With colic | 25 |
| 3 | Diarrhea | Diarrhea: With colic | 15 |
| 4 | Restless, anxious | Restless: With colic; Anxious | 41, 12 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | Abdomen: Colic, Severe; Agg. by eating spicy food; > by lying down | 18 |
| 2 | Colocynth | Abdomen: Colic, Severe; Agg. by eating spicy food | 14 |
| 3 | Bryonia | Abdomen: Colic, Severe; > by lying down | 12 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Colic
- Differentiation of Remedies: Belladonna is more suitable due to its characteristic colic pain and improvement with lying down.
- Selection of Remedy (Materia Medica): Belladonna matches the patient's 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 2 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 01/03/2026 | Improvement in abdominal pain | Placebo | Continue to rest and avoid spicy food |