Acute Coryza

1. PRELIMINARY DATA

• No.: 111/2026
• Patient's Name: RST
• Address: Apartment 204, Silver Oak Residency, Pune.
• Occupation: Banker (long hours in air-conditioned office)
• Religion: Hindu
• Date: 22/02/2026
• Age: 27 Years
• Sex: Male
• Education: M.B.A.
• Status: Single

2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES

3. PERSONAL PAST & FAMILY HISTORY

• Past History: Frequent colds, especially in changing seasons; allergic rhinitis episodes in past.
• Family History: Mother has allergic rhinitis. Father has hypertension.
• Developmental Landmarks: All milestones were reached at the appropriate age.

4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)

A. Physical Characteristics

• Appetite: Slightly diminished
• Desires: Warm drinks (+++), Spicy food (+)
• Aversions: Cold drinks
• Thirst: Moderate, prefers warm liquids
• Elimination:
  • Urine: Normal
  • Stool: Regular
  • Perspiration: Slight, mostly on forehead
• Sleep: Disturbed due to nasal blockage at night
• Thermal State: Chilly (wants to be covered, sensitive to drafts)

B. Reactions - Physical Factors

• Weather: Aggravation from cold dry wind or sudden temperature change
• Position: Better in warm room; worse in open cold air

5. MENTAL STATE (Psychodynamic & Life-Space)

• Nature: Irritable and impatient during acute phase
• Anxiety: Mild worry about spreading infection at workplace
• Fear: Fear of developing sinus infection

6. PHYSICAL GENERAL EXAMINATION

• Wt: 70 kg | Ht: 170 cm | Temp: 99.2°F (low-grade)
• RR: 18/min | Pulse: 80 bpm | B.P.: 118/76 mmHg
• Face: Slightly flushed, watery eyes
• Tongue: Clean but moist
• Nails: Normal
• Skin: Dry

7. SYSTEMIC EXAMINATION

• ENT: Nose – profuse thin watery discharge, mucosa pale and swollen; slight conjunctival injection; throat mildly red
• CVS: S1, S2 Normal
• Respiratory: Clear lung fields
• GIT: Normal

8. ANALYSIS AND EVALUATION OF SYMPTOMS

• Mental General: Irritability during acute illness (Grade 2)
• Physical General: Chilly patient, thirst for warm drinks, > warm room (Grade 3)
• Particular: Profuse acrid watery coryza, violent sneezing < cold air/morning, > warm drinks/open air (Grade 3)

9. SELECTION OF REPERTORY WITH REASON

• Repertory: Kent’s Repertory of Homoeopathic Materia Medica
• Reason: Acute coryza with strong particular modalities (time, temperature, discharge character) and thermal generals; Kent has detailed nose rubrics for discharges, sneezing, and aggravations.

10. TOTALITY OF SYMPTOMS FOR REPERTORISATION

• Irritability
• Profuse watery acrid nasal discharge
• Violent paroxysmal sneezing
• < Cold air, morning, dust

• Warm drinks, open air

• Burning in eyes, frontal headache
• Chilly patient
• Loss of smell

11. CONVERSION INTO REPERTORIAL RUBRICS

12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)

13. MIASMATIC INTERPRETATION

Dominant Miasm: Psora

14. FINAL STEPS

• Provisional Diagnosis: Acute Coryza (common cold – viral)
• Differentiation of Remedies: Compared Allium Cepa with Euphrasia. Euphrasia has more profuse bland nasal + acrid lachrymation; Allium Cepa matches profuse acrid nasal discharge, bland tears, violent sneezing, < cold air/morning, > open air/warm drinks. Arsenicum has more burning + restlessness but chillier with thirst for small sips.
• Selection of Remedy (Materia Medica): Allium Cepa matches classic acute coryza with profuse bland lachrymation + acrid nasal discharge, sneezing paroxysms, frontal headache, < cold air, > open air (Ref: Allen’s Keynotes, Boericke).
• Selection of Potency: 30C (Acute, intense discharge and modalities)
• Actual Prescription:
  • Allium Cepa 30 — 4 pills every 1–2 hours until improvement (max 6 doses in 24 hrs)
  • Placebo — 4 pills thrice a day for 3 days

15. FOLLOW-UP'S TABLE