1. PRELIMINARY DATA
- No.: 113/2026
- Patient's Name: XYZ
- Address: B-403, Lotus Apartments, Pune.
- Occupation: Freelance Graphic Designer (irregular meals, street food often)
- Religion: Hindu
- Date: 25/02/2026
- Age: 26 Years
- Sex: Male
- Education: B.Des
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Abdomen | Severe cramping colicky pain, frequent watery stools (5–8 times since morning) | < After eating/drinking, < Cold food/drinks, < Night, > Warm drinks, > Pressure on abdomen | Great weakness, exhaustion, nausea, cold sweat on forehead |
| Rectum | Urgent urging, burning at anus after stool | < After eating spicy/oily food yesterday | Dehydration signs starting, thirst for small sips |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Occasional loose motions after outside food; no chronic GIT issues.
- Family History: Mother has IBS. Father healthy.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Completely lost
- Desires: Cold water in small sips (+++)
- Aversions: Food smell, warm food now
- Thirst: Intense, but small quantities frequently
- Elimination:
- Urine: Scanty, dark
- Stool: Watery, offensive, greenish
- Perspiration: Cold and clammy
- Sleep: Not possible due to frequent motions and pain
- Thermal State: Chilly (shivering despite feverish feeling)
B. Reactions - Physical Factors
- Weather: Aggravation after cold food or exposure
- Position: Better lying with knees drawn up; worse standing/walking
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Restless, anxious during acute phase
- Anxiety: Fear of dehydration or collapse
- Fear: Fear something serious (like cholera)
6. PHYSICAL GENERAL EXAMINATION
- Wt: 62 kg | Ht: 168 cm | Temp: 100.2°F
- RR: 22/min | Pulse: 96 bpm (weak) | B.P.: 100/60 mmHg
- Face: Pale, anxious, sunken eyes
- Tongue: Dry, coated white
- Nails: Normal
- Skin: Cold, clammy
7. SYSTEMIC EXAMINATION
- GIT: Abdomen soft, diffuse tenderness, hyperactive bowel sounds, no guarding
- CVS: Tachycardia, no murmurs
- Respiratory: Clear
- Hydration: Mild dehydration (dry mucosa, reduced skin turgor)
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Restlessness, fear of serious illness (Grade 3)
- Physical General: Chilly, thirst small sips frequently, cold sweat (Grade 3)
- Particular: Watery diarrhoea with cramping < after eating, burning anus, offensive green stool (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Acute diarrhoeal case with strong generals (thermal, thirst pattern, sweat) and particular modalities; Kent has excellent stomach/rectum rubrics for diarrhoea type, urging, and concomitants.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Restlessness and anxiety
- Fear of collapse/dehydration
- Frequent watery greenish offensive stools
- Cramping colic < after eating/drinking
- Burning at anus after stool
- Thirst for small quantities frequently
- Chilly with cold clammy sweat
- Great prostration
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Fear of death/collapse | Mind; FEAR; death, of | 43 |
| 2 | Diarrhoea watery green | Rectum; DIARRHOEA; green | 613 |
| 3 | Thirst small quantities frequently | Stomach; THIRST; small quantities, for; frequent | 529 |
| 4 | Cold sweat forehead | Perspiration; COLD; forehead | 1303 |
| 5 | Cramping pain before stool | Abdomen; PAIN; cramping, griping; diarrhoea, before | 574 |
| 6 | Burning anus after stool | Rectum; BURNING; stool, after | 625 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Arsenicum Album | 6/6 | 19 |
| 2 | Veratrum Album | 5/6 | 15 |
| 3 | Podophyllum | 4/6 | 11 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Chilly, restlessness, fear | Offensive green stools | Exhaustion, dehydration | Burning destructive |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Diarrhoea (likely food poisoning / gastroenteritis)
- Differentiation of Remedies: Compared Arsenicum with Veratrum. Veratrum has more profuse watery evacuations + cold sweat + collapse with desire for cold drinks in large quantities; Arsenicum matches chilly, restless, anxious/fearful, thirst small sips often, burning pains, prostration, > warmth. Podophyllum has painless gushing diarrhoea.
- Selection of Remedy (Materia Medica): Arsenicum Album matches acute gastro-enteritis with great prostration, burning pains, chilly patient, thirst for small frequent sips, anxiety/restlessness/fear of death, cold clammy sweat (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute, intense symptoms with mental fear)
- Actual Prescription:
- Arsenicum Album 30 — 4 pills every 30–60 minutes until improvement (max 6 doses)
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 26/02/26 | Stools reduced to 2, no cramping, weakness better, thirst normal | Placebo | ORS sips, light diet (rice+banana), rest, hygiene |