Acute Dysentery
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, ABC Layout, Koregaon Park, Pune - 411001
- Occupation: IT Professional (Long working hours, irregular meals)
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor's Degree in Engineering
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Anus & Rectum | Burning sensation with tenesmus, diarrhea, and mucus | < eating spicy food, > lying down | Nausea, vomiting, and abdominal pain |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Hypertension since 2018, controlled with medication.
- 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: Decreased, prefers light meals
- Desires: Cold drinks, cold compresses
- Aversions: Spicy food, hot drinks
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Mucopurulent
- Perspiration: Normal
- Sleep: Disturbed
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: No specific reaction
- Position: Worse in lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, anxious
- Anxiety: Fear of worsening condition
- Fear: Fear of having a severe infection
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 172 cm | Temp: 102.5°F
- RR: 24/min | Pulse: 120 bpm | B.P.: 140/90 mmHg
- Face: Pale
- Tongue: Dry, red
- Nails: Normal
- Skin: Warm, flushed
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Tenesmus, diarrhea, and mucus in stool
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety, fear (Grade 8)
- Physical General: Hot, sweating, thirst (Grade 9)
- Particular: Burning sensation in anus, tenesmus (Grade 9)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on generals and particulars, the remedy should cover the symptoms of burning sensation, tenesmus, diarrhea, and mucus in stool.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
-
- Burning sensation in anus
- Tenesmus
- Diarrhea
- Mucus in stool
- Nausea and vomiting
- Abdominal pain
- Increased thirst
- Disturbed sleep
- Hot, flushed skin
- Increased pulse rate
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Burning sensation in anus | Anus, Burning sensation | |
| | Tenesmus, Diarrhea | |
| | Mucus, in stool | |
| 2 | Nausea and vomiting | Nausea, Vomiting | |
| | Abdominal pain, | |
| 3 | Increased thirst | Thirst, Increased | |
| 4 | Disturbed sleep | Sleep, Disturbed | |
| 5 | Hot, flushed skin | Skin, Hot, flushed | |
| 6 | Increased pulse rate | Pulse, Increased | |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Podophyllum | Anus, Burning sensation, Tenesmus, Diarrhea, Mucus in stool | 12 |
| 2 | Aloe | Nausea, Vomiting, Abdominal pain, Thirst, Increased | |
| 3 | Chamomilla | Sleep, Disturbed, Skin, Hot, flushed, Pulse, Increased | |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| | | |
Dominant Miasm: None (Acute condition, sensitive patient)
14. FINAL STEPS
- Provisional Diagnosis: Acute Dysentery
- Differentiation of Remedies: Podophyllum matches the symptoms of burning sensation, tenesmus, diarrhea, and mucus in stool, while Aloe matches the symptoms of nausea, vomiting, abdominal pain, and increased thirst.
- Selection of Remedy (Materia Medica): Podophyllum matches the symptoms of Podophyllum in Allen’s Keynotes, Boericke.
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Podophyllum 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 |
|---|
| 28/02/2026 | Improved symptoms, still some discomfort | Podophyllum 30 | Continue medication, rest, and fluids |