LOCATION	SENSATION & PATHOLOGY	A/F & MODALITIES	CONCOMITANTS
Abdomen	Severe, crampy pain, 8/10 on VAS	< Cold compress, > Warm compress	Nausea, Vomiting, Diarrhea

Past History: Dysmenorrhoea since menarche, occasional episodes of IBS (Irritable Bowel Syndrome)
Family History: Mother had similar complaints during her menstrual cycles
Developmental Landmarks: All milestones were reached at the appropriate age

A. Physical Characteristics

B. Reactions - Physical Factors

Repertory: Kent’s Repertory of Homoeopathic Materia Medica
Reason: Based on generals (anxiety, fear) and particulars (diarrhea, increased thirst), Belladonna matches the symptoms.

SR. NO.	SYMPTOMS	RUBRICS WITH SUB-RUBRICS	PAGE NO. (Kent)
1	Severe crampy abdominal pain	Abdomen: Painful, Crampy, Severe	24
2	Nausea and vomiting	Nausea: Vomiting, Nausea, Vomiting	43
3	Diarrhea	Diarrhea: Diarrhea, Diarrhea	29
4	Increased thirst	Thirst: Increased, Thirst	52
5	Anxiety and fear	Anxiety: Fear, Anxiety	16
6	Ambithermal	Thermal State: Ambithermal	48
7	Pain worsens in supine position	Position: Supine, Position	44

SR. NO.	REMEDIES	RUBRICS COVERED	TOTAL MARKS
1	Belladonna	Abdomen: Painful, Crampy, Severe Nausea: Vomiting, Thirst: Increased	42
2	Colocynth	Abdomen: Painful, Crampy, Severe Diarrhea: Diarrhea	38
3	Bryonia	Abdomen: Painful, Crampy, Severe Thirst: Increased	36

PSORA	SYCOSIS	TUBERCULAR	SYPHILIS
++	++	+	-

Dominant Miasm: Sycosis

Provisional Diagnosis: Acute Dysmenorrhoea
Differentiation of Remedies: Belladonna matches the symptoms better due to increased thirst and ambithermal state.
Selection of Remedy (Materia Medica): Belladonna matches the symptoms classically (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, three times a day for 3 days

DATE	COMPLAINTS	REMEDY	ADVICE
28/02/2026	Improved, pain reduced to 4/10	Placebo	Continue as before