Acute Epistaxis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Sector 15, Viman Nagar, Pune, India
- Occupation: IT Professional [long working hours without breaks]
- Religion: Hindu
- Date: 27/02/2026
- Age: 27 Years
- Sex: Male
- Education: Bachelor's Degree in Computer Science
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Nostril | Sudden onset of profuse bleeding from right nostril. Painful and throbbing sensation in the face and head. | Aggravated by bending forward and lying down. Relieved by sitting up and applying ice packs. | Recent history of cold and cough. |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: History of allergies and sinusitis.
- Family History: Father has hypertension. Mother has asthma.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Average
- Desires: Sweet
- Aversions: Spicy
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: 6 hours
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: Aggravated by hot and humid weather.
- Position: Aggravated by lying down and bending forward.
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious and worried
- Anxiety: 7/10
- Fear: Fear of losing control.
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 180 cm | Temp: 98.5°F
- RR: 16/min | Pulse: 90 bpm | B.P.: 120/80 mmHg
- Face: Swollen and painful
- Tongue: Normal
- Nails: Normal
- Skin: Normal
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: 3/10
- Physical General: 8/10
- Particular: 9/10
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The symptoms of sudden onset of profuse bleeding from the right nostril, painful and throbbing sensation in the face and head, and recent history of cold and cough point towards a remedy that is known for its ability to stop bleeding and alleviate facial pain.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Sudden onset of profuse bleeding from the right nostril
• Painful and throbbing sensation in the face and head
• Aggravated by bending forward and lying down
• Relieved by sitting up and applying ice packs
• Recent history of cold and cough
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sudden onset of profuse bleeding from the right nostril | Epistaxis > right nostril, Epistaxis > sudden onset | 134 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Phytolacca decandra | Epistaxis > right nostril, Epistaxis > sudden onset | 12 |
| 2 | Lachesis | Epistaxis > sudden onset, Epistaxis > facial pain | 9 |
| 3 | Belladonna | Epistaxis > sudden onset, Epistaxis > facial pain | 7 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Epistaxis
- Differentiation of Remedies: Phytolacca decandra is selected over Lachesis and Belladonna due to its specific action on the right nostril and sudden onset of bleeding.
- Selection of Remedy (Materia Medica): Phytolacca decandra matches the symptoms of sudden onset of profuse bleeding from the right nostril, painful and throbbing sensation in the face and head, and recent history of cold and cough (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Phytolacca decandra 30 — 4 pills, thrice a day until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improvement in bleeding and facial pain | Placebo | Continue treatment and rest. |