Acute Mumps
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: KPL
- Address: 123, Nal Stop, Pune - 411014
- Occupation: Software Engineer [High stress due to tight deadlines]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor's in Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Neck | Painful swelling of the parotid gland, tenderness, and fever | A/F: Rest, >Ameliorated by: warm compress, cold drinks | Headache, fatigue, loss of appetite |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant past medical or surgical history.
- Family History: No family history of similar conditions.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Reduced
- Desires: Warm liquids
- Aversions: Sour tastes
- Thirst: Increased, but unable to drink
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Increased
- Sleep: Disturbed
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: Sensitive to heat
- Position: Unable to lie down due to pain
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, anxious
- Anxiety: Fear of the unknown
- Fear: Fear of pain and swelling
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 170 cm | Temp: 102.5°F
- RR: 24/min | Pulse: 120 bpm | B.P.: 140/90 mmHg
- Face: Pale
- Tongue: Slightly coated
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Tender parotid gland, swelling, and pain on palpation
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety and irritability (Grade 6)
- Physical General: Fever, headache, and fatigue (Grade 7)
- Particular: Painful swelling of the parotid gland (Grade 8)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on general symptoms like anxiety, irritability, fever, headache, and fatigue, which are characteristic of Belladonna.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Painful swelling of the parotid gland
- • Fever
- • Headache
- • Fatigue
- • Loss of appetite
- • Irritability
- • Anxiety
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Painful swelling of the parotid gland | Pariotid gland - Swelling - Pain, Parotid gland - Swelling - Tenderness | 143 |
| 2 | Fever | Fever - Sudden onset, Fever - High temperature | 123 |
| 3 | Headache | Headache - Sudden onset, Headache - Throbbing | 153 |
| 4 | Fatigue | Fatigue - Generalized, Fatigue - Afternoon | 143 |
| 5 | Loss of appetite | Appetite - Loss of | 173 |
| 6 | Irritability | Irritability - Generalized, Irritability - After waking | 173 |
| 7 | Anxiety | Anxiety - Generalized, Anxiety - Before meals | 173 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | Parotid gland - Swelling - Pain, Fever - Sudden onset | 24 |
| 2 | Aconitum | Headache - Sudden onset, Fever - Sudden onset | 16 |
| 3 | Bryonia | Painful swelling of the parotid gland, Fever - High temperature | 12 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Mumps
- Differentiation of Remedies: Belladonna matches the acute onset of symptoms, whereas Aconitum matches the sudden onset of headache and fever, but Belladonna covers more symptoms. Bryonia matches some symptoms but is not as comprehensive as Belladonna.
- Selection of Remedy (Materia Medica): Belladonna matches the acute symptoms of mumps, especially the painful swelling of the parotid gland.
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Belladonna 30 — 4 pills, 4 times 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 swelling, pain, and fever | Placebo | Continue with warm compresses |