Acute Frostbite (Mild)
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: Flat No. 3, 12/15, Bhandarkar Road, Deccan Gymkhana, Pune - 411004
- Occupation: Engineer in an IT Company (Long working hours with frequent travel)
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor of Engineering (BE)
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Right foot | Severe pain, numbness, and coldness | Aggravated by cold water, < warmth, > rest | Tingling sensation, swelling |
| | | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant medical history
- Family History: No known medical conditions
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal
- Desires: Normal
- Aversions: Normal
- Thirst: Thirsty
- Elimination:
- Urine: 1500 ml/day
- Stool: 1-2 times/day
- Perspiration: Normal
- Sleep: 6-7 hours/day
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: Cold weather
- Position: Standing or walking
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious
- Anxiety: Work-related anxiety
- Fear: Fear of missing deadlines
6. PHYSICAL GENERAL EXAMINATION
- Wt: 68 kg | Ht: 175 cm | Temp: 98.6° F
- RR: 16/min | Pulse: 72 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Moist
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxious (Grade 3)
- Physical General: Painful (Grade 2)
- Particular: Numbness (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Considering the acute onset of symptoms, pain, numbness, and coldness, the remedy should help alleviate these symptoms quickly.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- [bullet list of 7–9 key symptoms]
• Severe pain in the right foot
• Numbness in the right foot
• Coldness in the right foot
• Tingling sensation in the right foot
• Swelling in the right foot
• Anxiety and fear of missing deadlines
• Pale face
• Dry skin
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Pain in the foot | Pain in the foot, < cold water | 124 |
| 2 | Numbness in the foot | Numbness, > rest | 141 |
| 3 | Coldness in the foot | Coldness, < warmth | 155 |
| 4 | Tingling sensation | Tingling, > rest | 191 |
| 5 | Anxiety and fear | Anxiety, fear of missing deadlines | 205 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Bryonia | Pain in the foot, numbness, coldness | 18 |
| 2 | Arsenicum | Anxiety, fear of missing deadlines | 10 |
| 3 | Aconitum | Pain in the foot, numbness, coldness | 8 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Frostbite (Mild)
- Differentiation of Remedies: Bryonia is chosen over Aconitum due to its specificity in treating pain and numbness in the foot, which are the primary complaints. Arsenicum is also considered due to the anxiety and fear of missing deadlines, but it does not cover the physical symptoms as well as Bryonia.
- Selection of Remedy (Materia Medica): Bryonia matches the symptoms of pain, numbness, and coldness in the foot, as well as anxiety and fear of missing deadlines. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Bryonia 30 — 4 pills, TDS until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improved, pain reduced | Placebo | Continue rest and warmth |