1. DEMOGRAPHIC DATA
- No.: 106/2026
- Patient's Name: ABC
- Address: Plot 15, Green Valley Society, Pune.
- Occupation: Teacher (High stress from work)
- Religion: Hindu
- Date: 18/02/2026
- Age: 35 Years
- Sex: Female
- Education: B.Ed
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Stomach | Burning pain and acidity | < Spicy food, < Night, > Milk | Nausea and belching |
| Abdomen | Cramping and bloating | < After eating, < Lying down | Anxiety and irritability |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Recurrent indigestion since childhood. No major illnesses.
- Family History: Father has Peptic Ulcer. Mother is healthy.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Diminished, feels full quickly.
- Desires: Cold drinks (+++), Salty foods (+)
- Aversions: Rich and fatty foods
- Thirst: Increased, large quantities
- Elimination:
- Urine: Frequent and burning
- Stool: Loose with mucus
- Perspiration: Profuse on upper body during pain
- Sleep: Disturbed due to pain; wakes up frequently
- Thermal State: Hot (prefers cool air)
B. Reactions - Physical Factors
- Weather: Aggravation in hot, humid weather
- Position: Better sitting up; worse lying flat
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable and impatient
- Anxiety: Worries about health and work
- Fear: Fear of serious illness during acute episodes
6. PHYSICAL GENERAL EXAMINATION
- Wt: 58 kg | Ht: 160 cm | Temp: 98.8°F
- RR: 18/min | Pulse: 82 bpm | B.P.: 118/78 mmHg
- Face: Flushed and distressed
- Tongue: Coated white
- Nails: Normal
- Skin: Moist and warm
7. SYSTEMIC EXAMINATION
- GIT: Tenderness in epigastrium. Hyperactive bowel sounds.
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear, no abnormalities.
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about health (Grade 3)
- Physical General: Thirst for large quantities, Hot patient, > Cold drinks (Grade 3)
- Particular: Burning in stomach < Night, > Milk (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The case shows prominent Mental Generals (Irritability, Anxiety) and Physical Generals (Thirst, Thermal), aligning with Kent's emphasis on generals over particulars.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and impatience
- Anxiety about health
- Thirst for large quantities
- Burning pain in stomach < night
- Amelioration from cold drinks
- Hot patient
- Nausea with belching
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety about health | Mind; ANXIETY; health, about | 6 |
| 2 | Irritability | Mind; IRRITABILITY | 57 |
| 3 | Thirst (large quantities) | Stomach; THIRST; large quantities, for | 529 |
| 4 | Stomach pain < night | Stomach; PAIN; burning; night | 516 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Nux Vomica | 4/4 | 11 |
| 2 | Lycopodium | 3/4 | 08 |
| 3 | Sulphur | 2/4 | 05 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Irritability, Hot, Thirst | Bloating, < Eating | Family history of GIT issues | Burning pain (destructive) |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Gastritis
- Differentiation of Remedies: Compared Nux Vomica with Arsenicum. Arsenicum has chilliness and small sips, whereas this patient is hot and thirsty for large quantities, confirming Nux Vomica.
- Selection of Remedy (Materia Medica): Nux Vomica matches the irritability and gastric symptoms from overwork/stress (Ref: Allen’s Keynotes).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Nux Vomica 30 — 4 pills, every 2 hours until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 20/02/26 | Pain reduced, appetite improving | Placebo | Avoid spicy food |