Acute Herpes Zoster
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Kothrud Road, Pune, Maharashtra, India 411038
- Occupation: Teacher [Stressful, long working hours]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Female
- Education: Postgraduate
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Left side of face | Severe itching, burning sensation, and blisters | < Cold air, > Warm bath | Fever, headache |
| | | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No previous episodes of Herpes Zoster
- Family History: Father had shingles 5 years ago
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Reduced
- Desires: Cold milk
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Increased
- Sleep: Disturbed
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: Rainy weather
- Position: Better in warm bath
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious
- Anxiety: Fear of progression
- Fear: Fear of scarring
6. PHYSICAL GENERAL EXAMINATION
- Wt: 55 kg | Ht: 155 cm | Temp: 38.5°F
- RR: 24/min | Pulse: 100 bpm | B.P.: 120/80 mmHg
- Face: Erythematous patches on left side
- Tongue: Furred
- Nails: Normal
- Skin: Blisters on left side of face
7. SYSTEMIC EXAMINATION
- Neurological: Decreased sensation on left side of face
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: No abdominal tenderness
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: 5/7 (Moderate anxiety)
- Physical General: 6/7 (Moderate to severe symptoms)
- Particular: 8/9 (Severe itching, burning, and blisters)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Selection based on generals (anxiety, fear of progression) and particulars (itching, burning, blisters, fever)
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Severe itching on left side of face
- • Burning sensation on left side of face
- • Blisters on left side of face
- • Fever
- • Headache
- • Anxious
- • Fear of progression
- • Fear of scarring
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Itching on left side of face | Skin, itching, Kali, Lycop, | 145 |
| 2 | Burning sensation on left side of face | Skin, burning, Apis, Crot-H, | 160 |
| 3 | Blisters on left side of face | Skin, blisters, Caust, Graph, | 172 |
| 4 | Fever | Generalities, fever, Bry, Puls, | 202 |
| 5 | Headache | Generalities, headache, Bell, | 215 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Rhus tox | Skin, itching, | 25 |
| 2 | Apis | Skin, burning, | 22 |
| 3 | Caust | Skin, blisters, | 20 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| +++++ | --- | --- | --- |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Herpes Zoster
- Differentiation of Remedies: Rhus tox matches better with generals and particulars
- Selection of Remedy (Materia Medica): Rhus tox matches ... (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Rhus tox 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 | Improved itching, pain, and blisters | Placebo | Continue rest, take warm baths |