Acute Insect Bite/Sting Reaction
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Dapodi, Pune
- Occupation: Software Engineer (long hours on computer, stress)
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: BE
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Right arm | Severe swelling, pain, redness, and warmth at the bite site | < Rest, > Arnica, Warm compresses | Fever, Chills |
| Whole body | Urticaria, pruritus, and general feeling of unease | < Rest, > Rest, Cold compresses | Anxiety, Fear |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Allergies to certain foods, Asthma
- Family History: Father - Hypertension
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Reduced
- Desires: Cold water
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Excessive
- Sleep: Disturbed
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: Warm
- Position: No specific preference
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious, Fearful
- Anxiety: Generalized
- Fear: Of further reactions
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 165 cm | Temp: 38.5°
- RR: 24/min | Pulse: 120 bpm | B.P.: 140/90 mmHg
- Face: Pale
- Tongue: Red, dry
- Nails: Normal
- Skin: Urticarial lesions, redness
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: No significant findings
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety Grade 8
- Physical General: Pain Grade 9
- Particular: Urticaria Grade 8
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Acute onset, intense pain, and urticaria point towards Apis mellifica.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Pain in insect bite
- Urticaria
- Pruritus
- Fever
- Chills
- Anxiety
- Fear
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Pain in insect bite | Pain. Insect bite, Pain. Location. Right arm | 143 |
| 2 | Urticaria | Urticaria. Urticaria. Acute | 245 |
| 3 | Pruritus | Pruritus. Insect bite, Pruritus. Location. Whole body | 195 |
| 4 | Fever | Fever. Acute | 117 |
| 5 | Chills | Chills. Acute | 71 |
| 6 | Anxiety | Anxiety. Generalized | 33 |
| 7 | Fear | Fear. Of further reactions | 119 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Apis mellifica | Pain. Insect bite, Urticaria. Urticaria. Acute, Pruritus. Insect bite | 18 |
| 2 | Urtica urens | Urticaria. Urtica urens, Pruritus. Insect bite | 12 |
| 3 | Formica rufa | Pain. Insect bite, Urticaria. Urticaria. Acute | 8 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Moderate | Mild | Nil | Nil |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Insect Bite/Sting Reaction
- Differentiation of Remedies: Apis mellifica matches the totality of symptoms and is the most suitable remedy.
- Selection of Remedy (Materia Medica): Apis mellifica matches the classical symptoms of insect bites. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Apis mellifica 30 — 4 pills, 8 hourly until relief
- Placebo — 4 pills thrice a day for 5 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improvement in symptoms, reduced urticaria | Apis mellifica 30 | Rest, Cold compresses |