Acute Labyrinthitis (vertigo)
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Shaniwar Peth, Pune - 411030
- Occupation: Software Engineer (Stressful project deadlines)
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor of Engineering
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Head | Dizziness, vertigo, nausea, vomiting | Worse on looking downwards, turning head, and sudden movements | Headache |
| | Better on lying down | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Hypertension, treated with medication
- Family History: Maternal grandfather had vertigo
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Increased
- Desires: Sweet food
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: Disturbed
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: No specific reaction
- Position: Better on lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious and fearful
- Anxiety: Fear of falling and losing balance
- Fear: Fear of dark and enclosed spaces
6. PHYSICAL GENERAL EXAMINATION
- Wt: 75 kg | Ht: 175 cm | Temp: 98.5°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 130/80 mmHg
- Face: Pale
- Tongue: Furred
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Mild gastritis (no abdominal pain)
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxious and fearful (Grade 7)
- Physical General: Vertigo and dizziness (Grade 8)
- Particular: Headache and nausea (Grade 6)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Vertigo, dizziness, and nausea with aggravation from sudden movements and alleviation on lying down suggests a remedy that is commonly indicated in vertigo cases, such as Cocculus indicus.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Vertigo
- • Dizziness
- • Nausea
- • Vomiting
- • Headache
- • Anxious and fearful
- • Fear of falling and losing balance
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Vertigo | Head - Vertigo, dizziness | 234 |
| | | |
| 2 | Nausea | Head - Nausea and vomiting | 123 |
| | | |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Cocculus indicus | Head - Vertigo, dizziness, nausea and vomiting | 17 |
| 2 | Gelsemium | Head - Vertigo and dizziness | 10 |
| 3 | Tabacum | Head - Vertigo and dizziness | 8 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Labyrinthitis (vertigo)
- Differentiation of Remedies: Cocculus indicus is indicated due to its strong affinity for vertigo, dizziness, and nausea.
- Selection of Remedy (Materia Medica): Cocculus indicus matches the symptoms of vertigo and dizziness (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Acute condition, sensitive patient)
- Actual Prescription:
- Cocculus indicus 200 — 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 | Slight improvement in vertigo | Cocculus indicus | Rest and continue medication |