Acute Laryngitis
1. PRELIMINARY DATA
- No.: 114/2026
- Patient's Name: JKL
- Address: 123, Deccan Gymkhana, Pune - 411004
- Occupation: Teacher (Stress due to tight deadlines and large class size)
- Religion: Hindu
- Date: 26/02/2026
- Age: 32 Years
- Sex: Female
- Education: B.Ed.
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Throat | Painful, sore, and | W < Ag, R < Am, | Irritability, |
| inflamed, with | H < Ag | hoarseness of |
| difficulty in | | voice |
| swallowing and | | |
| speaking | | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Allergic rhinitis, asthma (well-controlled)
- Family History: Father - Asthma, Mother - Hypertension
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Decreased
- Desires: Salty, spicy foods
- Aversions: Acidic foods
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: Disturbed
- Thermal State: Ambithermal with note of feeling hot
B. Reactions - Physical Factors
- Weather: No specific reaction
- Position: No specific reaction
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable
- Anxiety: Moderate
- Fear: Fear of losing her voice
6. PHYSICAL GENERAL EXAMINATION
- Wt: 55 kg | Ht: 155 cm | Temp: 38°C
- RR: 24/min | Pulse: 90 bpm | B.P.: 120/80 mmHg
- Face: Pallor
- Tongue: Red, dry
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Respiratory: Clear
- CVS: S1, S2 Normal. No murmurs.
- GIT: No abnormalities
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: 6/10
- Physical General: 8/10
- Particular: 9/10
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on generals (irritability, hoarseness of voice) and particulars (painful, sore throat).
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Soreness and pain in the throat during swallowing and speaking
- Difficulty in swallowing and speaking
- Hoarseness of voice
- Irritability
- Increased thirst
- Decreased appetite
- Pallor
- Red, dry tongue
- Dry skin
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Soreness and pain in the throat during swallowing and speaking | Throat, sore, with difficulty swallowing and speaking | 246, 247 |
| 2 | Difficulty in swallowing and speaking | Speech, hoarse, with difficulty speaking | 248, 249 |
| 3 | Hoarseness of voice | Voice, hoarse | 250 |
| 4 | Irritability | Temperament, irritable | 264 |
| 5 | Increased thirst | Thirst, increased | 280 |
| 6 | Decreased appetite | Appetite, decreased | 283 |
| 7 | Pallor | Face, pallid | 286 |
| 8 | Red, dry tongue | Tongue, red, dry | 290 |
| 9 | Dry skin | Skin, dry | 293 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Sanguinaria canadensis | Throat, sore, with difficulty swallowing and speaking; Temperament, irritable | 9 |
| 2 | Lachesis | Throat, sore, with difficulty swallowing and speaking; Voice, hoarse | 7 |
| 3 | Belladonna | Throat, sore, with difficulty swallowing and speaking; Face, pallid | 4 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Laryngitis
- Differentiation of Remedies: Sanguinaria canadensis is selected over Lachesis and Belladonna due to its specific action on the throat and temperament.
- Selection of Remedy (Materia Medica): Sanguinaria canadensis matches well with the symptoms of soreness and pain in the throat, difficulty in swallowing and speaking, hoarseness of voice, and irritability (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Sanguinaria canadensis 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 |
|---|
| 27/02/2026 | Improvement in soreness and pain in the throat | Placebo | Continue to rest the voice and |
| | | follow a warm, humid climate |