Acute Mastitis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123 Apte Road, Camp, Pune, Maharashtra 411001
- Occupation: Student [stress of exams]
- Religion: Hindu
- Date: 27/02/2026
- Age: 28 Years
- Sex: Female
- Education: Graduate
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Left Breast | Boring pain, hard, hot, red, tender to touch, swelling | > evening, < warmth | No fever, No discharge |
| General | Fever, chills, headache, fatigue | > evening, < rest, warmth | No weight loss, No night sweats |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No history of similar complaints.
- Family History: Mother had breast cancer.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Lost, occasional nausea
- Desires: Cold drinks
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: Disturbed
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: No relation
- Position: No relation
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious, worried
- Anxiety: Fear of cancer, fear of death
- Fear: Fear of pain, fear of the unknown
6. PHYSICAL GENERAL EXAMINATION
- Wt: 55 kg | Ht: 155 cm | Temp: 102°F
- RR: 24/min | Pulse: 120 bpm | B.P.: 140/90 mmHg
- Face: Normal
- Tongue: Normal
- Nails: Normal
- Skin: Slightly warm to touch, no rash
7. SYSTEMIC EXAMINATION
- Respiratory: Clear
- CVS: S1, S2 Normal. No murmurs.
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety grade 3
- Physical General: Fever grade 2
- Particular: Boring pain, hard, hot, red, tender to touch, swelling grade 2
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent's Repertory of Homoeopathic Materia Medica
- Reason: Based on generals (anxiety, fever, hard, hot, red, tender to touch) and particulars (boring pain, swelling) and the acute onset of symptoms.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Boring pain, hard, hot, red, tender to touch, swelling
- • Fever, chills, headache, fatigue
- • Anxiety, fear of cancer, fear of death
- • Lost appetite, occasional nausea
- • Increased thirst
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Boring pain, hard, hot, red, tender to touch, swelling | Mastitis, pain, boring; Mastitis, swelling; Fever, chills; Anxiety, fear | 222, 223, 224, 225 |
| ... | ... | ... | ... |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna 30 | Mastitis, pain, boring; Fever, chills | 50 |
| 2 | Pulsatilla 30 | Anxiety, fear; Mastitis, swelling | 40 |
| 3 | Hepar sulph. 30 | Mastitis, pain, boring; Mastitis, swelling | 30 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Mastitis
- Differentiation of Remedies: Belladonna has more marked symptoms of fever, chills, and anxiety, making it more suitable for this case.
- Selection of Remedy (Materia Medica): Belladonna matches the symptoms of boring pain, hard, hot, red, tender to touch, swelling, fever, chills, anxiety, and fear.
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Belladonna 30 — 4 pills, 4 times a day until relief
- Placebo — 4 pills thrice a day for 7 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improvement in pain, decrease in swelling | Belladonna 30 | Rest, warmth, and follow up |