Acute Measles
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, ABC Lane, Pimpri, Pune - 411018
- Occupation: Medical Student [exposure to patients during internship]
- Religion: Hindu
- Date: 27/02/2026
- Age: 28 Years
- Sex: Male
- Education: MBBS
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Face | Rash, red, itchy, spreading | Worsens with heat, improves with cold | Fever, headache |
| Eyes | Itching, redness, photophobia | Worsens with light, improves in dark | |
| Throat | Sore, red | Worsens with talking, improves with rest | |
| Body | Rash spreading, feeling unwell | Worsens with heat, improves with cold | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No previous episodes of measles, no vaccination history
- Family History: Parents vaccinated, no history of measles in family
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Decreased
- Desires: None
- Aversions: None
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Increased
- Sleep: Interrupted
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: Worse with heat
- Position: Worse in lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious, irritable
- Anxiety: Fears progression of illness
- Fear: Fear of complications, death
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 170 cm | Temp: 102.5°F
- RR: 28/min | Pulse: 96 bpm | B.P.: 120/80 mmHg
- Face: Rash, red, itchy
- Tongue: Red, dry
- Nails: Normal
- Skin: Rash spreading, feeling unwell
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: No abnormality
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety, fear (Grade 4)
- Physical General: Rash, fever, sore throat (Grade 4)
- Particular: Itching, photophobia (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Rash, fever, itching and photophobia indicates a need for a remedy with these symptoms, which is Aconitum in Kent’s Repertory.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Rash, fever, itching, photophobia, sore throat, anorexia, thirst, perspiration, sleeplessness, anxiety, fear, chills
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Rash, itching | Skin, itch, heat, A/F | 34, 35, 38 |
| 2 | Fever | Fever, A/F, heat | 23, 24, 38 |
| 3 | Photophobia | Eye, photophobia | 18, 20 |
| 4 | Sore throat | Throat, sore | 44, 45 |
| 5 | Anorexia | Hunger, decreased | 30, 31 |
| 6 | Thirst | Thirst, increased | 50, 51 |
| 7 | Perspiration | Perspiration, increased | 42, 43 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Aconitum | Skin, itch, heat, A/F; Fever, A/F, heat | 15 |
| 2 | Belladonna | Skin, rash; Eye, photophobia | 14 |
| 3 | Rhus toxicodendron | Skin, itch, heat, A/F; Throat, sore | 12 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Measles
- Differentiation of Remedies: Aconitum matches the symptom picture better than Belladonna and Rhus toxicodendron.
- Selection of Remedy (Materia Medica): Aconitum matches the symptom picture perfectly (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Aconitum 30 — 4 pills, thrice a day until relief
- Placebo — 4 pills thrice a day for 2 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improvement in rash, fever, itching | Placebo | Continue medication and rest |