1. PRELIMINARY DATA
- No.: 107/2026
- Patient's Name: XYZ
- Address: Bungalow 12, Maple Residency, Pune.
- Occupation: Software Engineer (Sedentary job, screen time, irregular meals)
- Religion: Hindu
- Date: 18/02/2026
- Age: 32 Years
- Sex: Male
- Education: B.Tech, M.Tech
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Head (Right side) | Throbbing, bursting pain starting from occiput to right eye | < Light, < Noise, < Motion, < 3-5 PM, > Pressure, > Dark room, > Closing eyes | Nausea, vomiting (bilious), photophobia, phonophobia |
| Eyes | Blurred vision before pain onset | < Jerking head | Irritability during attack |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Occasional acidity and indigestion. No major surgeries or chronic illnesses.
- Family History: Mother has history of recurrent headaches (possibly migraine). Father healthy.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal, but diminished during acute attack.
- Desires: Spicy food (+), Coffee (+)
- Aversions: Fatty food
- Thirst: Moderate, for cold water in sips during attack.
- Elimination:
- Urine: Normal
- Stool: Occasional constipation
- Perspiration: Profuse on forehead during pain
- Sleep: Disturbed during attacks; wakes with pain
- Thermal State: Chilly (cannot tolerate cold drafts)
B. Reactions - Physical Factors
- Weather: Aggravation in bright sunlight or after overwork
- Position: Better lying in dark quiet room with head elevated
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, impatient, especially under work pressure
- Anxiety: About deadlines and performance
- Fear: Fear of losing job due to frequent absences during attacks
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 175 cm | Temp: 98.4°F
- RR: 16/min | Pulse: 80 bpm | B.P.: 130/82 mmHg
- Face: Flushed, anxious look
- Tongue: Slightly coated
- Nails: Normal
- Skin: Warm to touch
7. SYSTEMIC EXAMINATION
- Nervous: No focal deficits; tender scalp on right side
- CVS: S1, S2 Normal. No murmurs.
- GIT: Mild epigastric tenderness
- Respiratory: Clear
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about work (Grade 2)
- Physical General: Chilly, > Pressure on head, < Noise/Light (Grade 3)
- Particular: Right-sided throbbing headache < 3-5 PM, with nausea/vomiting, photophobia (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Acute case with strong particular symptoms (location, sensation, modalities) along with mental and physical generals; Kent's repertory excels in detailed particular rubrics for headaches.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and impatience
- Headache right side, throbbing, bursting
- < Light, noise, motion
-
Pressure, dark room
- Nausea and vomiting
- Photophobia and phonophobia
- Chilly patient
- Aggravation afternoon (3-5 PM)
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Irritability | Mind; IRRITABILITY | 57 |
| 2 | Headache right side, throbbing | Head; PAIN; right side; throbbing | 144 |
| 3 | < Light | Head; PAIN; light, from | 142 |
| 4 | < Noise | Head; PAIN; noise, from | 144 |
| 5 | Nausea with headache | Stomach; NAUSEA; headache, during | 508 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Sanguinaria | 5/5 | 14 |
| 2 | Belladonna | 4/5 | 11 |
| 3 | Iris Versicolor | 3/5 | 08 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Irritability, Throbbing pain | Periodic attacks | Family history of headaches | Bursting sensation |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Migraine (without aura, right-sided)
- Differentiation of Remedies: Compared Sanguinaria with Belladonna. Belladonna has more sudden violent onset with heat/fullness; Sanguinaria matches right-sided, occiput to eye, periodic afternoon aggravation, and nausea better by pressure/dark. Iris has more gastric/blurred vision focus but less right-sided specificity here.
- Selection of Remedy (Materia Medica): Sanguinaria matches right-sided migraine starting occiput, extending to right eye, bursting pain, < light/noise/motion, > pressure/dark, with nausea (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute intense presentation, sensitive patient)
- Actual Prescription:
- Sanguinaria Canadensis 30 — 4 pills, every 30-60 minutes until relief (max 4-5 doses)
- Placebo — 4 pills thrice a day for 2 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 19/02/26 | Pain intensity reduced 70%, no vomiting | Placebo | Avoid screens, bright lights; rest in dark room |