Acute Motion Sickness
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: Flat No. 101, Shubham Society, Hadapsar, Pune, Maharashtra, India - 411028
- Occupation: Software Engineer [Prolonged sitting on chair, exposure to computer screens]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: B.Tech in Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Eyes | Dizziness, Blurred vision, | >Motion, <Rest | Nausea, Headache |
| Head | Lightheadedness, | >Motion, <Rest | Nausea, Dizziness |
| Stomach | Nausea, Abdominal cramps, | >Motion, <Rest | Dizziness, Headache |
| Neck | Stiffness, Pain, | >Motion, <Rest | Nausea, Dizziness |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant history of motion sickness
- Family History: Father had motion sickness during sea travel
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Average
- Desires: Cold drinks
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Increased
- Sleep: Disturbed
- Thermal State: Ambithermal with note of increased sweating
B. Reactions - Physical Factors
- Weather: No specific reaction
- Position: Motion makes symptoms worse
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious
- Anxiety: Moderate
- Fear: Fear of vomiting and losing control
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 170 cm | Temp: 98.5°F
- RR: 16/min | Pulse: 80 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Coated
- Nails: Normal
- Skin: Moist
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Slight tenderness in the abdomen
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety Grade 2
- Physical General: Discomfort Grade 2
- Particular: Motion sickness Grade 3
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Patient's symptoms of dizziness, lightheadedness, nausea, and vomiting are aggravated by motion and relieved by rest, which points towards a remedy that matches these generals.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Dizziness
- • Lightheadedness
- • Nausea
- • Vomiting
- • Headache
- • Stiffness of the neck
- • Pain in the neck
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Dizziness, Headache, Nausea, Vomiting | Head. Dizziness, Head. Headache, Stom. Nausea, Vom. Vomiting | 134 |
| 2 | Stiffness, Pain in the neck | Neck. Stiffness, Neck. Pain | 155 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Tabacum | Head. Dizziness, Head. Headache, Stom. Nausea, Vom. Vomiting | 10 |
| 2 | Cocculus | Head. Dizziness, Head. Headache, Stom. Nausea, Vom. Vomiting | 8 |
| 3 | Ipecac | Head. Dizziness, Head. Headache, Stom. Nausea, Vom. Vomiting | 6 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Motion Sickness
- Differentiation of Remedies: Tabacum has a higher mark and covers more rubrics, making it a better choice for this patient.
- Selection of Remedy (Materia Medica): Tabacum matches the symptoms of dizziness, headache, nausea, and vomiting, which are aggravated by motion and relieved by rest. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Tabacum 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 | Symptoms have reduced by 50% | Tabacum | Continue remedy, avoid motion |
Note: The remedy Tabacum is chosen based on the Kentian approach, which matches the symptoms of dizziness, headache, nausea, and vomiting that are aggravated by motion and relieved by rest. The remedy is selected based on the repertorization and the totality of symptoms.