Acute Muscle Cramps
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Shaniwar Peth, Pune - 411030
- Occupation: Software Engineer [High stress, long working hours]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: B.E. Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Both legs | Sudden, severe cramps; < after exercise; > after rest; > after warm water bath | Sharp, stabbing pain; < on stretching; > on lying down | No concomitants |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No major illnesses
- Family History: Father has hypertension
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Average
- Desires: Sweet foods
- Aversions: None
- Thirst: Average
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: Average
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: No specific reaction
- Position: No specific reaction
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxiety about health
- Anxiety: Mild
- Fear: None
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 165 cm | Temp: 98.2°F
- RR: 14/min | Pulse: 72 bpm | B.P.: 120/80 mmHg
- Face: No abnormality
- Tongue: Pink, moist
- Nails: Normal
- Skin: Normal
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Mild anxiety (Grade 1)
- Physical General: No major abnormalities (Grade 2)
- Particular: Severe muscle cramps (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The patient's symptoms of sudden, severe cramps; sharp, stabbing pain; and < on stretching, > on lying down are characteristic of Calcarea carbonica.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Sudden, severe cramps; sharp, stabbing pain; < on stretching, > on lying down; severe, anxious; > rest, > warm water bath
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sudden, severe cramps | Cramp 2; Pain, sharp, stabbing 4 | 145, 155 |
| 2 | < on stretching; > on lying down | Stretching 4; Lying down 2 | 165, 172 |
| 3 | Severe, anxious | Anxiety 3; Severity 4 | 185, 195 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Calcarea carbonica | Cramp, Pain, sharp, stabbing, Stretching, Lying down, Anxiety, Severity | 18 |
| 2 | Phosphorus | Cramp, Pain, sharp, stabbing, Stretching, Lying down | 12 |
| 3 | Magnesia carbonica | Cramp, Pain, sharp, stabbing, Stretching | 9 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| 2+ | 1+ | 0+ | 0+ |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Muscle Cramps
- Differentiation of Remedies: Calcarea carbonica matches the patient's symptoms of sudden, severe cramps and sharp, stabbing pain better than Phosphorus and Magnesia carbonica.
- Selection of Remedy (Materia Medica): Calcarea carbonica matches the patient's symptoms of sudden, severe cramps and sharp, stabbing pain (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Calcarea carbonica 30 — 4 pills, every 2 hours until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improved, but still occasional cramps | Placebo | Continue with home remedies |
| 01/03/2026 | Cramps have stopped, feeling better | Placebo | Maintain a healthy lifestyle |