Acute Otitis Media
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Sector 15, Kalyani Nagar, Pune - 411014
- Occupation: Software Engineer [stressful coding projects, long hours]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor of Engineering in Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Right Ear | Severe pain, hearing loss, discharge | < bending forward, > lying down with ear elevated | fever, headache |
| Left Ear | Mild pain, hearing loss | < talking, > silence | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant medical history
- Family History: Mother had frequent upper respiratory infections as a child
- 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: Sour foods
- Thirst: Average
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: 6 hours, restlessness
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: No specific weather sensitivity
- Position: No specific position sensitivity
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Tense, anxious
- Anxiety: Fear of illness, worry about work
- Fear: Fear of losing his job, fear of not being able to take care of his family
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 170 cm | Temp: 38.5°C
- RR: 20/min | Pulse: 90 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Furred, red at the tip
- Nails: Normal
- Skin: Moist, warm
7. SYSTEMIC EXAMINATION
- ENT: Right ear drum is red, inflamed, and perforated. Left ear drum is intact.
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: No abdominal pain, no diarrhea or constipation
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Moderate anxiety (Grade 3)
- Physical General: High fever, severe pain (Grade 5)
- Particular: Hearing loss, ear discharge (Grade 5)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on generals (anxiety, fever, pain) and particulars (hearing loss, ear discharge).
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Severe pain in right ear
- • Hearing loss in right ear
- • Discharge from right ear
- • Fever
- • Anxiety
- • Restlessness
- • Furred, red tongue
- • Moist, warm skin
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Severe pain in right ear | Ear pain, severe, right; Ear pain, shooting, right | 234, 238 |
| 2 | Hearing loss in right ear | Hearing, impaired, right ear | 144 |
| 3 | Discharge from right ear | Ear discharge, pus, right | 113 |
| 4 | Fever | Fever, high, 38.5°C | 135 |
| 5 | Anxiety | Anxiety, moderate | 54 |
| 6 | Restlessness | Restlessness, during sleep | 291 |
| 7 | Furred, red tongue | Tongue, furred, red | 326 |
| 8 | Moist, warm skin | Skin, moist, warm | 306 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | Ear pain, severe, right; Ear pain, shooting, right; Fever, high, 38.5°C | 18 |
| 2 | Hepar sulphuris | Ear discharge, pus, right; Furred, red tongue | 12 |
| 3 | Pulsatilla | Anxiety, moderate; Restlessness, during sleep | 9 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | | |
Dominant Miasm: Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Acute Otitis Media
- Differentiation of Remedies: Belladonna is selected due to its ability to relieve severe pain, fever, and anxiety. Hepar sulphuris is selected due to its ability to relieve ear discharge and furred, red tongue. Pulsatilla is selected due to its ability to relieve anxiety and restlessness.
- Selection of Remedy (Materia Medica): Belladonna matches the symptoms of severe pain, fever, and anxiety (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 6C (Acute condition, sensitive patient)
- Actual Prescription:
- Belladonna 6 — 4 pills, 8 hourly until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improved hearing, reduced pain | Belladonna | Rest for a few days, take antibiotics if prescribed |