Acute Pancreatitis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 1234 Kothrud Road, Pune, Maharashtra, India
- Occupation: Software Engineer (Stressful coding deadlines)
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor of Engineering
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Abdomen | Severe pain in the upper abdomen, radiating to the back, < lying down, > sitting up, > applying heat | Nausea and vomiting | Chills, fever, and diarrhea |
| Back | Severe pain in the back, < lying down, > sitting up | Radiation of pain to the abdomen | Sweating, chills, and muscle spasms |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Appendicitis at age 20
- Family History: Father had gallstones
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Poor
- Desires: Cold water
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Dark yellow, frequent
- Stool: Diarrhea, foul smell
- Perspiration: Excessive, especially on the forehead
- Sleep: Disturbed, < lying down
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: Pain worsens in cold weather
- Position: Pain < sitting up, > lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious, worried about the pain
- Anxiety: High
- Fear: Fear of not recovering, fear of surgery
6. PHYSICAL GENERAL EXAMINATION
- Wt: 70 kg | Ht: 170 cm | Temp: 38.5°C
- RR: 24/min | Pulse: 120 bpm | B.P.: 140/90 mmHg
- Face: Pale, sweaty
- Tongue: Furred, dry
- Nails: Normal
- Skin: Pale, cool to touch
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Abdomen tender, guarding, rebound tenderness in the upper abdomen
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxious, worried (Grade 3)
- Physical General: Pain, fever, and chills (Grade 4)
- Particular: Abdominal pain, back pain (Grade 5)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on the generals (anxiety, pain, fever) and particulars (abdominal pain, back pain), the remedy should be one that matches these symptoms.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Severe pain in the upper abdomen
• Radiation of pain to the back
• < lying down, > sitting up
• > applying heat
• Nausea and vomiting
• Chills, fever, and diarrhea
• Pale, sweaty face
• Furred, dry tongue
• Abdomen tender, guarding, rebound tenderness in the upper abdomen
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Severe pain in the upper abdomen | Abdomen. Pain. Severe. Upper. < lying down (p. 13) | 13 |
| 2 | Radiation of pain to the back | Back. Pain. Radiating to abdomen (p. 34) | 34 |
| 3 | < lying down, > sitting up | Position. Lying. < (p. 67) | 67 |
| 4 | > applying heat | Heat. Applying. > (p. 43) | 43 |
| 5 | Nausea and vomiting | Nausea. Vomiting (p. 59) | 59 |
| 6 | Chills, fever, and diarrhea | Chills. Fever. Diarrhea (p. 23) | 23 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Bryonia alba | Abdomen. Pain. Severe. Upper. < lying down. Back. Pain. Radiating to abdomen (p. 13, 34) | 16 |
| 2 | Colocynth | Abdomen. Pain. Severe. Upper. < lying down. Nausea. Vomiting (p. 13, 59) | 14 |
| 3 | Ignatia | Abdomen. Pain. Severe. Upper. < lying down. Back. Pain. Radiating to abdomen (p. 13, 34) | 12 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Pancreatitis
- Differentiation of Remedies: Bryonia alba has a higher score and matches the symptoms better, especially the severe pain in the upper abdomen and radiation of pain to the back.
- Selection of Remedy (Materia Medica): Bryonia alba matches the symptoms of acute pancreatitis, especially the severe pain and radiation of pain. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Bryonia alba 30 — 4 pills, 3 times a day until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 28/02/2026 | Improved symptoms, pain reduced | Bryonia alba 30 | Continue medication, rest, and hydration |