Acute Pericarditis (mild)
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Pimpri, Pune, India
- Occupation: Engineer (Computer Science) [stressful deadlines]
- 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 |
|---|
| Chest | Sharp, stabbing pain in the precordial region, radiating to left shoulder and arm. Pain worsens on deep breathing and coughing. | >Pain after eating spicy food, >Pain after exposure to cold, <Warming up with a hot water bottle | Chest tightness, Mild cough |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Hypertension, treated with medication for the past 2 years.
- Family History: Father had heart disease, mother had rheumatoid arthritis.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Fair, prefers spicy food
- Desires: Sour, salty
- Aversions: Bitter, pungent
- Thirst: Average
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Average
- Sleep: 6 hours, restless
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: Worsens in cold, wind
- Position: Better in sitting position
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious, worried
- Anxiety: 6/10
- Fear: Fear of losing his job
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 170 cm | Temp: 98.6°F
- RR: 20/min | Pulse: 90 bpm | B.P.: 140/90 mmHg
- Face: Pale
- Tongue: Furred
- Nails: Normal
- Skin: Warm
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Abdomen soft, non-tender.
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: 4/5
- Physical General: 4/5
- Particular: 5/5
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on the precordial pain, anxiety, and fear of losing his job, the remedy should be one that matches these symptoms.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- [bullet list of 7-9 key symptoms]
• Sharp, stabbing pain in the precordial region
• Pain worsens on deep breathing and coughing
• Pain after eating spicy food
• Pain after exposure to cold
• Chest tightness
• Mild cough
• Anxiety and fear of losing his job
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sharp, stabbing pain in the precordial region | Precordium 14; Angina pectoris 1 | 124 |
| 2 | Pain worsens on deep breathing and coughing | Dyspnoea 13; Cough 10 | 217, 135 |
| 3 | Pain after eating spicy food | Hunger 9; Thirst 10 | 185, 236 |
| ... | ... | ... | ... |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Arnica | Precordium 14; Angina pectoris 1 | 15 |
| 2 | Bryonia | Dyspnoea 13; Cough 10 | 12 |
| 3 | Aconite | Pain after eating spicy food | 8 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| 2 | 1 | 0 | 0 |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Pericarditis
- Differentiation of Remedies: Arnica and Bryonia both match the symptoms, but Arnica matches more, so it's selected as the top remedy.
- Selection of Remedy (Materia Medica): Arnica matches ... (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Arnica 30 — 4 pills, thrice a day for 5 days
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 02/03/2026 | No pain, mild cough | Arnica | Rest, avoid spicy food |