Acute Pharyngitis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Bhandarkar Road, Pune, Maharashtra 411004
- Occupation: Software Engineer [Long hours of coding, frequent travel]
- 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 |
|---|
| Pharynx | Sore throat, dryness, and stiffness on swallowing. Pain on moving the neck. | Aggravation by talking, swallowing, and cold air. Amelioration by warm drinks and rest. | Fever, headache, and general malaise. |
| Throat | Swollen lymph nodes, slight hoarseness, and a sensation of a foreign body. | Aggravation by shouting, singing, and swallowing. Amelioration by silence, rest, and cool air. | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: History of recurrent tonsillitis.
- Family History: Mother had asthma.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Decreased
- Desires: Cold drinks
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: Disturbed
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: Aggravation by cold air.
- Position: Aggravation by lying down.
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable
- Anxiety: Moderate
- Fear: Fear of not recovering.
6. PHYSICAL GENERAL EXAMINATION
- Wt: 62 kg | Ht: 170 cm | Temp: 38.5°C
- RR: 24/min | Pulse: 100 bpm | B.P.: 130/80 mmHg
- Face: Pale
- Tongue: Furred
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Respiratory: Clear
- CVS: S1, S2 Normal. No murmurs.
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety (Grade 4)
- Physical General: Fever (Grade 3)
- Particular: Sore throat (Grade 5)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The patient's symptoms, such as sore throat, fever, and general malaise, suggest an acute pharyngitis. The remedy should be selected based on the Kentian principles of generals, particulars, and repertorization.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- *Sore throat, fever, general malaise, dryness, and stiffness on swallowing
- *Aggravation by talking, swallowing, and cold air
- *Amelioration by warm drinks and rest
- *Swollen lymph nodes, slight hoarseness, and a sensation of a foreign body
- *Aggravation by shouting, singing, and swallowing
- *Amelioration by silence, rest, and cool air
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sore throat | Throat sore, Throat pain, Agg. by talking | 135 |
| 2 | Fever | Fever, Fever with sore throat | 120 |
| 3 | General malaise | General malaise, Fatigue | 110 |
| 4 | Dryness and stiffness on swallowing | Dryness of throat, Stiffness on swallowing | 115 |
| 5 | Swollen lymph nodes | Swollen lymph nodes, Lymphadenopathy | 145 |
| 6 | Slight hoarseness | Hoarseness of voice, Slight hoarseness | 130 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | Throat sore, Fever, General malaise | 28 |
| 2 | Lachesis | Sore throat, Swollen lymph nodes, Hoarseness | 20 |
| 3 | Sulphur | Dryness of throat, Stiffness on swallowing, General malaise | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| 6 | 2 | 0 | 0 |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Pharyngitis
- Differentiation of Remedies: Belladonna is selected over Lachesis and Sulphur due to its unique combination of symptoms, such as sore throat, fever, and general malaise.
- Selection of Remedy (Materia Medica): Belladonna matches the patient's symptoms perfectly (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Belladonna 30 — 4 pills, thrice 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 | Improvement in sore throat and fever. | Placebo | Rest and warm drinks. |
| 29/02/2026 | Further improvement in general condition. | Placebo | Continue rest and warm drinks. |
| 01/03/2026 | Complete recovery. | - | Resume normal activities. |