Acute Pleurisy
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: KJS
- Address: 14, Bhandarkar Road, Deccan Gymkhana, Pune 411004
- Occupation: Software Developer (Long hours on computers)
- Religion: Hindu
- Date: 27/02/2026
- Age: 35 Years
- Sex: Male
- Education: B.E. Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Right side of chest | Sharp stabbing pain | Worse on deep breathing | Cough and difficulty breathing |
| Back | Rigidity and stiffness | No change with movement | No fever |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant medical history
- Family History: Father had tuberculosis
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Good
- Desires: Cold water
- Aversions: None
- Thirst: Excessive
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Excessive
- Sleep: Disturbed
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: No change
- Position: No change
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious
- Anxiety: Fear of death
- Fear: Fear of not being able to breathe
6. PHYSICAL GENERAL EXAMINATION
- Wt: 70 kg | Ht: 175 cm | Temp: 98.2°F
- RR: 24/minute | Pulse: 100 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Coated
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Respiratory: Bilateral lung fields clear
- CVS: S1, S2 Normal. No murmurs.
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxious (Grade 5)
- Physical General: Painful (Grade 8)
- Particular: Sharp stabbing pain (Grade 9)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Sharp stabbing pain, worse on deep breathing, and fear of death suggest Belladonna.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Sharp stabbing pain in right side of chest
- • Rigidity and stiffness in back
- • Cough and difficulty breathing
- • Fear of death
- • Excessive thirst
- • Excessive perspiration
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sharp stabbing pain in right side of chest | Pain, sharp, stabbing; Loc., right side of chest | 234 |
| 2 | Rigidity and stiffness in back | Rigidity, back; Stiffness, back | 345 |
| 3 | Cough and difficulty breathing | Cough, with difficulty breathing; Dyspnea | 567 |
| 4 | Fear of death | Fear, of death; Anxiety, fear of death | 901 |
| 5 | Excessive thirst | Thirst, excessive; Dryness, mouth | 123 |
| 6 | Excessive perspiration | Perspiration, excessive; Sweating, excessive | 456 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | Pain, sharp, stabbing; Loc., right side of chest; Fear, of death | 90 |
| 2 | Rhus tox | Rigidity, back; Stiffness, back; Cough, with difficulty breathing | 70 |
| 3 | Aconitum | Anxiety, fear of death; Thirst, excessive; Perspiration, excessive | 60 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Pleurisy
- Differentiation of Remedies: Belladonna matches the acute onset of sharp stabbing pain, fear of death, and excessive thirst and perspiration, making it a better choice than Rhus tox and Aconitum.
- Selection of Remedy (Materia Medica): Belladonna matches the symptoms of acute pleurisy, including sharp stabbing pain and fear of death (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 | Sharp stabbing pain decreased, still anxious | Placebo | Rest and relaxation advised |