Acute Sciatica
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Apte Road, Deccan Gymkhana, Pune - 411004
- Occupation: Software Engineer [Long working hours on computer, stress]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: Graduate
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Lower back | Severe stabbing pain radiating to left leg, pain worsens on sitting, coughing, and lifting | <Sitting, coughing, lifting> >Lying down, applying heat | |
| Left leg | Pain and numbness in the leg, difficulty in walking | <Walking> >Resting the leg, applying heat | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Herniated disc (5 years ago), treated with surgery
- Family History: Father has diabetes
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Average
- Desires: Spicy food
- Aversions: Milk
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Profuse
- Sleep: Good
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: Pain worsens in damp weather
- Position: Pain worsens on sitting, coughing, and lifting
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Patient is anxious and worried about his condition
- Anxiety: High
- Fear: Fear of not being able to work due to pain
6. PHYSICAL GENERAL EXAMINATION
- Wt: 70 kg | Ht: 175 cm | Temp: 98.6°F
- RR: 16/min | Pulse: 72 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Clean
- Nails: Normal
- Skin: No rashes or lesions
7. SYSTEMIC EXAMINATION
- Musculoskeletal: Pain on palpation of lower back and left leg
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: 6/10
- Physical General: 8/10
- Particular: 9/10
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Patient's symptoms of sharp pain radiating to leg, pain worsens on sitting, coughing, and lifting, and improvement with lying down and applying heat, suggest a remedy that matches these generals and particulars.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Sharp pain radiating to leg
- • Pain worsens on sitting, coughing, and lifting
- • Improvement with lying down and applying heat
- • Difficulty in walking
- • Numbness in leg
- • Pain and weakness in lower back
- • Anxiety and fear
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sharp pain radiating to leg | Mind - Anxiety, Fear; Generalities - Pain, Radiation to limbs; Back - Pain, Weakness | 124 |
| 2 | Pain worsens on sitting, coughing, and lifting | Generalities - Ailments from, Sitting; Modalities - Worse, Sitting, Coughing, Lifting | 155 |
| 3 | Improvement with lying down and applying heat | Generalities - Better, Lying down, Heat | 178 |
| 4 | Difficulty in walking | Generalities - Locomotor - Difficulty in walking | 192 |
| 5 | Numbness in leg | Generalities - Numbness, Weakness | 205 |
| 6 | Pain and weakness in lower back | Back - Pain, Weakness | 210 |
| 7 | Anxiety and fear | Mind - Anxiety, Fear | 220 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Colocynthis | Mind - Anxiety, Fear; Generalities - Pain, Radiation to limbs; Back - Pain, Weakness | 25 |
| 2 | Pulsatilla | Generalities - Ailments from, Sitting; Modalities - Worse, Sitting, Coughing, Lifting | 18 |
| 3 | Bryonia | Generalities - Better, Lying down, Heat | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| 3 | 2 | 0 | 0 |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Sciatica
- Differentiation of Remedies: Colocynthis matches the generals and particulars of the case better than Pulsatilla and Bryonia.
- Selection of Remedy (Materia Medica): Colocynthis matches the symptoms of sharp pain radiating to leg, pain worsens on sitting, coughing, and lifting, and improvement with lying down and applying heat (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Colocynthis 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 | Significant improvement in pain, able to walk without difficulty | Colocynthis 30 | Continue medication for 2 more days, rest and avoid lifting heavy weights |