1. PRELIMINARY DATA
- No.: 112/2026
- Patient's Name: UVW
- Address: Flat 501, Emerald Heights, Pune.
- Occupation: Marketing Executive (frequent travel, exposure to dust/AC)
- Religion: Hindu
- Date: 24/02/2026
- Age: 34 Years
- Sex: Female
- Education: M.Com
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Forehead & Cheeks | Heavy pressure & throbbing pain over maxillary sinuses, thick yellow-green nasal discharge | < Stooping/bending head forward, < Morning on rising, < Cold dry air, > Warm applications, > Open air, > Profuse discharge | Blocked nose (worse one side alternating), post-nasal drip, loss of smell/taste, irritability |
| Eyes | Pain at root of nose & inner canthi | < Light | Fatigue, heaviness of head |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Recurrent common colds turning into sinusitis; history of nasal polyps (mild, not operated).
- Family History: Father has chronic sinusitis. Mother healthy.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Diminished due to loss of taste/smell
- Desires: Warm drinks (+++), Salty food (+)
- Aversions: Cold drinks, milk
- Thirst: Increased, for warm fluids
- Elimination:
- Urine: Normal
- Stool: Slightly constipated
- Perspiration: Profuse on forehead during pain
- Sleep: Disturbed due to headache and nasal blockage
- Thermal State: Chilly (sensitive to cold drafts, wants head covered)
B. Reactions - Physical Factors
- Weather: Aggravation in cold dry weather or after AC exposure
- Position: Better sitting erect; worse stooping or lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, easily angered during pain
- Anxiety: Worried about missing work deadlines
- Fear: Fear pain will spread to brain
6. PHYSICAL GENERAL EXAMINATION
- Wt: 60 kg | Ht: 158 cm | Temp: 99.8°F (low-grade)
- RR: 18/min | Pulse: 84 bpm | B.P.: 122/78 mmHg
- Face: Puffy over cheeks, tender on pressure
- Tongue: Coated yellowish
- Nails: Normal
- Skin: Warm
7. SYSTEMIC EXAMINATION
- ENT: Nasal mucosa congested, thick purulent discharge; maxillary sinuses tender on percussion; frontal sinuses mildly tender
- CVS: S1, S2 Normal
- Respiratory: Clear
- GIT: Soft, no tenderness
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about work (Grade 2)
- Physical General: Chilly, thirst for warm drinks, > warm applications (Grade 3)
- Particular: Sinus headache < stooping/morning, thick yellow-green discharge, > profuse flow/open air (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Acute sinusitis with prominent particular symptoms (location: sinuses, discharge character, modalities of stooping/morning) and thermal generals; Kent offers detailed face, nose, and head rubrics for sinus conditions.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability
- Sinus pressure/pain in forehead/cheeks
- Thick yellow-green nasal discharge
- < Stooping, morning, cold air
-
Warm applications, open air, profuse discharge
- Chilly patient
- Loss of smell/taste
- Blocked nose alternating sides
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Irritability | Mind; IRRITABILITY | 57 |
| 2 | Face pain sinuses | Face; PAIN; sinuses | 381 |
| 3 | Nose discharge yellow-green thick | Nose; DISCHARGE; thick; yellow | 333 |
| 4 | < Stooping | Head; PAIN; stooping agg. | 142 |
| 5 | > Warm applications | Face; PAIN; warm applications amel | 382 |
| 6 | Loss of smell | Nose; SMELL; wanting, lost | 350 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Kali Bichromicum | 6/6 | 18 |
| 2 | Pulsatilla | 5/6 | 14 |
| 3 | Mercurius Sol | 4/6 | 11 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Chilly, irritability, thick discharge | Sinus blockage, yellow-green pus | Recurrent colds/sinus issues | Destructive chronicity |
Dominant Miasm: Sycotic (with Psoric base)
14. FINAL STEPS
- Provisional Diagnosis: Acute Sinusitis
- Differentiation of Remedies: Compared Kali Bich with Pulsatilla. Pulsatilla has changeable symptoms, thirstlessness, > open air but more bland discharge; Kali Bich matches thick, stringy yellow-green discharge, pressure pain < stooping/morning, > warm applications/open air, stubborn sinusitis. Merc sol has more offensive discharge and salivation.
- Selection of Remedy (Materia Medica): Kali Bichromicum matches acute/chronic sinusitis with tough, ropy yellow-green discharge, sinus pressure < stooping, pain at root of nose, chilly, > warmth (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute inflammatory phase with clear particulars)
- Actual Prescription:
- Kali Bichromicum 30 — 4 pills every 2 hours until improvement (max 6 doses in 24 hrs)
- Placebo — 4 pills thrice a day for 4 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 25/02/26 | Pressure reduced 70%, discharge thinner & less, can breathe better | Placebo | Steam inhalation, avoid cold/AC, saline nasal wash |