Acute Stye (Hordeolum)
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 1234, Kalyani Nagar, Pune-411014
- Occupation: Software Engineer (Long working hours on computer)
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: B.E. in Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Left Eye | Painful, red, swollen lump on the eyelid, with purulent discharge | Worse at night, relieved by warm compress | No vision problems |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Hypertension, controlled with medication
- Family History: Father had hypertension, mother had diabetes
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal
- Desires: Sweet
- Aversions: Spicy food
- Thirst: Average
- Elimination:
- Urine: Normal
- Stool: Normal
- Perspiration: Normal
- Sleep: 7 hours, restless
- Thermal State: Ambithermal
B. Reactions - Physical Factors
- Weather: No change
- Position: No change
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable
- Anxiety: Mild
- Fear: None
6. PHYSICAL GENERAL EXAMINATION
- Wt: 70 kg | Ht: 175 cm | Temp: 98.6°F
- RR: 16/min | Pulse: 80 bpm | B.P.: 140/90 mmHg
- Face: Normal
- Tongue: Normal
- Nails: Normal
- Skin: No rashes or lesions
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Normal (adapt as needed)
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: (Grade 2)
- Physical General: (Grade 3)
- Particular: Painful, red, swollen lump on the eyelid, with purulent discharge (Grade 4)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The patient's symptoms are characteristic of a stye (hordeolum), which is an acute condition. The repertory will help us find a remedy that matches this acute picture.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- [bullet list of 7–9 key symptoms]
• Painful, red, swollen lump on the eyelid
• Purulent discharge
• Worse at night
• Relieved by warm compress
• No vision problems
• Irritable
• Mild anxiety
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Painful, red, swollen lump on the eyelid | Eyes - Hordeolum, Eyes - Pain, Skin - Swelling | 176, 179, 181 |
| 2 | Purulent discharge | Eyes - Discharge, Skin - Discharge | 180, 182 |
| 3 | Worse at night | Generalities - Night, Eyes - Pain | 21, 179 |
| 4 | Relieved by warm compress | Generalities - Warmth, Eyes - Relief | 22, 181 |
| 5 | No vision problems | Eyes - Vision - Normal | 174 |
| 6 | Irritable | Mind - Irritability | 143 |
| 7 | Mild anxiety | Mind - Anxiety | 141 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | Eyes - Hordeolum, Eyes - Pain, Skin - Swelling | 12 |
| 2 | Hepar sulphuris | Eyes - Discharge, Skin - Discharge, Generalities - Sore | 9 |
| 3 | Rhus toxicodendron | Generalities - Night, Eyes - Pain, Skin - Itching | 8 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | - | - | - |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Stye (Hordeolum)
- Differentiation of Remedies: Belladonna matches the acute, painful, and swollen symptoms of the stye, while Hepar sulphuris matches the purulent discharge.
- Selection of Remedy (Materia Medica): Belladonna is a classic remedy for styes, matching the patient's symptoms perfectly (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Belladonna 30 — 4 pills, twice 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 symptoms | Belladonna | Continue remedy twice a day |