Acute Sunstroke/Heat Exhaustion
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Poonamallee Road, Hadapsar, Pune, 411028
- Occupation: Labourer in Construction Site [exposed to direct sunlight for 10 hours]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: 10th Standard
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Head | Throbbing headache, vertigo, and intense heat sensation | >Direct sunlight, >hot environment | Vomiting, Diarrhea |
| Body | Excessive heat sensation, profuse sweating, and dry mouth | >Physical exhaustion, >direct sunlight | Dehydration, Weakness |
| Limbs | Muscle cramps and spasms | >Extreme heat, >physical exhaustion | Tremors |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant medical history
- Family History: No significant family medical history
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal
- Desires: No specific desires
- Aversions: No specific aversions
- Thirst: Extreme thirst
- Elimination:
- Urine: Normal
- Stool: Diarrhea
- Perspiration: Profuse
- Sleep: No sleep due to symptoms
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: Exposure to direct sunlight for 10 hours
- Position: Standing in hot environment
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable
- Anxiety: Anxiety about dehydration and heat stroke
- Fear: Fear of death due to heat stroke
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 165 cm | Temp: 104°F
- RR: 40/min | Pulse: 120 bpm | B.P.: 140/90 mmHg
- Face: Sunburned, flushed
- Tongue: Dry, coated
- Nails: Normal
- Skin: Profusely sweating, sunburned
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Diarrhea, vomiting
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety, Irritability (Grade 4)
- Physical General: High fever, excessive sweating, dehydration (Grade 5)
- Particular: Headache, dizziness, muscle cramps (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Considering the symptoms of high fever, excessive sweating, dehydration, and muscle cramps, the remedy Apis mellifica is selected.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- [bullet list of 7–9 key symptoms]
• Headache
• Dizziness
• Muscle cramps
• High fever
• Excessive sweating
• Dehydration
• Sunburn
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Headache | Cephalalgia, Heat > | 34 |
| 2 | Dizziness | Labyrinthitis, Heat > | 41 |
| 3 | Muscle cramps | Musculus, Heat > | 50 |
| 4 | High fever | Pyrexia, Heat > | 55 |
| 5 | Excessive sweating | Sudoresis, Heat > | 60 |
| 6 | Dehydration | Desiccation, Heat > | 65 |
| 7 | Sunburn | Sol, Heat > | 70 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Apis mellifica | Cephalalgia, Heat >, Labyrinthitis, Heat >, Musculus, Heat >, Pyrexia, Heat >, Sudoresis, Heat >, Desiccation, Heat >, Sol, Heat > | 95 |
| 2 | Bryonia | Cephalalgia, Heat >, Pyrexia, Heat >, Sudoresis, Heat > | 40 |
| 3 | Lachesis | Cephalalgia, Heat >, Pyrexia, Heat > | 30 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| 0 | 0 | 0 | 0 |
Dominant Miasm: None
14. FINAL STEPS
- Provisional Diagnosis: Acute Sunstroke/Heat Exhaustion
- Differentiation of Remedies: Apis mellifica matches the symptoms of high fever, excessive sweating, dehydration, and muscle cramps due to heat exposure.
- Selection of Remedy (Materia Medica): Apis mellifica matches the symptoms due to heat exposure (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Apis mellifica 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 | Improved, relieved of symptoms | Placebo | Rest, hydration, and avoid direct sunlight |
| 29/02/2026 | Complete relief | - | Continue rest and hydration |