1. PRELIMINARY DATA
- No.: 108/2026
- Patient's Name: ABC
- Address: Flat 305, Harmony Towers, Pune.
- Occupation: Student (Final year college, exam stress)
- Religion: Hindu
- Date: 19/02/2026
- Age: 21 Years
- Sex: Female
- Education: Pursuing B.Com
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Throat | Severe sore throat, tonsils swollen & red with white patches | < Swallowing (even saliva), < Cold drinks, > Warm drinks, > Warm applications | High fever with chills, body ache, headache |
| Neck | Swollen cervical glands | < Turning head | Great prostration, offensive breath |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Recurrent cold & cough in winters; occasional throat infections treated with antibiotics.
- Family History: Mother has allergic rhinitis. Father healthy.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Lost completely due to pain on swallowing.
- Desires: Warm drinks (+++), Ice cream occasionally (but aggravates now)
- Aversions: Cold food/drinks during acute phase
- Thirst: Thirsty for warm water in small sips
- Elimination:
- Urine: Normal
- Stool: Constipated last 2 days
- Perspiration: Slight, offensive
- Sleep: Disturbed due to pain and fever
- Thermal State: Chilly (shivering with fever, wants to be covered)
B. Reactions - Physical Factors
- Weather: Aggravation after exposure to cold wind
- Position: Better sitting up slightly; worse lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious and weepy during illness
- Anxiety: About missing college exams
- Fear: Fear of serious infection or surgery
6. PHYSICAL GENERAL EXAMINATION
- Wt: 52 kg | Ht: 158 cm | Temp: 102.4°F
- RR: 20/min | Pulse: 98 bpm | B.P.: 110/70 mmHg
- Face: Flushed, anxious expression
- Tongue: Coated white, dry
- Nails: Normal
- Skin: Hot and dry
7. SYSTEMIC EXAMINATION
- ENT: Tonsils markedly enlarged, red, with white exudates; uvula oedematous; cervical glands tender and enlarged
- CVS: S1, S2 Normal, tachycardia present
- Respiratory: Clear
- GIT: Soft, no tenderness
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety about future (exams), weepiness (Grade 2)
- Physical General: Chilly, thirst for warm drinks, prostration (Grade 3)
- Particular: Throat pain < swallowing, > warm drinks/applications, white patches on tonsils (Grade 3)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Acute case with prominent particular symptoms of throat (location, sensation, modalities) combined with strong generals (thermal, thirst); Kent provides excellent throat rubrics.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Anxiety and weepiness during acute illness
- Severe throat pain < swallowing (even saliva)
- Tonsils red, swollen with white patches
-
Warm drinks and warm applications
- High fever with chills and prostration
- Chilly patient wanting covers
- Offensive breath
- Cervical glands swollen
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety about future | Mind; ANXIETY; future, about | 7 |
| 2 | Throat pain < swallowing | Throat; PAIN; swallowing; on | 459 |
| 3 | Tonsils swollen with white patches | Throat; MEMBRANE; tonsils | 454 |
| 4 | > Warm drinks | Throat; PAIN; warm drinks amel | 460 |
| 5 | Chilly with fever | Fever; CHILL; external | 1260 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Belladonna | 5/5 | 15 |
| 2 | Mercurius Sol | 4/5 | 12 |
| 3 | Hepar Sulph | 3/5 | 09 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Chilly, anxiety, acute inflammation | Swollen glands, exudates | Prostration, periodic colds | Destructive membrane |
Dominant Miasm: Psora-Sycotic (acute exacerbation)
14. FINAL STEPS
- Provisional Diagnosis: Acute Tonsillitis (bacterial, with exudates)
- Differentiation of Remedies: Compared Belladonna with Merc Sol. Merc Sol has more offensive saliva, profuse sweating, night aggravation; Belladonna matches sudden violent onset, high fever, red-hot throat, throbbing pain, < swallowing, > warm drinks/applications. Hepar is more for suppuration stage with extreme sensitivity to cold.
- Selection of Remedy (Materia Medica): Belladonna matches acute inflammatory conditions with sudden onset, bright red swelling, throbbing pain, high fever with dry heat, > warm applications (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute, intense local & general symptoms)
- Actual Prescription:
- Belladonna 30 — 4 pills every 1–2 hours until improvement (max 6 doses in 24 hrs)
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 20/02/26 | Fever down to 99.8°F, throat pain 60% better, can swallow saliva | Placebo | Warm saline gargle, soft warm diet, rest |