Allergic Rhinitis
1. PRELIMINARY DATA
- No.: 214/2026
- Patient's Name: QRS
- Address: Flat 601, Golden Heights, Pune.
- Occupation: Teacher (classroom dust, chalk exposure, seasonal changes)
- Religion: Hindu
- Date: 05/05/2026
- Age: 39 Years
- Sex: Female
- Education: M.A. B.Ed
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Nose & Eyes | Profuse watery nasal discharge, violent sneezing paroxysms, nasal blockage alternating sides, itching nose/eyes/throat | < Dust/pollen/cold air, < Morning on waking, < Change of season, < Perfume, > Open air, > Warm room, since 12 years (worse last 5 years, perennial with seasonal exacerbations) | Frontal headache, loss of smell/taste, fatigue, irritability |
| Eyes | Redness, lachrymation, burning | < Light | Anxiety about sinus complications |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Childhood recurrent colds suppressed with antibiotics; eczema in infancy suppressed with ointments; recurrent throat infections; nasal polyps removed surgically 3 years ago; frequent antihistamines/steroid nasal sprays with partial relief.
- Family History: Mother has allergic rhinitis & asthma. Father has chronic sinusitis. Elder sister has eczema.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal but diminished during attacks
- Desires: Warm drinks (+++), Spicy food (+)
- Aversions: Cold drinks, milk
- Thirst: Moderate
- Elimination:
- Urine: Normal
- Stool: Regular
- Perspiration: Scanty, but sour when present
- Sleep: Disturbed by nasal blockage/cough; wakes sneezing
- Thermal State: Chilly patient (cannot tolerate cold drafts)
B. Reactions - Physical Factors
- Weather: Aggravation in cold dry wind & rainy season
- Position: Better sitting up
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, impatient, fastidious about cleanliness
- Anxiety: About teaching performance, health worsening to asthma
- Fear: Fear of chronic sinusitis, fear losing voice
- Dreams: Being suffocated, falling, arguments
- Other: Suppressed anger, feels overwhelmed by allergies
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 160 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 124/80 mmHg
- Face: Pale, watery eyes, nasal discharge
- Tongue: Clean
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- ENT: Nasal mucosa pale & swollen, watery discharge, turbinates hypertrophied, post-nasal drip
- Eyes: Conjunctival injection, mild blepharitis
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about health, fastidious (Grade 3)
- Physical General: Chilly, desire warm drinks, scanty sweat, nasal discharge watery (Grade 3)
- Particular: Chronic allergic rhinitis with sneezing, watery discharge, blockage alternating, < dust/cold/morning (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic allergic respiratory disorder with strong Mental Generals (irritability, anxiety) and Physical Generals (thermal, desires) dominating; Kent excels in nose rubrics for allergic symptoms.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and fastidiousness
- Anxiety about health
- Desire warm drinks
- Chilly patient
- Sneezing violent paroxysmal
- Nasal discharge profuse watery
- Blockage alternating sides
- < Dust, cold air, morning
-
Open air, warm room
- Itching nose/eyes/throat
- Family allergic history
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Irritability | Mind; IRRITABILITY | 57 |
| 2 | Anxiety health | Mind; ANXIETY; health, about | 6 |
| 3 | Desire warm drinks | Stomach; DESIRES; warm drinks | 486 |
| 4 | Nose sneezing violent | Nose; SNEEZING; violent | 350 |
| 5 | Nose discharge watery | Nose; DISCHARGE; watery | 333 |
| 6 | Nose obstruction alternating | Nose; OBSTRUCTION; alternating | 341 |
| 7 | Chilly | Generalities; COLD; agg. | 1348 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Allium Cepa | 7/7 | 22 |
| 2 | Arsenicum Album | 6/7 | 18 |
| 3 | Sabadilla | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Sneezing, watery discharge, irritability | Suppressed skin, nasal polyps | Family allergies/asthma | Destructive fear complications |
Dominant Miasm: Psora-Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Allergic Rhinitis (perennial with seasonal exacerbation)
- Differentiation of Remedies: Compared Allium Cepa with Arsenicum. Arsenicum has more anxiety/fear, chilly, thirst small sips; Allium Cepa matches profuse acrid nasal + bland lachrymation, violent sneezing, < morning/cold air, > open air, no strong fear. Sabadilla more spasmodic sneezing with lachrymation.
- Selection of Remedy (Materia Medica): Allium Cepa matches chronic allergic rhinitis with profuse watery acrid nasal discharge, bland tears, violent sneezing, itching nose/eyes, < cold air/morning, > open air (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic allergic miasmatic case, sensitive constitution)
- Actual Prescription:
- Allium Cepa 200 — single dose (one dose only, wait & watch)
- Placebo — 4 pills twice a day for 8 weeks
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 25/06/2026 | Sneezing reduced 70%, discharge milder, blockage less, no morning paroxysms | Placebo | Avoid dust/perfume, saline nasal wash, steam inhalation |
| 25/10/2026 | Symptoms minimal, only occasional mild during pollen season, energy better | Placebo | Continue avoidance of triggers, report seasonal worsening |