Alopecia Areata
1. PRELIMINARY DATA
- No.: 240/2026
- Patient's Name: KLM
- Address: Flat 2601, Golden Residency, Pune.
- Occupation: Marketing Executive (high stress, irregular hours)
- Religion: Hindu
- Date: 01/09/2026
- Age: 35 Years
- Sex: Male
- Education: M.B.A.
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Scalp & Beard | Sudden patchy hair loss (round/oval bald patches), smooth shiny skin in patches, occasional mild itching | < Stress, < After illness, < Cold weather, < Hormonal changes, > Warm applications, > Rest, since 4 years (recurrent patches, spontaneous regrowth sometimes, worse last 2 years) | Anxiety about spread, low self-esteem, beard patches |
| General | Weakness | < Emotional shock | Depression, irritability |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Patchy hair loss after major work stress 4 years ago; suppressed with minoxidil/steroid injections (temporary regrowth); recurrent episodes after viral infections; suppressed eczema in childhood.
- Family History: Father has male pattern baldness. Mother has thyroid issues. Brother has vitiligo.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal
- Desires: Warm drinks (+++), Salty food (+)
- Aversions: Cold food
- Thirst: Moderate
- Elimination:
- Urine: Normal
- Stool: Regular
- Perspiration: Profuse on scalp, sour
- Sleep: Disturbed by worry; wakes anxious
- Thermal State: Chilly patient (prefers warm)
B. Reactions - Physical Factors
- Weather: Aggravation in cold weather
- Position: Better warm room
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious, worried, low confidence
- Anxiety: About appearance, career impact
- Fear: Fear of total baldness, fear rejection
- Dreams: Hair falling, being ugly, social failure
- Other: Depression, feels unattractive
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 170 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 130/82 mmHg
- Face: Multiple bald patches on scalp/beard
- Tongue: Clean
- Nails: Normal
- Skin: Smooth bald areas, no scaling
7. SYSTEMIC EXAMINATION
- Skin: Round bald patches with exclamation mark hairs, no inflammation
- CVS: S1, S2 Normal
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety about appearance, depression, fear rejection (Grade 3)
- Physical General: Chilly, desire warm drinks, sour sweat, sudden hair loss (Grade 3)
- Particular: Alopecia areata patches, < stress/cold, > warm/rest (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic autoimmune hair loss with strong Mental Generals (anxiety, depression) and Physical Generals (thermal, sudden onset) dominating; Kent suits head/skin rubrics for alopecia.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Anxiety about appearance
- Depression/low confidence
- Desire warm drinks
- Chilly patient
- Profuse sour perspiration
- Alopecia areata patches
- Sudden hair loss
- < Stress, cold
-
Warm applications, rest
- Scalp/beard involvement
- Family autoimmune history
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety health | Mind; ANXIETY; health, about | 6 |
| 2 | Sadness depression | Mind; SADNESS | 75 |
| 3 | Desire warm drinks | Stomach; DESIRES; warm drinks | 486 |
| 4 | Head hair falling | Head; HAIR; falling | 120 |
| 5 | Skin eruptions alopecia | Skin; ERUPTIONS; alopecia | 1309 |
| 6 | Perspiration sour | Perspiration; ODOR; sour | 1298 |
| 7 | Chilliness | Generalities; COLD; agg. | 1348 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Phosphorus | 7/7 | 21 |
| 2 | Fluoricum Acidum | 6/7 | 18 |
| 3 | Lycopodium | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Hair loss, anxiety, chilly | Autoimmune patches, sudden | Family autoimmune | Destructive fear rejection |
Dominant Miasm: Psora-Tubercular
14. FINAL STEPS
- Provisional Diagnosis: Alopecia Areata
- Differentiation of Remedies: Compared Phosphorus with Fluoricum acid. Fluoricum has more destructive hair loss, chilly; Phosphorus matches sudden alopecia areata, anxiety about appearance, hot/chilly mix, desire warm drinks, family autoimmune, irritability/depression. Lycopodium more digestive.
- Selection of Remedy (Materia Medica): Phosphorus matches alopecia areata with sudden patchy loss, anxiety/depression about appearance, chilly/hot patient, desire warm drinks (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic autoimmune skin/hair miasmatic case, sensitive constitution)
- Actual Prescription:
- Phosphorus 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 |
|---|
| 20/09/2026 | New patches stopped, regrowth in old patches 50% | Placebo | Reduce stress, gentle scalp massage, avoid chemicals |
| 20/01/2027 | Patches filled with fine hair, no new loss, confidence better | Placebo | Continue stress management, nutritional support |