Alzheimer's Disease
1. PRELIMINARY DATA
- No.: 205/2026
- Patient's Name: JKN
- Address: 123, Karve Nagar, Pune
- Occupation: Software Engineer [chronic stress due to long working hours and tight deadlines]
- Religion: Hindu
- Date: 05/04/2026
- Age: 45 Years
- Sex: Male
- Education: Bachelor of Engineering
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Brain | Progressive memory loss, confusion, difficulty in speech | < mental exertion, > rest, since 2 years | Anxiety, depression, mood swings |
| | | |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: History of hypertension, treated with medication. No history of similar neurological disorders.
- Family History: Mother had dementia, grandfather had Parkinson's disease.
- Developmental Landmarks: All milestones were reached at the appropriate age. No notable delays.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Decreased
- Desires: +++ Sweets
- Aversions: None
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Constipated
- Perspiration: Normal
- Sleep: Disturbed, with vivid dreams
- Thermal State: Chilly, prefers warm weather
B. Reactions - Physical Factors
- Weather: < Rainy weather
- Position: > Lying down
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Introverted
- Anxiety: Generalized anxiety, fear of losing memory
- Fear: Fear of disease progression, fear of being a burden
- Dreams: Recurrent dreams of losing way
- Other: Irritability, mood swings
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 170 cm | Temp: 98°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 130/85 mmHg
- Face: Pale
- Tongue: Dry
- Nails: Normal
- Skin: Dry, with slight pigmentation
7. SYSTEMIC EXAMINATION
- Nervous System: Difficulty in coordination, slight tremors
- CVS: Normal
- Respiratory: Normal
- GIT: Constipation
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety (Grade 3)
- Physical General: Fatigue (Grade 3)
- Particular: Memory loss (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic case with strong Mental Generals and Physical Generals dominating over particulars; Kent's hierarchy suits constitutional approach.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Anxiety about health
- Fear of disease progression
- Memory loss
- Confusion
- Difficulty in speech
- Irritability
- Mood swings
- Desire for sweets
- Aversion to mental exertion
- Preference for warm weather
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety about health | Mind; Anxiety; about health | 123 |
| 2 | Fear of disease progression | Mind; Fear; of disease | 456 |
| 3 | Memory loss | Mind; Memory; weakness of | 789 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Anacardium | 5/10 | 20 |
| 2 | Baryta Carb | 4/10 | 18 |
| 3 | Calcarea | 3/10 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Anxiety, fear | Desire for sweets | Memory loss | Irritability |
Dominant Miasm: Psora-Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Chronic Alzheimer's Disease
- Differentiation of Remedies: Anacardium and Baryta Carb both cover key symptoms, but Anacardium has a stronger affinity for memory and cognitive issues, making it the first choice.
- Selection of Remedy (Materia Medica): Anacardium matches the deep constitutional picture of anxiety, fear, and cognitive decline (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic deep-seated case, sensitive constitution)
- Actual Prescription:
- Anacardium 200C — single dose
- Placebo — 4 pills twice a day for 2 weeks
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 15/05/2026 | Partial improvement in memory, less anxiety | Placebo | Continue current medication, diet, and lifestyle modifications |
| 15/08/2026 | Further improvement in cognitive functions, mood swings reduced | Anacardium 200C (repeat dose) | Continue as above, monitor progress |