Anxiety Neurosis
1. PRELIMINARY DATA
- No.: 232/2026
- Patient's Name: PQR
- Address: Flat 1703, Emerald Residency, Pune.
- Occupation: Bank Manager (high responsibility, targets, client pressure)
- Religion: Hindu
- Date: 05/08/2026
- Age: 39 Years
- Sex: Male
- Education: M.B.A.
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Mind & General | Persistent anxiety, restlessness, worry about future/finances/health, palpitations, trembling | < Anticipation, < Alone, < Evening/night, < Crowds, > Company, > Warm drinks, > Distraction, since 10 years (worse last 4 years, constant low-grade with acute episodes) | Insomnia, fatigue, irritability, dry mouth, tension headache |
| Chest & Stomach | Oppression in chest, butterflies in stomach | < Stress | Fear of losing control, low mood |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Childhood shyness/anxiety; recurrent palpitations treated with beta-blockers; suppressed anger outbursts; frequent job changes due to stress; mild depression episode 5 years ago.
- Family History: Mother has anxiety disorder. Father has hypertension. Sister has panic attacks.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Variable, nervous eating
- Desires: Warm drinks (+++), Sweets (+)
- Aversions: Cold food
- Thirst: Moderate
- Elimination:
- Urine: Frequent from anxiety
- Stool: Loose during episodes
- Perspiration: Profuse on palms/forehead, sour
- Sleep: Disturbed by thoughts; wakes anxious
- Thermal State: Chilly patient (prefers warm)
B. Reactions - Physical Factors
- Weather: Aggravation in cold weather
- Position: Better company/warm room
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious, restless, perfectionist
- Anxiety: Constant worry about finances/health/family
- Fear: Fear of failure, fear heart attack, fear insanity
- Dreams: Falling, being chased, losing job
- Other: Broods over trifles, feels insecure
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 170 cm | Temp: 98.6°F
- RR: 20/min (anxious) | Pulse: 88 bpm | B.P.: 140/88 mmHg
- Face: Tense, flushed
- Tongue: Dry
- Nails: Normal
- Skin: Moist palms
7. SYSTEMIC EXAMINATION
- Nervous: Tremors in hands, hyperreflexia
- CVS: Tachycardia, no murmurs
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety about future/health, fear failure/heart attack, restlessness (Grade 3)
- Physical General: Chilly, desire warm drinks, profuse sour sweat, palpitations (Grade 3)
- Particular: Chronic anxiety neurosis with palpitations/trembling, < anticipation/alone, > company/warm drinks (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic anxiety disorder with prominent Mental Generals (worry, fears) and Physical Generals (thermal, sweat, palpitations) dominating; Kent suits mind rubrics for neurosis.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Persistent anxiety/worry
- Fear failure/heart attack/insanity
- Restlessness
- Desire warm drinks
- Chilly patient
- Profuse sour perspiration
- Palpitations/trembling
- < Anticipation, alone, evening
-
Company, warm drinks
- Insomnia from thoughts
- Family anxiety history
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety future | Mind; ANXIETY; future, about | 7 |
| 2 | Fear heart disease | Mind; FEAR; heart disease, of | 44 |
| 3 | Restlessness | Mind; RESTLESSNESS | 72 |
| 4 | Desire warm drinks | Stomach; DESIRES; warm drinks | 486 |
| 5 | Perspiration sour | Perspiration; ODOR; sour | 1298 |
| 6 | Palpitations anxiety | Heart; PALPITATIONS; anxiety, from | 874 |
| 7 | Chilly | Generalities; COLD; agg. | 1348 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Argentum Nitricum | 7/7 | 22 |
| 2 | Arsenicum Album | 6/7 | 18 |
| 3 | Gelsemium | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Anxiety, restlessness, chilly | Palpitations, chronic worry | Family anxiety issues | Destructive fear insanity |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Anxiety Neurosis
- Differentiation of Remedies: Compared Argentum Nitricum with Arsenicum. Arsenicum has more fear death/restlessness, chilly; Argentum Nitricum matches anticipatory anxiety, fear failure/heart attack, impulsive irritability, desire warm drinks, hot/chilly mix but strong mental anticipation. Gelsemium more dull/trembling.
- Selection of Remedy (Materia Medica): Argentum Nitricum matches chronic anxiety neurosis with anticipatory anxiety, fear failure/heart attack, restlessness, palpitations, irritability, desire warm drinks (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic mental/emotional miasmatic case, sensitive constitution)
- Actual Prescription:
- Argentum Nitricum 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 |
|---|
| 20/08/2026 | Anxiety episodes reduced 60%, better sleep, less palpitations | Placebo | Breathing exercises, regular routine, reduce caffeine |
| 20/12/2026 | Anxiety mild & manageable, no panic, mood stable | Placebo | Continue relaxation, report triggers |