Atrial Fibrillation

Atrial Fibrillation

1. PRELIMINARY DATA

• No.: 201/2026
• Patient's Name: ABC
• Address: 123, Karve Road, Pune - 411004
• Occupation: Software Engineer [chronic stress due to long working hours and deadlines]
• Religion: Hindu
• Date: 01/03/2026
• Age: 45 Years
• Sex: Male
• Education: Bachelor of Engineering
• Status: Married

2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES

3. PERSONAL PAST & FAMILY HISTORY

• Past History: Hypertension for 5 years, treated with conventional medication.
• Family History: Father had a history of atrial fibrillation, mother had hypertension.
• Developmental Landmarks: All milestones were reached at the appropriate age. No notable delays.

4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)

A. Physical Characteristics

• Appetite: Good
• Desires: +++ Spicy food, +++ Coffee
• Aversions: None
• Thirst: Normal
• Elimination:
  • Urine: Normal
  • Stool: Constipated once a week
  • Perspiration: Slightly increased
• Sleep: Disturbed sleep due to palpitations, dreams of anxiety
• Thermal State: Hot, especially in the evenings

B. Reactions - Physical Factors

• Weather: <Summer, >Winter
• Position: >Sitting, <Lying down

5. MENTAL STATE (Psychodynamic & Life-Space)

• Nature: Perfectionist
• Anxiety: Generalized anxiety, fear of losing control
• Fear: Fear of death, fear of failure
• Dreams: Recurrent dreams of being lost or late for an important event
• Other: Irritability, mood swings

6. PHYSICAL GENERAL EXAMINATION

• Wt: 70 kg | Ht: 165 cm | Temp: 98.6°F
• RR: 18/min | Pulse: 90 bpm | B.P.: 140/90 mmHg
• Face: Flushed
• Tongue: Dry
• Nails: Normal
• Skin: Warm to touch

7. SYSTEMIC EXAMINATION

• Cardiovascular System: Irregular heartbeat, palpitations
• Respiratory: Normal
• Gastrointestinal: Normal, except for occasional heartburn

8. ANALYSIS AND EVALUATION OF SYMPTOMS

• Mental General: Anxiety (Grade 3)
• Physical General: Fatigue (Grade 3)
• Particular: Palpitations (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
• Fear of death
• Fear of failure
• Perfectionist nature
• Palpitations
• Irregular heartbeat
• Disturbed sleep
• Generalized anxiety
• Irritability
• Mood swings
• Hot flushes

11. CONVERSION INTO REPERTORIAL RUBRICS

12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)

13. MIASMATIC INTERPRETATION

Dominant Miasm: Psora-Sycotic

14. FINAL STEPS

• Provisional Diagnosis: Chronic Atrial Fibrillation
• Differentiation of Remedies: Arsenicum covers more Rubrics including anxiety, generalized anxiety, and irritability which are prominent in the case.
• Selection of Remedy (Materia Medica): Arsenicum matches the deep constitutional picture of the patient, including anxiety, fear, and fastidious nature (Ref: Allen’s Keynotes, Boericke).
• Selection of Potency: 200C (Chronic deep-seated case, sensitive constitution)
• Actual Prescription:
  • Arsenicum 200C — single dose
  • Placebo — 4 pills twice a day for 4 weeks

15. FOLLOW-UP'S TABLE