Crohn's Disease
1. PRELIMINARY DATA
- No.: 201/2026
- Patient's Name: ABC
- Address: 123, Karve Nagar, Pune
- Occupation: Software Engineer [chronic stress, long working hours]
- Religion: Hindu
- Date: 01/03/2026
- Age: 40 Years
- Sex: Male
- Education: Bachelor of Engineering
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Abdomen | Chronic diarrhea, abdominal pain | <after eating, >rest, since 2 years | Anxiety, weight loss |
| Rectum | Rectal bleeding, urgency | <during diarrhea, >passing stools | Irritability, fatigue |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Chronic tonsillitis, appendicitis, vaccinated for all major diseases
- Family History: Father had diabetes, mother has hypertension
- Developmental Landmarks: All milestones were reached at the appropriate age. No delays.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Reduced
- Desires: +++ Spicy food, ++ sweets
- Aversions: --- Milk, -- fatty food
- Thirst: Moderate
- Elimination:
- Urine: Normal
- Stool: Diarrhea, 3-4 times a day
- Perspiration: Normal
- Sleep: Disturbed, 5-6 hours, dreams of anxiety
- Thermal State: Chilly, prefers warm weather
B. Reactions - Physical Factors
- Weather: <Summer, >Winter
- Position: >Lying on the back, <sitting
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Introverted, anxious
- Anxiety: Fear of failure, health anxiety
- Fear: Fear of death, fear of losing control
- Dreams: Recurrent dreams of being chased, anxiety
- Other: Irritability, mood swings
6. PHYSICAL GENERAL EXAMINATION
- Wt: 55 kg | Ht: 165 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Coated
- Nails: Brittle
- Skin: Dry
7. SYSTEMIC EXAMINATION
- GIT: Abdominal tenderness, palpable mass in the lower abdomen
- CVS: Normal
- Respiratory: Normal
- Nervous System: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety (Grade 3)
- Physical General: Diarrhea (Grade 3)
- Particular: Abdominal pain (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
- Diarrhea
- Abdominal pain
- Rectal bleeding
- Weight loss
- Irritability
- Fear of failure
- Fear of death
- Introverted nature
- Preference for warm weather
- Aversion to milk
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety | MIND - ANXIETY | 12 |
| 2 | Diarrhea | ABDOMEN - DIARRHEA | 64 |
| 3 | Abdominal pain | ABDOMEN - PAIN | 63 |
| 4 | Rectal bleeding | RECTUM - BLEEDING | 233 |
| 5 | Weight loss | GENERALITIES - EMACIATION | 151 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Argentum nitricum | Anxiety, Diarrhea, Abdominal pain | 15 |
| 2 | Sulphur | Diarrhea, Rectal bleeding, Weight loss | 12 |
| 3 | Lycopodium | Abdominal pain, Irritability, Fear | 10 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Anxiety, Irritability | Rectal bleeding, Diarrhea | Weight loss, Abdominal pain | Fear of death |
Dominant Miasm: Psora-Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Chronic Crohn’s Disease
- Differentiation of Remedies: Argentum nitricum and Sulphur both cover several symptoms, but Argentum nitricum has a stronger coverage of anxiety and abdominal symptoms.
- Selection of Remedy (Materia Medica): Argentum nitricum matches the deep constitutional picture, including anxiety and gastrointestinal symptoms (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic deep-seated case, sensitive constitution)
- Actual Prescription:
- Argentum nitricum 200C — single dose
- Placebo — 4 pills twice a day for 2 weeks
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 01/04/2026 | Partial improvement in diarrhea | Placebo | Continue diet, lifestyle changes |
| 01/07/2026 | Further improvement in abdominal pain | Argentum nitricum 200C | Repeat remedy if symptoms return |