Depression
1. PRELIMINARY DATA
- No.: 233/2026
- Patient's Name: RST
- Address: Flat 1902, Topaz Enclave, Pune.
- Occupation: Homemaker (previously teacher, now limited social activity due to low mood)
- Religion: Hindu
- Date: 10/08/2026
- Age: 47 Years
- Sex: Female
- Education: B.Ed
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Mind & General | Persistent low mood, loss of interest in daily activities, hopelessness, weeping spells | < Alone, < Evening/night, < Suppressed grief, < Cold weather, > Company, > Warm environment, > Talking to loved ones, since 6 years (mild-moderate, post-menopausal onset, no suicidal thoughts) | Fatigue, sleep disturbance (early waking), poor concentration, weight gain |
| Body | Heaviness in chest/head | < Mental exertion | Anxiety about family, guilt feelings |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Post-partum blues after second child; suppressed grief from family loss 6 years ago; recurrent headaches treated with painkillers; hypothyroidism diagnosed 4 years ago (on replacement); overeating for comfort.
- Family History: Mother has depression. Father has anxiety. Sister has bipolar disorder.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Increased for comfort foods
- Desires: Sweets (+++), Warm drinks (+)
- Aversions: Cold food
- Thirst: Scanty
- Elimination:
- Urine: Normal
- Stool: Constipated tendency
- Perspiration: Scanty
- Sleep: Early waking 3-4 AM, unrefreshing
- Thermal State: Chilly patient (prefers warm clothing/room)
B. Reactions - Physical Factors
- Weather: Aggravation in cold weather
- Position: Better company/warm surroundings
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Weepy, withdrawn, hopeless
- Anxiety: About family future, own health
- Fear: Fear of being alone, fear worsening
- Dreams: Loss of loved ones, failing duties, darkness
- Other: Broods over past, feels worthless
6. PHYSICAL GENERAL EXAMINATION
- Wt: 78 kg | Ht: 158 cm | Temp: 98.4°F
- RR: 16/min | Pulse: 74 bpm | B.P.: 128/80 mmHg
- Face: Dull, sad expression
- Tongue: Clean
- Nails: Brittle
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Nervous: Poor concentration, no focal deficits
- CVS: S1, S2 Normal
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Weepiness, hopelessness, anxiety about future, suppressed grief (Grade 3)
- Physical General: Chilly, desire sweets/warm drinks, early waking, constipation (Grade 3)
- Particular: Mild-moderate depression with low mood, < alone/evening, > company/warm (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic emotional disorder with prominent Mental Generals (weepiness, hopelessness, anxiety) and Physical Generals (chilliness, sleep disturbance) dominating; Kent suits mind rubrics for depression.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Weepiness and hopelessness
- Anxiety about future
- Suppressed grief
- Desire sweets/warm drinks
- Chilly patient
- Early waking 3-4 AM
- Unrefreshing sleep
- Low mood/interest
- Fatigue & brain fog
- < Alone, evening
-
Company, warm
- Family depression history
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Sadness hopelessness | Mind; SADNESS; hopelessness | 75 |
| 2 | Weeping tendency | Mind; WEEPING; tendency | 92 |
| 3 | Desire sweets | Stomach; DESIRES; sweets | 486 |
| 4 | Sleep early waking | Sleep; SLEEP; waking; early | 1252 |
| 5 | Chilliness | Generalities; COLD; agg. | 1348 |
| 6 | Mind dullness | Mind; DULLNESS | 37 |
| 7 | Grief suppressed | Mind; GRIEF; suppressed | 51 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Natrum Muriaticum | 7/7 | 22 |
| 2 | Ignatia Amara | 6/7 | 18 |
| 3 | Aurum Metallicum | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Weepiness, suppressed grief, chilly | Chronic low mood, fatigue | Family depression | Destructive hopelessness |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Depression (mild-moderate)
- Differentiation of Remedies: Compared Natrum mur with Ignatia. Ignatia has more acute grief/hysteria, changeable mood; Nat mur matches chronic depression from suppressed grief, weepiness, chilly, desire sweets, early waking, < alone, > company, reserved nature. Aurum more suicidal despair.
- Selection of Remedy (Materia Medica): Natrum Muriaticum matches chronic mild-moderate depression with suppressed grief, weepiness, hopelessness, chilly patient, desire sweets, early waking, < consolation (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic emotional miasmatic case, sensitive constitution)
- Actual Prescription:
- Natrum Muriaticum 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 | Mood improved 50%, less weepiness, better sleep, interest returning | Placebo | Gentle social activity, regular routine, avoid isolation |
| 20/01/2027 | Mood stable, no major low episodes, energy better, enjoys daily tasks | Placebo | Continue support, mindfulness, report setbacks |