Epilepsy
1. PRELIMINARY DATA
- No.: 201/2026
- Patient's Name: ABC
- Address: 123, Karve Road, Pune
- Occupation: Software Engineer [chronic stress, long working hours, and exposure to screens]
- 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 |
|---|
| Brain | Recurrent seizures, loss of consciousness | <emotional stress>, >rest and relaxation, since 5 years | Anxiety, fear of seizures, irritability |
| Head | Frequent headaches | <seizures>, >sleep, since 5 years | Nausea, vomiting |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: History of fever and seizures in childhood, vaccinated against all major diseases
- Family History: Strong history of epilepsy in paternal grandfather and maternal aunt
- Developmental Landmarks: All milestones were reached at the appropriate age. No delay noted.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Good
- Desires: +++ sweets, +++ spicy food
- Aversions: None
- Thirst: Moderate
- Elimination:
- Urine: Normal
- Stool: Constipated
- Perspiration: Normal
- Sleep: Disturbed, due to seizures and anxiety
- Thermal State: Chilly, prefers warm weather
B. Reactions - Physical Factors
- Weather: <summer>, >winter
- Position: <lying down>, >sitting up
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Introverted and anxious
- Anxiety: Chronic anxiety about having seizures in public
- Fear: Fear of losing control and fear of death
- Dreams: Recurrent dreams of being lost and alone
- Other: Irritability and mood swings
6. PHYSICAL GENERAL EXAMINATION
- Wt: 65 kg | Ht: 170 cm | Temp: 98°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Dry
- Nails: Brittle
- Skin: Dry and rough
7. SYSTEMIC EXAMINATION
- Nervous System: History of seizures, no focal neurological deficits
- CVS: Normal
- Respiratory: Normal
- GIT: Constipated
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety and fear (Grade 3)
- Physical General: Seizures and headaches (Grade 3)
- Particular: Headaches and nausea (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 and fear of seizures
- Recurrent seizures
- Headaches
- Irritability and mood swings
- Introverted nature
- Fear of losing control
- Dry and rough skin
- Constipation
- Preference for warm weather
- Disturbed sleep
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety and fear of seizures | Mind, Anxiety, fear, seizures | 123 |
| 2 | Recurrent seizures | Generalities, Seizures, recurrent | 456 |
| 3 | Headaches | Head, Pain, headache | 789 |
| 4 | Irritability and mood swings | Mind, Irritability, mood swings | 101 |
| 5 | Introverted nature | Mind, Introversion | 234 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Cicuta | Mind, Anxiety, fear, seizures; Generalities, Seizures, recurrent; Head, Pain, headache | 15 |
| 2 | Bufo | Mind, Irritability, mood swings; Mind, Introversion | 10 |
| 3 | Hyoscyamus | Mind, Anxiety, fear, seizures; Head, Pain, headache | 12 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Anxiety and fear | Irritability and mood swings | Recurrent seizures | None |
| Dominant Miasm: Psora-Sycotic | | | |
14. FINAL STEPS
- Provisional Diagnosis: Chronic Epilepsy
- Differentiation of Remedies: Cicuta is selected as it covers the most symptoms, including anxiety, fear of seizures, and recurrent seizures.
- Selection of Remedy (Materia Medica): Cicuta matches the deep constitutional picture of the patient, including the anxiety, fear, and recurrent seizures. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic deep-seated case, sensitive constitution)
- Actual Prescription:
- Cicuta 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 anxiety and seizures | Placebo | Continue with the same prescription, avoid stress |
| 01/07/2026 | Further progress, no seizures in the last month | Cicuta 200C | Repeat the dose, continue with the same advice |