Fatty Liver Disease
1. PRELIMINARY DATA
- No.: 244/2026
- Patient's Name: BCD
- Address: Flat 3002, Emerald Heights, Pune.
- Occupation: Business Owner (sedentary, irregular meals, stress)
- Religion: Hindu
- Date: 01/10/2026
- Age: 50 Years
- Sex: Male
- Education: B.Com
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Liver & Abdomen | Right upper quadrant discomfort/heaviness, fatigue, occasional nausea, elevated liver enzymes (ALT/AST), USG shows fatty infiltration | < Fatty/oily food, < Alcohol, < Stress, < Overeating, > Light diet, > Walking, > Warm drinks, since 6 years (non-alcoholic, progressive, grade 2 fatty liver) | Weight gain, bloating, irritability, low energy |
| General | Lethargy | < After meals | Anxiety about liver health, low mood |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Weight gain from sedentary lifestyle; suppressed acidity with antacids; frequent alcohol social drinking; diabetes screening borderline; suppressed skin dryness with creams.
- Family History: Father has fatty liver & diabetes. Mother has hypertension. Brother has NAFLD.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Increased
- Desires: Warm drinks (+++), Spicy food (+)
- Aversions: Cold food
- Thirst: Moderate
- Elimination:
- Urine: Normal
- Stool: Occasional hard
- Perspiration: Profuse on upper body, sour
- Sleep: Disturbed by discomfort; wakes tired
- Thermal State: Hot patient (prefers cool)
B. Reactions - Physical Factors
- Weather: Aggravation in hot humid weather
- Position: Better walking
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, anxious, worried
- Anxiety: About liver health, business
- Fear: Fear of cirrhosis/cancer
- Dreams: Liver pain, illness, family burden
- Other: Depression, low motivation
6. PHYSICAL GENERAL EXAMINATION
- Wt: 92 kg | Ht: 170 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 84 bpm | B.P.: 138/88 mmHg
- Face: Flushed
- Tongue: Coated white
- Nails: Normal
- Skin: Oily
7. SYSTEMIC EXAMINATION
- GIT: Mild right hypochondriac tenderness, liver palpable
- CVS: S1, S2 Normal
- Respiratory: Clear
- Endocrine: Central obesity
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about health, fear cirrhosis (Grade 3)
- Physical General: Hot patient, desire warm drinks, sour sweat, fatty liver heaviness (Grade 3)
- Particular: Non-alcoholic fatty liver with discomfort, < fatty food/stress, > light diet/walking (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic metabolic liver disorder with strong Mental Generals (anxiety, fear) and Physical Generals (thermal, desires, heaviness) dominating; Kent suits abdomen/liver rubrics for fatty liver.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and anxiety
- Fear cirrhosis/cancer
- Desire warm drinks
- Hot patient
- Profuse sour perspiration
- Liver heaviness/discomfort
- Weight gain central
- < Fatty food, stress
-
Light diet, walking
- Fatigue/bloating
- Family NAFLD
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Irritability | Mind; IRRITABILITY | 57 |
| 2 | Anxiety health | Mind; ANXIETY; health, about | 6 |
| 3 | Fear disease | Mind; FEAR; disease, of | 44 |
| 4 | Desire warm drinks | Stomach; DESIRES; warm drinks | 486 |
| 5 | Abdomen pain liver | Abdomen; PAIN; liver | 568 |
| 6 | Perspiration sour | Perspiration; ODOR; sour | 1298 |
| 7 | Heat sensation | Generalities; HEAT; sensation of | 1366 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Nux Vomica | 7/7 | 22 |
| 2 | Chelidonium | 6/7 | 18 |
| 3 | Lycopodium | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Heaviness, irritability, hot | Fatty infiltration, bloating | Family liver issues | Destructive fear cirrhosis |
Dominant Miasm: Psora-Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Non-Alcoholic Fatty Liver Disease
- Differentiation of Remedies: Compared Nux Vomica with Chelidonium. Chelidonium has more right-sided pain, chilly; Nux Vomica matches stress-induced fatty liver, irritability/anxiety, hot patient, desire warm drinks, < fatty food/stress, > walking. Lycopodium more digestive bloating.
- Selection of Remedy (Materia Medica): Nux Vomica matches non-alcoholic fatty liver from overwork/stress/irregular meals, liver heaviness, irritability/anxiety, hot patient, desire warm drinks (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic metabolic liver miasmatic case, sensitive constitution)
- Actual Prescription:
- Nux Vomica 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 |
|---|
| 20/10/2026 | Heaviness reduced 60%, energy improved, enzymes lower | Placebo | Low-fat diet, regular walking, avoid alcohol |
| 20/02/2027 | USG shows reduced fat, symptoms minimal, weight down | Placebo | Maintain lifestyle, regular liver check |