Hepatitis (B or C, compensated)
1. PRELIMINARY DATA
- No.: 245/2026
- Patient's Name: EFG
- Address: Flat 3101, Platinum Residency, Pune.
- Occupation: Sales Executive (travel, irregular meals, stress)
- Religion: Hindu
- Date: 05/10/2026
- Age: 44 Years
- Sex: Male
- Education: B.Com
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Liver & General | Chronic fatigue, right upper quadrant discomfort, occasional jaundice episodes, elevated LFTs (compensated HBV/HCV), no ascites/cirrhosis | < Fatty/oily food, < Alcohol, < Stress/overexertion, < Night, > Light diet, > Rest, > Warm drinks, since 7 years (chronic carrier, compensated, viral load moderate) | Nausea, loss of appetite, irritability, low-grade fever, depression |
| Skin & Eyes | Mild pruritus, yellowish sclera occasionally | < Heat | Anxiety about progression, low mood |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Diagnosed HBV/HCV 7 years ago after blood donation screening; suppressed symptoms with antivirals intermittently; frequent alcohol social drinking earlier; suppressed skin rash with creams; overweight gain.
- Family History: Uncle has chronic hepatitis & cirrhosis. Mother has diabetes. Brother has fatty liver.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Diminished
- Desires: Warm drinks (+++), Sour food (+)
- Aversions: Fatty food, alcohol now
- Thirst: Moderate
- Elimination:
- Urine: Dark occasionally
- Stool: Pale sometimes
- Perspiration: Scanty
- Sleep: Disturbed by discomfort; wakes tired
- Thermal State: Chilly patient (prefers warm)
B. Reactions - Physical Factors
- Weather: Aggravation in cold weather
- Position: Better rest
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, anxious, worried
- Anxiety: About liver progression, family burden
- Fear: Fear of cirrhosis/cancer
- Dreams: Liver pain, illness, death
- Other: Depression, low motivation
6. PHYSICAL GENERAL EXAMINATION
- Wt: 78 kg | Ht: 170 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 82 bpm | B.P.: 130/84 mmHg
- Face: Mild icterus sclera
- Tongue: Coated
- Nails: Normal
- Skin: Mild pruritus, no jaundice visible |
7. SYSTEMIC EXAMINATION
- GIT: Mild right hypochondriac tenderness, liver palpable
- CVS: S1, S2 Normal
- Respiratory: Clear
- Endocrine: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about progression, fear cancer (Grade 3)
- Physical General: Chilly, desire warm drinks, fatigue, pale stool/dark urine occasionally (Grade 3)
- Particular: Chronic compensated hepatitis with discomfort, < fatty food/stress, > light diet/rest (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic viral liver disorder with strong Mental Generals (anxiety, fear) and Physical Generals (thermal, liver symptoms) dominating; Kent suits abdomen/liver rubrics for hepatitis.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and anxiety
- Fear cirrhosis/cancer
- Desire warm drinks
- Chilly patient
- Liver discomfort/heaviness
- Fatigue/nausea
- < Fatty food, stress
-
Light diet, rest
- Occasional jaundice
- Elevated LFTs
- Family hepatitis
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 cancer | Mind; FEAR; cancer, of | 42 |
| 4 | Desire warm drinks | Stomach; DESIRES; warm drinks | 486 |
| 5 | Abdomen pain liver | Abdomen; PAIN; liver | 568 |
| 6 | Generalities weakness | Generalities; WEAKNESS | 1413 |
| 7 | Chilliness | Generalities; COLD; agg. | 1348 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Chelidonium | 7/7 | 22 |
| 2 | Lycopodium | 6/7 | 18 |
| 3 | Nux Vomica | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Heaviness, irritability, chilly | Chronic inflammation, fatigue | Family liver issues | Destructive fear cirrhosis |
Dominant Miasm: Psora-Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Compensated Chronic Hepatitis (B or C)
- Differentiation of Remedies: Compared Chelidonium with Lycopodium. Lycopodium has more digestive bloating, chilly; Chelidonium matches chronic hepatitis with right upper discomfort, fatigue, nausea, chilly, desire warm drinks, < fatty food/stress. Nux Vomica more stress-related.
- Selection of Remedy (Materia Medica): Chelidonium matches chronic hepatitis with liver heaviness/discomfort, fatigue, nausea, chilly patient, desire warm drinks (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic liver viral miasmatic case, sensitive constitution)
- Actual Prescription:
- Chelidonium 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 | Discomfort reduced 60%, energy improved, LFTs lower | Placebo | Low-fat diet, avoid alcohol, regular liver tests |
| 20/02/2027 | Symptoms minimal, viral load stable, weight down | Placebo | Maintain lifestyle, report jaundice |