Hyperacidity
1. PRELIMINARY DATA
- No.: 222/2026
- Patient's Name: MNO
- Address: Flat 1105, Crystal Heights, Pune.
- Occupation: Restaurant Owner (tasting food, stress from business, irregular eating)
- Religion: Hindu
- Date: 15/06/2026
- Age: 46 Years
- Sex: Male
- Education: B.Com
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Stomach & Chest | Burning in stomach & retrosternum, sour eructations, nausea, excessive salivation | < Empty stomach, < Spicy/oily food, < Stress/anger, < Night, > Cold milk, > Eating small meals, since 10 years (worse last 5 years, endoscopy shows gastritis) | Headache, irritability, bloating, insomnia |
| General | Heaviness after meals | < After eating | Anxiety about ulcer/cancer, low mood |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Recurrent acidity since 20s treated with antacids; suppressed boils with antibiotics; frequent NSAIDs for headache; smoking 10 cig/day (quit 3 years ago); alcohol occasional.
- Family History: Father has peptic ulcer. Mother has chronic hyperacidity. Brother has GERD.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Variable, hunger pains
- Desires: Cold milk (+++), Sweets (++)
- Aversions: Fatty food, sour things
- Thirst: Increased, for cold water
- Elimination:
- Urine: Normal
- Stool: Regular but loose occasionally
- Perspiration: Profuse on upper body, sour
- Sleep: Disturbed by burning/eructations; wakes 1-3 AM
- Thermal State: Hot patient (prefers cool, uncovers)
B. Reactions - Physical Factors
- Weather: Aggravation in hot humid weather
- Position: Better sitting upright
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, impatient, ambitious
- Anxiety: About business, health complications
- Fear: Fear of ulcer perforation/cancer
- Dreams: Burning, falling, business loss
- Other: Suppressed anger, feels stressed
6. PHYSICAL GENERAL EXAMINATION
- Wt: 80 kg | Ht: 170 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 84 bpm | B.P.: 136/86 mmHg
- Face: Flushed, anxious
- Tongue: Coated white
- Nails: Normal
- Skin: Oily
7. SYSTEMIC EXAMINATION
- GIT: Epigastric tenderness, hyperacidity signs, no guarding
- CVS: S1, S2 Normal
- Respiratory: Clear
- ENT: Throat mildly irritated
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about health/business, fear cancer (Grade 3)
- Physical General: Hot patient, desire cold milk, thirst cold, sour sweat (Grade 3)
- Particular: Chronic hyperacidity with burning < empty stomach/spicy, > cold milk/eating (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic gastric hyperacidity with strong Mental Generals (irritability, fears) and Physical Generals (thermal, desires, sweat) dominating; Kent suits stomach rubrics for acidity symptoms.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and impatience
- Anxiety about health/business
- Fear cancer/perforation
- Desire cold milk
- Hot patient
- Profuse sour perspiration
- Stomach burning sour eructations
- < Empty stomach, spicy, night
-
Cold milk, small meals
- Headache & irritability
- Family gastric history
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 milk cold | Stomach; DESIRES; milk; cold | 485 |
| 5 | Stomach burning | Stomach; PAIN; burning | 511 |
| 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 | Robinia | 6/7 | 18 |
| 3 | Sulphur | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Burning, irritability, anxiety | Excessive acid, chronic irritation | Family gastric issues | Destructive fear cancer |
Dominant Miasm: Psora-Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Hyperacidity (chronic gastritis)
- Differentiation of Remedies: Compared Nux Vomica with Robinia. Robinia has intense acid burning, chilly; Nux Vomica matches stress-induced hyperacidity, irritable/fastidious, hot, desire cold milk/spicy, sour sweat, < empty stomach/night, > cold milk. Sulphur hot but untidy.
- Selection of Remedy (Materia Medica): Nux Vomica matches chronic hyperacidity from overwork/stress/irregular meals, burning < empty stomach/spicy, > cold milk/sitting, irritable/anxiety, hot patient (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic gastric 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 |
|---|
| 25/07/2026 | Burning reduced 70%, sour eructations rare, no night episodes | Placebo | Small frequent meals, avoid spicy/oily/late dinner, stress reduction |
| 25/11/2026 | No major acidity, appetite normal, energy better, no regurgitation | Placebo | Maintain diet, avoid triggers, regular check-up if needed |