Parkinson's Disease
1. PRELIMINARY DATA
- No.: 201/2026
- Patient's Name: ABC
- Address: 123, Karve Nagar, Pune
- Occupation: Engineer [chronic stress and exposure to chemicals]
- Religion: Hindu
- Date: 01/03/2026
- Age: 45 Years
- Sex: Male
- Education: Graduate
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Hands, Feet | Tremors, stiffness, and rigidity | <aggravation at rest, >amelioration with movement, since 2 years | Depression, anxiety |
| Face | Mask-like expression | <aggravation in the morning, >amelioration with emotional expression | Difficulty in speaking |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: History of viral encephalitis 10 years ago, vaccinated for all major diseases
- Family History: Father had Parkinson's disease, mother had hypertension
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Reduced
- Desires: +++ Sweets
- Aversions: None
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Constipated
- Perspiration: Decreased
- Sleep: Disturbed, with vivid dreams
- Thermal State: Chilly
B. Reactions - Physical Factors
- Weather: <Aggravation in cold weather
- Position: >Amelioration with movement
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Introverted
- Anxiety: Generalized anxiety disorder
- Fear: Fear of losing control
- Dreams: Recurrent dreams of being chased
- Other: Irritability, mood swings
6. PHYSICAL GENERAL EXAMINATION
- Wt: 60 kg | Ht: 170 cm | Temp: 98°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 120/80 mmHg
- Face: Expressionless
- Tongue: Dry
- Nails: Brittle
- Skin: Dry, with fine wrinkles
7. SYSTEMIC EXAMINATION
- Nervous System: Rigidity, bradykinesia, and tremors
- CVS: Normal
- Respiratory: Normal
- GIT: Constipation
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety (Grade 3)
- Physical General: Tremors (Grade 3)
- Particular: Rigidity (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
- Tremors
- Rigidity
- Bradykinesia
- Depression
- Mask-like expression
- Vivid dreams
- Introversion
- Fear of losing control
- Irritability
- Constipation
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety | Mind; Anxiety | 12 |
| 2 | Tremors | Generalities; Tremors | 456 |
| 3 | Rigidity | Generalities; Rigidity | 342 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Argentum nitricum | Anxiety, tremors, rigidity | 23 |
| 2 | Causticum | Rigidity, bradykinesia, constipation | 20 |
| 3 | Gelsemium | Tremors, anxiety, depression | 18 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Anxiety, depression | Tremors, rigidity | Bradykinesia | Mask-like expression |
Dominant Miasm: Psora-Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Chronic Parkinson's Disease
- Differentiation of Remedies: Argentum nitricum is selected over Causticum and Gelsemium due to its strong coverage of anxiety, tremors, and rigidity, which are key symptoms in this case.
- Selection of Remedy (Materia Medica): Argentum nitricum matches the deep constitutional picture of anxiety, tremors, and rigidity. (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic deep-seated case, sensitive constitution)
- Actual Prescription:
- Argentum nitricum 200C — single dose
- Placebo — 4 pills twice a day for 2 months
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 01/04/2026 | Partial improvement in tremors | Placebo | Diet, lifestyle modifications |
| 01/07/2026 | Further progress, reduced rigidity | Argentum nitricum 200C | Continue lifestyle modifications |