PCOD
1. PRELIMINARY DATA
- No.: 210/2026
- Patient's Name: EFG
- Address: Flat 901, Diamond Residency, Pune.
- Occupation: Marketing Executive (irregular hours, high stress, travel)
- Religion: Hindu
- Date: 15/04/2026
- Age: 32 Years
- Sex: Female
- Education: M.B.A.
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Reproductive (ovaries, uterus) | Irregular menses (cycles 35-90 days), heavy bleeding with clots, dysmenorrhoea, infertility (trying for 2 years), acne & hirsutism | < Stress, < Junk food, < Weight gain, < Cold, > Warm applications, since puberty (worsened after marriage, diagnosed PCOD 4 years ago via USG & hormonal tests) | Weight gain (central obesity), hair loss, mood swings, fatigue |
| Skin & Hair | Acne on face/back, excessive facial hair (chin, upper lip), thinning scalp hair | < Hormonal fluctuations | Anxiety about fertility, low self-esteem |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Menarche at 12 with irregular cycles; suppressed acne with antibiotics/steroids; recurrent vaginal infections; weight gain after starting oral contraceptives (stopped 3 years ago); borderline thyroid in past.
- Family History: Mother has PCOD & hypothyroidism. Maternal aunt has infertility. Sister has irregular menses. Father has diabetes.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Increased, craving sweets
- Desires: Sweets (+++), Salty snacks (++), Cold drinks (+)
- Aversions: Fatty food, milk
- Thirst: Increased, for cold water
- Elimination:
- Urine: Normal
- Stool: Irregular, hard
- Perspiration: Profuse on face & upper body, sour
- Sleep: Disturbed by anxiety; daytime drowsiness
- Thermal State: Hot patient (prefers cool, uncovers often)
B. Reactions - Physical Factors
- Weather: Aggravation in humid/hot weather
- Position: Better open air
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, weepy, sensitive to criticism
- Anxiety: About infertility, weight, appearance
- Fear: Fear of never conceiving, fear divorce pressure
- Dreams: Being childless, falling, arguments
- Other: Suppressed grief, low confidence
6. PHYSICAL GENERAL EXAMINATION
- Wt: 78 kg | Ht: 158 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 82 bpm | B.P.: 128/82 mmHg
- Face: Round, acne scars, hirsutism
- Tongue: Clean
- Nails: Normal
- Skin: Oily, acne on chin/cheeks/back
7. SYSTEMIC EXAMINATION
- Reproductive: USG shows polycystic ovaries, enlarged; mild tenderness lower abdomen
- Endocrine: Hirsutism Ferriman-Gallwey score high
- CVS: S1, S2 Normal
- GIT: Soft, no tenderness
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety about fertility/appearance, weepiness, irritability (Grade 3)
- Physical General: Hot patient, desire sweets/salt, profuse sour sweat, thirst cold (Grade 3)
- Particular: Chronic PCOD with irregular heavy menses, hirsutism/acne, weight gain, infertility (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic hormonal/endocrine disorder with strong Mental Generals (anxiety about fertility) and Physical Generals (thermal, desires, sweat) dominating; Kent suits sycotic rubrics for polycystic ovarian disease.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Anxiety about infertility/appearance
- Weepiness and irritability
- Desire sweets and salt
- Hot patient
- Profuse sour perspiration
- Thirst cold water
- Irregular menses heavy with clots
- Hirsutism & acne
- Weight gain central
- Dysmenorrhoea
- Family PCOD & infertility
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety health | Mind; ANXIETY; health, about | 6 |
| 2 | Weeping tendency | Mind; WEEPING; tendency | 92 |
| 3 | Desire sweets | Stomach; DESIRES; sweets | 486 |
| 4 | Heat sensation | Generalities; HEAT; sensation of | 1366 |
| 5 | Menses irregular | Female; MENSES; irregular | 726 |
| 6 | Perspiration sour | Perspiration; ODOR; sour | 1298 |
| 7 | Skin eruptions acne | Skin; ERUPTIONS; acne | 1309 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Pulsatilla | 7/7 | 21 |
| 2 | Sepia | 6/7 | 18 |
| 3 | Natrum Muriaticum | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Irregular menses, weepiness, hot | Cysts, hirsutism, weight gain | Family hormonal issues | Destructive fear infertility |
Dominant Miasm: Sycotic
14. FINAL STEPS
- Provisional Diagnosis: Polycystic Ovarian Disease (PCOD)
- Differentiation of Remedies: Compared Pulsatilla with Sepia. Sepia has more indifference, bearing-down, chilly; Pulsatilla matches changeable symptoms, weepiness, desire sweets/salt, hot patient, irregular heavy menses, hirsutism/acne, anxiety about fertility, > open air. Nat mur more grief/thirstless.
- Selection of Remedy (Materia Medica): Pulsatilla matches chronic PCOD with irregular menses, hirsutism, acne, weepiness, changeable mood, desire sweets/salt, hot patient, > open air/cold (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic hormonal sycotic case, sensitive constitution)
- Actual Prescription:
- Pulsatilla 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 |
|---|
| 10/06/2026 | Cycles more regular (35 days), acne reduced 60%, hirsutism milder, mood better | Placebo | Low glycemic diet, regular exercise, avoid stress |
| 10/10/2026 | Menses regular 28-30 days, weight loss 4 kg, ovulation confirmed on USG, fertility improved | Placebo | Continue lifestyle, track ovulation, report for conception planning |