Rheumatoid Arthritis
1. PRELIMINARY DATA
- No.: 201/2026
- Patient's Name: ABC
- Address: 123, Karve Nagar, Pune
- Occupation: Software Engineer [chronic stress, long working hours]
- Religion: Hindu
- Date: 01/03/2026
- Age: 45 Years
- Sex: Female
- Education: Graduate
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Hands, wrists | Painful swelling, stiffness < morning, > movement, since 2 years | Anxiety, restlessness | |
| Knees | Similar to hands, but less severe | | Fatigue |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Chronic tonsillitis as a child, appendectomy at 25, vaccinated as per standard protocols
- Family History: Mother had rheumatoid arthritis, father had hypertension
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Variable
- Desires: +++ Spicy food
- Aversions: None
- Thirst: Normal
- Elimination:
- Urine: Normal
- Stool: Constipated
- Perspiration: Increased
- Sleep: Disturbed, due to pain and anxiety
- Thermal State: Chilly, especially hands and feet
B. Reactions - Physical Factors
- Weather: < Rainy days
- Position: > Movement, < rest
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Perfectionist
- Anxiety: Fear of not being able to perform daily tasks due to arthritis
- Fear: Losing independence
- Dreams: Recurring dreams of being unable to move
- Other: Irritability
6. PHYSICAL GENERAL EXAMINATION
- Wt: 60 kg | Ht: 155 cm | Temp: 98°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Coated
- Nails: Brittleness
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Musculoskeletal: Crepitations and tenderness in hands, wrists, and knees
- CVS: Normal
- Respiratory: Normal
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety (Grade 3)
- Physical General: Pain and stiffness (Grade 3)
- Particular: Swelling in hands and knees (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 about health
- Fear of losing independence
- Perfectionist nature
- Painful swelling in joints, especially hands and knees
- Morning stiffness
- Desires spicy food
- Aversion to rest
- Increased perspiration
- Disturbed sleep due to pain and anxiety
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety about health | Mind; Anxiety; health, about | 123 |
| 2 | Fear of losing independence | Mind; Fear; independence, of losing | 456 |
| 3 | Perfectionist | Mind; Personality; perfectionist | 789 |
| 4 | Painful swelling in joints | Extremities; Pain; joints, in | 901 |
| 5 | Morning stiffness | Extremities; Stiffness; morning, in | 234 |
| ... | ... | ... | ... |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Rhododendron | Anxiety, fear, joint pains, morning stiffness | 25 |
| 2 | Rhus Tox | Joint pains, swelling, stiffness, restlessness | 20 |
| 3 | Sulphur | Perfectionist, desires spicy, anxious, joint issues | 18 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Anxiety, fear | Joint issues, restlessness | Perfectionist, spicy desires | None |
| Dominant Miasm: Psora-Sycotic | | | |
14. FINAL STEPS
- Provisional Diagnosis: Chronic Rheumatoid Arthritis
- Differentiation of Remedies: Rhododendron and Rhus Tox both cover joint pains and morning stiffness, but Rhododendron also covers anxiety about health and fear of losing independence, making it a better fit.
- Selection of Remedy (Materia Medica): Rhododendron matches the deep constitutional picture, including anxiety and joint issues (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic deep-seated case, sensitive constitution)
- Actual Prescription:
- Rhododendron 200C — single dose
- Placebo — 4 pills twice a day for 2 weeks
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 01/04/2026 | Partial improvement in joint pains | Placebo | Continue exercise, balanced diet |
| 01/07/2026 | Further improvement, less morning stiffness | Rhododendron 200C | Increase physical activity |