Ringworm

Ringworm

1. PRELIMINARY DATA

• No.: 201/2026
• Patient's Name: ABC
• Address: 123, Karve Road, Pune
• Occupation: Software Engineer [chronic stress due to long working hours]
• Religion: Hindu
• Date: 01/03/2026
• Age: 42 Years
• Sex: Male
• Education: Bachelor of Engineering
• Status: Married

2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES

3. PERSONAL PAST & FAMILY HISTORY

• Past History: History of eczema in childhood, treated with topical steroids
• Family History: Strong history of asthma and allergies in the family
• Developmental Landmarks: All milestones were reached at the appropriate age. No delays.

4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)

A. Physical Characteristics

• Appetite: Increased
• Desires: +++ Sour food
• Aversions: None
• Thirst: Normal
• Elimination:
  • Urine: Normal
  • Stool: Constipated
  • Perspiration: Profuse
• Sleep: Disturbed, due to itching
• Thermal State: Hot

B. Reactions - Physical Factors

• Weather: <Summer, >winter
• Position: No specific position modalities

5. MENTAL STATE (Psychodynamic & Life-Space)

• Nature: Introverted
• Anxiety: Generalized anxiety
• Fear: Fear of failure
• Dreams: Recurrent dreams of being chased
• Other: Irritability, mood swings

6. PHYSICAL GENERAL EXAMINATION

• Wt: 70 kg | Ht: 170 cm | Temp: 98.6°F
• RR: 18/min | Pulse: 80 bpm | B.P.: 120/80 mmHg
• Face: Acne
• Tongue: Coated
• Nails: Brittle
• Skin: Dry, with ringworm patches

7. SYSTEMIC EXAMINATION

• Skin: Ringworm lesions
• CVS: Normal
• Respiratory: Normal
• GIT: Constipation

8. ANALYSIS AND EVALUATION OF SYMPTOMS

• Mental General: Anxiety (Grade 3)
• Physical General: Itching (Grade 3)
• Particular: Ringworm (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
• Itching
• Ringworm
• Constipation
• Profuse perspiration
• Increased appetite
• Desire for sour food
• Irritability
• Fear of failure
• Disturbed sleep

11. CONVERSION INTO REPERTORIAL RUBRICS

12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)

13. MIASMATIC INTERPRETATION

Dominant Miasm: Psora-Sycotic

14. FINAL STEPS

• Provisional Diagnosis: Chronic Ringworm
• Differentiation of Remedies: Sepia is selected over Sulphur due to its strong covering of anxiety, itching, and ringworm, along with its correspondence to the patient's introverted nature and fear of failure.
• Selection of Remedy (Materia Medica): Sepia matches the deep constitutional picture of the patient, including anxiety, fear, and skin symptoms (Ref: Allen’s Keynotes, Boericke).
• Selection of Potency: 200C (Chronic deep-seated case, sensitive constitution)
• Actual Prescription:
  • Sepia 200C — single dose
  • Placebo — 4 pills twice a day for 2 weeks

15. FOLLOW-UP'S TABLE