Ulcerative Colitis

Ulcerative Colitis

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 and tight deadlines]
• 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 recurrent respiratory infections, allergic rhinitis, and tonsillitis.
• Family History: Strong history of autoimmune diseases (mother with rheumatoid arthritis, father with type 1 diabetes).
• Developmental Landmarks: All milestones were reached at the appropriate age.

4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)

A. Physical Characteristics

• Appetite: Increased, especially for spicy food +++
• Desires: Spicy food +++, sweets ++
• Aversions: Milk and milk products
• Thirst: Moderate
• Elimination:
  • Urine: Normal
  • Stool: Diarrhea, bloody
  • Perspiration: Increased on palms and soles
• Sleep: Disturbed, wakes up frequently due to abdominal pain
• Thermal State: Chilly, prefers warm weather

B. Reactions - Physical Factors

• Weather: <Summer, >Winter
• Position: <Lying on the back, >Lying on the side

5. MENTAL STATE (Psychodynamic & Life-Space)

• Nature: Perfectionistic, detail-oriented
• Anxiety: Generalized anxiety, fear of failure
• Fear: Fear of losing control, fear of disease
• Dreams: Recurrent dreams of being chased or losing control
• Other: Irritability, mood swings

6. PHYSICAL GENERAL EXAMINATION

• Wt: 60 kg | Ht: 170 cm | Temp: 98.6°F
• RR: 18/min | Pulse: 80 bpm | B.P.: 120/80 mmHg
• Face: Pale, anxious expression
• Tongue: Coated, with longitudinal fissures
• Nails: Brittle, with ridges
• Skin: Dry, with minor eruptions

7. SYSTEMIC EXAMINATION

• Gastrointestinal: Abdominal tenderness, bowel sounds increased
• CVS: Normal
• Respiratory: Normal
• GIT: Diarrhea, abdominal pain

8. ANALYSIS AND EVALUATION OF SYMPTOMS

• Mental General: Anxiety (Grade 3)
• Physical General: Diarrhea, abdominal pain (Grade 3)
• Particular: Bloody stools, painful defecation (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
• Fear of losing control
• Diarrhea
• Abdominal pain
• Bloody stools
• Painful defecation
• Irritability
• Perfectionistic nature
• Increased appetite for spicy food
• Aversion to milk

11. CONVERSION INTO REPERTORIAL RUBRICS

12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)

13. MIASMATIC INTERPRETATION

Dominant Miasm: Psora-Sycotic

14. FINAL STEPS

• Provisional Diagnosis: Chronic Ulcerative Colitis
• Differentiation of Remedies: Argentum nitricum covers more rubrics and is known for its effectiveness in anxiety and gastrointestinal symptoms.
• Selection of Remedy (Materia Medica): Argentum nitricum matches the deep constitutional picture of the patient, including anxiety, fear, and gastrointestinal symptoms (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 4 weeks

15. FOLLOW-UP'S TABLE