1

Dr. (Mrs.) Arpana Pareek

Reader, Dept Of Repertory
Smt. KBAHMC, Chandwad
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 Case Proforma
 Preliminary data
 Chief complaint
 H/O Chief Complaint
 Past History
 Family History
 Personal History
 Mentals/Life Space Investigation
 Physical Examination
 Local/Systemic Examination
 Differential diagnosis
 Investigations
 Nosological Diagnosis
 Miasmatic diagnosis
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 Case Processing
 Analysis
 Evaluation
 Synthesis or portrait building (Conceptual Image)
 Selection of repertory
 Repertorial totality
 PDF Points – Constitution, Miasm, Phase of disease, Thermals,
Diagnosis, side affinities (According to school of philosophy)
 Repertorial analysis (conversion of symptoms into rubrics)
 Spectrum of remedies
 PDF Process
 Differentiation (Sphere of action, Sensation as if, Rubrics not covered)
 Selection of Final remedy
 Administration of Remedy
 General Management
 Follow up
 Remedy Response
 Second Prescription
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 Preliminary Data
 Name: Sunil Chaudhary
 Age: 25 years
 Sex: Male
 Occupation: Student
 Religion: Hindu
 Address: Ojhar
 Marital Status: Unmarried

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 Chief Complaints
 Pain in throat 10-15 days
 Fever with chill 10-15 days

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 History of Chief Complaints
 Pain in throat 10-15 days
 Onset: Sudden
 Duration: 10-15 days

 Progress: Rapid

 Sensation as if throat is tightened with rope.

 Throat constriction

 Burning in throat with dryness

< on swallowing
 > cold drinks

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 Fever with chill 10-15 days
 Onset: Sudden
 Duration: 10-15 days

 Progress: Rapid

 Shivering type of chill on uncovered

part
 Heat, sudden rise of temperature

especially afternoon
 No sweating.
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 Past History

 Chicken pox when he was of 6 years

 No any major illness like DM, TB or
Pneumonia

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 Family History

 No any major illness in family members like

Pneumonia, TB, DM, HT, Cancer etc

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 Personal History
 Food habit: Mixed
 Appetite: Decreased due to c/o because he was not
able to eat.
Swallowing is difficult otherwise appetite is normal
In morning takes tea
At Lunch 4-5 Chapatis and sabji
At Dinner 2-3 Chapatis and sabji + Dal + Chawal
 Desire – For sweets, at the time of meal he desires
for sweets ++
 Aversion: Butter

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 Food habit: Mixed
 Appetite: Decreased due to c/o because he was not
able to eat.
Swallowing is difficult otherwise appetite is normal
In morning takes tea
At Lunch 4-5 Chapatis and sabji
At Dinner 2-3 Chapatis and sabji+Dal+Chawal
 Desire – For sweets, at the time of meal he desires
for sweets ++
 Aversion: Butter
 Thirst: Decreased due to c/o otherwise 6-7
glasses/day
 Bowel: Once a day, stool yellow, semisolid, not
bloody
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 Micturition: 5-6 times/day
 Sleep: Disturbed due to c/o
 Dreams: Not remembered
 Thermals:
 Food: Hot food
 Open Air/cold/air: In open air, he feels better
 Season: Not specific
 In general no any special seasonal aggravation

Summer Winter
Bathing Warm water Hot Chilly
Fanning ++ No Patient
Covering Single Double
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 Mentals/LSI

 Angry during his complaints, became very

violent and throws things.
 Muttering during heat stage and thinks he is
suffering from severe disease.

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 Physical Examination
 Built: Average, fair complexion and tall
 Weight: 50 kg
 Height: 5’6”
 Pulse: 86/min
 BP: 120/80 mm of Hg
 RR: 16/min
 Pallor: Absent
 Temperature: 99.20 F

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 Cyanosis: Absent
 Icterus: Absent
 Oedema: Absent
 Lymphadenopathy: Absent
 Tongue: Pink and Moist

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 Local Examination
 Inspection: Redness and congestion in the
throat
 Palpation: No lymph node is palpable.
Tonsils are enlarged and palpable.

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Differential Diagnosis

Viral fever
Tonsillitis
URTI

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Investigations

PS for MP
PBS
ESR
CBP
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Nosological Diagnosis

Tonsillitis

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Miasmatic Diagnosis

Psora

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 Case Processing
 Analysis of Symptoms according to Kent:
 Angry during illness (MG)
 Became very violent and throws things (MG)
 Muttering during heat stage (MG)
 Appetite decreased since complaints (C)
 Sleep disturbed due to complaints (C)
 Thirst also decreased due to complaints (C)
 Desire for sweets (PG)
 Aversion to butter (PG)
 Thermally chilly patient (PG)
 Pain in throat (C)
 Fever with chill (PG)
 Burning in throat with dryness < swallowing > cold drinks (CP)
 Sensation as if throat is tied with rope (CP)
 Constriction in throat (CP)
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 Evaluation of Symptoms according to Kent:
 Generals
 MENTALS
 Angry during illness
 Became very violent and throws things
 Muttering during heat stage
 PHYSICAL
 Desire for sweets
 Aversion to butter
 Thermally chilly patient.
 Fever with chill

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 Common
 Pain in throat
 Appetite decreased since complaints

 Sleep disturbed due to complaints

 Thirst also decreased due to complaints

 Particular
 Burning in throat with dryness < swallowing > cold
drinks
 Sensation as if throat is tied with rope

 Constriction in throat

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 Synthesis with the totality of symptoms by
considering conceptual image and portrait
building:
 Acute phase of disease
 Psora miasm
 Diagnosis tonsillitis
 Thermally chilly patient
 Angry during illness
 Became very violent and throws things
 Muttering during heat stage
 Desire for sweets
 Aversion to butter
 Fever with chill
 Burning in throat with dryness < swallowing > cold drinks
 Sensation as if throat is tied with rope
 Constriction in throat
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 Conceptual Image – Repertorial
Totality
= Potential Differential field (PDF)

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Repertorial Totality PDF
Angry during illness Acute phase of disease
Became very violent and Psora miasm
throws things
Muttering during heat stage Diagnosis tonsillitis
Desire for sweets Thermally chilly patient

Aversion to butter

Fever with chill

Burning in throat with
dryness < swallowing >
cold drinks

Constriction in throat

Sensation as if throat is
tied with a rope www.similima.com 26
Selection of Repertory

Kent

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Repertorial Analysis

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Sr. Symptom Section Sub/ Page Differentiati
No Sub rubric No. on
1 Anger Mind Anger 2

2 Violent Mind Violent 91

3 Muttering Mind Delirium/muttering 19

4 Desire for sweets Stomach Desires, sweets 486

5 Aversion to butter Stomach Aversion, butter 480

6 Fever with chill Fever Chill, with 1284

7 Burning pain Throat Pain/Burning 460

8 Dryness Throat Dryness 450

9. < swallowing Throat Pain, burning, 461

swallowing, when
10. > cold drinks D

11. Constriction in Throat Constriction 467

throat
12. Sensation as if
throat is tied with a D
rope

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 Spectrum of Remedies
Sr . No Drug RV Sr . No Drug RV Sr . No Drug RV

1 Ars 18/10 11 CV 12/7 21 Verat 12/6

2 Lyc 18/8 12 Petr 11/7 22 KC 11/6

3 Nux 16/8 13 Bry 15/6 23 Lach 10/6

4 Merc 14/8 14 Sep 14/6 24 Graph 10/6

5 Sulph 19/7 15 RT 14/6 25 Chin 10/6

6 Bell 17/7 16 Hyos 14/6 26 Sabad 10/6

7 Stram 17/7 17 Acon 13/6 27 BC 9/6

8 Calc 15/7 18 Cham 13/6 28 Op 8/6

9 Phos 15/7 19 Hep 12/6 29 Chel 7/6

10 NM 14/7 20 Mez 12/6 30

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 Potential Differential field
Miasm Psora (Synthesis) Thermals –Chilly (KRHMM)

Diagnosis – Tonsillitis Acute phase of disease (BBCR)

(Murphy)

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 Differentiation
Symptom Aconite Belladonna Chamomilla

> Cold drinks

Sensation as if
throat is tied
with a rope

Sphere of action

Rubrics not
covered by the
remedy
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Selection of Final Remedy
Belladonna

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 Administration of Remedy
Belladonna 30 TDS for 3 days

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 General Management
1. Avoid cold drinks
2. Avoid wetting in rain
3. Avoid direct contact with fan
4. Maintain good hygiene

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 Follow up
Date Complaints Prescription

10/07/2010 c/o >1 Bella 200 Stat

SL for 3 days
14/07/2010 No complaints SL for 7 days

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Remedy Response

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Second Prescription

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