Dr. (MRS.) Arpana Pareek: Reader, Dept of Repertory Smt. KBAHMC, Chandwad
Dr. (MRS.) Arpana Pareek: Reader, Dept of Repertory Smt. KBAHMC, Chandwad
Dr. (MRS.) Arpana Pareek: Reader, Dept of Repertory Smt. KBAHMC, Chandwad
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Preliminary Data
Name: Mrs. Asha Patil
Age: 28 years
Sex: Female
Occupation: Housewife
Religion: Hindu
Address: Niphad
Marital Status: Married
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Chief Complaints
Coryza on and off since 4 years.
Swelling in the right nostril since
2 years.
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History of Chief Complaints
Coryza on and off since 4 years
Onset: Gradual
Duration: 4 years
Progress: Slow
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Swelling in the right nostril since 2 years
Onset: Gradual
Duration: 2 years
Progress: Slow
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Past History
Childhood:
All the milestones were normal.
No any major illness in childhood
No any history of tuberculosis, chicken pox,
measles, mumps, etc.
Adulthood:
H/O appendectomy at the age of 22 years.
H/O fracture right hand 8 years back.
Removal of wart from right side of neck by
cauterization
Cyst in the right ovary – treated
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Family History
Mother has Obsessive compulsive
neurosis and father has rheumatoid
arthritis.
She has only one brother who is healthy
and one sister who is having
hypothyroidism.
Husband is in good health.
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Personal History
Habits: Tea 3-4 times daily
Food habit: Veg
Appetite: Normal.
In morning takes only tea with two
biscuits
At Lunch 3 rotis, sabji and dal + chawal
At Dinner 3 Rotis + Sabji
Desire – Cold Drinks
Aversion: Not specific
Thirst: Less
Bowel: Once a day, No any complaint 8
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Micturition: 4-5 times in a a day
Perspiration: Normal
Sleep: Sound
Dreams: Not particular
Thermals:
Food: Hot food
Season: Summer
Summer Winter
Bathing Hot water Hot Chilly
Fanning + Patient
Covering Single
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Mentals/LSI
She was borne in a middle-class family. She was
the 1st child born to her parents. She has one
younger brother and one younger sister.
She is living in a small village near Niphad. The
area is very damp, near hills. There are lots of
congress grass which gives her trouble of sneezing.
She had done his schooling up to 10th after that
she had got married. The area was very too small
for her to adjust as she was living before marriage
in a big city.
Two months after marriage, she gradually started
her trouble of sneezing and since then she is
suffering from the same complaint.
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She has one son who is healthy.
IPR with in laws and husband are good.
She gets irritated sometimes due to her health
problem.
No any other incidence in the family which
troubled her otherwise family life is going on
smoothly.
Repeatedly she was saying that after her
marriage due to change in environment she got
this trouble because before she was living in a
dry area now the area in which she is living is
damp.
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Physical Examination
Built: Lean, thin, fair complexion with black
hairs.
Weight: 45 kg
Height: 5’1”
Pulse: 76/min
BP: 110/78 mm of Hg
RR: 14/min
Pallor: Absent
Temperature: 99.00 F
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Cyanosis: Absent
Icterus: Absent
Oedema: Absent
Lymphadenopathy: Cervical lymph node
enlarged
Tongue: Pink and moist
Nails: Pale
Pupils: Reacts to light
Hairs: Black
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Systemic Examination
Respiratory System: On inspection, in the
right nostril there is a big swelling.
Cardiovascular System: NAD
Central Nervous System: NAD
Alimentary System: NAD
Locomotor System: NAD
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Differential Diagnosis
Nasal polyp
Allergic Rhinitis
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Investigations
CBC
X-ray Paranasal Sinuses
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Nosological Diagnosis
Nasal Polyp
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Miasmatic Diagnosis
Sycosis
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Case Processing
Analysis of Symptoms according to Boger
Location Sensation Modalities Concomitants
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Evaluation of Symptoms according
to Boger:
1. Causative Modalities: Damp area
2. Other modalities: < Morning, > open air
3. Concomitants: Feverishness
4. Physical generals: Desire cold drinks,
Thirstless
5. Location and sensations: Swelling right
nostril with sneezing and crawling sensation
in the nose with acrid discharge
6. Clinical Rubrics: Nasal polyp
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Synthesis with the totality of symptoms by considering conceptual image and portrait
building:
Modalities
Living in damp area
< Morning
< in open air
Nose obstructed while lying on bed
Mind
Suspicious
Sensation
Crawling sensation with acrid discharge
Parts affected
Right nostril
Others:
Feverishness
Thirstless
Desire cold drinks
Chronic phase of disease
Miasm Sycosis
Diagnosis Nasal polyp
Chilly patient
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Right side affinity
Conceptual Image – Repertorial
Totality
= Potential Differential field (PDF)
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Repertorial Totality PDF
Living in damp area Chronic phase of disease
Sneezing in morning Sycotic miasm
> In open air Diagnosis Nasal Polyp
Feverishness Thermally chilly patient
Thirstless
Crawling sensation
Discharge acrid
Suspicious
BBCR
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Repertorial Analysis
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Sr. Symptom Section Sub/ Page Diff.
No Sub rubric No.
1 Living in damp area Agg and Damp, dwellings, 1112
Amel in beings in, agg
general
2 Sneezing in morning Coryza Time, Morning 385
3 > In open air Coryza Amelioration, air, 387
open
4 Feverishness Coryza Concomitants, 388
feverishness
5 Desire cold drinks Appetite Desire, cold food, 476
liquids, water etc.
6 Thirstless Thirst Thirstlessness 481
11. Suspicious D
1 11 21
2 12 22
3 13 23
4 14 24
5 15 25
6 16 26
7 17 27
8 18 28
9 19 29
10 20 30
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Potential Differential field
Chilly patient (Kent) Miasm –Sycosis (Synthesis)
Page No. XXX Page No. 1688
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Differentiation
Symptom Aconite Belladonna Chamomilla
Crawling
sensation in
right nostril
Suspicious
Sphere of action
Rubrics not
covered by the
remedy www.similima.com 29
Selection of Final Remedy
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Administration of Remedy
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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
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Remedy Response
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Second Prescription
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