|1. Nose– Mucous Membrane||Irritation||A/F cold breeze2+|
|Onset: Since 5 to 6 months||Sneezing2+||
|Duration: 10 Mins||
Coryza2+ thin to thick discharge
Frequency: Daily 4- 5 times
Perspiration: General; Partial- Tip of Nose, no odor
Appetite and Hunger: Normal
Cravings: Spicy3+, Junk Food2+
Stool: Unsatisfactory, Consistency: Normal, Urge: Normal
Sleep: Initially difficulty to sleep, afterwards sleeps normally; alert
Dreams: No dreams
Ailments from: Getting wet leads to coryza
Menarche: Not yet established
Thermal State: Chilly
||Cause||Exposure to Cold|
Nasal mucous membrane irritation
Coryza: Thin to thick discharge
O/E- Nose: Nasal congestion
|Predisposing Factors||Heredity: Mother: Allergic Rhinitis|
- Fundamental Miasm: Tubercular
- Dominant Miasm: Tubercular
|Rubrics||Classification & Evaluation of Symptoms|
|Mind, A/F Mental Exertion||Qualified Mental Causative Modality|
|Mind, A/F Physical Exertion||Qualified Physical Causative Modality|
|Mind, A/F Exposure to Cold||Qualified Causative Modality|
|Mind, Fearsome||Characteristic Mental Emotional Symptom|
|Mind, Indolent||Characteristic Mental Behavioural Symptom|
|Mind, Desires to Travel||Characteristic Mental Emotional Symptom|
|Generalities, Thermal State Chilly||Characteristic Physical General|
|Generalities, Cravings: Spicy3+||Characteristic Physical General|
|Generalities, Cravings: Junk Food2+||Characteristic Physical General|
|Generalities, Aversion: Sweets2+||Characteristic Physical General|
|Generalities, Sleep, Alert||Characteristic Physical General|
|Generalities, Stools UnsatisfactoryGeneralities, Stools Unsatisfactory||Characteristic Physical General|
|Perspiration, Partial, Tip of nose||Characteristic Physical General|
|Chilly||Totality & Symptoms Covered||Hot||Totality & Symptoms Covered|
|Date||Follow Up||On Examination||Action|
Patient reported after 3 months. In these 3 months (20/06/12 – 17/09/12) patient had no coryza, sneezing or any other complaint.
Now since 4 days due to exposure to cold for 3-4 hrs, she has coryza- watery discharge1+, sneezing2+ paroxysmal. Mild throat irritation.
Once she had mild fever; she took Tab Levocetrizine (Antihis-taminic) 1 tablet which gave temporary relief.
Nose- Congestion of Mucous Membrane
S/E: R/S- Clear
Sabadilla 200 3 pills
Qds x 3 days
(After 3 days of completion of acute treatment)
Calcarea phosphorica 200 1Dose HS
Appetite and thirst is normal.
Disease: Acute exacerbation of chronic disease
Totality for Acute Prescribing:
A/F Exposure to Cold
Inflammation of nasal mucous membrane
Watery nasal discharge
Sulphur: 9/4(Hot), Calcarea carbonica: 8/4, Natrum muri-aticum: 8/4 (Deep Acting), Nux vomica: 8/4, Phos-phorus: 8/4 Rhus Tox: 8/4, Sabadilla: 8/4 – Considering its functional pathology and the expression of disease.
|Placebo Pills TDS x 7 Days|
Earlier acute episode relieved with Sabadilla.
Last week had one acute episode of coryza and sneezing which lasted for one day and was >3+ on its own. any Antihistaminic not taken
Body is able to come out of acute condition without the need of acute remedy i.e.
S/E: R/S- Clear
Tuberculinum 1M single dose at bedtime
Calcarea phosphorica 200 1Dose HS Placebo Pills
|improved immunity against cold.||TDS x 7 Days|
Recurrence of acute episode and considering the miasmatic load, need of prescribing antimiasmatic remedy to enhance immunological response to
disease producing stimuli and to
reduce the recurrence of disease.
|24/11/12||Occasional coryza. No other complaints.||
Afebrile, P- 78/min
S/E: R/S- Clear
Calcarea phosphorica 200 1 Dose HS
Placebo Pills TDS x 7 Days
|02/01/13||No complaints in 3 months. Not even a single episode of coryza occurred.||
P- 78/min, Nose- Normal, Throat- NAD
- Bhargava et al., 1998. Short Textbook of ENT Diseases, 4th ed. Usha Publications, Mumbai, India
- Boger Boenninghausen’s, 2012. Characteristics Materia Medica & Repertory with Word Index, 37th ed., B. Jain Publishers, New Delhi, India.
- Tiwari, 2012. Essentials of Repertorization, 5th ed. B. Jain Publishers, New Delhi, India
- Boericke William, 1999. Pocket Manual of Homoeopathic Materia Medica, 9th ed. Modern Homoeopathic Publication, Calcutta, India
- Radar 10 Software.