A PROJECT ON

SUBMITTED to Himachal Pradesh university

(H.P.U)
IN PARTIAL FULFILLMENT FOR THE AWARD OF
DEGREE OF
BACHELOR OF HOMOEOPATHIC MEDICINE AND SURGERY
(B.H.M.S)

SUBMITTED BY
TERESA THAIDI A KHAILAH
SESSION: 2015-2021
UNIVERSITY REGISTRATION NUMBER:
15- SHMCH- 69
UNDER THE SUPERVISION OF
DR. VIRENDRA SINGH KHICEE
(DEPARTMENT OF SURGERY)

SOLAN HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITALBAROG BYPASS, KUMARHATTI,

DISTRICT SOLAN (HP) 173229
 Barog bypass, Kumarhatti – 173229, District- Solan (HP)
Ph: 01792-266741, 266742 Fax :01792-266743

Website: www.solanhomoeocollege.in Email: shmchsolan@hotmail.com

CERTIFICATE FROM THE PRINCIPAL

It is to certify that the project entitled “CHRONIC OBSTRUCTIVE PULMONARY DIESEASE” is

carried out by Teresa Thaidi A Khailah during her internship from 20.04.2021 to 20.04.2022
as partial fulfillment for the award of degree B.H.M.S (Bachelor of Homoeopathic Medicine
and Surgery) by Himachal Pradesh University, Shimla, under supervision of Dr. Virendra
Singh Khichee.

I recommend this project for the said degree to the university.

(Dr. Pawan Dviwedi)

PRINCIPAL
 Barog bypass, Kumarhatti – 173229, district solan (HP)
Ph: 01792-266741, 266742 Fax: 01792- 266743
Website: www.solanhomoeocollege.in Email: shmchsolan@hotmail.com

CERTIFICATE FROM THE SUPERVISOR

This is to certify that the project entitled “CHRONIC OBSTRUCTIVE PULMONARY DIESEASE”
has been prepared by Teresa Thaidi A Khailah under my supervision and guidance in partial
fulfillment of the regulation for the award of degree of B.H.M.S (Bachelor of Homoeopathic
Medicine and Surgery).

Her approach to the subject has been sincere and analytical. I recommend this work to
Himachal Pradesh University, Shimla, for the award of degree.

Place: Solan Dr. Virendra Singh Khichee

Date: Department of surgery

At most of all my gratitude goes to Almighty God who gave me good health and strengthens
me a great knowledge. I would like to thank my Family who has always been a pillar of
support in every possible sense.

I am very much thankful to ER. Roshan Lal Jindal, chairman, Solan Homeopathic Medical
College and hospital and Dr. Pawan Dwivedi, Principal S.H.M.C.H for their guidance and
continuous support. I am greatly indebted to them as they have been a constant source of
inspiration and knowledge

I am greatly honoured to thank my supervisor Dr. Virender Singh Khichee. His guidance and
help are the outmost idea for the fulfilment of this project.

Finally, I thank all those unseen and unmentioned personalities or event whom I could not
mention in person but who are source of the brain waves that have inspired me.

Teresa Thaidi A Khailah

Class roll no.- 1570
Registration no:15- SHMCH- 69
Session 2015-2021
SL. TOPICS PAGE NO.
NO.

1. About homoeopathy 1-3

2. Introduction 5

3. Definition 6-9
i. Chronic Bronchitis
ii. Emphysema
10 -11
4. Pathogenesis
12
5. Etiology
12
6. Clinical features
13
7. Special Investigation
14
8. Differential diagnosis
15
9. Complications
15
10. Management

Homoeopathic Treatment 16 - 17
11.
Bibliography 18
12.
In the late 1700s Dr. Christian Fredrick Samuel Hahnemann, a physician, chemist and linguist in
German, proposed a new approach to treating illness. This was at a time when the most common
medical treatments were harsh, such as bloodletting, purging, blistering and the use of sulphur and
mercury. At the time there were few effective medications for treating patients and knowledge about
their effects was limited.

Dr. Hahnemann was interested in developing a less threatening approach to medicine. The first
major step reportedly was when he was translating Cullen’s Materia medica and read about the
treatment (Cinchona bark) used to cure malaria. He took some cinchona bark and observed that, as a
healthy person, he developed symptoms that were very similar to malaria.

This led Dr. Hahnemann to consider that a substance may create symptoms that it can also relieve.
This concept is called the “Similia principle” that is “Similia similibus curentur” or “like cures like”.
The similia principle had a prior history in medicine, from Hippocrates in ancient Greece who noted,
for example, that recurrent vomiting could be treated with an emetic (such as Ipecacuanha) that
would be expected to make it worse to contemporary medicine.

Another way to view “like cures like” is that symptoms are part of the body’s attempt to heal itself,
for example, a fever can develop as a result of an immune response to an infection and a cough may
heal to eliminate mucus and medication may be given to support this self-healing response.

Dr. Hahnemann tested single, pure substances on him and in more dilute forms on healthy
volunteers. He kept meticulous records of his experiments and participants responses and he
combined these observations with information from clinical practice the known uses of herbs and
other medicinal substances and toxicology, eventually treating the sick and developing
homoeopathic clinical practice.

1
Dr. Hahnemann added two additional elements to homoeopathy:

1. “Potentization”: This holds that systematically diluting a substance, with vigorous shaking at
each step of dilution, makes the remedy more effective by extracting the vital essence of the
substance. If dilution continues to a point where the substance’s molecules are gone.
Homoeopathy holds that the “memory” of them, that is, the effects they exerted on the
surrounding water molecules may still be therapeutic.

2. “Individualisation”: a concept that treatment should be selected based upon a total picture of an
individual and his symptoms, not solely upon symptoms of disease. Homeopaths evaluate not
only a person’s physical symptoms but her emotions, mental states, lifestyles, nutrition and
other aspects. In homoeopathy, different people with the same symptoms may receive different
homoeopathic remedies.

An illness is treated with a medicine which could produce similar symptoms in a health person. The
active ingredients are given in a highly dilute form to avoid toxicity which means that homoeopathic
remedies are extremely safe.

Homoeopathy is successful in treating a wide range of conditions even after conventional medicine
has failed. In many instances homoeopathy can use alongside the conventional medicine to reduce
the side effects and therapeutic dose of conventional medicines.

Homoeopathy also has particular value in the treatment of chronic conditions that do not respond
well to conventional treatments such as eczema, arthritis and premenstrual symptoms.

The homoeopathic principles formulated by Dr. Hahnemann still holds true although psoααra,
syphilis and sycosis has travelled the distance of about 200 years to reach the present day to
denature invariably every body’s vital force (the site of action for cure in homoeopathy).

Now, more than a century and a half has passed after Dr. Hahnemann’s death yet there has been no
one who can even be a pale image of this colossus. Such was his greatness, but that should not stop us
from trying to emulate him, as in the process we may be able to follow him.

2
Let us engage ourselves in the pursuit of Dr. Hahnemann’s vision – “the physician’s high and
only mission is to restore the sick to health, to cure, as it is termed” and we can be sure that
homoeopathy has a lot to offer to us to the patients and to the society at large.

Let us pledge to exert, try and sweat in the pursuit of lofty ideals of Dr. Hahnemann with utmost
earnestness and without deviating even slightly from the principles he espoused and lived till
the very end.

With this firm belief that the time has come for homoeopathy to find its due place as a system of
medicine for the welfare of the society, we, at solan homoeopathic medical college & hospital
surge forward with all our might by adhering to the noble principles our master has laid down.

3
Chronic
obstructive pulmonary
disease

4
COPD is defined as a preventable and treatable disease characterized by persistent airflow
limitation that is usually progressive and associated with an enhanced chronic inflammatory
response in the airway and the lung to noxious particles or gases.

 Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of death
worldwide, causing 3.23 million deaths in 2019.

 Over 80% of these deaths occurred in low- and middle-income countries (LMIC).

 COPD causes persistent and progressive respiratory symptoms, including difficulty in

breathing, cough and/or phlegm production.

 COPD results from long-term exposure to harmful gases and particles combined with
individual factors, including events which influence lung growth in childhood and
genetics.

 Environmental exposure to tobacco smoke, indoor air pollution, and occupational dusts,
fumes, and chemicals are important risk factors for COPD.

 Early diagnosis and treatment, including smoking cessation support, is needed to slow
the progression of symptoms and reduce flare-ups.

5
Fig. 1: COPD causes and symptoms.

6
 COPD is defined as a preventable and treatable disease characterized by persistent airflow
limitation that is usually progressive and associated with enhanced chronic inflammatory response in
the airway and the lungs to noxious particles and gases.
It is also a chronic obstruction to the airflow of air either due to the CHRONIC BRONCHITIS and
EMPHYSEMA.

1) CHRONIC BRONCHITIS:

It may be defined as a disease characterized by cough and sputum for at least 3 consecutive
months in a year for more than 2 successive years. It is also referred as BLUE BLOATERS.

Causes:-

 smoking
 atmospheric pollution
 common in 30-40 years
 infection
 occupation
 familial and genetic abnormalities

Types of chronic bronchitis:

 simple chronic bronchitis

 chronic recurrent mucopurulent bronchitis
 chronic obstructive bronchitis
 chronic asthmatic bronchitis

Clinical features:

 frequent cough with sputum

 wheezing
 Shortness of breath
 Tightness of chest

7
2) EMPHYSEMA:
Emphysema is defined as a lung condition that causes of shortness due to mainly of smoking that
involves damage to walls of air sacs (alveoli) of the lung. It is also as a PINK PUFFER

Causes:

 Smoking
 Common above 50 years

Clinical Features:

 Shortness of breath
 Chest tightness
 Cough with mucus
 Coughing and wheezing

8
Fig. 2 :- Comparition between chronic bronchitis and emphysema

9
 PATHOGENESIS

The presence of airflow limitation limitation combined with premature airway closure leads to gas
trapping and hyperinflation,adversely affecting pulmonary and chest walls compliance pulmonary
hyperinflation also results which flattened the diaphragmatic muscles and leads to an increasingly
horizontal alignment of the intercostal muscles,placing the respiratory muscles at a mechanical
disadvantages.The work of breathing is therefore markly increased first on exercise when time for
expiration is furthur shortened but then as the disease advance at risk .

COPD arises from environmental exposures, particularly cigeratte smoking. Both emphephysena
and chronic bronchitis arises from similar pathogenic mechanism.

EMPHYSEMA:

Smoking causes inflamation in the airways. Neutrophilis and other immune cells are recruited
to the small airways, releasing proteases and oxidetative species. Neutrophil elastase breakes
down eslatine fibers that normally contributes to the elastics recoil during experation.

α-1 Antitrypsin is a protease inhibitor that keeps elastase activity in check,

α-1 Antitrypsin is the best known genetic predisposition to emphysema especially in smokers
with the genetic disorder.

CHRONIC BRONCHITIS:

Inflammation from smoke exposure also causes fibrosis of the bronchiolar walls, mucus
hypersecrection,airway edeama and bronchoconstriction. This features make up the small
airway diesease component of COPD known as Chronic Bronchitis.

10
Fig. 3 : Pathogenesis of COPD

11
 ETIOLOGY

 Tabacco smoking

 Indoor air pollution

 Occupation exposure

 Low birth weight

 Infections

 Low socioeconomic status

 Cannabis smoking

 Airway-hyper reactivity

 Genetic failure

CLINICAL FEATURES

 Common in people over the age of 40.

 Breathlessness.

 “Smokers cough” which is associated with cough and sputum production are usually 1st

symptoms of COPD.

 Fever with aggravation of cough , sputum with purulent character.

 Chest tightness.

12
 SPECIAL INVESTIGATION

 Blood count is usually normal or may show leukocytosis in presence of acute infection.

Polycythemia may develop in long standing cases.

 Chest X-ray.

 CT Scan

 Bacteriological culture of sputum

Most common are:

i. Human Influenza

ii. Pneumococcus

iii. Streptococcus

iv. Staphylococci

v. Pneumoniae

vi. Morexella catarrhalis

 ECG may show evidence of right ventricular hypertrophy supraventricular and ventricular

arrhythmia.

13
 DIFFERENTIAL DIAGNOSIS

1) Pulmonary tuberculosis: - There may be evening rise of temperature, progressive

emaciation after haemoptysis sputum shows acid fast bacilli and skiagram of chest shows

variable amount of infiltration with or without cavitation.

2) Bronchiectasis: - Here patients will have profuse purulent sputum related to change of

posture. Clubbing is present. Clinical signs are basal and usually bilateral.

3) Bronchogenic carcinoma: - The patient is usually middle aged male having history of heavy

smoking and haemoptysis. Clubbing is present.

4) Mitral stenosis: - Here the cardiac findings will be obvious and lung findings are secondary.

14
 COMPLICATION

1) Emphysema

2) Bronchiolar spasm

3) Bronchiectasis

4) Fibrosis of lungs

5) Right heart failure

6) Hernia in different sites

7) Haemoptysis

MANAGEMENT

1) Smoking should be avoided.

2) Control of air pollution in urban or industrial areas should be done by law.

3) Steam inhalation or hot drink helps to liquefy the sputum which may be coughed out easily.

4) Oxygen therapy.

15
 HOMOEOPATHIC REMEDIES FOR COPD

1) Pulsatilla: -

 Tightness of chest.

 Dyspnea when lying on left side.

 Suffocation in the evening and during the night.

 Loud rattling in the chest when lying.

 Expectoration of copious, thick yellow greenish or bloody mucus, salty and offensive.

 Dry, teary cough and dyspnea, wants the windows open and aggravated by lying down.

2) Phosphorus: -

 Tightness across the chest, great weight on the chest.

 Sharp stich in the chest, respiration quickened, oppressed, much often in the chest.

 Pain in the throat on coughing.

 Worse, when lying on left side.

3) Bryonia: -

 It is a wonderful remedy in homeopathy treatment for COPD in patient who have dry

cracking cough with colored sputum.

 Cough dry as if coming from the stomach with the stiches pain inside the chest.

4) Rumex: -

 It is useful in homeopathic treatment for COPD in patients who have dry teasing cough
initially followed by stringy cough, complain increase on talking, by pressure and taking in
cold air.

16
5) Calcarea carb: -

 It is a leuco-phlegmatic constitution.

 Patients take cold easily.

 Patients look fat or very thin.

 Ice-cold feet, wants to wear socks yet wants to uncover when warm.

 Dyspnea worsens by ascending excertion.

17
 BIBLIOGRAPHY

1. Davidson’s Principle and Practice of Medicine.

2. Text book of Medicine by P.C. Das and P.K. Das, 6th edition.

3. Text book of Practice of Medicine with Homoeopathic Therapeutics by Kamal Kansal.

4. Text book of Pathology by Harsh Mohan, 7th edition.

5. Essentials of Medical Physiology by K. Sembulingam and P. Sembulingam

6. Allen’s Keynotes by H.C. Allen, 10th edition.

7. Text book of Materia Medica by Dr. S.K. Dubey.

8. Organon of medicine by Samuel Hahnemann.

9. A treatise on organon of medicine, part 1.

10. www.wikipedia.org

18
 CASE NO: 1

Name of the patient: Lalnunmawia

Age: 30years

Sex: Male

Address: Bungkawn

Occupation: Businessman

Date of first visit: 15/12/2021

CHIEF COMPLAINTS:

The patient presents with a complaint of cough since 4 years with expectorations and difficulty in
breathing.

HISTORY OF PRESENTING COMPLAIN

Onset-gradual since 4 years

Character-denacious,greenish discolouration of expectoration.

Modalities:-

Aggravation-at night and open air

Amelioration-sitting.

Patient also complaint of difficulty in breathing with cough.

He took allopathy medecine but not relief

19
PAST HISTORY
5 years of age-Tuberculosis

7 years of age-Malaria

15 years of age-Jaundice

FAMILY HISTORY
1. Father: died due to heart attack

2. Mother: diabetes

PERSONAL AND SOCIAL HISTORY

Marital status: married
Number of children: 1
Addiction: alcohol consumption
Habits: smoking
Diet: non-vegetarian
Surrounding at home: congenial

PHYSICAL GENERALS:
Desires: fish and sour things
Aversion: nothing specific
Thirst:
Quantity of water taken - 4-5 glass of water/day.
Nature of water taken - Prefers chilled water
Frequency - at small intervals
Appetite: Decreased,2 meals per day
Thermal reaction: chilly patient, he likes summer

20
Sleep:
Nature of sleep – deep sleep
Time of falling asleep - late night
Sleep position – laterally
Salivation and startling -

Dreams: not specific

Perspiration:
Quantity- Scanty
Parts- forehead, face
Stain-
Odour- offensive

Urine: 5-6 times per day

Stool: Twice a day

Bathing: every day with cold water.

Clothing: loose clothing.

General modalities:
Aggravation – at night, open air, after eating
Amelioration – rest and by sitting

MENTAL GENERALS:

1) Anger-he gets angry easily, trivial thing or situation ignite his anger. He is easily irritated by
people around him.
2) He does not like being consoled, he gets more angry and therefore want to be alone
3) He does not like contradiction, he will say what he wants to and whatever is in his mind, does not
care if a person gets hurt or not by his action.

21
PHYSICAL GENERALS

Build: tall, thin

Nutrition: poor

Anaemia: NAD

Pallor: NAD

Jaundice: NAD

Cyanosis: NAD

Pigmentation: absent

Clubbing: absent

Oedema: absent

Lymphadenopathy: absent

Pulse: 70 beats per minute

Temperature: 99oF

Respiration: 16 per minute

Blood pressure: 130/88 mmHg

PARTICULAR PHYSICAL EXAMINATION

RESPIRATORY- 1)Inspection-No edema, symmetrical chest movement

2)Palpation-Respiratory movement restricted on left chest
3)Percussion-Liver dullness at right 5th,7th and 9th ICS
4)Auscultation- Hyperresonance on right side of chest

22
LABORATORY INVESTIGATIONS

X-Ray Chest
CBC with ESR Test

DIAGNOSIS:

Post TB lower respiratory tract infection

TOTALITY OF SYMPTOMS

1. In anger he vents out whatever comes in his mind

2. Hunger and thirst is reduced
3. Cough with expectoration for a long time
4. Expectoration is tenacious and greenish in colour
5. aggravation by night, after eating
6. amelioration by sitting

ANALYSIS OF SYMPTOMS FOR REPERTORIZATION

MENTAL GENERALS
1. Gets angry easily
2. Vents out easily
3. Does not like consolidation

PHYSICAL GENERALS
1. Thirst and appetite is reduced
2. aggravated by night and eating after
3. ameliorated by sitting

PHYSICAL PARTICULARS
1. Tenacious expectoration
2. reduced appetite

23
CONVERSION OF SYMPTOMS AND SIGNS INTO RUBRICS:

No. SYMPTOMS CHAPTER RUBRICS SUB RUBRICS PAGES

1. Vents out in anger MIND Forgetfulness 18

2. Reduced appetite STOMACH Hunger thirst Loss of appetite 65

Cough with Expectoration
3. expectoration RESPIRATO- Cough 115
RY
4. Tenacious Expectoration
expectoration RESPIRATO- Cough 117
5. Greenish RY Expectoration
expectoration RESPIRATORY Cough 118
6. Aggravated by AGGRAVATIO After
night N Night 270
Ameliorated by AMELIORATIO
7. sitting N Sitting 314
Aggravates by AGGRAVATIO after
8. eating N eating 278

REPERTORIAL ANALYSIS:
Pulsatilla-33/7
Phosphorus-29/7
Arsenic-28/7
Sepia-28/6

FINAL DRUG SELECTION WITH REASON:

Pulsatilla, It covers most of the case following BTBP repertory

TREATMENT:

Pulsatilla 200x 1 dose

24
 DIET AND MANAGEMENT

1.Avoid chilled water

2. Drink lukewarm water
3. Take low-fat, high-protein foods, such as fish, poultry and lean meats
4. Wear mask when going out

FOLLOW UP SHEET:

DATE SYMPTOMS PRESCRIPTION

20.12.21 Cough still persist but PLO 200 for 2 weeks
expectoration reduced

30.12.21 Reduced expectoration

25
 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
Abies c. cact
Abies n calad
Abrot Calc ars
Acal. calc
Acet ac Calc f
acon Calc I
Act sp Calc p
aesc Calc s
aeth camph
agar Cann i
agn Cann s
All c canth
All s caps
alum Carb an
aloe Carb v
ambr Card m
Am c caust
anac cedr
anthr chin
ant a cic
Ant c cimic
Ant t cina
apis cinch
Arg m clem
Arg mur cocc
Arg n coff
arn colch
Ars alb coloc
Ars m croc
asaf Crot h
aur cupr
Aur mur cycl
bapt dig
Bar c dios
Bar mur dros
bell dulc
Benz ac equis
Berb Eup per
bism euph
bor ferr
bov Ferr i
brom Ferr p
bryonia Fl ac
bufo glon

26
 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
graph Nux m
ham onos
hell opium
helon Ox ac
hydr pall
hyos petr
hyper Ph ac
ign phos
iod phyt
ip Pic ac
jab plat
Kali a plb
Kali ar psor
Kali bi puls
Kali br pyrog
Kali c rad
Kali p Ran b
kalm raph
kreos rat
Lac c rheum
Lac d rhod
lachesis Rhus t
led rumex
Lil t ruta
lob sabd
lyco sabin
lyss sanic
Mag c sel
Mag m sepia
Mag p silicea
malan spig
med spong
meli squil
merc Staph
Merc c stram
Merc d sulph
Merc s Sulp a
mez Sam n
mill sang
mosch sars
mur secale
naja stann
Nat a symp
Nat c syph
Nat m tab
Nat p tarax
Nat s Tarent
Nit ac Tare c
Nux v ter

27
 1 2 3 4 5 6 7 8 9 10
ther
thlasp
thuja
trill
tub
valer
vario
Verat al
Verat v
vib
vipera
Zinc met
Zinc sulp

28
 CASE NO: 2

Name of the patient: Vanlalnghaka

Age: 60years
Sex: Male
Address: kulikawn
Occupation: Government Servant
Date of first visit: 14/11/2021

CHIEF COMPLAINTS:
The patient presents with a complaint of cough since 4 years with difficulty in expectorations

HISTORY OF PRESENTING COMPLAINS:

Onset-gradual since 4 years

Character of cough-continuous with difficult thick white expectoration, there is slight pain in chest
with cough and perspiration over whole body on coughing
Modalities-aggravation- not specific
Amelioration-not specific
Patient also complaint of difficulty in breathing with cough for the last 4 years with the history of
smoking for the last 37 years but now he has stopped smoking for 6 months
He took allopathy medicine but not relief

PAST HISTORY:
Chronic cough and took allopathy treatment

FAMILY HISTORY:

1. Father: tuberculosis
2. Mother: diabetes

PERSONAL AND SOCIAL HISTORY

Marital status: married

Number of children: 4
Addiction: smoking
Habits: smoking
Diet: non-vegetarian
Surrounding at home: congenial
29
PHYSICAL GENERALS:

Desires: not specific

Aversion: nothing specific

Thirst: Decreased
Quantity of water taken - 4-5 glass of water/day.
Nature of water taken - Prefers normal water
Frequency – at long intervals

Appetite: Adequate,2 meals per day

Thermal reaction: chilly patient

Sleep:
Nature of sleep – Disturbed
Time of falling asleep –Sleeplessness due to cough
Sleep position – laterally
Salivation and startling –

Dreams: not specific

Perspiration:
Quantity- normal
Parts- generalised
Stain- yellowish
Odour- offensive
Urine: 5-6 times per day
Stool: Twice a day
Bathing: every day with cold water.
Clothing: prefer covering on summer

General modalities:
Aggravation – not specific
Amelioration – not specific

30
MENTAL GENERALS:

1) Talkative
2) He is very calm, composed and co operative
3) For last 3 years suffering from cough but he says he has never last hope for recovery. He feels
positive about himself for his disease and recovery.

PHYSICAL GENERALS:

Build: strong and healthy

Nutrition: proper
Anaemia: NAD

Pallor: NAD

Jaundice: NAD

Cyanosis: NAD

Pigmentation: absent

Clubbing: absent

Oedema: absent

Lymphadenopathy: absent

Pulse: 70 beats per minute

Temperature: 99oF

Respiration: 16 per minute

Blood pressure: 130/88 mmHg

31
PARTICULAR PHYSICAL EXAMINATION:

RESPIRATORY- 1) Inspection-barrel shaped chest

2) Palpation-Respiratory movement bilaterally
3) Percussion-hyperresonant sound
4) Auscultation-Crepitation fine crackles over the base of lung
-wheezing present

LABORATORY INVESTIGATIONS:

X-Ray Chest
CBC with ESR Test

DIAGNOSIS:

Emphysema

TOTALITY OF SYMPTOMS:
1. Hopeful about future and recovery
2. Calm and cooperative
3. Talkative
4.sleep disturbed due to cough
5.Offensive perspiration
6.Difficult expectoration

ANALYSIS OF SYMPTOMS FOR REPERTORIZATION:

MENTAL GENERALS

1.hopeful about future and recovery

2.calm and cooperative
3.talkative

PHYSICAL GENERALS

1. Disturbed sleep due to cough

2. Offensive perspiration
3. Cough with perspiration

PHYSICAL PARTICULARS

1. Constant cough
2.expectoration is white, thick and difficult
32
CONVERSION OF SYMPTOMS AND SIGNS INTO RUBRICS:

No. SYMPTOMS CHAPTER RUBRICS SUB RUBRICS PAGES

1. Hopeful for MIND hopeful 52

recovery
2. Talkative MIND Loquacity 63

3. Calm and MIND Tranquility 81

cooperative
4. Constant cough COUGH cough constant 784

5. Sleep disturbed COUGH Cough Sleep disturbing 804

due to cough
6. Difficult EXPECTORATI Difficult 815
expectoration ON

7. Thick EXPECTORATI Thick 819

expectoration ON
8. White EXPECTORATI White 820
expectoration ON
9. Perspiration GENERALITIE Perspiration Coughing from 1296
during cough S
10. Sweat is offensive GENERALITIE Perspiration Odor ,offensive 1298
and smell like S
rotten thing

33
 REPERTORIAL ANALYSIS:
Phosphorus-16/9
Arsenic album-14/8
Lycopoduim-14/7
Ferrum Met.-10/7

FINAL DRUG SELECTION WITH REASON:

Phosphorus, It covers most of the case.

TREATMENT:

Phosphorus 200 x1 dose

DIET AND MANAGEMENT

1. Avoid smoking
2. Regular breathing exercise
3. Reduce exposure to smoke from cooking and heating fuels.
4. Wear mask when exposure to outside

FOLLOW UP SHEET:

DATE SYMPTOMS PRESCRIPTION

26.11.21 Easy expectoration with no PLO 200 for 1week
change in cough

5.12.21 Decrease frequency of cough PLO 30 TDS x 2 weeks

with loose expectoration

34
 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
Abies c. cact
Abies n calad
Abrot Calc ars
Acal. calc
Acet ac Calc f
acon Calc I
Act sp Calc p
aesc Calc s
aeth camph
agar Cann i
agn Cann s
All c canth
All s caps
alum Carb an
aloe Carb v
ambr Card m
Am c caust
anac cedr
anthr chin
ant a cic
Ant c cimic
Ant t cina
apis cinch
Arg m clem
Arg mur cocc
Arg n coff
arn colch
Ars alb coloc
Ars m croc
asaf Crot h
aur cupr
Aur mur cycl
bapt dig
Bar c dios
Bar mur dros
bell dulc
Benz ac equis
Berb Eup per
bism euph
bor ferr
bov Ferr i
brom Ferr p
bryonia Fl ac
bufo glon

35
 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
graph Nux m
ham onos
hell opium
helon Ox ac
hydr pall
hyos petr
hyper Ph ac
ign phos
iod phyt
ip Pic ac
jab plat
Kali a plb
Kali ar psor
Kali bi puls
Kali br pyrog
Kali c rad
Kali p Ran b
kalm raph
kreos rat
Lac c rheum
Lac d rhod
lachesis Rhus t
led rumex
Lil t ruta
lob sabd
lyco sabin
lyss sanic
Mag c sel
Mag m sepia
Mag p silicea
malan spig
med spong
meli squil
merc Staph
Merc c stram
Merc d sulph
Merc s Sulp a
mez Sam n
mill sang
mosch sars
mur secale
naja stann
Nat a symp
Nat c syph
Nat m tab
Nat p tarax
Nat s Tarent
Nit ac Tare c
Nux v ter

36
 1 2 3 4 5 6 7 8 9 10
ther
thlasp
thuja
trill
tub
valer
vario
Verat al
Verat v
vib
vipera
Zinc met
Zinc sulp

37