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Dr. (Mrs.) Arpana

Pareek
Reader, Dept Of
Repertory
Smt. KBAHMC,
Chandwad
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PRELIMINARY DATA
 Name: Mr. Vishal Pawar
 Age: 45 years
 Sex: Male
 Occupation: Businessman
 Religion: Hindu
 Address: Raipur
 Marital Status: Married

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CHIEF COMPLAINTS
 Pain in left ear since 2 years
 Discharge from ear

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HISTORY OF CHIEF COMPLAINTS

 Pain in left ear
 Onset: Gradual
 Duration: 2 years
 Progress: Rapid
 Sensation pressing with burning and itching.
 < Lying of left side
 < after midnight
 > External pressure
 Sensation of cold water running out of ear
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 Discharge from ear

 Onset: Gradual
 Duration: 2 years
 Progress: Rapid

 Character: Purulent

 Modalities: Same as above

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PAST HISTORY

 Malaria 4 years back

 No any major illness like DM, TB or HT.

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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: No change
In morning takes tea
At Lunch 2-3 Chapatis and sabji + Dal +
Chawal
At Dinner 3-4 Chapatis and sabji
 Desire: Not specific
 Aversion: Not specific

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 Thirst: Increased since complaints started

 Bowel: Once a day, stool yellow, semisolid,
not bloody
 Urine: 3-4 times/day, Offensive since the
complaints started
 Sleep: Normal, Not disturbed
 Dreams: Not remembered

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 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
 LSI: Patient born in poor family. His father was
farmer. Patient is fourth child of his parents. He is
having 3 elder brothers and one younger brother.
 From childhood he is very dull and stubborn.
 Whenever he had done wrong he felt guilty and till
now after remembering those wrong deeds he feels
guilty.
 He was average in studies, he had done his SSC only
because his understanding power was not good.
 He gets angry on little things and his wife informed
that whenever he gets angry he does violence, breaks
the household things.
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PHYSICAL EXAMINATION

 Built: Good, whitish complexion and tall

 Weight: 65 kg
 Height: 5’4”
 Pulse: 76/min
 BP: 118/76 mm of Hg
 RR: 18/min
 Pallor: Absent
 Temperature: 980 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 left ear.
 Purulent discharge is seen.
 Palpation:
 Tenderness present.
 No lymph node is palpable.

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DIFFERENTIAL DIAGNOSIS

CSOM
Boil in the ear
Ruptured TM

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INVESTIGATIONS

Urine Routine

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NOSOLOGICAL DIAGNOSIS

CSOM

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MIASMATIC DIAGNOSIS

Syphilis

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CASE PROCESSING

 Analysis of Symptoms according to Boenninghausen:

Location Sensation Modalities Concomitants

Pain in Pressing < lying on Urine

left ear Itching painful side offensive
Burning < After Thirst

Purulent midnight increased

discharge > Pressure
external

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 Evaluation of Symptoms according to
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Boenninghausen:
 Agg lying on painful side
 Agg after midnight
 Amel external pressure
 Pain in left ear
 Pressing, itching and burning type of
sensation with purulent discharge
 Urine offensive
 Thirst increased
 Destructive
 Sensation of cold water running out of ear 20
 Synthesis with the totality of symptoms by www.similima.com

considering conceptual image and portrait

building:
 Constitution nervous
 Chronic phase of disease
 Diagnosis CSOM
 Pain in left ear
 Pressing, itching and burning sensation with purulent discharge
 < Lying on painful side
 < After midnight
 > Pressure external
 Urine offensive
 Thirst increased
 Thermally chilly patient
 Miasm syphilis
 Destructive
 Sensation as if cold water is running out of ear

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Repertorial Totality PDF

Pain if left ear Constitution - Nervous

Pressing type of pain
Burning in the ear
Itching in the ear
Purulent discharge from ear
< Lying on painful side
Chronic phase of disease
Syphilis miasm
Diagnosis CSOM
Thermally chilly patient

< after midnight

> External pressure

Thirst increased
Urine offensive

Sensation as if cold water is

running out of ear 22
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SELECTION OF REPERTORY

BTPB

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Repertorial Analysis

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Sr. Symptom Section Sub/
www.similima.com Page Differenti
No Sub rubric No. ation

1 Pain in left ear Ear Left 42

2 Pain pressing Sensation Pressing 173

internally
3 Itching Sensation Itching internally 165

4 Burning Sensation Burning 147

Internally
5 Purulent discharge Ear Discharges from 41
from ear ears, purulent
6 < lying on painful side Aggravation Lying, on side, 290
painful
7 < After midnight Aggravation After midnight 271

8 > External pressure Amelioration Pressure, external 317

9. Thirst increased Hunger and Thirst 66

thirst
10. Urine offensive Urine Offensive 95

11. Sensation as if cold

water is running out of D
ear
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12. Destructive D
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SPECTRUM OF REMEDIES
Sr . No Drug RV Sr . No Drug RV Sr . No Drug RV

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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 Chilly www.similima.com
Patient
(KRHMM
)
P. No.
Diagnosis Chronic
CSOM Phase
(Boericke) (BBCR)
P. No. P. No.
PDF

Miasm
Constitution Syphilis
(Murphy) (Synthesis)
P. No.
P. No.
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DIFFERENTIATION
Symptom

Destructive

Sensation
as if cold
water is
running
out of ear

Sphere of
action

Rubrics not
covered by
the remedy
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Selection of Final Remedy

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Administration of Remedy

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General Management
1. Avoid exposure to cold wind
2. Use muffler on ears while going out
3. Don’t touch or press the ear
4. Try to sleep on opposite side of pain.

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Follow up

Date Complaints Prescription

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Remedy Response

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Second Prescription

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