Identification

Patient Profile

Basic details. Constitution (build, skin, hair) has repertorial significance.

A+A−B+B−O+O−AB+AB−Unknown
RightLeftBoth
MaleFemaleOther
SingleSingle ParentMarriedDivorcedWidowed
Physical build
Thin / leanTall & slenderMediumStout / heavyObese / FlabbyMuscularEmaciatedDwarfish / stunted
Skin type
Fair / paleDarkSallow / yellowishRuddy / floridDryOilyWithered / prematurely oldUnwashed / dirty lookingUnhealthy (suppurates easily)
ThickThinFine / silkyDryOilyFalls easilyPremature greyAlopecia (bald spots)Brittle / split endsHirsutism (excess body hair)
BlackBrownGreyBlueGreenHazel
PrimarySecondaryGraduatePostgraduate
Grade 1 — Developmental

Pediatric & Developmental

Objective behaviors and milestones are crucial when the patient cannot articulate symptoms.

Milestones & Physical Generals
NormalLate (after 18mo)Clumsy / falls often
NormalLateStammering
NormalLate / slowDifficult / painfulDiarrhoea with teething
Physical observations
Fontanelle open lateHead sweats during sleepSour smellingEnuresis (Bedwetting) ?Involuntary urination while asleepWorms suspectedGrinds teeth at night
Behavioral Profile
Clings to parentShy / hides behind parentTantrums / violentStrikes or bitesRestless / hyperactiveNight terrorsObstinate / stubborn ?Stubborn or unyieldingAsks for things then rejects themPica (eats dirt, chalk) ?Craving for non-food items
Prenatal & Gestation History
Grade 1 & 2 — Female Sphere

Female Reproductive

The menstrual, obstetric, and sexual history provide high-grade physical generals and miasmatic clues.

Menstrual Cycle
Regular (28d)Early (Too soon)Late (Delayed)IrregularAbsent (Amenorrhoea)
Normal (3-5d)Scanty (1-2d)Prolonged / Profuse
Character of flow
Bright redDark / BlackishClotted (Large lumps)Pale / WateryStringy / RopyOffensive odorExcoriating (makes parts sore)Changeable (stops and starts)
Menstrual Concomitants Crucial Modalities
BEFORE Menses (PMS)
Irritability / AngerSadness / WeepingBreast swelling / tendernessHeadache before mensesLeucorrhoea before menses
DURING Menses
Dysmenorrhea (Severe cramps) ?Painful menstruation with severe crampingPain radiates to thighsNausea / VomitingDiarrhoea during mensesFaintingMentally better when flow starts
AFTER Menses
Great exhaustion / weaknessHeadache after mensesLeucorrhoea worse after
Leucorrhoea (Vaginal Discharge) ?Vaginal white/yellowish discharge
Bland (non-irritating)Excoriating / Burning / ItchingYellow / GreenishMilky whiteThick / CurdyWateryRopy / StringyOffensive Discuss in person
Obstetrics (Pregnancy & Post-partum)
Agalactia (No milk)MastitisPain when nursing
Ailments during/after pregnancy
Severe morning sicknessPica (abnormal cravings)Post-partum depressionHair fall post-partumBackache since epidural/delivery
Menopause, Pathology & Sexual Sphere
Pre-menopausePeri-menopausalPost-menopausal
NormalAversion / Loss of desireIncreased desireDyspareunia (Painful coition) ?Painful sexual intercourse Discuss in person
Pathological diagnosis / Structural
PCOS / PCODEndometriosisUterine FibroidsOvarian Cyst (Right)Ovarian Cyst (Left)Prolapse of UterusBearing down sensation (Must cross legs)Hot flushes (Menopause)Vaginal dryness
Grade 1 & 2 — Male Sphere

Male Genito-Urinary

The prostate, sexual vitality, and miasmatic history (suppressions) are profound physical generals in men.

Urinary & Prostate (Sycotic Miasm Focus)
Urinary Flow & Sensations
Hesitancy (must wait for urine to start)Slow / Weak streamDribbling after urinationSensation of retained urineFrequent night urination (BPH)Involuntary urination during sleep
Prostate & History
Enlarged Prostate (Diagnosed)Prostatic fluid discharge during stoolHistory of suppressed gonorrhea / dischargeUrethral stricture
Sexual Sphere & Vitality
NormalAbsent / Complete lossIncreased / SatiriasisStrong desire but physically impotent
Erectile Dysfunction (Impotency) Premature Ejaculation
Concomitants AFTER Coition (Aggravations)
Great physical weakness / exhaustionBackache after coitionSadness / DepressionIrritability / Anger Discuss in person
Seminal & Sensations (Causations)
Ailments from
Sexual excessesMasturbationBrain fag from seminal loss
Discharges & Sensations
Night emissions without dreamsSpermatorrhoeaColdness of genitalsSensation as if testes crushedDrawing up of testes Discuss in person
Pathology & Structural
HydroceleVaricoceleOrchitis (inflammation)Ailments from suppressed mumpsPhimosisUndescended testicles (in children)
Grade 1 — Highest weight

Causation — Never Well Since

The most important question. Illness beginning after a definable event points directly to the simillimum.

Ask: "When did you last feel completely well? What happened around that time?"
Causal event NWSE
Type of cause
Grief / bereavement Fright / sudden shock Bad news Humiliation / insult Indignation (righteous anger) Mortification Reproaches / Criticism Disappointed love Financial ruin / Business failure Prolonged anxiety Suppressed anger Anger with anxiety Failure / disgrace Jealousy Excessive joy Anticipation / dread Betrayal Abuse / Trauma Domestic unhappiness Care & worry (prolonged) Nursing the sick / Night watching Loss of sleep Homesickness Vaccination Suppressed skin eruption Suppressed discharge Suppressed menses Antibiotic course Steroid treatment Surgery / anaesthesia Head injury Overlifting / Physical strain Exposure to cold / drafts Getting wet Sunstroke / Sun exposure Childbirth / post-partum Miscarriage Prolonged overwork Acute illness (typhoid, dengue, COVID) Toxic exposure Loss of vital fluids Sexual excess Alcoholism / Drug abuse Bad hygiene / Food poisoning Burn injury / Scalds Animal / Insect bite Mechanical shock / Concussion Exposure to damp cold Suppressed sweat / perspiration Physical / Sexual abuse Sudden fright / panic Extreme mental exertion
Patient's recovery after this event
Never well since Partially recovered Recovered, then relapsed Fully recovered
How patient coped
Suppressed / bottled up Expressed openly Medicated (sedatives) Kept busy / overworked Religious / spiritual Alcohol / substances Isolated self
Grade 1 — Highest weight

Mental — Will & Intellect

Hahnemann's first-grade symptoms. Will (impulses, responses) and Intellect (memory, concentration). Record patient's EXACT words.

General disposition Will
Select all that describe this patient
Mild / yieldingObstinate / rigidIrritableImpatientHurried / rushedFastidious / orderlyChaotic / disorganisedCheerfulMelancholicOverwhelmed / Mentally exhaustedReserved / secretiveTalkative / openSuspicious / mistrustfulJealousyEnvyProud / haughtyDictatorial / DomineeringHumbleSympathetic to othersIndifferent to othersAversion to family membersConscientious / overscrupulousAmbitious / drivenSensitive to criticismCensorious / Critical of othersReligious / devoutSuperstitiousClairvoyant / IntuitiveMalicious / VindictiveMischievousAvarice / GreedCowardice / TimidityFrivolous / FoolishQuerulous / Complaining
Unusual impulses Handle sensitively
Impulse to jump from heightsImpulse to jump before vehiclesImpulse to harm selfImpulse to harm others / killCompulsive counting / checkingCompulsive hand-washingPersistent unwanted thoughtsImpulse to swear / curseImpulse to steal (Kleptomania)Impulse to set fire (Pyromania)Impulse to touch everythingBite / Strike / SpitImpulse to escape / run awayPull one's own hairNone
Response to contradiction
Response to contradiction
Takes offence immediatelySilent broodingViolent outburstWeeps when contradictedTrembles with suppressed angerArgues logicallySubmits / withdrawsIndifferent
Response to consolation
Much better from consolationWorse from consolationIndifferentRejects consolation irritablyCraves sympathy
Memory & Intellect Intellect
Type of defect / mistakes
Forgets names of peopleForgets words mid-sentenceForgets recent eventsForgets what has been readForgets where things are placedForgets obligations / appointmentsForgets to purchase thingsMistakes in spelling / writingMistakes in speaking (uses wrong words)Mistakes in time / locationsAbsent-minded generallyNo memory defect
Concentration difficulty
Cannot read — words blurLoses thread of thoughtCannot do mental arithmeticMind goes blank when questionedDistracted by every soundDifficulty starting tasksNo difficulty
Delusions / fixed ideas
Record without judgement. Strange, rare, peculiar (SRP) delusions carry the highest prescribing weight.
Being followed / watchedBeing poisonedCommitted a crime / sinGoing to die soonSeriously ill (when not)Hears voicesSees things / visionsFeels unreal / detachedBelieves world is unrealGrandiose — great person / powersReligious delusion (saved / damned)Delusion of being pregnantDelusion of animals/insectsDelusion body is brittle / glassDelusion of poverty / starvingDelusion bed is sinkingNone
Suicidal ideation Sensitive
None presentPassive — weary of lifeActive thoughts of self-harmSpecific plan in mind
Method thought of (if any)
Jumping from heightsDrowningPoisoning / medicationCuttingHangingShootingNot applicable
Grade 1 — Highest weight

Emotional Profile

Fears, anxieties, grief, anger. The Mind chapter — heaviest chapter in Kent's repertory.

Fears Grade 1 — highly individualising
Specific fears are among the most reliable individualising symptoms.
Death / dying Serious disease Cancer specifically Insanity / losing mind Poverty / ruin Being alone Crowds / public places Dark / darkness Heights / falling Narrow / enclosed spaces Thunderstorm Being observed / performance Failure / disappointing others God's punishment / hell Snakes Spiders / insects Pins / sharp objects Ghosts / supernatural Losing control Future / unknown Strangers Being touched Germs / contamination Water Robbers / being attacked Dogs / Animals Suffocation Sleep / falling asleep Open spaces (Agoraphobia) Crossing bridges Dentist / operations
Anxiety
When anxiety is worst
Morning on wakingForenoonTwilight / duskEveningNight / before sleepAnticipation of eventsClosing eyesOn hearing bad newsConstant / backgroundPanic attacks
Physical manifestations of anxiety
PalpitationsTrembling / shakingCold perspirationHot flush / flushingLoose stool before eventsFrequent urination from anxietyNausea / vomitingChoking sensationChest tightnessDifficulty breathing / SighingFace paleFaintingDizziness / faintness
Anger
How anger is expressed
Suppresses completelyViolent — shouts, breaks thingsThrows thingsCurses / SwearsStrikes othersSilent brooding — holds grudgeWeeps with angerTrembles with angerOutburst then immediate regretSlow to anger
After-effect of anger on health
Illness followsChilliness after angerHeadache after angerDigestive upsetAsthma / Cough followsWeakness / ProstrationRelief after expressingNo after-effect
Weeping / sadness
Weeps easily, at triflesWeeps when telling symptomsWeeps in companyWeeps only in privateCannot weep (dry grief)Weeps from musicWeeps from tender storiesAlternates weeping and laughingWeeping brings reliefWeeping makes worse / headachesWeeping in sleepSighing frequently
Social disposition
Desires company stronglyDesires solitude stronglyBetter in companyBetter aloneDesires company but feels worse with peopleIndifferent
Grade 2 — Objective

Observation

What the practitioner sees objectively. Cross-verifies patient's report. Record during and after the consultation.

These are practitioner-recorded symptoms — not what the patient says. A patient who says "I am calm" but enters wringing their hands = Arsenicum.
General appearance
Posture / Movement
UprightStoopedRestlessRigidCollapsedTremblingFidgetySluggish / Slow
Eye contact
DirectAvoidantFleetingFixed stareTearfulGlaringRolling eyes
Energy observed
AlertLethargicRestlessExhaustedOver-excitedProstratedHyperactive
Speech pace
NormalRapidSlowMonotoneWhisperedStammeringHastyInarticulate
Emotional state visible
CalmAnxiousSadIrritableIndifferentTearfulEuphoricSuspiciousFearful
Perspiration observed
NoneMildProfuse — faceProfuse — palmsCold and clammy
Face, tongue, lips
Facial appearance
NormalPaleRed / flushedYellowishCyanoticOne-sided flushSickly / EarthySunken / drawnGreasy / Shiny
Tongue
Clean pinkWhite coatedYellow coatedRed / inflamedCrackedDryTremblingMappedImprint of teethBlackish / brownRed tip / edges
Lips
NormalDry / crackedPaleRed / hotFissured at cornersBlue (Cyanotic)Black / sootyPeeling
Nails
NormalBrittleRidgedBittenBluishClubbedThickenedSplittingWhite spots
Hand temperature
NormalCold clammyHot drySweaty
Grade 2 — Generals

Generals — The Whole Person

General symptoms affect the patient as a whole. They outrank particular symptoms.

Side affinity & time
Predominant side of complaints
No clear sideRight-sidedLeft-sidedRight to left (Lyc)Left to right (Lach)Alternating sidesDiagonal (R upper, L lower)
Time of general aggravation
No specific timeMorning on wakingMorning after risingForenoon 9–11amNoonAfternoon4–8 PM (Lyc)Evening / sunsetNightMidnightAfter midnight (1–3am)3 AM exactly (Kali carb)Exactly same time dailyPeriodically (every 7 or 14 days)
Perspiration — generals
Profuse / excessiveNormalScanty / absent
Hot sweatCold sweatOily / stickyBloody sweatStaining yellowStaining red
Normal / absentOffensiveSourSweetGarlic/Onion-likeUrine-likePutrid
Location of unusual sweat
GeneralisedForeheadPalmsSolesAxillaeChestBackOne-sidedHead of child (Calc)Upper half of bodyLower half of bodyCovered parts onlyUncovered parts only
Relationship to sleep
No relationshipNight sweats onlySweat on wakingSweats during sleepSweat when awake only
Appetite
Appetite level
NormalIncreasedRavenous hungerCanine hunger even after eatingEasy satiety (feels full quickly)DecreasedComplete lossVariable
Hunger timing
Hungry at 11am (Sulphur)Hungry at nightWakes at night to eatMust eat every 2 hoursFaints if meal delayedBetter when fasting
After eating
Better after eatingWorse after eatingSleepy after eatingExhausted after eatingImmediately bloatedHeartburn / refluxNausea after eatingCough after eating
Cravings, Aversions & Aggravations (Food)
Cravings (Desires strongly)
Sweet (Sulph, Arg-n)Salt (Nat-m, Phos)Sour / Acids (Hep, Sep)Spicy / Pungent (Nux-v)Meat (Mag-c)Fat / Butter (Puls, Nit-ac)Cold food / ice (Phos)Warm food (Lyc, Ars)Indigestible things (chalk, earth)Alcohol / StimulantsMilk (Rhus-t)
Aversions (Dislikes strongly)
SweetSaltSour / AcidsMeat (Sil, Sep, Calc)Fat / Butter (Puls)Bread (Nat-m)Milk (Nat-c, Sep)Water (Hydrophobinum)Smell of food (Colchicum)
Food Aggravations (Worse from)
Milk (Diarrhea)Fat / Rich food (Puls)Sweets (Arg-n)Onions (Thuja)Cabbage / Beans (Lyc)Oysters (Lyc)Bread (Bry)Cold food / ice (Ars)Hot food (Phos)
Grade 2 — Master General

Thermals

The master general. Divides the materia medica in two. This single answer eliminates half of all remedies immediately.

Ask: "Are you a warm or a cold person?" — Verify against: winter preference, bed covering, window habits, bathing preference.
Primary thermal classification Master general
Chilly — always cold, hates cold, needs warmth Hot — always warm, wants cool air, kicks off covers Ambithermal — neither extreme Variable — depends on season Lack of vital heat — profoundly chilly, no reaction Cold but desires to be uncovered (Secale, Med)
Detailed thermal profile
Room temperature preference
Warm rooms alwaysCool / cold roomsOpen windows alwaysSuffocates in warm room (Puls, Apis)Hates drafts even if warm (Hepar, Sil)
Covering in bed
Heavy covering alwaysCovers head completely (Sil, Psor)Light coveringKicks off all coversFeet out of covers (Sulph)Cannot bear covers on neck (Lach)
Bathing preference
Loves hot bathsLoves cold bathsBetter after hot bathBetter washing in cold water (Apis)Worse after hot bathAversion to bathing (Ant-c)
Sun / heat effect
Better in heatWorse in heatWorse from radiant heat / fire (Ant-c)Worse ironing (Sepia)Faints in sunSun causes headache (Glon)Sun causes rash (Nat-m)
Cold air effect
Better in cold airWorse in coldExtreme sensitivity to cold wind (Acon, Hep)Chilled very easilyCold causes instant catarrhBetter walking in open airAversion to open air
Best season
SummerWinterDry seasonMonsoon
Worst season
SummerWinterMonsoon / wetChange of season
Thunderstorm
Worse before stormBetter after storm breaksFear of stormNo effect
Damp / wet weather
Much worse in dampBetter in wet weatherJoints worse in dampNo effect
Grade 2 — Key Generals

Thirst & Sleep

Thirst quantity and temperature are major differentiators (Bryonia: large cold draughts vs Arsenicum: small frequent sips). Sleep position and dreams have dedicated repertory rubrics.

Thirst Key general
Thirst level
ThirstlessMildly thirstyVery thirstyUnquenchable thirstThirstless with dry mouth
Quantity per drink
Large draughts, long intervals (Bry)Small sips, very frequently (Ars)Much and often (Nat-m)Gulps water hastily (Bell)Cannot drink large amounts
Temperature preferred
Iced / very coldCraves ice (Med)Cold waterRoom temperatureWarm / hot drinks onlyVomits cold water as it warms (Phos)
Thirst timing
ConstantNight thirst onlyMorningDuring feverThirstless during feverThirst before chill (Eup-per)Thirst during chill (Ign)Thirst during sweat (China)
Sleep Key general
Sleep quality
Good / restfulLight / disturbedUnrefreshingInterruptedInsomniaSomnolence / always sleepySleeps into an aggravation (Lach)
Sleep onset
Falls asleep easilyActive mind / thoughtsAnxiety on lying downRestless legsStartles on falling asleepOnly after midnightCannot sleep until 3am (Am-c)
Waking time
Does not wakeWakes at first sleep (Lach)Wakes at midnightWakes 1–2amWakes 3–4am (Nux-v)Wakes at dawnCannot return to sleep
Required position
No preferenceRight sideLeft sideBackAbdomenKnee-chest (Med)Cannot lie on leftHands over head (Puls)Legs drawn upLimbs crossed (Sepia)Head elevated
Unusual behaviours
Talks in sleepWalks in sleepGrinds teethScreams / criesWeeping in sleep (Spong)Starts / jerks awakeSnoresEyes half openChewing motion
Effect of sleep
Rested / betterWorse after sleep (Lach)Wakes with headacheWakes frightened (Stram)Long to feel normal
Dreams
Recurring or striking dream themes — select all
Animals attacking Dead people / Corpses Ghosts / Specters Snakes (Lach) Falling Flying Being chased Accidents / disasters Fire Flooding / drowning Water (general) Violence / murder Robbers / Thieves Getting lost Exertion / hard work Teeth falling out Urinating Recurring identical dream Prophetic / came true Sexual dreams Business / daily tasks Spiritual / religious Nightmares causing waking No dreams recalled Discuss in person
Grade 2 — Physical Generals

Skin & Perspiration

The skin is a primary organ for miasmatic expression (Psora, Sycosis, Syphilis) and the direction of cure.

Perspiration (Sweat)
Amount
ProfuseScantyAbsent / Dry skinSweat on slight exertion (Calc)Sweats during sleep (Tub)No relief from sweat (Merc)Easily exhausted by sweating
Location
Head / Scalp (Calc)Nape of neck (Sil)Palms / SolesChestAxillaeGenitals (Thuja)One-sided sweatCovered parts (Bell)Uncovered parts (Thuja)Discuss in person
Odor
SourOffensive / FetidOnion-likeGarlic odorSweetishUrine-likeMustyDiscuss in person
Staining
YellowRed (Lach)Stiffens linenBloody
Skin Eruptions & Sensations
Type of eruption
Dry / Scaly (Psoriasis) Moist / Oozing (Eczema) Vesicles / Blisters Warts (Thuja) Ulcers Boils / Abscesses Hives (Urticaria) Cracks / Fissures Unhealthy skin (every injury suppurates) Bluish / Purple skin (Lach) Suppressed eruptions (Zinc) Erysipelas (Apis) Freckles / Moles Ringworm (Sep, Tell) Discuss in person
Character of discharge
Honey-like / Sticky (Graphites) Watery Purulent (Pus) Yellow/Green pus (Puls) Bloody Offensive Acrid / excoriating (Ars) Thick crusts / scabs (Mezereum)
Sensations & Modalities
Itching worse undressing (Rumx) Itching worse in bed / heat (Sulph) Worse from washing/water (Sulph) Burning like fire (Ars) Burning after scratching (Ars) Bleeds after scratching (Merc) Better from scratching (Calc) Itching changes place (Staph) Voluptuous itching Formication (ants crawling) Coldness of skin (Camph, Verat)
Grade 2 — Generals

Modalities — General

What makes the WHOLE PATIENT better or worse — not a single symptom. These are the highest-grade modalities.

"I am worse in the morning" (general) vs "my headache is worse in the morning" (particular). General modalities go here. Particular modalities are recorded with each symptom in the next section.
General ameliorations — whole patient is BETTER from... Better
Open fresh air Warm room Cold air Rest / lying still Motion / walking Continued / prolonged motion Hard pressure Light pressure Bending double Lying on painful side Lying on painless side Eating Fasting Company of others Solitude Warm food / drinks Cold food / drinks Uncovering Tight bandaging Dark room Sea air Riding in carriage Appearance of discharges After stool After urination After sweating After menses Music Occupation / distraction Consolation Weeping
General aggravations — whole patient is WORSE from... Worse
Cold dry air Cold wet weather Change of weather Draft of air Getting wet Before thunderstorm Morning on waking Evening Night After midnight (1-3 AM) Standing Ascending stairs Touch / contact Noise Bright light Strong odours Mental exertion Physical exertion Tight clothing After eating Before menses During menses Loss of vital fluids Sexual excesses Grief / Sorrow Anger Fright Suppressed eruptions Bathing After sleep Consolation (aggravation) Alcohol Coffee During full moon Periodically (every 7 / 14 days)
Grade 3 — Particulars

Current Symptoms — LSMC

Each complaint explored with Location, Sensation, Modality (particular), and Concomitant. These rank below generals.

For each symptom: Where exactly? What is the sensation (patient's own words)? What makes THIS symptom better/worse? What comes along with it?
Chief complaint LSMC
Chief complaint Associated / secondary Old / recurring
L
Location — precise side, region, radiation
RightLeftBothAlternating
S
Sensation — patient's exact words
BurningStitchingPressingThrobbing / PulsatingBurstingTearingCuttingCrampingAchingSore / bruisedNumbHeavyGnawingDrawingBoringShootingElectric shockCrawlingConstricting / BandSplinter-likeEmpty / hollowFlutteringItching
M
Particular modalities — THIS symptom better/worse from
Worse coldBetter coldWorse heatBetter heatWorse dampWorse motionBetter motionWorse restingBetter restingWorse pressureBetter pressureWorse touchWorse lyingBetter lyingWorse eatingBetter eatingWorse morningWorse night
C
Concomitants — what comes WITH this symptom
NauseaVomitingVisual auraVertigoChillinessFlushingPerspirationThirst increasedThirstlessDiarrhoeaAnxiety / restlessnessWeakness / prostrationFaintingPalpitations
ConstantPeriodicParoxysmalMorningEveningNight
Grade 3 — Food Generals

Food — Desires & Aversions

Intense, persistent food desires are characteristic generals. They are particularly diagnostic when strong and long-standing.

Food desires — click all that apply Tap to select, tap again = strong craving
Tap once = desires it. Tap a second time = strong/intense craving (turns amber). Remedy hints shown on hover.
Sweet Salty Spicy Sour Fat / Rich food Meat Eggs Milk Fruits Apples Cheese Ice cream Cold drinks Warm drinks Raw food Burnt food Bread / Starch Farinaceous / pastries Alcohol Coffee Tea Pickles / fermented Indigestible things (pica) Smoked / preserved food Fish Shellfish / oysters Onions
Legend: Not selected Desires it Strong craving
Food aversions — click all that apply Tap twice = cannot tolerate at all
Milk Meat Eggs Fat Sweet Salt Sour / acids Bread Coffee Alcohol Tobacco Fish Vegetables Potatoes Cheese Favourite food now disliked Warm food Boiled food Smell of food causes nausea Garlic Onions
Stool & urine
Hard / constipated Soft / normal Loose / diarrhoea Alternates C and D Mucus in stool Blood in stool Offensive odour Requires straining Incomplete feeling Discuss in person
Normal Frequent / urgency Burning on urination Scanty Profuse Nocturnal (night) Dark coloured Offensive Discuss in person
Grade 2 — Miasmatic

Family History

Three-generation miasmatic mapping. Inherited disease patterns are obstacles to cure.

TB, cancer, syphilis, gonorrhoea, mental illness in the family = deep miasmatic inheritance. Document in all three generations.
Father
LivingDeceased
Known diseases — select all
Diabetes Hypertension Heart disease Stroke Cancer Tuberculosis Asthma / Allergy Eczema / skin disease Arthritis / Gout Thyroid disease Kidney disease Liver disease Gonorrhoea / Syphilis Mental illness / Insanity Suicide / Suicidal tendency Alcoholism Epilepsy Migraine Obesity Autoimmune disease
Mother
LivingDeceased
Known diseases — select all
Diabetes Hypertension Heart disease Stroke Cancer Tuberculosis Asthma / Allergy Eczema / skin disease Arthritis / Gout Thyroid disease Kidney disease Liver disease Gonorrhoea / Syphilis Mental illness / Insanity Suicide / Suicidal tendency Alcoholism Epilepsy Migraine Obesity Autoimmune disease
Paternal grandparents
TB Cancer Diabetes Heart disease Stroke Asthma Mental illness Skin disease Arthritis Syphilis/Gonorrhoea
TB Cancer Diabetes Heart disease Stroke Asthma Mental illness Skin disease Arthritis Syphilis/Gonorrhoea
Maternal grandparents
TB Cancer Diabetes Heart disease Stroke Asthma Mental illness Skin disease Arthritis Syphilis/Gonorrhoea
TB Cancer Diabetes Heart disease Stroke Asthma Mental illness Skin disease Arthritis Syphilis/Gonorrhoea
Siblings
BrotherSister
Known diseases
Diabetes Asthma Mental illness Cancer Skin disease Heart disease
Grade 2 — Past suppression

Past Disease History

Previous diseases, especially suppressed ones. Antibiotics and steroids are the most common suppressors.

Treatments used
Allopathy Homeopathy Ayurveda Unani Herbal / folk Surgery Ointment / local application Cauterization (burnt off) Steroid / cortisone Antibiotic course Physiotherapy No treatment
Fully cured Partially resolved Suppressed Chronic / ongoing Recurrent
No Yes — new symptoms followed
No Occasionally Yes — persistent
Vaccination history
Vaccines received
BCG Polio (OPV) DPT MMR Hepatitis B Typhoid Meningococcal Tetanus (TT) Rabies (Anti-rabies) Cholera COVID-19 (1st dose) COVID-19 (2nd dose) COVID-19 (booster) Influenza (annual) HPV
Daily Journal

Patient Symptom Journal

Patients or practitioners can log day-to-day symptoms and changes here. Entries can only be deleted on the same day they are created.

Follow-up

Treatment Progress

Monitor Hering's Law of Cure — mental improves first, then generals, then particulars. Symptoms disappear in reverse order of appearance.

True cure: mental/emotional state improves first → general energy → sleep → particular symptoms last. If only particular symptoms improve but mental state worsens = palliation, not cure.
0% — no change 25% — slightly better 50% — moderately better 75% — much better 90%+ — nearly well
Mental / emotional changes — CHECK FIRST
Calmer / less anxiousLess fearfulMental clarity improvedMemory improvedMore motivated / energeticBetter mood generallyLess irritableEmotionally more balancedClairvoyance / hallucinations reducedNo mental changeMental state worsened (note below)
General changes
More energy generallyAppetite improvedThirst normalisedSleep deeperBowel movements improvedThermal sensitivity reducedOld symptoms returning brieflySkin eruption appeared (good sign)Discharge increased then resolved
Direction of cure (Hering's Law)
Correct — centre to peripheryCorrect — above downwardCorrect — more to less important organsCorrect — reverse order of appearanceUnclear / mixedIncorrect — deepening inward
Next prescription decision
Wait — do not interfereGive Placebo / RubrumRepeat same remedy, same potencyRepeat, higher potencyChange to complementary remedyChange to acute remedyInter-current nosodeGive antidote