The document provides medical information about a 38-year-old female patient presenting with varicose veins. She has a 10-year history of cramping and burning pain in her lower limbs that worsens with exertion. On examination, dilated and tortuous veins are visible on her legs. Based on her symptoms, medical history, and homeopathic principles, Pulsatilla 30 is prescribed for 7 days to address her varicose vein symptoms. Follow-up is planned to assess treatment response.

1. SURGERY DEPARTMENT

2.  NAME :- XYZ
 AGE :- 38
 SEX:- Female
 ADDRESS :- Flat no:-302 third floor Navkar sidhi
building Bhoir colony Chinchwad Pune.
 OCCUPATION :- Housewife
 CONTACT :- 7058592191 / 9922563397
 DATE:- 29/12/22
 PHYSICIAN :- SURGERY DEPT.
 INTERN:- Ankita Arun Jadhav

3.  Cramping pain in bilateral lower limb and
 Mild burning pain in bilateral lower limb on
exertion since 10 years.
LOCATION SENSATION MODALITY CONCOMITANT
• Bilateral
lower limbs
• Cramping
pain
• Mild Burning
pain
• Heaviness in
legs
•Tingling
sensation in
both feets
(sometimes)
• A/F:-
Prolonged
standing
•(mess
worker)
• < exertion
• < touch
• > rest
• No Time ,
weather ,
food
modalities.
-

4. • No associated complaints.
 ODP :-
 Patient was apparently healthy she started a mess at
home13 years back in which she had to stand and work
for long period of time later she gradually started with
complaints of visible dilated veins over the legs but
later she started with getting cramping pain which later
gradually increased accompained with mild burning
pain . The complaints usually were only after exertion .
During pain she cannot tolerate the affected part being
touched . The pain got better by rest. She took
allopathic treatment but only got temperory relief so
didnot continued it .

5.  Fair complexion
 Black hair
 Black eyes
 Weight :- 64 kg
 Height :- 5’3

6. Father :- Healthy
Mother :- Healthy
Brother :- Healthy
Sisters :- Healthy
Husband :- Diabetes Mellitus since 1year.

7.  Diet :- Mixed diet
 Appetite :- 2 meals (1-2 chapati, rice, sabji, dal )
 Thirst :- 1-2 litres/day (has to be reminded)
 Desires :- Spicy
 Aversion :- not specific
 Bowels :- once/day , every morning , unsatisfactory,
hard stools.
 Urine :- 5-6 times/day , yellow , satisfactory.
 Sleep :- 5-6 hrs/day , alert , refreshing.
 Perspiration :- normal , non- staining , non- smelly ,
only on exertion .
 Dreams :- Not specific .

8. Season: Summer
Bath: Seasonal
Cover: Required
Fan: Required
Food: Warm Food
Prefer: Open room

9.  Menarche :- 13 years of age
 Menses:- Regular
 Duration :- 6 days
 Character of bleeding :- Clots and watery dark red
colour.
 Before menses : - mild Heaviness in breast, mild
pain in lower abdomen
 During and After No Complaints.

10.  G4P2L2A2
 Both abortions were natural.
 2 Daughters both FTND

11. 1.General Appearance:- (a) Healthy look
(b)Height :- 5’3 Weight:- 64 kg
2. Skin:- Healthy , No eruption, no lesions, no pallor
Hair:- Black, Normal, covers all parts , no bald patches
3. Head :- Normal, Round, No scar, No injury
4.Face :- Normal, No Abnormal Movements
5.Eyes :- Normal
6.Tongue:- Clean
7.Teeth & Gums :- Normal, No Caries, Healthy Gums
8. Buccal Mucosa :- Normal Red Pink No ulcer
9. Throat :- Normal.

12. 11.Neck :- No lymph nodes are enlarged , normal.
12. Extremities :- visible dilated engorged veins on
lower limbs , no swelling , no oedema .
13. Spine :- Normal , no deformity.
14. Genitilia :- normal
15. Rectum :- Normal
16. Lymphadenopathy :- no lymph nodes enlarged
O/E :-
 BP:- 110/70 mmhg RR:- 18/min
 P:- 70/min Temperature:-
Afebrile

13. CVS :- S1S2 HEARD
CNS :- Concious and Oriented
RS :- AEBE
P/A :- soft and Non-tender.

14. 1.Superficial dilated, tortuous, greenish blue
vein visible on posterior aspect of the leg.
2.No swelling
3. No ulcer , no eczema.

16. Extrovert
Afraid of closed spaces ( lift, room)
Tensed about elder daughters future
Weeps easily ( while narrating about her
elder daughter).
Anxious about elder daughter

17. Doppler ultrasound
venography

18. Varicose Veins
Thrombophlebitis
Deep vein thrombosis

19. Varicose veins
Hahnemanian classification of
disease:-
Dynamic – chronic –fully developed
symptoms – miasmatic-psoro -
sycotic

20.  A/F:- prolonged standing
 Mentals:-
 Extrovert
 Afraid of closed
spaces when alone
 Weeps easily while
narrating about elder
daughter
 Anxious about elder
daughter.
• Common
• Common
• Characteristic
• Characteristic
• Characteristic

21. Physical generals :-
 Desires spicy
 Thirst :- Thirstless (
has to be
remembered )
 Bowel :- once/day ,
hard , unsatisfactory
 Perspiration :- only
on exertion
 Characteristic
 Characteristic
 Characteristic
 Common

22. • Cramping pain in bilateral
lower limbs
• Heaviness pain in lower
limbs
• Mild burning pain in
bilateral lower limb
• Tingling sensation in both
feet
• Agg . Exertion
• Amel . Rest
• Agg . Touch
•Characteristic
•Characteristic
•Characteristic
•Characteristic
•Common
•Common
•Common

23. 1) Afraid of closed spaces
2) Weeps easily while narrating about elder
daughter.
3) Anxious about elder daughter
4) Desires spicy
5) Thirstless ( has to be reminded)
6) Stools hard , unsatisfactory
7) Bilateral burning pain in lower limbs
8) Heaviness in lower limbs
9) Bilateral cramping pain in lower limbs
10) Tingling sensation in both feet

24. 1) Mind-Fear-narrow place in
2) Mind- Weeping-spoken when
3) Mind- Anxiety – children
4) Stomach –Desires – pungent things
5) Stomach – Thirstless
6) Stool – hard
7) Extremities- Pain-Lower limb – Burning with
8) Extremities – Heaviness- lower limb
9) Extremities – cramps – lower limb
10) Extremities- Tingling-foot

25.  Full name :- Kent’s repertory of
the homoeopathic materia
medica with word index .
 Author :- Dr. J.T.Kent
 No. Of chapters :- 37
 No. Of medicines :- 648

29. 1.Pulsatilla :-
 Pulsatilla is well indicated remedy for varicose veins
. pulsatilla acts on venous system causes
engorgement and congestion . The veins seems to
lose their vital resistance and causes varicosis .
 Veins are swollen , red , inflammed .
 Legs feel heavy and their is cramping pain in the
legs .
 Thirstless patient
 Weeping tendency

30. 1 Phosphoric acid produces both mental and physical debility. It
also produce haemorrhage, digestive disorders and
inflammation.
2 Suited to person of strong constitution ho have become
debilitated by loss of vital fluids, sexual excess, violent acute
diseases, grief, disappointed affection. Pale sunken eyes, sick
complexion.
3 Chilly patient
4 Patient is listless, apathetic and indifferent to the affairs of his
own life, prostrated and stupefied with grief.
5 Mental symptoms are due to bad news, disappointed love and
loss of vital fluids.
6 Heaviness in limbs.
7 Cramps like pressure in arms, hands, legs, fingers.
8 Pain in night as if bones were scraped.
9 AGG: Mental affection, loss of vital fluids, sexual excess.
10 AMEL: Sitting, Standing, Warmth of bed.

31. 1 Phosphorus causes inflammation and degeneration of mucous
membrane of stomach and bowels, inflames the spinal cord
and nerves causing paralysis, disorganises blood, causing
fatty degeneration of blood vessels and every tissue and
organ of body thus it produces a picture of destructive
metabolism.
2 Suited to tall, slender person, with narrow chest who are good
and beautiful to look, having fair transparent skin, delicate
eyelashes, blond or brownish red hair.
3 Haemorrhagic diathesis. Chilly patient.
4 Great sensitiveness to all external impression-light, noise,
odour, touch, thunderstorms etc.
5 Weakness and trembling of limbs on every exertion.
6 Legs feels heavy, feet as if glued to the floor.
7 Cramps of feet, Burning of feet.
8 AGG: Lying on painful side, slight causes, sudden change in
weather, cold open air.
9 AMEL: Sleep, sitting, cold food, cold water.

32. • Hamamelis is a highly effective remedy for
varicose veins . Its principal action is on veins
acts upon the coats of veins causing
relaxation with consequent engorgement.
• It produces bruised soreness. Tense bursting
pain. Veins are painful , sore, cutting ,
swollen and inflamed . Painful, hard , knotty
varicoses,bleed easily.
• Pricking stinging pain in veins , muscles, skin.
• Worse :-warm , pressure , motion , touch ,day

33.  Destructiveness is the keynote of this acid .it
acts on skin causes ulcers of syphilitic nature
, deep tissue, veins causes varicose veins and
ulcers , bones causes caries and necrosis.
 Varicose veins and ulcers in obstinate and
long standing cases .
 The characteristic feature to use this remedy
is painful varicose veins in the legs that is
worse by warmth.
 Agg:- warmth
 Amel:- cold application

34.  Vipera is well indicated remedy for varicose
veins.
 The characteristic indication of this remedy in
varicose veins is bursting feeling in the legs .
 A pain of unbearable nature that gets worse
on hanging down the legs is present .
Elevating the legs brings relief .
 Severe cramping pain in the legs is also
present .
 Veins are swollen ,blue, sensitive ,and
painful.

35. Susceptibility:- Low
 Age :- 38 –low
 Sex:- female – high
 Disease :- irreversible :- low
 Onset :- gradual :- low
 Nature :- chronic :- low
 Characteristic symptom :- more ;-high
 Pace of disease :- slow :- low
 Depth of disease :- peripheral :- high

36.  Low susceptibility
 30th potency

37.  An anti inflammatory diet that helps improve
blood flow and reverse inflammation can be
consumed to speed up the process of healing
varicose veins. Some anti –inflammatory
foods that help reduce varicose veins
include:-
 Foods with antioxidants :- vitamin E , vitamin
C, green vegetables ,citrus fruits are the
foods that helps to fight inflammation
,improve the arteries and strengthen the
veins .
 Foods rich in magnesium :- can help with leg
cramps and pooling of blood.

38.  Lack of fiber can cause constipation ,which
leads to increased pressure on the veins near
the abdomen and legs .
 Diuretics to reduce water retention :-

39.  Avoidance of prolonged standing .
 Elevation of limbs while sleeping above the
heart level to relieve oedema .
 Use of elastic crepe bandage or elastic
stockings are applied from toes to the thighs
 Exercise like bicycle riding , walking , etc
should be performed to strenghten the calf
muscles.

40.  Burning pain should reduce .
 Cramps should reduce.

41.  For ,
XYZ.
38 years / female
Rx
pulsatilla 30
Od x 7days
sign:-
reg no :-
Follow up: Burning reduced .
Cramps frequency slightly reduced.

42.  Homoeopathic remedies are holistic in nature. They
contain diluted natural substances which are
prescribed on the basis of individual trait (along with
disease symptom)
 Despite of invasive surgery, the chances of
reccurence of the problem are common. Homeopathy
has an excellent scope for treating varicose veins.
The symptoms like pain cramping, Tiredness,
sensation of heaviness in the leg are well managed
with homoeopathic medicines. Homoeopathy for
varicose veins works at strengthening the valves by
enhancing the blood flow and muscle tone of veins in
the legs, reducing the blood engorgement and aid in
the symptomatic management of varicose veins.
Unlike conventional treatment, homeopathy offers
long term relief from the symptoms of varicose veins.