A 32-year-old male farmer presented with pain in his right leg for 1 year. He reports a sensation of heaviness and swelling in his right ankle region that worsens in the evenings and with prolonged standing. On examination, dilated veins were visible on the medial side of his right leg and ankle. Tests were positive for varicose veins. He was prescribed a single dose of Phosphorus 200c to be followed by Saccharum Lactis 200c three times daily for 15 days. Lifestyle advice included regular exercise, avoiding prolonged sitting or standing, and elevating his legs twice daily.

1. PRESENTED BY-
SHRUTI SINGH

2. NAME OF THE PATIENT : ABC
AGE : 32 YRS
SEX : MALE
RELIGION : HINDU
MARITAL STATUS : MARRIED
OCCUPATION : FARMER
ADDRESS : BORAJ

3.  Pain in right leg
 Duration : 1 yrs
 Location : right leg
 Sensation : Heaviness and swelling on the right
ankle region.
 Modalities: < evening, prolonged standing

4.  Patient was asymptomatic 2 yrs back when he
noticed prominent veins in the right leg on the
medial side. Gradually the prominence of veins
went on increasing. The veins become more
prominent on prolonged standing.
 He started having swelling in the Right leg
and ankle region I yr back. The pain and
swelling was more in the evening hours and on
prolonged standing.

5. DISEASE/
OPERATION/
INJURY ETC.
AGE/YEAR TREATMENT
TAKEN
OUTCOME
chickenpox 15 yrs of age Allopathy treatment cure

6. RELATION ALIVE/DEAD ILLNESS
SUFFERED/
SUFFERING FROM
Father Alive Hypertension
Mother Alive Healthy
Brother Alive Healthy
Sister Alive Healthy
Children (1) Alive Healthy

7.  Economic status : Middle socio-economic
group.
 Diet and food habits :Non-Vegetarian
 Habits : Smoking
 Education : B.A.
 Vaccination history : All done at proper time
with no bad effects

8. Constitution Lean, thin, tall, dark complexion
Appetite 2 times/day, 2 chappati, 1 bowl vegetable, 1 bowl
dal , 1 glass buttermilk
Thirst 2-3 lits/day, normal tap water
Desire Salt
Aversion Not specific
Stool Once in a day, non- offensive, no straining
Satisfactory
Urine 4-5 times/day, 1 time/night, pale yellow colour no
burning, non-offensive
Sweat Moderate on whole body, non-offensive, no staining
Sleep / dream 7-8 hrs, lies straight on back, refresh sleep / NS
Thermal reaction Hot patient

9.  He is very mild in nature.
 He was violent on small things.
 He was more angry at the time of consolation.
 He always wants someone to beside him.
 He is very talkative.
 His memory is good.

10. Conscious / unconscious : conscious
Height : 180 cm Weight : 68 kg
Anemia : Not present Jaundice : Not present
Cyanosis : Not present Oedema : Not present
Skin : Healthy Nails : slightly pinkish
Gait : Steady Lymphadenopathy : not palpable
Blood pressure : 130/80 mm of hg Pulse : 82 beats/ min.
Temperature : 98.6 degree f Respiratory rate : 16/ min
Tongue : clean

11.  Respiratory system : No abnormality found
 Cardiovascular system : S1 and S2 audible
 Gastrointestinal system : Soft, no tenderness,
bowel movement present.

12.  Inspection: Dilated veins on the medial side of
right leg, ankle and foot extending upto thigh
region
Ankle flare present pigmentation present in the
leg and ankle area and no skin ulceration seen.
 Palpation: Dilated vein palpable on medial
side of leg and ankle extending to mid thigh
region.

13.  Percussion :Tredlenburg’s sign: +ve
Perthes test : +ve
Fegan’s test: +ve
 Auscultation : No brue heard over the
prominent veins.

14.  CBC
 Venous Doppler
 Venography
 USG (to find any blood clot)

15.  Vericose veins
 Cellulitis
 Statis dermatitis
 Renal or cardiac disease

16.  Varicose vein

17. MENTAL GENERAL
 He is very mild in nature.
 He was violent on small things.
 He was more angry at the time of consolation.
 He always wants someone beside him.
 He is very talkative.
 His memory is good.

18.  Desire : salt
 Thermal reaction : hot
PARTICULAR
 Pain in right leg since 1 yrs
 Sensation : Heaviness and swelling on the right
ankle region.
 Modalities : <Evening, prolonged standing

19. 1. He is very mild in nature.
2. He was violent on small things.
3. He was more angry at the time of consolation.
4. He always wants someone beside him.
5. He is very talkative.
6. Desire : salt
7. Thermal reaction : Hot
8. Pain in right leg for last 1 yrs.

20. 9. Sensation : Heaviness and swelling on the right
ankel region.
10. Modalities : < Evening, Prolonged standing

21. 1. He is very mild in nature.
2. He was violent on small things. He was more
angry at the time of consolation.
3. He always wants someone beside him.
4. He is very talkative.
5. Desire : salt
6. Pain in right leg
7. Sensation : Heaviness and swelling on the right
ankel region.
8. Modalities : < Evening, Prolonged standing

22. ACCORDING TO KENT
S.N
O.
CHAPTER RUBRIC SUBRUBRIC PAGE
NO.
1. MIND ANGER VIOLENT 3
2. MIND COMPANY DSIRE FOR 12
3. MIND CONSOLATI
ON
AGGRAVATION 16
4. MIND MILDNESS 65
5. MIND LOQUACITY 63
6. STOMACH DESIRE SALT 486
7. EXTERMITIE
S
PAIN Leg, right 1075

23. S.N
O.
CHAPTER RUBRIC SUBRUBRIC PAGE
NO.
8. EXTERMITIES PAIN Leg, evening 1075
9. EXTERMITIES PAIN Leg, standing 1076

24. 1. Arsenicum album- 12/6
2. Phosphorus- 12/6
3. Calcarea carb.- 10/6
4. Lycopodium-9/5
5. Belladonna – 7/5

25. SELECTION OF POTENCY :
200
PRESCRIPTION :
Rx
Phosp. 200/stat dose
Sac. Lac. 200/ TDS/ 5 globules *for 15
days

26.  Avoid sitting or standing in one position for a
long time.
 Exercise regularly to increase circulation.
 Sit or lie down and elevate the legs at least
twice a day for 30 minutes at a time.