Case taking format for homoeopathy physician

SECTION 1: Patient Information

 

Full Name (Short Answer)

 

Age (Short Answer)

 

Gender (Multiple Choice: Male / Female / Other)

 

Occupation (Short Answer)

 

Marital Status (Multiple Choice: Single / Married / Divorced / Widowed)

 

Contact Number (Short Answer)

 

Email ID (Short Answer)

 

Address (Paragraph)

 

 

 

 

SECTION 2: Present Complaints

 

Chief Complaint (Paragraph)

(Duration, onset, location, sensation, modalities, associated symptoms)

 

Causation (If known): (Short Answer)

 

Aggravation (What makes it worse?): (Short Answer)

 

Amelioration (What makes it better?): (Short Answer)

 

 

 

 

SECTION 3: General Symptoms

 

Tongue Appearance (Short Answer)

 

Thirst (Amount & Preference): (Short Answer)

 

Sweat (Location, Time, Odor): (Short Answer)

 

Urine (Frequency, Color, Burning): (Short Answer)

 

Stool (Consistency, Frequency, Any Trouble): (Short Answer)

 

Sleep (Quality, Position, Disturbance): (Short Answer)

 

Dreams (Type/Frequency): (Short Answer)

 

Sensation of Burning (If any): (Short Answer)

 

 

 

 

SECTION 4: Food & General Desires/Dislikes

 

Food Cravings: (Short Answer)

 

Food Aversions: (Short Answer)

 

Desire for Cold/Hot Drinks: (Short Answer)

 

Any food that aggravates symptoms: (Short Answer)

 

 

 

 

SECTION 5: Mental & Emotional State

 

Temperament (Irritable, Sad, Calm, Reserved): (Short Answer)

 

Can be consoled easily? (Multiple Choice: Yes / No / Sometimes)

 

Social behavior (Introvert/Extrovert): (Short Answer)

 

Fears (Snakes, Ghosts, Darkness, Loneliness, etc): (Short Answer)

 

Any anxiety, depression, suicidal thoughts: (Short Answer)

 

 

 

 

SECTION 6: Past & Family History

 

Past Illnesses (e.g., Jaundice, Typhoid, Skin diseases): (Short Answer)

 

Surgical History (If any): (Short Answer)

 

Family History (Diabetes, Tuberculosis, Cancer, etc.): (Short Answer)

 

 

 

 

SECTION 7: Thermal Reaction & Physical Constitution

 

Sensitivity to Cold/Heat: (Multiple Choice: Cold / Heat / Both / Neither)

 

Build (Thin / Fat / Muscular / Normal): (Short Answer)

 

Tendency to Catch Cold: (Yes / No)

 

 

 

 

SECTION 8: Miasmatic Background

 

Which miasm seems most dominant based on this case?

(Multiple Choice)

 

Psora

 

Sycosis

 

Syphilis

 

Tubercular

 

Mixed (Psora + Sycosis + Syphilis)

 

 

 

 

 

SECTION 9: Remedy Selection Reasoning

 

(To be filled by the homeopath after analysis)

 

Reasons for selecting this remedy: (Paragraph)

1.

2.

3.

4.

5.

6.

 

 

 

 

SECTION 10: Prescription Plan

 

Suggested Remedy: (Short Answer)

 

Potency: (Short Answer)

 

Dosage & Frequency: (Short Answer)

 

Mode of Administration: (Short Answer)

 

Next Follow-up Date: (Date)

 

# রোগীর নামঃ
# বয়সঃ
# পেশাঃ
# লিঙ্গঃ
# বৈবাহিক অবস্থাঃ

**১. বর্তমান সমস্যাঃ**
(কী সমস্যা, কতদিন ধরে, কখন বাড়ে/কমে)

**২. কজেশনঃ**
(সমস্যার কারণ কী মনে হয়?)

**৩. Modalities:**
– বৃদ্ধি (Aggravation):
– হ্রাস (Amelioration):

**৪. জিহবাঃ**
(রঙ, আবরণ, শুকনো/আর্দ্র)

**৫. পিপাসাঃ**
(তৃষ্ণা আছে? কী ধরণের পানি?)

**৬. ঘামঃ**
(কোথায়, কখন, গন্ধ আছে কি?)

**৭. পছন্দঃ**
(পছন্দের খাবার বা অভ্যাস)

**৮. অপছন্দঃ**
(অপছন্দের খাবার বা অভ্যাস)

**৯. প্রস্রাবঃ**
(স্বাভাবিক/কষ্টকর/বারবার)

**১০. মলঃ**
(নিয়মিত/কষ্ট/শুকনা/ঢিলা)

**১১. ঘুমঃ**
(ভালো/ভাঙ্গে/ঘুম আসে দেরি করে?)

**১২. স্বপ্নঃ**
(প্রকৃতি – ভয়ানক/সাধারণ/বারবার)

**১৩. জ্বালাভাবঃ**
(কোথায় হয়, কেমন সময় হয়)

**১৪. ঠান্ডা লাগার প্রবণতা:**
(সহজে ঠান্ডা লাগে কি?)

**১৫. পূর্বের বড় রোগ/ইতিহাসঃ**
(যেমনঃ জন্ডিস, টাইফয়েড, স্কিন সমস্যা)

**১৬. ফ্যামিলি হিস্টরি:**
(ডায়াবেটিস, টিবি, ক্যান্সার ইত্যাদি)

**১৭. ভয়:**
(সাপ, ভূত, অন্ধকার, একা থাকা)

**১৮. মানসিক লক্ষণ (Mind):**
– মন সহজে ভেঙ্গে যায়?
– সহজে কনসোল হয়?
– সবার সাথে মেশে কি না?
– রাগ/দুঃখ/হতাশা কেমন?

**১৯. ধাতুগত অবস্থাঃ**
(চিকন/মোটা/হাইপার/স্লো/খুব খায় কি?)

**২০. মায়াজমেটিক বিশ্লেষণ (Miasm):**
✅ সোরা
✅ সাইকো
✅ সিফিলিস
✅ টিউবারকুলার
✅ মিশ্র (যদি থাকে)

**২১. ঔষধ নির্বাচন করলাম কারণঃ**
১)
২)
৩)
৪)
৫)
৬)

**২২. প্রস্তাবিত ঔষধঃ**
– নামঃ
– শক্তিঃ
– মাত্রাঃ
– প্রয়োগঃ
– ফলোআপঃ

Patient Details

 

Patient Name:

 

Age:

 

Occupation:

 

Gender:

 

Marital Status:

 

 

 

 

1. Present Complaints:

 

(What is the complaint? Duration, when it increases/decreases)

 

 

 

2. Causation:

 

(What do you think caused this problem?)

 

 

 

3. Modalities:

 

Aggravation (What makes it worse?):

 

Amelioration (What makes it better?):

 

 

 

 

4. Tongue:

 

(Color, coating, dry or moist)

 

 

 

5. Thirst:

 

(How much water is consumed? Type – cold/warm, frequent or rare?)

 

 

 

6. Sweat:

 

(Location, time, any odor?)

 

 

 

7. Cravings (Likes):

 

(Food or habits the patient likes)

 

 

 

8. Aversions (Dislikes):

 

(Food or habits the patient dislikes)

 

 

 

9. Urination:

 

(Normal / Painful / Frequent / Any issues)

 

 

 

10. Stool:

 

(Regular / Constipated / Dry / Loose)

 

 

 

11. Sleep:

 

(Quality – good/broken / delayed onset, etc.)

 

 

 

12. Dreams:

 

(Nature – scary, normal, repetitive)

 

 

 

13. Burning Sensation:

 

(Where does it occur and at what time?)

 

 

 

14. Tendency to Catch Cold:

 

(Does the patient easily catch cold?)

 

 

 

15. Past Medical History:

 

(e.g., Jaundice, Typhoid, Skin conditions)

 

 

 

16. Family History:

 

(e.g., Diabetes, Tuberculosis, Cancer, etc.)

 

 

 

17. Fears:

 

(e.g., Snakes, Ghosts, Darkness, Being alone)

 

 

 

18. Mental Symptoms (Mind):

 

Is the patient emotionally sensitive?

 

Can be consoled easily?

 

Social behavior – mixes with people or reserved?

 

Nature of anger/sorrow/depression, etc.

 

 

 

 

19. Physical Constitution:

 

(Slim / Obese / Hyperactive / Slow / Appetite level, etc.)

 

 

 

20. Miasmatic Analysis:

 

✅ Psora

✅ Sycosis

✅ Syphilis

✅ Tubercular

✅ Mixed (Psora + Sycosis + Syphilis)

 

 

 

21. Reasons for Remedy Selection:

 

1. 

2. 

3. 

4. 

5. 

6. 

 

 

 

22. Final Prescription:

 

Remedy Name:

 

Potency:

 

Dosage:

 

Mode of Administration:

 

Follow-up Date:

 

 

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