Your case should be presented in this format:
A)
the patient’s story.
B) Modalities (Aggravations or Ameliorations) as applied to
each of the symptoms should be provided as below:
a)cause of the disease,
b)onset,sequence ,duration of disease
c)character ,location of disease,Is it extending to other place i.e radiation of pain.how do you express
your pain or sensations.
d)peculiar symptoms or alternating symptoms associated with the
present symptoms.
e)strange,rare and peculiar symptoms which you feel as unnatural or
the symptoms no way related to the disease but are seen with the disease.
6)How is your pain increased and how is it decreased ie. What you
will do to get relief.
Eg.Joint pains increases or I feel pain if I move and Iam
comfortable by taking rest,lying down,by cold application as warm things increase my joint pains.
1.Time:
-
what hour,day,night ,before or after midnight.
-Periodicity-how often your symptoms recur is there any
periodicity,
-
seasons- how do you react to seasons ,
- moon phases
Eg.Headache every 15 days or on full moons.
2.Temperature and weather:
-
chilly (doesn’t like or
tolerate cold )or warm blooded(can’t tolerate heat)
- How do you react to the following :
- wet ,dry,cold or hot weather changes.
-
Storm thunder-storm(before,during,or after)
-
Hot sun,wind,fog,snow
-Open air,
-
warm room,changes from one to other,
-
crowded places,
-
warmth of bed,heat of stove,
-
uncovering.
3.How do you react after Bathing(hot,cold,sea),
-
local application of the affected part with hot,cold,wet,dry
4.How do you feel with
-
Rest or
-
motion or(slow
motion,turning in bed,
-
exertion,
-
walking ,
-
on first motion ,after moving
a while,while moving,after moving,
-
car and sea-sickness.
5.Position:
how do you feel with
- standing,
- sitting(knee-crossed(with one knee on the other),rising from
sitting),
- stooping(bending)and (rising from stooping)
-
lying (on painful side,back,right or left side,abdomen ,head high
or low,
-
rising form lying
-
leaning head backward ,forward ,side-wise,closing or opening
eyes,any unsual position such as knee-chest.
6.External stimuli:
-
touch,hard or light,pressure,
-
rubbing,
-
constriction(clothing etc),
-
slight movement,riding
-
stepping,
-
noise,music
-
to conversation,
-
to odours.
7.Eating:
-
In general(before,during,after hot or cold food or drink),
-
Swallowing(solids,liquids,empty swallowing)
-
Acids,fats,
-
How do you react to Salt,salty food,starches
-
Sugar,sweets.
-
Green vegetables,
-
Milk,eggs
-
Meat,fish
-
Oysters,
-
Onions
-
Beer,liquour,wine
-
Coffee,tea
-
Tobacco,drug etc.
8.Thirst:
-
How much quantity do you drink,how often ,
-
Hot, cool or iced,
-
Sours,bitter etc;
9.Sleep:
In general:(before,during,on falling asleep in first sleep,after,on
waking)
10.Menses(periods):
-
complaints before,during,after or from suppressed menses.
11.Sweat:
-
hot or cold
-
foot sweat partial or suppressed.
12.Other discharges:
-
bleeding
eg:bleeding form nose.
-coryza,
-
diarrhoea
-
vomiting,
-
urine,
-
emissions
-
leucorrhea
suppression of any of the discharges.