Please answer the following questions in a descriptive manner after careful analysis

and recollection of previous experiences and happenings to select proper medicine.

Patient ID or Name : AfraazIn Ahmad !ex:male Age:".# years
$eight : "%&' (eight :)* +g ,ountry :-angladesh
). Descrie your main suffering. /Descrie symptoms01ed wetting2 screaming at the slightest
disagreement2 voice crac+ed2 recurring cold allergy with loc+ed noses. 3ild nasal polyp.
4. (hat other physical5mental sufferings in past2 you had .1 Physical 6$e is an extremely active
child2 ut very arrogant. 7ights when angry2 !creams at the highest voice2 ,ries easily2 tries and
eats various foods ut stops eating as the night starts after evening. $e arely ta+es a whole
meal at night.
". (hat mental sufferings 5 feelings do you have associated with your physical
sufferings.1 As parents we thin+ that he has een over1indulged y his grand parents who are
with us.
8. (hat exactly do you feel when you are at your worst. 6 $e feels li+e fighting and screaming.
*. (hen did it all start. ,an you connect it to any past event or disease.from his age of 4 years.
9. (hich time of the day you are worst. 6 :vening.
;. (hat are the things which aggravate your suffering and which are those which
ameliorate the same. 6 Any declination aggravates and the ed wetting is worse any time he
sleeps.
<. Do your thin+ your sufferings have relation to any external stimuli /li+e2 change of
place0 or any internal iological changes in the ody2 li+e2 menses /in females0. 6 $e is good
when out of $ome.
#. (hen do you feel etter2 during hot weather or cold weather2 humid or dry weather.1 ,old and
dry.
)&. Descrie your general mental set up. Are you 3oody2 Arrogant2 3ild2 Agreeale
,hangeale2 Nervous2 !uspicious2 :asily offended2 =uiet2 Arguing2 Irritating2 >azy etc. 6 Arrogant
n moody2 non agreeale.
1 $ow do you feel efore or during a thunderstorm. 6 $e fears the thunderstorms.
1 Do you li+e eing consoled during your tough times. 6 ?es he li+es it.
1 Are you sensitive to external stimuli li+e smell2 noise2 light etc. 6 !mell.
1 Do you have any typical hait or gesture li+e nail iting2 causeless
weeping2 tal+ing to one self etc. 6 ,ause less weeping.
1 $ow do you feel aout your friends2 family2 your children and especially your
husand 5 wife. 6 $e demands full attention in any situation.
)). (hat are your fears and do you dream of any situation repeatedly. 6 $e fears insects and
dogs.
)4. (hat do you crave for in food items and what are your aversions. 6 !weet foods and mil+
products are his favourite.
)". $ow is your thirst: >ess2 Normal or :xcessive. 1 :xcessive
)8. $ow if your hunger: >ess2 Normal or :xcessive. 1 Normal
)*. Is there any +ind of food which your ody can%t stand. 6 $ot and spicy.
)9. Is your sweat normal or less or more. (here does it sweat more: $ead2 @run+ or
>ims. At night more... 6 :xcessive and head and trun+.
);. $ow is your owel movement and stool type. 6 Aegular and solid.
)<. $ow well do you sleep. Do you have a particular posture of sleeping. 6 !leeps well at night
ut if he sleeps in the afternoon or evening he sleeps too long. And he is cran+y after such sleep.
)#. Do you thin+ you are ale to satisfy your sexual desires in general. N5A
4&. $ow do you thin+ you are different from others2 if at all.
4). (hat medications have een ta+en earlier y you to treat the diseases and do you
have any particular symptom surfacing after the medication. 6 Don%t +now the names of the
$omeo 3edics given y our local Doctor2 ut those didn%t wor+ at all.
44. Nature of wor+2 what do you do for living. 6 !tarted school lately.
4". (hat maBor diseases are running in your family. 6 $eart disease2 $-P and Diaetic.
48. Descrie2 how do you loo+ li+e. Descrie your overall appearance 6 7air and s+inny.
4*. Attached here your photographs of the affected area. /if required5optional0
49. /CN>? 7CA 7:3A>:!0
Please answer the following questions:
/Please give details of your past menstruation if you have attained menopause.0
1 Are the periods early2 regular or late in general. $ow long do they last.
1 Do you suffer from any +ind of physical or mental discomfort efore2 during or after
the periods.
1 Is the flow scanty2 normal or excessive.
1 Is the lood thic+ right red or pale watery.
1 Do you notice any clots in the flow.
1 Any prolem in pregnancy
4;. Any special points you feel necessary to mention
A.P. @amhan+ar