Background: Rheumatoid arthritis (RA) is a chronic, systemic autoimmune inflammatory disorder characterized by symmetrical polyarthritis, progressive joint destruction, and functional disability. Despite advances in conventional management, long-term pharmacotherapy may be associated with adverse effects and incomplete remission. Homoeopathy emphasizes individualized treatment based on totality of symptoms and miasmatic understanding, as described in the Organon of Medicine. Case Presentation: A 49-year-old female presented with chronic bilateral knee joint pain of several years’ duration, associated with redness, swelling, heat, shifting nature of pain, and marked intolerance to touch and covering. Laboratory findings revealed elevated ESR (50 mm/hr) and positive Rheumatoid Factor (100 IU/mL). The case was analyzed through complete repertorization, considering mental generals (restlessness, overthinking), physical generals (hot patient, reduced appetite), and characteristic particulars. Based on totality, Aconitum napellus 200 was prescribed. Intervention and Outcome: The patient was followed for three months. Progressive clinical improvement was observed, including reduction in pain intensity, improved joint mobility, and better functional capacity. The RAPS score reduced from 10 at baseline to 5 at the third follow-up, indicating significant symptomatic improvement. Conclusion: This case demonstrates the potential role of individualized homoeopathic treatment selected through complete repertorization in the management of rheumatoid arthritis. The improvement observed suggests that constitutional and anti-miasmatic prescribing based on totality may contribute to symptomatic relief and improved quality of life in chronic inflammatory conditions.
Rheumatoid arthritis, Homoeopathy, Complete repertory, Individualization, Miasmatic approach, Aconitum napellus, Case report.
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