Utility of Pulford’s repertory of rheumatism and sciatica in the individualized homoeopathic management of rheumatoid arthritis: A case report

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disorder causing joint pain, swelling, and stiffness. Homoeopathy aims for individualized management through totality-based prescriptions. Case Summary: A 50-year-old female with chronic polyarthritis and restricted movements was treated using Pulford’s Repertory of Rheumatism and Sciatica, which emphasizes regional modalities in rheumatic diseases. Bryonia alba 200CH was prescribed based on the totality of symptoms. Results: Significant improvement was observed in pain, stiffness, and joint mobility. The DAS-28 score reduced from 6.2 to 2.3, with normalization of ESR and CRP, marking clinical remission. Conclusion: This case demonstrates the effectiveness of individualized homoeopathic management of RA using Bryonia alba, guided by Pulford’s repertory, showing marked reduction in disease activity and improved quality of life.