dr. pankaj verma

Patient ID: DE Sex: F Age: 17 Nature of work: STUDENT

Habits: EATING FRIED, HIGH SALT, INACTIVE LIFE STYLE, COUCH POTATO, STUDYING LYING ON BED, LAZY





Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.



Describe your main suffering? FAT AND FLABBY, MISSED PERIODS COMPLETELY SINCE LAST 18 MONTHS, COUGH AND DUST ALLERGY


What other physical sufferings do you have in your body? DANDRUFF


What mental sufferings / feelings do you have associated with your physical sufferings? LAZINESS


What exactly do you feel when you are at your worst? Describe the sensation in your own words. ABSOLUTELY DOWN FEEL SLEEPY


When did it all start? Can you connect it to any past event or disease? FAT AND FLABBY SINCE LAST THREE YEARS. MISSED PERIODS SINCE LAST 18 MONTHS, DANDRUFF PERENNIAL PROBLEM.


Which time of the day you are worst? EARLY MORNING


What are the things which aggravate your suffering and which are those which ameliorate the same? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing etc. TIGHT CLOTHES




Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)? NO IDEA


When do you feel better, during hot weather or cold weather, humid or dry weather? VERY LAZY ALL ROUND THE YEAR. FEEL HEAT A LOT. NEED COLD WEATHER


Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc. I AM MOODY, ARROGANT, EASILY OFFENDED, QUIET SOMETIMES, IRRITATING MANY TIMES


- How do you feel before or during a thunderstorm? NO IDEA



- Do you like being consoled during your tough times? NO. RATHER I AM VERY INDEPENDENTTYPE

- Are you sensitive to external stimuli like smell, noise, light etc? YES



- Do you have any typical habit or gesture like nail biting, causeless

Weeping, talking to one self etc? TALKING TO ONESELF



- How do you feel about your friends, family, your children and especially your husband / wife? I FEEL TROMENTED WHEN MY PARENTS GIVE ME ADVICE



What are your fears and do you dream of any situation repeatedly? NONE




What do you crave for in food items and what are your aversions? CRAVE FOR SALTY, SOUR, FRIED FOOD


How is your thirst: Less, Normal or Excessive? LESS


How is your hunger: Less, Normal or Excessive? EXCESSIVE


Is there any kind of food which your body can’t stand? NON VEG


Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs? MORE, HEAD AND FACE


How is your bowel movement and stool type? NORMAL BUT IRREGULAR


How well do you sleep? Do you have a particular posture of sleeping? LATE NIGHT AND SOUND SLEEP.


Do you think you are able to satisfy your sexual desires in general? NA


Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others? NONE




What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication? WE HAVE TRIED ALLOPATHY BUT NO USE


What major diseases are running in your family?


Describe, how do you look like? Describe your overall appearance.
(For Females) FAT, FLABBY, FAIR, SHORT

If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc. SINCE LAST MONTH NO PERIODS BUT THERE IS HARDLY CHANGE IN MOOD


What major diseases have you had in your life and when. Please write them in a chronological manner. NONE