EVIDENCE-BASED HOMOEOPATHIC MANAGEMENT OF RENAL CALCULUS IN A FEMALE PATIENT: A CASE REPORT
Dr. Monica Gupta*, Dr. Hiba Shamli N., Dr. Sahina Rahman Laskar, Dr. Kusum Kanwar
ABSTRACT
Introduction: Renal calculi are a common disorder of the urinary tract characterized by significant recurrence and morbidity. Despite advances in conventional management, recurrence and associated discomfort remain major concerns. Homoeopathy, through its individualized and holistic approach, aims to address both the pathological condition and the constitutional background of the patient. Case summary: A 37-year-old female patient presented to the Repertory OPD of North Eastern Institute of Ayurveda and Homoeopathy, Shillong with complaints of right-sided low back ache associated with burning sensation during urination, increased frequency of urination, epigastric burning, abdominal fullness, and facial hyperpigmentation. Ultrasonography of the whole abdomen revealed a 3 mm renal calculus in the middle calyx of the right kidney. Repertorial analysis was performed using the Synthesis Repertory through RADAR Opus version 4.1.11, in which Sepia emerged as the leading remedy. Based on repertorial evaluation, Materia Medica correlation, and miasmatic understanding, Sepia 200C was prescribed. Gradual improvement was observed in low back ache, urinary symptoms, gastric complaints, and facial hyperpigmentation during follow-up. Repeat ultrasonography performed after nine months showed no evidence of renal calculus. The case scored +9 on the Modified Naranjo Criteria for Homoeopathy (MONARCH inventory), suggesting a positive causal relationship between the homoeopathic intervention and clinical outcome. Conclusion: The present case demonstrates the potential role of individualized homoeopathic management in renal calculi through repertorial and miasmatic approach. Symptomatic relief supported by objective ultrasonographic evidence emphasizes the clinical significance of homoeopathy in the management of renal calculi.
Keywords: Homoeopathy, Individualized treatment, MONARCH inventory, Renal calculi, Repertorization, Ultrasonography.
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