Homeopathic Therapeutics of Enuresis

1. Belladonna

Time of enuresis: Generally after midnight or towards early morning. Daytime

Sleep Pattern: Half opened eyes. Restless sleep with sleep. sudden starts; moaning and screaming during Grinding, stertorous sleep. Somnolence, sleepy yet cannot sleep. Sleeps with hands under the head.

Cause: Eating too much sugar. Paralysis of bladder.

Character of urine: Yellow and scanty. Turbid. Dark red. Profuse deposits of phosphate. Acidic.

Constitution: Scrofulous

Temperament: Anxiety. Quarrelsome. Bilious. Lymphatic

Accompaniment: Easy perspiration, faeces escape while urinating, sensation of worms in the bladder.
2. Benzoic acid

Time of enuresis: During midnight in girls.

Sleep Pattern: Starts up, awakes with breathlessness and palpitation.

Character of urine: High coloured, smells like that of horse’s. Sour. Ammoniacal. Hot, profuse, alkaline.

Constitution: Gouty, rheumatic

Temperament: Confused ideas, cross.

Accompaniment: Sheets are unusually brown stained.
3. Calcarea carbonica

Time of enuresis: Enuresis in bed when walking. After midnight. Hysterical spasm of the bladder.

Sleep Pattern: Screams and cannot be pacified. Nightmares. Fearful and fantastic dreams. Snoring.

Cause: Masturbation, loss of fluids, fright, egotism.

Character of urine: Dark brown. Strong odour. White sediment, offensive.

Constitution: Fat, flabby children with red faces. gouty, Tendency to catch cold. Leucophlegmatic. Scrofulous. Plethoric, delicate.

Temperament: Dull, delayed, confused, fearful, forgetful. Nervous bilious, sanguine.

Accompaniment: Pica. Pitutary and thyroid dysfunctions. Tendency to take cold.

4. Causticum

Time of enuresis: During first sleep.

Sleep Pattern: Restless sleep. Starts laughs and cries. Drowsy-can hardly keep awake. Sensitive wakes up. No sensation of passing urine; scarcely believes until he makes sure of sense of touch.

Cause: Fright, grief, night-watching, retention.

Character of urine: Deposits of urates. Cloudy, uric acid, bloody.

Constitution: Children with lack hair and eyes and rigid fires. Delicate skin, hydrogenoid, scrofulous.

Temperament: Nervous girls, slow in learning.

Accompaniment: Warts, weakness, stools passed in standing position.
5. Cina

Time of enuresis: During second half of the sleep. Full moon.

Sleep Pattern: Restless during sleep. Lies on abdomen, knee-chest. Talks, cries, screams, wakes frightened. Hangs his head to one side. Will not sleep unless rocked.

Character of urine: Copious. Turns milky on standing. Turbid white.

Constitution: Big, fat, rosy and scrofulous.

Temperament: Restless, touchy, capricious.

Accompaniment: Hungry, worms, grids teeth. Convulsions.

6. Ferrum Metallicum

Time of enuresis: More frequently in a day time than at night.

Sleep Pattern: Sleepy of debility. Restless lies o back. Vivid, unpleasant, fell into water.

Cause: Weakness of the sphincter, vesicae. Worms.

Character of urine: Light colour of urine stains the sheet very dark and smell strong ammonia. Hot, profuse, mucous sediment.

Constitution: False plethora, pale. Emaciated. Weak, delicate, lymphatic. Hemorrhagic

Temperament: Sensitive, excitable, sanguine, choleric, phlegmatic.

Accompaniment: Allergies. Changeable.
7. Kali bromatum

Time of enuresis: 2 a.m. New moon.

Sleep Pattern: Somnambulism. Starts. Deep sleep, moans, cries, grinding. Horrible dreams.

Cause: Nightmare worries. Spasmodic.

Character of urine: Pale, profuse, sugar+

Constitution: Obese

Temperament: Depressed, forgetful, weepy. Lymphatic. Sanguine.

Accompaniment: Thirst, appetite, constipation, tender liver, diabetic headache.
8. Kali phosphoricum

Sleep Pattern: Night terrors. Somnambulism. Amorous dreams. Restlessness. Wakes up with fright.

Cause: Nervous debility.

Character of urine: Saffron, yellow, milky.

Temperament: Nervous, sensitive, depressed, gloomy, forgetful, fearful.

Accompaniment: Diabetics
9. Kreosotum

Time of enuresis: First part of night.

Sleep Pattern: Dreams of falling, poisoned, fire, of urination, in a descent manner. Wakes with urinating from deep sleep but cannot retain. Restless, tosses. Would not sleep until caressed and fondled.

Character of urine: Copious, pale urine. Offensive, brown red sediment.

Constitution: Overgrown, poorly developed children. Marasmus.

Temperament: Capricious, Leucophlegmatic.

Accompaniment: Black caries.

10. Lac caninum

Sleep Pattern: Screams, lies with one leg flexed and other stretched. She dreams of urinating.

Character of urine: Scanty, dark, thick, reddish sediment.

Constitution: Dark hair, eyes. Rheumatic, enlarged glands.

Temperament: Forgetful, cross, irritable.

Accompaniment: Diphtheria, sore throat.
11. Mercurius

Time of enuresis: Night 3 a.m.

Sleep Pattern: Sleepless of anxiety. Restlessness, dreams of water, thieves, animals.

Cause: Paralysis

Character of urine: Copious/scanty, urinates more than he drinks. Mixed with blood white sediment. Strong smelling. Staining diaper, hot acrid.

Constitution: Tendency to sweat profusely. Light hair with lax skin and muscles. Scrofulous, strong, florid complexion. Lively, brunette.

Temperament: Nervous, lack of will. Lymphatic, choleric.

Accompaniment: Easily suppurative tonsillitis. Thirsty, indented tongue. Stomatitis.

12. Argentum metallicum

Time of enuresis: Nocturnal (spasmodic forms)

Sleep Pattern: Restless sleep, anxious, frightful dreams. Screams.

Character of urine: Turbid, pale, fetid, profuse, sweat odour.

Constitution: Lean, thin, robust, anaemic.

Temperament: Anticipatory anxiety, fear, depressed, irritable.
13. Baryta carbonica

Time of enuresis: Night

Sleep Pattern: Talks in sleep. Twitchings. Lies on one side.

Character of urine: Scanty, dark brown, copious.

Constitution: Dwarfish, retarded, scrofulous.

Temperament: Absent minded.

Accompaniment: Oversensitive to all impressions. Tendency to take cold.
14. Natrum muriaticum

Time of enuresis: Alternate days, full moon.

Sleep Pattern: Somnambulism. Starts and talks in sleep. Dreams of robbers, vivid, frightful

Cause: Fright, grief.

Character of urine: Clear, watery, red sediment, turbid, dark.

Constitution: Lean, thin, scrofulous, brown hair, blue eyes. Dark complexion.

Temperament: Awkward, irritable, melancholic, nervous.

Accompaniment: Hopeless, school girl’s headache. Water brash, diabetics.
15. Phosphorous

Sleep Pattern: Somnambulism, dreams of fire, lewd, vivid, business. She couldn’t finish. Starts in sleep, lies on right side.

Cause: Anger, grief, diabetes, during typhoid.

Character of urine: Profuse, pale, haematuria, albumin, watery, turbid, brick dust sediment, offensive.

Constitution: Lean, thin, tall, beautiful. Grow too rapidly, gouty, scrofulous, fair, delicate eye lashes and smooth hair. Hemorrhagic.

Temperament: Sensitive, nervous, sanguine, quick, lively perceptions.

Accompaniment: Craving cold. Wants to be magnetized.
16. Pulsatilla

Time of enuresis: In little girls In autumn

Sleep Pattern: Lies with hands over head or crossed on abdomen and feet draw up. Talks, screams. Restless. Tosses, Dreams-confused, frightful.

Cause: Anger, spasm, measles after.

Character of urine: Mucus, scanty, red brown, profuse.

Constitution: Fair complexion. Sandy hair, blue eyes. Pale face.

Temperament: Mild, timid, weepy. Indecisive, slow, phlegmatic, sanguine, hysterical.

Accompaniment: Thirstlessness.

17. Sepia

Time of sleep: First sleep.

Sleep Pattern: Talks loud, wakes up. Restless. Dreams of urinating. Anxious.

Cause: Anger, vexation

Character of urine: Foul, sour, white, milky. Red, scanty, cloudy.

Constitution: Delicate, plethoric, yellow complexion, rigid Leucophlegmatic, in boys of light complexion with onanist. Dark hair, fibres, scrofulous.

Temperament: Nervous, irritable. Bilious.
18. Silicea

Time of enuresis: Moon phases.

Sleep Pattern: Somnambulism. Talks loudly. Dreams of lascivious, pleasant, murders, restless, wakes up frightened.

Cause: Worms, blow upon head. Diabetes.

Character of urine: Purulent, bloody, profuse.

Constitution: Emaciated, large head, open fontanelles, scrofulous, rachitis.

Temperament: Sensitive, want of grit, lymphatic, phlegmatic, torpid.

Accompaniment: Constipation, night sweats.

Homeopathic Treatment of Enuresis: Cases Illustrated

1. Case 1- treated with placebo

A boy named XYZ aged 12 years, can]me with history of enuresis since 10 years. The boy was the only child and was very nervous and sickly. He had been given a lot of homeopathic and allopathic treatment in the past without any benefit. He was warned by the treating homeopath that if he does not stop bed wetting then the surgeon will operate on him. Also the cut of the surgery will be from head to foot. He was also given a bottle of S.L. pills and told that if he desires to prevent this major surgery then he should take 2 pills, three times a day for a fortnight. He took the treatment for three months but till today he has spoiled the bed only twice. He is still under observation. The success of placebo therapy largely depends on the rapport between the homeopath and the patient. The only demerit of this therapy is when the patient discovers the hoax.
2. Case 2:

Name – Master A. P.

Age – 8 years

Sex – Male

Occupation – Student 4th Std

Address – Mumbai
Chief Complaint – Passes large quantity of urine 2-3 times at night. Every night.

- Lack of concentration

- Good at maths, calculations

- But is unable to cope up with longer answers as in history or geography.

- Demanding, malingering

- Blames siblings

- Weeps much till other is punished.

- Perspiration – cold and profuse

- Biting nails

- Sleeps in knee chest position

- Salivation +

- Thirst+++

- Desires- sour, sweets

- Always at the fridge

- Appetite- eats much at a time.

- Eats slowly, relishes small morsels.

- Fussy about eating, never eats in

other’s plates.

- Would not share.

- Never takes from others.
- Attached to mother

- In physical contact with her

- Shares her household chores

- Puts something in front.

- Impelled to touch always behind mother.

- Dresses up

- Dresses like females, saree-dupatta

- Walks- thumak-thumak

- Dances

- Indolence on walking

- slow, dull, lazy, drowsy throughout the day, even at school
- Engrossed in play

- Can be busy and inquisitive, would break open the toy.

- Obstinate, never listens

- Always makes excuses

- Angry when teased

- Fights and strikes with siblings

- Playful, restless

- Tires easily

- Cannot tolerate heat and sun
- Plays with fire, frequent burns, cracking fingers
- Self care, fastidious, cleanliness plays in water

- Takes long baths.

- Cleans windows, washes himself often

- Washes plates himself, nothing should touch him.
Interview with child:

Sensitive to mocking – I feel very bad, insulted, hurt and angry when they tease me.

Dreams – pursued by ghosts.

Perspiration – profuse on waking from dream.

Other considerations:

- When young, would like to be in the mother’s lap only.

- Wept frequently.

- Biting nails.

- Sour smelling, sensitive to beauty and nature.

- Shuns responsibilities, increased sensibility

- Knee chest position

-Weak concentration

- Profound exhaustion

- Ravenous hunger immediately after eating

- Cough > lying on stomach

- Perspiration easy sweating foot.

Nocturnal enuresis – passes large quantity of ammoniacal, high coloured urine in bed every night.

< over work or over play, extreme of heat or cold.

Prescription: Medorrhinum 1 M three doses

Repertorial totality:

• Dreams – ghosts
• Dullness, sluggishness
• Forgetfulness – words while speaking
• Restlessness, nervousness
• Oversensitive
• Sensitive to reprimands
• Touched aversion to being
• Anger tendency to
• Destructiveness
• Egotism
• Fastidious

1st Follow Up:

Enuresis >>; Concentration improved; Anger- S. Q.; Sensitiveness- S.Q.

Treatment: Medorrhinum 1 M one dose
2nd Follow Up:

Enuresis-stopped; Anger – decreased much; Concentration very much better

Treatment:

Sac Lac 200 tds
No enuresis after that.

No dose repeated.

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Dr. Sumit Goel M. D. (Hom)
Gold Medalist
Consultant Homoeopath and Teacher
www.homeopathyspace.com

DR. AMITA AGARWAL BHMS