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Clinical Cases

Phimosis in a Baby Boy


Dr. Rohit Gupta presents a case of phimosis in a baby boy.

Phimosis is a narrowing of the opening of the foreskin so that it cannot be retracted.


  1. Congenital
  2. Acquired – inflammation, trauma, chancre, balanitis xerotica obliterans, cancer).

Circumcision is the treatment of choice in the allopathic mode of treatment. However, the condition can often be cured through homoeopathy.  Diseases of the genitals or reproductive organs generally have a sycotic origin. In this case it is an abnormal narrowing of a body passage, especially a tube or a canal. The stricture may be due, for example, to scar tissue or to a tumor. Stricture refers to both the process of narrowing and the narrowed part itself. The stricture of body tissues and organs has a syphilitic origin. So we can say that it has both sycotic and syphilis aspects.


The patient was a one year old boy, diagnosed with phimosis by a surgeon. An additional problem was that the boy was only sleeping 4-5 hour a night for three months. His parents brought him for treatment on 10th April, 2017, after hearing that surgery was the only other option. I took his case in detail including past history, obstetrical history of his mother during pregnancy, family history. The first prescription was Carcinosin 1m/1d ( 1m because higher potency works well in children and in cases with mental issues). The remedy was selected on the basis of: sleeps in chest-knee position, craving for chocolates and family history of cancer.

After 15days, his parents informed me that now he is sleeping 9-10hrs, but the phimosis was the same.  One month after of the first prescription I prescribed  Merc. Sol 1m/3d/od on the basis of pathogenesis of the medicine (Allen’s Keynotes) : ptylism during sleep with syphilitic stigma – hot patient, active, quick, lively, broad forehead with depressed nasal root and high arch of palate in his constitution.

After one month the orifice was starting to open but improvement stopped after the end of the second month. I repeated Merc sol in higher potency 10m/1d (in case of second prescription, we should go for higher potency after previous potency has exhausted its work) and the boy was completely cured within a month. I followed up this case for 3 months.

I learned from this case that we should not have a rigid mindset about which miasm is the origin of any disease. It can be originating from any miasm and constitutional medicine based on the right totality always covers the dominant miasm automatically. After all, totality and individualization of the case is the pillar of prescription.

About the author

Rohit Gupta

Dr. Rohit Gupta received his BHMS from Calcutta and is now practicing in Lucknow, U.P.

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