Renal Calculi Treated Using Keynote Symptoms

Name: Master. X

Age: 11 years

Sex: Male child

 PRESENTING COMPLAINT:

March 2023: A 11-year-old male child accompanied by his mother arrived with an ultrasound report showing 3 renal calculi, 4.1 mm in right kidney, multiple renal concretions in left kidney, largest measuring 3.3 mm and one calculi in urinary bladder measuring 4.9 mm, largest of 3.3 mm in mid pole calyx of left kidney. At the time of reporting, there were no symptoms as such.

 HISTORY OF PRESENTING ILLNESS:

The boy had pain in left flank 3 days ago for a day, along with mild burning on micturition. The pain was treated with painkillers and ultrasound was done which revealed multiple renal calculi. At the time of first visit, no specific symptoms were presented.

 TREATMENT HISTORY: No specific treatment started.

PAST HISTORY: No history of any significant illness.

FAMILY HISTORY: No significant family history present.

PERSONAL HISTORY:  Vegetarian.

PHYSICAL GENERALS:

Thermal reaction: Hot patient

Appetite: Adequate

Thirst: Adequate

Desire: Sweets

Aversion: Nothing significant

Stool: Regular bowel movements, no associated complaint.

Urine: Regular, no associated complaint.

Perspiration: Nothing significant.

Sleep: Sound sleep

MENTAL GENERALS:

As stated by her mother the child is active and intelligent. She mentioned that the child does not spend money very much. The pocket money he gets, he saves. In the OPD the child was quiet and non-disturbing in nature and was sitting straight.

 GENERAL PHYSICAL EXAMNATION:

Build: Thin

Pulse: 80 beats

Temperature: Afebrile

 DIAGNOSIS: Multiple Renal calculi

Medicine and potency selected: Lycopodium clavatum 200

BASIS OF PRESCRIPTION:

In this case the prescription was done on basis of “Keynote symptoms.” The following symptoms of the case were taken into consideration:

1. Thin build
2. Desires Sweets
3. Miser
4. Intelligent
5. Hot thermal reactive

In Allen’s keynotes, in Lycopodium clavatum, the following symptoms are found:

• For persons intellectually keen, but physically weak (Allen keynotes)
• Miser (Allen keynotes)
• Desire for sweet things.  (Boericke matera medica)

Considering these keynotes symptoms, the most appropriate remedy came out to be Lycopodium clavatum.

TREATMENT:  

Follow up	Remarks	Medicine prescribed
1st visit		Lycopodium clavatum 30/tds/10 days
2nd visit	No symptoms	Lycopodium clavatum 30/tds/10 days
3rd visit	No symptoms.	Lycopodium clavatum 30/tds/10 days
4th visit	Mild pain in left flank and burning on passing urine.	Lycopodium clavatum 200/3d doses Sac lac 30/tds/15 days
5th visit	No symptoms	Sac Lac 30/BD/15 days
6th visit	Mild pain in right flank. Felt some sand in urine.	Lycopodium clavatum 200/3d doses Sac lac 30/tds/15 days
7th visit	No symptoms	Sac Lac 30/BD/15 days
8th visit	No symptoms	Sac Lac 30/BD/15 days
9th visit	Ultrasound was done and no calculi were seen.	Sac Lac 30/BD/7 days. Patient asked to stop the medicine after 7 days.

Conclusion: In this case the correct medicine was selected based on the keynotes. The lower potency (30C) in repeated doses was selected in this case in 1^st prescription, considering the pathology of the case.

The potency was raised to 200C, when patient developed pain in between treatment. The medicine was repeated, considering the pathology of case, as expulsion of calculi may require repeated encounter with the vital force.

 REFERENCES:

1. Allen H.C. Keynotes and Characteristics with comparison of some of leading remedies of the Material Medica with Bowel Nosodes. 8^thedition (15^th impression). New Delhi. B Jain Publishers (P) Ltd. 2016
2. Boericke W. Pocket manual of Homoeopathic Materia Medica with Indian Medicine and Repertory. 9^thNew Delhi. Indian Book and Periodical publishers, 2002

 

Before Treatment

After Treatment