Clinical Cases

Renal Calculi Treated Using Keynote Symptoms

Written by Amit Arora

Dr. Amit Arora shares a case of renal calculi in a boy of 11. Thin build, desires sweets and miserly were among the symptoms leading to the simillimum.

Name: Master. X

Age: 11 years

Sex: Male child


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.


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.



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


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.


Build: Thin

Pulse: 80 beats

Temperature: Afebrile

 DIAGNOSIS: Multiple Renal calculi

Medicine and potency selected: Lycopodium clavatum 200


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.


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 1st 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.


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


Before Treatment

After Treatment

About the author

Amit Arora

Amit Arora (B.H.M.S) has been working as Medical officer for the past 16 years in the Directorate of AYUSH, Department of Health and Family Welfare, Govt of NCT of Delhi. He is presently posted as Chief Medical officer (NFSG) at Indara Gandhi Hospital, Dwarka. He was awarded with Homoeo Icon award by Delhi homoeopathic Federation in 2019. He has experience of teaching for 3 years in Dr. B R Sur Homoeopathic Medical College and Hospital. He has also authored a book “Textbook of Immunology, Microbiology and Parasitology” published by B Jain publishers.

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