Abstract
Introduction Urolithiasis is a very common disease. Stones in any part of the urinary tract can
produce symptoms and complication, but because the lower part of the ureter is the
narrowest part of the urinary tract, stones get lodged easily producing pain and haematuria
commonly. If we keep in mind the limitation and complication of the surgical procedure,
homoeopathy can provide a real solution for such conditions. There are several ways
of homeopathic prescription, such as based on keynotes, general symptoms, constitution,
miasm, etc. Two cases of ureteric calculi are presented here, who were prescribed
on the basis of constitutional symptoms and got good results.
Case Profile In the first case, the only symptom was pain in the right flank, and as per ultrasonography
(USG) report, there was 7.4 mm calculus in the lower part of the right ureter. In
the second case, there were symptoms like pain in the left flank, burning urination
and haematuria. The USG report confirmed 6 mm stone in the left ureterovesical junction
(UVJ). After detailed case taking, both the cases were prescribed on the basis of
constitutional symptoms. Lycopodium in 50 millesimal potencies (0/1–0/4) in the first
case and Phosphorus in centesimal potency (1M) in the second case provided prompt
relief of the symptoms within a short period. USG reports of both the cases also confirmed
no stones after approximately 2 months of treatment.
Conclusion Homeopathy provided good relief in two cases of ureteric calculi; constitutional
medicines were found useful in combating acute ureteric colic and facilitating expulsion
of stones. Because the constitutional symptoms matched, the polychrest homoeopathic
medicines like Lycopodium and Phosphorus produced their best effect. But the inferences
drawn from the two case reports may not be sufficient to reach a definitive conclusion.
So clinical trials to establish the efficacy of constitutional remedies in the treatment
of ureteric calculi are suggested.
Keywords
constitutional medicines - homoeopathy - lycopodium - phosphorus - ureteric calculi
