Acute Cystitis (UTI)
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Pimpri, Pune, Maharashtra, India
- Occupation: Software Engineer [Stress due to tight deadlines]
- Religion: Hindu
- Date: 28/02/2026
- Age: 32 Years
- Sex: Female
- Education: Bachelor's in Engineering
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Lower Abdomen | Severe burning sensation, urination pain, frequent urination, urinary incontinence | Aggravation: Caffeine and citrus fruits | Concomitants: Fever, chills, nausea, vomiting |
| Back | Soreness, stiffness | Amelioration: Warm compresses | Concomitants: Fatigue |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: No significant medical history
- Family History: Maternal grandmother had recurring UTIs
- Developmental Landmarks: All milestones were reached at the appropriate age
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Decreased
- Desires: Cold drinks
- Aversions: Spicy food
- Thirst: Increased
- Elimination:
- Urine: Dark yellow, foamy, frequent
- Stool: Normal
- Perspiration: Excessive
- Sleep: Restless
- Thermal State: Ambithermal with hot flashes
B. Reactions - Physical Factors
- Weather: Worse in cold and damp weather
- Position: Better in squatting position
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Anxious
- Anxiety: Fear of infection
- Fear: Losing control of urinary system
6. PHYSICAL GENERAL EXAMINATION
- Wt: 55 kg | Ht: 155 cm | Temp: 38.5°C
- RR: 20/min | Pulse: 100 bpm | B.P.: 120/80 mmHg
- Face: Pale
- Tongue: Furred
- Nails: Normal
- Skin: Warm, dry
7. SYSTEMIC EXAMINATION
- Urinary System: Dysuria, urinary incontinence, frequent urination
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: No abdominal tenderness
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety, fear (Grade 7/10)
- Physical General: Pain, burning sensation (Grade 8/10)
- Particular: Urinary symptoms (Grade 9/10)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: The patient's symptoms of burning sensation, urination pain, frequent urination, and urinary incontinence are characteristic of Cantharis. Also, the aggravation from caffeine and citrus fruits is typical of this remedy.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Burning sensation in lower abdomen
- • Urination pain
- • Frequent urination
- • Urinary incontinence
- • Fever
- • Chills
- • Nausea
- • Vomiting
- • Back soreness
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Burning sensation | Burning, Urination pain, Cystitis | 145, 166, 183 |
| 2 | Urination pain | Dysuria, Urination pain | 166, 183 |
| 3 | Frequent urination | Cystitis, Frequent urination | 183, 187 |
| 4 | Urinary incontinence | Urinary incontinence, Enuresis | 183, 187 |
| 5 | Fever | Fever | 179 |
| 6 | Chills | Chills | 161 |
| 7 | Nausea | Nausea | 193 |
| 8 | Vomiting | Vomiting | 195 |
| 9 | Back soreness | Back soreness | 151 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Cantharis | Burning, Urination pain, Cystitis | 34 |
| 2 | Sarsaparilla | Cystitis, Frequent urination | 20 |
| 3 | Apis | Urinary incontinence, Enuresis | 18 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| - | - | - | - |
Dominant Miasm: None
14. FINAL STEPS
- Provisional Diagnosis: Acute Cystitis (UTI)
- Differentiation of Remedies: Cantharis matches the patient's symptoms of burning sensation, urination pain, and frequent urination more closely than Sarsaparilla and Apis.
- Selection of Remedy (Materia Medica): Cantharis matches the patient's symptoms of burning sensation in the lower abdomen and pain during urination (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Cantharis 30 — 4 pills, thrice a day until relief
- Placebo — 4 pills thrice a day for 3 days
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 01/03/2026 | Improvement in urination pain and burning sensation | Cantharis 30 | Continue medication, rest and hydration |