Acute Prostatitis
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: 123, Karve Road, Deccan Gymkhana, Pune - 411004
- Occupation: Doctor [Stress of dealing with chronic illnesses]
- Religion: Hindu
- Date: 27/02/2026
- Age: 32 Years
- Sex: Male
- Education: MBBS
- Status: Single
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| GROIN | Painful swelling | >lying down, <coughing/sneezing | Dysuria |
| PERINEUM | Burning sensation | >hot water, <cold water | Frequent urination |
| LOWER ABDOMEN | Tenderness | >pressing, <movement | Loss of appetite |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Prostatitis episode 2 years back
- Family History: No notable medical history
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Poor
- Desires: Spicy food
- Aversions: None
- Thirst: Normal
- Elimination:
- Urine: Painful, frequent
- Stool: Normal
- Perspiration: Excessive
- Sleep: Disturbed
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: Hot and humid
- Position: Lying down worsens symptoms
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable
- Anxiety: Moderate
- Fear: Fear of worsening symptoms
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 170 cm | Temp: 100.5°F
- RR: 24/min | Pulse: 120 bpm | B.P.: 130/90 mmHg
- Face: Pale
- Tongue: Furred
- Nails: Normal
- Skin: Warm and flushed
7. SYSTEMIC EXAMINATION
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Anxiety and irritability (Grade 2)
- Physical General: Systemic inflammation (Grade 3)
- Particular: Urinary symptoms (Grade 4)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on the generals (anxiety, irritability, hot and humid weather) and particulars (painful urination, burning sensation, etc.), Pulsatilla is indicated.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- • Painless urination
- • Painful urination
- • Burning sensation in perineum
- • Tenderness in lower abdomen
- • Irritability
- • Anxiety
- • Fear of worsening symptoms
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Painful urination | Urination, painful | 144 |
| 2 | Burning sensation | Perineum, burning | 94 |
| 3 | Tenderness | Abdomen, lower, tender | 3 |
| 4 | Irritability | Temperament, irritable | 62 |
| 5 | Anxiety | Anxiety, mental | 7 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Pulsatilla | Urination, painful, Perineum, burning, Abdomen, lower, tender, Temperament, irritable, Anxiety, mental | 24 |
| 2 | Cantharis | Urination, painful, Perineum, burning, Abdomen, lower, tender | 18 |
| 3 | Apis | Abdomen, lower, tender, Temperament, irritable | 12 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| - | - | - | - |
Dominant Miasm: None
14. FINAL STEPS
- Provisional Diagnosis: Acute Prostatitis
- Differentiation of Remedies: Pulsatilla is chosen over Cantharis and Apis due to its broader symptomatology, including mental and emotional symptoms such as anxiety and irritability.
- Selection of Remedy (Materia Medica): Pulsatilla matches well with the symptoms of painful urination, burning sensation in perineum, tenderness in lower abdomen, and mental symptoms (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Acute condition with intense symptoms)
- Actual Prescription:
- Pulsatilla 200 — 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 |
|---|
| 28/02/2026 | Improvement in urination, reduced pain | Placebo | Continue with placebo and follow up on 1st Mar |