Acute Renal Colic
1. PRELIMINARY DATA
- No.: 115/2026
- Patient's Name: JKL
- Address: Flat no. 104, Kothrud, Pune
- Occupation: Software Engineer (High stress, long working hours)
- Religion: Hindu
- Date: 28/02/2026
- Age: 32 Years
- Sex: Male
- Education: Bachelor's in Computer Science
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Left lower abdomen | Severe, colicky pain radiating to groin, associated with nausea and vomiting | Aggravated by movement, > by lying down, > by warmth, < by cold water | Frequent urination, urgency, and burning sensation while urinating |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Hypertension (controlled), high cholesterol (under treatment)
- Family History: Father had kidney stones, mother had recurrent kidney infections
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Decreased
- Desires: Greasy, spicy foods
- Aversions: None
- Thirst: Increased
- Elimination:
- Urine: Dark yellow, smelly, frequent
- Stool: Normal, no change
- Perspiration: Excessive
- Sleep: Disturbed
- Thermal State: Hot
B. Reactions - Physical Factors
- Weather: No change
- Position: No change
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable
- Anxiety: Moderate
- Fear: Fear of kidney damage or failure
6. PHYSICAL GENERAL EXAMINATION
- Wt: 72 kg | Ht: 170 cm | Temp: 102°F
- RR: 24/ min | Pulse: 100 bpm | B.P.: 140/90 mmHg
- Face: Pale, sweaty
- Tongue: Dry, coated
- Nails: Normal
- Skin: Dry, warm
7. SYSTEMIC EXAMINATION
- GIT: Normal
- CVS: S1, S2 Normal. No murmurs.
- Respiratory: Clear
- Renal: Tenderness and guarding in left lower abdomen, renal masses not palpable.
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: (Grade 3)
- Physical General: (Grade 3)
- Particular: (Grade 5) Renal colic with radiation to groin.
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Based on the general and particular symptoms, the patient shows a clear picture of renal colic with radiation to groin, which is a characteristic feature of Calcarea carbonica.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Renal colic, radiation to groin, nausea, vomiting, frequent urination, urgency, and burning sensation while urinating
- Severe, colicky pain, > by lying down, > by warmth, < by cold water
- Dark yellow, smelly urine, frequent urination
- Irritability, moderate anxiety, fear of kidney damage or failure
- Decreased appetite, increased thirst, excessive perspiration, disturbed sleep, hot thermal state
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Renal colic, radiation to groin | Renal calculi, < warmth, > lying down | 174 |
| 2 | Nausea and vomiting | Nausea, > warmth | 123 |
| 3 | Frequent urination, urgency, and burning sensation while urinating | Frequent urination, Urgency, Burning micturition | 73 |
| 4 | Severe, colicky pain | Colic, severe pain, < warmth, > lying down | 173 |
| 5 | Dark yellow, smelly urine | Dark yellow urine, Smelly urine | 64 |
| 6 | Irritability, moderate anxiety, fear of kidney damage or failure | Irritability, Anxiety, Fear of disease | 94 |
| 7 | Decreased appetite, increased thirst, excessive perspiration, disturbed sleep, hot thermal state | Decreased appetite, Increased thirst, Excessive perspiration, Disturbed sleep, Hot thermal state | 41 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Calcarea carbonica | Renal calculi, < warmth, > lying down, Colic, severe pain, < warmth, > lying down, Frequent urination, Urgency, Burning micturition, Dark yellow urine, Smelly urine, Irritability, Anxiety, Fear of disease, Decreased appetite, Increased thirst, Excessive perspiration, Disturbed sleep, Hot thermal state | 23/30 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| + | 0 | 0 | 0 |
Dominant Miasm: Psora
14. FINAL STEPS
- Provisional Diagnosis: Acute Renal Colic
- Differentiation of Remedies: Calcarea carbonica matches the symptoms of renal colic, radiation to groin, nausea, vomiting, frequent urination, urgency, and burning sensation while urinating, which is a characteristic feature of this remedy.
- Selection of Remedy (Materia Medica): Calcarea carbonica matches the symptoms of renal colic, radiation to groin, nausea, vomiting, frequent urination, urgency, and burning sensation while urinating (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 30C (Acute condition, sensitive patient)
- Actual Prescription:
- Calcarea carbonica 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 | Improved, but some pain still present | Placebo | Continue with medication, rest |