Prostatitis
1. PRELIMINARY DATA
- No.: 237/2026
- Patient's Name: KLM
- Address: Flat 2301, Ivory Enclave, Pune.
- Occupation: IT Project Manager (sedentary job, long sitting hours, stress deadlines)
- Religion: Hindu
- Date: 25/08/2026
- Age: 45 Years
- Sex: Male
- Education: B.E.
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Prostate & Pelvis | Chronic perineal pain, burning in urethra, frequent/urgent urination, dribbling after urination | < Sitting long, < Cold weather, < Sexual excitement, < After ejaculation, > Warm sitz bath, > Walking, since 6 years (chronic non-bacterial, PSA normal, urine culture negative) | Lower back ache, fatigue, irritability, sexual dysfunction |
| General | Pelvic heaviness | < Stress | Anxiety about prostate cancer, low mood |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Recurrent urinary infections treated with antibiotics; suppressed urethritis with meds; prolonged sitting job; frequent coffee/tea; mild constipation.
- Family History: Father has BPH. Uncle has chronic prostatitis. Brother has urinary issues.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal
- Desires: Warm drinks (+++), Spicy food (+)
- Aversions: Cold food/drinks
- Thirst: Moderate
- Elimination:
- Urine: Frequent, burning
- Stool: Occasional hard
- Perspiration: Profuse on perineum, sour
- Sleep: Disturbed by urgency/pain; wakes to urinate
- Thermal State: Chilly patient (prefers warm)
B. Reactions - Physical Factors
- Weather: Aggravation in cold weather
- Position: Better walking or warm bath
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, anxious, worried
- Anxiety: About prostate health, sexual performance
- Fear: Fear of cancer, fear surgery
- Dreams: Pain, inability to urinate, failure
- Other: Suppressed frustration, feels embarrassed
6. PHYSICAL GENERAL EXAMINATION
- Wt: 82 kg | Ht: 170 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 82 bpm | B.P.: 134/84 mmHg
- Face: Tense
- Tongue: Clean
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Genitourinary: Prostate mildly tender on DRE, no enlargement, perineal tenderness
- CVS: S1, S2 Normal
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about health/sexuality, fear cancer (Grade 3)
- Physical General: Chilly, desire warm drinks, sour sweat, frequent urination (Grade 3)
- Particular: Chronic prostatitis with perineal pain/burning, < sitting/cold, > warm bath/walking (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic genitourinary disorder with strong Mental Generals (irritability, anxiety) and Physical Generals (thermal, desires, urine symptoms) dominating; Kent suits male/urinary rubrics for prostatitis.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and anxiety
- Fear cancer/surgery
- Desire warm drinks
- Chilly patient
- Profuse sour perspiration
- Perineal burning pain
- Frequent/urgent urination
- Dribbling after urination
- < Sitting, cold, night
-
Warm bath, walking
- Lower back ache
- Family prostate issues
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Irritability | Mind; IRRITABILITY | 57 |
| 2 | Anxiety health | Mind; ANXIETY; health, about | 6 |
| 3 | Fear cancer | Mind; FEAR; cancer, of | 42 |
| 4 | Desire warm drinks | Stomach; DESIRES; warm drinks | 486 |
| 5 | Bladder urination frequent | Bladder; URINATION; frequent | 668 |
| 6 | Urethra pain burning | Urethra; PAIN; burning | 676 |
| 7 | Chilly | Generalities; COLD; agg. | 1348 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Pulsatilla | 7/7 | 21 |
| 2 | Thuja | 6/7 | 18 |
| 3 | Medorrhinum | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Burning pain, irritability, chilly | Chronic inflammation, dribbling | Family genitourinary issues | Destructive fear cancer |
Dominant Miasm: Sycotic-Psoric
14. FINAL STEPS
- Provisional Diagnosis: Chronic Prostatitis (non-bacterial)
- Differentiation of Remedies: Compared Pulsatilla with Thuja. Thuja has more sycotic suppression history, chilly; Pulsatilla matches changeable symptoms, weepiness/irritability, chilly, desire warm drinks, perineal pain < sitting, > warm/walking. Medorrhinum more sycotic discharge.
- Selection of Remedy (Materia Medica): Pulsatilla matches chronic prostatitis with perineal pain, frequent urination, dribbling, chilly patient, irritability/anxiety, desire warm drinks (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic genitourinary miasmatic case, sensitive constitution)
- Actual Prescription:
- Pulsatilla 200 — single dose (one dose only, wait & watch)
- Placebo — 4 pills twice a day for 8 weeks
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 20/09/2026 | Pain reduced 60%, urination frequency less, dribbling minimal | Placebo | Warm sitz bath, avoid prolonged sitting, hydration |
| 20/01/2027 | Symptoms rare, normal flow, energy better | Placebo | Regular pelvic floor exercises, avoid irritants |