Alphabetical Repertory of characteristic symptoms: A quick guide for Pediatric UTI

May 12, 2020 admin Homeopathic Repertory 0

Dr Jaimin R Chotaliya

“EVERY CHILD IS A DIFFERENT KIND OF FLOWER, AND ALL TOGETHER MAKE THIS WORLD A BEAUTIFUL GARDEN.”

A Child presented with symptoms like fever, vomiting, abdominal/flank pain, strong smelling urine, dysuria, enuresis or incontinence of urine are suggested Urinary tract infection on diagnostic criteria. Like respiratory tract infection, urinary tract infection is most common disease amongst this age group. Cases of pediatric UTI need an immediate attention as it may later create fatal complications. In the field of Homeopathy, every physician needs Repertory for successful Prescription. In day to day practice, Repertory is not only useful for prescribing but also freshens up our knowledge of Materia Medica. Keen observation and ability are needed to establish healthy communication with children. They are essential qualities of physician that is necessary for pediatric case taking. So, some characteristic observations regarding children from repertories are helpful for management of pediatric cases.  

All repertories in Homoeopathic field have their own importance and provide exhaustive literature for reference. From puritan to clinical repertories, all are needed to Homoeopathic physicians in their day to day practice. All the repertories have their peculiarity and unique characteristics by which they are differentiated from one another. During the treatment of these little angels, treatment seems time consuming to refer all the repertories. So, a short compilation that is intended to help physicians to crack Pediatric UTI cases easily where the useful matters for prescriptions are collected under the one heading.

  • Notes: – 
    1. 1st grade is equivalent to followings: –
  • 1st grade of Knerr’s, Boger Boenninghausen’s, Phatak’s, Lippe’s and Boericke’s repertory are equivalent respectively to Kent’s 1st grade. (▐▐, SULPH, Sulph. → Sulph.) [3 marks]
    1. 2nd grade is equivalent to following: – 
  • 2nd and 3rd grades of Knerr’s and Boger Boenninghausen’s repertory are equivalent respectively to Kent’s 2nd grade. [▌& ║, (Sulph. & Sulph.) → Sulph.] [2 marks]
  • Clarke’s single grade is equivalent to Kent’s 2nd grade. [Sulph. → Sulph.]
  • Lippe’s and Boericke’s 2nd grade are equivalent to Kent’s 2nd grade. [Sulph. → Sulph.]
  • Phatak’s 2nd grade is equivalent to Kent’s 2nd grade. [Sulph. → Sulph.]
    1. 3rd grade is equivalent to following: –
  • 4th and 5th grades of Knerr’s and Boger Boenninghausen’s repertory are equivalent respectively to Kent’s 3rd grade. [│& (│), {Roman, (Roman)} → Sulph.] [1 mark – Suggests comparatively lower value]
  • Gentry’s single grade is equivalent to Kent’s 3rd grade. [Sulph. → Sulph.]
  • Phatak’s 3rd grade is equivalent to Kent’s 3rd grade. [Sulph. → Sulph.]
    1. Explanation of superscripts: –  
  • Kn – Knerr’s repertory
  • G – Gentry’s repertory
  • Kent – Without superscription {In some rubrics where the remedy/s appears in Kent’s as well as in other repertory/s is denoted as (‘K’)}
  • Bg – Boger Boenninghausen’s characteristic and repertory
  • Phtk – Phatak’s repertory
  • Clrk – Clarke’s Clinical repertory to the dictionary of practical Materia Medica
  • Li – Lippe’s repertory of the more characteristic symptoms of Materia Medica
  • Br – Boericke’s repertory
    1. Construction of Repertory: – 
  • Rubrics, sub-rubrics and sub-sub-rubrics are presented alphabetically throughout the repertory.  
  • Rubrics are presented in Bold letters.
  • Sub-rubrics are presented in Italic letters.
  • Sub-sub-rubrics and sub-sub-sub-rubrics are presented in Roman letters.
  • 3 Gradations: – Bold (3 marks), Italics (2 marks), Roman (1 mark)
  • Abbreviations of remedies are according to Kent’s repertory.

A

  • Afraid – 
  • Children afraid to urinate, are frantic when desire to come on – Bor.[G]
  • Age, 

– boys – Constant dribbling of urine – Caust. [Kn], Rhus-t. [Kn] [K] (See – Urination, involuntary)

– children – 

  • Constitutional disturbances with copious of urate of ammonia – Puls. [Kn] 
  • Urination and defecation, inclined to frequency of – Kali-i. [clrk]

– girls – Weakness of bladder – Rhus-t. [Kn]

– new born (Infants) – 

     –    dropsy, oedema [Phtk] – Apis., Carb-v., Dig., Lach., Sec. 

     –    retention of urine (See – Urine, retention)

B

  • Bed – 
  • Is wet almost as soon as child goes to sleep: always during first sleep -Sep. [G]
  • Involuntary micturition at night particularly in little girls – Puls. [Kn] 
  • Wetting,
    • bed at night (children) – Equis. [G]
    • worms, from – Cina. [G]
  • Before – 
  • Sand in urine or on diaper; child screams before and during urination – Sars. [G]
  • urinating child screams with pain; red sand on diaper – Lyc. [G]
  • Bladder – 
  • Irritability, 
  • in children, preceded by headache and heat in head – Senec. [Kn]
  • Pain, causes infants to scream – Arn. [Kn]
  • Painful retention of urine (in a boy), with loud screams, sensation as if a ball were rolling about in bladder – Crot-h. [G]
  • Paralysis, in children with affection of head – Hyos. [Kn] 
  • Retention or suppression of urine (Stram.), with pressure in bladder or stitches in region of kidneys; retention from cold (specially in children, with crying and restlessness) – Acon. [G]
  • Sensitive; child screams if hand is placed there – All-c. [Kn]

K

  • Kidney, inactive especially in children – Stram. [Kn]

R

  • Retention of urine –
  • Children in – Acon., Apis., Art-v., Bell., Benz-acid., Calc., Caust., Cop, Dulc., Eup-pur., Ferr-p., Gels., Ip., Op
    • every, time child catches cold: Acon., cop., dulc., puls., sulph.
  • New born infants, in: Acon., apis., ars., benz-ac. camph., canth., caust., erig., hyos., lyc., puls
    • after a passion of the nurse: op. [Kn] [K] 

U

  • Urging – 
  • Ineffectual in children, cry impatiently and grasp abdomen – Lyc. [Kn]
  • Urinate to,
    • ineffectual,
      • children: Acon., Apis., Lyc., Camph., Eup-per.
    • painful,
      • child 
        • cries – Bor., Lach., Lyc., Nux-v., Sars.
        • jumps up and down with pain, if cannot be gratified – Petros.
        • grasp the genitals, cry out – Acon., merc.
    • sudden,
      • child wakes but cannot get out of the bed soon enough – Kreos. 
  • Urination – 
  • Crying Before (in children) [Bg]: Acon., Bor., Canth., Crot-h., Lyc., Nux-v., Plb., Sars. 
  • Difficult,
    • headache (children), with: Con. [Phtk], Senec. [Phtk]
    • in, 
      • catarrhal angina, in women and children – Senec. [Kn]
      • children – Acon. [Kn], Apis [Kn, G], Puls. [Kn]
        • during dentition- Erig. [Kn], Rheum. [Kn] 
  • Dribbling, involuntary day and night – Arg-n., Ars., Gels., Iod., Nux-v., Petr., Rhus-t. [Kn], Verb.
  • Dysuria 
    • Painful
      • Child cries before urine starts: Bor., lach., Lyc., Nux-v., Sars.
  • Frequent
    • minutes, every three or five, child passes very large quantity: Mag-p. [Kn]
    • worms, with – Cina. [Kn]
  • Inability (ineffectual urging, ischuria),
    • child desire to urinate, none flows, at another time could not retain it – Calc-o. [Kn] 
    • child two weeks old, in – Eup-pur. [Kn]
    • infants, in – Camph. [Kn]   
  • Involuntary (enuresis, incontinence)
    • at night
      • blow on head, after – Sil. [Kn]
      • children, 
        • especially, in: – Eup-p. [Kn]
        • in later part of night, even if they have urinated during night and drank no water – Chlol. [Kn] 
      • difficult to waken the child: Bell., Kreos. 
      • during first deep sleep from which child is roused with difficulty (enuresis nocturna) – Caust. [Br], Kreos. [Kn] [Br], Sep. [Br]
      • especially,
        • at night after great fright two years ago- Phos. [Kn]
        • during first sleep [Kn]– Caust., Cina., Ph-ac., Sepia. 
      • fat children, red face, sweat easily, catch cold – Calc-o. [Kn] 
      • floods bed five or six times – Ferr. [Kn]
      • for two years – Sulph. [Kn]
      • from infancy, in a girl at 16- Nux-v. [Kn] 
        • midnight to morning – Plan. [Kn]
        • nervous irritation- Mag-p. [Kn]
        • worms – Uran. [Kn]  
        • worms and in chorea- Sil. [Kn, G]
      • full moon, obstinate cause – Psor. [Kn] 
      • in, 
        • boys – Rhus-t. [Kn] [K] 
        • boys of light complexion – Sepia. [Kn] 
        • children of phosphorus build – Phos. [Kn]
        • children with acidity of stomach – Nat-p. [Kn]
        • children who grow too rapidly – Phos. [Kn]
        • children, where urine is scanty, acrid, and loaded with uric acid and its deposits – Plan. [Kn]
        • first sleep, fairly floods at bed – Ph-ac. [Kn]
        • nervous children – Gels. [Kn] 
        • scrofulous and syphilitic children – Kali-i. [Kn] 
      • pale, lean children with large abdomen, who love sugar and highly seasoned food, and abhor to wash- Sulph. [Kn] 
      • particularly in little girls – Puls. [Kn]
    • measles, after – Puls. [Kn] 
    • strangury in child: Art-v. [Kn], Bor. [Br], Lyc. [Br], Sars. [Br]
    • tangible causes except habit, when there is no; in weakly children – China. [Kn, K] 
    • urging: cutting, with, in bladder, caused by motion of child: Thuj. [Kn] 
    • weak children, in: Chin. [Phtk] [K], Kali-p. [Phtk], Thyr. [Phtk]
    • when there is no tangible cause except habit – Equis. [Kn]
    • with ascarides- Ferr. [Kn]
  • navel,
  • oozes through open umbilicus – Hyos. [Kn]
  • Urine –  
  • Clear (limpid, no sediment): pungent, fetid, in cholera infantum – Calc-o. [Kn]  
  • Decreased (scanty): in cholera infantum- Arn. [Kn]
    • in enuresis of children – Plan. [Kn]
  • Hot: in infants – Bor. [Kn]
  • Milky: in hydrocephalus, or Meningitis infantum – Apis. [Kn]
  • Odor: 
    • ammoniacal; infants: Iod.
    • strong in cholera infantum – Calc-o. [Kn]
    • strong in diarrhea of children – Benz-ac. [Kn]  
  • Pale: colorless, during dentition (diarrhea) – Apis. [Kn]  
  • Red: dark, in diarrhea of children – Benz-ac. [Kn]
  • Retention: 
    • Children – Apis., Acon., Art-v., Bell., Benz-ac., Calc., Caust., Cop., Dulc., Eup-per., Ferr-p., Gels., Ip., Op.   
      • after passion of nurse, nursing in – Op. [Kn]
      • every-time child catches cold – Acon., Cop., Dulc., Puls., Sulph.
      • fever with, little, in – Ferr-p. [Kn]
      • from cold, especially in children with crying and restlessness – Acon. [Kn] 
      • young, in – Caust. [Kn]
    • new born, in – Acon. [Bg] [Li], Benz-ac. [Li] [Phtk], Camph. [Bg], Hyos. [Li], Puls. [Bg]  
  • Sediment – brick dust, in enuresis of children – Plan. [Kn]
  • Suppressed:
    • Dentition during – Ter. [Phtk]  
    • in cholera infantum- Laur., Sulph. [Kn]
    • in infants, new born – Camph. [Kn], Chim [Phtk]
    • in meningitis infantum- Apoc. [Kn]
  • References: –
    1. Boericke William, New manual of Homoeopathic materia medica with repertory, 3rd revised & augmented edition, 2017, B. Jain publishers, New Delhi.
    2. Boger Cyrus Maxwell, Boger Boenninghausen’s characteristic and repertory, 42nd impression, 2016, B. Jain publishers(P) Ltd. Delhi. 
    3. Clarke John Henry, Clinical repertory to the dictionary of materia medica.
    4. Gentry, D. William, urine and urinary organ chapter, The Concordance Repertory of the Materia medica, vol.3, B. Jain publishers(P) Ltd. Delhi, Reprint edition -1995, Page no. 612, 664
    5. Kent, J.T., urinary organs, Repertory of the Homeopathic materia medica, B. Jain Publishers(P)Ltd., Delhi Reprint edition :1998, Page no.650-659
    6. Knerr, C.B., urinary organs, stages of life and constitution, Repertory of Hering’s Guiding symptoms of our   Materia Medica, B. Jain publishers(P) Ltd. Delhi, Reprint edition-2002, page no. 582-616, 1184-1185.
    7. Lippe Constantine, Repertory of the more characteristic symptoms of materia medica. 
    8. Phatak S. R., A concise repertory of Homoeopathic medicines (Alphabetically arranged), 4th edition (revised & corrected), 2005, B. Jain publishers, New Delhi.

Dr Jaimin R Chotaliya (M.D. Part – II)
Department of Repertory
Dr. V. H. Dave Homoeopathic medical college and research center, Hahnemann House, Amul dairy road, Anand, Gujarat. 388001
jaiminchotaliya@gmail.com