Application of Boericke’s repertory in urinary tract Infection

An attempt to trace out the utility of chapter “urinary system” from Boericke’s repertory for urinary tract infe

Dr Arun k John

Abstract
Boericke repertory is a clinical repertory widely used bedside which has been attached to homoeopathic materia medica by William Boericke1. Urinary tract infection is one of the most common infections in urinary system. The most common bacteria involved in urinary tract infection is E.coli2. Homoeopathy has a marked action on urinary tract infection. In this article, an attempt has been made to trace out the utility of chapter “urinary system” from Boericke’s repertory for urinary tract infection

Keywords: urinary tract infection, Boericke’s Repertory

Urinary tract infection

It is an infection in any part of the urinary system, the kidneys, bladder or urethra. It is more common in woman. Most infection involves the lower urinary tract – the bladder and the urethra3

Symptoms

  • Strong urge to urinate
  • Burning feeling when urinating
  • Urinating often, and passing small amount of urine
  •  Urine that looks cloudy
  • Urine that appears red, bright pink – sign of blood in the urine
  • Strong smelling urine
  • Pelvic pain, in woman – especially in the center of the pelvis and around the area of the pubic bone

Symptoms depend on which part of the urinary tract is affected

kidneys Backpain or side pain

High fever

Shaking and chills

Nausea

Voming

bladder Pelvic pressure

Frequent, painful urination

Blood in urine

Urethra Burning with urination

discharge

Boericke repertory
Full name of the book is pocket manual of Homoeopathic Materia medica and repertory comprising of the characteristic and guiding symptom of all remedies

Author: – O E Boericke

Year of publication: – 1906

It has 2 parts

Materia medica part

Repertory part

Materia medica part

Alphabetical arrangement of medicine with their indication

Common name of the remedy given in bracket just below the name of remedy

Starts with general introduction of remedy followed by the symptoms related to particular location which follows the order of anatomical schema

Repertory part

There are 25 chapters

It starts from mind and end in modalities

Typography

There are 2 types

1st grade – italics

2nd grade – roman

Application of urinary system chapter to urinary tract infection

Inflammation (cystitis)4

Tenesmus vesicae

Pain in renal region

– cutting

– drawing tensive

– pressure

– stitching

– throbbing

Pyelitis – inflammation of pelvis

Sensitiveness; tenderness

Urethra

– burning, smarting

– burning between acts of urination

– discharge, mucus

– inflammation

– itching

Meatus

– burning

– itching

– swelling

Pain in urethra

– cutting

– soreness, tenderness irritation

– stitching, stinging

Urinary flow-desire-constant desire

Dysuria- difficult, slow, painful

Frequent desire

  • At night
  • Imperative, irresistible, sudden desire
  • Intermittent, interrupted flow

Involuntary

Involuntary at night

Retention

  • From, acute illness

Scanty flow

Urination complaints before act

  • Burning
  • Pain

Complaints during act

  • Chill
  • Meatus burning
  • Meatus itching

Pain in general

  • Cutting stinging stitching
  • Drawing, radiating to labia

Complaints after act

  • Burning
  • Dribbling
  • Meatus and urethra, tingling
  • Meatus burning

Pain -aching, bruised

-Sensation as if urine remained behind

Urine type- acrid

-bloody (haematuria)

Color- appearance

  • Brown dark
  • Cloudy, turbid
  • Frothy
  • Milky
  • Pale, clear
  • Smoky
  • Thick
  • Yellow

Odor- fetid foul

  • Fish like
  • Pungent, ammoniacal
  • Sharp intensely
  • Sour

Sediment

  • Bile
  • Blood
  • Casts
  • Cells, debris
  • Chyluria
  • Haemoglobinuria
  • pus

CONCLUSION
Boericke repertory is a trustworthy guide in clinical practice for the selection of homoeopathic Similimum because it is mainly based on clinical rubric, technical terms and frequently verified clinical remedies. In chapter urinary system author has well explained about symptoms, clinical condition that affect urinary system and can easily help in arrive at the homoeopathic Similimum. Thus, this chapter will be very useful in our clinical practice.

Reference

1 Shashi Kant Tiwari, Essentials of Repertorization, Published by B Jain Publishers.5/e.2012

2 https://www.mayoclinic.org/diseases-conditions/urinary-tract-infection/symptoms-causes/syc-2035344

3 https://my.clevelandclinic.org/health/diseases/9135-urinary-tract-infections

4 Boericke William. Pocket Manual of Homoeopathic Materia and Repertory,9 e, New Delhi, Jain Publishers, 2012; p861-882

DR ARUN K JOHN
MD PART 2, Department of case taking and repertory
Under guidance of DR MUNIR AHMED R
Government homoeopathic medical college and hospital, Bengaluru

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