�� A Case of Recurrent UTI with Miasmatical Understanding
Dr. Archana Khade
Mrs S, a tall and heavily built married woman in her early 30s, with height around
5.7’ and overweight about 102 kgs, came to my clinic on 4th June 2025 with
complaints of recurrent urinary tract infections (UTI) for the past 6 months—on and
off since November 2024, the most severe one being in May 2025. She had taken
antibiotics twice in this duration (November and April), and in between relied only on
home remedies like dhania water, which relieved. She had
Despite repeated complaints, her urine culture in April 2025 was negative.
Interestingly, she had only one such UTI episode before marriage, in August
2024. The recurrence began post-marriage, with no history of fever or travel. She
had marked evening aggravation of burning and urging, < contact, standing, >
sitting, and > during sleep. She had to change her undergarments twice daily
due to dampness. She reported perspiration around genitalia and beneath fatty
folds (under breasts), yet had no foul odour. Appetite was normal; thirst for 2–3
bottles of water a day.
She has had accidental burns (unrelated but weakened her vitality) after her
marriage as well. On a general level, she was a chilly patient, craved sweets (with
a twinkle in her eye), and disliked most vegetables. She slept peacefully on her
stomach. In physical generals, she had irritability before menses, cramps in the
lower abdomen and thighs during periods, and dark clotted blood with
otherwise light-coloured flow. There were no complaints of leucorrhea or hormonal
imbalance otherwise.
Emotional and Mental Profile: She appeared cheerful and communicative. A
self-driven workaholic, she had changed jobs even during her marriage
preparations, pointing to her ambition and leadership traits. She was fastidious,
often correcting others for not keeping things in place. Despite her confident exterior,
she harboured anxiety about the disease, especially fearing it would affect her
marital life. She had no significant past trauma, was indolent at times, and
showed hopefulness and a positive outlook. She was the youngest in her
family, extroverted, and had a stable personality.
�� Repertorial Totality:
Ailments from marriage/life change
Desire for sweets
Irritability before menses
Cramping in lower abdomen and thighs during menses
Indolence
Anxiety about health
Fastidious nature, confidence and ambition
Selected Rubrics :
[Kent ] [Bladder]URGING TO URINATE (MORBID DESIRE):Frequent
(see Urination,frequent):Evening: (8)
[Complete ] [Urethra]PAIN:Burning, smarting:Urination:During: (297)
[Complete ] [Generalities]RELAPSE OF COMPLAINTS: (54)
[Kent ] [Stomach]DESIRES:Sweets: (36)
�� Miasmatic Understanding:
The case showed a clear dominance of sycotic miasm,and psoric traits were also
evident in her anxiety and irritability.
�� Prescription & Follow-up:
Although Sulphur had a higher numerical score, as seen in the Repertorization
table above, it was not selected because the patient's personality and general traits
did not correspond with the classical Sulphur picture. She was fastidious, well-
groomed, and concerned about order and appearance, which contrasts with the
typical untidy, indifferent, and neglectful nature of Sulphur patients. Mentally, she was
ambitious, structured, and socially confident, lacking the philosophical detachment or
careless attitude seen in Sulphur types. Therefore, Lycopodium was chosen as it
better matched the physical, mental, and emotional characteristics of the patient.
I prescribed Lycopodium 0/3 daily, followed by Cantharis 200 for acute support.
She had a verbal follow-up asking if they can continue the medications as she was
having relief. On 28th June 2025, exactly 24 days after the first consultation, the
patient returned completely symptom-free, with her husband. The gratitude they
expressed and their glowing smiles reminded me of the very essence of healing that
Dr. Hahnemann envisioned—not just the removal of symptoms, but the restoration
of harmony.
-DrArchana Khade Harish
B.H.M.S, P.G.D.E.M.S (Mum)
Ishwara Homeocare, Bengaluru