~ 457 ~ International Journal of Homoeopathic Sciences 2022; 6(4): 457-460 E-ISSN: 2616-4493 P-ISSN: 2616-4485 www.homoeopathicjournal.com IJHS 2022; 6(4): 457-460 Received: 19-07-2022 Accepted: 22-09-2022 Dr. Ambala Sriharitha Associate Professor, Department of Homoeopathic Materia Medica, MNR Homoeopathic Medical College, Fasalwadi, Sangareddy, Telangana, India Dr. Usha Rani Assistant Professor, Department of Organon and Philosophy, MNR Homoeopathic Medical College, Fasalwadi, Sangareddy, Telangana, India Dr. K Mookambika Assistant Professor, Department of Organon and Philosophy, MNR Homoeopathic Medical College, Fasalwadi, Sangareddy, Telangana, India Corresponding Author: Dr. Ambala Sriharitha Associate Professor, Department of Homoeopathic Materia Medica, MNR Homoeopathic Medical College, Fasalwadi, Sangareddy, Telangana, India Utility of Boger’s pathological approach in treating a case of nephrotic syndrome-evidence based case report Dr. Ambala Sriharitha, Dr. Usha Rani and Dr. K Mookambika DOI: https://doi.org/10.33545/26164485.2022.v6.i4g.697 Abstract Homoeopathy is eminent system of Medicine, introduced by Master Samuel Hahnemann in 1796. Till date it is exhibiting its uniqueness with miraculous cures. A diagnosed case of Nephrotic syndrome has visited Homoeopathic OPD, after several unsuccessful treatments from other systems of Medicine. The case was received, analyzed, repertorized properly, and a Homoeopathic medicine ARSENICUM ALBUM was selected by using Boger’s Pathological approach. The case showed marked improvement from first day of medication itself and within a week, complaints completely resolved. The case was followed for 4 more years, and no complications were developed. Keywords: Homoeopathy, arsenicum album, lm potency, nephrotic syndrome Introduction Nephrotic syndrome, a renal disease, is a triad of proteinuria, hypoalbuminaemia and edema. Severe hyperlipidemia is often seen. The edema is pitting type, and dependent, prominently seen periorbitally and peripherally in limbs. Genital edema, Ascites, and Anasarca develops later. There are many causes for Nephrotic syndrome, Minimal change disease is most common cause in children, upto 80% of all cases, and 20% in adults. Investigations include 24 hour urinary protein estimation, serum albumin and cholesterol concentrations. Renal biopsy may be required for histological diagnosis. Treatment includes immunosuppressive drugs, ACE inhibitors, and NSAIDS, which helps to manage the case [5] . Homoeopathy, a unique system of medicine, treats the patient through individual approach in a safe, and quick manner. Each remedy shows peculiar characteristics, which is matched with the symptoms of patient and suitable drug is selected accordingly. Here in this article, a case of Nephrotic syndrome, which was very well managed without complications with Homoeopathic treatment is discussed. Case Details: A 22 months male baby was brought to OPD with complaints of 1. Edematous swelling of both lower limbs, abdomen, and face, from 1 month 2. Fever from 3 days. Details were given by mother, that baby had puffiness of face with marked swelling of lower eyelids, one month back, which improved on local herbal treatment. Complaints reappeared again after 10 days of herbal treatment, first swelling under lower eyelids developed, followed by swelling of abdomen and extremities. Patient was taken to Nil of Er Hospital, where it was diagnosed as Nephrotic syndrome, after undergoing investigations. The reports confirmed albuminuria, proteinuria, and high serum creatinine levels. With allopathic Rx. patient passed large quantity of urination, which relieved him temporarily. Patient was discharged from hospital on improvement with some medications. Same symptoms again reappeared after 2 weeks, so patient’s mother wanted to try Homoeopathy treatment. The complaints with which patient approached for treatment were swelling of face, abdomen and extremities, scanty urination, lowered frequency of urine, i.e., only twice in a day. There is decreased appetite, increased thirst for small quantities of water, constipation, hard stools passing once in 3 days from the commencement of complaints. Fever from 3 days, with chills < evening time. Patient desires covering. Chilly++.Used allopathic Rx with no relief of fever. Didn’t pass stools for 3 days. Child was dull, decreased in activity, noticed from the time patient came to hospital.