Individualized Homoeopathic Management of Benign Prostatic Hyperplasia: Clinical Improvement with Thuja occidentalis — A Case Report with Selection of the Similimum

Abstract

Background: BPH is a frequently occurring condition in older men and can cause lower urinary tract symptoms (LUTS), such as nocturia, urinary hesitancy, weak urinary stream, and incomplete bladder emptying. Individualized homoeopathy is a symptom-based method of remedy selection that offers a patient-centred treatment option for BPH, particularly because conventional drug therapy carries recognised adverse effects.

Case presentation: A retired man aged 62 years with a history of 8 months of polyuria, 4-5 nighttime urinations, weak urine stream, hesitancy, and terminal dribbling with a feeling of incomplete bladder emptying.tries maximum to finish voiding. Other symptoms he noted included a feeling of "fullness" in the perineal area, which worsened while sitting down. At baseline, the International Prostate Symptom Score (IPSS) was 24/35, and the urinary symptom-related quality-of-life (QOL) was 5/6. Ultrasonography showed a prostate size of 48.5 g and a post-void residual (PVR) volume of 110 mL.

Intervention and outcomes:  After taking their case and analysing it in the light of miasmata, Thuja occidentalis was chosen as the similimum. The doctor gave Thuja occidentalis 200C, then a placebo for the next two months, and a second dose of 200C at month three, followed by a dose of 1M at month five. The IPSS score at six months was 5/35, and the prostate and PVR volume were 29.1 g and 18 mL, respectively. PSA levels in serum went down from 2.8 to 2.1 ng/mL. Symptomatic, ultrasonographic and biochemical parameters all improved progressively after the individualized homoeopathic prescription.

Conclusion: Individualized homoeopathic treatment with Thuja occidentalis, selected through case analysis, miasmatic interpretation and repertorisation, was followed by marked symptomatic and objective improvement in this patient with BPH, suggesting that individualized homoeopathic medicine can be an effective treatment option in BPH. Larger controlled studies are recommended to confirm these findings