Abstract
Cholelithiasis is a common hepatobiliary disorder characterized by the formation of gallstones within the gallbladder, often resulting in pain in the right hypochondrium, digestive disturbances, and constitutional symptoms. It is prevalent among adults due to lifestyle factors, dietary habits, and metabolic disturbances. The conventional management mainly includes surgical intervention, whereas homeopathy aims at treating the patient constitutionally to restore health and prevent recurrence.
Introduction
Cholelithiasis refers to the formation of gallstones in the gallbladder due to the precipitation of cholesterol, bilirubin, or mixed substances from bile. It is a widely prevalent condition affecting the adult population and commonly presents with right-sided abdominal pain, dyspepsia, nausea, and bloating. Gallstones may remain asymptomatic in some individuals, while in others they may produce recurrent biliary colic or complications such as inflammation and infection.
Several etiological factors such as dietary habits, sedentary lifestyle, metabolic disorders, and genetic predisposition contribute to the development of gallstones. In conventional medicine, the primary management includes analgesics, antibiotics in acute inflammation, and surgical procedures such as cholecystectomy for confirmed symptomatic cases. However, these approaches mainly address the pathological condition without considering the individual constitution.
Homeopathy views cholelithiasis not merely as a mechanical disorder but as a manifestation of an underlying constitutional imbalance. The treatment is therefore directed at correcting the internal disturbance through a carefully selected remedy based on the totality of symptoms. Constitutional prescribing plays a vital role in restoring health at the physical, mental, and emotional levels. This case report demonstrates how individualized homeopathic management led to symptomatic relief and overall improvement in a patient suffering from cholelithiasis, emphasizing the significance of holistic and patient-centered care and preventing surgery.
CASE PROFILE
Preliminary Data:
- Name – ABC Age – 35year Sex – Male
- Marital status – Married Religion – Hindu Education – 12th pass
- Occupation – worker Address – Nana mava main road, Rajkot
Chief Complain:
| Location with extension | Sensation & Pathology | A/F & Modality | Concomitant |
| Rt hypochondriac region Since 1 year | pain in right hypochondria on & off for a year. -fullness of abdomen. -On & off pain in throat. | <by eating chocolates |
Associated Complaints:
- NAD
Past History:
- No major illness.
Physical General:
- Appetite-2 meal/day
- Thirst-5-6 glass/day
- Addiction- NAD
- Desires- chocolates
- Aversion-NAD
- Sleep-6 hrs
- Dreams-NAD
- Stool-Once a day
- Urine-3-4 times/day
- Perspiration-Not specific
Physical Examination:
- Head & scalp -NAD
- Eyes- brown
- Conjunctiva- NAD
- Ear- NAD
- Nose- NAD
- Face- fair
- Mouth & Salivation- NAD
- Breath -NAD
- Tongue -NAD
- Teeth& Gums -NAD
- Neck &Gland- Not palpable
- Neck vain -Not visible
- Extremities- Upper Lower-NAD
- Skin-NAD
- Nails-Pink
- Deformity -NAD
- Built-Normal
- Height &. Weight 5’7” 70kg
- Complexion-Fair
- Pulse Rate 72/mi
- BP 120/80 mm Hg
- Temperature 98.2 F
- Cyanosis NAD
Systemic Examination:
Palpation: NAD
Percussion: NAD
Auscultation: NAD
Laboratery Investigation:
Hb-10.5gm%
RBC:350000cu.
TC: 18200cumm
ESR: 15mm
CRP: 60mg/1
Stool: NAD
Urine(R) & (M)
Totality Of Symptoms:
-Right side abdominal pain
- Pain shifting right to left side
- -fullness of abdomen
- -Fastidious
- -Throat pain & swollen Tonsils
- -< after eating chocolates
Differential Diagnosis:
Gallstone
Pancreatitis
Cholelithiasis
Provisional Diagnosis:
Cholelithiasis
Confirmatory Diagnosis:
Cholelithiasis (as per reports )
Tentative Remedy/Group Of Similar Drugs:
Lycopodium Causticum Pulsatilla
Prescribing Totality:
- right side abdominal pain
- Pain shifting right to left side
- Fullness of abdomen
- Fastidious
- Throat pain & swollen Tonsils
- -< after eating chocolates
Prescription:
Rx,
Lycopodium30, 3 dose SL (5) pills ds for 15days
| Date | Symptoms | Treatment |
| 24/7/25 | Pain in throat reduced; appetite not improved; pain in right hypochondrium persists. | Placebo/B.D. for 15days |
| 19/8/25 | Pain in rt. Hypochondria was reduced. Her thirst was improved. Bowel movements were regular and normal. Mental irritation was reduced. | Lycopodium 200/1 dose Placebo/B.D. for 7 days |
| 28/8/25 | Appetite improved. Pain in right hypochondrium persists. Fullness of abdomen was slightly better | Tuberculinum200/3dose Placebo/ B.D. for 15days |
| 25/9/25 | Weight has increases to 75kgs. General condition was normal. | Cardus m.6C 2pills twice a day Placebo/ B.D. for 10days |
| 15/10/25 | Advised patient go for Ultra sound Scan and Liver function Test. | Placebo/ B.D. for 7days |
| 25/10/25 | General condition was normal. Ultrasound Scan was normal as shown below. Advised the father of the patient to come after 2 months for review. | Placebo/ B.D. for 3 days |
CONCLUSION
The selection of Lycopodium based on the totality of symptoms proved effective, and strategic use of intercurrent and organ-specific remedies supported the healing process.
The resolution of symptoms and normalization of ultrasound findings highlight the potential of homeopathy as a holistic and non-invasive treatment modality in gall bladder disorders. This case supports the principle that treating the patient as a whole rather than focusing solely on the disease leads to better and sustained outcomes.
