TO judge by my experience, there must be something in the atmosphere of the Houses of Parliament, or in the habits they engender, conducive to the production of haemorrhoids as well as influenza, and the first case I will mention here is that of a prominent politician who consulted me some years ago.
CASE I. BLEEDING HAEMORRHOIDS.
The patient was a tall, spare man, dark complexioned, between fifty and sixty years of age, who had travelled much about the world, undergone a good deal of exposure in open-air sports and without indulging to excess, was fond of a good dinner and his pipe. For five years, and especially for the last two, he had been much troubled with piles, which protruded, bled periodically, discharged continually a mucous fluid, and occasioned much heat, bearing-down sensation, and discomfort. The motions were at times constipated and light-coloured. The urine was thick after taking any wine. Without having actual pain in the liver he was often conscious of possessing that organ.
Before coming to me he had consulted his ordinary medical man, a well -known consultant in town., who had told him there was nothing for, it he wished to be relieved of his trouble, but to make up his mind to lie up for three weeks and undergo an operation. As it was not convenient to lie up for three weeks just then not to mention a possibly longer period my patient, who had some acquaintance with homoeopathy, determined to give it a trial. It was near the end of March when he called upon me and I put him on Nitric acid 12. A month later he called again, and reported that he had been quite free from any inconvenience until a few days before his visit. He had been dining out, and had a little return in consequence, with constipation, but no bleeding and no bearing down.
Rx Nux v. 30.
After this I saw nothing of him till the following September, when he had a slight reminder of his trouble after a fishing expedition in which he had done a good deal of wading.
Rx Calcarea c. 30, in powders, one night and morning. This kept him right till the following April, when Lycopodium was given, and he has had hardly any trouble since.
I will now give the case of the patient referred to in my introductory chapter.
CASE II. -OBSTINATE CONSTIPATION; MARGINAL PILE.
This patient was a lady of very gouty family, past middle life. She had always been of a constipated habit, and had dosed herself freely with pills and other kinds of aperients. She had, however, partially escaped from the dominion of the latter by the aid of a domestic work on homoeopathy, from which she learned the virtues of Nux and Sulphur, after which she had very little trouble in that way. I was called to see her for an attack of perityphlitis, and after she had got quite well of this, attack of piles developed without any symptoms of constipation. There was a large protrusion, but in its origin it was partly external and partly internal, with great pain and discomfort.
There was also some ulceration.
When I discovered the extent of the disease I came to the conclusion that it would take a long time to cure, and I then made the suggestion that an operation would be the most satisfactory way of riding her of the trouble. But my patient, who was of a very sensitive temperament, was so terrified by the idea that I did not venture to repeat the advice, and though the complete cure did take sometime, the acute symptoms were subdued in a few days by the internal and local use of Hamamelis, so that she was soon able to return to her ordinary avocations. Aesculus was given later with good effort. What remained of the pile was not so important as a return of the constipation, and it was whilst under treatment for this that the pile finally disappeared.
The origin of this patient’s constipation is instructive, and may serve as a warning to those who have the care of young girls. When about fourteen years of age, she was sent to some friends on a visit. Whilst there, she was dreadfully constipated, and being very timid, said nothing about it. On this occasion she went eight days without an action. On another occasion when again on a visit, but to another place, the same thing happened; but this time she fainted, and when she revived she confessed what was the matter. Purgatives were there and then administered, and had to be continued ever after, till she came under the influence of homoeopathy.
The medicine which I found give the most help was Natrum mur., indicated by the largeness of the motions, and the feeling as if something remained in the bowel after the action. Magnes. mur. Hydrastis, and Lycopodium also did good service, but it was not till Natrum mur. 200 was given that the condition was completely mastered.