Rx Nitric acid 30, 28 powders, one night and morning.
May 10, 1900. He was very bad all the first and second days; after that was better. Now has a good deal of bearing down. Feels as if the rectum was not fully emptied. Stools fairly easy. Dry feeling just inside sphincter. He is worse when standing and better when sitting. Pain in the back has gone. The cold in the head has passed away.
Rx Causticum 12, three times a day. Hamamelis O for lotion.
May 16. Pain has been worse.
May 17. Soreness. pain shooting up rectum, with dryness. Discontinued Causticum.
May 24. Feels heart’s pulsation in piles. Pain is now burning, there are no shoots. One day had agony to pass water. Stool greyish, tinged with blood.
Rx Sulphur 30, ter die. Rx Suppos. cocain. 4 to gr. v. cocoa butter. To be used when the pain is severe.
May 31. On this occasion he gave me the following report. Three days after the visit was the best day he had had for two months. The next day had a very difficult stool, with pain and burning. Next day a fairly easy stool; and the day after, diarrhoea. Soreness after stool. Eczema better. On whole a much better week. I found piles had developed externally on the right side of the anus in a figwart appearance.
Repeat. June 9. Is suffering from bile. Two days after visit had a very bad stool with blood, and after it the right leg felt numb. The stool is more painful, but the pain does not last as long after
it.
Rx Nux Vomica 30, ter die. After two courses of this the patient again took Causticum as prescribed on May 10, resuming the course interrupted on May 17.
On Sept. 4., 1900, I heard from him that this remedy, after causing ” a copious flow of bile to assist digestion seems to have done wonders.”
I have seen this gentleman frequently since then, but not as a patient he has remained well.
