Fistula has often been cured by homoeopathic means, but it is much more easily dealt with if it can be taken in the abscess stage. The medicine that has the widest range in these cases is Silica. J.H.Clarke shred his cured cases in his book Haemorrhoides and habitual constipation….

IT is not an uncommon occurrence to meet with inflammation of the tissues at one or other side of the anal orifice. If this is not checked it may go on to the formation of pus which finds an outlet either into the bowel, or externally through the skin. In either case the tendency is to the formation of a fistula, that is an ulcerating tract leading from the original abscess to the surface, which continues to secrete a purulent fluid indefinitely.

Fistula has often been cured by homoeopathic means, but it is much more easily dealt with if it can be taken in the abscess stage. The medicine that has the widest range in these cases is Silica. One curious observation I have made in regard to the action of Silica in these cases, which I do not remember to have seen mentioned by any one else. When an abscess forms at one side of the anus and Silica is given, very frequently the abscess will abort and a new abscess will appear on the other side, generally smaller than the first, and then both will rapidly get well.

CASE XVII. FISTULA Mrs.D.F., 38 had consulted me occasionally for several years on account of constipation for which she had previously taken. Liquorice powder twice a week), piles, and other troubles, which had been entirely relieved by Sepia and other medicines. I had not seen her for four months, when she came to me on October 22, 1892. Ten days before, she had had a swelling on the right side of the anus, with very great pain at times, of a pricking shooting character, and bleeding. The lump had gone on to the formation of an abscess and had discharged, and the discharge still continued. If the discharge ceased for a time, the patient felt ill and low-spirited. There was a pile on the right side, and on the same side a hard nodule, in the centre of which was the opening of a fistula.

Rx Silica 3, gr. ii. four times a day. Nov. 14. Has been much better. Had a new swelling on the other side, but was better after it. This appeared on November 8, and quite disappeared without discharging. Has had a good deal of discharge at times from the opening sometimes mattery, sometimes blood. Has a sensation as if something were lodged in the bowel.

Rx Sepia 30.

This kept her right till the following March.

March 11, 1893. Has had influenza and bronchitis, and the cough had caused the fistula to open up again. She was suffering from a scaly eruption on the face, acidity, indigestion, and pain about the abdomen from left to right after eating and constipation.

Sarsaparilla was now given in a high potency.

March 25. Bowels acting better; fistula much better; rash on face not so well; pains in hypogastrium and under left shoulder blade.

She now received a course of medicines, Alumen 30, Sulphur 30, and Psoricum 30, given in succession in that order, with very great relief, in which the first named medicine seemed to have the principal share.

In June there was some return, and the same course proved effective. On October II, she again had some difficulty in passing a motion, with bleeding, and a sensation that the passage was closing up. A local practitioner had strongly urged her to have an operation.

Rx Sepia 30. and Nat. mur. 30, on alternate weeks.

There has been no return of the old trouble, as I have ascertained from the patient, who called upon me years afterwards about some thing else.

With regard to the rash on the face, I may mention that the patient discovered she always had it after drinking Indian tea. China tea did not produce the same effect.

Fistula and Constipation.

The Constitutional nature of fistula is so self-evident that it is not a little surprising that surgery should be restored to in such a light hearted way, as is generally the case. It is perfectly well known, even in the allopathic world, that ” successful” operation for fistula is frequently followed by some affection of the lungs. Fistula is frequently the expression of the consumptive state, and acts as a constitutional outlet. If this is treated by remedies directed to the constitution, the trouble can frequently be cured, and if it cannot, it is far better for the patient’s future that it should be left uncured. It would be a somewhat different matter if surgery were regarded as the assistant of medicine, and if, both before and after the surgeon had done his part, the patient were submitted to a course of treatment directed to remedying the constitutional dyscrasia, of which the fistula is an outcome. But this is not the case. As soon as all visible disease action is got rid of, the surgeon is satisfied, and as allopathic medicine knows nothing of constitutional cure, the patient is left with the idea that all has been done for him that art and science can compass. How far this is from being the fact the following cases, which show the relation between fistula and the consumptive state, will clearly illustrate.

John Henry Clarke
John Henry Clarke MD (1853 – November 24, 1931 was a prominent English classical homeopath. Dr. Clarke was a busy practitioner. As a physician he not only had his own clinic in Piccadilly, London, but he also was a consultant at the London Homeopathic Hospital and researched into new remedies — nosodes. For many years, he was the editor of The Homeopathic World. He wrote many books, his best known were Dictionary of Practical Materia Medica and Repertory of Materia Medica