A VERY common accompaniment of piles is irritation, affecting either the piles themselves or the skin in the neighbourhood. This may also occur independently of piles, and it may occur with or without eruption. More often than not it is of an eczematous nature.
CASE XXII. IRRITABLE ECZEMA ABOUT THE ANUS.
A gentlemen about forty came to me in the city, complaining of a very troublesome irritation in the region of the anus, accompanied with discharge, with which he had been troubled for twelve months. On examination, I found the parts affected with an extensive eczematous eruption exuding a moisture. There was also a small pile with a cracked surface. A short course of Graphites with a Graphites ointment was sufficient to put this patient right.
CASE XXIII. IRRITABLE ECZEMA.
Being called into the country to see a patient, I was asked, when there, to see the patient’s maid, who was said to be suffering from boils, which were especially painful on sitting down. The young woman was in rather an unhealthy state generally. She was of a rheumatic habit, and was worse in cold or damp weather; subject to chilblains; and had multiple gatherings affecting the finger ends. Periods regular but scanty.
On investigating the so-called “boils,” I found there were no boils at all present, but an angry-looking eczema with discharge. Four years before, she had had something similar. At the time I saw her both ears were affected with an eruption covered with crusts. Mercurius vivus 12, Hepar 30, and Rhus ven. 3x, were successively given, and in a fortnight the ears were nearly well, and the patient was better in her general health, but the perineal discharge still continued, though without irritation.
Graphites 30 was now given with good effect, and since then this medicine has always kept her right in that particular when trouble has been threatened.