This remedy is especially suitable to the form of haemorrhoids arising from portal congestion, abdominal plethora. They may or may not bleed, but there is a feeling in the rectum as of ***splinters or sticks. This remedy actually produced many liver symptoms and haemorrhoids in the provers. Other indicating symptoms are aching in the lumbar region, protruding purple piles with severe pains in the sacrum and small of the back and fullness in the region of the liver. Dryness, burning and itching are good indications. Hughes prefers **Nux vomica and Sulphur in haemorrhoids dependent on congestion of the portal system.
**Pulsatilla is one of the best remedies in haemorrhoids after
**Aesculus. Passive congestion and dyspeptic troubles are the keynotes; blind haemorrhoids. Haemorrhoids that bleed easily. It acts best in the higher potencies.
Haemorrhoids from chronic constipation may be cured with **Aesculus.
Burt says that no remedy can equal **Collinsonia in obstinate cases of haemorrhoids, which bleed almost incessantly, he recommends the tincture. It is of special use in females with inertia of the rectum and a congestive tendency to the pelvic organs. It suits pregnant women who suffer from piles, and pruritus may be a marked symptom. The indicating symptoms are chiefly a sensation of sticks in the rectum, with constipation from inertia of the lower bowel. It is especially applicable to heart pains resulting from a suppression of a habitual haemorrhoidal flow. It is somewhat similar to Nux vomica, but is a far more useful remedy.
**Ignatia. Haemorrhoids characterized by sharp, stitching pains, shooting up the rectum.
Hughes esteems this remedy as one of the best in haemorrhoids, and clinical testimony is decidedly with him. It has bleeding haemorrhoids, and the flow of blood is quite copious, and the great characterizing indication is excessive soreness. Hughes recommends the second dilution, and experience shows that an external application either hot or cold of Hamamelis extract will promptly reduce the inflammation and soreness.
**Sulphur has constipation and itching about the anus, worse at night, which may be considered as keynotes for its use.
This is also a most useful haemorrhoidal remedy. It is indicated where the piles protrude like a bunch of grapes, bleeding often and profusely, and are greatly relieved by the application of cold water. There is a very marked burning in the anus the bowels feel as if scraped. There is a tendency to diarrhoea, with the well-known uncertain feeling in the lower bowel. This tendency to diarrhoea will distinguish from **Collinsonia, which has the tendency to constipation.
**Ratanhia has burning in the anus, and protrusion of varices after a hard stool. The characteristics of this remedy are burning and fissure of the anus, great painfulness and sensitiveness of rectum.
**Capsicum. Bleeding piles with burning pain, itching, smarting and stinging in anus during stool are characteristic of **Capsicum.
Nux vomica. [Nux-v]
If the haemorrhoids be large and blind, with a burning, stinging and constricted feeling in the rectum and a bruised pain in the small of the back, and especially if excited by sedentary habits or abuse of stimulants, them Nux may be prescribed with confidence. Itching haemorrhoids keeping the sufferer awake at night, relieved by cold water, or bleeding piles with constant urging to stool, and a feeling as if the bowel would not empty itself are further indications.
**Arsenicum. Indicated in bluish piles with burning pain, prostration and debility. **Muriatic acid. Great sensitiveness of the anus, cannot make use of the softest toilet paper; the piles are so sore and sensitive that the slightest touch is unbreakable. Haemorrhoids in the aged. **Graphites. Haemorrhoids which burn and sting, anus sore, worse sitting. The rectum seems to have lost its contractile power, and the varices protrude.
A very useful remedy for piles which do not mature, but remain as hard bluish lumps, and also for bleeding piles containing large quantities of blood. **Sepia. Haemorrhoids from retarded portal circulation; bleeding haemorrhoids with fullness in the rectum; oozing of moisture with great soreness.
This remedy corresponds to ailments producing haemorrhoids and to the troubles resulting from piles which have stopped bleeding, and as a result fullness in the head and uneasiness in the liver; constipation is present; a desire for stool and itching of the anus. Jousset asserts that **Nux and Sulphur dominate the therapeutics of haemorrhoids. **Sulphuric acid. Piles burn and fill up the rectum. **Verbascum thapsus. Dr. S. A. Jones gives the following indications as trustworthy: Inflamed and very painful piles, scanty evacuation of faeces in small, hard bits, like sheep’s dung, with pressing; frequent or copious urination. **Petroselinum is mentioned by Gilchrist as being of value when intense itching is present.