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^sculus. This remedy is especially suitable to the form
of hemorrhoids 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 hemorrhoids 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. Hughes prefers Nux
vomica and Sulphur in hemorrhoids dependent on congestion
of the portal system.

Pulsatilla is one of the best remedies in hemorrhoids after
ySsculus, Passive congestion and dyspeptic troubles are the
keynotes; blind hemorrhoids. It acts best in the higher

Hemorrhoids from chronic constipation may be cured with


CoUinsonia. Burt says that no remedy can equal Collin’
sonia in obstinate cases of hemorrhoids ; 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 hemor-
rhoidal flow.

Hamamelis. Hughes esteems this remedy as one of the
best in hemorrhoids, and clinical testimony is decidedly with
him. It has bleeding hemorrhoids, and the flow of blood is
quite copious, and the great characterizing indication is ex-
cessive 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.

Aloes. This is also a most useful hemorrhoidal 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 tend-
ency to diarrhoea, with the well known uncertain feeling in
the lower bowel. This tendency to diarrhoea will distinguish
from CoUinsonia^ which has 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 sensi-
tiveness of rectum.

Capsicum. Bleeding piles with burning pain, itching, smart-
ing and stinging in anus during stool are characteristic of

Nux vomica. If the hemorrhoids 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 ex-
cited by sedentary habits or abuse of stimulants, then Nux
may be prescribed with confidence. Itching hemorrhoids,
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 afe 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 unbearable. Hemorrhoids
in the aged.

Graphites, Hemorrhoids which bum and sting, anus sore,
worse sitting. The rectum seems to have lost its contractile
power, and the varices protrude.

Lycopodium. 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, Hemorrhoids from retarded portal circulation;
bleeding hemorrhoids with fulness in the rectum ; oozing of
moisture with great soreness.

Sulphur. This remedy corresponds to ailments producing
hemorrhoids and to troubles resulting from piles which have
stopped bleeding, and as a result fulness in the head and un-
easiness in the liver; constipation is present; a desire for
stool and itching of the anus.

Jousset asserts that Nux and Sulphur dominate the thera-
peutics of hemorrhoids.

Sulphuric acid. Piles bum 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.

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