Hemorrhoid

Tissue Salt Remedies

CF FP: When hemorrhoids alternate with profuse bleeding

MP: Very painful hemorrhoids

NM: When hemorrhoids cause a lot of mucoid discharge

SIL:

• Large and protruding hemorrhoid, but not painful
• Purulent anal discharges

Remedies

Aesc, Nux-v and Coll are hemorrhoid golden triangle.

Banerji protocols
First line	Sul C200 one dose every alternate day Nux-v C3 one dose daily In acute condition: Sul C200 + Rat C200 two doses daily In Acute pain repeat one dose every 3 hour
Second line	Sul C200 + Ham C200 Two doses daily Nux-v C3 one dose daily If fail Coll C30 one dose daily
Third line	Aesc C200 two doses daily, in acute case repeat it 3 hours If fail Paeon C30 every 3 hour

			Concomitants	Modalities
Top remedy Painful, External, Non-bleeding Piles	Aesc	Unfocalized heaviness: Vague heaviness in various lumbosacral areas (Nux-v), Cannot describe / localize the pain Aesc is the only remedy for hemorrhoids without constipation: it is caused by hepatic and vascular congestion RECTUM - HEMORRHOIDS - constipation - without (SRR) Splinter-like pain: Distinct feeling of small sticks filling up the rectum. Anal prolapse or sensation that is a static complication of Dragging pain (Sep, Coll) Feeling dry, rough and violent Pain as if crumbs or splinter cling to the anal sphincter and cause irritation Large, strangulated, (Aloe, Lach, Paeon)Blue / Purple, (Carb-v, lach, Mur-ac), Congested (Kali-c, Nux-v, Paeon) So large which prevent defecation Hidden Hemorrhoids which protrudes during stool (Calc-p, Rat) RECTUM - HEMORRHOIDS - protrude - stool - during	Painful rectal stenosis Pain is very sharp that may extend from the anus to the lower back. External piles and Blind piles (non-bleeding piles). Engorged haemorrhoidal veins, brings great relief in pain Shrinking piles naturally. Back pain RECTUM – HEMORRHOIDS – accompanied by – Back; pain in Abdominal pulsating Throbbing behind the symphysis pubis Tongue white discoloration RECTUM – HEMORRHOIDS – accompanied by – Tongue – white discoloration of the tongue (SRR)	Long after stool agg Motion, walking agg Kneeling amel Non-hemorrhagic, Amel with a little bleeding RECTUM - HEMORRHOIDS - painful - bleeding; much pain but little (SRR) Warm weather amel Wiping (touching) agg (Graph, Mur-ac, Paeon) Night agg (Sul) Lying agg Hemorrhoids during pregnancy Standing / Walking agg
Constipation And Ineffective Urge To Pass Stool	Nux-v	Anal irritability: The most important point is Anal irritability. He is constipated but frequent ineffectual urging RECTUM - HEMORRHOIDS – swollen: CARB-V Large, strangulated, Internal hemorrhoid Complication of hemorrhoid suppression Non-bleeding piles	Piles + Constipation + Ineffective urge to pass the stool. They have to go pass stool several times in a day to completely clear the bowels. They pass stool bit by bit throughout the day and yet have the urge to pass the stool. Marked pain and itching at the anus. Nux Vomica is recommended for that is Lowe limb pain RECTUM - HEMORRHOIDS – Accompanied by, lower limb complaints Mind irritability / Insomnia	Cold Agg, Warm amel RECTUM - HEMORRHOIDS – Warm, external, amel Pregnancy hemorrhoid Piles or constipation triggered by alcohol intake, Piles who lead a sedentary lifestyle (Drunkards, Drugs) or Pungent / Spicy foods RECTUM - HEMORRHOIDS – excitement
Protruding Piles Anal insecurity	Aloe	Internal piles take an outward bulge from anus and can be seen as soft lumps of tissue The protruding piles are very sore and tender and look like a bunch of grapes bluish in color. Severe itching (Maybe)	Aloe is an anal Prolapse remedy. Anus insufficiency/ Dysfunction/ Paralysis or classic involuntary stool. Urgent threatening stool. Large, external, strangulated hemorrhoids Hemorrhoids alternates with Diarrhea and headache.	Cold Washing/ Applications amel pain, soreness and tenderness. RECTUM - HEMORRHOIDS - cold applications - water; cold - amel
Bleeding, Internal Piles	Ham	Internal, painless and it bleeds. ‘ Painless, non bleeding piles	Ham is a Varicose veins, so it would be a good prescription for hemorrhoid esp when accompanied by bleeding RECTUM - HEMORRHOIDS - accompanied by – epistaxis SEP
Piles + Constipation (Dry, Hard Stool)	Coll	It is located between Aesc، Sep and Nux-v Aesc: Heaviness, fullness sensation/ Blind hemorrhoids Sep: Genital itching, Bearing down pain, Uterus/ Pelvic, Portal prolapse Nux-v: Irritability, Suppression agg External / Protruding piles Marked pain + Bleeding. Sensation of Sand / Sticks in rectum	Genital problems: RECTUM - HEMORRHOIDS - congestion; from pelvic and portal (SRR) RECTUM - HEMORRHOIDS - congestion; from pelvic and portal - women; in (SRR) RECTUM - HEMORRHOIDS - accompanied by - Skin; itching coll. RECTUM - HEMORRHOIDS - menses - during, agg. RECTUM - HEMORRHOIDS - pregnancy, during
Extremely Painful To Touch	Mur-ac	Protruding piles. Piles look bluish or dark purple like a bunch of grapes.	Sudden hemorrhoids RECTUM - HEMORRHOIDS - appearing suddenly Emaciation RECTUM - HEMORRHOIDS - children, in	Highly sensitive, and painful even on the slightest touch Soreness amel from warm applications RECTUM - HEMORRHOIDS - motion agg
Intense Burning Sensation	Rat	Marked straining to pass stool. Piles may protrude out of the anus on straining for stool. Sensation of little pieces of broken glass in rectum	Rat is a fissure remedy but it is good for only External, Strangulated piles. The most important point is prolonged pain after stool (Nit-ac, Paeon)	Pouring cold water over anus may amel Touch agg
Protrude During Stool + Bleeding	Nit-ac	Constipation with dry, Hard stool that passes with much straining. Pain also occurs at the anus. The pain can be pricking, sharp, stitching, cutting type or burning i Constant weight and pressure is felt in the rectum. Ulcerative /Painful	Nit-ac is fissure remedy, then a hemorrhoid one esp pendulous piles. RECTUM - HEMORRHOIDS - pendulous (SRR) RECTUM - FISSURE - hemorrhoids; from – bleeding It protrude (Aloe, Sul) with stool (Calc-p, Rat) or urination (Bar-c) Blind hemorrhoids which protrude	RECTUM - HEMORRHOIDS - weather warm Burning pain lasts a long time
Second Remedies
Thrombotic / Ulcerative hemorrhoids	Paeon	Congested, Painful H which is agg during and after stool Prolonged pain after stool (Nit-ac, Rat)	Touch agg: He should hold his hips apart with his hands to relieve the pain. Rectum, hemorrhoids, touch agg, nates apart, must hold The pain gets better by cleaning the rectum
	Caust	RECTUM - HEMORRHOIDS - hard RECTUM - HEMORRHOIDS - cough, agg
	Lach	RECTUM - HEMORRHOIDS - menopause; during
	Sul	Complication of hemorrhoid suppression RECTUM - HEMORRHOIDS - menses - suppressed, during RECTUM - HEMORRHOIDS - moisture; oozing RECTUM - HEMORRHOIDS - night
	Kali-c	RECTUM - HEMORRHOIDS - parturition agg

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Tissue Salt Remedies

• General: CF
• Due to constipation: NM
• Chronic: CP
• External: KS
• Internal: KS, CF