Hemorrhoid

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Clinic

Miasms

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
  1. Aesc: Heaviness, fullness sensation/ Blind hemorrhoids
  2. Sep: Genital itching, Bearing down pain, Uterus/ Pelvic, Portal prolapse
  3. 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









Tissue Salt Remedies

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