Haemorrhoid And Homoeopathic Approach

Authors: Dr. Ashok yadav, HOD  Dept. Of Practice of Medicine (Hom.) Dr. M.P.K. Homoeopathic Medical College, Hospital and Research Center. Homoeopathy University, Jaipur.

Dr. Virendra chauhan , Prof.  Dept. Of Practice of Medicine (Hom.) Dr. M.P.K. Homoeopathic Medical College, Hospital and Research Center. Homoeopathy University, Jaipur.

Dr. Bhupendra Arya , MD Scholar, Department of Practice of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.

Dr. Apurva Dixit , MD Scholar, Department of Practice of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.

Dr. Pradeep kumar , MD Scholar, Department of Organon of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.

Abstract: Di lated plexus of superior haemorrhoidal veins, in relation to anal canal is called haemorrhoid. ¹ location of haemorrhoid is 3 o’clock , 7 o’clock , 11 o’clock This article provide information about haemorrhoid along with homoeopathy medicine and important rubric from different repertories like Murphy Repertory², Synthesis Repertory³.

Keywords: haemorrhoid , homoeopathy

Introduction : haemorrhoid is Di lated plexus of superior haemorrhoidal veins, in relation to anal canal. It is primary or secondary and according to location it is internal or external or interno-external. ¹

Cause : ¹

• Standing posture
  • Genetic or familiar factor
  • Prolong constipation
  • Portal hyspertension
  • Ca of rectum
  • Pregnancy
  • Haemorrhoidal veins compression

Grade of haemorrhoid : ¹

• Grade I : Painless bleeding-fresh bleeding occurs after defaecation Splash in the pan.Grade II : As the straining increases, the haemorrhoids partly prolapse outside. After defaecation, it returns back automaticallyGrade III : As the straining increases, the haemorrhoids partly prolapse outside. After defaecation, can be digitally replacedGrade IV : Permanently prolapsed pile outside

INVESTIGATION : ¹

• Proctoscopy
  • Sigmoidoscopy
  • Per rectal examination

Some important rubrics from different repertories related to Haemorrhoid :^2,,3,4.

• Homoeopathic Medical Repertory by  Robin MurphyRectum – HEMORRHOIDS : abrot. acet-ac. acon. AESC. Aesc-g. aeth. AGAR. agn. ALOE alum. alumn. am-br. Am-c. am-m. anac. anan. ang. Ant-c. ant-t. Apis apoc. arg-n. arn. ARS. Ars-i. arum-t. arund. aster. aur. aur-m. bapt. Bar-c. Bell. berb. borx. bov. Brom. bry. Bufo Cact. Calc. Calc-f. Calc-p. Calc-s. cann-s. canth. Caps. carb-ac. CARB-AN. CARB-V. carbn-s. Card-m. carl. casc. CAUST. cham. Chel. chim. chin. chinin-ar. chr-ac. cic. cimic. Cimx. clem. Coca cocc. Coff. colch. COLL. Coloc. con. cop. croc. crot-h. cycl. Dios. dol. elaps Erig. Eug. euphr. Ferr. Ferr-ar. ferr-m. ferr-p. Fl-ac. gels. GRAPH. grat. HAM. Hell. Hep. Hydr. Hyos. Hyper. Ign. Iod. Ip. KALI-AR. Kali-bi. KALI-C. Kali-m. kali-n. kali-p. KALI-S. kreos. LACH. lact. Lept. lil-t. lob. LYC. mag-c. Mag-m. manc. med. Merc. MERC-I-R. mez. mill. mosch. MUR-AC. Nat-m. Nat-s. NIT-AC. NUX-V. PAEON. Petr. ph-ac. PHOS. phys. Phyt. pin-s. plan. plat. plb. Podo. Polyg-h. Psor. PULS. rad-met. RAT. Rhus-t. rhus-v. rumx. Ruta Sabin. Sang. scroph-n. sec. Semp. SEP. Sil. stann. Staph. stront-c. Sul-ac. SULPH. sumb. syph. Ter. ther. Thuj. Tub. verat. verat-v. verb. Wye. yohim. zinc. Zing.Rectum – HEMORRHOIDS – alcoholics, in : Ars. Carb-v. Lach. NUX-V. Sul-ac. SULPH.Rectum – HEMORRHOIDS – alcohol abuse, in sedentary persons agg. : aesc-g. nux-v. sulph.Rectum – HEMORRHOIDS – blind: aesc. anac. ant-c. ars. asc-t. brom. calc-f. Calc-p. caps. cham. Coll. coloc. dulc. ferr. grat. Ign. m-aust. nit-ac. Nux-v. podo. Puls. Rhus-t. Sulph. verat. wye.Rectum – HEMORRHOIDS – bluish : aesc. aesc-g. aeth. Aloe ars. caps. CARB-V. dios. Ham. LACH. Lyc. manc. MUR-AC. phys. Sulph. verat-v.Rectum – HEMORRHOIDS – childbirth, agg. or since : acon. Aloe bell-p. Ign. KALI-C. Lil-t. Mur-ac. Podo. Puls. SEP. Sulph.Rectum – HEMORRHOIDS – chronic: AESC. Aloe am-c. apis calc. carb-v. Carbn-s. caust. COLL. dios. graph. HAM. Lach. Lyc. MERC-I-R. Nit-ac. NUX-V. petr. Phos. phyt. Podo. SULPH. Tub.Rectum – HEMORRHOIDS – constipation, with : Aesc. aesc-g. am-m. anac. Coll. euon. kali-s. Nux-v. paraf. sil. sulph. verb.Rectum – HEMORRHOIDS – external : abrot. AESC. all-c. ALOE alum. Am-c. anac. Ang. ant-c. apis apoc. arn. ars. ars-i. aur. Bar-c. Bar-m. berb. Brom. bry. cact. Calc. Calc-p. calc-s. caps. carb-ac. carb-an. carb-v. Carbn-s. Caust. Coll. coloc. dios. Ferr. Ferr-ar. ferr-i. ferr-p. fl-ac. Gran. Graph. grat. HAM. Hep. Iod. kali-ar. kali-c. kali-n. kali-p. kali-s. LACH. Lyc. med. Merc. MUR-AC. nat-m. Nit-ac. nux-v. Paeon. ph-ac. Phos. phys. Plat. Podo. Puls. RAT. Rhus-t. rumx. Sep. Sil. sul-ac. SULPH. Ter. thuj. Tub. verat. zinc.Rectum – HEMORRHOIDS – painful, very : Aesc. aesc-g. Aloe ars. Bell. cact. Caps. carb-v. Cham. Coll. Cub. ferr-p. graph. Ham. Hyper. kali-c. Lach. Lyc. mag-m. Mur-ac. nat-m. nit-ac. Nux-v. paeon. plan. puls. Rat. Scroph-n. Sed-ac. sep. Sil. staph. sulph. thuj. verb. zing.Rectum – HEMORRHOIDS – pregnancy, during : Aesc. Am-m. ant-c. ars. bell-p. Caps. carb-v. COLL. Lach. Lyc. mur-ac. Nat-m. Nux-v. podo. puls. rat. SEP. Sulph.Rectum – HEMORRHOIDS – suppressed, ailments from : aloe am-m. apis ars. Calc. Caps. carb-v. Coll. cupr. Ign. lycps-v. Mill. NAT-M. NUX-V. OP. phos. puls. ran-b. SULPH.

• Synthesis treasure edition by Fredrick SchroyensRECTUM – HEMORRHOIDS : abrot. acet-ac. acon. AESC. aesc-g. aeth. AGAR. agn. alet. all-s. ALOE alum. alum-p. alumn. am-br. Am-c. am-m. ambr. ambro. anac. anag. anan. androc. ang. Ant-c. ant-t. Apis apoc. aral. arg-n. Arist-cl. arn. ARS. Ars-i. ars-met. arum-t. arund. aur. aur-m. aur-m-n. Bac. bacls-7. bad. bapt. Bar-c. bar-s. Bell. berb. beta blum-o. borx. bov. Brom. brucel. bry. Bufo Cact. cadm-met. Calc. calc-caust. calc-f. calc-i. Calc-p. Calc-s. cann-s. canth. Caps. carb-ac. CARB-AN. CARB-V. carbn-s. carc. Card-m. carl. cas-s. casc. CAUST. cham. Chel. chim. chin. chinin-ar. chord-umb. chr-ac. chr-met. chr-o. cic. cimic. Cimx. clem. cnic-ar. Coca cocc. Coff. colch. COLL. Coloc. con. cop. croc. crot-h. cupr. Cycl. Dios. dol. dream-p. dulc. elaps Erig. ery-a. Eug. euph-a. euphr. Ferr. Ferr-ar. ferr-m. ferr-p. ferul. Fl-ac. galv. gast. gels. GRAPH. grat. HAM. helia. Hell. helo-s. Hep. Hydr. hydroph. Hyos. hyper. Ign. Iod. Ip. kali-act. KALI-AR. Kali-bi. kali-br. KALI-C. kali-chl. kali-m. kali-n. kali-p. KALI-S. ketogl-ac. kiss. kreos. lac-del. LACH. lact. lam. laps. Lept. lil-t. lim. lina. linu-c. lipp. lob. LYC. lycps-v. mag-c. Mag-m. mag-p. manc. mand. med. Merc. MERC-I-R. mez. mill. moni. morg. morg-g. morg-p. mosch. muc-u. MUR-AC. musa Nat-m. Nat-s. neg. nig-s. NIT-AC. NUX-V. PAEON. pen. Petr. petros. ph-ac. PHOS. phys. Phyt. pin-con. pin-s. pip-n. plan. plat. plb. plb-xyz. Podo. polyg-xyz. polyp-p. prot. Psor. PULS. querc-r-g-s. ran-fi. ran-s. Rat. rauw. rein. rhodi-o-n. Rhus-t. rhus-v. rumx. rusc-a. Ruta Sabin. Sang. Sanguis-s. saroth. sars. saxon. Scroph-n. sec. sed-ac. semp. SEP. Sil. sin-n. slag stann. Staph. still. stram. streptoc. stront-c. Sul-ac. sul-i. SULPH. sumb. symph. syph. tep. Ter. ther. Thuj. Tub. ulm-c. verat. verat-v. verb. visc. wies. wye. zinc. zinc-val. Zing.RECTUM – HEMORRHOIDS – accompanied by – epistaxis : HAM. SEP. sulph.BACK – PAIN – Lumbar region – alternating with – haemorrhoids : AloeRECTUM – HEMORRHAGE from anus : acal. acet-ac. ACON. Aesc. agar. aids. all-c. Aloe alum. alum-p. alum-sil. Alumn. Am-c. am-caust. am-m. ambr. anac. Ant-c. Apis aq-mar. arist-cl. arizon-l. arn. ARS. asar. aur. aur-ar. aur-m. aur-s. bac. Bapt. BAR-C. bar-m. bar-ox-suc. bar-s. Bell. berb. Bism. blum-o. Borx. bufo CACT. cadm-met. CALC. calc-f. Calc-p. Calc-s. calc-sil. camph. Canth. Caps. carb-an. Carb-v. Carbn-s. carc. card-m. carl. CASC. caust. Cham. Chin. chinin-ar. chinin-s. chlor. cob. Cocc. colch. COLL. coloc. con. crat. CROT-H. cupr. Cycl. dios. dream-p. elaps Erig. Eug. Ferr. ferr-ar. ferr-m. ferr-p. Fl-ac. Graph. HAM. helodr-cal. Hep. Hir. hydr. Hyos. Hyper. Ign. Ip. Kali-ar. Kali-bi. Kali-c. Kali-chl. kali-i. kali-m. kali-n. kali-p. Kali-s. kali-sil. kola kreos. LACH. led. Lept. lob. LYC. lycps-v. lyss. manc. mand. med. meny. Merc. Merc-c. Mill. morg-g. morg-p. Mur-ac. musa NAT-M. Nat-s. NIT-AC. Nux-m. NUX-V. paeon. petr. ph-ac. PHOS. Phyt. pieri-b. plat. Podo. Positr. pot-e. prot. PSOR. Puls. pyrog. ran-b. Rat. rhus-t. rhus-v. Ruta sabin. sars. scroph-n. sec. Sep. sil. stram. suis-em. sul-ac. SULPH. syph. ter. thuj. tub. valer. verat. visc. yohim. zinc. zinc-p.RECTUM – HEMORRHOIDS – chronic : AESC. Aloe am-c. calc. carb-v. Carbn-s. caust. COLL. dios. graph. Lach. Lyc. MERC-I-R. Nit-ac. NUX-V. petr. Phos. phyt. Podo. SULPH. Tub.ABDOMEN – CIRRHOSIS of liver – hemorrhoids, with : card-m.RECTUM – HEMORRHOIDS – congested : abrot. Acon. aesc. agar. Aloe alum. androc. ant-c. apoc. arg-n. ars. Bell. carb-v. Carbn-s. Caust. Cham. graph. ham. Hep. KALI-C. kali-m. kali-n. kali-p. lach. Merc. Mur-ac. NUX-V. PAEON. podo. Puls. Rhus-t. sil. Sulph. symph. verat-v. zing.RECTUM – HEMORRHOIDS – external : abrot. AESC. all-c. ALOE alum. alum-sil. Am-c. anac. Ang. ant-c. apis apoc. arn. ars. ars-i. ars-s-f. aur. aur-ar. aur-i. aur-s. Bar-c. bar-i. Bar-m. bar-s. berb. Brom. bry. cact. Calc. Calc-p. calc-s. caps. carb-ac. carb-an. carb-v. Carbn-s. Caust. Coll. coloc. dios. Ferr. Ferr-ar. ferr-i. ferr-p. fl-ac. Gran. Graph. grat. HAM. Hep. hyper. Iod. kali-ar. kali-c. kali-m. kali-n. kali-p. kali-s. kali-sil. LACH. Lyc. med. Merc. MUR-AC. nat-m. Nit-ac. nux-v. Paeon. ph-ac. Phos. phys. Plat. Podo. Puls. RAT. Rhus-t. rumx. scroph-n. Sep. Sil. sul-ac. SULPH. Ter. thuj. Tub. verat. zinc. zinc-p.RECTUM – HEMORRHOIDS – internal : Aesc. Alum. ant-c. arn. ARS. borx. BROM. Calc. Caps. caust. CHAM. cimic. COLOC. hep. IGN. kali-ar. kali-c. kali-p. kali-s. Lach. lyc. nit-ac. NUX-V. Petr. Ph-ac. Phos. Plan. PODO. PULS. Rhus-t. sep. stront-c. SULPH. Ter. verat.

Homeopathic medicines for hemorrhoids : ⁴

• Abrotanum : Haemorrhoids; frequent urging; bloody stools; worse as rheumatic pains abate. Ascarides. Oozing from umbilicus. Sensation as if bowels were sinking down. Hard lumps in abdomen. Distended. Alternate Diarrhoea and constipationAloe socotrina : Constant bearing down in rectum; bleeding, sore, and hot; relieved by cold water. Feeling of weakness and loss of power of sphincter ani. Sense of insecurity in rectum, when passing flatus. Uncertain whether gas or stool will come. Stool passes without effort, almost unnoticed. Lumpy, watery stool. Jelly-like stools, with soreness in rectum after stool. A lot of mucus, with pain in rectum after stool. Haemorrhoids protrude like grapes; very sore and tender; better cold water application. Burning in anus and rectum. Erigeron : Bleeding Haemorrhoids; nosebleed instead of mensesHamamelis virginica : Anus feels sore and raw. Haemorrhoids, bleeding profusely, with soreness. Dysentery. Pulsation in rectum.Hypericum perforatum : Urging, dry, dull, pressing pain. Hćmorrhoids, with pain, bleeding, and tenderness.Kali muriaticum : Constipation; light-colored stools. Diarrhoea, after fatty food; clay-colored, white, or slimy stools. Dysentery; purging, with slimy stools. Haemorrhoids; bleeding; blood dark and thick; fibrinous, clotted.Lycopodium clavatum : Haemorrhoids; very painful to touch, aching. Diarrhoea. Inactive intestinal canal. Ineffectual urging. Stool hard, difficult, small, incomplete.Muriaticum acidum :  Haemorrhoids during pregnancy; bluish, hot with violent stitches. Tendency to involuntary evacuations while urinating. Haemorrhoids most sensitive to all touch; even sheet of toilet paper is painful. Anal itching and prolapsus ani while urinating.Nux vomica : Constipation, with frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part remained unexpelled. Constriction of rectum. Irregular, peristaltic action; hence frequent ineffectual desire, or passing but small quantities at each attempt. Absence of all desire for defecation is a contra-indication. Alternate constipation and Diarrhoea -after abuse of purgatives. Urging to stool felt throughout abdomen. Itching, blind Haemorrhoids, with ineffectual urging to stool; very painful; after drastic drugs. Diarrhoea after a debauch; worse, morning. Frequent small evacuations. Scanty stool, with much urging. Dysentery; stools relieve pains for a time. Constant uneasiness in rectum. DiarrhoeaPodophyllum : Internal and external piles. Morning, painless diarrhoea when not due to venous stasis or intestinal ulceration.Sulphur  : Itching and burning of anus; piles dependent upon abdominal plethora. Frequent, unsuccessful desire; hard, knotty, insufficient. Child afraid on account of pain. Redness around the anus, with itching. Morning diarrhoea, painless, drives out of bed, with prolapsus recti. Haemorrhoids, oozing and belching.

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