• For persons with hemorrhoidal tendencies, and who suffer with gastric, bilious or catarrhal troubles.


Mental Generals

  • Despondent, gloomy; very irritable; loses temper easily and gains control slowly; miserably cross (Cham.)


Physical Generals

  • Fullness in various parts, as from an undue amount of blood; heart, lungs, stomach, brain, pelvis, skin.
  • Venous congestion, especially portal and hemorrhoidal.
  • Mucous membranes of mouth, throat, rectum are swollen, burn, feel dry and raw.



  • Coryza: thin, watery, burning; rawness and sensitive to inhaled cold air.



  • Follicular pharyngitis: Violent burning, raw sensation in throat; dryness and roughness of throat.
  • Frequent inclination to swallow, with burning, pricking, stinging and dry constricted fauces (Apis, Bell.)


Gastro-intestinal System

  • Rectum: Dryness and heat of; feels as if full of small sticks; knife-like pains shoot up the rectum (Ign., Sulph.); hemorrhoids blind, painful, burning, purplish, rarely bleeding.
  • Rectum sore, with fullness, burning and itching (Sulph.).
  • Constipation: Hard, dry stool, difficult to pass; with dryness and heat of rectum; accompanied by severe lumbo-sacral backache.
  • Stool followed by fullness of rectum and intense pain in anus for hours (Aloe, Ign., Mur-ac., Sulph.)


Female Reproductive System

  • Prolapsus uteri and acrid, dark leucorrhea, with lumbo-sacral backache and great fatigue, from walking.



  • Severe dull backache in lumbo-sacral articulation; more or less constant; affecting sacrum and hips.
  • Back gives out: During pregnancy, prolapsus, leucorrhea; when walking or stooping; must sit or lie down.
  • Sensation of heaviness and lameness in back.


Nervous System

  • Paralytic feeling in arms, legs and spine.



  • Aggravation: Motion; backache and soreness by walking and stooping; inhaling cold air.


  • Similar: To, Aloe, Coll., Ign., Mur-ac., Nux-v., Sulph., in hemorrhoids.
  • After Coll. has improved piles, Aesc. often cures.
  • Useful after Nux-v. and Sulph. have improved, but failed to cure piles.
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