Nux Vom. >> Head remedies for bleeding or non-bleeding piles.

Sulphur. J. >> to be given when there is a. burning pain and constipation with ineffectual desire. Give Sulphur 1000 every month for 3 months, but no medicine to be given 2 days before and after the administration of this remedy. Nux Vom. 30 may be given thrice daily on other days.

Hamamelis. Painless bleeding followed by prostration which is out of all proportion to the loss of blood. The blood is of dark colour. There is anaemia, breathlessness and weakness notwithstanding good appetite.

Mucuna. One drop a dose of mother tincture is specific for bleeding piles. Two or three doses a day will arrest the disease in two or three days' time.

Ficus Rel. Is another remedy which may by be tried, if Mucuna fails.

Acetic Acid. Profuse bleeding from bowels after checked metrorrhagia (menstrual bleeding) or otherwise.

Nitric Acid. Haemorrhoids that have ceased to bleed, but are very painful and hanging down loosely with sharp pricking pains in rectum.

Calcarea Carb. Piles protruding, painful when walking, better when sitting, cause pain during stool with profuse bleeding.

Phosphorus. With a small stream of blood after every stool.

Kali Carb. Piles, painful, burning like fire and bleed copiously. Great distension and swelling inside. Fistula of the anus. Burning temporarily relieved by sitting in cold water or by cold application.

Aloe. When the blood passes like water from the hydrant, piles protrude like bunch of grapes. Better by cold water: flatus with faeces. Violent itching and burning in anus; constantly putting finger in the anus on that account. The ointments increase the burning.

Mar. Acid. Piles like a bunch of grapes which look purple and burn when touched. Piles in children; protruding, reddish blue.

Sanguisuge. Persistent bleeding from the bowel, the blood being watery.

Ignatia. Blind piles, painful while standing and sitting. Pain reduced by walking. Sharp pressing pain in the rectum.

Lachesis. When the piles are inflamed with hammering pain.

Alumina. Piles worse in the evening and better after night's rest; clots of blood escape from the anus; faeces hard and knotty like sheep's dung with cutting in anus followed by blood.

Aesculus Hip. Painful, blind or protruding piles of purplish colour which arc very sore with aching, burning and itching and a sensation of sticks or splinters in the rectum, rarely bleeding. Hard dry stools passed with difficulty and follow­ed by a feeling of prolapsed of rectum. Pain in back and hips. Bleeding gives relief.

Apis. With sharp stinging pains relieved by cold application.

Ars. Alb. Burning pain and restlessness relieved by hot application.

Causticum. Intolerably painful piles, worse when walking.

Dioscorea. Piles look like bunches of grapes with darting extending to the liver.

Paeonia. Haemorrhoids with ulceration, the anus and surround­ing parts are purple and covered with crusts, ulcers within the anus very painful; the whole mucus membrane studded, with ulcers and cracks. Biting, itching in the anus that pro­vokes scratching.

Podophyllum. Piles with prolapsus following confinement. Con­gestion of the liver and constipation.

Leptendra. External piles with prolapse of rectum. Enterorrhagia. Bleeding piles.

Rhus Tox. Blind piles protruding after every stool with back­ache and pressure outward in rectum.

Cactus G. Bleeding piles. The tumours form on account of relaxation of veins which bleed copiously.

Slag. Piles with great itching in the anus, soreness and pain in knee caps.

Ammonia Carb. Protrusion of piles after stools with long lasting pains; cannot walk. Piles also protrude independent of stool. Burning and itching in anus which prevent sleep Piles worst at the time of menses.

Capsicum. Piles; burning, swollen, itching, throbbing with sore feeling in anus; bleeding or blind, with mucus discharge. Fat people easily exhausted.

Carbo Veg. Protruding piles, blue, even suppurating, offensive, swelling, burning h the rectum; oozing of fluid from rectum; flatulence; congestion of the head and nose bleed from high living.

Merc. Sol. With diarrhoea and dysentery.

Gelsemium. From paralysis.

Hypericum. Specific for bleeding piles with pain and tenderness.