Haemorrhoids are very common clinical condition in our practice. We come across various symptoms pertaining to the internal and external Haemorrhoids and various degrees in clinical presentation. Our Materia Medica is poured many remedies on Haemorrhoids with excellent illustration.

A successful prescription needs total analysis of the patient and selection of remedy may vary from physician to physician. Many prescribe the drugs constitutionally, miasmatically or symptom totality. Few physicians are successful with key symptoms, However here I tried to illustrate the external Haemorrhoids with pictorial presentation for quick review and reanalysis in a case.

Aesculus hippocastanum
Aching, painful, Burning, < after stool Dryness, Fullness, < after walking, as if the folds of mucous membrane obstructed the passage Heaviness, pressure, as if the rectum would protrude on straining at stool, prolapsed feeling after stool Itching, in rectum Sticking, as if anus was full of small sticks, tenesmus, urging to stool, bearing down sensation Dull backache, especially in lumbo-sacral region affecting sacrum and hips, a lame feeling, < stooping forward and < walking, the back gives out when walking, must sit or lie down.
	Appearence of haemorrhoids Slight bleeding Blind, seldom bleeding Bluish, purple color Large, as large as ground-nuts

 

Collinsonia canadensis
	Congestion of pelvic viscera with haemorrhoids, especially in later months of pregnancy Catarrh of bladder with haemorrhoids Aching, dull pain agg. after a hard stool Itching Sticking, sensation in rectum as from sticks, sand or gravel lodged
Appearence of haemorrhoids Bleeding, flowing incessantly, though not profusely. Blood dark and tough enveloped in viscid mucus Chronic, obstinate External, protruding

Hamamelis virginica
Aching, painful After a haemorrhage from the piles, he suffers from a prostration which is out of proportion to the amount of blood lost Burning Fullness, before haemorrhage Tenesmus, urging to stool
	Appearence of haemorrhoids Bleeding, passive haemorrhage, profuse bleeding Red halo of erythema about anus External: Large, tumid

Dioscorea villosa
	Aching, great pain, painful, < 6.30 a.m., 5 p.m., after stool Burning, during stool, on passing wind, as if faeces or flatus were hot Cutting, darting pain from haemorrhoids to liver d
Appearence of haemorrhoids Bleeding, Bluish, livid color, purple, ark, Discharge, mucous, slimy External, prolapsed haemorrhoids, agg. Large, like grapes around the anus, like cherries.

Ratanhia
Aching, painful Burning, before loose stool, during loose stool, like fire Sensitiveness, agg. touch Tenesmus, straining and pressing
	Appearence of haemorrhoids Bleeding Discharge, oozing, External, protrusion

Ruta graveolens
	Stinging, stitches in the rectum, < when sitting Tenesmus, frequent unsuccessful urging to stool Constipation alternating with mucous, frothy stool.
Appearence of haemorrhoids Prolapsus, protrusion of the rectum, immediately on attempting a passage, before stool

Aloe socotrina
Burning heat > applying cold water < during stool, after stool Fullness, Heaviness, of rectum < after stool, dragging down during menses, pressing out Itching and burning in anus, preventing sleep Open, as if loose sensation in anus Paralysis, as of loss of power of sphincter, feeling as if stool would escape < passing flatus, voiding urine, even a hard stool falls out unnoticed Tenesmus, urging to stool, < on waking in morning, at night, after eating, on rising from lying, waking him up in the morning. As if there was more stool to come after defaecation
	Appearence of haemorrhoids Large, like a bunch of grapes, swollen, < in daytime