• Action is most marked on the lower bowel, producing engorged hemorrhoidal veins.

• Venous stasis is general; varicose veins are of purple color.

• Everything is slowed down: digestion, heart, bowels, etc.

• Fullness is experienced in various parts.

• Dry, swollen mucous membranes are present.

• Throat symptoms are associated with hemorrhoidal conditions.

• Flying pains are experienced all over.

• It suits individuals with a torpid, sluggish constitution, prone to venous congestion.

• The patient complains of fullness and aching in affected parts.

• A general sense of fatigue and heaviness is present.

• The patient is sensitive to drafts and changes in weather.

• Complaints are often localized to the lower part of the body.

• Symptoms are often associated with portal congestion.

• A tendency to prolapse of organs.

• Relaxation of tissues is noted.

• A feeling of rawness is often present.

• Affected parts feel bruised and sore.

•

• The patient is irritable and easily vexed.

• Difficulty concentrating and mental dullness is observed.

• The patient is forgetful and absent-minded.

• Aversion to mental exertion is present.

• The patient is apprehensive and anxious, especially about health.

• Low spirits and being easily discouraged are characteristic.

• The patient is restless and uneasy, but without energy to act.

• Difficulty making decisions is observed.

• Fear of impending misfortune is present.

• The patient is depressed, with a sense of hopelessness.

• The patient is easily offended.

• The patient lacks mental stamina.

•

• Profound action on venous circulation, especially the portal system.

• Marked venous stasis causing congestion and fullness.

• Sensation of dryness in mucous membranes.

• General feeling of heaviness and fullness in affected parts.

• Symptoms often accompanied by irritability and despondency.

• #

• Vertigo is experienced when sitting and walking.

• Headache with fullness and throbbing is present.

• Congestive headaches, worse from stooping are observed.

• Heaviness and pressure in the head is felt.

• Blurred vision is reported.

• Sensation of sand in the eyes is present.

• Veins around the eyes appear prominent and engorged.

• Burning in the eyes is experienced.

• Feeling of fullness in the ears is reported.

• Impaired hearing is observed.

• Frequent nosebleeds occur.

• Coryza with thick, yellow discharge is present.

• Sore throat with a feeling of dryness and rawness is present.

• Enlarged tonsils are observed.

• Sensation of a lump in the throat is present.

• Shortness of breath, especially on exertion, occurs.

• Oppression of the chest is experienced.

• Cough with a feeling of tightness in the chest is present.

• Dry, hacking cough is observed.

• Difficulty breathing deeply is reported.

• #

• Palpitations, especially when lying down, occur.

• Slow pulse is observed.

• Sensation of fullness and constriction around the heart is present.

• Irregular heartbeats are noted.

• Weak heart action is present.

•

• Palpitations, especially when lying on the left side.

• Rapid heartbeat with a feeling of anxiety.

• Sensation of fullness and pressure in the chest, radiating to the back.

• Pain in the chest radiating to the back is experienced.

• Heaviness in the chest is reported.

• Oppressed breathing is observed.

• Torpor and congestion of the liver and portal system is observed.

• Flying pains in epigastrium occur.

• Fullness and distension of the abdomen is reported.

• Pain in the liver region, worse from pressure, is felt.

• Tenderness in the abdomen is present.

• Flatulence and bloating occur.

• Liver feels enlarged and sore.

• #

• Engorged hemorrhoidal veins are present.

• #

•

• Dryness of the rectum.

• is experienced.

• Absence of actual constipation is noted.

• Hemorrhoids are large, purple, and protruding.

• Burning and itching in the rectum is present.

• Feeling of a foreign body in the rectum is reported.

• Constipation with hard, dry stools is observed.

• Painful defecation is experienced.

• Stool is often large and difficult to pass.

• Prolapse of the rectum is present.

• Offensive flatus is produced.

•

• #

• Frequent urination is observed.

• Scanty urine is passed.

• Burning sensation during urination is experienced.

• Urine is dark and concentrated.

• Constant urging to urinate is present.

• #

• In women, painful and swollen veins of the vulva (varicose veins) occur.

• In men, enlarged veins of the scrotum (varicocele) are present.

• In women, bearing-down pains in the uterus are experienced.

• Leucorrhea, thick and yellow, is present.

• In men, diminished sexual desire is reported.

• Prostate enlargement is observed.

• Heavy, tired feeling in the limbs is present.

• #

•

• Varicose veins with soreness and heaviness.

• Aching pain in legs, particularly after prolonged standing.

• Swelling of the ankles and feet.

• Coldness of the extremities.

• Restless legs at night.

• Heaviness and fatigue in the limbs.

• Cramps in the calves.

• Itching skin, worse from warmth.

• Redness and inflammation of the skin around varicose veins.

• Dryness and cracking of the skin.

• Aching and stiffness in the joints is experienced.

• Cold hands and feet are present.

• Numbness and tingling in the extremities is reported.

• Sciatica, with pain radiating down the leg, is experienced.

• Characteristic backache is present.

• The back aches and gives out, and unfits the patient for business.

• Sacral back pain, worse on standing, is experienced.

• Stiffness in the neck and shoulders is observed.

• Cramps in the legs occur.

• Weakness in the limbs is present.

• Pain in the hips is experienced.

• Itching skin is present.

• Varicose ulcers are present.

• Purple discoloration of the skin is noted.

• Sleeplessness is reported.

• Dreams are vivid and disturbing.

• The patient wakes unrefreshed.

• Drowsiness during the day is experienced.

• Morning.

• Standing.

• Walking.

• Stooping.

• Warmth.

• Damp weather.

• Motion.

• Exertion.

• After eating.

• Pressure.

• During stool.

• Better (>): Rest.

• Lying down.

• Cold applications.

• Open air.

• Gentle exercise.

• Cool bathing.

•

• Complementary: Nux Vomica, Sulphur, Hamamelis.

• Antidotes: Aconite, Pulsatilla.

• Comparisons: Aloe, Hamamelis, Colocynth, Sulphur, Collinsonia.

• Similar to: Pulsatilla, Sepia, Calcarea Carbonica.

•

• Standing; walking; stooping; exertion; warm room; morning; motion; constipation; warm applications.

• #

• are keynotes.

• Primarily suited to individuals with a tendency to venous stasis.

• Relaxation and atony of venous walls.

• Predisposition to hemorrhoids and varicose veins.

• Complaints associated with hepatic congestion.

•

• Irritable and easily vexed by trifles.

• Despondent and inclined to dwell on physical ailments.

• Preoccupied with discomfort and bodily sensations.

• Difficulty concentrating due to physical discomfort.

• Mental dullness associated with venous congestion.

• Aversion to mental work due to headache and congestion.

• Anxious and restless, especially when in pain.

• Fear of disease and death, arising from severity of symptoms.

• #

• Forgetful and easily confused.

• Marked lack of energy and initiative.

• Sensitive to noise and contradiction.

• Headache associated with venous congestion and hemorrhoids.

• Dull, heavy pain in the occiput, extending down the spine.

• Vertigo upon rising, often accompanied by nausea.

• Sensation of fullness and pressure within the head.

• Scalp feels tight and constricted.

• Heavy, drooping eyelids.

• Veins around the eyes appear engorged and prominent.

• Blurred vision related to venous congestion.

• Aching pain in the eyes, especially when reading.

• Sensitiveness to light.

• Fullness and pressure in the ears.

• Occasional sharp, shooting pains in the ears.

• Dryness of the nasal mucosa.

• Stuffy sensation in the nose, without discharge.

• Nosebleeds, with dark, clotted blood.

• Sensation of a foreign body in the nose.

• Raw and scratchy feeling in the throat.

• Burning sensation in the throat, especially upon swallowing.

• Shortness of breath, especially on exertion.

• Oppression of the chest with a feeling of tightness.

• Dry, hacking cough, aggravated by lying down.

• #

• Dull, aching pain in the chest, aggravated by coughing.

• Congestion in the chest with difficulty breathing.

• Sensation of fullness and heaviness after eating.

• Occasional nausea without the inclination to vomit.

• Belching provides temporary relief.

• Congestion in the liver region with tenderness to pressure.

• Dull, aching pain in the abdomen.

• #

• Constipation with a sensation of fullness and ineffectual urging.

• #

• Burning and itching in the anus.

• Stool hard, dry, and difficult to pass.

• Prolapsus of the rectum.

•

• Frequent urination, with a scanty flow.

• Burning sensation during urination.

• Dark, concentrated urine.

• Painful and swollen varicose veins of the vulva.

• Leucorrhea, thick and yellow.

• Pruritus vulvae due to venous congestion.

• Congestion of the prostate gland.

• Decreased libido due to general debility.

• Swelling and tenderness of the testicles.

• Dull, aching pain in the sacro-lumbar region.

• Pain described as a feeling of heaviness or fullness, worsened by standing or walking.

• Stiffness and soreness in the back.

• Pain extends from the back into the hips and thighs.

• Dreams are vivid and disturbing, often related to illness or death.

• Sleeplessness due to pain and discomfort.

• Position: Prefers to lie on the abdomen.

• Cold air; rest; lying down; gentle motion; open air.

• Collinsonia, Hamamelis, Nux vomica, Aloe, Sulphur, Muriatic acid, Pulsatilla.

• Nux vomica, Pulsatilla, Camphor.

• Sulphur often follows well in chronic venous congestion.

• Useful in treating hemorrhoids, varicose veins, and portal congestion.

• Consider in cases of back pain associated with hemorrhoids.