AESCULUS HIPPOCASTANUM

This remedy primarily affects the lower bowel, causing swollen hemorrhoidal veins, accompanied by a distinctive backache and an absence of actual constipation. Although there is intense pain, bleeding is minimal. General venous stagnation is evident, with varicose veins appearing in a purple hue; overall, bodily functions slow down, including digestion, heart rate, and bowel movements. The liver and portal system experience torpor and congestion, leading to constipation. The severe backache makes the individual unsuitable for work. Pervasive flying pains occur throughout the body, along with a sense of fullness in various areas and dry, swollen mucous membranes. Hemorrhoidal conditions are also noted in the throat.

Head: Feelings of depression and irritability prevail. The head feels dull, confused, and achy, akin to a cold. Forehead pressure, accompanied by nausea and subsequent stitches in the right hypochondrium, is experienced. Pain extends from the occiput to the frontal region, with a bruised sensation on the scalp, particularly worse in the morning. Neuralgic stitches from right to left across the forehead are followed by flying pains in the epigastrium. Vertigo is present when sitting and walking.

Eyes: The eyes feel heavy and hot, with lachrymation and enlarged blood vessels. Soreness in the eyeballs is also noted.

Nose: Dryness is observed, and inspired air feels cold, causing sensitivity in nasal passages. Coryza and sneezing occur, along with pressure at the root of the nose. Membrane distension over turbinate bones is related to hepatic disorders.

Mouth: A scalded sensation, metallic taste, and salivation are reported. The tongue is thickly coated, giving a scalded feeling.

Throat: The throat is hot, dry, and raw, with stitching pains radiating to the ears during swallowing. Follicular pharyngitis linked to hepatic congestion is present. Veins in the pharynx are distended and tortuous. The throat is sensitive to inspired air, feeling excoriated and constricted, burning like fire on swallowing in the afternoon. Early stages of atrophic pharyngitis are seen in dried up, bilious subjects. Hawking of ropy mucus with a sweetish taste is noted. Laryngitis and cough are associated with liver disorders.

Stomach: A sense of weight, as if a stone is present, accompanies gnawing and aching pains, peaking about three hours after meals.

Abdomen: Tenderness and fullness in the liver region are observed. Dull aching occurs in the liver region and epigastrium. Pain is felt in the umbilical region. Jaundice is accompanied by throbbing in the hypogastrium and pelvis.

Rectum: Dryness and aching are experienced, with a feeling of fullness akin to small sticks. The anus is raw and sore, with severe pain after stool, leading to prolapse. Hemorrhoids, with sharp shooting pains up the back, are both blind and bleeding, worsening during climacteric. Stools are large, hard, and dry. The mucous membrane appears swollen, obstructing passage. Irritation caused by ascarides is relieved, aiding in their expulsion. Burning in the anus, along with chills up and down the back, is present.

Urinary: Urination is frequent, scanty, dark, muddy, and hot. Pain in the kidneys, especially on the left side and ureter, is reported.

Male: Prostatic fluid discharge during stool (prostatorrhea) is noted.

Female: Constant throbbing is felt behind the symphysis pubis. Leucorrhea, with back lameness across the sacro-iliac articulation, is dark yellow, sticky, and corrosive, worsening after menses.

Heart: A constricted feeling is reported. The heart’s action is full and heavy, with pulsations felt throughout the body. A sensation of heat in the chest and pain around the heart region is noted in individuals with hemorrhoidal conditions.

Back: Lameness in the neck, aching between the shoulder blades (cervical spondylosis), and weakness in the region of the spine are experienced. Backache affects the sacrum and hips, worsening during walking or stooping. When walking, the feet turn under, and the soles feel sore, tired, and swollen. Hands and feet swell and become red after washing, feeling full.

Extremities: Aching and soreness are felt in the limbs, particularly in the left acromion process radiating to the arms; finger tips may become numb.

Fever: Chills occur at 4 p.m., running up and down the back. Fever is present from 7 p.m. to 12 a.m., with hot and dry skin. Profuse and hot sweating accompanies fever.

Modalities: Symptoms worsen in the morning upon awakening, with any motion or walking, moving bowels, after eating, in the afternoon, and while standing. Improvement is observed in cool, open air.

Relationship: Aesculus glabra-Ohio buckeye: Specifically for proctitis with very painful, dark purple, external hemorrhoids, constipation, vertigo, and portal congestion. Speech may become thick, with tickling in the throat, impaired vision, and paresis. Phytolacca decandra (dry throat, more common in acute cases). Negundium americanum- Boxelder (rectal engorgements and piles with severe pain; recommended dosage of ten drops of tincture every two hours).

Comparison with Aloe, Coll., Nux-v., Sulph. Dosage: Tincture up to the third potency.