Mr. H G 27 yrs. Male vegetarian
Diagnosis : Fistula in ano since 2003.
Patient had perianal fistula discharging almost continuously since seven years. Blood mixed offensive discharge staining the under cloths 3 or 4 times a week. Itching aggravated after stool. Discharge aggravated after stool, mental stress and physical exertion. Sometimes there was drawing pulsating pain in the fistula.
History of piles with perianal abscess relieved by antibiotics.
16/01/10
Rx
1. Causticum 200 two doses at 10 minutes interval
1. Causticum 200 two doses at 10 minutes interval
2. Phytum 30 two pills thrice a day
3. Rubrum 200 two pills once a day
17/02/10
Fistula discharge twice only and no discharge after 2/02/2010 onward.
Rx
1. Causticum 200 two doses at 10 minutes interval
1. Causticum 200 two doses at 10 minutes interval
2. Phytum 30 two pills thrice a day
3. Rubrum 200 two pills once a day
Caustium 200 was repeated on 15/03/2010 thereafter patient remained trouble free except general skin itching and some drawing sense in perineum for few days in April which subsided without any other medication.
Fistula in perineum, pulsating pain in fistula and aggravation from mental and physical stress were the key symptoms for selection of medicine.
Dr. M. K. Tyagi
Research Officer
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