Clinical Cases

A Surgically Spoiled Case of Fistula-In-Ano

fistula anus

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Patient: A. Ahmad.

Age – 35 years.

First consultation – 21 – 6 – 2005.

The patient was suffering from fistula in ano. About three months ago, in place of going to a good hospital or a good surgeon he went into the net of a wayside surgeon, a so called “Bengali Doctor” who claims to cure fistula, fissures and piles through surgery.

Within a span of three months the so called surgery was performed twice. The so called “Bengali Doctor” cut off a large chunk of flesh near the anus. The wound did not heal even in a month’s time, though the surgeon was regularly dressing the wound. The patient was simply in agony.

At this stage the patient was referred to me by one of my old patients. When seen on 21 – 6 – 2005 he was in great distress. The condition of the patient was as follows:

• There was a large wound at the anus which was raw and running, there was continuous great pain in the wound.
• Discharge from the wound was purulent, thin and continuous; as such, the patient was feeling great distress.
• Pain in the wound was of burning nature.
• Used to feel daily feverish especially in the evening.

Rx Hypericum 200 One dose daily.

For local use the patient was advised to clean the wound at least twice daily. with a few drops of Hypericum Q diluted in half cup of lukewarm water and after cleaning to apply ointment of Hypericum.

28 – 6 – 2005:

• There was much improvement in the wound.
• The discharge from the wound was quite less.
• A bad smelling matter was oozing from a point, where the fistula was situated.
• Now the patient was feeling stitching pain in the fistula as the pain in the wound has reduced.
• The photograph, shown here, showing the condition of the wound was taken on 28 – 6 – 2005 i.e. one week after the Homeopathic treatment was started. (no photograph was taken on 21 – 6 – 2005)

Rx Silicea 1M one dose followed by few doses of Hypericum 200

Photo of the wound by surgery as on 28-6-2005 –>

11 – 7 – 2005:

• The wound has almost healed.
• The discharge from the fistula has stopped for the past four days.
• Pain still persisting though in less degrees.

Rx As above but doses at longer intervals.

The patient is a resident of Ghaziabad a city about 200 km from Dehradun. He runs his Hair Dressing Saloon and Beauty Parlor over there. He was staying at Dehradun under compulsion for the sake of treatment. So on feeling amelioration he went back to his job on 11 – 7 – 2005.

So far heard about him on 30 – 7 – 2005, he is feeling further improvement in all his complaints.

The greatest idea Dr. Hahnemann introduced in the field of health and sickness is the VITAL FORCE (Dynamis or Autocracy). It is this Vital Force which is always responsible for the health of the Organism (alive body) in its healthy condition; the same Vital Force is responsible for the condition of health of the Organism under the effect of any drug. The same Vital Force is also responsible for the condition of health of the Organism under the effect of any disease.
The natural processes of the Vital Force become deviated in both the conditions:

(1) under the effect of a drug and
(2) under the influence of a disease which is always some morbid energy.

The Vital Force itself relays signals for help in the form of morbid symptoms and sensations. When the Homoeopathic physician clearly identifies these morbid signals and adapts these with the remedy which has similar pathogenesis represented in its “provings” on healthy subjects and applies this knowledge in the law of Similia, he achieves CURE as defined by Dr. Hahnemann in Aphor. 2 of the Organon.

During my long clinical practice I have used Hypericum very successfully in cases of bruises, lacerations, cuts and even in surgical wounds internally and externally. It always gave me wonderful results.

About Hypericum, Dr. M. L. Tyler says in her ‘Drug Pictures’ “Among the Wound-worts and Bruise-worts of our land, none rivals Hypericum for its healing touch on injured nerves, and for injuries – especially to parts rich in nerves. Here we use it both externally and internally.”

Culpepper thus describes Hypericum, “It is an excellent vulnerary plant…..outwardly of great service in bruises, contusions and wounds; especially in the nervous parts…… the ointment opens obstructions, dissolves swellings and closes up the lips of wounds…….”

Among the black letter symptoms of Hypericum we have-
Punctured, incised, contused or lacerated wounds, when pains are extremely severe and particularly if they are of long duration; pains like those of severe toothache; pains spread to neighbouring parts and extend up limb.

Silicea is one of the first grade remedies for fistula in ano:
Constantine Hering in his Guiding Symptoms of our Materia Medica puts this symptom in first grade:
– ¤¤ Fissura ani and fistula in ano.
John Henry Clarke says in his Dictionary of Practical Materia MedicaThe sensitiveness of Silicea is one of its keynotes, and an over-susceptibility to nervous stimuli is a frequent accompaniment of conditions requiring Silicea.
– The surface is tender and the least touch is painful.

About the author

S. K. Mamgain

Dr. S. K. Mamgain is the owner of Mamgain Homoeo Clinic at Dehradun. He is a Gold Medalist, Doon Ratna, Garhwal Gaurav, veteran homoeopath and recipient of various honors. I started studying Homoeopathy as a hobby in the 1960s but the results of the small doses of homoeopathic medicines impressed me so much that homoeopathy has become my mission in life. Now at 87, I am devoting most of my time in the service of this science, either treating the patients or studying the Materia Medica. It is my life now. Visit Dr. Mamgain at his web site:

1 Comment

  • Hi
    I think i have the same problem can it be treated by Homeopathy. I don’t want to go for operation or any other treatment .Please suggest

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