VARICOCELE The remedies called for in varicose condition of th spermatic veins will be frequently the following: Acidum fluoricum, Pulsatilla, Silicea, Osmium, Acidum Phosphoricum, Hamamelis, and AEsculus, according to the symptoms.
Acidum fluoricum will be indicated when there are moist palms pain in the left side or a history of syphilis.
Aurum when the testicles are very small and weak in those suffering from mercurialism.
Silicea when there are sweaty feet or when there is a history of a suppression of pedal perspirations and when there are chilblains.
Osmium when it had been produced or aggravated by a deep, hollow low cough, seemingly coming from low down in the body.
Acidum Phosphoricum when associated with phosphaturia and pain in the testicle.
Pulsatilla will suit many cases and be specially called for in the obese and those of lax fibre and tearful mood.
Hamamelis is the prince of vein medicines, especially topically applied.
PATHOGENETIC SYMPTOM OF Hamamelis Virginica
I have quite lately had an opportunity of observing that Hamamelis is capable of producing phlebitis I ordered a gentleman a lotion of Hamamelis to a painful knee resulting form a crush caused by a neighbour’s horse lurching against it, and fixing it against the saddle of the rider. Various applications had been previously used, and there remained no outward and visible sign that anything at all ailed the knee, but it was painful deep down. Instead of using a few drops of the tincture diluted with water in a compress, as I ordered, patient applied the tincture itself by rubbing it into the part, and there resulted considerable swelling of the whole region of the knee, and one vein swelled stool out, and was intensely painful to the touch. Thinking he was over-doing it with the Hamamelis and being moreover, frightened he left and let the inflamed and swelled part alone, and in about 24 hours in was quite well. Here I think the Hamamelis caused the cellular tissue to swell and the vein to become in flamed.
Aconitum, Belladonna, Nux Sulphur, and many other of our medicine will be needed in those cases in which their characteristic symptoms occur. To give them all would be equivalent to transcribing portions of many pathogeneses, and under Haemorrhoids this more fully gone into.
Ferrum phosphoricum is a most powerful vein medicine although its action on the arteries is its prime sphere; it has cured a small aneurism in my hands (the sixth centesimal trituration), and a great indication for it is throbbing. It is also a beautiful hypnotic but those who usually sleep well are often kept awake by it.
Kali chloricum is indicated in congestions, and specially in swarthy subjects.
Digitalis, Ceanothus, Scilla, and Chelidonium will sometimes obtrude themselves on general grounds, such as where the heart spleen liver, or kidneys are concomitantly wrong.
In the hydrogenoid constitution Natrum sulphuricum and Thuja will be thought of; the former when the motion is so large that it pains to pass it through the rectum and the latter when there is a history of lues gonorrhoica, or a neuralgia the testicles.
AEsculus hippocastanum has cured varicocele; disturbance in the portal system with constipation and haemorrhoids would call for it. Lilienthal mentions the following remedies as having been found useful in varices:- Aconitum, Aloes, Ambra, Antimonium, Arnica, Arsenicum, Belladonna, Calcarea Carb., Caust china, Colocynth, Ferrum, Graphites, Hamamelis, Hepar sul., Ignatia, Kreasotum, Lachesis. Lycopodium, Nat. mur., Nux v., Platinum, pulsatilla, Sepia, Spigelia, Sulphur, Zincum; Ammonium mur., Acid. fluoricum, Hydrocot., Millefol., Paeon., Staphysagria; Ferrum phos for young people. Fluoric acid for old persons. (Homoeopathic Therapeutics, 1879, p. 799)
That Ferrum phosphoricum acts Brilliantly in the old and ACidum fluoricum in the young I can vouch for from my own experience.