Aesculus hippocastanum

 Generalities

 – It has marked action on the veins of the lower bowels and pelvic organs causing engorged haemorrhoids.

 – Veins of portal system are also engorged producing soreness and fulness of the liver and abdomen.

 – Many of the symptoms which Aesc. produces are due to deranged liver or reflex from pils.

 – It causes general venous stasis, making parts purple and puffy, varicose veins become purple.

 – Everything is slowed down, digestion, heart, bowels.

 – In addition to the feeling of fulness internal parts, it produces sensation of HEAT, DRYNESS, STIFFNESS and ROUGHNESS in throat, nose, anus etc.

 – There is a characteristic backache which unfits the patient for business.

 – Pains are sticking or flying all over, hot like lightning.

 Worse

 – Morning on awakening.

 – From any motion.

 – Lying, stooping; after stools; urinating.

 – Cold air, and after washing in water.

 – Winter.

 – Standing.

 Better

 – Cool; open air, bathing.

 – Bleeding (Piles); kneeling.

 – Continued exertion.

 – Summer.

 Mind

 – Gloomy and irritable; unable to fix his attention.

 – Wake up with confusion of mind; bewildered, especially children.

 Head

 – Bruised pain in occiput to the frontal region, with flushes of heat over occiput, neck and shoulders.

 Eyes

 – Eyeballs feel heavy, dull, hot and sore, with lachrymation.

 – Blood vessels enlarged.

 Nose

 – Sensitive to cool inspired air, which causes burning, rawness and fluent coryza and sneezing.

 – Obstruction of nose due to hepatic disorders.

 – Congestive catarrh.

 Mouth

 – Scalded feeling in tongue and mouth.

 – Tongue thickly coated Salivation.

 – Cannot control the tongue so as to form words rightly.

 – Taste sweet, bitter, metallic.

 – Teeth as if covered with oil.

 Throat

 – Follicular pharyngitis connected with hepatic congestion.

 – Feeling of roughnes, dryness, stitching or burning like fire on swallowing.

 – Neuralgic pains in the fauces.

 – Hawking of ropy mucus of sweetish taste.

 Stomach

 – Pressure as from a stone, with gnawing, aching pain, about three hours after meals.

 – Heart burn and gulping up of food after eating.

 – Desire to vomit with constant distress and burning.

 Abdomen

 – Throbbing deep in abdomen (hypogastrium and pelvis).

 – Tenderness and fulness in the region of liver.

 – Jaundice.

 Rectum

 – Stools, dry hard; of several colours.

 – Feels full of small sticks.

 – Piles with sharp shooting pains up the back; blind and bleeding; purple painful, external; agg. standing and walking.

 – Constipation; hard, dry, knotty, white stools.

 – Pains long after stools.

 – Af if a bug crawling from anus.

 – Stools first part hard and black, then white and soft.

 – Burning in anus, with chills up and down the back.

 – Painful constrictions; as of a knife sawing up and down.

 – Piles agg. during climaxis.

 Urinary

 – Frequent scanty urination, urine muddy, dark, hot.

 Male

 – Discharge of prostatic fluid at every stool and urination.

 Female

 – Constant throbbing behind symphysis pubis.

 – Leucorrhoea with lameness of back across sacro-iliac joint and aching in knees.

 – Leucorrhoea; dark, yellow, sticky, corroding agg. after menses.

 Chest

 – Feels constricted, hot feeling in.

 – Cough depending upon hepatic disorders.

 – Pain around heart in haemorhoidal subjects.

 – Audible palpitation, when pulsation extends to extremities.

 Back

 – Laming, dull lumbar pain.

 – Small of the back gives out.

 – Pain as if to break, has to make repeated efforts at rising, agg. walking and stooping.

 – Bruised pain affecting sacrum and hips.

 Extremities

 – Aching and soreness in limbs.

 – Paralytic heaviness, of arms, spine, feet.

 – Hands and feet swell, become red after washing.

 – Spine feels weak.

 Sleep

 – Disposition to stretch and yawn.

 Complementary

 – Carb-v; Lach; Mur-ac.

 Related

 – Alo; Coll; Pul.

Source: Phatak Materia Medica