23
CHRONIC CONSTIPATION AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Dr. (Km) Ruchi Rajput BHMS Homoeo Cure Research Centre P. Ltd. NH 74- Moradabad Road Kashipur (UTTARANCHAL) - INDIA Ph- 09897618594 INTRODUCTION DEFINITION OF CHRONIC CONSTIPATION Chronic constipation (Psora) is a disorder characterized by unsatisfactory defecation (Psora) that results from infrequent stools, difficult stool passage (Psora), or both over a time period of at least 12 weeks. The diagnosis is primarily symptom-based, relying on the patient’s self-report of symptoms; however, the description of constipation symptoms varies significantly among patients. Common symptoms may include infrequent bowel movement (Psora), hard stool (Psora), too small stool (Tubercular/ Psora), difficulties with stool expulsion (excessive straining) (Tubercular/ Psora), feeling of incomplete evacuation (Psora) or simply a patient description of ―a feeling of being constipated‖ without any of these constipation-related symptoms. S YMPTOM- BASED CRITERIA FOR CHRONIC FUNCTIONAL CONSTIPATION 1- Rome II Criteria At least 12 weeks, need not be consecutive, in past 12 months of > 2 of: • Straining in >25% of defecations (Psora) • Sensation of incomplete evacuation in >25% of defecations (Psora) • Sensation of anorectal obstruction/blockade in >25% of defecations (Psora/ Psora) • Manuel maneuvers to facilitate >25% of defecations (Psora) • Fewer than three defecations per week (Psora) • Loose stools should not be present and there are insufficient criteria for IBS (Tubercular/ Syphilis) 2- ACG CC Task Force Symptoms for at least 3 of the last 12 months consisting of: • Infrequent stools: less than 3 per week, or (Psora) • Difficult stool passage, which may include: (Psora)

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Page 1: Chronic Constipation and Homoeopathy

CHRONIC CONSTIPATION AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma MD (Homoeopathy)

Dr. (Km) Ruchi Rajput BHMS

Homoeo Cure Research Centre P. Ltd.

NH 74- Moradabad Road

Kashipur (UTTARANCHAL) - INDIA

Ph- 09897618594

INTRODUCTION

DEFINITION OF CHRONIC CONSTIPATION

Chronic constipation (Psora) is a disorder characterized by unsatisfactory defecation (Psora) that results

from infrequent stools, difficult stool passage (Psora), or both over a time period of at least 12 weeks.

The diagnosis is primarily symptom-based, relying on the patient’s self-report of symptoms; however, the

description of constipation symptoms varies significantly among patients. Common symptoms may

include infrequent bowel movement (Psora), hard stool (Psora), too small stool (Tubercular/ Psora),

difficulties with stool expulsion (excessive straining) (Tubercular/ Psora), feeling of incomplete

evacuation (Psora) or simply a patient description of ―a feeling of being constipated‖ without any of these

constipation-related symptoms.

SYMPTOM-BASED CRITERIA FOR CHRONIC FUNCTIONAL CONSTIPATION

1- Rome II Criteria

At least 12 weeks, need not be consecutive, in past 12 months of > 2 of:

• Straining in >25% of defecations (Psora)

• Sensation of incomplete evacuation in >25% of defecations (Psora)

• Sensation of anorectal obstruction/blockade in >25% of defecations (Psora/ Psora)

• Manuel maneuvers to facilitate >25% of defecations (Psora)

• Fewer than three defecations per week (Psora)

• Loose stools should not be present and there are insufficient criteria for IBS (Tubercular/ Syphilis)

2- ACG CC Task Force

Symptoms for at least 3 of the last 12 months consisting of:

• Infrequent stools: less than 3 per week, or (Psora)

• Difficult stool passage, which may include: (Psora)

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• Straining (Psora)

• Sense of difficulty passing stool (Psora)

• Incomplete evacuation (Psora)

• Hard/lumpy stools (Psora/ Syphilis)

• Prolonged time to stool (Psora)

• Need for manual maneuvers to pass stool (Psora/ Sycosis)

• Can be a combination of both

Abbr. - ACG: American College of Gastroenterology; CC: chronic constipation; IBS: Irritable Bowel

Syndrome

INCIDENCE

Chronic constipation (Psora) appears to be very common in the general population although its prevalence

varies depending on the diagnostic criteria used. Chronic constipation disproportionately affects women

compared with men (2.2:1), and the prevalence increases with age.

SYMPTOMS

Symptoms may be benign but chronic constipation can significantly reduce life quality, and, if left

untreated, can result in fecal impaction (Psora), incontinence (Psora/ Syphilis), and, very rarely, bowel

perforation (Psora/ Syphilis).

Irritable Bowel Syndrome (IBS) (Tubercular/ Syphilis) is the most common and best studied functional

gastrointestinal (GI) disorder.

IRRITABLE BOWEL SYNDROME

IBS symptoms (Psora/ Tubercular) are heterogeneous in their expression. The clinical presentation is

abdominal pain (Psora) or discomfort associated with altered bowel habits (e.g., diarrhea, constipation, or

a combination of both at times (Sycosis)) and with a change in the consistency or frequency of stools.

Other associated symptoms may include bloating, urgency, and/or a feeling of incomplete evacuation

(Psora). Although symptoms tend to occur in clusters, individual symptoms may also occur sequentially

and they may vary in type, location, and severity over time.

CLASSIFICATION OF IBS

IBS is classified as diarrhea-predominant (IBS-D) (Tubercular/ Sycosis), constipation-predominant

(IBS-C) (Tubercular/ Psora), or mixed—a combination of both (IBS-M), depending on the most prevalent

bowel pattern. This sub-classification is determined by stool frequency, form, and passage. However,

because the predominant symptom often changes over time, it is not uncommon for a patient to alternate

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between these IBS subgroups or between different functional bowel disorders such as IBS-C or IBS-D

and functional constipation or functional diarrhea.

DIAGNOSIS OF IBS

There are no biological markers or specific tests for the diagnosis of IBS. The diagnosis is therefore based

on identifying a cluster of clinical symptoms that are consistent with the disorder and excluding other

conditions by looking for clinical alert signs and performing limited diagnostic testing.

MANAGEMENT OF IBS

Since the pathophysiological mechanisms underlying the disorder are not known, the current approach to

management is based primarily on the patients’ predominant symptoms and overall wellbeing rather than

on a specific underlying etiological mechanism. The treatment is determined on basis of totality and the

peculiars- whether pain, diarrhea, or constipation is predominant and the targeted symptom is treated

using the same medications as in other conditions.

ETIOLOGY OF CONSTIPATION

There are many causes for constipation. The disorder may be secondary to systemic diseases (e.g.,

hypothyroidism (Psora/ Syphilis), hyperparathyroidism (Psora/ Sycosis), diabetes mellitus (Tubercular)),

gastrointestinal diseases (e.g., mechanical obstruction due to colon or rectal cancer), neurological

disorders (e.g., autonomic neuropathy (Syphilis), Parkinson’s disease (Psora/ Syphilis), multiple sclerosis

(Syphilis)). Another common etiology is the use of prescription or over the counter (OTC) medications

that slow down the intestinal transit.

Chronic primary or idiopathic constipation is primarily a diagnosis of exclusion which is made when the

other possible etiologies have been ruled out. Once primary idiopathic constipation has been diagnosed

and ―red flags‖ suggesting other serious diseases such as colon or rectal cancer have been eliminated,

empiric treatment may be started with an appropriate follow-up to assess the response.

MEDICATIONS ASSOCIATED WITH CONSTIPATION

By Prescription

Opiates

Anticholinergics

Tricyclic antidepressants

Calcium channel blockers

Antiparkinsonian drugs

Sympathomimetics

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Antipsychotics

Diuretics

Antihistamines

Over the counter (OTC)

Antacids, especially calcium containing

Calcium supplements

Iron supplements

NSAIDS

Antidiarrheal agents

MANAGEMENT OF CHRONIC CONSTIPATION

I. INITIAL RECOMMENDATIONS

An advice for behavioral, diet and lifestyle modifications is good as the first step of treatment. Patients

are often encouraged to increase their fluid intake, get involved with moderate increase in exercise, and

use the bathroom daily in response to feeling of urge for a bowel movement or at a specific time,

particularly after meals. Patients with more severe symptoms or those who do not respond to this initial

treatment are usually offered an empiric medication treatment with fiber supplements and Homoeopathic

medicine.

II. Evaluation of chronic primary constipation

The initial evaluation is based on careful history and physical evaluation. Important historical features

include bowel frequency, stool consistency, need for straining, and feeling of incomplete evacuation.

Presence of abdominal pain/discomfort can suggest a diagnosis of other functional disorders (e.g.,

IBS-C). Identifying alarm symptoms (e.g., weight loss, reduced appetite, weakness) are important since

they can suggest other underlying conditions which usually require further evaluation (e.g., abdominal

imaging, colonoscopy). Patients’ medications should be reviewed carefully and initial limited laboratory

tests should be performed to exclude medications (e.g., calcium channel blockers, anticholinergics) or

diseases (e.g., hypothyroidism) to which constipation is secondary.

Patients with primary constipation can be further evaluated for the underlying pathophysiological

mechanisms of their constipation. Using functional tests of the colon and anorectum, primary constipation

can be divided into three separate subgroups:

1. Slow transit constipation

2. Normal transit constipation

3. Obstructed defecation

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Slow transit Constipation refers to a decrease in colonic transit particularly in its proximal parts (i.e., the

ascending and transverse colon).

Normal transit constipation refers to patients who meet the criteria for chronic functional constipation but

testing of their colonic transit is between normal limits. These patients often have misperceptions of

normal bowel movements and some may have psychosocial disorders.

Obstructed defecation refers to organic/mechanical obstruction at the level of the rectosigmoid colon or

pelvic floor, or functional obstruction due to failure of the anorectal and pelvic floor muscles to relax

during defecation.

Combinations of these three subtypes are possible.

III. Pharmacologic treatments for chronic constipation

Pharmacologic treatments for chronic constipation include several groups of medications with different

mechanism/mode of action.

Bulk-forming agents are organic polymers that absorb water. These agents increase stool mass and water

content thereby making it bulkier, softer and easier to pass. e.g. bran, psyllium and methylcellulose. These

agents are often used as the first line treatment of constipation.

Stool softeners, like docusate sodium and docusate calcium, are surface-active agents that facilitate water

interacting with the stool in order to soften the stool, make it more slippery, and easier to pass. These

agents are often used as OTC medications for constipation.

Osmotic laxatives are poorly absorbed ions or molecules that create an osmotic gradient within the

intestinal lumen, drawing water into the lumen and making stools soft and loose. Examples of this group

of agents include poorly absorbed electrolytes such as milk of magnesia, magnesium citrate, and sodium

phosphate; poorly absorbed disaccharides such as lactulose and sorbitol; and polyethylene glycol 3350

(PEG). These agents are usually used for short-term treatment of constipation or for intermittent use in

chronic constipation. The PEG solution is also used for intestinal purges in preparation for diagnostic

procedures (e.g., colonoscopy) or surgery.

Stimulant laxatives increase peristalsis in the large bowel and fluid and electrolyte secretion in the distal

small bowel and colon. These agents include anthraquinones (senna, cascara, danthron),

diphenylmethanes (bisacodyl and phenolphthalein) and castor oil.

Secretory agents – this group is currently represented by Lubiprostone. It works by activating chloride

channels on the small intestinal mucosa and thereby leading to chloride rich intestinal fluid secretion that

increases luminal water content and stool hydration.

Prokinetic agents – These agents act by increasing intestinal motility and thereby accelerating intestinal

transit. Tegaserod maleate is a 5-HT4 pre-synaptic receptor agonist that enhances the peristaltic reflex,

increases colonic motility, decreases visceral hypersensitivity, and facilitates secretion into the colonic

lumen.

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HOMOEOPATHIC TREATMENT OF CHRONIC CONSTIPATION

TOP TEN REMEDIES FOR CONSTIPATION

nux-v. nat-m. op. bry. plb. sulph. lyc. sep. alum. graph.

REFERENCES 1. Auerbach-Wilderness_Medicine.4ed

2. Braunwald-Harrisons_Manual_of_Medicine.15ed

3. Chronic Diseases and Health Care, Morewitz

4. Clinician’s Pocket Drug Reference 2008

5. Current Diagnosis & Treatment In Family Medicine, 1Rst Ed (2007)

6. CURRENT Medical Diagnosis & Treatment 2009

7. Current_Gastroenterology.2ed.with_images

8. Davidson-s-Principles-and-Practice-of-Medicine-2006-20ed

9. Diseases And Disorders A Nursing Therapeutics Manual

10. Drug Class Review on Constipation Drugs Final Report September 2007

Oregon Health & Science University

11. Feldman-Sleisenger_and_Fordtrans_Gastrointestinal_and_Liver

12. Ferri’s Clinical Advisor 2004 - Instant Diagnosis and Treatment. 6th

edition

13. Food protein-induced gastrointestinal diseases

14. General Practice, 3rd Edition (J. Murtagh)

15. Geriatric Medicine An Evidence-based Approach

16. Gitlow-Substance_Use_Disorders_A_Practical_Guide.1ed

17. Goroll-Primary_Care_Medicine_Recommendations.1ed

18. Habib_Liver and Pancreatic Diseases Management

19. Harrison’s Principles of Internal Medicine, 17‘Edition

20. Humes-Kelleys_Textbook_of_Internal_Medicine.4ed

21. KEY TOPICS IN GASTROENTEROLOGY

22. Ledingham-Concise_Oxford_Textbook_of_Medicine.2000

23. Mandell-Mandell_Douglas_and_Bennetts_Principles_and_Practice

24. Manual of Gastroenterology - Diagnosis and Therapy, 3rd Edition

25. McEvoy-AHFS_Drug_Information.2004

26. Portland, Oregon 97239

27. RADAR 10

28. Warrell-Oxford_Textbook_of_Medicine.4ed

29. Yamadas_Textbook_of_Gastroenterology.4ed

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REPERTORY OF CONSTIPATION

ABDOMEN - Aggravation - constipation, with- ALUM. Bell. Bry. calc. carb-v. CON. hyos. kali-c. lyc. merc.

Nat-m. NUX-V. Op. PLB. Sep. SIL. Sulph.

Abdomen - BURNING, pain - constipation, during- bell.

ABDOMEN - Colic pain - Concomitants – Constipation- all-s. Aloe Alum. cocc. coll. grat. lyc. Nux-v. op.

Plb-act. sil.

ABDOMEN - CONGESTION - Liver; of - accompanied by – constipation- aesc.

ABDOMEN - CONSTIPATION agg.- sil.

Abdomen - CRAMPING, pain - constipation, agg.- all-s. Aloe Alum. bac. carc. cocc. coll. grat. lyc. merc.

Nux-v. Op. Plb. Podo. sil.

ABDOMEN - DISTENSION - children, in - constipation, from- plb.

ABDOMEN - DISTENSION - constipation, during- alum. am-c. bry. dol. ery-a. graph. hyos. iod. Lach.

mag-m. nit-ac. ph-ac. phos. sep. ter.

ABDOMEN - DISTENSION - constipation; during- alum. am-c. bry. ery-a. graph. hyos. iod. Lach. mag-m.

nit-ac. ph-ac. phos. podo. sep. Tell. ter.

ABDOMEN - DISTENSION - general - children, in - constipation, from- plb.

ABDOMEN - DISTENSION - general - constipation, during- alum. am-c. boerh-d. brucel. bry. dol. ery-a.

graph. hyos. iod. LACH. mag-m. nit-ac. ph-ac. phos. sep. ter.

Abdomen - DRAWING, pain - constipation, during- kali-c.

ABDOMEN - FLATULENCE - constipation, during- merc.

ABDOMEN - FLATULENCE - obstructed - descending colon, with constipation- AUR. IOD. LYC. rhod.

SULPH.

ABDOMEN - FULLNESS - constipation, during- bry. dios. ery-a. graph. hydr-ac. hyos. iod. lach. lat-h.

nit-ac. nux-v. phos. ter.

ABDOMEN - FULLNESS, sensation of - constipation; during- bar-ox-suc. bry. dios. ery-a. graph. hyos. iod.

lach. mand. nit-ac. nux-v. phos. suis-pan. ter.

ABDOMEN - GALLSTONES - accompanied by – constipation- chion.

ABDOMEN - Haemorrhoids - with – Constipation- aesc-g. Aesc. am-m. anac. Coll. euon. kali-s. Nux-v. paraf.

sil. Sulph. verb.

ABDOMEN - HARDNESS - general - liver - constipation, with- graph.

ABDOMEN - HARDNESS - Liver - constipation, with- graph.

ABDOMEN - HEAT - constipation, during- plb.

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Abdomen - HEAT, abdomen, in - constipation, during- plb.

ABDOMEN - HERNIA; ABDOMINAL - Umbilical - accompanied by – constipation- cocc. nux-v.

ABDOMEN - INACTIVITY - Liver; of - accompanied by – constipation- aesc. still.

ABDOMEN - PAIN - burning - constipation, during- bell.

ABDOMEN - PAIN - burning, smarting - constipation, during- bell.

ABDOMEN - PAIN - constipation; as from- cham.

ABDOMEN - PAIN - cutting - constipation, with- am-m.

ABDOMEN - PAIN - drawing - constipation, during- kali-c.

ABDOMEN - PAIN - hypogastrium - constipation, with- tela

ABDOMEN - PAIN - pressing - sides - left - cry out, making him, with constipation and displacement of

flatulence- sulph.

ABDOMEN - PAIN - sides - left - cry out, making him, with constipation and displacement of flatulence-

sulph.

ABDOMEN - PAIN - violent - hypogastrium - constipation, during- tarent.

ABDOMEN - PAIN, - constipation, from- ars. bell. con. cupr. kali-c. merc. op. plb. sil. sul-ac. thuj.

ABDOMEN - PAIN, - cramping, griping - constipation, during- merc. Op. Plb. Podo.

Abdomen - PAIN, abdomen - constipation, pain from- all-s. Aloe Alum. ars. bell. carc. cham. cocc. coll. coloc.

con. Cupr. grat. kali-c. lyc. merc. op. Plb. podo. sil. sul-ac. thuj.

Abdomen - PAIN, abdomen - flatulence, with pain - constipation, during- merc.

ABDOMEN - PORTAL congestion - accompanied by – constipation- aesc.

Abdomen - PORTAL system, general - constipation, caused by stagnation of- Croc.

Abdomen - retracted, sunken - constipation, with- carb-ac.

ABDOMEN - RETRACTION - accompanied by – constipation- carb-ac.

ABDOMEN - RETRACTION - constipation, with- carb-ac.

ABDOMEN - RETRACTION - general - constipation, with- carb-ac.

ABDOMEN - STASIS of the portal venous system - accompanied by – constipation- aesc.

ABDOMEN - WEAKNESS - constipation, with- plat.

Abdomen - WEAKNESS, sensation - constipation, with- plat.

BACK - PAIN - constipation, with- AESC. all-c. euon. FERR. kali-bi. sulph.

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BACK - PAIN - General - constipation, with- Aesc. all-c. euon. Ferr. kali-bi. sulph.

BACK - PAIN - lumbar region, lumbago - constipation, during- kali-bi. tep.

Bladder - BLEEDING, urethra - constipation, with- lyc.

BLADDER - PARALYSIS - constipation, with- bry. carb-v. caust. cocc. hyos. kali-c. nux-v. op. plb. sec.

sulph. zinc.

BLADDER - RETENTION of urine - constipation, with- cann-s.

BLADDER - RETENTION of urine - general - constipation, with- cann-s.

Bladder - RETENTION, of urine - constipation, with- cann-s.

Bladder - URGING, to urinate - frequent, urination - constipation, with- sars.

Bladder - URGING, to urinate - involuntary, urination - constipation, with- tarent.

BLADDER - URINATION - complaints of urination - accompanied by – constipation- lyc.

BLADDER - URINATION - frequent - constipation, with- sars.

BLADDER - URINATION - involuntary - constipation, with- tarent.

BLADDER - URINATION - involuntary - constipation; with- caust. tarent.

Brain - SCLEROSIS, brain - alternating, with colic, constipation and wrist-drop- Plb.

Breath - offensive - constipation, with- carb-ac.

Cancer - RECTUM, cancer - constipation, with cancer- alum. grat. kreos. plb.

CHEST - HEART; complaints of the - accompanied by – constipation- spig.

CHEST - WEAKNESS - Heart - accompanied by – constipation- apoc. cact. dig. kali-c. lach. lil-t. naja nat-m.

phyt. spig.

Children - COLIC, infants - constipation, with, caused by stimulating food taken by mother or nurse, much

flatus- Nux-v.

Children - COLIC, infants - griping, with constipation in- Nux-v. OP.

Children - CONSTIPATION, children- acon. Aesc. ALUM. Ant-c. apis bell. BRY. CALC. caust. Cham. Coll.

croc. Graph. Hep. hydr-ac. Hydr. kreos. LYC. Mag-m. meph. Nat-m. Nit-ac. NUX-V. nyct. OP. Paraf. Plat.

Plb. Podo. Psor. sanic. Sep. Sil. sulph. verat.

Children - CONSTIPATION, infants- aesc. ALUM. BRY. CALC. caust. coll. Lyc. mag-m. NAT-M. Nux-v.

OP. plb. psor. sel. sep. Sulph. Verat. Zinc.

Children - DENTITION, difficult, teething - constipation, general irritation and cachexia, with- Kreos. nux-v.

op.

Children - FOOD, artificial, ailments from - constipation, succeeds diarrhea- alum. Podo.

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Children - INFANTS, general - colic - constipation, with, caused by stimulating food taken by mother or

nurse, much flatus- Nux-v.

Children - INFANTS, general - colic - griping, with constipation in- Nux-v. OP.

Children - INFANTS, general – constipation- ALUM. BRY. CALC. Lyc. NAT-M. Nux-v. OP. Sulph. Verat.

Zinc.

Children - INFANTS, general - meconium, retention, with vomiting of all food, obstinate constipation-

kali-br.

Children - INFANTS, general - nursing, general, - artificial food, constipation succeeds diarrhea- alum. Podo.

Children - MECONIUM, retention, with vomiting of all food, obstinate constipation- kali-br.

Children - WORMS, children, in - dentition, with constipation- Dol.

CHILL - Chill, etc. - concomitants - stool – constipation- alum. ant-c. Bell. BRY. calc. COCC. dulc. LYC.

NUX-V. Op. sep. Sil. staph. sulph. VERAT.

Clinical - herpes, simplex - constipation, from- cop.

Clinical - Malaria, infection, ague - gastric - gastric and bilious symptoms, or consequent upon abuse of

chinona or quinine - with bitter taste of food, and constipation- Puls.

Clinical - portal, system, general - constipation, caused by stagnation of- Croc.

Clinical - vaginismus, vagina - emaciation, and constipation, with- plb.

Constitutions - BILIOUS, constitutions - constipation, tendency to- cub. NUX-V.

Constitutions - ELDERLY, constitutions - blood, quantities of, discharged at once, women, with constipation

and hypochondriasis- psor.

Constitutions - ELDERLY, constitutions - constipation - constipation and diarrhea, alternate- aloe Phos.

Constitutions - ELDERLY, constitutions – constipation- alum. bry. calc. nat-m. Op. Phyt.

Constitutions - ELDERLY, constitutions - diarrhea - constipation and diarrhea, alternate- ANT-C.

Constitutions - HEMORRHOIDAL, constitutions - constipation, with- Aesc. Hydr. Nat-m. Nit-ac. NUX-V.

Sulph.

Constitutions - INFANTS, constitutions - colic - constipation, with, caused by stimulating food taken by

mother or nurse, much flatus- Nux-v.

Constitutions - INFANTS, constitutions - colic - griping, with constipation in- Nux-v. OP.

Constitutions - INFANTS, constitutions – constipation- ALUM. BRY. CALC. Lyc. NAT-M. Nux-v. OP.

Sulph. Verat. Zinc.

Constitutions - INFANTS, constitutions - meconium, retention, with vomiting of all food, obstinate

constipation- kali-br.

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Constitutions - INFANTS, constitutions - nursing, general, - artificial, constipation succeeds diarrhea- alum.

Podo.

Constitutions - MELANCHOLIC, constitutions – constipation- Sulph.

Constitutions - MEN, constitutions - studious, hypochondriasis, with abdominal complaints and constipation-

NUX-V.

Constitutions - OCCUPATIONS, general - emigrants, amenorrhea, constipation- PLAT.

Constitutions - OCCUPATIONS, general - sedentary, general – constipation- alum. NUX-V. Podo.

Constitutions - PHLEGMATIC, constitutions – constipation- Op.

Constitutions - PLETHORIC, constitutions - adults, headaches with congestion, giddiness, flushed face and

constipation- Nux-v.

Constitutions - PLETHORIC, constitutions – constipation- Op.

Constitutions - WOMEN, constitutions – constipation- alum. nat-m. SEP.

COUGH - Concomitants – constipation- nat-c.

Cough - constipation agg- con. graph. sep.

COUGH - CONSTIPATION agg.- con. graph. sep.

COUGH - CONSTIPATION, during- con. graph. nat-c. sep.

COUGH - Excited or aggravated by - constipation, from- sep.

Coughing - CONSTIPATION, during- con. graph. nat-c. sep.

EXTREMITIES - COLDNESS - Foot - constipation, during- ol-j.

EXTREMITIES - COLDNESS - general - lower limbs - feet - constipation, during- ol-j.

EXTREMITIES - HEAVINESS - Lower limbs – constipation- tep.

EXTREMITIES - PAIN - burning - lower limbs - feet - constipation, with- ol-j.

EXTREMITIES - PAIN - lower limbs - constipation, with- asc-c.

EXTREMITIES - PAIN - lower limbs - feet - constipation, with- ol-j.

EXTREMITIES - PAIN - rheumatic - constipation, with- casc.

EXTREMITIES - PAIN - upper limbs - hands - constipation, with- ol-j.

EXTREMITY PAIN - BURNING - Foot - constipation, with- ol-j.

EXTREMITY PAIN - BURNING - Hand - constipation, with- ol-j.

EXTREMITY PAIN - GENERAL - rheumatic - constipation, with- casc.

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EXTREMITY PAIN - LOWER LIMBS - constipation, with- asc-c.

FACE - ERUPTIONS - acne - constipation; with- calc-sil.

FACE - HEAT - general - flushes - constipation, during- term-c.

FEMALE - ABORTION, miscarriage - constipation, with- apis bry. coll. kali-c. nux-v. op. phos. plb. sep. sil.

Female - BLEEDING, uterus, metrorrhagia - constipation, high living, from- nux-v.

Female - DYSMENORRHEA, painful menses - constipation, with- coll.

FEMALE - LEUCORRHEA - constipation, with- NAT-M. podo.

FEMALE - LEUCORRHEA - General - constipation, with- podo.

FEMALE - MENSES - absent, amenorrhea - exertion, from, with constipation- cann-s.

FEMALE - MENSES - absent, amenorrhea - physical exertion, from, with constipation- cann-s.

FEMALE - MENSES - late, too - would come, as if, and constipation- graph.

FEMALE - MENSES - painful, dysmenorrhea - constipation, with- coll.

Female - MENSES, general - late, too - would come, as if, and constipation- graph.

FEMALE - METRORRHAGIA - constipation, high living, from- nux-v.

FEMALE - METRORRHAGIA - General - constipation, high living, from- nux-v.

Female - VAGINAL, discharge, leucorrhea - constipation, with- podo.

FEMALE - VAGINISMUS - emaciation and constipation, with- plb.

Female - VAGINISMUS, vagina - emaciation, and constipation, with- plb.

FEMALE GENITALIA/SEX - LEUKORRHEA - accompanied by – constipation- hydr. Nat-m.

FEMALE GENITALIA/SEX - PROLAPSUS - Uterus - accompanied by – constipation- stann.

FEMALE SEXUAL SYSTEM - Complaints during pregnancy – Constipation- alum. Coll. lyc. nux-v. op.

Plat. plb. Sep.

FEMALE SEXUAL SYSTEM - Complaints, preceding and attending flow – Constipation- am-c. coll. Graph.

Nat-m. nux-v. plat. Plb. sep. Sil. sulph.

FEMALE SEXUAL SYSTEM - Puerperium – Constipation- Bry. Coll. nux-v. verat. zinc.

FEVER - TYPHOID FEVER - accompanied by – constipation- Bry. hydr. nux-v. op.

FEVER, HEAT - ABSENT - adynamia - constipation, with- nat-m.

Fevers - ERUPTIONS, with fevers - blotches, large red, over body, and constipation- Cop.

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Fevers - INTERMITTENT, fever, ague, malaria - gastric - gastric and bilious symptoms, or consequent upon

abuse of chinona or quinine - with bitter taste of food, and constipation- Puls.

Fevers - REMITTENT, fever - constipation, with- Hydr.

Fevers - RHEUMATIC, fever - constipation, after- HYDR.

Fevers - TYPHOID, fever, salmonella - constipation, with- Bry. hydr. nux-v. op.

Food - APPETITE, general - loss, of appetite - constipation, with- asc-c.

Gallbladder - BILIOUS, constitutions - constipation, tendency to- cub. NUX-V.

Gallbladder - WEAK, gallbladder - constipation, with- Kali-m. Nux-v.

GENERALS - ANEMIA - accompanied by – constipation- alum-sil. alum. alumn. chin. cycl. ferr. graph.

hydr. kali-c. mang. nat-m. nux-v. plb. puls. sulph.

Generals - COMPLEXIONS, general - dark, brunette - brown, olive, disposed to constipation, sad, gloomy,

taciturn- aur.

GENERALS - CONSTIPATION amel.- Calc. merc. Psor.

GENERALS - CONVULSIONS - epileptic - during epileptic convulsions; complaints – constipation- verbe-o.

GENERALS - DIABETES MELLITUS - accompanied by – constipation- carl. graph. kreos. lac-d. nat-s.

GENERALS - FAINTNESS - accompanied by – constipation- verat.

GENERALS - PAIN - neuralgic - accompanied by – constipation- alum-sil. alum. alumn. plb.

GENERALS - PARALYSIS - one side - accompanied by – constipation- alum-sil. alum. alumn. plb.

GENITALIA - Conditions - constipation, agg.- coll. con. fl-ac. Graph. lach. Mag-m. plat. Sep. sulph.

GENITALIA - Female organs - childbed – constipation- alum. Ant-c. BRY. lyc. NUX-V. op. Plat. sep.

GENITALIA - Female organs - pregnancy – constipation- alum. BRY. Lyc. NUX-V. op. Sep.

HEAD - CONGESTION - constipation; during- aster. crot-h. Nux-v.

HEAD - CONGESTION, hyperemia etc. - general - constipation, during- aster. crot-h. NUX-V.

Head - constipation agg- Bry. colch. Nux-v. op.

HEAD - CONSTIPATION agg.- alet. BRY. chin. coff. colch. con. crot-h. ign. kali-bi. lach. mag-c. merc.

nat-m. NUX-V. Op. puls. sep. verat.

HEAD - Headache - cause – Constipation- Aloe alum. Bry. coll. hydr. nit-ac. Nux-v. op. rat.

HEAD - Headache - Concomitants – Constipation- aloe alum. Bry. euon. Hydr. lac-d. nicc. Nux-v. op. plb.

HEAD - HEAT - constipation, with- verat.

HEAD - HEAT - constipation; during- verat.

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HEAD - HEAT, General - constipation, with- verat.

HEAD - Internal - aggravation – constipation- alet. BRY. chin. coff. con. Crot-h. ign. kali-bi. lach. mag-c.

Merc. nat-m. NUX-V. OP. Puls. sep. verat.

HEAD - PAIN - accompanied by – constipation- alet. Aloe alum. am-c. arg-n. aur. bell. BRY. Calc-p. chin.

coff. Coll. con. crot-h. dioxi. dys. euon. fl-ac. gels. graph. Hydr. ign. iris kali-bi. Lac-d. lach. mag-c. merc.

Nat-m. Nat-s. nicc-met. nicc. nit-ac. Nux-v. op. petr. Plb. Podo. Puls. rat. rhus-t. sep. verat. zinc.

HEAD - PAIN - constipation, with- ALOE alum. am-c. aur. BRY. CALC-P. coff. colch. COLL. con. crot-h.

euon. hydr. ign. iris jatr-c. LAC-D. lach. lept. lyc. mag-c. merc. NAT-M. NAT-S. nicc-met. nit-ac. NUX-V. op.

petr. pitu-a. PLB. PODO. PULS. rat. tor. verat. zinc.

HEAD - PAIN - forehead - periodic - constipation, with- nux-v.

HEAD - PAIN - pressing - constipation, during- jatr-c.

HEAD - PAIN - ulcerative - forehead - periodic, with constipation- nux-v.

HEAD - PAIN, - pressing - constipation, during- jatr-c.

HEAD - PAIN, - ulcerative - Forehead - periodical, with constipation- nux-v.

HEAD PAIN - GENERAL - constipation, with- Aloe alum. am-c. aur. BRY. Calc-p. coff. colch. Coll. con.

crot-h. euon. hydr. ign. iris Lac-d. lach. lept. mag-c. merc. Nat-m. Nat-s. nicc-met. nit-ac. Nux-v. op. petr.

pitu-a. Plb. Podo. Puls. rat. tor. verat. zinc.

HEAD PAIN - PRESSING - constipation, during- jatr-c.

HEAD PAIN - ULCERATIVE - Forehead - periodical, with constipation- nux-v.

Headaches - PRESSING, pain - constipation, during- jatr-c.

Headaches - ULCERATIVE, pain - forehead - periodical, with constipation- nux-v.

Heart - HEARTBEATS, general - weak - constipation, with- phyt.

Heart - WEAK, heart - constipation, with- phyt.

HEAT AND FEVER IN GENERAL - Concomitants - stool – constipation- alum. am-c. ambr. ANT-T. APIS

Arn. BELL. BRY. Calad. Calc. canth. carb-v. caust. chin. COCC. con. CUPR. DULC. fl-ac. Graph. guaj.

kali-c. kreos. lach. laur. LYC. mag-m. meny. merc. mez. nat-m. nit-ac. NUX-V. OP. phos. Plat. Plb. puls.

rhus-t. sabad. sars. sel. Sep. Sil. stann. STAPH. sul-ac. Sulph. thuj. VERAT. verb. zinc.

Intestines - BLEEDING, intestines, from - women, elderly, large quantities of blood discharged at once with

constipation- psor.

Intestines - CRAMPING, pain - constipation, agg.- all-s. Aloe Alum. bac. carc. cocc. coll. grat. lyc. merc.

Nux-v. Op. Plb. Podo. sil.

Intestines - DISTENTION, from flatus - children, in - constipation, from- plb.

Intestines - DISTENTION, from flatus - constipation, during- alum. am-c. bry. dol. ery-a. graph. hyos. iod.

Lach. mag-m. nit-ac. ph-ac. phos. sep. ter.

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Intestines - FLATUS, flatuence, intestinal - constipation, during- merc.

Intestines - FLATUS, flatuence, intestinal - obstructed, intestinal - descending colon, with constipation- Aur.

Iod. Lyc. rhod. Sulph.

Intestines - INFLAMMATION, intestines - diarrhea and constipation, alternate- Ign.

Intestines - PERISTALSIS, general - inertia, feeling of - constipation, causing- Plat.

Intestines - PERISTALSIS, general - inertia, feeling of - of lower, hemorrhoids and constipation, especially

during pregnancy- Coll.

Intestines - PERISTALSIS, general - lost, contractility, in constipation of infants- alum. Lyc. Op.

Intestines - WORMS, parasites, general - children, in - dentition, difficult - constipation, with- Dol.

Joints - RHEUMATIC, fever - constipation, after- HYDR.

KIDNEYS - SUPPRESSION of urine - constipation, with- aral-h.

KIDNEYS - SUPPRESSION of urine, anuria - constipation, with- aral-h.

Kidneys - SUPPRESSION, urine, kidneys - constipation, with- aral-h.

Legs - HEAVINESS, sensation, tired legs – constipation- tep.

Liver - ENLARGED, liver - constipation, inability to lie on right side, with recurring attacks of indigestion -

biliousness and constipation- Mag-m.

Liver - HARDNESS, liver - constipation, with- graph.

Liver - HEPATITIS, infection, liver - constipation, with- Nux-v. Podo.

Liver - INDURATION, liver - constipation, with chronic- Graph.

Liver - JAUNDICE, icterus - torpid, with, and constipation- still.

Liver - PAIN, liver - constipation, with- verat.

Liver - PAIN, liver - nausea, with - nausea and constipation- Merc-c.

Liver - PORTAL, system, general - constipation, caused by stagnation of- Croc.

Liver - WEAK, liver - constipation, with- Kali-m. Nux-v.

Liver - WEAK, liver - jaundice, with, from biliary concretions - jaundice and great depression of mind, with

constipation- still.

LOWER EXTREMITIES - Aggravation - constipation and piles, from- ham. lyc. nux-v. ruta sulph.

MALE - VARICOCELE - constipation, with- coll.

MALE - VARICOCELE - constipation, with- coll.

Male - VARIOCELE, spermatic, cord - constipation, with- coll.

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MALE AND FEMALE GENITALIA/SEX - CONSTIPATION agg.- coll. con. fl-ac. graph. lach. mag-m. plat.

sep. sulph.

MALE GENITALIA/SEX - VARICOCELE - accompanied by - constipation; extreme- coll.

MENSTRUATION - Concomitants after menses - stool, constipation- graph.

MENSTRUATION - Concomitants before menses – constipation- aloe alum. am-c. bry. graph. kali-c. lach.

mag-c. nat-m. nux-v. SIL. sulph. thuj.

MENSTRUATION - Concomitants during menses – constipation- alet. ALOE alum. Am-c. am-m. Apis Aur.

bell. Bry. Calc. GRAPH. iod. KALI-C. Kreos. lach. NAT-M. nat-s. NUX-V. op. phos. PLAT. Plb. puls. SEP.

sil. sul-ac. sulph.

MIND - Aggravation - constipation, during- aloe NAT-M. Nux-v.

MIND - ALCOHOLISM - constipation; with- Apom.

MIND - ANXIETY - constipation; with- tarent.

Mind - ANXIETY, general - constipation, with- tarent.

MIND - COMPLAINING - constipation and diarrhea, with- nux-v.

MIND - CONSTIPATION agg.- aloe NAT-M. nux-v.

MIND - DELIRIUM - abdomen, with swelling of - constipation, and- ACET-AC.

MIND - DELIRIUM - abdomen, with swelling of - constipation, and- Acet-ac.

MIND - DELIRIUM - constipation, with- acet-ac.

MIND - DELIRIUM - distension of abdomen and constipation; with- Acet-ac.

MIND - FEAR - constipation, with- bell. lach. OP.

Mind - FEARS, phobias,general - constipation, with- bell. lach. Op.

MIND - IRRITABILITY - constipation, during- pitu-a.

MIND - IRRITABILITY - constipation, during- pitu-a.

MIND - IRRITABILITY - stitches in rectum, from, in constipation- NAT-M.

MIND - MANIA - constipation, during- Verat.

MIND - MANIA, madness - constipation, with- VERAT.

MIND - MANIA, madness - constipation, with- Verat.

Mind - RESTLESSNESS, mental - children, in - constipation, with- Apis

MIND - RESTLESSNESS, nervousness - children, in - constipation, with- APIS

MIND - RESTLESSNESS, nervousness - tendency - children, in - constipation, with- Apis

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MIND - SADNESS - constipation; with- olnd.

MIND - SADNESS, despondency, depression, melancholy - constipation, with- ferr. NUX-V. OLND.

MIND - SADNESS, despondency, depression, melancholy - liver troubles, in - constipation, and- still.

MIND - SHRIEKING, screaming, shouting - children, in - constipation since birth, with- aloe

MIND - TORPOR - constipation, in- NAT-M.

Mind - TORPOR, mental - constipation, in- NAT-M.

MIND - UNCONSCIOUSNESS, coma - constipation, with- Stram.

MIND - UNCONSCIOUSNESS, coma - general - constipation, with- STRAM.

Mouth - BREATH, general - constipation, with- carb-ac.

MOUTH - MAPPED tongue - constipation, during- KALI-BI.

MOUTH - ODOR, breath - constipation, with- carb-ac.

Muscles - ATROPHY, muscles - alternating, with colic and constipation- Plb.

NAUSEA AND VOMITING - Concomitants – constipation- cupr. plb.

NOSE - CATARRH - accompanied by – constipation- aur-m-n. hydr.

NOSE - CORYZA - general - discharge - with, fluent - constipation, with- ARS.

Pregnancy - CONFINEMENT, puerperal – constipation- Ambr. Ant-c. bell-p. PLAT. SEP.

Pregnancy - CONSTIPATION, during- Agar. ALUM. Ambr. Ant-c. Ant-t. Apis Bry. Calc. carb-v. cocc.

COLL. coloc. Con. DOL. FERR. Graph. Hydr. Kali-c. Lyc. meny. merc. nat-m. NAT-S. Nit-ac. NUX-V. Op.

Phyt. PLAT. PLB. Podo. Puls. sabad. SEP. stann. Sulph. Verb.

Pregnancy - MISCARRIAGE, spontaneous abortion - constipation, with- apis bry. coll. kali-c. nux-v. op.

phos. plb. sep. sil.

PROSTATE GLAND - SWELLING - accompanied by – constipation- arn. sil.

RECTUM - CHILLINESS - constipation, during- lac-d.

RECTUM - CHILLINESS in - constipation, during- lac-d.

Rectum - CHILLINESS, before stool - constipation, during- lac-d.

RECTUM – CONSTIPATION- abies-c. abies-n. abrom-a. Abrot. acet-ac. acon. Aesc-g. AESC. Aeth. Agar.

agav-a. Agn. aids. alet. allox. Aloe alum-p. alum-sil. ALUM. ALUMIN. ALUMN. Am-c. Am-m. Ambr. ammc.

amp. amph. Anac. anan. anders. androc. Ang. ant-c. ant-t. anth. anthraq. APIS aq-mar. Arg-met. Arg-n.

arge-pl. arist-cl. arn. Ars-i. ARS. arund. asaf. asar. asc-c. asc-t. aster. aur-ar. aur-i. Aur-m-n. aur-m. aur-s.

Aur. bacls-7. bad. Bar-c. bar-i. Bar-m. bar-ox-suc. bar-s. bell. Berb. bit-ar. bol-la. borx. botul. bov. brach.

brass-n-o. bros-gau. brucel. BRY. bung-fa. Cact. cadm-met. Caesal-b. calad. calc-f. calc-i. Calc-p. Calc-s.

calc-sil. CALC. camph. cann-s. canth. caps. Carb-ac. Carb-an. Carb-v. carbn-dox. CARBN-S. carc. Card-m.

Page 18: Chronic Constipation and Homoeopathy

carl. carneg-g. cartl-s. cas-s. casc. cassia-s. caul. CAUST. cham. Chel. Chim. Chin. chinin-ar. chinin-s. chion.

chlam-tr. chord-umb. chr-ac. cic. cimx. cina CLEM. cob-n. Coca COCC. COFF. colch. coli. COLL. Coloc.

CON. Cop. cor-r. cortiso. Croc. Crot-c. Crot-h. crot-t. cub. cuph. cupr. cycl. cystein-l. Daph. Dig. Dios.

diphtox. dol. dream-p. dros. Dulc. dys. Elaps ery-a. eug. euon. eup-per. euph. euphr. falco-pe. fel Ferr-ar.

Ferr-i. ferr-p. Ferr. fic-c. Fl-ac. flor-p. Form. friedr. fuma-ac. gaert. gal-ac. galeoc-c-h. galla-q-r. Gamb. gels.

ger-i. germ-met. Glyc. granit-m. GRAPH. Grat. Guaj. guat. haliae-lc. ham. hed. hedy. Hell. helodr-cal. hep.

hippoz. hir. Hydr. Hydrc. hydrog. hydroph. hyos. Hyper. Ign. Iod. irid-met. Iris ix. jab. jac-c. Jatr-c. Kali-ar.

Kali-bi. Kali-br. Kali-c. Kali-chl. Kali-i. kali-m. kali-n. kali-p. Kali-s. kali-sil. ketogl-ac. kola Kreos. lac-ac.

LAC-D. lac-del. lac-f. lac-h. lac-leo. LACH. lact-v. lat-h. lat-m. Laur. led. Lept. Lil-t. limest-b. luf-op. luna

LYC. lycps-v. m-ambo. m-arct. Mag-c. MAG-M. mag-s. malar. Manc. mand. mang. marb-w. med. melal-alt.

meli. Meny. merc-c. Merc-i-f. Merc. MEZ. mim-p. mom-f. Moni. morg-g. Morg-p. morg. morph. Mosch.

mucs-nas. Mur-ac. murx. musa musca-d. myric. nabal. nad. naja Nat-ar. Nat-c. nat-f. NAT-M. nat-ox. nat-p.

nat-pyru. nat-s. nat-sil. neon nept-m. nicc-met. nicc-s. nicc. nicotam. NIT-AC. nit-m-ac. Nux-m. NUX-V. nyct.

oci-sa. OENA. olib-sac. olnd. oncor-t. OP. oscilloc. osm. Ox-ac. oxal-a. ozone paeon. pall. par. paraf. parathyr.

pegan-ha. petr-ra. petr. ph-ac. phasco-ci. PHOS. phys. Phyt. pin-con. pitu-gl. plac-s. plac. PLAT. Plb-act.

PLB. pneu. Podo. polys. positr. pot-e. propr. prot. Psor. Ptel. Puls. Pyrog. querc-r. ran-b. Raph. Rat.

rham-cal. rheum rhod. Rhus-g. rhus-t. rob. RUTA Sabad. Sabin. sal-fr. sang. Sanguis-s. SANIC. saroth. Sars.

Sec. secret. Sel. Seneg. senn. SEP. sil-mar. SIL. silphu. sinus. sol spig. Spong. squil. Stann. STAPH. STRAM.

streptoc. stront-c. STRY. succ-ac. suis-em. suis-hep. suis-pan. Sul-ac. sul-i. sulfa. SULPH. sumb. suprar. syc.

Sym-r. syph. Tab. tann-ac. Tarent. tax-br. tela tell. Ter. tetox. thal-s. thal-xyz. Ther. thiam. THUJ. thymul.

tril-p. Trios. tritic-vg. tub-m. Tub. urt-u. ust. v-a-b. vanil. vario. ven-m. VERAT. Verb. vero-o. vesp. Vib.

viol-o. viol-t. visc. zinc-fcy. zinc-m. zinc-p. ZINC.

RECTUM – CONSTIPATION- abies-c. abies-n. ABROT. acal. acet-ac. acon-l. ACON. adam. ADEPS-S.

adon. aegle-m. aesc-g. AESC. AETH. AGAR. AGN. agri. ail. alet. all-c. all-s. allox. aln. ALOE alst-s. alum.

alumin-p. ALUMIN-SIL. ALUMN. AM-C. AM-M. AMBR. ammc. amph. ANAC. anag. anan. ancis-p.

androc. ANG. ango. ANT-C. ant-s-aur. ant-t. APIS APISIN. apoc-a. apom. aq-mar. aran-ix. aran-sc. aran.

ARG-MET. ARG-N. arge-pl. arist-cl. ARN. ARS-I. ars-met. ars-s-f. ARS. arund. asaf. asar. asc-c. asc-t. aster.

atis. atro-pur. aur-ar. aur-i. AUR-M-N. aur-m. AUR-S. AUR. aza. bac. bacls-7. bad. bamb-a. banis-c. bapt.

BAR-C. bar-i. BAR-M. bar-s. bell-p. BELL. benz-ac. BERB. bism. boerh-d. bol-la. bold. borx. BOV. brach.

bros-gau. brucel. BRY. bufo buni-o. CACT. cadm-met. cain. calad. calc-act. calc-ar. calc-chln. calc-f. calc-i.

CALC-P. CALC-S. calc-sil. CALC. CAMPH. canis-exc. cann-i. CANN-S. CANTH. caps. CARB-AC.

CARB-AN. CARB-V. CARBN-S. carc. card-b. CARD-M. carex-a. carl. carneg-g. CASC. cass. cassia-f.

cassia-s. cath-a. caul. CAUST. cean. cedr. cench. cent-u. cham. cheir. CHEL. chelo. chen-v. CHIM. CHIN.

chinin-ar. chinin-s. chion. chlf. chlor. chloram. chlorpr. choc. chr-ac. CIC. cich. CIMIC. cimx. cina citl-vg.

CLEM. cob. coc-c. COCA COCC. cod. COFF. COLCH. COLL. COLOC. CON. COP. cor-r. corn. cortiso.

CROC. CROT-C. CROT-H. crot-t. cub. cupr-act. cupr-ar. CUPR. curc. cycl. cymbop-ci. cypr. cyt-l. DAPH.

dict. DIG. DIOS. dirc. dol. dros. DULC. eich-c. ELAPS elat. emb-r. erech. ery-a. eucal. eug. euon-a. euon.

eup-c. eup-per. eup-pur. euph-hy. euph-l. euph. euphr. eupi. fago. falco-pe. fel FERR-AR. ferr-cy. FERR-I.

ferr-p. ferr-s. FERR. FL-AC. foen. foll. FORM. franz. fuc. fum. GAERT. gal-ac. GAMB. gast. gels.

GERM-MET. get. geum glon. GLYC. glycyr-g. gnaph. goss. gran. granit-m. GRAPH. GRAT. GUAJ. guar.

guare. guat. gymno. haliae-lc. ham. hedeo. helia. HELL. HEP. hippoz. hir. hom-g. hura hydr-ac. HYDR.

HYDRC. hydrog. hydroph. HYOS. HYPER. IGN. ind. indg. indol. IOD. ip. irid-met. IRIS jab. jac-c. JAL.

JATR-C. joan. jug-c. jug-r. kali-act. KALI-AR. KALI-BI. KALI-BR. KALI-C. KALI-CHL. kali-hp. KALI-I.

kali-m. kali-n. kali-p. KALI-S. KALI-SIL. kalm. kaol. kiss. kola KREOS. kres. kurch. LAC-AC. lac-c.

LAC-D. lac-del. lac-e. lac-f. lac-leo. LACH. lachn. lact-v. lam. lat-h. LAUR. lec. LED. lepr. LEPT. LIL-T. lim.

limest-b. lina. linu-u. lith-c. lob-s. lob. LYC. lycps-v. lys. M-AMBO. M-ARCT. MAG-C. MAG-M. mag-p.

mag-s. malar. MANC. mand. mang-act. mang-m. MANG. MANGI. mant-r. marb-w. med. meli. MENY.

meph. merc-c. merc-cy. MERC-F. MERC. merl. MEZ. mill. mit. moni. morg-g. MORG-P. morph. morus-n.

Page 19: Chronic Constipation and Homoeopathy

MOSCH. MUR-AC. murx. musa mut. mygal. myric. nabal. naja nast. NAT-AR. NAT-C. nat-f. NAT-M.

nat-n. nat-p. nat-s. nat-sil. neon nicc-met. nicc-s. NIT-AC. nit-m-ac. NUX-M. NUX-V. nyct. oci-sa. OENA.

ol-an. ol-j. olnd. OP. orig. osm. OX-AC. ozone paeon. pall. par. PARAF. parth. ped. peti. petr. ph-ac. phel.

PHOS. phys. PHYT. pieri-b. pin-l. pin-s. pip-n. pitu-a. plan-mi. PLAT. PLB-ACT. PLB. plumbg-eu. plumbg.

plut-n. PODO. polyg-h. polypd-vg. pop-cand. PROT. prun. psil. PSOR. PTEL. PULS. pyre-p. PYROG.

querc. rad-br. ran-b. RAPH. RAT. ratt-norv. rham-cal. RHAM-CATH. RHAM-F. RHEUM rhod. RHUS-T.

RIC. rob. rumx. RUTA SABAD. sabal SABIN. sal-mo. samb-e. samb. sang. SANIC. santin. sapo-so. sapo.

saroth. sarr. SARS. scol. SEC. SEL. senec. SENEG. SENN. SEP. sil-mar. SIL. sin-n. slag sol-ni. sol-t-ae. sol-t.

spig. SPONG. squil. STANN. STAPH. stel. stict. STRAM. stront-c. STRY-XYZ. SUL-AC. sul-i. sulo-ac.

SULPH. sumb. syc. sym-r. symph. syph. TAB. tamrnd. tanac. tann-ac. TARAX. tarent-c. TARENT. tax. tela

tell. TER. term-a. term-c. teucr. thal. thea THER. thlas. THUJ. thymol. thyr. til. trif-p. tril-c. trinit. trios.

trom. tub-m. TUB. ulm-r. uran-n. urt-u. ust. v-a-b. valer. vario. VERAT. VERB. vero-o. vesp. VIB. vichy-g.

vince. VIOL-O. viol-t. visc. wies. wye. xan. zinc-i. ZINC-PHIC. ZINC.

Rectum - CONSTIPATION, general - something, remaining behind, sensation, with constipation- ALOE

alum. lyc. nat-m. Nux-v. sep. sil. sulph.

Rectum - CONSTIPATION, general- abies-c. abies-n. Abrot. AESC. Aeth. Agar. Agn. alet. Aloe ALUM.

ALUMN. Am-c. Am-m. Ambr. ammc. Anac. anan. Ang. ant-c. APIS Arg-met. Arg-n. arn. Ars-i. ARS. arund.

asaf. asc-c. asc-t. aster. aur-m. Aur. bad. Bar-c. Bar-m. bell. Berb. bol-la. borx. bov. brach. BRY. Cact. calad.

Calc-p. Calc-s. CALC. camph. cann-s. caps. Carb-ac. Carb-an. Carb-v. CARBN-S. Card-m. casc. caul.

CAUST. Chel. Chim. Chin. chinin-ar. chinin-s. chr-ac. cimx. cina CLEM. Coca COCC. COFF. colch. COLL.

Coloc. CON. Cop. cor-r. Croc. Crot-c. Crot-h. crot-t. cub. cupr. cycl. Daph. Dig. Dios. Dulc. Elaps ery-a.

euon. euph. Ferr-ar. Ferr-i. ferr-p. Ferr. Fl-ac. Form. Gamb. GRAPH. Guaj. Hell. hep. hippoz. Hydr. Hydrc.

Hydrog. hyos. Hyper. Ign. Iod. Iris jab. jac-c. Jatr-c. Kali-ar. Kali-bi. Kali-br. Kali-c. Kali-chl. Kali-i. kali-n.

kali-p. Kali-s. Kreos. Lac-ac. LAC-D. LACH. Laur. led. Lept. Lil-t. LYC. lycps-v. Mag-c. MAG-M. mag-s.

Manc. mang. med. meli. Meny. merc-c. Merc-d. Merc-i-f. Merc. MEZ. Mosch. Mur-ac. murx. myric. naja

Nat-act. Nat-c. NAT-M. nat-p. nat-s. nicc. NIT-AC. Nux-m. NUX-V. OENA. olnd. OP. osm. Ox-ac. paeon.

pall. petr. ph-ac. PHOS. Phyt. PLAT. PLB. Podo. Psor. Ptel. Puls. Pyrog. Raph. Rat. rhus-t. rob. RUTA

Sabad. Sabin. sang. SANIC. Sars. Sec. Sel. Seneg. SEP. SIL. spig. Spong. squil. Stann. STAPH. STRAM.

STRY. Sul-ac. SULPH. sumb. Tab. Tarent. tell. Ter. Ther. THUJ. tril-p. Tub. urt-u. ust. vario. VERAT.

Verb. vesp. Vib. viol-o. Zinc.

RECTUM - DIARRHEA - accompanied by – constipation- ANT-C. ant-t. bry. Caps. Lach. Nux-v. olnd. Puls.

Rhus-t. Ruta Staph.

RECTUM - DIARRHEA - alternating with – constipation- Abrot. acet-ac. Aegle-f. agar. ail. aloe alum. am-m.

ANT-C. ant-t. anth. Arg-n. arge-pl. ars-i. ars-s-f. Ars. atis. aur-ar. aur-i. aur-m-n. aur-s. Aur. bac. bell. berb.

Bry. but-ac. calc-chln. calc. Carb-ac. carbn-s. Card-m. Casc. CHEL. choc. Cimic. cina Cob. coff. colch. Coll.

Con. cop. cor-r. crot-h. Cupr. Dig. dios. falco-pe. ferr-cy. Ferr-i. Ferr. gamb. gink-b. glycyr-g. gnaph. Graph.

grat. guat. hell. Hep. hom-xyz. Hydr. Ign. Iod. kali-ar. kali-bi. Kali-c. Kali-n. kali-s. Lac-d. lac-h. Lach. Lact.

Lec. lil-t. Lyc. mag-s. Manc. Mang. merc. mez. nat-ar. nat-c. Nat-m. nat-p. Nat-s. NIT-AC. Nux-m. NUX-V.

OP. Phos. Plb. PODO. polyg-h. prot. psor. Ptel. Puls. rad-br. rhus-t. Ruta sang. saroth. sars. sep. Staph.

stram. sul-i. Sulph. sumb. syc. Tab. thymol. Tub. verat. vib. visc. zinc-p. zinc.

Rectum - DIARRHEA, general - alternating, with – constipation- Abrot. acet-ac. agar. ail. ALOE am-m.

ANT-C. ant-t. Arg-n. ars-i. Ars. aur-m-n. Aur. berb. Bry. Carb-ac. carbn-s. Card-m. Casc. CHEL. Cimic.

cina Cob. coff. Coll. Con. cop. crot-h. Cupr. Dig. dios. Ferr-i. gamb. gnaph. grat. Hep. Hydr. Ign. Iod. kali-ar.

kali-bi. Kali-c. kali-s. Lac-d. Lach. Lact. Lec. lil-t. Lyc. mag-s. Manc. Mang. merc. mez. nat-act. nat-c. Nat-m.

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nat-p. Nat-s. NIT-AC. Nux-m. NUX-V. OP. Phos. Plb. PODO. polyg-h. Ptel. Puls. rhus-t. Ruta sang. sars. sep.

stram. strych-g. Sulph. sumb. Tab. Tub. zinc.

Rectum - FECES, remained in, sensation, as if - something, remaining behind, with constipation, as if- aloe

alum. lyc. nat-m. Nux-v. sep. sil. sulph.

RECTUM - FISSURES - general - constipation, from- tamrnd.

RECTUM - FULLNESS - constipation; without- aesc.

RECTUM - HEMORRHAGE - anus, from - constipation, with- alum. am-m. anac. calc-p. COLL. lac-d. lam.

morph. nat-m. NIT-AC. NUX-V. phos. psor. sep. vib.

RECTUM - HEMORRHAGE - anus, from - hypochondriasis, with, in old women - stitches, constipation,

from- NAT-M.

RECTUM - HEMORRHAGE from anus - accompanied by – constipation- alum. am-m. anac. calc-p. Coll.

lac-d. lam. morph. nat-m. Nit-ac. Nux-v. phos. psor. sep. vib.

RECTUM - HEMORRHOIDS - alternating with – constipation- coll.

RECTUM - HEMORRHOIDS - coughing, sneezing agg. - constipation, during- bac.

Rectum - HEMORRHOIDS, general - constipation, with- aesc-g. Aesc. am-m. anac. Coll. euon. kali-s. Nux-v.

paraf. sil. sulph. verb.

Rectum - INACTIVITY, rectum- Aesc. aeth. agn. alet. alum-sil. ALUM. ALUMN. am-c. am-m. ANAC. ant-c.

ant-t. arg-n. arist-cl. Arn. asaf. atro. aur-i. aur-s. aur. bac. bacls-10. bamb-a. Bar-c. bar-i. bar-m. bar-s. bell.

bov. BRY. calc-i. Calc-s. calc-sil. Calc. Camph. cand-al. cann-s. canth. Carb-an. Carb-v. CARBN-S. carc.

caust. CHAM. chel. Chin. choc. Coca Cocc. coff. colch. Coll. Con. crot-t. dulc. euphr. ferr. fl-ac. Gels.

GRAPH. guat. Hell. HEP. HYDR. hydrog. hyos. Ign. iod. Kali-br. KALI-C. kali-chl. kali-n. Kali-p. kali-s.

kali-sil. kreos. lac-d. Lach. Lap-a. Lyc. lycps-v. mag-c. Mag-m. mand. mang. med. meli. merc. mez. mit.

morg-g. mosch. mur-ac. Nat-c. NAT-M. Nat-p. nat-sil. nit-ac. NUX-M. NUX-V. OENA. olnd.

RECTUM - ITCHING - anus - constipation, with- cadm-i. calc. cinch. cur. glon. slag SULPH. x-ray

RECTUM - PAIN - burning - constipation, with- abies-c.

RECTUM - PAIN - burning - constipation, with- abies-c. boerh-d. tarent.

RECTUM - PAIN - constipation, during- abies-c. asaf. boerh-d. con. graph. nat-m. nit-ac. nux-v. plb. sil.

tarent. vib.

RECTUM - PAIN - sore, bruised - constipation, with- graph. nat-m. nit-ac. sil. tarent.

RECTUM - PAIN - sore, raw - constipation, with- graph. nat-m. nit-ac. sil.

RECTUM - PAIN - tenesmus - constipation, during- asaf. CON. mangi. NUX-V. plb. vib.

RECTUM - SPASMS in - Anus - accompanied by – constipation- caust. Lach. Lyc. Nat-m. nit-ac. plb-act. plb.

sil.

RECTUM - SWELLING of anus - sensation of - constipation; without- aesc.

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Rectum - TENESMUS, rectum, ineffectual straining - constipation, during- asaf. Con. Nux-v. plb. vib.

RECTUM - WORM, worms - complaints - dentition, during - constipation, with- DOL.

RECTUM - WORMS - complaints of worms - accompanied by – constipation- fil.

SENSATIONS AND COMPLAINTS IN GENERAL - Infants, affections of – constipation- alum. BRY. lyc.

NUX-V. OP. Sulph. verat.

SENSATIONS AND COMPLAINTS IN GENERAL - Infants, affections of - dentition - with constipation-

BRY. Mag-m. NUX-V.

SEXUAL IMPULSE - Semen - emission of - constipation, followed by- thuj.

SKIN - DISCOLORATION - yellow - accompanied by – constipation- chion.

SKIN - ERUPTIONS - herpetic - constipation, from- cop.

SKIN - ERUPTIONS - urticaria - constipation; with- cop.

SKIN - ERUPTIONS - urticaria, hives - constipation, with- cop.

SKIN - Urticaria - With - constipation, fever- cop.

Skin - URTICARIA, hives - constipation, with- cop.

STOMACH - APPETITE - wanting - constipation, with- asc-c.

STOMACH - INDIGESTION - constipation, with- hydr.

STOMACH - INDIGESTION - followed by – constipation- lavand-a. mag-p.

Stomach - INDIGESTION, general - constipation, with- hydr.

STOMACH - NAUSEA - constipation, with- asc-t. atis. buni-o. COCC. HYPER. kurch.

STOMACH - NAUSEA - constipation; during- COCC. coll. cupr. Hyper. plb.

Stomach - NAUSEA, general - constipation, with- COCC. Hyper.

STOMACH - PAIN - constipation, with- bry. graph. kali-m. nux-v. phys. PLB.

STOMACH - PAIN - constipation; during- bry. graph. nux-v. phys. Plb. sacch-a.

STOMACH - PAIN - cramping, griping, constricting - constipation, during- adeps-s.

STOMACH - PAIN - General - constipation, with- bry. graph. kali-m. nux-v. phys. Plb.

STOMACH - Pain - with – constipation- bry. graph. nux-v. phys. Plb.

Stomach - PAIN, stomach - constipation, with- alum. alumn. bry. graph. nux-v. op. phys. Plb. Sep.

STOMACH - VOMITING - accompanied by – constipation- nux-v. op. plb.

STOMACH - VOMITING - general - constipation, with- nux-v. op. plb. pyrog.

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STOMACH - Vomiting, retching - with – constipation- nux-v. op. plb.

STOOL – Constipation- acon. Alum. am-c. AM-M. AMBR. anac. ANT-C. ARN. ARS. asaf. asar. aur. bar-c.

BELL. bov. BRY. CALC. Canth. caps. CARB-V. card-m. CAUST. chel. CHIN. cina COCC. Coff. colch. coll.

coloc. CON. CROT-H. DAPH. dig. Dulc. ferr. GRAPH. GRAT. GUAJ. hep. Hydr. hyos. iod. KALI-BI.

KALI-C. KREOS. LACH. Laur. led. LYC. Mag-c. MAG-M. mang. Meny. MERC. mez. NAT-M. Nit-ac.

NUX-V. olnd. OP. petr. ph-ac. Phos. PLAT. PLB. psor. PULS. rhod. RHUS-T. RUTA Sabad. sabin. SARS.

Sel. seneg. SEP. SIL. spong. squil. Stann. STAPH. stram. Sul-ac. SULPH. THUJ. VERAT. Verb. ZINC.

STOOL - Diarrhoea - alternating with constipation- ABROT. alum. ANT-C. ant-t. Ars. BRY. calc. cimic.

colch. cupr. FERR. GRAPH. grat. hell. iod. LACH. lyc. merc. nat-c. Nat-m. NAT-S. nit-ac. NUX-V. OP.

PHOS. Plb. Podo. psor. Puls. RHUS-T. RUTA sulph. tab. vib. zinc.

Stool - INFREQUENT, stool- alum. Arn. nat-m. sep.

STOOL - MUCOUS - alternating with constipation- acon. ruta

STOOL - MUCOUS, slimy - alternating with constipation- acon.

STOOL - MUCOUS, slimy - green - alternating with constipation- am-m.

Stool - MUCUS, slimy, stool - alternates, with constipation- acon.

Stool - MUCUS, slimy, stool - green - alternating with constipation- am-m.

STOOL - ODOR - offensive - constipation, during- guaj.

Stool - ODOR, stools - putrid - constipation, during- guaj.

Stool - OFFENSIVE, stools - constipation, during- guaj.

SWEAT - Concomitants - stool – constipation- ANT-C. APIS arn. BELL. BRY. Calc. carb-v. chin. COCC.

con. Dulc. graph. LYC. Merc. mez. nit-ac. NUX-V. OP. sabad. sel. SEP. SIL. STAPH. sul-ac. SULPH. Thuj.

Verat.

TASTE - BITTER - constipation, with obstinate- kali-m. sil.

Taste - BITTER, taste - constipation, with obstinate- kali-m. sil.

TEETH - Concomitants – constipation- Bry. MERC. nux-v. STAPH.

TEETH - Dentition - with - constipation, general irritation, cachexia- Kreos. nux-v. op.

Teeth - DENTITION, difficult teething - constipation, general irritation and cachexia, with- Kreos. nux-v. op.

TEETH - PAIN - accompanied by – constipation- bry. MERC. nux-v. Staph.

Toxicity - DRUGS, general - constipation, from- agar. alum. Ant-c. Bry. chin. cod. Coloc. NUX-V. op. ruta

sulph.

URETHRA - HEMORRHAGE - constipation, with- lyc.

URETHRA-URINARY ORGANS - HAEMORRHAGE - constipation,with- lyc.

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Urination - frequent - constipation, with- sars.

Urination - involuntary - constipation, with- tarent.

Urine - bloody - constipation, with- lyc.

Urine - BLOODY, urine - constipation, with- lyc.

URINE - BURNING, hot - constipation, with- ferr.

URINE - Conditions of urination - constipation, with- lyc.

Urine - hot, burning - constipation, with- ferr.

URINE - PAINFUL - burning, hot - constipation, with- ferr.

Urine - RETENTION, of urine - constipation, with- cann-s.

VERTIGO - Aggravation – constipation- chin. nux-v.

Vertigo - constipation agg- calc-p.

VERTIGO - CONSTIPATION, during- aegle-m. aloe AMBR. ango. aza. bry. CALC-P. chin. crot-h. kurch.

nat-s. NUX-V. sulph.