This is the case of Mr. S. P (Patient Ref. No. PS - 396), a 29 years old male patient who reported to the clinic with complaints of pain in the anal region since 5 -6years. He would get shooting pains in the anal region that would last the whole day long. The pain would get worst during stools. He would also experience increased intensity of pain while sitting, traveling, at night and early morning. Application of hot water would relieve the pain to some extent. There would also be some amount of bleeding during the passage of stools. There was no history of passage of mucus with the stools. Bowels would be chronically constipated and he would have to strain much to pass stools.
Patient was taking homoeopathic treatment without improvement then he started allopathic treatment but no improvement. At last patient was ready for operation but last moment he refused operation & again start homoeopathic treatment.
His appetite is normal and he is very fond of sault, sweets. Thirst is excessive. He would be comfortable in the cold weather and could not tolerate sun heat, warm atmosphere. Constitutionally he is stoky & average height. Recurrent apthe in mouth especially when suppressed anger. White spot in nails, profuse perspiration over upper lips, saulty in test.
Mr. S is coming from well settle nuclear family of Brahmin. He is only son of parents. His father is engineer in GEB, irritable by nature. He was often irritated over patient in matter of study. Patient also irritate in front of him. Mother is house wife, good by nature. Younger sister is also good in nature.
Good in study. He took part in sport & cultural activities. He completed Msc & doing job as a teacher in higher Secondary school. He had habit of cigarette smoking, take much spicy food & irregular in diet during the Msc. This the time when complaint started. He had iften fight in collage time. He is irritable by nature. Irritate very easily. He is can not tolerate any opposition, indignation. He is reserved kind of person. Revengeful. He is particular in work. He did not like if anybody cheat. Sentimental. Never see the pain of others. He told that now he is control his anger after death of his close friend. He wept lots when his friend dies. Still remember.


He does not like authority but working as a teacher with own principal. He never accept all the things of trusty. Many times disput occur with management.
4 weeks was all that was required to give him more than 80-90% relief in his symptoms of painful defecation and he was back to his work. He was prescribed a remedy named Nat. Mur as a constitutional remedy & Nitricum Acidum along with another one called Aesculus as a acute remedy. He continued the treatment for some more time and his symptoms were under good control now. He would not have any bleeding or pain now and his complaint of chronic constipation was also effectively taken care of with the medicines. At the end of one year the patient stated that he had completely forgotten the fissure now.
Remark: Homoeopathic medicine do miracal work in surgical cases if right medicine, right potency & frequency.