Question

“Obstinate constipation for years; rectum seems tied up with strictures; when enema was used, the agony of passage was like labor” is the symptom of :

• A. \( \text{Sulphur} \)
• B. \( \text{Syphilinum} \)
• C. \( \text{Nux Vomica} \)
• D. \( \text{Nitric Acid} \)

Hint:

\textbf{Homeopathic Materia Medica: Syphilinum.} Remember Syphilinum for deep-seated chronic conditions, intense pains often worse at night, and peculiar sensations of constriction or stricture in various orifices. The mental picture can also include destructiveness and hopelessness.

Answer 1

The Correct Option is B

The peculiar and intense symptom picture described – obstinate constipation for years, a sensation of stricture in the rectum, and agonizing pain during bowel movements even with the aid of an enema, likened to labor pains – is a characteristic symptom strongly associated with Syphilinum in homeopathic materia medica. This remedy, derived from the syphilitic miasm, often presents with deep-seated, chronic, and intensely painful conditions. The feeling of constriction or stricture in orifices and the severity of the pain are key indicators for Syphilinum. Let's briefly consider the other options: \begin{itemize} \item Sulphur: Known for various skin and constitutional symptoms, and constipation can be a part of its picture, but not typically with this intense, stricture-like sensation and agonizing pain. \item Nux Vomica: Indicated for ineffectual urging to stool, often with a feeling as if not finished, and irritability, but not typically the sensation of stricture and labor-like pain. \item Nitric Acid: Associated with splinter-like pains and fissures, often in the rectum, but the overall picture described is more characteristic of Syphilinum. \end{itemize} Therefore, based on the unique combination and intensity of the described rectal symptoms, Syphilinum is the most likely remedy.