Good morning all, MY CLINICAL CASE , AN INTERESTING CASE ,WORTH SHARING TOO , THANK YOU ALL FOR YOUR VALUABLE COMMENTS to improverise me … EXTERNAL PILES WITH ULCERS IN GLANS … PRESENTING COMPLAINT… A MALE aged 29 yrs came to my clinic before 3 months … Cauliflower like growth surrounding anus without any gap , burning , can’t tolerate coMplaints ,restless , anxious, treated with allopathy ,siddha and yunani of no relief instead complaints become worse , burning of prepuce in glans penis , small papules , with foul discharge ,least touch aggravates pain …. headache severe , both temples ,mostly right side ,pressing pain , aggravated by stress… PHYSICAL GENERALS…. SLEEP ,- INSOMNIA , dreams of evil spirits , very scared , involuntary ejaculation and erection in night ,. Thermal— chilly ,. Wants to cover the body in summer too ,feels whole body is burning like fire …. Thirst – thirsty ….. Sweat- profuse on palm Urine+ burning micturition , foamy , painful dry urethra with warts …. Stool– bleeding stool , very much difficult to pass ,strain much , rectal inactivity , aggravated by non, veg, even soft stool feels hard to pass … Appetite — reduced DESIRE — SEA FOODS ,nonveg , egg disagrees induces urticaria…. Past history — no relevant history except this presenting complaints …. Family history — mother hypertension ,father healthy ,younger brother 23 yrs ,, EXCITING CAUSE AND MAINTAINING CAUSE …. STUDIED physical education 2 yrs back , athlete , loves sports , but due to torture of his professor to take drugs for event , depressed , ambition to become national level player in running , early days he refused to consume ,inspite of his attitude , professor made him black mark in his career ,he became frustrated , restless , depressed , irritable upon himself and others , discontinued the course ,joined ba economics unconditional, dislikes present course ,but continued , now studying MA ,, BUT HE CAN’T FORGET HIS SPORTS CAREER FAILURE…. Mind —– loquacious ,anxiety of health , disappointed , aristocratic , expect perfection upon everyone ,if not there becomes irritable ,wants to be perfect and true ,if he can’t see on others became irritated and depressed y they are like this , religious faith only in recent years after comments started , wants to be timid ,this is his basic nature ,can’t accept cruelty in any form ,fight against right cause , very expressive ,loves sports , … Consolation ameliorates him. … fear of crowd and appearing among public ,new strangers leads to trembling of extremities , chillness of palm when anxious. .. SELECTION OF REMEDY …CAUSTICUM 1M ,SINGLE DOSE WITH PLACEBO FOR 2 MONTHS….. FOLLOW UP …. started sleeping , appetite improved ,anxiety completely absent , erection and sexual desire reduced , trembling of extremities absent ,felt comfortable , no irritability , stool normal ,urine normal , piles growth almost subsided , glans penis warts absent ,no discharge ,,, DARE TO BE WISE…HAIL HOMOEOPATHY , HAIL HAHNEMANN…. REASON FOR MY SELECTION …. CHILLY , THIRSTY , CRAVING FOR NONVEG , PROFUSE SWEAT ON PALM , BURNING SENSATION AS A GENERALITIES , ANGRY ON SEEING CRUELTY IN ANY FORM , AMBITION ATHLETE.. AILMENTS FROM CAREER FAILURE , ARISTOCRAT, FIGHT FOR RIGHT CAUSE ,SEXUAL DESIRE ,FOUL DISCHARGE , FEAR OF CROWD , APPEARING AMONG PUBLIC WITH TREMBLING EXTREMITIES ,RELEGIOUS AT THE STAGE OF SYPHILIS , BASICALLY TIMID ,PERFECT ,ANGER ON INJUSTICE … INVOLUNTARY EJACULATION, BLEEDING STOOL , RIGHT SIDE HEADACHE ,AILMENTS FROM STRESS, LOQUACIOUS , BURNING FOAMY MICTURITION ,OFFENSIVE ….INSOMNIA WITH DREAMS OF EVIL SPIRITS…