Fistula means pipe and Fistula-in-ano means a pipe like canal opening usually at or near the anus.Fistula can be blind,internal or open.The out-come is usually the result of a simple or tubercular abscess in the tissue surrounding the rectum.This abscess opens into the bowel and on the surface of skin.

Symptoms/Problems Remedy Frequency(Doses)
To start the treatment(also intercurrent) Tuberculinum k.200 or 1M fortnightly(6)
Initial stage of pus formation with throbbing pain;redness of anus Belladonna 30 and Mercurius sol.30 Alternate 3 hourly
When first stage is over and there is intense pain;abscess turns into pus Hepar sulph.30 4 hourly
When ulcerative stage comes and the passage converts into sinus;fetid,watery discharge Silicea 12X or 30 4 hourly
In tubercular patients(intercurrent remedy)who are susceptible to cold Bacillinum 200 or 1M fortnightly(3)
When there is intense hammering pain in the rectum Lachesis 30 or 200 4 hourly(3)
Soreness and intense burning pain;greenish discharge Acid-nit.200 or 1M weekly(3)
In blind fistula;yellowish,greenish painless discharge Sulphur 200 or 1M weekly(3)
With tearing pain around the anus;to improve the drainage of the passage Berberis vulg.Q 4 hourly,5 - 10 drops
Burning and soreness in the rectum;chronic large piles;better in humid climate Causticum 30 or 200 4 hourly(3)

For External Use:
Lotion of Hydrastis or Calendula.