Pilonidal Sinus Fistula

1. Age = 40 years
2. Male
3. Single (divorced since 7 years)
4. weight (85 kg)
5. Height (165 cm)
6. country (Germany)
7. climate = temperate seasonal climate
8. List of your complaints
- Pilonidal Sinus Fistula (not anal fistula), with two openings, the second is at the height of the coccyx.
- Symptoms in order from head to feet:
- - Fear that I do not give my best, that I'm lazy, that I will be judges by others, sometimes that something will happen like an accident or someone would attack me
- - Vertigo when weather changes too fast (from hot to cold)
- - I love thunderstorm and lightnings, especially the moment before the storm
- - occasionally headache, better in fresh hair, worse with alcohol
- - my throat is painful when under stress, feels like a infection, but there is no infection, worse at 4 p.m.
- - I have a lot of tension in my jaw
- - sometimes I loose my voice and I'm become angry when someone contradicts me especially if things are so obvious
- - occasionally nausea, which is better after eating
- - I like now more salt food, cheese, chicken curry (I could eat this even mornings), spicy (Indian, Chinese, Italian)


9. Since how long are you suffering from each complaint
... since 16 years now

10. non-Diabetic (but my father and my grandmother got type 2 diabetes)
11. Desire salt
12. Thirst ... normal (2 Liters of water, 2 cups of coffee or green tea)
13. Tongue (is almost clean but teeth-marked) and Taste is normal
14. Current Blood Pressure is normal

15. One situation that had a big effect on you?
The only huge impact on my emotions was when I felt in love but it gone bad. Now I do not feel anything anymore like that. It is like something inside me has built up walls of protections.

16. Important Question: Current and previous remedies/medicines you are taking or took in the past?
I do not take any allopathic remedies.
Only occasionally some homeopathic remedies like Arnica C30 against headache.

17. Educational Qualifications of the patient: software developer: self taught, no university, only 2 years traing in electronics
18. Nature of work, what do you do for living? I sit a lot in front of the computer. My work involves a lot of thinking, a bit of creativity is required.
I must say that I love science, spirituality, art, and the combination of all of them. I spent a lot of time with my hobbies, private projects, building things, programming software, research. I'm a kind of "fringe scientist", a crazy mad scientist, at least at night ;)

19. Important Question.
Mind-behavior, anger, irritability, hurry,
impatient…and so on.. How are you different from other persons, public speaking or not, you can describe all of the details about your behavior, love and affections.

Sometimes I become angry and impatient with people who obstacles me in some way, like asking me unneccessary questions, stealing my time, when they try to intrude into my privacy sphere without my permission. But I'm usually known as responsible and mild tempered and I have my emotions under control.

I can speak in front of thousands of people, this is no problem. I love teaching all kind of stuff, like history, science, art. But I have always this fear that someone could judge badly my good intentions. And I become so angry (really angry) when someone tries to exploit my generosity, asking me for money ... and I have no problem in helping people, but what I hate most is when they come to me with the intention to exploit me in some way. When this happens I isolate myself. I put these people on my "blacklist", avoiding them or ignoring them even if this means that I could seem like a snob for them.

When I have not slept well I cannot endure noices like the doorbell.

20. Color of the secretions/discharges e.g, Pus, urine, stool, sputum, Saliva etc.
The secretion of the fistula varies from water like to pus to blood, from no smell to honey like or onion like. It depends on the situation, on what I have eat, if I'm stressed or relaxed. The fistula (or like I like to think "my fistula") is a ventil for something inside me. I believe that if this ventil would not be there I would explode.

The color of the pus varies from transparent, to yellowish and red (when it bleeds). It seems to appear always in this order. For example when I wake up and clean the fistula, first a lot of transparent liquid cames out (I would say that this seems not to be pus at all), then a yellow substance comes out, but still transparent, and finally blood.

Pain: a few times in the week, but not much. Just discomfort.

The color of the pus is now a light yellow and the discharge is quite a lot.

No pain, just discomfort.

Mind symptoms:
- I like solitude
- loud noises or voices provokes easily anger in me, I hate when the doorbell rings or the phone, it's really annoying
- I have the constant feeling to live in a war zone, this seems to be a delusion, because my mind revolves around being attacked and to protect myself and others
- I do not feel angry anymore when someone contradicts me (jaw tension is also better)

Physical symptoms:
- when I raise my left arm in order to put my head on it for sleeping (recently I like more to sleep on my belly) then it hurts at the shoulder. This is a new symptom.
- I desire more chocolate and beer in the last weeks, and tomatoes
- tension in my jaw is better
- currently I got a cold and it last 3 weeks (as usually every winter) with throat painful and subfebrile temperatures, feeling heat in the face
- I have a strange feeling under my left scapula, like itching or a vibration, especially in the evening

thank you in advanced

Thank you very much nawazkahn.

I tried Nux vomica several times and it did help only partially or even aggravated my condition.

A friend helped me to find a similimum last week and it works very good. I take every day since 2017-11-11 few drops of Carduus-marianus C6.

Now my fistula does only expel very little of thin fluid, no pus at all, no blood.

Very important: I have more energy!

I cleaned up my apartment, threw out a lot of stuff I did not need anymore. It feels like I clean myself.

Other symptoms are also better now:
I do not feel angry when the doorbell rings or the phone. It disturbs me, but I don't feel this rush of anger anymore.
The same for contradiction. And I take only the C6 of Carduus.
The itching under my left scapula is gone!

I was so curious how my friend found this remedy. He explained that I was already on the right track to find the remedy and that he only noticed a little particular symptom. We talked about Burnett small book about fistula cure that we have studied both in detail. He made me notice that if a organ like the spleen is affected, one needs to cure the spleen first and only then the fistula will disappear.

So he repertorized my case again using my computer and software, adding some symptoms which he identified with my spleen condition (itching under left scapula), and Carduus marianus went up in a higher ranking. Then he filtered plant remedies and Carduus was number one remedy. Wonderful. Just a few symptoms more.

Burnett already mentioned that there are "different types of fistula", some related to lung, spleen or liver. My friend showed me a particular case of Burnett where he cured the fistula with some drops of Urtica urens (nettle) because he palpate the spleen which was enlarged.

In other words, we have both read almost the same books, materia medica, and repertorized almost the same symptoms, but he focused more on the spleen which I ignored almost entirely because I was so focused on the fistula.

I took several remedies and my fistula closed finally.

Now I have exactly the same symptoms when I was 22 years old.

- Pain in chest
- Palpitations
- Aggravation emotional stress

It feels like Pulsatilla. Indeed I have fears and sleep problems very similar to Pulsatilla. This remedy is known for causing abscesses, the root cause for a fistula.

Just for your information: whenever my spleen hurt also my fistula began to get active. Remedies like Carduus and Ceanothus helped to dissolve this problem.