Below are the main rubriks (i.e strongest indications or symptoms) of Physostigma in traditional homeopathic usage, not approved by the FDA.
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RECTUM, ANUS, STOOL
Stools copious; soft, thin; watery; yellowish; bilious; part natural, part black like tar; lumpy, mixed with watery discharge; dark and offensive.
Constipation; from atony.
Sphincter ani swollen and rigid; evacuation painful; rectum protruding, swollen and very sensitive.
Tenesmus and burning, with diarrhoea; also tenesmus of bladder.
Stool irregular and loose, anus sore and inclined to protrude; piles (absent for three years) return.
Severe piles following childbirth.≡ more ...