Below are the main rubriks (i.e strongest indications or symptoms) of Spigelia Anthelmia in traditional homeopathic usage, not approved by the FDA.
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RECTUM, ANUS, STOOL
Pieces of thick mucus pass from the anus for two days; it seemed as though flatus passed; the evacuation was composed of masses like sheep-dung, and enveloped in mucus,
A cramplike pressure and straining in the rectum, as if it were impossible to retain the stool (after three hours),
Dull pressure in the rectum when not at stool,
Crawling in the anus and rectum, as from threadworms (after one hour),
Itching in the anus and on the coccyx for many days, with difficulty relieved by scratching,
Itching in the anus, disappearing on scratching (after four hours and a half),
Ineffectual urging in the abdomen for a long time after a complete evacuation,
Frequent urging to stool, but he was unable to pass anything (after four days),
Ineffectual desire for stool, after which the urging ceases,
Boring stitch in the perinaeum (after thirty-seven hours),≡ more ...