S Sheeba¹*, V Santhi Serene Sylum¹, Siju V², SS Ramya³, Reshma Reghu⁴ and S Sanju²

¹Department of Obstetrics and Gynaecology, Sarada Krishna Homoeopathic Medical College, (Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chennai), Kulasekharam, Kanyakumari District, Tamilnadu, India
²Department of Forensic Medicine and Toxicology, Sarada Krishna Homoeopathic Medical College, India (Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chennai), Kulasekharam, Kanniyakumari District, Tamilnadu, India
³Department of Homoeopathic Pharmacy, Sarada Krishna Homoeopathic Medical College, (Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chennai), Kulasekharam, Kanyakumari District, Tamilnadu, India
⁴Department of Community Medicine, Sarada Krishna Homoeopathic Medical College, (Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chennai), Kulasekharam, Kanniyakumari District, Tamilnadu, India

*Corresponding Author: S Sheeba, Department of Obstetrics and Gynaecology, Sarada Krishna Homoeopathic Medical College, (Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chennai), Kulasekharam, Kanyakumari District, Tamilnadu, India.

Received: September 12, 2025; Published: September 28, 2025

Abstract

Anal fistula is a chronic pathological communication between the anal canal and the perianal skin, often developing as a sequel to inadequately healed anal abscesses. It is commonly associated with pain, discharge, recurrent infections, and a considerable impact on quality of life. Conventional surgical interventions such as Seton placement, fistulotomy, and sphincter-preserving procedures remain the mainstay of treatment, but they are often accompanied by risks of recurrence and complications. The present study offers a preliminary evaluation of individualized homeopathic management in patients with anal fistula. Ten cases were managed according to classical homeopathic principles, with remedy selection based on holistic assessment-including totality of symptoms, constitutional features, reportorial analysis, and Materia Medica correlation. Remedies such as Calcarea carbonica were frequently prescribed. Patients demonstrated varying degrees of improvement, including reduction in pain, discharge, and recurrence, along with enhanced well-being during follow-up. While the findings suggest that individualized homeopathy may serve as a supportive, non-invasive therapeutic approach in the management of chronic anal fistula, the limited sample size does not allow for definitive conclusions. Further controlled studies with larger cohorts are recommended to substantiate these preliminary observations and to better understand homeopathy’s potential role in integrative care.

Keywords: Anal Fistula; Anal Canal; Abscess; Calcarea carbonica

References

1. “Maternal morbidity and mortality in India. New Delhi: United Nations Population Fund (2003).
2. Swayne J. “Encyclopaedia of homoeopathy. London: Dorling Kindersley” (2000).
3. Venugopal KG., et al. “Effectiveness of homeopathic treatments in the management of Irritable bowel syndrome: A diet and regimen-based approach”. Indian Journal of Psychology 5 (2023): 136-140.
4. Watkin ECR., et al. “Davidson’s principles and practice of medicine: A textbook for students and doctors”. Edinburgh: ELBS with Churchill Livingstone (1993).
5. RS Mathur. “Homoeopathy for Laymen, First edition”. New Delhi: B Jain Publishers Pvt. Ltd (1982).
6. Boericke W. “Pocket manual of Homoeopathic Materia Medica”. New Delhi: B. Jain Publishers (2002).
7. Clarke JH. “A Clinical Repertory to the Dictionary of Materia Medica: Together with Repertories of Causation, Temperaments, Clinical Relationships, Natural Relationships”. London: Homoeopathic Publishing Co (2023):
8. Sheeba S., et al. “Renal calculus clinical study with homoeopathic medication efficacy by managing diet and regimen”. Humanities and Social Science Studies1 (2023): 123-128.
9. Kent JT. “Lectures on homoeopathic philosophy”. New Delhi: B. Jain Publishers (2023).
10. Banerjee SK. “Miasmatic diagnosis: practical tips with clinical comparisons”. New Delhi: B. Jain Publishers (2016).
11. Sheeba S., et al. “Efficacy of Homoeopathic Medicine in Treating Haemorrhoids with Administration of Nitric Acid". Acta Scientific Gastrointestinal Disorders 6 (2025): 24-29.
12. Central Council for Research in Homoeopathy (CCRH). Clinical research guidelines. New Delhi: CCRH (2020).
13. Gibson DM. “Studies of homoeopathic remedies as a comparative method with key conveying points Beaconsfield: Publishers” (2018).
14. Sheeba S., et al. “The relationship between nanoparticles and homeopathic medicine: a mini review”. Nano medicine and Nanotechnology Open Access 9.3 (2024): 000318.
15. Allen HC. “Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica”. Philadelphia: Boericke and Tafel (1916).
16. Pathak RK. “Role of constitutional medicine in chronic fistula”. Indian Journal of Research in Homoeopathy 2 (2020): 125-129.
17. Boger CM. “Synoptic key of the Materia Medica: A treatise for homeopathic students”. New Delhi: B. Jain (2015).
18. Sheeba S., et al. “Effectiveness of homoeopathic medicines in the management of urinary tract infections with alteration of diet and regimen”. Annals of the Romanian Society for Cell Biology 25.4 (2021): 4373-4383.
19. Priya DM., et al. “Prevalence of anal fistula and evaluation of response of treatment”. Indian Journal of Endocrinology and Metabolism 19 (2024): 504-506.
20. Sanju S., et al. “Evidence-based homoeopathic treatment in a case of long-standing Varicocele”. Education and Society 47.2 (2023): 217-221.

Citation

Citation: S Sheeba., et al. “Study On the Therapeutic Impact of Individualized Homoeopathy in Patients With Anal Fistula: Resolutions of Clinical Consequence".Acta Scientific Gastrointestinal Disorders 8.11 (2025): 10-15.

Copyright

Copyright: © 2025 S Sheeba., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.