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You are viewing: Homeopathics - Aeesculus hippocastanum - Contemporary - Level 3

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Aesculus hippocastanum

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Dr Peter Darashah
Aesculus hippocastanum
Materia Medica


The alkaloids aescine (from the seeds) and aesculine (from the bark) of the Aesculus treat disturbances of blood circulation.


The horse chestnut is a good remedy for persons who tend to haemorrhoids (piles) and varicose veins with a purple color. The veins are full and swollen. There is a feeling of burning, fullness and itching in the rectum. At the same time the stool is hard and dry and results in burning pain in the anus for hours after defecation. In general the venous blood circulation is far too slow resulting in the retardation of other body processes too.


Because Aecs is a remedy of venous stasis the colour of the veins is purple. Thus the hemorrhoidal state of the rectum is purple, as is the inflammation of the pharynx as well as that of the sclera of the eye and the ulcers on the leg have a purple areola too. All these conditions need to be of a purplish hue for the remedy to work. Aecs is not active in the inflammatory state, it is sluggish and passive. Whilst some remedies produce a slight inflammation with a high degree of redness, everything is violent and rapid, with Aecs things are slow; the activities are reduced, the heart is laboring and the veins are congested.


The patient has the feeling that the veins are overfilled. This sensation of fullness can also be felt in the heart, lungs, stomach, brains, pelvis or skin. The palpitations can be heard and they can be felt in the extremities. Characteristic is the dull pain in the sacrum and the hips when walking! This is particularly so during pregnancy or in case of prolapsed uterus. This remedy image knows much backpain with a feeling of heaviness, weakness or lameness and fatigue in the back. Other signs of stagnation of the blood are a dull and constant pain in the back of the head, and enlarged veins in the eye with a sharp, shooting pain.


To feel better these patients need to speed up their blood circulation. Therefore it is understandable that they feel better by gentle movements, cool air and being outdoors. For the same reason they feel worse after sleep, lying down and by standing. The conditions of Aesculus are worse during sleep, hence symptoms are observed on waking.


When they wake up it is with confusion of mind, they look all around the room in confusion, with bewilderment, they do not know the people around them and wonder where they are. It is especially useful in children that rouse up in sleep frightened and in confusion (Lyc).


The symptoms of Aesculus are often brought out, by temperature, especially the little stinging pains. In almost every rubric of Aesculus we find stitching and shooting; little twinges; wandering pains with fullness; almost every kind of disturbance that intensifies with fullness. It is characteristic of these superficial pains that they are nearly always ameliorated by heat. For example the stinging pains of the scalp and those over the body, here and there are often ameliorated by the local application of heat.

In contrast the deeper affections are oftentimes ameliorated from cold. Remedies having many symptoms associated with veins are often aggravated by hot bathing, weakness after a hot bath, weakness in warm weather, aversion to heat and desire for cold. It is the characteristic of such remedies to contract the veins in cold weather a process which makes the patient feel better. Many of the complaints of Aesculus are of this sort with Aesculus patients feeling better in cold air. Thus a tepid bath makes the patient feel better. On the contrary warm air and hot baths cause the veins to fill and become engorged which results in a stressful state for the patient.


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The remedy produces great sadness, irritability, loss of memory and aversion to work. The patient is often desperate, gloomy and irritable. Mental concentration is difficult; there is dullness and confusion in the head often with dizziness. These symptoms are most marked when accompanied with a sense of bodily congestion and fullness of the veins. In general venous stasis is worse from sleep, worse from lying but better from bodily exertion, excersise; moving about doing something. Keeping busy ameliorates..


There is displayed a depressed and irritable sate. This state of irritability is not present while doing anything the subject desires For example if the patient wants to talk irritability does not appear when in conversation. Irritable is never present when doing desired for things. However as soon as something undesirable to the patient is done a state of annoyance is aroused which manifests itself at once as irritability.


Similarly with the sate of sadness a state which this remedy also exhibits. This display is because the patient lacks something that is wanted. There ia a desire for something which they dont have and as a consequence they become sad when it is denied them.

This sadness may ultimately progress in time to dullness and confusion in which state the subject cannot think clearly and decisively.  They become mentally disorientated a state which in turn develops into physical disorientation in the form of vertigo.

Thus irritability progresses to sadness to confusion and finally vertigo.


Aching as from a cold. Pressure in forehead, with nausea, neuralgic stitches from right to left followed by stitches in right hypochondrium and flying pains in epigastrium Pain from occiput to frontal region with bruised sensation of the scalp that is worse in the morning. Vertigo when sitting and walking.


Great discolouration of the eyes (deep red purple) with lachrymation,. burning eyeballs and enlarged blood vessels.  


Dry; nasal passage very sensitive to inspired cold air. (This sensitivity is a specific). Coryza with sneezing. Pressure at root of nose.



Scalded feeling. Metallic taste. Salivation. Tongue thickly coated, feels as if scalded.



Hot, dry, raw, stitching pain into ears when swallowing.
Follicular pharyngitis connected with hepatic congestion. Veins in pharynx distended and tortuous. Throat sensitive to inspired air; feels excoriated and constricted, burns like fire on swallowing. Hawking of ropy mucus of sweetish taste.


Feels constricted. Heart's action full and heavy, can feel pulsations all over. pain around heart in hmorrhoidal subjects.

Laryngitis cough (which depends on hepatic disorder) produces hot feeling in chest.

Feesl heavy as stone, with gnawing, aching pain; most manifest about three hours after meals. There is tenderness and fullness in the region of liver especially after a meal.

"Eructations: sour, greasy, bitter."

"esire to vomit."

"Heartburn and gulping up of food after eating."
"Constant distress and burning in the stomach. Inclination to vomit."


As soon as the patient has swallowed the food, or a little while after, it becomes sour and he eructates it, until after a while he has emptied the stomach of its contents.


Dull aching in liver and epigastrium with throbbing in right hypogastrium. . Pain at umbilicus. Jaundice.
There is marked portal stasis.

The abdomen is full of troubles. Digestion is slow, the bowels are constipated and there is protrusion of the rectum when at stool


Dry, aching, raw, sore with much pain after stool (which is large, hard and dry) especially with prolapse. Feels full of small prickly sticks (this is caused by the hard stool pressing against the haemorroids). Blind and bleeding hmorrhoids of purple colour with sharp shooting pains up the back that are worse during menopause. Anus burns sending chills up and down back.



Frequent, scant, dark, muddy, hot urine. Pain in left  kidney and ureter.


Discharge of prostatic fluid at stool.


Constant throbbing behind symphysis pubis. Leucorrha dark yellow, sticky, corroding; worse after menses. Lameness due to sacro-iliac articulation;


Aesc is thus  indicated oftentimes in women with great dragging pain in the pelvis, copious leucorrhoea and pressing pains in the hips when walking. She feels that the uterus is engorged and that the lower part of the abdomen feels full both before and during menstruation.

"Uterine soreness, with throbbing in the hypogastrium."


"Old cases of leucorrhoea, discharge of a dark yellow color, thick and sticky."


"Leucorrhoea, with lameness in the back across sacro iliac articulations."


During pregnancy there are also many complaints, with soreness and fullness and uneasiness of the uterus and pain across the back when walking.

Aching and soreness in limbs. Shooting pain down left arm from the acromion process of the shoulder blade. .



Aesc has gout in all the joints, gouty rheumatic affections, neuralgic affections especially of the elbows forearm and hands with flying tearing pains.


Along with the rheumatic complaints come varicose veins of the thighs and legs. It is one of the most frequently indicated remedies in the hemorrhoidal constitution. Thus stasis continues to be one of the striking features of the remedy.

Stiffness in neck; aching between shoulder blades; spine feels weak; back and legs give out. Backache affecting sacrum and hips worse on stooping. Soles feel sore and tired. Feet are swollen (and hands), feel full and become red after washing.


It is a very common thing for patients suffering from hemorrhoids to have pain in the back of the neck and base of the brain, basilar headaches, and when these hemorrhoidal patients undertake to walk they have pain and aching across the sacrum into the hips.


This pain through the sacrum and into the hips, when walking is a striking feature of Aesculus, so striking that it may be expected even when there are no hemorrhoids.

The nature of the pain is of a constant dull backache rendering walking almost impossible. The patient is scarcely able to rise after sitting. A typical subject suffering from the Aesculus backache makes many painful efforts to rise before finally succeeding.


Chill at 4 pm. Chilliness up and down back. Fever 7 to 12 pm. Evening fever, skin hot and dry. Sweat profuse and hot with the fever.


In the morning on awaking and from any discontinuous motion, walking and after food, lying down and standing (applies to all symptoms).
Passing stool (physical abrasion of hard stool against haemorrhoids);
Summer, warm shower and heat (applies to organs & joints).

Continuous gentle movement & exercise (applies to all symptoms).

Winter & cool open air (applies to organs & joints).
Summer, warmth and heat (applies to skin & surface tissues).


Aesculus glabra - Ohio Buckeye
Proctitis [inflammation of the rectum) with very painful, dark purple, external hmorrhoids, constipation, vertigo and portal congestion. Speech thick, tickling in throat, impaired vision, paresis (paralysis)]

Throat dry, more often in acute cases.

Negundium Americanum--Box-elder
Engorgements of rectum and piles with great pain, ten-drop doses of tincture every two hours

Compare with
Aloe, Collinson. Nux. Sulphur.


Nitric Acid vs Aesculus  for Hemorrhoids

1. Aesc has rectum full of sharp sticks but Nit-ac has a splinter there, pricking sharply during the stool.

2. Nit-ac patients endure agonies during stool and for hours after stool but Aes pains come on some hours after stool.

3. Nit-ac has fissure and bleeding piles but Aesc has large purple protruding piles (seldom bleed).


Tincture, to third potency.



Aesculus hippocastanum tree
Aesculus hippocastanum tree

Conkers & Shell cases
Conkers & shell cases

Aesculus hippocastanum
Aesculus hippocastanum flower spike

Aesculus hippocastanum flower
Aesculus hippocastanum flower

Kiev coat of arms
Kiev coat of arms with
Aesculus flower spikes

Kingdom; Plant
Latin Name: Aesculus hippocastanum
Common Name: Horse chestnut
Homeopahtic: Aesculus hippocastanum 

Remedy Headers
Brought to you by:


(click for original article)

Dr. Ravinder S. Mann

1.  Heaviness and Lameness are the main sensations specially in the sacro-iliac regions.

2. Fullness and Bursting in fauces, stomach, bowels, rectum and chest.

3. Rectum feels full: sore with burning and itching; full of small sticks.

4. "Blind" hemorrhoids, protruding, aching, burning, purplish with shooting pains to sacrum and back.

5. Dull backache that makes walking impossible and aggravate from stooping or rising from stooping.

6. Aching, Pinching pains in right hypochondrium aggravated by walking. Pain extends up between the shoulders.

7. Rectum feels full: dryness and itching.

8. Rectum full of small sticks.

9. Constipation: Hard dry stool passed with difficulty.

10. Hemorrhoids : Blinds, painful, rarely bleeds.Pain like a knife, sawing up and down; could not sit, stand or lie; only kneel.

11. Mucous Membranes dry, swollen; burn and feel raw.

12. Leucorrhea: with lameness in back across sacro-iliac articulations, with great fatigue walking.

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