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Dr. Reckeweg R13 and Hamamelis virginiana are homeopathic remedies commonly used for managing hemorrhoidal conditions and related symptoms. 

Dr. Reckeweg R13 (Prohämorrhin):

This homeopathic formulation is designed to provide temporary relief from minor symptoms associated with hemorrhoids, such as itching, discomfort, and pain. ​

Composition:

R13 contains a blend of active ingredients, each targeting specific aspects of hemorrhoidal discomfort:​

• Aesculus hippocastanum 2X: Addresses venous congestion and associated discomfort.​

• Collinsonia canadensis 4X: Traditionally used for rectal pain and constipation-related hemorrhoids.​

• Graphites 8X: Aimed at relieving anal itching and skin irritations.​

• Hamamelis virginiana 3X: Known for its application in varicose veins and bleeding hemorrhoids.​

• Kali carbonicum 6X: Utilized for backaches and burning anal sensations.​

• Lycopodium clavatum 5X: Addresses digestive issues and incomplete defecation.​

• Nitricum acidum 6X: Used for sharp rectal pains and fissures.​

• Nux vomica 4X: Targets constipation and rectal spasms.​

• Paeonia officinalis 3X: Applied in cases of painful anal fissures

• Sulphur 5X: Addresses anal redness, itching, and eczema.​

Dosage:

The general recommended dosage is 10-15 drops in some water, taken three times daily. In cases of acute pain, the dosage may be increased to 10-15 drops up to six times a day at the beginning of the treatment. After symptoms improve, continuing with 10-15 drops once or twice daily for a longer period is suggested. 

Hamamelis virginiana:

Commonly known as witch hazel, Hamamelis virginiana is a plant native to North America. In homeopathy, it's traditionally used for conditions involving venous congestion, such as varicose veins and hemorrhoids. It's believed to help relieve swelling, bleeding, itching, and minor pain associated with these conditions. ​

Dosage:

Homeopathic remedies like Hamamelis virginiana are available in various potencies, such as 6X, 12X, or 30C. A common dosage involves dissolving 5 pellets under the tongue three times a day until symptoms are relieved or as directed by a healthcare provider. However, dosing should be guided by a healthcare provider familiar with homeopathic remedies. ​​

By adhering to these guidelines and seeking professional advice, Dr. Reckeweg R13 and Hamamelis virginiana can be used safely within the scope of homeopathic practice.