The patient was suffering from both internal piles for many years. There was terrible pain, bleeding, and burning was too much from 2021. No medicine was working. At that time He had to go for surgery. First few months, he was slightly better. Then again, pain, and burning reappeared. Tried many things, but not a slight improvement. The patient came to me on 18.4.2022. I have him Sulphur, Ratanhia, and Peonia, but no improvement. After that, I decided to take mental symptoms from his early life.