| Sumario: | Background: Anorectal pathologies -- haemorrhoids and fissure in ano -- are conventionally managed as disorders of gut motility, anorectal venous congestion, and dietary indiscretion. This series proposes that in a clinically significant subset of patients, these conditions represent the somatic expression of a specific psychodynamic configuration: chronic narcissistic injury, a compulsive need to control one's environment and body, and, in cases of structural pathology, a singular identity-disrupting event from which the organism has never fully recovered. Objective: To present seven homoeopathically managed cases of irritable bowel syndrome (IBS), haemorrhoids, and fissure in ano through the dual lens of classical homoeopathic totality and psychodynamic case analysis, and to articulate two overarching clinical observations to guide prescribing. Observations: Two unifying themes emerged: (1) Chronic, low-grade mortification combined with a hypercontrolling disposition constitutes the psychosomatic soil of functional bowel disorders; (2) A discrete, ontologically destabilising Never-Well-Since event serves as the precipitant of structural anorectal pathology. Constitutional homoeopathic management produced meaningful clinical improvement in all seven cases. Conclusion: Classical homoeopathy, by virtue of its demand for a complete individualised understanding of the patient's inner life, is uniquely positioned to address the psychosomatic roots of gut-anorectal disease.
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