Pulsatilla is one of the first remedies thought of in affection peculiar to women. Its essentially feminine disposition of gentleness timidity, mildness, docility – “excellent thing in woman” – is most characteristic of the drug; even tearfulness, another feminine attribute, strongly points to Pulsatilla. Then, too, we have fickleness, indecision and changeableness, which are certainly characteristic of Pulsatilla and of some women. On the female organs Pulsatilla exerts a decide action; first let us note its effect on menstruation. It has a scanty menstrual flow with severe griping pains which are very severe at times, so severe that the patient can hardly bear the pain, it doubles her up. Thus, Pulsatilla, becomes a useful remedy in dysmenorrhoea. Dark menses which are delayed and accompanied with this severe menstrual colic and the characteristic temperament will be the indications; Chamomilla has dark menses and intolerance of pain, but temperament will distinguish. Aconite is also a useful remedy in dysmenorrhoea, but the discharge is bright red, the patient is plethoric and the whole picture indicates the congestive form which may have a distinct cause back of it, such as getting the feet wet; while Pulsatilla at the same time is rather a lymphatic remedy. The menses of Pulsatilla, besides being scanty, are quite apt to appear too late. There are few combination which might be mentioned here with profit. Thus we have menses as follows:
Late scanty : Pulsatilla, Conium, Dulcamara, Phosphorous and Sulphur.
Late and profuse : Causticum and Iodine.
Early and scanty : Conium, Natrum muriaticum, Phosphorous and Silicea.
Early and profuse: Ammonium carbonicum, Belladonna Calcarea carbonica and Platinum.
This scantiness of the menses as well as the delay in their appearance suggest at once the use of Pulsatilla in amenorrhoea, and it is a very useful remedy, but it must be closely indicated, Where the menses flow by fits and starts, and when due to wetting of the feet, it is indicated, as also in delayed first menses in chlorotic girls. It must be distinguished from Dulcamara, which has menstrual suppression from getting the feet wet, but the temperament is not that of Pulsatilla. Then, too, Dulcamara has characteristically an eruption on the face which precedes menstruation; The leucorrhoea of Pulsatilla is chlorotic in nature and is apt to accompany the delayed and scanty menstruation; it is usually thick, creamy or milky, but it may be thin, acrid and associated with swelling of the uvula. A general distinction between Pulsatilla and Sepia is that Pulsatilla is worse during menstruation and Sepia before menstruation.
Sepia is a remedy acting especially on the female organs and is a most valuable one; it produces in its provings venous congestion, which accounts for many of its symptoms. The general symptoms in a case calling for Sepia are of the utmost importance. Thus we have characteristically the weakness and want of tone, in the whole system, the yellow complexion, the yellow saddle over the nose, the sunken dark-ringed eyes, the relief fro violent motion, due probably to the toning up of the venous system by such, and the amelioration in the middle of the day. These are all ground characteristics of the remedy; when they are present the other symptoms will be found to correspond with the drug most beautifully. The menstruation of Sepia may be of almost any combination, late and scanty being the most frequent. They may be early and scanty or early and profuse – discolorations of the skin attending menstruation are characteristic; the flow is apt to be dark, the menses are preceded by aching in the abdomen and by colicky pains. Amenorrhoea in those of distinct Sepia temperament where there is extreme sensitiveness to all impression. The leucorrhoea of Sepia is yellow – green in color and somewhat offensive. It may be milky; it is worse before the menses and is accompanied by bearing down. On the uterus itself Sepia exerts a decided action; the uterus is found to be enlarged and the cervix is indurated. Thus Sepia becomes a useful remedy in displacements, especially prolapsus or retroversions. There is irritability of the bladder and leucorrhoea. Dunham praised it highly here. There is often present a sensation as if the womb were clutched and suddenly released. Bearing down pains are grandly characteristic of Sepia; the patient feels as if everything would protrude from the vulva and this sensation is relieved by sitting with the limbs crossed. There is also with this a severe lumbo-sacral backache. It has great dryness of the vulva and vagina; painful to touch. Lilium tigrinum resembles Sepia closely in bearing down and dragging in the uterine region; with Lilium the patient has to support the vulva with the hand; the two drugs are easily differentiated. Though Dr. Dunham designated Sepia as the remedy par excellence for prolapsus, it should not be prescribed in a routine way. The symptoms are clear and on e should always bear in mind (if I may be allowed to borrow from Du Maurier) the irrepressible Sepianess of the remedy, that is its characteristics of weakness, sallowness epigastric goneness and heaviness. On the ovaries Sepia produces some action; it is useful for chronic ovaritis, with dull, heavy pains and the general characteristic of the remedy.
#Lilium tigrinum. [Lil-t]
This remedy, as has been seen, resembles Sepia in one particular, and it has some similarities in others; for instance, it has a similar leucorrhoea and it is similarly used in displacements; still, as we shall see, they diverge considerably. Lilium does not have much effect on menstruation, that is characteristic. The leucorrhoea, however, is marked, it is watery, yellow or yellowish-brown and excoriating. The Sepia leucorrhoea is rarely excoriating. Kreosote is the fist remedy to be thought of in acrid excoriating leucorrhoea. There is much nervousness and aimless hurrying with the remedy; the mind and body are weak and patients lack confidence in themselves; restless weakness is characteristic. Lilium is a remedy especially useful in uterine symptoms following pregnancy and labor, when the uterus is heavy, has not regained its normal size nor returned to is normal position; hence there is present this heavy dragging in the hypogastric region. Patient seems impelled to stand or to keep on the go, as sitting or reclining does not relieve this dragging. There is often present with Lilium urging to urinate and urging to stool, a rectal, pelvic and vesical tenesmus, and sexual excitement may also be present. A remedy resembling both Lilium and Sepia in many of its symptoms is Murex; under this drug sexual excitement is very marked and there ia sore spot somewhere in the pelvis, or rather a sensation of one. The symptoms of Lilium are worse in the afternoon. Sepia is better at that time.
Has some ovarian pains, more severe than under Sepia, especially of the left side, shooting down anterior and inner aspect of thigh, and hysterical spasms may be present. An impulsive mental condition is characteristic. Dr. E. S. Bailey recommends the 30th potency.
Leading up to this remedy we always have the mental symptoms, though it is not clear why the mental symptoms are more important in the case of Platinum than with other drugs. The mental symptoms of Platinum are, however, very characteristic and recall the drug at once whenever found; the pride, the haughtiness, the self-esteem, and the belittling of everyone are found accompanying female complaints quite often. Then, too, remember the strange feelings, in which home objects seem unfamiliar; also the melancholy. The menstruation of Platinum is profuse and clotted and occurs too early, with much sensitiveness about the genital organs. There is constant irritation about the sexual organs, both internally and externally. There are often present symptoms of nymphomania. There is always accompanying menstruation much bearing down in the uterine region. The menses of Chamomilla are very similar to those of Platinum, the mental symptoms distinguishing. Platinum is also a remedy for induration and prolapsus of the uterus, where there is continual pressure i9n the groin and back, with sensitiveness of the parts to the touch. It is also one of the remedies for painful coitus, others being Sepia, Belladonna, Kreosote and Apis. On the ovaries Platinum also has some action. It is useful in ovaritis with burning pains and numbness of the limbs. Where chronic induration of the ovaries is suspected Platinum is a remedy.
Has a similar symptoms and seems especially to affect the right ovary. In both remedies hysterical symptoms are prominent and further indicate them.
#Cimicifuga racemosa. [Cimic]
A point Cimicifuga should always be remembered- that is, it has a distinct rheumatic basis, and it will be doubly indicated in those who are rheumatic. The mental condition of gloom and dejection are quite sure to be present. There is an irritable weakness about Cimicifuga and a a mental symptoms of a sensation as if she would go crazy, and with the uterine symptoms there is much headache. The menstruation of Cimicifuga is premature and profuse, attended with wandering pains in the back; in fact, it is one of our good remedies in dysmenorrhoea, especially rheumatic dysmenorrhoea, with an irritable, sensitive, bruised uterus and pains flying across the hypogastrium from side to side. Displacements of the uterus where there are cutting pains from side to side call for Cimicifuga. Leucorrhoea sometimes finds its remedy in Cimicifuga when the general symptoms of the remedy are present-nervousness, neuralgic pains and hyperaesthesia. The uterus is engorged and the pelvic organs are very sensitive, with a sensation of weight in the uterus. In the ovaries Cimicifuga produces sharp pains, which shoot up the sides and are accompanied with a bearing down sensation. Ovaritis and ovarian neuralgias from rheumatic metastasis call for this remedy. Facial blemishes, acne, rough skin in young girls at menstrual period cause mental unrest and nervousness. Cimicifuga is the remedy for both condition.
Is a remedy most similar in many respects to Cimicifuga; it does not have the headache, and its rheumatic urination and headache characteristic of the In bearing down and throbbing hypogastric region, with pain the menses become suddenly suppressed from cold; there is symptoms are confined to the smaller joints, while those of Cimicifuga are of the fleshy parts of the muscles. Caulophyllum has as a characteristic a sensation of internal trembling.
No digest of the remedies affecting the female organism can possibly be made without Belladonna. It has bearing down, which is worse when lying down and is relieved by standing, while the bearing down of Sepia is worse when the patient stands. The menstruation of Belladonna is profuse and early, of bright red blood, with cramps in back and arms. The dysmenorrhoea is intensely painful and accompanied with cutting pain through the pelvis in a horizontal direction; not circumferential as under Sepia and Platinum. The pains are paroxysmal, and the discharge often offensive. Amenorrhoea also finds its remedy in Belladonna when all acute inflammations about the pelvic organs, Belladonna is a valuable remedy, but like all the remedies it will fail unless closely indicated. In metritis there will be found on examination a sensation of heat and great sensitiveness; the discharges feel hot to the patient. There is a great bearing down in all these troubles, and, of course, the general symptoms of the drug must be present. In acute endometritis it is invaluable. The cervix is swollen and sensitive, and there is much throbbing in the pelvic organs. In uterine displacements, especially if recent, Belladonna is a valuable remedy. Prolapsus calls for it, the back aches as if broken, there is tenesmus of the bladder and strangury, and pulsations are felt in the congested organs. Belladonna is the principal remedy for acute inflammation of the ovary, ovaritis, especially if the peritoneum be involved; the pains are severe , clutching and throbbing, the right side being more characteristic of Belladonna. There is great sensitiveness; the slightest jar cannot be borne. Belladonna cannot be mistaken for any other drug in its action on the female organs if its symptoms be studied with care, and no other drug can take its place.
The menstruation of Kreosote is usually copious, and is accompanied with humming and roaring in the head and preceded by abdominal bloating. The flow may be intermittent and accompanied with dragging downward in the back. It differs from Sepia, in that the flow is early and profuse, while that of Sepia is late and scanty. The menses are apt to be followed by dark brown, offensive leucorrhoea. The leucorrhoea of Kreosote is very characteristic, and in this field it has won laurels. The discharge is very acrid, very offensive, and excoriates the parts which it touches; it is yellow, the patient is weak, there is violent itching of the vagina and smarting and burning between the thighs; the parts become swollen, hot, hard and sore. After the leucorrhoea has continued for some time it has an odor of green corn. This acridity of the leucorrhoea readily distinguishes Kreosote from Sepia and Murex. In displacements Kreosote is very useful, especially in prolapsus uteri. There is dragging in the back, and a dragging downward which are relieved by motion, thus distinguish from Sepia and Nux vomica. Kreosote is a useful remedy in ulcerations about the female organs, with offensive excoriating discharge, burning pain, heat and soreness.
There are two special indication for this remedy in female complaints, namely: atony of the genital organs, and pain extending from the back of the uterus. The keynote leading to its selection has ever been a “consciousness of a womb.” Probably in affection of the uterus calling for other remedies there is a consciousness of womb, but the here the consciousness consists of a soreness and weight in the womb, which in consists of a soreness and weight in the womb which is constant there is not let up to it, and there is accompanying a tired, aching feeling in the back and limbs, in such cases Helonias act as a uterine tonic. Helonias is a useful remedy in leucorrhoea, which is dark, offensive and constant; it flows on every exertion. General debility is marked, and pruritus may accompany. Danforth considers Helonias the most frequently indicated remedy in vaginitis and vulvitis. The mucous membrane is red, inflamed, and the itching is intense. He uses the 3x trituration. The menses are too frequent and too profuse, and the flow is passive, dark, coagulated and offensive. Abortion from the slightest over-exertion, and sterility due to great debility, may call for Helonias. Displacements of the uterus also find their remedy in Helonias, with heaviness in hypogastrium a tired dragging feeling in the back, which, upon slight exertion, extends all over the body. Burnett praises this use of Helonias. Womb seems to heavy. Debility and anaemia are characteristic of the remedy. There is a general atonic condition of the whole system, and this is quite apt to make the patients hypochondriacal and low-spirited. “It suits but those who are worn out with hard work, and those who are enervated by indolence and luxury and consequently have atony of the pelvic organs and tissues.” (Kinyon.)
#Bellis perennis [Bell-p]
Is a very useful remedy in what Burnett terms a “fagged womb.” In the overworked and fagged, where”stasis” underlies their complaint.
#Coccus cacti [Coc-c]
Is the remedy for extreme irritation in the lower part of the vagina, worse when passing urine. it has also herpetic spots on the skin.
#Calcarea carbonica. [Calc]
A wonderful remedy in female affections is Calcarea Carbonica. Given a woman with the general Calcarea constitution, and nine times out of ten there will be some trouble with the organs or functions peculiar to her sex. Profuse menstruation is the rule. The menstruation of Calcarea is abnormal, being early and profuse, and lasting too long; the irregularity as to time is important, in fact, Hahnemann states that if the menses are on time Calcarea will do no good. Cold and damp feet accompany this menstruation and the temperament will distinguish Calcarea from Belladonna and Nux vomica, both of which have early and profuse menstruation. In amenorrhoea Calcarea is an invaluable remedy, especially where the first menses are delayed, and there are apt to be, as a result, congestions to head or chest, haemorrhage, night cough, general anaemia and unnatural appetite. In leucorrhoea Calcarea does great work. Here it is perhaps more often thought of than any other remedy, but here the general symptoms are the more important; the strumous condition, the enlarged glands, acidity, cold feet, and morning hunger must be taken into primary consideration. The leucorrhoea itself is milky, at times profuse, with itching and burning. In fact, in the treatment of all leucorrhoeas by any drug the general symptoms must of necessity form the ground work of the prescription rather than the character of the discharge.
#Aletris farinosa. [Alet]
One symptom should mark this remedy as an especially useful one in female disorders, and that is, “tired all the time.” The menses are premature and profuse, with labor-like pains. In uterine displacements and leucorrhoea it is an excellent remedy, being indicated by the extreme constipation in which great efforts are required to evacuate the bowels; digestion is weak. It is one of the bitter tonics, resembling, somewhat Helonias and Senecio, which was Dr. Holcombe’s remedy for retarded or suppressed menstruation, where the patient is nervous, hysterical and sleepless. According to Hale, “Aletris is the China of the uterine organs. The patient is tired, dull heavy, unable to concentrate the mind on anything. Debility from protracted disease.” The characteristics of Aletris, therefore, are the tired feeling, the extreme constipation and the weakness of digestion accompanying uterine displacements or leucorrhoea.
#Senecio aureus. [Senec]
About the only use we make of this remedy is in female affections, and this application is mainly clinical. Indeed, Allen’s Primer does not mention it as a remedy for women at all, and Burt’s “Memorizer” omits it altogether. It has considerable value in amenorrhoea. The late Dr. Holcombe, of New Orleans, recommended Senecio 1x for retarded or suppressed menstruation, where the patient was hysterical, nervous and sleepless. In uterine irritation brought on by displacements, such as prolapsus or flexion, accompanied by scanty menstruation, pain in the neck of the bladder, which is relieved as the flow becomes more profuse, Senecio will do good work. In dysmenorrhoea it has been frequently verified. Its provings have developed symptoms very similar to hysteria, and it influences the mucous membranes much as does Pulsatilla. There is a profuse mucous discharge taking of the menses often times, and it has a valuable in chlorosis of scrofulous girls with a tendency towards dropsy.
#Secale cornutum. [Sec]
Though the symptoms of scale cornutum with reference to the female organism are not of more importance than a half dozen other drugs, we will mention this remedy here. There are a number of drugs which are to be used in uterine haemorrhage and Secale is usually the first one thought of. It has a passive painless flow of dark fluid blood, worse by motion; it this occurs in wrinkled, scrawny women, who become cold and formication is present, Secale is all the more indicated. But in uterine haemorrhages “there are others.”
Has paroxysmal flow of bright red blood, with pains in joints, small of back and a bruised sensation down anterior surface of thighs. (Ipecac with nausea.)
Active or passive haemorrhage, gush at each movement; sensation as if hips and back were falling apart, relieved by bandaging tightly.
Bright, partly clotted haemorrhages from passive congestion of uterus, brought on by so slight a cause as a digital examination. Pain in left ovary.
Blood flows from least exertion, menses every two weeks. This and such remedies as Millefolium, Ferrum, Erigeron, Carbo vegetabilis will meet most cases of metrorrhagia and menorrhagia. Intermenstrual pain coming on midway between menses, or intermenstrual haemorrhages, call for Hamamelis. Secale, however, has some other uses in uterine affections, such as displacements following parturition. In tumors of the uterus it has been frequently verified, where the general symptoms of the drug lead up to its use.
#Zincum valerianate. [Zinc-val]
This is a happy combination of two very important remedies for females. It has restlessness, with nerve fag from ovarian and uterine irritation, long continued anxiety, and loss of rest from care of children. The uterus is heavy, not sensitive, but the ovaries are equisitely tender; probably both uterus and ovaries are prolapsed, tendency to loose bowels. There is a tired feeling in the brain, the patient is confused and continually under a nervous strain. It suits quick, fidgety nervous women easily fagged out with aching, sensitive ovaries. The 2x and 3x have been found to work well.
#Ferrum iodatum. [Ferr-i]
This remedy produces:
1. Bearing down pains in the pelvis, with feeling as if the uterus descended so as to be pushed up when sitting.
2. Starchy leucorrhoea.
3. Pressure on the rectum.
4. Menses more painful than usual.
The remedy finds its field in pale, anemic, scrofulous subjects, and it has become a favourite with many in prolapsus uteri, and the first and third of the above symptoms have been found excellent ones on which to use the prescription.
#Fraxinus Americana. [Frax]
Pelvic congestion incident to displacements, with no special indication for other remedies.