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Cimicifuga. The characteristic indication for this remedy
in dysmenorrhoea is pain flying across the pelvic region from
one side to the other. It is especially useful in rheumatic
and neuralgic cases, and in congestive cases it may also be
thought of along with Belladonna and Veratrum viride.
Headache preceding menses ; during menses sharp pains across
abdomen, has to double up, labor-like pains, and during
menstrual interval debility and perhaps a scanty flow. The
resin Macrotin is preferred by many practitioners. The pains
of Cimicifuga are not so severe and intense nor felt with
such acuteness as are those of Chamomilla.

Caulophyllum. The dysmenorrhcea of Caulophyllum is
essentially spasmodic in character; the pains are bearing
down in character. It produces a continued spasm of the
uterus simulating first stage of labor; the flow is mostly
normal in quantity. The spasmodic intermittent pains which
call for Caulophyllum are in the groins, broad ligaments or
even chest and limbs. It is a useful remedy in these spas-
modic cases if given between the periods. Hysterical con-
vulsions with dysmenorrhoea, pains shoot to various parts of
the body.

Magnesia muriatica is also a remedy which may be studied
in uterine spasm.

Gelsemium is similar in many respects to Caulophyllum.
It is a very useful remedy in neuralgic and congestive
dysmenorrhoea when there is much bearing down. The
pains are spasmodic and labor-like, with passages of large
quantities of pale urine.

Belladonfta. The congestive forms of dysmenorrhoea would
call for Belladonna, There is pain preceding the flow and a
sensation of heaviness as if everything would protrude from
the vulva, relieved by sitting up straight The pains come
on suddenly and cease suddenly; the flow is offensive and


clotted. The dysmenorrhoea is intensely painful, the vagina
is hot and dry and the pains are cutting through the pelvis
in a horizontal direction, not around the body, as in Platinum
and Sepia, Veratrum mride has also been used with bene-
fit in congestive dysmenorrhoea, in plethoric women, ac-
companied by strangury and, preceded by intense cerebral
congestion, also spasmodic dysmenorrhoea at or near the

These are conditions in which the old school knows only
Opiunt^ yet these remedies are far superior to that drug, often
curing permanently while Opium is only palliative.

Viburnum opolus. This remedy produces a sudden
pain in the region of the uterus before menstruation and
much backache during menses. In neuralgic and spasmodic
dysmenorrhoea it has achieved a considerable reputation. Dr.
Hale considers it specific in this form of painful menstrua-
tion. Its chief indications seem to be in the character of
the pains, which are spasmodic. Spasmodic dysuria in hys-
terical subjects also calls for Viburnum. Its key-notes,
therefore, are bearing down, aching in sacral and pubic
r^on, excruciating, crampy, colicky pains in hypogas-
trium, much nervousness, and occasional shooting pains in
the ovaries. Like Sepia^ Viburnum has pains going around
the pelvis and also the empty, gone feeling in the stomach ;
but the bearing down is more violent, culminating in an in-
tense uterine cramp. More indicated by clinical experience
than by its pathogenesis.

Xanthoxylum. This remedy has about only one use in
homoeopathic medicine, and that is in dysmenorrhoea and
uterine pains. It is useful where the pains are agonizing,
burning, extending down thighs along the crural nerves with
a feeling as if the limb were paralyzed, the menstruation is
usually profuse and with it agonizing bearing down pains ;
chiefly left-sided are the pains of Xanthoxylum^ though it also
affects the right ovary. It corresponds closely to the neuralgic
form of dysmenorrhoea. Hale says that the neuralgic ele-


ment must predominate to have the remedy efficacious. Some
further symptoms may be headache over the left eye the day
before the menses, and it seems to correspond to women of
spare habits and of a delicate, nervous temperament.

Magnesia phosphorica. Perhaps no remedy has achieved
a greater clinical reputation in dysmenorrhoea than has Mag-
nesia phosphorica. The pains calling for it are neuralgic and
crampy preceding the flow, and the great indication for the
use of this remedy is the relief from warmth and the aggra-
vation from motion. In neuralgia of the uterus Magnesia
phosphorica vies with Cimicijuga. Uterine engorgements
with the characteristic crampy pains will indicate the remedy.
It has also been used successfully in membraneous dysmenor-
rhoea. We have verv few remedies for this aflfection. Borax
is one, but it is often unsuccessful, there seems to be no very
special characteristic for it, unless it be the fear of downward
motion which might exist in some cases. Hale mentions
Viburnum^ Guaiacum and Ustillago^ besides Borax^ for mem-
braneous dysmenorrhoea. Their indications are chiefly em-
pirical. Colocynthy a useful remedy in dysmenorrhoea, may
be compared with Magnesia, phosphorica. The symptoms of
Colocynth are severe left-sided ovarian pains, causing patient
to double up ; pains extend from umbilicus to genitals.

Pulsatilla. Dysmenorrhoea calls for Pulsatilla when the
menses are dark in color and delayed ; the flow will be fitful
and the more severe the pains are the more chilly the patient
will get The pains gripe and double the patient up. It is
perhaps more useful when given between the periods, and in
congestive dysmenorrhoea, from wetting of the feet, it may be
compared with Aconite^ but in Aconite the discharge is bright
red instead of dark. Chamomilla and Cocculus are two reme-
dies which run along side by side with Pulsatilla in dysmenor-
rhoea, and all need careful individualization. Chamomilla has
also a dark flow, but it has such characteristic mental symp-
toms of crossness and incivility that it cannot be mistaken.
It will relieve many cases. (i2x.) Cocculus also has dark


flow. It has a pain as if sharp stones were rubbing against
each other in the abdomen and distension of the abdomen
from accumulation of flatus ; the pains are worse at night,
* awaken the patient and make her irritable. Menses come
too early, sometimes nausea is an accompaniment It also
is said to be more efficacious given between the periods. The
mental condition of Pulsatilla^ if present, will always indicate
the remedy. Further, if the pains shift about the indications
of Pulsatilla are still stronger.

Cocculus. A most useful remedy in dysmenorrhoea and
scanty, irregular menstruation. Uterine cramps. Profuse
discharge of clotted blood and severe headache accompanied
by nausea ; a heaving up and down of the stomach as in sea-
sickness. It suits cases on the borderland between the
neuralgic and congestive tjrpes of dysmenorrhcea. Gelsemium
IX has also proved useful in the spasmodic form. Ignatia
has dysmenorrhcea with menstrual colic or bearing-down in
the hypogastric region, hysterical labor-like pains relieved by

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