Dysmenorrhoea Therapeutics

Homeopathic medicines for Dysmenorrhoea and some cases of these medicines had been presented by J.H.allen in his book chronic Miasm….


Aconite will be indicated only when the psoric element is prominent in the case, as it is not a sycotic remedy. The menses are profuse, bright red, and protracted, or are suppressed from cold, cold baths, fright, over-joy, bad news, etc. There is fever with anxiety and apprehension; the pulse is full and quick; there is fear of death, much alarm and excitement; painful menstruation, and a febrile and congested condition. The pains are sharp, cutting, doubling the patient up; hands are cold, even in the febrile state; there is chilliness with flushes of heat intermingled; over-sensitiveness to noise or touch; restlessness with tossing in sleep (like Rhus tox or Arsenicum album). It is adapted chiefly to the sanguine temperament, to young girls of a sedentary habit. Other symptoms are palpitation of the heart, quick hard pulse, anxiety, fear, and hot flushed face.


Syphilo-psoric. In this remedy we have a somewhat profuse menstruation with labor-like pains in the abdomen. The flow is acrid, producing great soreness of the parts. There is swelling in the axillary glands and often periostal or bone pains. It is adapted to sanguine, ruddy people with black hair and eyes; in chronic Syphilis and for the bad effects of the over use of mercury. Menstruation with great melancholy, depression of spirits, suicidal tendency, and mental dejection; imagines she is unfit to live; mind turns toward self-destruction, longs for death, < in the evening, at night and at the menstrual period; the least contradiction excites her wrath, and mental labor fatigues her. Indicated more at puberty.

Case : Mrs. A. B., age 27, after birth of second child, suffered with inflammation of right ovary; ovary very much enlarged, sensitive to touch; pain dull, heavy, always < at night, feels well during the day; is cross and irritable at the menstrual period, no living with her, her husband says; wants to die, says she is going to jump into the river if this awful depression keeps on; it begins just before the menses. She is under a fearful cloud all during menses. She was cured with 1m. potency; no return in fourteen years.


Like all the cohosh family, this remedy is anti-sycotic in its curative effects. It shows the strong rheumatic element of that miasm, while it has the hysterical element of Psora. Many of its phases are hystero-rheumatic or the combining of the two elements; or they alternate, when one is < the other is ((>)). The menses are too early copious as a rule, clotted and dark. During menses the mental field is clouded, there is great sadness and gloominess; fears that she will hear bad news, or that something awful is going to happen, that she is losing her mind. She is full of imaginations, fears, forebodings, and all sorts of uneasiness. Like Lachesis she is suspicious of everything. The appearance of the flow gives relief to many of her symptoms, especially to the mental. “Rheumatism following the disappearance of mental states.” (Kent).

Vertex headaches during the menses; sore feelings all over the head, and pain in the back extending to the thighs; much weight and bearing down in the uterus; a feeling of weight in the extremities; pain increases until the flow reaches its maximum, then suddenly ceases. Rheumatic dysmenorrhoea in brunettes. There is much weight and heaviness on the vertex (Sepia); a sensation as if the head would fly off. Besides, there is much pain in the back of the neck which is rheumatic in character. Pains in uterus darting from side to side; often the severity of the pain increases or decreases with the flow; soreness in the uterus or all about that region, and like Arnica, there is a bruised feeling all over. It has also in its lameness, some resemblance to Rhus tox. Her symptoms are changeable like Pulsatilla, yet she is the opposite of Pulsatilla in temperament, irritable, quick tempered, snappish and very emotional. She may be subject to hysterical spasms, even to convulsions; during the menses she has spasms of the uterus, with pains shooting across the abdomen, or from the left ovary to the heart. It acts upon the cerebro-spinal system and is useful in delicate rheumatic, hysterical women with uterine irritation.


This remedy partakes of both the psoric and sycotic element. Its pains and its mental symptoms are characteristically sycotic, especially the mental symptoms. Menses scanty but too frequent. Dysmenorrhoea with pressing pain in the abdomen and uterus. The menses are often accompanied with a severe headache, pressure as of a plug in the left side of vertex. Mental symptoms: Great irritability; desire to curse and swear; great contradiction between understanding and will; a veritable Dr. Jekyl and Mr. Hyde; she has two wills, one hindering her from doing that which the other impels her to do. Dreadfully irritable, always in a controversy with self, lives if in a dream, nothing real. Compare the mental sphere with Hyoscyamus, Stramonium, Belladonna She is morose, sulky, sullen, irritable, easily angered, often cruel and malicious, yet feeble. The headache is relieved by eating and by sleep. This remedy follows well after Lycopodium, and Pulsatilla Platina may follow it.


Indicated in nervous, sensitive, plethoric women during and after change of life. (Lachesis) It rapidly dilates the arteries and accelerates the pulse, but later weakens and retards the pulse; intense surging of blood to the face during menses or after menopause. (Belladonna, Gloninum) Craves fresh air, opens clothing, throws off the clothes, and opens windows in the coldest weather. (Argentum nit., Lachesis, Sul.) Flashes of heat start from the stomach, followed by hot profuse sweating; parts below stomach are cold; flashes of heat from the slightest emotion, much yawning and stretching; angina with tumultuous heart action, must loosen clothing and collar when flashes come on (Lachesis) It is said to have cured puerperal convulsions after delivery. (Similar to Lachesis, Belladonna, Coca, Gloninum) It acts better in the c. m. potency.


Suitable to chlorotic girls and pregnant women. Menses prolonged and accompanied with labor-like pains. Amenorrhoea from uterine or ovarian atony or from a congested state of the uterus or ovaries. Flow copious, black, clotted with fullness in the region of the uterus. During pregnancy, obstinate vomiting with constant spitting of a cottony, frothy mucus. False pains during gestation. General debility with prolapsus of uterus. Similar to Belladonna, Sabina, Hydrastis, Senega and Pulsatilla


This is a sycotic remedy, and is helpful in gouty conditions and gouty states of the system. Its symptoms center about the stomach, and digestive tract. Menstruation premature and profuse, with a peculiar pressure in the uterus, menses too early in young girls, before the time of puberty; flow dark, fluid, with coagula; great tenderness in the ovarian region after menses or after suppression from cold, from cold bathing or from being overheated; gouty dysmenorrhoea; gouty gastritis; dysmenorrhoea in young girls who are disappointed in their love affairs, this is one of the remedies for the bad results of unrequited affection. Mentally peevish, sentimental; ecstacy with exalted love; suicidal tendency with great anxiety about self. Tongue thickly coated white; eructations after eating, tasting of food; desire for coffee, pickles, sour things; subject to warts and gouty pains.

Aggravations from eating and from extreme cold or heat.


Syco-psoric. Adapted to pale, sickly, torpid, phlegmatic persons; menses premature and profuse, or scanty and of short duration. Menses begin with great nausea, pains in the groins, cold creepings all over the body; dysmenorrhoea with nausea and vomiting, and cold sweat on the forehead. Face is pale, sunken, dark circles about the eyes; lips dry, cracked; great desire for acids, with much thirst, nausea and vomiting of mucus, or rattling of mucus in chest. (Ipecac.)

Aggravations. Dampness, cold weather, also < in spring (Kali sul., Nat. mur., Sul.).

Ameliorations. Cool and open air.


This remedy is an anti-psoric, but partakes largely of the pseudo-psoric nature also. In it we have one of those rare remedies in which the menses are retarded, scanty and of too short duration; occasionally they are premature, but they are always too brief. The color is pale and watery. Before the menses, headache and disturbed sleep, with a copious discharge of mucus from the vagina. Before the menses, great exhaustion, both mental and physical debility between the periods. The inter menstrual discharge is transparent mucus, very copious, and is relieved by cold bathing. Unnatural appetite in young girls; they desire to eat chalk, starch, slate pencils, charcoal, plaster, coffee, or tea grounds. They have a faint feeling at the stomach, better by eating (Sulphur); sense of constriction in the throat, can swallow but a small piece at a time; rectum feels paralyzed, no desire for stool; a nightly, dry, hacking cough with oppression in the chest. The remedy is adapted to dry, thin, dark women of a mild and cheerful nature, who suffer from constipation and dry itching eruptions. The itching is worse upon getting warm, and in winter.

Aggravations. Cold air, winter, eating potatoes, soups and on alternate days.


“Menstruation, sudden suppression from cold. There is a feeble state of the nervous system, and much general debility. Chronic catarrh of the uterus, leucorrhoea foul smelling, with pressing down pains in the uterus.” (Minton).


Pseudo-psoric, leucorrhoea bloody, yellow, with hard swelling of the labia, followed by induration in axillae and mammae, with retracted nipples; night sweats, tubercular cachexia and rapidly developing malignancies.


Menses profuse in pale, anaemic, feeble individuals, who are low in vital energy. Flow is pale red, profuse or scanty, exhausting, producing great prostration; extremely restless with great thirst, worse in the afternoon or after midnight, all her symptoms are relieved by warmth. Flow often thin, pale, watery, acrid, excoriating the parts passed over; much fear, anxiety, restless and uneasiness with thirst for frequent sips of cold water.

Case 1. Mrs. B., 32 years old, thin, tall, with pale face; tubercular diathesis marked, vitality low, reaction poor, heart action weak, pulse small and weak; awakens much fatigued and unrefreshed; flow like thin, dirty water, scarcely any color in it.

Case 2. Mrs. L., age 21, fairly well nourished, but has no vitality, nor reserve strength; menses prostrate her so. Has no life left in her after flow; lips dry, thin, pale, desires to wet them often; cold water disagrees with her stomach, feels better when warm.

Case 3. Mrs. B., age 40, skin pale and white, dark hair and eyebrows, complexion sallow about and during menses; menses begin with an acrid leucorrhoea, corrodes the part with which it comes in contact, very weak and prostrated during flow; fear of dying and of being alone; easily fatigued, always chilly; warmth relieves her pains, suffers much with neuralgia of the head and face at each menstrual nisus. The least pain or suffering prostates her.

Case 4. Miss A., age 20, nausea and vomiting with cholera like symptoms during menses; thin, watery dysenteric stools, vomiting and purging with great thirst, a sip of water satisfies but it is soon vomited. Severe darting pains in uterus and ovaries; desire for sour things and pieces of ice and ice water; does not care for water unless it is very cold; is very anxious and restless, worse at 1 P.M. or from 1 to 3 P.M. Arsenicum is adapted to poorly nourished, weak, cachectic individuals who have no reserve force; the least exertion or mental worry prostates them. They represent pseudo-psora, when it has produced anaemia, the red blood cells being deficient in number.


This is a pseudo-psoric remedy, adapted to people who are suffering with diseases in advanced stages, as chest diseases, bowel troubles, prolonged fevers, and after severe injuries. It follows well after Cinchona in hemorrhages, in night sweats, in exhausting discharges, dropsies, extensive ulcerations, etc. Menses profuse, passive; hemorrhages from the uterus, or from the nose, lungs, and bowels in chlorotic or anaemic women. Hemorrhages with rapid emaciation in exhausting diseases. Most of its troubles are accompanied with profuse night sweats, drenching night sweats. Hectic fevers with night sweats; menses do not appear on account of lung troubles; swelling of the feet with night sweats, hectic fevers with rapid breaking down of the lungs.

Case. Mrs. L., age 32, tall, thin, active brunette; came to me in the April of 1896 suffering with lung trouble; right lung badly infiltrated and the tubercular state well advanced. She had painless, prolonged and copious menses; flow alarmingly profuse and bright red, like arterial blood; cough loose, rattling, much phlegm in bronchia, temperature 101; night sweats worse in the upper part of the body. For this I gave Acetic acid after Trillium had given great relief, but no longer helped the case. She is still living yet not cured, but Acetic acid has done wonders for her.


Premature, profuse menses, after falls, injuries, concussions, railway or carriage accidents. Flow bright red, mixed with coagula. Menses very difficult and painful. After a fall there is nausea, vomiting, and fever at beginning of flow or after injuries. Sore, bruised feeling all over body after injuries, face hot, extremities cold, blood passes hot from vagina. (Bell).

Case 1. Sore and general bruised feeling in the region of the uterus, blood bright red with clots.

Case 2. General bruised sore feeling all over body, cannot bear to move in bed or to have the clothing touch the body. Head is hot, hands and feet are cold. A sanguine plethoric woman who was suffering from a fall.


Menstruation anticipating, copious, ovary painful, generally speaking the flow is light colored, bright red, but if menses are retarded the blood is dark and thick, stitches in uterus during menses; pressure in uterus during flow; tightening stitches in womb; prolapsus of uterus.


Case. Menses begin with bruised pains in thighs and region of kidneys; pressing pain in womb; much itching and burning in vulva; Vulva inflamed, red, excoriated menses followed by a thick yellowish-green leucorrhoea; mammae swollen, tender, sensitive during menses.

Aggravation: Morning, open air, cold, damp weather.


This is another remedy that has too copious and long lasting menses; they are also back and clotted. They are accompanied with pain in the uterus and with the passage of gas from the uterine cavity; nymphomania often accompanies the monthly function, she is full of lascivious ideas; hysterical laughs easily; violent desire for sexual embrace.


Menses are suppressed or retarded, with drawing pains in the abdomen; melancholy, sad, self-contempt, disgust with life generally, complete obliteration of sexual desire, or sexual desire greatly increased. Sterility, with suppressed menses and loss of sexual power; impotence complete; mind greatly depressed during menses. It is said that the Jewish women used this remedy to destroy sexual desire while attending their passover services. Sterility with suppressed menses; fears she will die, keeps repeating it; absent minded, cannot recollect anything, due often to sexual over-indulgence; sexual desire diminished or completely lost.


Menses premature, too short and too scanty, often ten days too soon. Labor like pains in the uterus, with much bearing down during menses; empty gone feeling in the epigastrium, with pricking flatulent colic, constantly belching large quantities of gas. Nervous flatulence, globus hystericus, gas chokes her, it comes so fast from stomach. Sense of constriction in throat, or sensation of ball in the throat; gas forms so fast that she cannot belch it fast enough; nervous flatulence, no disturbance of digestion; syphilitic or carcinomatous ulceration of the cervix with carrion-like odor from the discharges. Breasts become large with milk in them during menses.

Case 1. Nervous, hysterical plethoric woman, about forty years of age. Her husband said something to her that made her angry, which was soon followed by great nervousness and a spasm of the oesophagus; belched gas so fast that she lost her breath for a short time. There was much anxiety with great fear that she was going to die; constantly swallowing a ball in the throat (Ignatia, Lachesis); menses came on with pricking colic; Asafoetida 30 relieved all her symptoms in about an hour.

Case 2. Mrs. L., age 27, confined to her bed for three months with nervous prostration; suffers with globus. The least disturbance causes nervous belching such as a few minutes’ talk with a friend or the receiving of a letter; she has to be kept perfectly quiet, cannot even go to her meals, for the least exertion brings on this awful belching. There is much fear and trembling with twitching of the muscles; spasms of the throat and constant belching; no odor whatever, no disturbance of digestion; cured with a few prescriptions of this remedy. Compare Ignatia; Lachesis, Argentum nit. The menses are followed by a profuse greenish, thin, offensive leucorrhoea, causing swelling and inflammation of the parts.


Menses too early, too long lasting, accompanied with violent backache; pain in lumbar region some time before and during menses. The backache is worse than that of Pulsatilla, Kali carb, or Rhus tox. Accompanying the flow is great nervous sensibility; cannot endure the least noise, the whole body seems too light, as if she was hovering in the air; great nervous irritability and exaltation during menses.

Case. Mrs. B., an undersized, but stout, a woman of about 34 years, came to me for treatment for backache. Continuous backache, very severe during menstrual period; she was holding her back with both hands as I came into her home. She complained that the pain was awful and she could not endure it a moment longer. She was indeed in agony with it; could scarcely take a full breath. The flow was dark, clotted, with colicky pains; she was so nervous that the rattling of a paper or the least noise would set her wild. The backache grew better, she said, as the menses appeared. On examination of the uterus, it was found to be retroverted considerably. Asarum cured this case; the backache did not return at next menses. It is followed well by Bismuth.

AMBRA GRISEA (Anti-psoric)

Menstruation too early too profuse; appears a week before the time. Between the periods, discharge of blood in small quantities. Mental condition : Great restlessness with extreme nervousness; talks hastily, jumps from one subject to another; mind weak, forgetful; spells of mental excitement followed by great depression; the presence of strangers aggravate all her symptoms; vicarious menstruation from the nose; great weariness on awaking in the morning; frequent urination of sour-smelling urine; urine burns, smarts, produces itching and titillation of vulva; menses produce soreness, itching and swelling of the vulva; this itching of the pudendum becomes violent during the menses. Aggravations.–Music, touching hair or scalp, lying down in a warm place; adapted to thin people or people who are prematurely old and of a nervous, bilious temperament. Many of her symptoms are better by open air or by walking (Puls).


This is a pseudo-psoric remedy and adapted to fat and sluggish or fleshy, large women who are indolent. The menses are premature, profuse, dark, black, clotted (Ammonium carb.). She has contractive and compressive pain in the small of the back; flow < at night and on lying down; choleric symptoms at the menses as in Ammonium carb. During menses, great exhaustion with labor-like pains in abdomen and small of back, with frequent urging to urinate, menses accompanied with diarrhoea, nausea, vomiting, pressure and contraction in abdomen, afterwards with pain in the feet, and much languor and weakness in the lower extremities. The mind is apprehensive, gloomy, not inclined to talk; stools hard, crumbling; menses flow freely during stool.

Aggravations. Night, 2 p.m., and during menses. (Puls, Phosphorus).


This is a true pseudo-psoric remedy, it has the hemorrhage of that miasm, and is indicated in fleshy women who lead a sedentary life. About the time of the menstrual period there is an inclination to weep, as in pulsatilla; she has a tendency to faint, often feels faint; all her discharges are acrid–the saliva, tears, urine, leucorrhoea, menses, etc. Her tendency to faint is due to enfeeblement of the heart.

The menses are premature, abundant, dark, clotted, blackish clots, (Magnesium carbonate, Crocus sativus, Sabina), acrid, excoriating; flow < at night, when standing, or after riding in the cold air. Before menses the face is pale with a tendency To faint, griping, pains, like colic, violent pains in small of back between scapula; choleraic symptoms at beginning of menses (Veratrum alb., Arsenicum alb., Capsicum, Viburnum Bovista). Great fatigue in whole body, especially in thighs, with yawning and chilliness, and pains in small of back; violent cutting pains in abdomen. The sleep is full of dreams, dreams of dead people, of the dying, danger, ghosts, and all sorts of offensive things (Lachesis). Great swelling of external genitals due to acrid discharges; sensation of soreness and rawness in whole pelvis, worse at 3 A.M.; it has weakness of chest like Stannum. It is inimical to Lachesis.

Aggravation : Cold air, wet weather and washing.

Amelioration : Dry weather, and lying on abdomen (Pulsatilla).


This remedy when first taken has a very pleasant and soothing effect. It contains a volatile oil (Absinthol) upon which its activity largely depends. It effects especially the central nervous system and produces symptoms closely resembling epilepsy, twitching of the muscles, especially of the face, clonic and tetanic spasms of muscles; cries out; grinds the teeth, urine passes involuntarily; salivation; convulsions followed by a period of unconsciousness. After epileptic attacks no recollection of them. It is one of the remedies that will bring on the menses, its dysmenorrhoea begins with darting pains in uterus and ovaries, followed by trembling all over the body, and with epileptic spasms and stupor (similar to alcohol, Belladonna, Hyoscyamus, Stramonium).

John Henry Allen
Dr. John Henry Allen, MD (1854-1925)
J.H. Allen was a student of H.C. Allen. He was the president of the IHA in 1900. Dr. Allen taught at the Hering Medical College in Chicago. Dr. Allen died August 1, 1925
Books by John Henry Allen:
Diseases and Therapeutics of the Skin 1902
The Chronic Miasms: Psora and Pseudo Psora 1908
The Chronic Miasms: Sycosis 1908