Dysmenorrhoea Therapeutics


This is an anti-sycotic remedy and its whole sphere of action portrays that miasm. The menses are dark, even black, retarded, and often copious. The pains are of a burning nature and are almost always accompanied with irritation of the neck of the bladder and vesical tenesmus, or in other words membranous dysmenorrhoea with severe dysuria, burning in the vulva and vagina, and pain in the region of the kidneys, with painful urination.

Concomitants : Anxious, restless, head hot, with much mental sufferings (Arsenicum) often ending in rage; in the sexual sphere there is amorous frenzy with shameless gesticulations; complexion sallow or pale, sickly looking. Constant desire to urinate, passing but a few drops at a time; urine bloody, turbid and scanty, with burning and smarting in neck of bladder after urination.

Case 1. A violent itching and burning in vagina; extremely painful urination, screams when urine passes, says it is as hot as fire, menses dark and clotted; she was a recently married woman who had contracted gonorrhoea from her husband. Cantharis 1m cured.

Case 2. Mrs. A. B., age 30, dark complexion, severe burning in neck of bladder; much bearing down in uterus with a burning pain in the left ovary; pruritus vulva; strong sexual desire; severe pains in the region of the kidneys with frequent desire to urinate; desire comes on with the pains in the back. The urine was not examined in this case. Relief in a few hours after taking the c. m. potency in water. This potency I made myself with a gravity potentizer.

Aggravation : Touching the larynx (Lachesis), bright light (Stramonium, Belladonna,), drinking water; dysmenorrhoea brought on by cold; indicated in disease of the bowels, bladder, lungs, brain, puerperal states, and gonorrhoea.


Anti-sycotic. Menses scanty and retarded or suppressed; menses too soon; preceded by leucorrhoea, or flow consists largely of leucorrhoea, yellowish, greenish, very acrid and offensive, producing very severe erythema on inner surface of thighs; pruritus vulva, or a severe urethro-vaginitis during flow; womb painful; intense desires for coition during menses; urine often albuminous and bloody. Desire for oranges, acid fruits, onions, nuts, brandy, and stimulating things. During flow dragging pains in ovaries, worse in the right ovary. This remedy acts better in bilious temperaments, in gonorrhoea of the first and second stages. It is sometimes indicated in dysmenorrhoea due to gonorrhoeal poison; it affects the whole genito-urinary tract. It is worse at night, and better from motion.


Anti-sycotic. Menstruation scanty, often comes on with an exhausting diarrhoea; choleraic form of menstruation, with nausea and vomiting (Veratrum alb., Cuprum,). Stools watery, yellow, gushing; worse from drinking and eating. Intense itching of the genitals during menses; vesicular eruption on external, genital organs during menses (Rhus); eruptions, burning, itching. Drawing pain in the nipple of the breast, as if something were pulling on it (Kent). Drawing pain in umbilicus or in uterus during menses. The eruption and diarrhoea often alternate, when one is better the other is worse. Intense itching of the genital organs, better by gentle rubbing and scratching. Pain from nipple through to shoulder blade when child nurses.


This is a sycotic remedy. It is indicated in malignant or specific cases, with anaemia, face yellow, jaundiced, pale, waxy; menses suppressed for a long time due to anaemia (Ferrum, Mang.); vicarious menstruation in a severe form; bleeding or oozing of dark fluid blood from ears, eyes, nose, gums, and teeth. Menstrual flow continuous, either dark and clotted or thin, and fluid with no tendency to clot. (Naja., Lachesis, Elaps., Carbo veg.). Malignancies (Conium, Arsenicum) and puerperal States (Secale). She bleeds from every orifice of the body as well as the uterus. Indicated in sycotic diseases, in menstrual troubles, in typhoid or low septic fevers, abortions, septic poisoning, and puerperal states.

Concomitants : Fearful dreams, of murder, dead people, grave- yards, etc. (Lachesis, Lac. Can.).

Face besotted looking, cadaverous; craves intoxicants; aggravation after sleep (Lachesis); she sleeps into an aggravation; all discharges offensive, fluid, black, continuous, character of disease rapid and malignant.


Many of the symptoms of this remedy will be found in the pseudo- psoric patient. The menstruation is too early and too copious. There is hemorrhage when rising to the feet, the blood comes in gushes. In this remedy the menses are also very scanty, often but a few drops of black or very dark blood, and usually coagulated. There is often a leucorrhoea instead of menses. Great weakness in the back with crampy colic; spasms of the chest, and marked hysterical symptoms (Minton); menses with great nausea; extreme vertigo and spinal irritation. There is a painful pressure, with crampy pain in the chest and great nausea. Violent cramps deep in the abdomen during menses; so weak she is scarcely able to walk; occipital headaches during menses, with vertigo nausea when rising form a recumbent position, or riding in a train or carriage; vomits a sour substance. She has a dry, fatiguing, laryngeal cough during menses, and much dryness of the larynx. It is adapted to light haired women of a lively disposition, who are subject to uterine and nervous complaints; always full of trouble and imaginary fear. Another symptom is uterine colic, with sensation as if sharp stones were rubbing together in abdomen (Coloc.). Distention of the abdomen with sharp, cutting, contractive, colicky pains and a scanty flow; severe spasmodic pain in the neck of the uterus, with cramp like pains in the chest; fainting and nausea.


This is a syco-psoric remedy, but very markedly sycotic in its menstrual phenomena. Menses too early, too profuse, black, clotted; clots small (large, China and Sabina); sensation as if menses would make their appearance in a few hours. She has colic and dragging down in region of sexual organs. Pressing in the pudendum with great sexual excitement. Flow comes away in fibrous clots or in long strings. Flow passes dark, clotted or stringy; much commotion in abdomen during menses, not infrequently a sensation as if something alive were in abdomen (Thuja, Lycopodium); abortion at third month. Mental symptoms; disagreeable mood; she sings, laughs, dances, whistles, wants to kiss everybody (Hyoscyamus). Ill tempered, sad and anxious or full of hilarity; great debility, with palpitation of the heart; hemorrhage from any orifice of body, with or without pain; sensation when moving the head as if the brain was loose.


Anti-psoric, “Indicated in stout, plethoric, robust people who have suffered from loose of blood or exhausting discharges.” (H.C. Allen). Menstruation too early, very copious, dark and coagulated, or pale and watery with coagula, suppression from chagrin (Anacard.); great fullness in the uterus during menses, with pressing towards the genital organs. Severe, painless hemorrhages with prolonged vertigo; fainting often during the hemorrhages with desire to be fanned violently (gently, Carbo veg.); sight suddenly disappears, and everything becomes dark about her during severe hemorrhages. Sometimes the extremities become cold and the whole body is covered with a cold clammy perspiration; there is ringing in the ears, together with vanishing of vision, a very marked set of symptoms for china. Everything tastes bitter or sour. The veins are distended and are very blue; under the nails it is blue (Carbo veg.); blue rings around the eyes, face pale or sickly looking often of a sunken appearance with pointed nose; red lips, much thirst for cold water. She is aggravated by the slightest draft of air or touch; worse every other day, and better from hard pressure.


Anti-sycotic. Indicated in the gouty and rheumatic expression of Sycosis, especially when the digestive process is so disturbed that the uric acid diathesis develops. Menses too early and scanty, or there may be suppression of menses during rheumatic or gouty attacks; metastasis to the internal organs; often suppression of the menses. It acts upon the periosteum and synovial membranes. The urine is dark, scanty, looks like beer, and has a white sediment. All the symptoms are aggravated in cold, damp weather, and are often worse on such days in summer (Dulcamara). She is super-sensitive to odors, especially to that of cooking foods. There is nausea from the smell of cooking food, not alone in pregnancy. Great distention of the abdomen during menses; colic with tenderness and soreness; worse from cold, eating and motion. She has autumnal diarrhoea and dysentery, coming on when the nights get cool; stools are bloody, jelly-like or white mucus with much tenesmus; often when the stool becomes cool, it assumes a jelly-like consistency; burning in the stomach or icy coldness with much flatulent distention; great heaviness of the body and especially of the feet; tired feeling in lower limbs and feet.


Syco-psoric. The menses are apt to be delayed and when they do begin, they are accompanied with cataleptic attacks or spasmodic nervous affections. During menses there is a constant pain under the right shoulder blade at the inner border (Chelidon); sensation of coldness in the occiput ascending from the nape of the neck; complexion sallow or jaundiced; taste bitter, tongue coated yellow; choking in the throat as from hasty swallowing; dry, hollow, spasmodic cough; sensation as if something were about the throat, or as if a fish-bone were in the throat (Hepar). Epileptic or choreic convulsions during menses, violent, with fearful distortion of the limbs, loss of consciousness with opisthotonus, renewed by the slightest touch or jar. Quite often the spasmodic symptoms calling for this remedy arise from injuries to the head or from suppressed eruptions. Aggravated by touch. (See mental symptoms and desires in Dr.Kent’s Materia Medica, pages 410 and 411).


Syco-psoric. Menstruation too early, and too profuse. This is another hemorrhagic remedy. This patient passes large clots, had sudden suppression of menses about the second day, with some form of vicarious menstruation; profuse spitting of dark blood when menses ceases; urging to urinate during menses, with passage of large black clots. There is a brick-dust like sediment in urine (Sepia, Phosphorus, lithium carb.). Burning, throbbing, or shooting pains in the pudenda during menses. Pudenda extremely sensitive and tender. She cannot bear pressure of napkin over the parts (Lach, Platina). great hunger with empty eructation; great lassitude and weakness with tendency to perspire from least exertion. General action upon mucous membranes, larynx, urinary tract, and nervous system.


Menses too frequent and too copious; they may also be suppressed or scanty and painful. The discharge is black, clotted and occasionally membraneous. The pains are labor-like distention of the bowels; patient feels better during the flow (Pulsatilla, Actea, Sepia, Lachesis, and Sulph.,). She is worse in the cold air; weeps during menses but it does not afford her any relief (reverse of Pulsatilla). Menses suppressed, with vertigo, headache, melancholia, palpitation of the heart, loss of appetite and desire to be alone. After menstruation the mammae swell and secrete milk; membranous dysmenorrhoea in blonds. Leuco-phlegmatic patients who are subject to fainting spells and great chilliness during the menses. Dull vertical or occipital headache which is better by bathing with cold water. Tongue is coated white; taste putrid or flat; sensation as if air streamed from nipples. She is aggravated in the evening and from rest, cold, sitting down, open air, exercise, and fatigue. Is better when walking and from warmth. CONIUM MACULATUM

Conium is a deep acting remedy. It cures even where all the miasms are present, but it fits especially into those cases where the presence of the acquired sycotic element induces a malignancy. For instance a wife contracts Sycosis from her husband; the uterus becomes envolved and she is treated locally by medicated lotions, or what is more probable she has been curetted for a sub-involution due to Sycosis, and from this, cancer develops. Conium comes in early when the hemorrhages begin to show themselves, or a continuous bloody discharge which is extremely offensive. Menstruation too early and feeble, or too late and scanty. The discharge is dirty, offensive, brownish colored blood. The menses and most of the complaints of this remedy are painless. The glands become involved, early in most diseases. Symptoms, trembling, weakness with vertigo, vertigo worse on turning over in bed; mentally she is sad, gloomy, depressed, unhappy, takes very little interest in things. She is slow in her movements, passive, often her symptoms border on the paralytic. During the menses the breast swells, become sore and tender, hard, often painful. The flow excoriates the external genitals producing severe pruritus. She dreads to be alone, avoids society, very easily excited, has loss of memory early in the disease (Natrum mur.). Face earthy,, sallow, pale, or sickly looking. This remedy is adapted to women of rigid fiber, nervous and easily excited, to old maids’ troubles during the menopause, in indurations, and malignancies.


Pseudo-psoric. Menses flows in gushes, < at night; it awakes her at night. She has loud ringing and buzzing in the ears during the menses (China); nervous prostration, voice weak, palpitation of the heart from flatulence; trembles with weakness following nervous depression from over-work; mental anxiety; sexual excesses. Great lassitude and weariness during the menses. Indicated in very nervous, plethoric women; great nervous erethism, with timidity, melancholy, and nervous exhaustion. “It implants buoyancy; cheers the heart, brightens the mind, and renews the bodily strength for the vigorous tasks of life.” (Hering Guiding Symptoms).


From a careful study of the pathogenesis of this remedy we find it is well adapted to sycotic troubles; indeed its pains and aches call our attention at once to the sycotic taint. The mammary symptoms show that even if all the chronic miasms be present, it would still prove the curative remedy. Menses suppressed, followed by cancer of the mammae or uterus. Flow copious, offensive and accompanied with large lumps in breast, enlarged glands. Great dysuria during menses, suppressed menses with atrophy of the breasts. Ulcers in mouth during menses; urine bloody, ropy, dark, and clotted. On sitting down, sensation as if a ball pressed against perineum. This remedy is indicated in lymphatic women with a tubercular or strumous diathesis, who are affected with acquired sycosis in the tertiary stage. Toothache during menses relieved by cold water (Coffea Sepia.). May follow Cistus canadensis.


This is a true anti-sycotic remedy; it follows all the expressions and actions of that miasm, whether physical or mental; from infancy to old age, we see the sycotic element present. A typical sycotic patient will have symptoms resembling those of this remedy very much, especially in women and children. They are cross, irritable, extremely sensitive to pain, to impressions, to persons, and to their surroundings in general. We see this clearly in its colicky stool, mental states, dentition, and sufferings of every description. Menstruation early, profuse, clotted, dark, often offensive. There are clutching, cramping pains in the uterus, sometimes these pains are violent, or they seem so to the patient, who is one who cannot endure pain (Coffea). She is irritable and quarrelsome. The pains are followed by the passage of large clots and the pains make her angry, hot, thirsty, and fretful. Toothache during the menses is a common symptom; eructations and diarrhoea with green, watery stools with much colic, are present. This remedy is indicated in very nervous excitable women with brown or light hair. Pains < at night or before midnight.


This remedy may either have profuse or scanty menses, pale or dark in color, or they may be thick, corrosive, and of a pungent odor. During the menses there is a drawing pain from abdomen to small of back, swelling of the pudenda with much itching and burning in vulva. The menses, like those of Carbo animalis, are accompanied with an excoriating, thick, milky or yellowish-green leucorrhoea. This remedy is indicated often in prematurely old women, and at or about the menopause, or when menstruation is prolonged beyond the regular period; odor from menstrual discharge, carrion like and very offensive; keens cold all the time; desire to be fanned when the pains are severe. (China).


This remedy is one of the most profound and deep acting of the carbon group. It is more frequently indicated than we think for. It should be carefully studied; in exhausting diseases, it spends its force largely upon the venous system, and almost all of the diseases for which it will be called, will present venous congestion. All its diseases are sluggish, and most of its inflammations show dark purplish venous involvement. Menses too copious, and prolonged, premature; sometimes the flow is pale, but generally it is a thin, dark, fluid, acrid, ichorous, and excoriating; exceedingly protracted menstrual period; she seems to sink down to almost death’s door at each monthly flow.

Concomitants: Aphthae often appear upon the external organs during the flow;itching, soreness, burning, smarting in vulva and anus. Burning in the hands and feet (Sulphur, Phosphorus); desire to be fanned during all its hemorrhages (Carbo veg., China); knees and extremities often cold, with heat or rush of blood to head and face. The face is often greyish-yellow or greenish, or there is great pallor, eructations frequent and violent (Lycopodium, Carbo veg., Argent, nit.); morning and evening aphonia; flow very offensive, often carrion-like. Indicated in low physical states of the system at the climacteric period; cancerous and malignant affections, old age, advancing senility, enfeebled circulation, with lack of vital heat.


Coffea is an anti-psoric remedy. Menses too profuse, long- lasting, dark in color, and attended with great nervous excitement, excessive sensitiveness of the sexual organs with voluptuous itching; great exaltation of the senses; with nervous excitement there are mental symptoms only. Great hyperesthesia of all the senses, hearing, sight, smell, touch; they are all extremely acute. She is full of fanciful ideas and has an excited and exalted imagination. Her pains and all her symptoms are mentally magnified; a mole-hill becomes a great mounting. Her troubles come on from over-joy, excessive laughter, anger, disappointed affections, fright, or from coffee drinking. During menses she whines, moans; is afraid she will die; weeps with her complaining (Pulsatilla, Ignatia), her pains are unbearable, with great mental excitability. She has severe paroxysms of colic, great insomnia during menses. lies awake all night, can give no cause for it, simply an inability to close the eyes and go to sleep. This remedy is adapted to nervous sanguine women. She is aggravated by touch, contact, motion, and open air.


The menstrual flow is bright red, hot, delayed, flows feebly and in the daytime only. Flow ceases when lying down. Before the menses there is great weakness; cramp-like pains in the sides and back; great melancholy and sadness during the menses (Nat. mur.). Complexion very sallow. She has a sensation as if the scalp were too tight; eyes feel weak, can scarcely hold the lids open; great aversion to sweet things and to fresh and smoked meats. Urine passes involuntarily when coughing and laughing. There is often aphonia during the menses. She is extremely sensitive to noise and touch and is easily startled. Generally she is ameliorated by heat and aggravated by dry weather. Great mental and physical fatigue; must lie down during menses; severe cramp like pains in the back just before the flow begins.


Calcarea phosphorica is a true pseudo-psoric remedy, it has all the weakness of its sister Calcarea carb. and has added to it, the nervous and the hemorrhagic element of Phosphorus. It is especially indicated in youth, while Calcarea carb. is indicated at any period of life. The menses as you would expect, are too frequent in young girls, every two weeks; flow bright red; in adults the flow is apt to be dark and delayed in coming. Before menses the patient is often annoyed with rheumatic pains, or a stitching pain in the left side of the heart; drawing pains and a sore feeling in the pubic region.

Concomitants: Mental anxiety-always finding fault with others; desire to go from place to place; love-sick girls, or young women disappointed in love; headache of school girls, frontal or on the vertex, accompanied with rheumatic pains; uterine displacements with rheumatic pains, a feeling of great weakness in the sexual organs during menses; great weariness in all complaints, especially while walking or ascending stairs or a height, (Calcarea carb.)

During menses great sexual desire; parts feel full of blood; pulsation in all the parts, (nymphomania); all the parts erect with insatiable desire.

Case 1. Miss B, age 18, tall, slim, weak in body, no muscular strength, face pale but flushes easily, cheeks become hot and flushed at least excitement, palms of hands sweaty, menses every two weeks, which are copious and bright red. After Calcarea phos. cm. was given the menses became normal in two months and my patient has greatly improved in general health.

Case 2. Alice M, age 20, has been running down in health all winter; thinks her school work is too much for her. She suffers with rheumatic pains in her shoulders and arms, which are < during the menstrual period. Her muscles are soft, flabby, and have grown more so of late; feet damp, cold and clammy, easily affected by change of weather, < at the approach of a storm; tries very easily wishes to sit or lie down all the time; leucorrhoea after menses, albuminous; feeling of great weakness in sexual organs. 45m cured her.

Case 3. Age 16, dark hair and eyes, suffers with frequent menses, blood bright red, accompanied with drawing pains over the pubic region; during menses weary and tired all the time. 45 m cured her.


Menses too soon, copious, thin, and fluid. During menses great irritability and disinclination to talk (Nux. Chamomilla); full pressive feeling in the head; stitches in the chest; vertigo; things suddenly become blank before her. (China). Backache very severe, relieved by pressing hard against something hard, the pain extends from the back to pelvis, < stooping (Rhus.). Backache always < when leucorrhoea begins, which is acrid and exceedingly copious.

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