Dysmenorrhoea Therapeutics


Menses premature and profuse, accompanied with violent irritation of rectum and bladder; often diarrhoea and dysuria at the commencement of the flow; pains spasmodic, colicky; flow profuse, bright red, and < with every movement of the body. Post- partum hemorrhage or severe hemorrhages after abortion; constant, painless flow during pregnancy. Pallor and weakness when flow is severe, bleeding from nose, gums and mouth, bright red. Severe pain in lower dorsal region during menses; low spirited and very languid. She is aggravated by motion and rainy weather.


The menses in this remedy may be either scanty and late, or profuse and too early, but we usually look to Ferrum for a copious and prolonged, pale, watery fluid. Often it is intermittent, pale, and watery, or it may be suppressed or delayed. It may come on as a flood with colicky pains and with excited circulation, flushing of the face, alternating with pallor. The patient often has the appearance of plethora in the face, but it is a false plethora. Again the face looks flushed as if she had taken stimulants. Hemorrhage followed by prolonged oozing, palpitation of the heart, more or less shortness of breath, general debility and weakness. It is a typical tubercular or pseudo-psoric remedy; all its expressions are tubercular. Menses suppressed or delayed in young girls about seventeen or eighteen who have a tubercular taint. Hectic conditions and a rapid development of pulmonary tuberculosis. The flow is often long in establishing itself. Rush of blood to the head with congestive headaches during menses. Flow ceases then return; weariness with desire to sit or lie down. After hemorrhages, things grow dark or black before her on rising from a recumbent position; (China), vertigo on descending or on crossing a stream; hands, feet and face oedematous. She is < standing, (Sulphur); < in cold, wet weather; ((>)) from warmth, sitting or lying down, gentle motion, and is adapted to delicate chlorotic women where there is a tendency to anaemic conditions with frequent flushing of the face.


Instead of the menses, great congestion of blood to the head with throbbing and surging sensations. Tearing pains in the head; surging of blood to the heart; great disturbance of circulation during the menses; fullness in the head; sensation as if too large; face red, dark; pulse full, quick; arteries raised like cords, with throbbing in arteries; vomiting with cold extremities; face and head hot, flushed, often purple; < from heat, and after taking stimulants; ((>)) from cold applications, quiet, pressure. Adapted to florid, plethoric, sanguine, nervous temperaments, about the period of the menopause, and to disturbances and congestions of the brain with the above symptoms.


Menses delayed, scanty, watery, accompanied with stinging pains in the ovaries and drawing pains in the uterus. Flow only lasts a day, and is watery, pale, scanty; there is soreness in vulva and thighs when the flow is thin and watery. Pains jump from place to place; (Calcarea phos.), great uneasiness, with much sighing during the menses, sometimes nausea and vomiting. It is a remedy to be thought of in the early morning sickness of pregnancy.


Pseudo-psoric, very decidedly in all its actions. It has like all pseudo-psorics, a great tendency to hemorrhages; often vicarious and apt to be venous. Menses delayed, retarded, scanty, thick, black and occasionally watery. Menstruation suppressed, with flow of blood from the anus. Great weariness and lassitude with heaviness of the limbs during the menses; violent colicky pains in the epigastrium, as if torn to pieces; heaviness and weight in the anus. Itching blotches here and there on various parts of the body; soreness of the parts between the thighs, with blotches and pimples. Nails grow thick and crooked; fingers cracked and fissured, bleeding or oozing a thick, honey-like, sticky serum. Skins of hands very hard, thick, dry, rough and fissured. Vicarious hemorrhages from the nose or spitting of blood in place of menses, or bleeding piles, very copious at times; sometimes there is a burning sensation on the vertex or on soles of the feet during menses (Sulphur); stools large, hard, knotty and covered with a white slimy mucus (Alumina). Mentally, the graphites patient is sad, despondent; thinks of death or that something dreadful is going to happen. (Actea). Anxious about her spiritual welfare. Skin cracks behind ears, lips, corners of mouth, nose, fingers, toes, etc. Taste salty, sour or bitter. All her symptoms are aggravated during menstruation or from cold, except the skin symptoms. Adapted to tubercular women when there is a tendency to obesity, skin eruptions and venous stagnation.


Anti-sycotic. This remedy is the Aconite of the prairie country; we seldom find aconite indicated in fevers in and about Chicago. Rhus tox, Ferrum phos., or Gel., and Belladonna are more often indicated in febrile conditions. Almost all its diseases have a sycotic taint and a febrile state. Menses are often greatly delayed or suppressed in this remedy. Menses with convulsions or suppressed with great aching all over the body; pain at the base of the brain; fever; muscular prostration and a general muscular soreness, aching and lameness. Menses with congestion to the head; face red; fever high; pulses soft, slow, with sharp labor- like pains in uterine region. Menses suppressed from embarrassment, shock, fear, sudden surprises; great anticipation or excessive joy brings on menses too soon. Menses comes on too soon in LaGrippe. Menses with fever, diarrhoea, red face, painful aching of the whole body; with great heaviness of the limbs, delirium; with a drowsy and sleepy condition of the senses (Belladonna, Opium). She is often very irritable. Menses accompanied with a wild crazy feeling in the head alternating with uterine pains; pain lingers at the back of the head or spreads over it; relieved by passing large quantities of urine (Ignatia). Pain in uterus as if squeezed by the hand; complete relaxation of the whole muscular system, with trembling of the body. Adapted to nervous, rheumatic, excitable women, often indicated in people who have a tubercular taint blended with the sycotic element, whether the Sycosis be transmitted or acquired.


The menses are usually too early and too profuse, accompanied with darting pains in the chest, more especially in the right breast (Conium). There is pressure in the forehead, or a full feeling in the head; burning heat in the face, yet feet and hands are cold. Hunger yet without appetite. Cold feeling in abdomen; diarrhoea of a yellowish-green color.


Anti-psoric. Menses profuse, bright red, too late; often suppressed with muscular excitement; mental aberration and spasmodic symptoms; convulsions, and contractions of the muscles; menses begin with convulsion, jerking and twitching of the muscles. Sometimes there is Fever, delirium, and great mental excitement; she talks all the time; is full of illusions and hallucinations; imagines all sorts of things; suspicious, jealous, talks or calls to imaginative people; prays; scolds one minute, the next laughs boisterously; picks at the bed-clothes; mutters to herself; tears her clothing off; wants to go naked; exposes the sexual organs. In Hyoscyamus niger we have a severe maniacal form of dysmenorrhoea or amenorrhoea. The patient is violent, kicks, strikes, bites, and talks incessantly; is lascivious or erotic. There is mania during the menses or when they are suppressed, as in exanthematous diseases. There is violent sexual desire during the flow or when brain troubles threaten. She has a short, dry, tickling cough (Rhus); coughs until she is exhausted, profuse discharges of pale urine during an attack; there is great mental and nervous excitement at each menstrual period. She falls suddenly with a shriek; is afraid of being left alone, or of being poisoned. Her eyes sparkle, twitch; are constantly in motion; stares as if in fear; has constriction of the throat with inability to swallow (Lach). This remedy is adapted to nervous, irritable, excitable subjects of a sanguine temperament; hysterical people; young girls soon after puberty, whose mental balance is easily disturbed. It is indicated principally in the tubercular or psoric subject.


Pseudo-psoric and syco-psoric. Menses usually dark, flow passive, offensive, coagulated, profuse and exhausting. The pains are sharp, cutting, and extend from the uterus backwards. Severe flooding at the climacteric period, attended with severe uterine and ovarian pains. Indicated after excessive child bearing, and in atonic conditions of the uterus; marked cases of subinvolution and displacements, retroversions, etc., women who are worn out with hard work; also women who are enervated by indolence and luxury; who suffer from prolapsus and uterine atony. Great soreness in the uterus with sensation of great weight (Sepia). Consciousness of a uterus; a dragging weight in it; feels it move as she moves her body. In the proving of this remedy there was great uterine hemorrhage with severe backache. Flow passive, coagulated, offensive; complexion sallow and earthy. During menses great weariness, lassitude weakness, heaviness, languor and drowsiness. Dysmenorrhoea in delicate women of lax fiber, or who are chlorotic. She is aggravated by motion, standing during the climacteric period, and by pressure of clothing, and is ((>)) when mind is engaged.


Pseudo-psoric in its action. This is a prominent venous remedy; venous plethora; venous stagnation; clogging of the portal and great venous centres of the body. Menses profuse; dark venous blood; active in the daytime; while the patient is moving and exciting and pushing ahead the circulation, but ceases at night when the patient is still. Passive, non-coagulable uterine hemorrhage, or a profuse steady flow of black blood. Vicarious menstruation; varicose veins in lower extremities enlarged and very marked. Active hemorrhage; flow bright red; seldom any pain during hemorrhages. During menses the small of the back feels as if it would break; tired, weary feeling in the lower extremities, due to the venous stagnation. Great lassitude and a feeling of weariness. A sore, bruised feeling abdomen. In hemorrhages from the nose there is a tight feeling in the bridge. Taste metallic or brassy.


Iodine meets all the miasms, and especially the tubercular and syphilitic. The menses are premature, copious, and the patient suffers much during the flow. It may, also, be too late, or retarded. When delayed the patient suffers from severe vertigo and palpitation of the heart. The flow is unusually acrid, it excoriates the thighs, and is followed by an acrid, slimy leucorrhoea. She is very hungry during the menses. There is great weariness that is aggravated by going up stairs or ascending a height (Calcareac.). She has hemorrhages with cutting pains in abdomen, and aching in the back and loins; pains extending from right ovary to uterus; ovary very painful and sensitive during menses. During the menses the breasts are much smaller than usual (reverse Conium) Leucorrhoea always < at menstrual period. Mentally she is sad, and of a melancholy mood; feels as if she had forgotten something; very irritable; constantly moving about. Face dark, brownish, spotted like Sepia. Indicated in tubercular diathesis more especially. There is great irritability of the whole nervous system; rapid failing of strength, a chronic slow form of emaciation, and a low cachectic state of the system. she is ((>)) after eating and when in motion, always hungry, and < when quiet, or when the weather is hot.


Anti-psoric. Menses too early; discharge offensive, dark, coagulated; this is more especially true after great mental sorrow, grief, or fright. Suppression from grief, great joy, or unexpected bad or good news. It is one of the heart-breaking remedies. It often meets the nervous state that comes as a reaction from overjoy or sorrow. It is indicated in those highly sensitive women who readily take on hysterical manifestations; they seem all right until they are stirred up mentally, and have any unusual mental strain, then they go all to pieces. They have, in other words, the hysterical diathesis; over mental efforts bring about in them an ignatia state. During menses they have a uterine spasm or a crampy pain which ((>)) by pressure. The patient is constantly sighing, often weeping; the slightest contradiction irritates her; she has difficulty in swallowing as if there was a lump in her throat; has nervous sore throat; is peevish, fretful, irritable, yet weeps easily. Her symptoms are constantly changing from mental to physical and from physical to mental. She has all sorts of vivid fancies; < when crossed or contradicted; < often at menstrual period after having company, or from least excitement. She often has hysterical insanity (Hyoscyamus true insanity); she trembles; has twitching of the muscles; complains of empty feeling in stomach; is constantly sighing and complaining; is full of dread, fear, anxiety, apprehensions, and all sorts of imaginary troubles. She is ((>)) from quiet, rest and warmth; and when this remedy ceases to act we think of Natrum mur.


Great anxiety and timidity before the menses; easily frightened and apprehensive. Flow ropy, with tenacious mucus in it; swelling and itching of the vulva. Some time the flow is accompanied with nausea and vomiting of sour food, giddiness and rush of blood to the head. The menses come occasionally with severe headaches, that begin with blindness; adapted to fleshy, light-haired, blue- eyed women.


Syphilo-psoric. Menses late; begin with chilliness; icy coldness of hands and face; severe shuddering; colic, diarrhoea, cramps and severe squeezing pain running down the thighs. Aching pains as if bruised in groins and small of back; constant urging to urinate, which ceases when flow begins. Saliva copious, often bloody, viscid and smells like onions. Severe pains in the bones, which are < at night and ((>)) from heat; ((>)) from motion and < from rest.


Anti-psoric and pseudo-psoric. Often indicated in the gastric irritation of tubercular patients and in their hemorrhages. Menses profuse, premature; comes in a flood of bright red blood with nausea. Before the menses, nausea, often vomiting with pain and heat in head. Pain about the umbilicus with great nausea and vomiting. Flow profuse, bright red, with this there is some cutting pain in the umbilicus with nausea. Face pale, heat in the head; constant nausea, restlessness, general coldness; very weak, must lie down, as the nausea increases. Pain and pressure towards the uterus and rectum with great nausea and vomiting. Hemorrhage after accouchment, bright red, profuse, continuous, with nausea and vomiting.


Anti-psoric and strongly pseudo-psoric. The menses are either too early, copious and long-lasting, or they are too late or suppressed with anasarca and ascites. the menses are usually pale, but may be bright or dark red; they have a pungent odor and are apt to be acrid and excoriate the parts, producing eruptions of papules or vesicles. She feels badly a week before menses; awakes tired, (Calcareac.) weary, with worn out feeling and constant backache. The pains are in the back and abdomen. The pain in the back as if it would break, with a tired, worn-out feeling; in the abdomen the pains are colicky or shooting. During menses awakens about 3 a.m. and does not go to sleep again. She often awakes with a severe headache, and a backache as if it would break; feels as if she had not slept. She is peevish, irritable; has sac-like swellings over the eyes; foul taste in the mouth, with bitter eructations; often nausea, rumbling in the bowels and a griping colic. Menses pale, acrid, excoriating the thighs. She is full of apprehension, sadness, timidity, and has great aversion to being alone; constipation during menses, dry, large, difficult stool (Graphites); she may have night sweats, dry, hacking or gagging cough, with scanty, viscid expectoration; stitches in the lungs with palpitation of the heart. The pale menses show the anaemic condition of the blood; the skin is usually pale looking; the blood is deficient in red corpuscles; there is a tendency to anasarca. She wishes to lie down or sit all the time; the back and limbs give out, and she seems to have no strength left in her body. Indicated in pseudo-psoric young people, who are threatened with incipient phthisis or to broken down women in advanced life.


Menses too early, too long-lasting and copious. Before the flow begins, there is an acrid-smelling, bloody discharge which produces itching and burning of the parts passed over. The flow is usually dark, coagulated, acrid and offensive; flow intermittent, stops and starts again (Sulphur); always chilly; swelling, heat, and hardness of the labia with voluptuous itching deep in the vagina and external sexual organs. Indicated in old ladies, blond and delicate young girls who grow rapidly, and are very tall, and who have despondent and irritable disposition.


Anti-sycotic. Menses too frequent, profuse, bright red; when put into water forms itself into long strings smells like ammonia; when it dries on the napkin it becomes a dark or olive green color; it washes out easily however. A flow of bright red blood relieves a severe pain in the right ovary (Lachesis, zinc.). Menstruation seems to relieve all her symptoms; she is very hysterical at other times. Bearing down or dragging sensation in abdomen with a sensation as if the contents of the pelvic would burst out above the pubes. She cannot bear any weight over the abdomen (Lac., Belladonna); she is extremely despondent and hopeless during the menses;l thinks she is incurable; has fearful dreams of dark water, dead people, snakes, as if surrounded by them, or as if they were running over her body. Abdomen swollen, hard, sensitive; breasts sore and sensitive, often with hard lumps in them; flow of milk from breasts during menses (Verbascum vir). Great heat in the ovarian region during the menses; < in the right ovary, extreme soreness and tenderness in the uterus during menses, pains as if knives or needles were darting upwards from the uterus; menses too soon, bright red, comes in gushes; of a sticky consistency; breasts enlarged and sensitive to touch. Indicated in tertiary Sycosis and in individuals of a highly sensitive organism who are extremely nervous. The pains are erratic and the symptoms have a great tendency to shift form one side of the body to the other. She is very forgetful and absent- minded; < from a jar or moving.


Anti-psoric. Menses too early and too profuse. It is sometimes indicated where the menses are suppressed in prolonged fevers like typhoid. During menstruation, severe pains in the sacrum with fever: great weight and heaviness in the genital organs; severe pains in the right side of the face and temples with retarded menses; in consumptive patients, with neuralgia of the face. Profuse saliva with pungent taste; dryness in the throat with frequent expectoration of frothy mucus. She gulps up a sour fluid from the stomach with incessant nausea; nausea with copious flow of water from the mouth. Hysterical asthma with a slight respiration or a desire to take a deep breath; great soreness, pain and tenderness in the sacrum, with weight and pressing toward the genitals; nausea with great weakness toward the pit of the stomach, a sensation as of a lump in the throat or pit of the stomach with nervous dyspnoea. All symptoms ((>)) in the evening. LACHESIS

Menses delayed, scanty, dark, even black, lumpy, acrid; pains and general complaints((>)) during the menses. Pains and all complaints)) during flow. The patient is apt to be suspicious and jealous. She thinks people are talking about her. The face is often flushed, hot or mottled, spotted, purplish and puffy looking or bloated; very sensitive to pressure over uterine region or over abdomen generally.


This is a powerful anti-sycotic, so deep in its action that it will, when indicated, cure in almost any miasmatic state of the system even to a mixed miasm or malignancy. Menses profuse, usually late and of long duration; the flow may appear a part of the time dark and clotted, and a part of the time bright red blood mixed with serum. Great sadness and melancholia often accompany the menstrual nisus. In Lycopodium there is always much distension of the abdomen, great flatulence and accumulation of gases; a true uric acid state of the system is presented in this remedy which usually has Sycosis as a miasmatic basis. Great fullness in abdomen from partaking of any food; much fermentation and rumbling in abdomen; < in the left side; frequent eructations with rumbling of gas in abdomen; there is a constant sense of satiety; the least quantity of food partaken causes an uneasiness, fullness, gas, rumbling, distension, and belching. The pains are generally due to gases and distension of the colon, although we have also pains in both ovaries. Before the menses appear, there is a bearing down pain as if they would appear; this same pain often comes on after the menses have ceased and the leucorrhoea makes its appearance. The flow as well as the leucorrhoea produces swelling, itching and burning of the pudenda. The flow is < in the afternoon after 4 p.m. Concomitants; great dryness of the vagina; frequent spells of shivering during the menses; escape of air from the vagina. The patient is low-spirited, sad, desires to be alone; she has great doubts about her salvation; has a sallow, earthy complexion, dark rings and circles around the eyes, frequent flushes of heat to the face; always hungry, but the least food produces discomfort in the stomach and intestines; red sand in urine; shortness of breath, and palpitation of the heart from the accumulation of gases in stomach and abdomen; desire for open air (Pulsatilla). Aggravation: 4 p.m., eating oysters, tight clothing, strong odors, cold food; ((>)) from warm food, drinks, walking, uncovering and loose garments.

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