Dysmenorrhoea Therapeutics


Tubercular. Menses delayed, dark, scanty, or suppressed form putting hands in cold water; drinking a glass of milk has suppressed the flow until the next period. A drawing pain across the ovaries with a downward pressure in the uterus is said to be often present in the proving of this remedy; menses delayed with dragging weight in the ovarian region; great lassitude and even extreme prostration during the menses. Hemicrania every month during or after the menstrual period in pale, thin, anaemic, tubercular women, between the ages of 36 and 40. I have cured a number of such cases with this remedy. It has one of the most profound headaches in the materia medica, often lasting a week at a time. The headache begins in the forehead and extends to the occiput; the pain is a bursting or a hard ache, sometimes throbbing; begins early in the morning and is usually accompanied with nausea, blindness, sometimes vomiting, and is greatly aggravated by light, by sitting up and by movement; ((>)) from quiet, lying down in the dark, and fasting. The face becomes pale, the lips white, and the breathing is prolonged and slow. She has no desire to eat or drink or to be annoyed in any way. It is relieved by profuse urination, (Gels) and by quiet, rest, pressure or bandaging tightly, and sometimes by heat. This remedy is adapted to thin, tall, tubercular women who are very anaemic and highly sensitive and nervous.


Anti-psoric and pseudo-psoric. Menses normal as to time; flow usually thick, dark, offensive, and < when the patient is moving about, ceases when she lies down (Kreosotum, Mag. carb.). During the menses great bearing down in the uterine region with a sensation when on the feet as though the whole pelvic contents would issue from the pelvis (similar to Murex, Bell, Sepia), relieved by pressure of the hand against the vulva or by sitting down; heaviness in the region of the heart, or as if the heart were squeezed in a vice; fluttering of the heart awakens her; severe palpitations when lying on the left side. During menses sensation of the pushing or bearing down of the uterus with a sharp pain in the left ovary extending down the anterior surface of the thigh. The bearing down in the uterus is often extended to the rectum and bladder (Nux vomica, Aloe., Sepia, Bovista). Mentally she has a wild crazy feeling on vertex (Actea rac.); weeps easily like Pulsatilla, is tired and fearful; again she is disposed to strike, or to curse, to do things in a hurried aimless manner; fears to be alone; fears that her disease is organic, and that it is incurable; she < is after eating, standing, lying on the left side; often the crazy feeling spoken of comes up from the back of the head and finally settles on the vertex. Like Pulsatilla she wants a cool room, and likes to walk in the open air; also aggravated by consolation (Igna., Nat. mur.), adapted to nervous, hysterical blondes who suffer from atony of the uterus, uterine displacements especially retroflection; heart troubles due to uterine displacements, or uterine irritation. Remedies to compare with Lilium are Sepia, Belladonna, Podophyllum Platina, Helonias, Murex, Nat. Phosphorus, Cactus and Actea.


Syco-psoric. Menses too late, thick and dark; flow < at night, or while walking or standing; again we have the flow scanty, even suppressed, flows more in the afternoon, menses retarded; flows in large clots. This is one of the few remedies with a flow that is < at night with absence of pain. In a typical Mag. carb. dysmenorrhoea the flow is dark, thick, acrid, often pitch-like, viscid, and is washed from the napkin with difficulty. There is a cutting pain in the uterine region or a colicky bearing-down pain with pressing towards the pelvis or a cutting in abdomen; menses often preceded by sore-throat (Lachesis, Belladonna); toothache during menses (Sepia); stool soft, like clay or putty, and crumbling. If diarrhoea accompanies the menses the stool is typically sycotic. Greenish, sour smelling, frothy, accompanied with a cutting colicky pain; great restlessness and weariness during the menses; she feels so tired (Calcarea carb., Kali carb.); many of her symptoms are relieved when the flow is established (Lach). Face pale, sickly; sensation of white of eggs on face, bitter, sour taste; thirst for acid drinks, such as lemonade. She is aggravated every three weeks, by rest, during menses, and by cold air.


Menses eight days too soon; menstrual colic precedes the flow; pains, cutting, drawing, pressing, cramping and intermittent. Another form of pain occurring in membranous dysmenorrhoea is shooting, like lightning flashes, comes and goes suddenly (Belladonna) yet does not entirely disappear. Pains decidedly intermittent and < on the right side, also from lying down; pains < in the lower part of the abdomen and frequent, coming in shocks, darting and paroxysmal until flow starts.

Rheumatic, membranous dysmenorrhoea. Much rheumatism or neuralgia and aching in the limbs; tingling in different parts of the body like electric shocks; pains often so severe as to cause fainting; colic relieved by bending double (Coloc.), by heat or external warmth, rubbing; a drink of cold water often starts the colic. Dull aching in the occiput extending to the brain, ((>)) by eating and from eructations of gas. Dull drawing pain in the lumbar region; pains ((>)) by gentle and continual motion (Pulsatilla).


Millefolium is pseudo-psoric; menstruation profuse, of long duration, of a bright red color, and with no pain. Although the books speak of colicky pains, I have never heard these patients complain of pain. I have given it frequently to women who were markedly tubercular; some of them had a cough, but at each menstrual period they almost flooded to death; complete atony of the uterus, no pain, no contraction; flow increased by motion and exertion. The flow is always < after exertion and may be confined to the uterus, but as this is one of the hemorrhagic remedies, it has also hemorrhages from the lungs, nose and bowels all of a bright red color. There is no anxiety or alarm in this remedy, as found in many others during a severe hemorrhage. There is some oppression of the chest, and often severe palpitation of the heart. A confused, dull feeling in the head if often present and a cough with a spitting of blood. It resembles Trillium, I think, more than any other in uterine hemorrhages, in other ways it resembles Cinchona. The blood is bright red, and there is very little, if any, clotting. This remedy follows Arnica in hemorrhages after falls, mechanical injuries or over-exertion. The patient is a tubercular one and naturally hemorrhagic.


Anti-syphilitic and pseudo-psoric. Menses always too copious and quite often dark and clotted; menstrual flow often between the periods; flow makes its appearance two or three days before it really becomes established. During the menses, great heaviness and weight in the limbs, with anxiety. Breath very offensive; teeth sore, feel long and loose; gums bleed easily; tongue thickly coated and flabby; taste bloody or metallic. Breasts enlarged during menses and feel tender; sore and swollen, with milk in them. Much rawness and soreness in the vagina and about the labia. Face; often pale, earthy and sickly-looking; general anxiety and apprehension < in the evening; fears she will lose her mind; is peevish and suspicious. Much vertigo when lying on the back; head feels as if in a vice and the whole scalp is sore and painful to touch. Dragging in the loins and in the lower abdomen. Occasionally we have trembling of the whole body, with general weakness and copious perspiration, which is < at night. Aggravations: At night, by heat, warmth of bed on perspiring, and during wet or stormy weather.


Menses too early, too profuse, with burning and heat in genitals; useful in syphilitic diseases in general. Taste is bitter, salty or metallic. Intense vesical tenesmus with burning in the urethra; violent tenesmus of the rectum and bladder, passes only a few drops of urine at time; bloody mucus with violent tenesmus; scream with pain as a few bloody drops pass; terrible cutting, colicky pains during menses.


Syco-psoric. Menstruation too early and profuse, with soreness in the uterus. During menses, pains in the uterus extending to chest (Actea), especially in the direction of the right breast; sharp cutting pains in the uterus; sensation of constriction of the uterus; feeling of great heaviness in the vagina; weak, gone, empty feeling in the stomach during menses (like Sepia); violent sexual desire during menses. Throbbing in uterus; heaviness in the labia majora; severe sexual excitement, which is greatly increased by touching the external genitals (Platina) Her pains are < when lying down, so also is the weariness in the lower limbs. Pains in the back with great weakness and downward pressure in the uterus (Sepia, Lilium tigrinum, Belladonna). This pressure extends to the rectum (Aloe), like Platina it has great sexual desire; it is the reverse of Sepia in this respect. She is not hysterical, but very irritable during the menses. Cancer of the uterus, with menses every two weeks or with severe hemorrhages and sharp cutting pains in uterus; after the flow ceases, a severe watery or bloody, greenish or yellowish-green leucorrhoea appears (Kreosotum); < during the daytime; sanguine, lymphatic temperament, indicated at all ages of the menstrual period of women, and at the climacteric age.


Anti-psoric, menstruation very irregular, profuse, too early, with violent drawing and downward pressing pains in the genitals; pressing and pulling in the parts like labor-pains at the beginning of the menses. “Intolerable titillation in genitals.” (Minton.) Great anxiety with palpitation of the heart, and great dryness of the mouth; sexual desire greatly increased during the menses; very hysterical; hysterical spasms of the chest, suffocation in chest, and sensation of great constriction, palpitation, prostration, fainting; fears she will die in her nervous attacks; hysteria at every menstrual period. Complains that have their origin in the sexual sphere of women often call for Moschus. She does everything in a great hurry, so that things fall out of her hands. There is a great tendency to be frightened; she is thoughtless, foolish in her gestures, peevish, tearful, quarrelsome; breaks out into fits of laughter or rage, trembles when frightened; has fear of death during the menses, with intense sexual excitement and titillation of the sexual organs. She is ((>)) in the open air, < when moving about, < in her room; her nights are restless, and full of dreams and strife, with tossings about the bed, and with a desire to uncover. This remedy is suitable to spoiled, humored, sensitive, nervous and hysterical women.


Mezereum, anti-syphilitic, and pseudo-psoric. Menses too soon, profuse, long lasting, accompanied with severe prosopalgia. Mentally low-spirited and weeps much; dread to be alone. Leucorrhoea like white of egg after menses. See General Symptoms of Remedy.


Anti-psoric and pseudo-psoric. Menses too early, too profuse; usually there are more or less pressing and bearing down pains during the flow, or a pressing as if the menses would appear long before they do appear. During the menses the genitals are exceedingly sensitive to touch, and even to pressure of clothing (Platina). There is an aching pain in the small of the back, heaviness of the anus, and great weakness of the thighs, interfering with walking. Headache from 9 a.m. to 1 p.m. every day; menses dark, thin, liquid blood. Hemorrhoids very sore, swollen, dark-blue in color, sensitive to touch; urine passes slowly because of the weakness of the bladder; suitable to women with dark complexion and black eyes. Aggravated at 9 a.m. by walking, and lying on right side (touching genital organs).


Anti-psoric. Menses too early, profuse and long lasting. The peculiar thing about Nux Vomica is its antidotal power; its power not only to antidote the poisonous effects of drugs, but its power to cure diseased conditions of the organism produced by drugs. It also anti-dotes or counteracts the bad effects of over- eating and over-stimulating the organism. The prolonged, copious and painful menses of this remedy are induced very often by irregular eating, by over-eating, by rich foods such as fats, meats, pastries, wines and stimulants. The menstrual discharge is dark, thick and coagulated attended with griping pains in the uterus and spasmodic pains in the abdomen, resembling indigestion. Menses cease and then reappear again; very irregular, indeed never on time. Before menses she is very sensitive to external impressions; noises, loud talking, strong odors are intolerable. she is cross and irritable. Nausea in the morning with chilliness; constipation with urging to stool accompanied with uterine pains; urging to stool and urination with menstrual pains. During the menses she wishes to be alone and to lie down where it is quite and warm. She is self-willed, headstrong and irritable, with much debility and lassitude; wants to be let alone and to be quiet in a dark room; head aches as if she had not slept well, < on arising in the morning. Griping, dragging pains in the uterus with nausea and discharge of dark clots; pains in the small of the back as if broken; longs for stimulants such as beer and spiced foods; severe pains in the uterus extending to the rectum causing a desire to stool, with nausea and bitter bilious vomiting. Suitable to thin, irritable, choleric, women, with dark hair and motive-bilious temperament, who are addicted to stimulants, spices and condiments.

Aggravations: Eating rich foods and stimulants; cold in general; morning, touch, noise and mental exertion. ((>)) from rest, quiet, heat, lying down, being alone and in the evening.


Pseudo-psoric. Menses too late and scanty or too soon and profuse, almost to flooding; during menses great pressure in the hypogastrium as if everything would come out. This pressure is toward the genitals; there are sensations of movements in the uterus as of a foetus. Menses sometimes preceded by drawing pain in the neck with headache; sensation as if head were too large, as if it would be drawn back. (Gel.)

Concomitants: Sad and despondent during menses; is made < by music, especially piano music (reverse Tarentula), and by a thunderstorm; great aversion to men (Pulsatilla); she experiences great debility form the least mental effort; < from heat of summer; pale looking skin; dark rings about the eyes; inability to think; wholly taken up with sad thoughts; no sunshine in her life whatever. Flashes of light before the eyes on awakening; over-sensitive to noises; thick, yellow or yellowish-green discharge from the nose, especially from the posterior nares.

Aggravations: Music, during thunderstorm; exercise; heat of sun; mental or physical exertion; during full moon; headache form mental efforts. This remedy follows well after Sepia in bearing down pains; compare also with Lilium, Murex, Nat. sulph., Phosphorus, Silicea and Nat. mur.; ameliorated by gentle pressure, and rubbing of the affected parts. It is adapted to leuco-phlegmatic women with weak ankles and inability to do mental work.


Pseudo-psoric. The menses are either too early and profuse or too late and scanty. Suppressed menses in young women; first menses are slow in appearing, and difficult; Jahr says “the primary effect of the salt is to shorten the menses and its secondary action is to prolong the flow.” The flow is usually dark, and continues day and night, accompanied with great sadness; low spirited, and despondent, < in the morning. Gloomy, anxious, very sad; severe headache on awakening in the morning or beginning about 10 a.m. and lasting until sun-down. Headache, frontal, with sensation of little hammers beating in the brain, or headache beginning with blindness accompanied with zigzag flashes of light before the eyes. Dysmenorrhoea with bearing down and pressing towards the genitals, which is only relieved by sitting down. Fluttering of the heart with a weak feeling about it. Menses a week too soon; thin, watery, scanty; more at night; chilliness, with goose flesh during the flow or at the beginning of the menses. Herpes simplex, usually appear about the mouth or chin at the beginning of the monthly period; constipation with depression of spirits; fluttering and palpitation of the heart, with weeping; weeps easily (Pulsatilla, Ignatia, Tuberculinum, Cyclamen). Bitter or salty taste with craving for salt; wants food highly seasoned with salt or eats it raw. She has numbness of the fingers, toes, lips, tongue; very absent-minded, forgetful; heaviness of the hands, legs, or feet; feet or hands go to sleep; loses flesh while living well (Iodium)

Indicated in pale anaemic, tubercular individuals, where the tubercular taint produces despondency; also in hysterical conditions peculiar to the tubercular taint. It is complementary to Ignatia and is the chronic of Ignatia; we often have to differentiate it from Calcarea carb., or Silicea.

Aggravations: At 10 a.m. in the morning; sea air; lying down; sitting still; lying on the left side; ((>)) lying on something hard; evening; lying on the back, and walking. There is frequently a great desire for much salt in the food, or the saliva tastes salty.


Menses are late, scanty, and of short duration. They are accompanied with much pain in the small of the back, great debility, and much bloating of the abdomen with severe colic. There is much thirst day and night, with burning flatulence; nausea; much distension of the abdomen, and sour eructations. Mentally the patient is apprehensive, low-spirited and despondent, is easily vexed and made angry; at night she is much <; being very restless (like Rhus. tox.); changes position frequently; often her restlessness is accompanied with colic and vomiting when menses are suppressed. In the morning vertigo and pressure in the vertex.


Psoric miasms very marked. During menses and long after, great sexual irritation, erotomania; nymphomania, with suicidal tendencies; intense sexual excitement as if she would lose her mind, driving her to onanism; practices it often; rapid failing of memory and loss of mind from it. Lascivious impulses; dreams of sexual intercourse, and thinks of sexual subjects continually during the day; voluptuous tingling in sexual organs; sexual inclinations so strong she cannot overcome them; she is dull, listless, morose. This remedy is to women what Staphisagria is to men; it has the intense sexual irritation of Cantharis, but not the physical symptoms. Unlike Lachesis, the symptoms are largely confined to the sexual organs. It is a much neglected remedy and a little known one. Tuberculinum is another remedy often indicated the sexual irritation of women. When the tubercular and sycotic or psoric elements combine and spend their forces upon the sexual organs, we can expect severe sexual irritation in sensitive nervous women.


Menstruation too early and scanty, with great languor in hands and feet; discharge usually dark and very scanty (Sepia). Before the flow appears, cutting, colicky pains in abdomen, also sticking pains in small of back which is < while sitting.

Concomitants; Sad, peevish; ill-humored; filled with grief; a sensation of giddiness when in the open air; blood rushes to the base of brain in a warm room (reverse Pulsatilla); morning vertigo with pressure over the eyes and quivering of eyelids; complexion earthy. Her thoughts vanish suddenly; dry prickly heat in different parts of the body; burning, biting itching on the skin like flea bites. OLEUM CAJEPUTI

Menses suppressed or greatly diminished in quantity; they may be suppressed by a sudden check of perspiration, with constant choking sensation in throat; nervous distension of the bowels from nervous uterine reflex; tongue fells as if swollen, and when speaking she lips. Spasmodic coughing; nervous hiccough; nervous vomiting, nervous dyspnoea, and nervous dysmenorrhoea.


Pseudo-psoric and syco-psoric. Menses premature and very copious; rheumatic dysmenorrhoea; pains in sacrum and back; great soreness of the ovaries; menses cease suddenly from taking cold; dysmenorrhoea in advanced stages of tuberculosis; chronic sore throat or diarrhoea due to tuberculosis; expectoration yellowish- green; great weakness in chest and back; burning heat in chest with cough; rheumatic pains in all the large joints and back; constant loss of strength will emaciation. The patient is ((>)) in the summer, < in winter; cough and rheumatic difficulties, also ((>)) from heat; adapted to pale cachectic tubercular women who have engrafted upon that diathesis, a tertiary sycotic taint. Often the tuberculosis has been stirred up by receiving the sycotic infection; after a few years the mixed miasm presented itself in a malignant form. It is more frequently indicated in thin nervous blonds, with a white transparent skin in which the blood vessels show through of a bluish tint. Greater hunger is almost always present, like Psorinum, Iodine, Sulphur and Tuberculinum.


Menses profuse or suppressed with rush of blood to the head. During the menses, violent colic, compelling her to bend double; labor-like pains with drowsiness and desire to sleep; restless all night from heat of bed; tosses about, searching for a cool place; unconscious, often in a comatose state; face red; congestion of blood to the head; climacteric states, very imaginative; full of illusions and fancies; very sensitive to sounds, odors and noises. Her sleep is heavy and accompanied with snoring. Indicated in corpulent and good natured women, who suffer with stubborn constipation and a prolapsed or an atonic relaxed condition of the uterus. She has spasms or convulsions from fright, anger, shame, overjoy, or any great emotions; sometimes attacks of epilepsy at night followed by stertorous breathing, red face, and a semi-comatose condition following. Quite often there are no symptoms whatever, excepting the stupor of this remedy. Suitable to elderly women who are fond of stimulants, and narcotics (Belladonna), also adapted to school children in certain mental states. Delirium, staring, wide open eyes, constantly talking, flushed or pale, hot, and bloated face following suppression of the menses. Skin covered with cold sweat; threatening collapse; aggravation during and after sleep, perspiring warmth of bed, ((>)) from cold or walking.

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