Partial Amenorrhoea, in which the menses are wanting, perhaps for months in succession, but may appear occasionally and at irregular intervals, constitute our third form of amenorrhoea. This may also be termed irregular menstruation, in which the catamenia are not suppressed, but occur irregularly as to quantity and quality, and especially as to time.
In some cases of this form at amenorrhoea, the health appears to suffer very little if any from the exceedingly irregular and uncertain manner in which the menses recur. In other instances the irregularity us complicated with more or less severe dysmenorrhoea.
The irregularity may consist in the shortening of the intervals between the menses; and in such cases the flow may also be too profuse, allied to menorrhagia. Or the irregularity may consist in the lengthening of the intervals, the menses returning with great regularity, and perhaps in normal quantity.
The causes of such partial amenorrhoea must be similar to those constitutional influences which result in gradual suppression of the menses, to which, in fact, many cases of irregular menstruation finally lead. And where the protracted amenorrhoea is complicated with pale, colorless menses, with too profuse menses, or with painful menstruation, it will be seen that all the morbid influences which may be be brought to bear upon the constitution of the young or elderly woman, may tend to produce a more or less complete cessation of the catamenia.
The treatment of such cases required a careful examination of the patient, an elaborate collection of all her symptoms, and a faithful comparison of them with the pathogenetic effects of our remedies. In this manner, and in this manner only, the physician may make such prescriptions as shall result in cures alike honorable to Homoeopathy and profitable to himself. The partial amenorrhoea is but a single one among other indications of the poor health of the patient, this and other indications being met by the corresponding remedy, there will result, in time, such complete restoration to health as will at once surprise and delight the patient and her friends.
Aconite. In young girls, of sanguine temperament, who lead a sedentary life. Tendency of blood to the head or chest. Vertigo or fainting on rising from a recumbent position.
Alumina. Abundant leucorrhoea of transparent mucus, flowing only in the day-time, with weakness. Much straining is necessary to evacuate even a soft stool. Restless sleep, always awaking with palpitation of the heart.
Ammo. carb. Colic, and pain between the scapulae. Violent pain in the small of the back, with great coldness.
Arsenicum. White, waxy paleness of the face, and great debility, the least exertion fatigues her. Painful lienteria; cold water lies like a load in her stomach. Her sleep is full of tiresome dreams. She is very chilly; she wants more clothes on her, or to be near the fire. Thirstlessness, or she wants little and often.
Aurum. In amenorrhoea and prolapsus uteri, with the mind in a suicidal condition.
Belladonna. Throbbing headache, and throbbing of the carotid arteries. Red face and eyes. She cannot bear light or noise. Much heat in the head.
Borax v. She cannot bear a downward motion, as in a swing, in a rocking-chair; or in running down stairs. Pain in the right pectoral region. She is very nervous; she does not sleep well.
Bryonia. Frequent bleeding of the nose; dry lips; thirsty; hard dry stools, as if burnt. She wishes to keep quiet.
Calcarea carb. Leucophlegmatic temperament. Vertigo on going upstairs. Her feet feel cold and damp. Swelling at the pit of the stomach. Spasmodic affections.
Carbo veg. At the time the menses should appear, violent itching of old tettery eruptions.
Causticum. A yellowish complexion; weakly; scrofulous. Melancholy; she looks on the dark side of everything. Hysterical spasms and pinching pain in the sacrum. Leucorrhoea only at night; or worse then.
Chamomilla She suffers on account of a checked perspiration; or on account of a fir of anger. She is very irritable and disposed to be quarrelsome; she can hardly keep her temper. One cheek is red, the other pale. Pressing towards the genital organs; passing of large quantities of colorless urine.
Chelidonium. Constant pain under the inner and lower angle of the right shoulder-blade.
China. Sensation of fulness and distention of the abdomen, particularly after eating; with desire to eructate, which affords no relief.
Cocculus. Much paralytic pain in the small of the back. Leucorrhoea in place of menses. Discharge of a few drops of black blood. Whilst the effort is being made to menstruate, she is so weak that she is scarcely able to speak. Hysterical symptoms very strongly marked.
Colocynth. In cases where severe chagrin has been the cause of the suppression. Colicky pains, causing her to draw up double with great anguish and restlessness.
Conium. At every menstrual effort the breasts enlarge, become sore and painful. Much vertigo, particularly when in a recumbent position and attempt is made to turn over. The urine intermits in its flow.
Crocus. A sensation of motion, like that of a child in the abdomen. A similar sensation is sometimes felt in the stomach. Epistaxis of black, stringy blood.
Cuprum. Particularly in cases arising in consequence of suppression of foot-sweat. A strange, tingling pain in the crown of the head. Frequent nausea and fearful vomiting. Convulsions with fearful cries.
Dulcamara. Suppression in consequence of exposure to cold and damp. She has urticaria, or some other cutaneous affection, every time she takes cold. Warts on her hands; her breasts are engorged and hard.
Euphrasia. Ophthalmia, the eyes being suffused with tears; and a painful, dry ulcer on the right side of the bridge of the nose, which has been developed since the accession of the amenorrhoea.
Ferrum. In weakly, chlorotic persons; with fiery redness of the face.
Graphites. Occasional show of the menses; which are very-pale, and very scanty; with abdominal pains and pains in the limbs. Swelling in the hands and feet. Itching blotches here and there, on various parts of the body, from which oozes a gelatinous fluid.
Helleborus. In cases accompanied with ascites; the urine being scanty and dark, depositing a sediment looking like coffee grounds.
Hyoscyamus. Much loud and boisterous laughing at every menstrual effort. Hysterical jerking and twitching; disposed to nakedness.
Ignatia. Much involuntary sighing and sobbing. Full of suppressed grief. The suppression itself may have been caused by some suppressed grief. Weak, empty feeling at the pit of the stomach.
Iodium. Very, very much out of breath on going up stairs. Paleness alternating with redness of the face. Frequent palpitation of the heart.
Kali carb. At every menstrual effort sour eructations and swelling of the cheeks; often times there are shooting pains all over the abdomen. Organic disease of the heart. Erysipelatous eruptions. Disposition to phlebitis.
Lachesis. At every menstrual effort, there are cardialgia, oppression of the chest and eructations. Vertigo with headache. Discharge of a few drops of blood from the nose.
Lycopodium. A fright may have caused the suppression. Sour taste. Sour eructations and sour vomiting. A constant sense of satiety, so that the least quantity of food causes a sensation of fulness up to the throat. Much borborygmus, particularly in the left hypochondrium. Sense of dryness in the vagina; wind from the vagina.
Magnesia carb. Every effort to menstruate is attended with a sore throat, which only subsided with the other symptoms, or on the appearance of the menstrual flow.
Magnesia mur. She becomes very much excited at every menstrual nisus. There is a pressing down in the iliac regions at every menstrual nisus. She is very hysterical; and has constipation, with large, difficult stools which crumbles as they escape from the verge of the anus. A great deal of sleeplessness.
Mercurius. Prolapsus of the vagina at every menstrual nisus. She has dry heat, and rush of blood to the head and congestion to the head at every menstrual nisus. Pain in the mammae as if they would ulcerate, at every menstrual period. OEdematous swelling of the hands, feet and face.
Nat. mur. At every menstrual nisus she feels anxious, melancholy and qualmish, early in the morning for a few hours, with sweet risings from then stomach, and spitting of blood with the saliva. She awakens every morning with headache, which lasts a long time. Constipation of large, difficult stools, the anus being contracted, it becomes fissured and discharges a quantity of blood.
Nux mos. At every menstrual nisus, the throat, mouth and tongue become intolerably dry, particularly when sleeping.
Petroleum. In cases complicated with diarrhoea only in the day- time.
Phosphorus. Particularly in tall, slender, phthisical females. Spitting and vomiting of blood at the menstrual nisus; sometimes the haemoptysis is profuse, or hemorrhage from the anus or urethra. Stools small, dry and difficult. Great sense of weakness across the abandon. The feet and legs are cold, and sometimes they are paralyzed.
