Muriatic acid. Menses too early and too profuse, with extremely sore hemorrhoids which sometimes itch terrible.
Natrum carb. Menses too early and last too long, aggravated by a thunder-storm, and may even be reproduced by one.
Natrum mur. Menses too soon and too profuse, with great heaviness in the eyes, or intolerable sadness. Craves salt. Has an aversion to bread. Dreams that robbers are in the house.
Nitric acid. Menses too early and too profuse with urine emitting an intolerably strong smell.
Nux juglans. Menses too early too abundant, in large, blackish lumps.
Nux mosch. Menses too early and profuse, with an intolerable dryness of the mouth, tongue and throat. Excessive disposition of laugh, particularly in the open air.
Nux vomica. Menses too early and too profuse, particularly as a forerunner of the change of life; or attended with weak faint spells; often as a consequence of high living, or a sedentary life. Constipation of large and difficult stools or with frequent urging and discharge of small pieces. During her menses she does not sleep after three or four A.M.
Opium. Menorrhagia, with great sleepiness, yet she cannot sleep. The sheets are so hot she had to change to a cooler place every little while.
Phosphorus. Menses too often, too copious, and lasting too long. More applicable to tall, slim persons. Constipation of narrow, dry, hard stools, difficult to evacuate. Sense of emptiness in the abdomen. Much heat up the back, and cold feet and legs.
Phosphoric acid. Too early and too long menses; with pain in the liver; or rising frequently at night to pass large quantities of colorless urine. Meteoristic distention of the uterus.
Phytolacca dec. Menses too often and too profuse, with a corresponding increase of the tears, saliva, bile and urine.
Platina. Too long and profuse menstruation, with pressing from the groins to the genital organs. The blood is dark and comes away partly fluid and partly in clots.
Plumbum. Menorrhagia, with the sensation of a string pulling from the abdomen to the back. Constipation of feces, composed of lumps packed together like sheep’s manure.
Pulsatilla. Menorrhagia in delicate females of tearful disposition. The least circumstances of joy or sorrow causes weeping. She feels better in the open air, and worse towards evening. Bad taste in the mouth in the morning; no appetite; nothing tastes good.
Rhus tox. Menorrhagia from a strain; if in rheumatic females, worse at night, demanding constant change of position to find relief.
Sabina. Excessive, debilitating menses, with abdominal, spasms. The blood is partly fluid and partly clotted, and the pain runs from the back through to the pubis.
Sambucus. Menorrhagia, with stoppage of the nose with thick, tenacious mucus.
Secale corn. The menses are too profuse and too long, with violent spasms. All her symptoms are worse just before the menses. Particularly applicable to thin, cachectic females.
Sepia. Menorrhagia, with a painful sensation of emptiness at the pit of the stomach; or with fetid urine, or the urine has a sediment like clay burnt down upon the bottom of the vessel. She has yellow spots on her face, a yellow saddle across the ridge of the nose.
Silicea. Menorrhagia, with paroxysms of icy coldness over the whole body. The menses have a very strong smell. Constipation before and during the menses of hard lumps, which remain long in the rectum, as if it had no power to expel them. Sometimes, after long straining, the protruding portion suddenly recedes again into the rectum.
Spongia. Menses too early and too profuse, preceded by colic, soreness in the sacrum and craving in the stomach. Chronic hoarseness and cough, the voice frequently giving out when talking or singing.
Stannum. Menorrhagia in females having a weak larynx. They cannot talk much, read aloud or sing, before the larynx aches; they become hoarseness and cannot proceed. The same sensation is sometimes perceived in the chest.
Stramonium. Menorrhagia, with drawing pain in the abdomen, thighs and limbs. There may be excessive loquaciousness and a multitude of a strange and absurd ideas.
Sulphur. Menses too early, too profuse, and lasting too long. There are flushes of heat followed by weak spells. Heat on the top of the head. Cold feet. Faintness form 11 to 12 o’clock. She cannot wait for dinner. Bleeding hemorrhoids. She sleeps lightly and awakens very frequently; or she sleeps profound sleep the whole night, dead and heavy sleep.
Sulphuric acid. Menses too early and too profuse, always preceded by a most distressing nightmare. Tremulous sensation in the whole body, without trembling. Much general debility.
Veratrum. Menorrhagia, with diarrhoea or with nausea, vomiting and cold sweat on the forehead. Weak pulse.
Zincum met. Menses too early and too profuse. Lumps of coagulated blood, passing away mostly when walking. Fidgety feet and lower extremities.
METRORRHAGIA is the term now employed to signify uterine hemorrhagic, unconnected with the menstrual flow.
This hemorrhage may be active, that is, composed of bright, arterial blood; or it may be passive, consisting of the darker colored, venous blood. It may arise from the general influence of predisposing causes: from accidents; from violence; from excessive exertions of body; from sudden shocks and violent emotions of mind; from the presence of worms in the intestines; from the presence of polypi or other tumors within the pelvis; from ulcerated cancers, or other ulcers of the uterus; from any of the causes which may produce abortion or miscarriage, and from the abortion or miscarriage itself; from retention of the placenta after parturition, or otherwise, in consequence of parturition itself; and from the cessation of the menses after the change of life.
Those hemorrhages mentioned in the preceding section under the head of Sympathetic Menorrhagia, which appear during the course of severe diseases, even if not developed at the usual catamenial period, are still considered as resulting, in persons who have not passed the menstrual age, from the profound disturbance of the sexual organism; and are therefore regarded as menorrhagic rather than as metrorrhagic. And the same characteristic will be considered as belonging to all hemorrhages occurring between the ages of puberty and of the change of life, unless some strongly marked cause, such as one or the other of those above enumerated, can be discovered to operate independent of the catamenial function. And while every individual case of metrorrhagia must be treated with exclusive reference to the symptoms and conditions found in connection with itself, a careful study of the causes of each case of such disorder must be absolutely essential to its successful treatment. This will be made sufficiently obvious by recalling for a moment the fact that the most violent and dangerous form s of uterine hemorrhage may result from the most opposite conditions of body and of mind; from plethoric congestion, or form exhaustion and debility; from the highest emotional excitement, or from the most sudden and profound nervous and mental prostration.
The Causes of Metrorrhagia require to be considered a little more in detail.
And first, that most vague and common one of general predisposition, should never be lost sight of. Even as we sometimes see in children and others causes; so in some females; it must always be remembered, there exists a corresponding predisposition to urine hemorrhage. And this constitutional peculiarity should be carefully studied with reference to its connection with a psoric diathesis. In such cases, the characteristic of the difficulty and of course the key-note of the only Homoeopathic remedy, may really consist in some far-off and apparently unimportant symptom. Our meaning here will be well illustrated by the instance of the picking of the nose as an indication of Cina in metrorrhagia arising from the presence of worms in the intestines, which has sometimes been known to have kept up for many months a constant stillicidium of blood from the uterus. Here we can readily see the relation between the comparatively trifling symptom of the nose and the irritation of the bowel caused by the ascarides and the consequent uterine irritation and hemorrhage. The fact that in many cases it is entirely impossible to trace any such physiological connection between remote symptoms, which still seem to be characteristic, and the disorders themselves, should not therefore induce us to conclude that such connection does not exist.
The manner in which violence, accidents, and physical and mental excitement, and debilitating mental and bodily causes act, in producing metrorrhagia, is very similar to that in which in other instances the same influences result in menorrhagia. But it is well to bear in mind violence and excessive bodily and mental excitement tend to establish arterial hemorrhage; while exhausting and debilitating influences upon the physical organism, and depressing mental emotions tend to produce passive or venous hemorrhage. Mental and bodily excitement go together, equally stimulate the arterial action; while all depressing influences, whether physical or moral, tend to paralyze the peripheral nerves, and thus arrest the capillary circulation. In the former case, we may find violent and dangerous Metrorrhagia, of bright red blood; in the latter, a passive flow of dark stringy, or perhaps clotted blood, which from its intractable persistence is no less alarming, since the greater the debility which results from the flow, the more difficult it becomes to arrest the flow itself.
