DISORDERS OF THE VAGINA



Graphites. Smarting in the vagina.

Kali carb. Pinching pains in the vagina during an embrace. Sore pain in the vagina during an embrace.

Lycopodium,. Violent burning in the vagina during and after an embrace. Sensation of chronic dryness in the vagina. Itching, burning, and gnawing of the vagina.

Mercurius. Inflammatory swelling of the internal surface of the vagina.

Muriatic acid. Pricking pain in the vagina.

Natrum mur. Dryness of the vagina, and painful embrace.

Nitric acid. Stitches in the vagina from without inwards, when walking in the open air.

Nux vomica Internal swelling of the vagina, with burning pain, making contact intolerable.

Rhus tox. Sticking pain in the vagina, not increased by contact. Pain in the vagina as if sore, shortly after an embrace. Sore pain in the vagina, hindering an embrace.

Sabina. Severe stitches in the vagina, deep, from before backwards.

Sepia. One of the most frequently indicated remedies for painful coition. jerking pain in the vagina from below upwards in the morning on waking. Contractive pain in the vagina. Almost continual stitches in the vagina.

Silicea. Labor-like pain in the vagina, which is very tender to the touch.

Sulphur. Burning pain in the vagina; she was scarcely able to sit still. Sore feeling in the vagina during an embrace.

Thuya. During and smarting in the vagina when walking and sitting. She is so sensitive in the vagina that she cannot possibly bear an embrace.

DISORDERS OF THE VAGINA continued

ACUTE AND CHRONIC INFLAMMATION. LEUCORRHOEA.

INDURATIONS. FISTULAS.

ACUTE AND CHRONIC INFLAMMATION OF THE VAGINA.

The vagina is subject to many influences which produce inflammation, especially of its mucous tissue. This inflammation, at first acute, unless promptly treated by the administration of the appropriate Homoeopathic remedies, almost always assumes the chronic form. While many cases of chronic vaginitis develop themselves so gradually and insidiously from the very first,-that they can scarcely be stated to have originated in acute inflammation. Married females, particularly those who have children, are most frequently the subjects of acute vaginitis; while the unmarried, either in their earlier or in their later years, are more liable to suffer from the chronic variety.

Leucorrhoea being the almost invariable attendant upon both these forms of vaginitis, and, as it were, almost entirely constituting the disease itself, we shall under this head consider the symptoms, the causes, and the treatment of general inflammation of the vagina.

But, before proceeding to this part of our subject, it is proper to refer to a few rarer and more particular forms of disease, which may attack the parietes of the vagina, and which are usually nothing more than the development in them of disorders similar to those which infest the external and adjacent parts. Thus erysipelatous and erythematous inflammation may occasion in the vagina internally red, painful elevated and more or less extensive patches. True vesicular inflammation may result from the extension of the eczema from the vulva to the vagina; and thus herpes phlyctenoides may be developed in the interior of the vagina and upon the cervix uteri. In like manner pustulous vaginitis may result from the appearance of pustules in the vagina of person affected with impetiginious eruption, especially when pregnant Papulous vaginitis may be considered present when the vagina and developed, assuming the shape of small spots of size of a pin head, or resembling fleshy granulations; these may form real vegetation more common at the decline of menstruation, and are termed prurigo. Finally, grandular vaginitis may be diagnosed when the follicles alone seem affected; when the mucous membrane shows no traces of change; and when the secretion appears more copious and of a yellowish white or grayish color. It is generally dependent on an inflammatory condition of the blood at this period; and the intense irritation which it excites so often occupies the mind of the patient upon the external parts; but it also exists within the labia and in the neighborhood of the urethral orifice. This pruriginous affection is often symptomatic of serious disease of the uterus, or its appendages; in which cases its removal can only take place in concert with relief to the graver malady.

These specific forms of disease in the vagina to be but local developments of constitutional or psoric dyscrasia; and require for their cure such remedies for the most part as are applicable to similar forms of disease in other parts of the body Although it should not be forgotten here, that those antipsorics should be preferred, which in addition to possessing such specific cutaneous indications are known to possess also especial relations to the female organs of generation.

For the treatment of ACUTE INFLAMMATION of the Vagina, refer to Vulvitis, and to Inflammation of the Uterus.

LEUCORRHOEA

Leucorrhoea Fluor Albus, or the Whites, are the names commonly given to a discharge from the vagina. The disease itself consists in an acute or chronic inflammation of the mucous lining membrane of the vagina, the uterus, or of both. This inflammation affects the numerous muciparous glands and follicles already described as occupying these tissues. And the leucorrhoeal discharge itself is the consequence of such inflammation. According, to the nature, the degree and the intensity of this inflammation, this discharge will differ from the natural mucous secretion of the parts either in increased quantity only, or in color, consistence and actual character.

Description- In color the discharge may be simply what its name implies-a white mucus; or it may be yellowish or greenish, or present a mixture of both these colors. Its consistence may be that of pure mucus. It may be much thicker of a creamy nature; it may be viscid, tenacious and stringy; or very thin and watery. In its actual character it may be catarrhal as if simply an excessive flow of the natural secretion of the vagina; it may either mucus or pus; or muco purulent presenting all the different forms of variations from simple healthy mucous merely increased in quantity, up to the undeniable pus from ulcerated mucous surface. Thus it may also be mild in its influence upon the sensitive external parts; or it may be more or less acrid and irritating causes pruritus; and even corrode and blister the external surface with which it remains in contact. In this form the leucorrhoea is known to become contagious and to develop a similar inflammation and consequent discharge in the parts of the male from sexual intercourse. From this cause innocent women have been accused of infidelity to their husbands. The discharge may be and usually is inodorous, or it may be fetid and exceedingly offensive, especially where it is caused by the presence of worms.

In quantity, this discharge may vary from the smallest amount that can escape the absorbents within the vagina and appear externally perhaps for a few days at a time- up to a flow so constant and copious as to render cloths indispensable, and seriously weaken the patient.

Symptoms- At the first stage of leucorrhoea there are usually the indications of acute inflammation pain heat and redness of the parts involved- which may subside as the discharge becomes more fully developed. With this discharge whether acute or chronic there will usually be more less pain in the groins and hypogastrium, and in the sacral region and small of the back. The urethra will often become implicated causing painful micturition or even dysuria- especially in the more severe acute forms and in the most aggravated chronic cases.

The morbid symptoms which appear in connection with chronic leucorrhoea are innumerable and present every possible variety in their intensity and in the parts of the system in which they are developed. Very many of these attendant symptoms of chronic leucorrhoea should be regarded as the consequences of the primary disorder and of the original causes of that disorder-which combine to breakdown in succession the principal organic functions of the system. Thus the menstrual irregularities-which so constantly attends the more severe forms of leucorrhoea, and especially those cases in which the discharge arises from the cervix and even from the body of the womb. is seen to be the natural and direct result of the leucorrhoea and of the causes which produced this discharge or if such menstrual irregularities be not the immediate and direct result of leucorrhoea, it can hardly fail to becomes a final consequence of the general debility of the entire system which severe forms of this discharge must sooner or later produce. In like manner the appetite fails and the digestive powers becomes enfeebled. And inveterate constipation follows from such weakness of the digestive apparatus, and from the general nerves debility- and still further complicates the case. The circulation is feeble; the respiration impeded and the temperature of the whole body reduced as indicated by constant and general chilliness. The nervous system is impaired; the animal spirits depressed, and the natural buoyancy and cheerfulness of temperament and disposition replaced by irritability fretfulness and settled melancholy.

H.N. Guernsey
Henry Newell Guernsey (1817-1885) was born in Rochester, Vermont in 1817. He earned his medical degree from New York University in 1842, and in 1856 moved to Philadelphia and subsequently became professor of Obstetrics at the Homeopathic Medical College of Pennsylvania (which merged with the Hahnemann Medical College in 1869). His writings include The Application of the Principles and Practice of Homoeopathy to Obstetrics, and Keynotes to the Materia Medica.