The dragging down is recognized as prolapsus uteri. It is felt in the whole abdomen and is described as a funneling sensation, as if the parts would push out into the world, a dragging down. Oversensitiveness (of the abdomen; especially in the lower part of the abdomen. She cannot stand on her feet or walk around much, because of the weight and dragging down.
Labor-like pains in the uterus and back as if the menses would come on. It is not uncommon for the Pulsatilla patient to feel through the whole month as if she were about to menstruate.
The abdominal and bowel symptoms are associated.
Cutting, flitting changing pains. Pains urging to stool. Griping, in the bowels associated with dysentery or diarrhoea; loose watery or green stools. A striking feature of the bowel symptoms is a loose, watery, green stool, continually changing; yellow, faecal, slimy.
In summer complaints, when Pulsatilla is the indicated remedy, there will be hardly two stools alike; continually changing. This is characteristic of Pulsatilla in general; the pains wander; complaints change by metastases; the patient is scarcely ever twice alike. Diarrhea alternating with constipation. Menstrual flow stops and starts, intermits and changes. In the Pulsatilla patient you never know what you will find next.
Dysentery; dysenteric stools; scanty, slimy, bloody, green, watery stool with a little spurt; next stool might be diarrheic, with quite a copious discharge; thus you have diarrhoea and dysentery together.
Troublesome chronic constipation; stool large, hard and difficult to expel. It has (like Nux) frequent urging to stool without any, stool, or frequent urging with only a scanty stool; goes many times before can pass a stool, Nux and Pulsatilla.
Frequent unsuccessful urging in a chronic case is looked on as a keynote to Nux vomica, but many remedies have it. Pulsatilla is one. The diarrhoea and bowel symptoms of Pulsatilla are worse, in the evening and during the night; that is, the stools are worse at night. The stomach, throat and mouth symptoms are worse in the morning. The mental symptoms are worse in the evening. The bowel and stool symptoms are aggravated by keeping perfectly still, and ameliorated by gentle motion.
There is much restlessness in Pulsatilla. Amelioration from motion in the cool open air. Feels stuffed up in a close room, and wants the windows open.
“Dysenteric stools of clear yellow, red or green slime; pain in the back, straining.”
“Stools of deep green mucus; pain in the abdomen; no thirst.”
You will remember the word green in Pulsatilla, as it relates extensively to the catarrhal discharges.
Most troublesome constipation with hemorrhoids; violent pains in the hemorrhoids, worse lying down, ameliorated from gentle motion, worse from the warmth of the bed, better moving about in the open air.
She becomes so nervous in a room while at rest that the pains seem intensified and she must move about.
Hemorrhoids:
“Hemorrhoids; painful protruding, blind, with itching and stitches in anus.”
The aggravation from lying down in extremely painful hemorrhoids is contrasted with Ammonium carb. which has violently painful hemorrhoids relieved by lying flat on the back. In violently painful hemorrhoids, with intense burning, think of Arsenicum and Kali Carbonicum.
In those with sticking, tearing pains study Aesculus.
Looking over a number of years I have been forced to use in this cases a remedy not yet fully proven. In painful hemorrhoids, in a broken down constitution where the whole disease seems to culminate in the hemorrhoids; bleeding, protruding; a mere touch almost causes a convulsion; it causes her to scream out at the top of her voice; it is so painful that she feels that death would be a relief; she lies in bed, holding the nates far apart with her hands; after every stool she has three or four hours of extreme suffering. In these case look up the Paeony.
The hemorrhoids it cures look like the flowers of the plant, they are so inflamed, so red and bleeding; oozing; tender to touch; patient is so worn out with the pain. It has many times relieved the pain and cured these enormous hoemorrhoidal tumors. I have cured them after they. Had been operated on, and all sorts of violence done them, without relief. Do not go to this drug if you can find a remedy that covers all the patient. Many patients will not confess any other symptoms, and some of these will suffer so much from the hemorrhoids alone that you will really need this remedy.
Urine: frequent, scanty, with urging; wonderful tenesmus; extremely painful, bloody, burning, smarting urine; there is scarcely a drop collects in the bladder but it must be expelled.
She cannot lie on the back without having a desire to urinate. She may go all night without urinating if she does not lie on the back, but the minute she turns on her back she is wakened by the desire to urinate and she feels that if she does not hurry she will pass it involuntarily.
Involuntary urination when coughing and sneezing, or from a sudden shock or surprise, or from sudden joy, or from laughing, or from the noise of the slam of a door or a pistol shot. Pulsatilla has dribbling of urine, dribbles on the slightest provocation.
She must keep her mind. Continually on it, or she will lose her urine. As soon as she goes to sleep it flows away. Little, mild, gentle, florid, plethoric, warm-blooded girls, who kick the covers off at night and have nocturnal enuresis.
Yellow, sallow, sickly girls who lose their urine in their first sleep call for Sepia. Losing the urine in the first sleep is looked upon as a strong symptom, but you can figure it out, and hence it is not so. All those cases that have to make an effort to hold the urine during the day lose in their first sleep; for then the mind is taken off it, and as soon as the mind is taken off it the urine dribbles.
Causticum and Sepia are remedies looked upon as curing involuntary urination during the first sleep, but I have cured it with many other remedies.
A man past middle age flooded the bed at night as soon as he went to sleep. The medicines which have this are limited and be had received them all. I found I must figure it out on another basis. I ascertained that when moving about at his work he had no difficulty in holding the urine but when he sat down he had to make an effort to control it. At the time this condition developed he had been in Atlantic City and had bathed much in the ocean. Here were the aggravation and amelioration of Rhus, and Rhus cured him. Few would think of Bryonia in urinary trouble.
When he moves the urine dribbles, when he walks it flows. He is relieved only by keeping quiet. Bryonia is aggravated by motion; Rhus is relieved by motion.
Pulsatilla has relief from motion. A few remedies have relief from slow motion and of these Pulsatilla and Ferrum are the most striking. A few remedies are relieved by hurried motion; want to move fast. Such are Bromine and Arsenicum. The Arsenic child cannot be carried fast enough. The Pulsatilla baby is content with moderate motion. Any motion that heats up the Pulsatilla patient aggravates all the complaints. A wood sawyer working hard said his cough was relieved by moving about but when he became heated up from sawing he had to sit down and rest on account of the violent spasmodic cough that would come on.
Pulsatilla has complaints from exposure to rain; getting feet wet. Urinary troubles, worse when getting chilled (Dulcamara). Pulsatilla establishes a chronic, inveterate catarrh of the bladder. Copious mucous discharge, bloody discharge, especially after taking cold. Thick, ropy, purulent, green, offensive discharge.
Men: Sexual desire unusually strong.
“Long lasting morning erection.”
“Sexual excesses resulting in headache, backache; limbs heavy.”
“Burning and aching of the testicles, with or without swelling.”
Orchitis; inflammation and swelling of the testicles from suppressed gonorrhea, from mumps, from catching cold, from, sitting on damp ground, or on a cold stone when perspiring. Gonorrhea suppressed by injections.
“Cold” settles in the testicles. Pulsatilla is the most frequently indicated remedy in gonorrhoea. in which the discharge is thick yellow or thick yellow and green, in those who are sensitive to heat, ameliorated walking in the open air. But also in persons with no other symptoms, and the gonorrheal discharge is thick yellow or green; no symptoms contra-indicating it.
Troublesome lingering discharges; an old gleet rouses into a thick yellow discharge, when be takes cold or after coition. Frequent tenesmus; chordee; urging to urinate; burning urination and yellow discharge.
Tumefaction about the penis. Foreskin dropsical. (Nitric ac., Acidum fluoricum, Cann. sat.). Pulsatilla is useful in cases of suppressed gonorrhea, with complaints following. Inflammation of the prostate. In old sinners with enlarged prostate, hard, flat, packed faeces, must always use a catheter; especially when the trouble has been brought on by sexual abuses, sexual excesses, vices. Pain in the testicles; tearing in the swollen testicles. Pain along the cord like cutting of knives; lacerating, tearing.
In 1881, Kent accepted a position as professor of anatomy at the Homeopathic College of Missouri, an institution with which he remained affiliated until 1888. In 1890, Kent moved to Pennsylvania to take a position as Dean of Professors at the Post-Graduate Homeopathic Medical School of Philadelphia. In 1897 Kent published his magnum opus, Repertory of the Homœopathic Materia Medica. Kent moved to Chicago in 1903, where he taught at Hahnemann Medical College.