Comes first to mind as the homoeopathic remedy for menstrual suppression. It is indicated where the menses flow by fits and starts, or when the suppression is due to wetting of the feet; also, in delayed first menses in chlorotic girls. It must be carefully distinguished from **Dulcamara, which has menses suppressed from getting the feet wet, but whose temperament is not that of **Pulsatilla. Bayes remarks that in amenorrhoea with anaemia “great Judgment is required in the selection of the dilution, which ought to vary from the 30th to the Ist, according to the sensitiveness of the patient, ” Jahr ranks **Sulphur with Pulsatilla for insufficient pale menstruation. The **Pulsatilla patient is disinclined to exertion, with poor appetite and longing for acids, is apt to faint easily and suffers from a tremulous anxiety. Senecio is useful also in amenorrhoea with chlorosis.
Calcarea carbonic. [Calc]
This remedy is also, like **Pulsatilla, indicated in amenorrhoea when the first menses are delayed, but with Calcarea there is apt to result congestion to the head or chest, giving rise to lung troubles. It is typically indicated in fleshy, scrofulous girls with fair complexion, perspiring easily about the head and subject to acidity of the stomach. Menstrual suppression in those decidedly scrofulous, or with lung affection, especially indicates **Calcarea.
**Belladonna has menstrual suppression with congestion to the head, but its chief use is in amenorrhoea appearing suddenly due to cold, with bearing down and throbbing pains in the hypogastrium and painful urination.
**Gelsemium. Here the drowsy apathetic state is prominent and neuralgic pains of the head and face accompany.
**Glonoine. Intense throbbing of head and albuminous urine occurring when the menses do not appear. It will act promptly if at all. If the menses are suppressed from fright, **Aconite, Actea spicata and Lycopodium must be thought of. **Opium and Veratrum also have this symptoms.
**Further symptoms indicating **Calcarea in amenorrhoea are palpitation of the heart, dyspnoea worse ascending, cold damp feet, etc.
**Lilium tigrinum. Of use when amenorrhoea causes, by reflex action, heart symptoms.
Ferrum metallicum. [Ferr]
This is another useful remedy for delayed first menses where there is debility, languor, palpitation, sickly complexion and puffiness about the ankles. It corresponds to weakly, chlorotic women with flushed face, or pale and livid with blue margins about the eyes. It is especially useful in those who have been dosed with quinine and nervines.
Insufficient or tardy menstruation occurring in the feeble and debilitated, those of dark complexion, delicate skin and who are sensitive to all impressions. In delay of first menses where a leucorrhoea occurs in their stead with determination of blood to the chest and pale face, the remedy is well indicated.
**Bryonia has nosebleed instead of menses frequently accompanied with bursting headache, and **Phosphorus has haemoptysis and haematemesis instead of menses. **Lachesis should not be forgotten here. Nosebleed and headache relieved by menstrual flow.
**Graphites. Here, when the menses are suppressed, delayed or scanty, and accompanied with obstinate constipation, and indurated ovaries, it comes in especially well after Pulsatilla. It holds the same relation to the menopause that **Pulsatilla does to puberty and youth. A sallow complexion, frequent paroxysms of headache, felling of abdominal emptiness and ball like constipation, which are marked **Sepia symptoms, will easily distinguish this remedy.
**Cimicifuga. Cowperthwaite praises this remedy highly in amenorrhoea, giving it when no special indication are present, in nervous women subject to rheumatism or arthritic attacks, with aggravation of mental symptoms when the menses should appear.