Dysmenorrhoea calls for **Pulsatilla when the menses are dark in color and delayed; the flow will be fitful and the more severe the pains are the more chilly the patient will get. The pains grip and double the patient up. It is perhaps more useful when given between the periods, and in congestive dysmenorrhoea, from wetting of the feet, it may be compared with **Aconite, but in **Aconite the discharge is bright red in stead of dark. **Chamomilla and Cocculus are two remedies which run along side by side with **Pulsatilla in dysmenorrhoea, and all need careful individualization. **Chamomilla has also a dark flow, but it has such characteristic mental symptoms of crossness and incivility that it cannot be mistaken. It will relieve many cases (12X). **Cocculus also has dark flow. It has a pain as if sharp stones were rubbing against each other in the abdomen from accumulation of flatus; the pains are worse at night, awaken the the patient and make her irritable. Menses come too early, sometimes nausea is an accompaniment. It also is said to be more efficacious given between the periods. The mental condition of **Pulsatilla, if present, will always indicate the remedy. Further, if the pains shift about the indications of **Pulsatilla are still stronger.
A most useful remedy in dysmenorrhoea and scanty, irregular menstruation. Uterine cramps. Profuse discharge of clotted blood and severe headache accompanied by nausea; a heaving up and down of the stomach as in seasickness. It suits cases on the borderland between the neuralgic and congestive types of dysmenorrhoea. Uterine cramps with suppressed irregular menstruation and a sero-purulent bloody discharge were favorite indications of Dr. Conrad Wesselhoeft. **Gelsemium Ix has also proved useful in the spasmodic form. **Ignatia has dysmenorrhoea with menstrual colic or bearing-down in the hypogastric region, hysterical labor-like pains relieved by pressure.