This painful affection may occur at any menstrual period, and in some cases it may be traced back to the commencement of menstruation. The amount of pain varies; in some cases it may be moderate, lasting only a few hours, in others so excessively severe, as to cause fainting or delirium.

Causes

This painful affection may be of a neuralgic character, or be produced by the smallness of the mouth of the womb, or as is mostly the case with plethoric persons, be occasioned by a congested state of the secretory vessels of the womb. A fruitful cause of the deranged state of the womb may be traced to those almost innumerable instances, where the patient has violated some of nature's laws. The digestive organs are impaired by an unnatural state of living, and this, together with the buckram and whalebone used to compress certain portions of the body, impedes the natural circulation.

Treatment

The most prominent remedies in this affection are, Aconite, Pulsatilla, Secale, Belladonna, Nux-v., Platina, Cocculus, Sabina, Ferrum, Conium, and Veratrum.

Aconite will be required if there are febrile symptoms present, quick pulse, thirst, rapid respiration, headache, and restlessness. It may frequently be alternated with Pulsatilla or Belladonna.

Dose

One drop, or twelve globules, in a tumbler of water, a tablespoonful every half hour.

Pulsatilla

Menses retarded, with discharge of black and coagulated, or pale and serous blood. Also when there are colic, abdominal spasms, severe pains in the small of the back, sometimess passing down the thighs, nausea, vomiting and shivering sensation. It is particularly indicated, when attended with sadness or melancholy, or when caused by exposure to wet or cold, grief, mortification, or fright.

Dose

Same as Aconite.

Belladonna

Violent pain in the back, and sensation in the lower part of the abdomen, as if the organs would be forced out, accompanied with congestion of blood to the head or chest, pulsative pain in the head, and heat and redness of the face. Particularly suitable in persons of plethoric habit.

Dose

Same as Aconite.

Cocculus

Early appearance of the menses, with abdominal spasms, or discharge of small quantities of dark coagulated blood, with pressive colic and nausea; paralytic weakness and spasms in the chest, or convulsive movements of the limbs.

Dose

Same as Aconite.

Secale

Menses profuse and of long duration, with tearing and incisive pain, coldness of the extremities, and great weakness.

Dose

One drop, or six globules, in a tumbler of water, a table-spoonful once in three or four hours.

Ferrum and Platina are indicated where there is profuse menstruation, but severe pain in the back and loins, cramps in the abdomen, discharge of dark blood, mixed with membraneous shreds.

Dose

A powder, or three globules, once in two or three hours.

Nux-V

Where there is gastric derangement; writhing pains in the back, with nausea; pains of a spasmodic character, felt in the abdomen and neck of the bladder.

Dose

Same as Ferrum.

Graphitis

Menses feeble and of short duration. Griping and abdominal spasms; violent headache, nausea, pain in the chest and rheumatic pain in the limbs.

Dose

A powder, or six globules, once in three or four hours. It would be well to give a dose of the appropriate remedy, every third night during the interval between the monthly period.

When the pain is severe, use warm applications over the lower portion of the abdomen.