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PREMENSTRUAL SYNDROME (PMS) in terms of Homoeopathy
Definition
❏ Variable clusters of symptoms that regularly occur prior to each menstrual episode
❏ More correctly called ‘ovarian cycle syndrome’ since symptoms depend on ovulation
❏ Also called ‘menstrual molimina’
❏ Etiology is unknown
Symptoms
❏ Occurs 7 -10 days before menses
GENERALS - MENSES - before - agg.- abies-c. alum. alum-p. Am-c. am-m. arg-n. arist-cl. asaf. asar. Aster. Aur-m-n. Bamb-a. Bar-c. bar-i. bar-m. bar-s. bell. berb. Bit-ar. borx. BOV. brom. bry. CALC. CALC-P. calc-sil. canth. carb-an. Carb-v. carbn-s. carc. caul. Caust. cham. chin. cimic. cina cocc. coff. Coloc. Con. croc. CUPR. cypra-eg. dig. dream-p. dulc. elaps ferr. ferr-i. foll. gels. germ-met. granit-m. graph. hep. Hyos. ign. iod. ip. Kali-c. kali-chl. kali-m. kali-n. Kreos. lac-h. LACH. Lil-t. luna LYC. Mag-c. mag-f. mag-m. mag-s. Mang. Merc. mez. mosch. mur-ac. nat-c. NAT-M. Nat-p. Nit-ac. nux-m. nux-v. ol-an. petr. Ph-ac. Phos. pin-con. Plat. pneu. psor. PULS. rhus-t. rob. ruta sabad. sars. Sec. SEP. sil. spig. spong. stann. staph. sul-ac. SULPH. thuj. tub-m. tub-sp. valer. VERAT. Vib. vip-a. ZINC. zinc-p.
❏ Relieved by onset of menses
GENERALS - MENSES - during - beginning of menses - amel.- anthraci. aster. cer-ox. Cycl. cypra-eg. eupi. glycyr-g. haliae-lc. hydrog. LACH. Mag-p. plb. sal-fr. Senec. Zinc.
❏ 7 day symptom-free interval must be present in first half of cycle
GENERALS - MENSES - after - amel.- aran. arist-cl. calc. cimic. kreos. lycps-v. pitu-a. thyr. Zinc-p.
❏ Physiologic and emotional symptoms
• Irritability
MIND - IRRITABILITY - menses – before- anthraci. arge-pl. Aur-m-n. Aur-s. bamb-a. berb. bros-gau. calc. carc. carneg-g. Caust. Cham. choc. cocc. cycl. des-ac. eupi. falco-pe. FOLL. gink-b. hep. irid-met. kali-c. kali-p. kreos. lac-e. lac-h. lach. lil-t. loxo-recl. luna Lyc. mag-m. moni. morg-g. Nat-m. Nux-v. ozone pic-ac. ptel. Puls. sacch. sacch-a. Sep. suis-pan. sulph. thyr.
• Anxiety
MIND - ANXIETY - menses – before- acon. am-c. aur-m-n. calc. carb-an. carb-v. carbn-s. Cocc. con. foll. Graph. Ign. kali-bi. kola m-arct. mag-m. manc. mang. merc. Nat-m. Nit-ac. Nux-v. ph-ac. puls. Stann. Sulph. zinc.
• Depression
MIND - SADNESS - menses – before- acon. am-c. amp. aur. Aur-m-n. Aur-s. bamb-a. bell. berb. brom. Calc. carc. carl. Caust. Cimic. cocc. Con. cycl. cygn-be. des-ac. dream-p. ferr. ferr-p. foll. ger-i. gink-b. hell. helon. Ign. iris lac-c. lac-d. LACH. Lyc. manc. mim-p. Murx. musca-d. nat-c. NAT-M. neon Nit-ac. phos. plat. psor. ptel. PULS. rhus-g. sabal sacch. Sep. STANN. stram. tub. Verat. vesp. vip-a. xan.
• Sleep disturbance
SLEEP - SLEEPLESSNESS - menses - before - agg.- agar. carc. cycl. dendr-pol. goss. kreos. petr-ra. senec. tub.
• Appetite change
STOMACH - APPETITE – changeable- alum. am-m. Anac. Ars. bar-s. berb. carc. chir-fl. cimic. CINA coc-c. cocc. coloc. Cur. cycl. falco-pe. fl-ac. gels. gran. grat. ham. iod. lach. Mag-m. meph. merc. nat-m. Nit-ac. op. phos. podo. positr. syph.
• Libido change
MALE AND FEMALE GENITALIA/SEX - SEXUAL desire - complaints of- agn. bar-c. calc. CANTH. chin. Con. graph. Lil-t. LYC. Nux-v. ph-ac. PHOS. pic-ac. plat. sel. Staph. stram. sulph.
• Fatigue
GENERALS - WEARINESS - menses - before - agg.- alum. amp. Bell. carb-an. gink-b. Nat-m.
• Suicidal ideation
MIND - SUICIDAL disposition - menses – before iris Lach.
• Fluid retention
GENERALS - DROPSY - general; in- anag. Apoc. asc-c. Blatta-a. Cain. calad. calc-ar. cortiso. cyna. elat. gali. juni-c. kali-act. kali-c. lac-h. mom-b. nat-m. nit-s-d. onis. puls. solid. spartin-s. Uran-n.
• Weight gain, bloating
GENERALS - OBESITY - women; in- am-c. calc-ar. cer-ox.
Treatment
❏ Psychological support
❏ Diet
• Decreased sodium, fluids, carbohydrates
• Increased protein
• Avoidance of caffeine and alcohol
❏ Medications
• Regular exercise
• Homoeopathic remedies in decreasing order of frequency of indication in PMS-
1. Pulsatilla
2. Sepia
3. Calcare carb
4. Lachesis
5. Natrum mur
6. Kali carb
7. Sulphur
8. Zincum met
9. Lycopodium
10. Mag carb
11. Phosphorus
12. Conium mac
13. Nux vom
14. Graphites
15. Kreosote
16. Nitric acid
17. Veratrum album
18. Belladonna
19. Ignatia amara
20. Silicea
21. Nux moschata
22. Viburnum opulus
23. Alumina
24. Hyoscyamus
25. Ammonium carb
26. Cocculus indicus
27. Mag mur
28. Thuja
29. Causticum
30. Clac phos
31. Cup met
32. Platina
❏ Bibliography
1. Benson & Pernoll's Handbook Of Obstetrics & Gynecology
2. Berek’s & Novak’s Gynecology 14th Ed
3. BlueprintsSeries_Obstetrics_Gynecology3ed2003Callahan
4. Carpenter-Pediatric_and_Adolescent_Gynecology.2ed
5. Clinical Protocols In Obstetrics And Gynecology
6. Current_ObandGyn.9ed.with_images
7. Dewhurst’s Textbook of Obstetrics and Gynaecology 7th Ed
8. Havens-Manual_of_Outpatient_Gynecology.4ed
9. Nutrition for women
10. OBSTETRICS AND GYNECOLOGY AT A GLANCE
11. Primary-Care-in-Obstetrics-and-Gynecology-2nd-Ed
12. Stenchever-Comprehensive_Gynecology.4ed
13. Text book of female urogynecology
14. The_Johns_Hopkins_Manual_of_Gynecology_and_Obstetrics.2ed
15. Williams_Obstetrics.21ed.with_images
16. RADAR 10
Comment by Debby Bruck on November 1, 2010 at 11:25pm 
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