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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

Views: 548

Comment by Debby Bruck on November 1, 2010 at 11:25pm
Thank you so much for this fascinating blog of information. I would be interested to know about the list of remedies in decreasing order presented here. How did that list come about?

Did you show here the most common symptoms or rubrics used for a woman experiencing PMS?
Maybe other HWC members will add some from life cases they have cured.
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 1, 2010 at 11:33pm
Dear Debby, Thanks. After repertorizing the most common symptoms stated above in the article, the list of indicated remedies is obtained.
Comment by Dr Muhammed Rafeeque on November 2, 2010 at 6:07am
The exact etiology for PMS is unknown, which means homeopathy is the best for its management!
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 2, 2010 at 6:24am
Dr. Rafeeque, Thanks. It does not matter if the etiology is known or unknown, Homoeopathy is always better. If we know etiology, we can remove maintaining cause or causa occasionalis and speed up the recovery of the case.
Comment by Dr Muhammed Rafeeque on November 2, 2010 at 11:55pm
True! Homeopathy is effective for all types of cases. Actually what I mean is, when aetiology is definite, they will apply some specific drugs to suppress the symptomatology. The patient also feels better temporarily. Hence, we may not get such patients during the initial stages. Whereas, if the aetiology is not known, many good modern medical doctors refer the cases to other systems. Our senior homeopaths used to get a number of cases like peritonitis, terminal stages of Typhoid etc. But, now they know the aetiology and block the symptoms by some specific methods.
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 2, 2010 at 11:59pm
I agree with you Dr. Rafeeque!
Comment by Dr.Sharad Shangloo on November 3, 2010 at 1:07am
Dear Dr.Rajneesh thanks for such a nice collection of rubrics
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 3, 2010 at 4:53am
Thanks Dr. Shangloo.
Comment by Dr. Prabhat Kumar Dasgupta on November 4, 2010 at 10:58am
Dear Dr Rajneesh,
If possible provide a case history of PMS you treated ,along with the methodology.
Known etiology may definatly help to find out the basic miasm ...
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 5, 2010 at 2:29am
Dear Dr. Dasgupta,
Thanks. I shall publish that very soon.

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