Our provings are so unfortunately deficient in symptoms arising from the effect of the drugs on the female genital system, that the diseases of that system are considered by the profession generally as unusually difficult of treatment.
Each carefully reported case of cure, especially of a chronic disease, by a single remedy, assists in determining the characteristic action of that remedy, and if the disease be one of a class presenting peculiar difficulties in the way of treatment, to a great or less extent, helps to remove the difficulties. The following case is offered in the hope that thereby a mite may be contributed toward a just appreciation of the remedy in its general action, and especially in its application to a disease sadly prevalent in this country.
Statement of Case. — J. A. O., aged 24 years, medium height, dark complexion, dark hair, nervous temperament, very fond of music. Has suffered for years with dysmenorrhea, accompanied with violent head-ache.
Period generally delayed; discharge lasting about seven days, scanty, coming for a few minutes at a time, then ceasing for six or eight hours — bright, clotted, without flow; no indications of the approaching menses. An hour or two after the first appearance of blood the pain sets in. Pain in the hypogastrium going to the back; feeling of obstruction internally; dragging pain in the back and pain throughout the lower extremities which seems “deep.” The easiest position is flat on the back with limbs extended; walking aggravates the pain; warmth diminishes it. Pain in the head, principally in the anterior part and eyes, very severe, aggravated by stooping and walking, relieved by pressure. Nausea in stomach; sometimes vomiting. Feverishness; sweat (from warm clothing?); cold hands and feet; pulse about one hundred and twenty. Violent rapid pulsation felt throughout the body, except in the head. The symptoms of pain, fever, &c., diminish and cease on the second day; has had previous to the last two or three months slight leucorrhea (removed by cold sitz baths), as follows: — insensible, slight, rather tenacious, odorless, yellowish discharge.
Therapeutics. — Taking the cardinal points of a bright, clotted discharge, delayed in time, and Boenninghausen's invaluable Therapeutic Pocket Book as a guide, I was reduced to a choice between Hyos. and Sabina.
A careful comparison of the pathogenetic effects of these drugs determined me in the choice of Sabina as the proper remedy for this case. Accordingly powders of Sabina200 were given, to be taken two every week until the next period; then, if the pain and head-ache were severe to dissolve one powder in a tumbler half full of water and take a teaspoonful every two hours while the pain continued severe; after the first period one powder weekly. As she was unable to report regularly to me, I gave her my statement of the case and requested her to note any improvement or change of symptoms. The following is her report:
Result. — October, 1860. Delayed three days, preceded for two days by head-ache and slight palpitation; attended by no pain for eight hours, then very slight pain of the old character — dragging down. Still very scanty, clotted, no flow; no pain in back or limbs; no nausea; very little fever.
November. Delayed forty-eight hours; preceded for one day by slight head-ache; no pulsation; attended by considerable pain in back and lower abdomen; feeling of obstruction, only lasting two hours; no headache; no pulsation; quantity doubled, less clotted; slight flowing and more frequent; no sensation of any kind after first day.
December. Just four weeks to an hour; no premonitory symptoms whatever; very slight flow for two days, but attended by no pain; no rapid pulsation; no fever; slight nervousness. After second day flowing quite freely and constantly for two days; lasting slightly eight days. Two weeks after, pain in back, quite severe; sensation as if everything had slipped out of place; dragging down pain, lasting two or three hours, relieved by one powder. The next two weeks considerable leucorrhea, the first since September.
January, 1861. Perfectly regular in every way; not one of the old symptoms remaining, except a very slight nervousness the first day, lasting seven days and followed by none of the unfavorable symptoms of the previous month.
|Source:||The American Homoeopathic Review Vol. 03 No. 01, 1862, pages 30-33|
|Description:||Case of Dysmenorrhea.|
|Editing:||errors only; interlinks; formatting|