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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

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Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 9, 2010 at 10:32pm
Dr. Sayed, May be there a prevalence of PID like conditions due to some unhygenic conditions, may be due to sorry but local cutoms....if any.
Comment by Debby Bruck on November 9, 2010 at 11:31am
That is weird that my comment disappeared. Well, I'm wondering what I said? A commentary about the linked article on Calcium Carbonate and PMS. The fact that in homeopathy we use Calcium carb listed as number THREE in your list. And, I would like for someone to itemize the list of symptoms as reported in the article and compare with symptoms here. That Magnesium carb which is number TEN on your list combines the much needed Magnesium with the component of Calcium, as reported in the study. We're had this information for centuries as important elements to help a woman through cramps and emotional ups and down of menstruation. Then, we also have the popular Magnesium Phos for cramps better for warmth and heat. I hope that is everything.
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 9, 2010 at 4:08am
Thanks Dr. Sayed.
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 9, 2010 at 4:08am
I agree with You Debby... Magnesium, Calcium, carbon and some more drugs are frequently indicated in PMS. We need to study more painfully in this regards. Accidentally, your comment has been disappeared from here, but I remember that. The particulars have little value only. In evaluation of personality and making Totality, Mentals and generals are of prime importance. We should consider the particulars only when mentals and generals are deficient or absent. We can use particulars for palliation or in acute conditions, but very carefully. If a constitutional remedy also covers particulars, the miracle is sure........
Comment by Dr Rajneesh Kumar Sharma MD(Hom) on November 9, 2010 at 12:06am
Thanks for this wonderful literature...
Comment by Debby Bruck on November 8, 2010 at 11:22pm
Calcium carbonate and the premenstrual syndrome: Effects on premenstrual and menstrual symptoms
Open this PDF file all about Calcium Carbonate and PMS suggested by Dr Arindam
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.
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 3, 2010 at 4:53am
Thanks Dr. Shangloo.
Comment by Dr.Sharad Shangloo on November 3, 2010 at 1:07am
Dear Dr.Rajneesh thanks for such a nice collection of rubrics

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