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The Gleanings-XI PART-2 PREGNANCY & LACTATION (FEMALE GENITALIA)

Dr. M. A. USMANI

 

[In the present situation writing a chapter on homeopathic care of pregnancy seems to be redundant. The obstetric science and the maternity practice has so advanced that no niche has been left for homeopathy. And the people have accepted it. In the urban population, in every country, no pregnant woman thinks of going to a homeopath for advice and treatment of ailments incidental to pregnancy. They, as routine, get themselves registered with the maternity department of a hospital, or a maternity home. These homes have their definitive procedure and settled routine to cater these patients 

 

A good long part of rubrics concerning the complications of fetal growth and intricacies of labor have fallen to disuse as redundant. Homeopathy cannot vie here. And we should not have any grudge for that. This is an advancement of science; and everybody should welcome it. Many pathological conditions that used to be common occurrences have become the relics of the midwifery of yore. Puerperal convulsions and eclampsia are no more problems now. These and such complicacies are forestalled and therapeutically precluded in modern maternity practice.   

 

But the malpractices in the garb of advancement of science should be guarded by vigilant and knowledgeable homeopaths. Unnecessary C-Sections, and perineal tears, and many such practices should be examined. The beauty and benefits of natural birth cannot be equated with surgical procedures, which lead to physical maiming and devastation, and life-long crippling effect. The abiding pain at the site of the epidural injection can give a lifelong backache.

 

Homeopaths have an important role to play during the ante-natal period. They can help save the expectant mother from nausea, vomiting, anorexia, insomnia, phobias, depressions, funks and countless other ailments incidental to this period. Homeopathy has always excelled in this field and will always excel and shine.

 

The most important role that was given to a homeopathic physician by the old sage, Hahnemann, was to miasmatically treat the expectant mother. This is the time, as Hahnemann has pointed out, to free the mother and the child, from the miasma of the ages. One should carefully and distinctly determine the chronic miasm of the pregnant mother, and give the anti-miasmatic shots, interspersely.

 

Select, e.g., from psoric medicines, for the enceinte, who used to have scanty, late menses with lot of pain; and bland leucorrhea, among other general psoric symptoms. And a preparation of Tuberculinum for a woman, who used to have copious, prolonged and bright red menses; with other complications occurring during this period, as diarrhea or constipation, before or during menses.  The leucorrhea of such patients is purulent, yellow, lumpy, and of disagreeable odor. The labor of such patients is difficult, tiring and prolonged.  There would also be habitual abortion.  In Sycotic patients the pains would be spasmodic and colicky; the flow acrid, excoriating and fishy in smell. The leucorrhea would be dirty green, burning, and excoriating, and same smell. There would also be pelvic pathologies as tumors and ovarian cysts. Pelvic cancers and habitual abortions, and mal-formation of fetuses, should be considered Syphilitic.

 

More about this sometimes in future.  I’ve avoided discussing the labor rubrics for the evident and above-mentioned reasons.  ---MAU] 


FECUNDITY & FERTILITY

Sterility, Infertility: Obstinate Cases: Natrum Carb.

In obstinate cases of sterility study Nat-c.  (T.K. Moor)

 

Favors Easy Conception:  Borax

[So, Nat-carb and Borax should conjointly be studied for sterility and infertility. MAU]

 

Sterility, Primary Uterine Inertia: Thyroid.

 

Uterine Tonic: Viburnum Prun.

Habitual miscarriages; menstrual irregularities of sterile females, with uterine displacement. Morning sickness.  D.  Drop doses of Mother tincture. (Boericke)

 

Tendency to Abortion, from Non-development of Uterus: Plumbum

Plb. tends to produce non development of uterus; we may, therefore, find it indicated in cases of tendency to abortion. The fetus in utero increases in size, but the muscular fibers of the uterus do not develop in proportion, hence the uterus is no longer able to accommodate the growing fetus, and thus the abortion ensues. (CMM p. 622)

 

Difficult Conception: Con.

 

Habitual Tendency to Abortion: Alet. F. (Dunham, Th.Ph. p. 158)

 

Tendency to Early Abortion: Thyroid.

Premature labor. prevents repeated abortion.

 

Frequent and Early Miscarriage:  Vib.Op.

Causing sterility. False labor pains. Sudden cramps and colic in abdomen, tender to pressure about the umbilicus.

 

Habitual Misscarriage: Vib. Prun.

Threatened abortion. Supposed to be uterine tonic. Employed to prepare women for labor, to control after-pains, prevent post-partum hemorrhage and assist the normal involution of the uterus.  (Blackwood)

 

Recurrent Miscarriage: must always arouse suspicion of syphilis. LEUTICUM (Syphlinum) will ensure that next pregnancy will proceed normal.

 

Threatened Miscarriage: Cimicfuga

When pains fly across the abdomen from side to side. (Lyco.  from right to left; Ipecac. from left to right, with nausea).

 

Abortion, 3rd. Month:  Sabina

Pain commences in small of back, and goes around and through the pubes. Drawing, aching pains which are so common in abortion, and which run through  from the sacrum to the pubes. Bright red, clotted flow of blood, increasing with every motion.

 

Abortifacient & Ecbolic : Cimicifuga
Actea Racemosa “produces miscarriage without the inflammatory irritation of Sabina, and excites in labor less unremitting contraction than Secale.   (Hughes, Pharmacodynamics)

 

Pseudocyesis (False Conception)

Nat-c.: It is one of the remedies useful for expelling moles or the products of a false conception.

 

SABADILLA: useful in imaginary diseases, e.g. the patient imagines that she is pregnant, when really she is swollen from flatus.

 

Thuja Occ.: A sensation as though a living child were in the abdomen. This symptom has suggested the use of Thuja in Pseudocyesis. (CMM)

 

COMPLICATIONS INCIDENT ON PREGNANCY

Vomiting, Obstinate, of Pregnancy: Alet.F., Cucurbita.

Intense nausea after eating.       Immediately after eating: Cucurbita

 

Insomnia: Ammon. Val.

Insomnia, especially during pregnancy and menopause, in feeble, hysterical nervous patients. Great nervous agitation or erethism is always present.

 

Varicose Veins over Abdomen, during Pregnancy:  Hamamelis

The patient cannot make any motion without experiencing a sore and bruised feeling internally and externally.  (CMM p.346)

 

Varicose Veins in Pregnant woman: Millifol.

Use mother tincture.

 

Cough during Pregnancy: Kali-br.

With threatened abortion.

 

Pain in Sacro-iliac Symphysis during Pregnancy: Calc.ph.  (CMM)

 

Albuminuria of Pregnancy: Euopnymus Europ.

With general malaise, nausea, and dropsy.

 

Albuminuria of early Pregnancy:  Merc-cor.

PHOSPHORUS, later at full term. (Boericke)

 

Heartburn during Pregnancy: Zincum

Accompanied by varicose veins of the legs. Hunger is particularly manifested towards noon. Bitter taste which is referred by the patient to the fauces. As soon as the spoonful of water reaches the stomach, it is ejected.  (CMM) (Read also Conium)

 

Toothache during Pregnancy: Mag.Carb.

Pains worse at night and force the patient to get up and walk about. Ratanhia has the same modalities. Chamomilla is complementary to Mag.Carb. Some think that Sepia is the specific for toothache of pregnancy.   (CMM)

 

Vomiting of Pregnancy: Cerium Ox.

Spasmodic reflex vomiting, (and spasmodic cough). Vomiting of half digested food.

INGLUVIN: Vomiting of pregnancy and gastric neurasthenia.   (Boericke)

 

Vomiting of Pregnancy: Throid., Lac.Def.

 

Vomiting of Preg. with Deathly Nausea: Tabacum

Pallor and coldness with cold sweat.

 

Nausea and Vomiting from Odor of Food: Stannum

The Stannum patient is troubled with disordered digestion, otherwise called dyspepsia. There are nausea and vomiting in the morning as in Colchicum. The odor of the cooking causes vomiting. This last symptom is particularly is strong indication for Stannum, especially for women. There is a weak gone feeling in the stomach, as in Sepia; also bitter taste in the mouth. The rectum is inactive. Much urging is required to evacuate even a soft stool. Face pale and sunken. (CMM)

 

Hiccough during Pregnancy: Cyclamen

 

Morning Sickness with Sympathetic Disturbance of heart:  Vib. Prun.

 

Dyspnoea during Pregnancy:  Viola Od.

 

Pelvic Congestion with Hemorrhoids, especially in Later Months:  Coll.

 

Rigid Os: Verat.v.,   ( Comp. Bell., Gels.)

 

Eclampsia: [A severe manifestation of toxemia of pregnancy, associated with fits and coma. A sudden convulsive attack.Kali-br.

Pressure of the child on some of the nerves in the pelvis, or against an undilating os, causes spasms. [Similarly it is indicated where some indigestible substance, in the stomach produces convulsions.]  (CMM p. 713)

 

Puerperal Convulsions:  Glonoine

An admirable remedy for convulsions coming on during labor. The face is bright red and puffed, the pulse is full and hard, and the urine albuminous. The patient froths at the mouth, unconscious. (Also best for congestion of the head from suppressed menses.) (CMM 437)  Compare Glonoin with

 

Veratrum Ver: cerebral congestion is profound. The patient lies in apoplectic condition. Between convulsions she is not conscious, but lies in deep sleep. Face red, eyes injected. The pulse if full and bouncing.  (CMM 257)

 

Puerperal Fever with Metritis:  Kali-c.

There are sharp, cutting or stabbing pains in the abdomen, which is bloated and distended. The urine is dark and scanty. The pulse is rapid but feeble.    (cf. CMM 741)

 

Puerperal Metritis:  Tilia Europ.

Intense sore feeling about the uterus. There is also marked bearing down with hot sweat that does not relieve.


TEREBINTHINA: bearing down in uterine region; burning like fire about the hypogastrium. Burning urinating with dark cloudy muddy urine. Tongue dry and red.

 

Puerperal or Post-partum Fever: Sulph.    (cm.potency) (T.K.moor)

 

Puerperal Peritonitis: Sulph. Potency 30 --Dunham

 

Labor Pains:  Dictam. Alb.


AFTER-PAINS

Pulsatilla: with Pulsatilla temperament. These pains, otherwise call more frequently for CHAMOMILLA, CAULOPHYLLUM, and XANTHOXYLUM.  The last two remedies are particularly useful.


Cuprum Met,: is a good remedy for severe crampy after-pains in the multiparae. [Cuprum is of great value, and is used by many as a routine remedy in after-pains; and especially for women who have born many children. Other remedies mostly used are: Viburnum Op., Arnica, Cimicifuga, Coffea, Xanthoxylum.]


Cimicifuga: During and after labor: high degree of nervousness, with intensely apprehensive moods. Fainting spells with crying out in agony; pains worse in the groin. (CMM 328)

 

MAMMAE & LACTATION

To Reduce the Size of the Breasts, and to Dry Up Milk: Frag.Vesc.

DOSE: An infusion of roots.  (Murphy)

 

To Dry Up Milk at Weaning: Boletus Laric. Material Doses.

 

AGALACTIA

Pulsatilla: Pulsatilla is indicated even after labor. The milk is tardy, even absent, with the painful swelling of the breasts; the patient being gloomy and tearful.


Urtica Urine: The best remedy for non-appearance of milk without any other symptom.


Ricinis Communis: (or Castor Oil): This when used externally develops milk. Also when given internally in low potencies.


Agnus Castus: Agalactia when the mind is greatly depressed.


Causticum: Agalactia in women with rheumatic diathesis. Also when over-exertion and loss of sleep, threaten their supply of milk, with sallow sickly face. (CMM 356)

 

An Excellent Galactagogue:  Lecithenum

It renders milk more nourishing and increases the quantity.
See also: Lac.d., Galega., Lactuca Vir. Asaf.   (Boericke)

 

 

PATHOLOGIC

Threatening Mammary Abscesses

Bryonia: Often indicated in sharp, stitching pains, tension of breast, and swelling of pale red color.


Belladonna: Symptoms violent. Area of redness spread out in radii from the central point of inflammation.


Phytolacca: When from the beginning the breasts show the tendency to cake; especially when suppuration threatens. When the child nurses the pain goes from the nipple to the whole body; streaking up and down the spine. The milk is apt to be excessive.


Phelandrium Aquat.: When the pain courses along the milk ducts, between the act of nursing.


Croton Tig.: There is pain from the nipple to the back, when child nurses, as though the nipples were being pulled by a string.  (CMM 301f)

 

Mammary Abscesses:  Phosphorus

The inflamed gland has an erysipelatous appearance. Red streaks radiate from the opening in the abscess. The puss discharge is not laudable, but of a thin, watery, ichorous character. Here it is complementary to Silicea, and very similar to Belladinna.

 

Miscellaneous   
    

Nux-Symptoms in Females: Gratiola

 

Climacteric Disturbances:     Oophorinum

 

Sensitiveness to Coitus: Platinum


Other remedies: Sepia, Belladonna (from dry vagina);


Kreosote: (When followed by Bloody flow);


Ferr., Nat.m.,  Apis., (When associated with Stinging in Ovaries);

 

FEMALE SYMPTOMS IN REMEDIES:

MAGNESIA MUR.

Bearing down in uterine region. Menses are black and pitch like, and are accompanied by pain in back when walking, and in the thigh when sitting. She has also leucorrhea after every stool, or following the uterine spasms. With all these symptoms there is always the Mag.Mur. constipation, in which the stools are passed with great difficulty, being composed of hard lumps, or they are so dry that they crumble at the anus. If one finds that symptom with the uterine symptoms, one may be sure that Mag. Mur. would help. (CMM)

 

NATRUM CARB.

1)    Bearing Down: There is a pressure across the hypogastrium, as if something were being pushed out. On examination in such cases one finds the os uteri indurated and misshapen. There is considerable congestion of a pressive kind in the uterus, causing pulsation there during and after coitus. The extra influx of blood caused by sexual erethism brigs about this pulsation.

2)    Leucorrhea: which Nat.c. causes is thick, yellow, and sometimes has a putrid odor. Increases after coition, and ceases after urination.

3)    Weak labor pains:  which cause a great deal of anguish, tremors and perspiration with every pain, and are relieved by gentle rubbing, which, by the way is a general characteristic.

4)    Expulsion of Moles or the product of False Conception:  Nat.c. is one of the remedies useful for this purpose. (CMM 694f)

 

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