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 irisLach.

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-

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