MAKE UP

Þ    Thin, scrawny, feeble, cachectic and pale, sunken countenance
Þ    Very old looking, feeble persons
Þ    Lax muscular fibers, everything seems loose and open
Þ    Irritable, cross, mildest words offend her
Þ    Nervous temperament
Þ    HOT patient
Þ    The skin is cold, yet the patient doesn’t want covering
Þ    Hemorrhagic Diathesis

FEMALE SYMPTOMS

MENSES

Þ    Irregularly regular
Þ    Passive hemorrhage in feeble, cachectic women
Þ    Burning Pain in uterus
Þ    Copious flow of black, liquid blood, worse from movement
Þ    Hemorrhage with spasmodic contraction of uterus
Þ    Too frequent, too profuse with prolonged bearing down pain
Þ    Cold extremities
Þ    Worse just before the menses
Þ    Continuous oozing of watery blood until next period

LABOR

Þ    There is no expulsive pain
Þ    There is irregular pain, which is too weak, feeble and ceasing occasionally
Þ    Everything seems to be loose and open, but no action
Þ    There may be fainting attack during labor
Þ    Too long, too painful, severe contraction after labor
Þ    Dark offensive lochia
Þ    Retained placenta
Þ    Suppression of milk in lean and thin exhausted women. Breast do not fill properly
Þ    Puerperal fever, putrid discharges, suppressed urine

ABORTION

Þ    Threatened abortion at 3^rd month
Þ    Associated with prolonged bearing down forcing pains
Þ    May be due to over lifting, straining and hard work
Þ    Strength of uterus is weakened by too early efforts

It is also useful in cases of Mole, Polypi and morbid growth in the uterus with prolonged forcing pains.

“It has been used successfully in chronic metritis, uterine fibroids, polypi and sub involution of the uterus.” (Dr. Hilderbrandt)

DIGESTIVE SYSTEM

STOMACH

Þ    Unnatural ravenous appetite even with diarrhea
Þ    Craving for acids and lemonade
Þ    Unquenchable thirst for large quantities of cold water
Þ    Nausea
Þ    Vomiting of blood and coffee ground fluid
Þ    Aversion to food, drinks especially hot
Þ    Constant eructation with bad odor

ABDOMEN

Þ    Cholera like symptoms due to summer weather, suppression of discharges
Þ    Profuse watery, fetid, brown exhausting, involuntary stools as if the anus was wide open
Þ    Cold skin, yet can not bear to be covered
Þ    Cramps, extensor type
Þ    Pale face, pinched, sunken Hippocratic look with blue rings around eyes
Þ    Diarrhea with coldness of parts with aggravation by covering
Þ    Profuse exhaustive diarrhea
Þ    Involuntary stools
Þ    Olive green, thin, putrid stools
Þ    < heat  > cold

 SKIN

Þ    Shriveled, numb, mottled
Þ    Dusky, blue tinge
Þ    Sclerema
Þ    Gangrene, developing slowly
Þ    Burning sensation better by cold
Þ    Wants parts uncovered
Þ    Skin cold to touch yet < by covering
Þ    Great aversion to heat
Þ    Large ecchymosis and blood blisters
Þ    Skin hangs in folds as if very loose
Þ    Slight wounds continue to bleed, petechiae
Þ    Boils, small, painful with green contents
Þ    Formication under skin
Þ    Varicose ulcers

HAEMORRHAGE

Þ    Continuously oozing
Þ    Thin, watery, black
Þ    Fetid
Þ    Blood with a strong tendency to putrescence
Þ    Continuous bloody watery discharge between two periods so that it is practically speaking a continued flooding.
Þ    Great debility with hemorrhage
Þ    Trifling would causes persistent bleeding
Þ    Passive hemorrhage

MIND

Þ    Great anguish and fear of death
Þ    Fear with desire to jump into water
Þ    Loss of consciousness or consciousness seems to continue to the last breath and just before death, it seems as though the patient would improve.
Þ    Sad, irritable, nervous

NUMBNESS

Þ    Sensation of creeping or as if ants are crawling is very important
Þ    Feels better by rubbing
Þ    Numbness of limbs
Þ    Sensation of deadness in any part
Þ    Hemorrhage proceeded by numbness and tingling

MODALITY

AGGRAVATION

Þ    Heat, warmth, warm application
Þ    Covering
Þ    Just before menses
Þ    Touch

AMELIORATION

Þ    Open air
Þ    Cold, cold drinks, cold application
Þ    Uncovering
Þ    Rubbing
Þ    Wants to be fanned

SECALE COR

SEPIA

ACT. RAC.

SABINA

Menses

Copious

Too late or too early

Delayed, irregular

Menorrhagia, too early

Long lasting

Irregular

Profuse

too profuse

Suppressed

Too long lasting

Type of Blood

Dark blood

Too scanty

Coagulated

In paroxysms

Regular oozing until next period

Too profuse

Irregular

Very offensive

Protracted

More the flow, more the pain

Partly liquid , partly clotted

Concomitants

Crampy pain

Bearing down sensation

Severe pain

Labor like pain

Coldness of skin

Pain from back to front

Pain from hip to hip

From sacrum to pubes

Internal heat

Prolapse uterus

With hysterical and chorea

Music is intolerable

Yellow leucorrhoea before menses

Rheumatic pains

Rheumatism

Labor

Weak labor pain

False labor pain

No expulsive action

Electric like pain

Shivering in 1^st stage

Abortion

3^rd month

3^rd month

Constitution

Thin , cachectic

Weak, earthy, yellow spots on face

Hysterical

Tendency to abortion

Hemorrhagic diathesis

‘tell tale face’

Mental symptoms are important

Hemorrhagic diathesis Chlorotic

HOT

CHILLY

CHILLY

HOT

Modality

< just before menses, covering

<morning, washing, laundry work, before thunderstorm

< cold, during menses

<motion, warmth

> open air, uncovering, cold application

> exercise, pressure, warmth

>warmth

>cold applications

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