Almost any remedy might be called for in obstetrics and gynæcology but these are some that are frequently indicated.
Arnica montana. During the later years of my obstetrical work, I gave Arnica 6X routinely to all of my obstetrical patients-following delivery, unless some other remedy was specifically indicated. It hastened recovery and relieved the soreness of the tissues. It also helped prevent any fever or other complications. The 6X potency was used instead of a higher one because in the modern hospitals of today, there are too many things used routinely that would interfere with a higher potency.
Calendula. Calendula used externally is not really homœopathic, but I always kept a bottle of the tincture in the obstetrical department to be used on any sutures where there were lacerations.
The obstetrical nurses were very careful to tell me when the bottle was getting empty, as they said that they had never seen anything relieve the soreness of lacerations as it did. Many doctors recommend diluting the Calendula, but I have found that it is more effective when used full strength, only applying it sparingly. It is also useful as a vaginal douche when diluted to one-fourth or fifth strength. I would not want to practice medicine without Calendula as it is practically the only antiseptic that we use loyally.
Pulsatilla. One of the earliest complaints of the pregnant woman is morning sickness. It may vary from a condition which is merely disagreeable to one that is very serious. Choice of the remedy depends on the type of patient and the concomitant symptoms. Pulsatilla to for the timid, weepy peevish woman who is phlegmatic in temperament and slow in her reactions. Worse in the evening, cannot get to sleep at night. Chilly, yet aggravated by heat. Aggravated by rich food, by pork. No thirst. Pulsatilla is indicated in labor pains ceasing ; distressing ; spasmodic ; irregular ; too weak ; too strong ; too slow ; ineffectual. False pains and labor-like pains which make her walk about to obtain relief. Dr. W. A. Yingling, in his Accoucheur’s Emergency Manual, says that abnormal presentations may be righted if Pulsatilla is given before the membranes are ruptured or the presenting parts are finally engaged. Other remedies will do the same but Pulsatilla is probable more often indicated for such a condition. It is suitable for mild, fearful women, who are in an apparently healthy condition, yet the uterus seems almost inactive in the labor.
Natrum Mur. The Natrum mur. patient is excitable, laughs immoderately at something not ludicrous, and then becomes sad and anxious. When consoled she become angry. Throbbing headache, pain as if the head would burst. Violent hiccoughs. Nausea is caused by bread, acids food, fats and the smell of tobacco. Worse in the morning, better from cold things. The nausea is accompanied by pyrosis and vomiting of thin watery fluid. Unquenchable thirst but craves salt. Natrum mur. may be indicated when labor pains are ineffectual.
Ignatia. Ignatia has many of the symptoms of Natrum mur. but is characterized by hysteria, much sighing and sobbing. Nausea with weak sinking feeling in the stomach is relieved by eating or taking a deep breath. Craving for acids and indigestible things. Severe twitching and cramps, worse from pressure. The headache of Ignatia is usually a sharp, boring pain. Nervous spasms amounting almost to convulsions during labor. It is useful in nausea, arrested labor, after-pains and hæmorrhage where-indicated.
Arsenicum album has nausea from sight or smell of food ; regurgitation of acrid matter, worse after eating or drinking. Craves small amounts of acid water often but loves warmth. Irritable, restless, anxious with fear of death. It is indicated in labor where there is a sense of exhaustion after every effort, however small.
Nux vomica has pyrosis after acid or fatty foods and continual nausea, worse in the morning. Sleepless at night, irritable no appetite and constipated. Nux vom. may be indicated in metrorrhagia, false or inefficient labor pains and where after pains are too violent.
Moschus has violent vomiting in the morning at the sight of food. Fainting, hysteria, violent rage. Feels cold, is better from warmth. There is aggravation from pressure, motion or cold. Sulphur is indicated in labor when the pains are too weak or cease and in cases of retained placenta, with hour-glass contractions. Symptoms are sudden and frequent flushes of heat all over the body, burning eructations, worse from warmth and at 11 A. M. There is great desire for sweets, aggravation from milk. Weakness at 11 A. M. and must eat, but eats little and drinks much.
Cimicifuga racemosa is another remedy having a tonic effect on the uterus, preventing miscarriage. The patient is worse by touch, motion, cold air and better from rest. When abort pains are severe and tedious, Cimicifuga causes the pains to become rhythmic and softens the rigid os. It promotes normal involution and hastens recovery.
It has nausea of pregnancy with severe frontal headaches with intense pain in the eyes, better from pressure. Dejection and incessant talking. It is used in the treatment of painful and irregular menstruation and in pregnancy where there is a tendency to abortion and given before term it renders labor easier, prevents after-pains.
Aletris farinosa often gives relief in most obstinate vomiting of pregnancy and in weak persons with a tendency to abortion. There is weakness, constipation, loss of appetite, and nausea better from drinking coffee or eating dinner. It is also indicated in menorrhagia with profuse, very dark blood.
Helonias, like the two preceding remedies, is a uterine remedy of great power, tonic in its effects on the prolapsed uterus and ligaments, valuable in threatened abortion and often in albuminuria of pregnancy, also. The breasts are sensitive and there ma, be severe backache, worse over the kidneys. Worse from motion cool air and better from warm air. When indicated it is helpful in amenorrhœa and dysmenorrhœa.
Vipera torva is indicated many times in varicosities and phlebitis during pregnancy and the menopause. A striking modality is the sensation as if the legs would burst when hanging down. Also remember Hamamelis in knotty, swollen, painful varicose veins and ulcers.
One could enumerate many more remedies valuable in obstetrics and gynæcology not mentioned here. In conclusion may I say that homœopathic prescribing prevents many complications in pregnancy, averts many malformations in the newborn and carries the patient through the menopause much comfortably than under any other form of treatment.
A. DWIGHT SMITH, M. D.,
Source : Journal of American Institute of Homœopathy, March April 1967.