grains of sugar of milk) put into the hot water,
seasoned as above, has often obtained great credit, when the _hot water_
was alone worthy. Rubbing the loins and abdomen briskly downwards with
the hands of a healthy and vigorous nurse, will often excite the
menstrual flow after a sudden suppression. If the head is hot, the face
full and red, and the arteries of the neck and temples beat violently,
give _Bell._ with _Pulsatilla_, and if the lungs are oppressed, use also
_Bryonia_, giving the three in rotation. If, after the menstrual flow
begins, there is still much pain in the pelvic region, give
_Caulophyllin_, which will immediately afford relief.
_Apis mel._ is very servicable in suppressed menses of several days, or
even weeks duration, where there is fever, redness of the face, and pain
in the head, and pains in the hips extending to the limbs, especially if
there is any tendency to bloating of the abdomen and swelling of the
limbs or feet. It acts _promptly_ and _efficiently_.
If the suppression has been caused by sudden fright or any strong mental
emotion, _Veratrum_ should be given in connection with the two former
medicines. Should there be great fullness of the vessels of the head, or
bleeding at the nose, _Bryonia_ with _Pulsatilla_ are to be used.
_Bell._ is also useful in this case if the pain in the head is
throbbing, especially if any delirium is present.
For suppression in young females, of several months duration, I have
used, with much success, _Podophyllin_ and _Macrotin_, one at night, the
other in the morning, giving them for two or three weeks before the
proper time for a return, and a day or two prior to the time, give also
_Pulsatilla_, and give the three in rotation, a dose every six hours.
This practice has been successful with me in cases of long standing and
apparently obstinate character. Where there is other disease, as an
affection of the liver, lungs or stomach, this must be treated and
cured, or the menses will not probably return. Great care should be
exercised to keep the patient's feet and limbs warm, as upon this may
depend her future health.
Dysmenorrhoea.--Painful Menstruation.
For this disorder, I know of no one remedy so valuable as the
_Caulophyllin_, but _Pulsatilla_ in many cases is efficacious, and as
they do not prevent each other's action, I prescribe them in
alternation, giving a dose every half hour, for a short time during the
paroxysm, or until the pain a
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