MEDICAL GYNAECOLOGY

Read before the I.H.A., June 1928, Bureau of Obstetrics.

ELIZABETH WRIGHT, M.D.

 

An allopathic physician who is a friend of mine said: “What can your homoeopathy do for womens diseases?” Then I began to turn over in my mind what cases I had had which showed with any degree of satisfactory incident some of the things that homoeopathy could do for womens diseases. I want to report just a few of them.

The first is a case of a fibroid which definitely diminished in size under the influence of the homoeopathic remedy. I will put it to you as I can. I hope the discussions will criticize it.

It is a woman of 46 who has one child, living and well; she came to me with the chief complaint of futility. She said: “There is nothing wrong with me, doctor, I just think that life isnt worth living, and I want you to do something about it.”.

So I went into her case, took her chronic case with great care over a number of interviews and I found that from a diagnostic standpoint she complained of facial acne, of menstrual disorders which I will tell you, and of a feeling of complete exhaustion. Aside from that she was conscious of no symptoms.

Her menstrual symptoms were as follows: she had periods at least every three weeks, sometimes a little oftener with bright red flow, with actual haemorrhages perhaps twice during the period, and the period was somewhat protracted. She would also have, every three months or so, a period of about ten days between her menses, when there would be spotting and bleeding. This irregularity had been going on for three years and she had never been to a doctor about it and never done anything about it. She also had, as you can imagine, a chronic backache and chronic headache, which didnt bother her much.

The symptoms that she would give me were very few and far between. She was one of the people who said: “Here I am, I am futile, now kill me,” and you couldnt get her to tell you things, but finally this one came out, when I started to examine her: “The odor about me is too disgusting, especially right after my period. I simply cannot live with myself, and the same is true of my perspiration, if it is really dreadful.”.

I immediately thought of despair, futility, with terrible odor she was an exceedingly chilly patient: yet I didnt give her at first what I ought to have given her, which was of course Psorinum. Because of certain other generals which she had, to wit, very much worse in thunder storm weather, craving salt and being excessively thirsty for ice water, and a marked aggravation at twilight time, and this flowing, and, on examination, a tremendous fibroid in the left side of her pelvis, a fibroid which came two fingers above the umbilicus (she admitted realizing that her abdomen had been getting bigger and heavier), instead of giving her Psorinum I gave her Phosphorus 1M, just one dose.

She didnt get much better she didnt please me at all. Then I left the Phosphorus and I gave her Psorinum 5c, 1 dose. She came back to me after her next period and said it was the first period the she had had in years which was not early, and which was not haemorrhagic.

I let her run on that dose for five months with constant gradual improvement on her part. She noticed no aggravation at all after the dose, but she was a very unobservant person. At the end of three months I examined her again, her fibroid was down to the level of the umbilicus.

Presently she began to slip. I let her slip for a couple of weeks, obdurately, although she was cross and she even had a period at which she had haemorrhage again, and then when I saw she was really worse, I gave her Psorinum 15c. 1 dose, and let that ride for five months, after which time this tumor in her left pelvis was three fingers below the umbilicus, and she had had three periods which were prompt, not early, and non-haemorrhagic and the terrible odor of which she complained was better and she herself (far from being futile and talking of drowning herself), was doing political work with the League of Women Voters, and being quite an addition to society. Of course the end is not yet.

She still has this fibroid and occasionally has a little spotting from it. I told her what she had, after consulting with her husband, and I told her ordinary medicine would advise her to have it out, but I would not, remedy, and she said no matter who advised having it out she wouldnt have it out.

I feel in my mind perfectly certain that as she is still having periods and is not yet at the menopause, and as she showed no improvement after the Phosphorus, and did show marked diminution after the Psorinum, that the homoeopathic remedy did something with the fibroid.

Another case, also of fibroid, but this time in a girl of 21, had rather an interesting childhood history. She showed the following:.

As a child she would never let anyone wash her, she had always hated water, also she used to crave sweets and be spanked for craving them; also as a child she had chilblains terribly and she had a hernia. All those things of course would make one think of a possible dose of Sulphur, some day. None of those symptoms appeared in her recent condition.

Her recent condition, the thing for which she came to me, was too frequent menstruation, and too profuse. She would menstruate about every three weeks and spot on for ten days after her nine- day period ended. In her menstrual history I found she began to menstruate at ten and a half, and that she menstruated from that time regularly twice a month for about seven years, was unexamined and it was never stopped.

Recently she had had not quite as frequent menstruation, but she had had drenching with it, a steady flow, bright and profuse and some pain, but not violent, slight nausea before her periods and soreness of her scalp and swelling of the glands of her neck a general aggravation before the time of her period.

This girl had certain marked symptoms of Phosphorus; craved salt, was worse at thunderstorm time, was worse in damp weather, complained of continual exhaustion, was losing weight. A rectal examination showed a distinct fibroid about the size of a two and a half months pregnancy.

I thought that in an unmarried girl like that I had better have corroboration. I sent her to one of the best old-school obstetricians and got a written report from him confirming this fact. This girl was engaged, and he said to her: “By no means can you get married now. Considering your age I dont advise x-ray therapy or operation. I dont know what to do for you except build up your health. Meanwhile your engagement is indefinite.”.

She came back to me with this report, and after that I put her on Phosphorus 1M, one dose, and I ran her up through a series of Phosphorus, at long intervals. Her periods became more regular and she began to put on weight, and her general condition became better. After six months I sent her back to the obstetrician and again he said to her: “There is an amazing thing this fibroid has gone down.”

She said: “Has it gone down more than you would expect?” Because she had a secret delight in being able to tell him what had done it. He said: “It has. You are very lucky. If you want to make a date for your wedding you may, but you must not have children yet. What have you been doing?” She told him, and he threw up his hands. Then he added: “Come back to me again in six months.” And she did, after going slowly up the scale of Phosphorus, and feeling better.

Six months afterward he said if she had come to him them for the first time he wouldnt have known that she had a fibroid condition, and that she could get married and could even start a family if she wanted to, and that we have in our records in writing, which is a great joy to us.

Then she developed another interesting variant, she began having terrific pain in her left pelvis after menstruation. This pain would go to the back and down the front of the thighs. Nothing helped it, nothing hurt it. At this time she also had a white, sort of albuminous leucorrhoea which she told me she used to have long, long ago.

Then she said: “I have a passion for onions; I have never liked them, and I want onions every day in the week.” I thought, this is interesting, with this discharge, this fibroid, craving onions, and this left ovarian pain which Thuja had and I gave her a dose of Thuja 10M, since when she has been much better. She has now gone back to her Phosphorus, (she seemed to call for that again after three or four months). This is to me a very interesting and encouraging case.

There are certain other gynaecological conditions much less interesting because there isnt the possibility of checking up what good you do.

One patient came to me who had a history of terrific menorrhagia and metrorrhagia. As a girl they had done a “d and c” on her; after that she almost bled to death, and had to be transfused. She was not then homoeopathic. In January 1924, although she was then 23 years of age, they gave her x-ray treatments to stop the bleeding. She began to get hot flashes, had no more periods, fell in love, got engaged, and got married. The doctor who gave her the x-ray treatment said, “It will come back,” but it didnt come back, and after two years from that time those doctors said: “I guess we were mistaken, you will have to adopt a baby.”.

She came to me and said: “I am desperate, my husband is the last of his family, we have got to have a kid, and I have had no periods since the time of this x-ray. Can homoeopathy do anything?” I thought: we will see. I did her chronic case and I seem to be harping on Phosphorus today, but she was Phosphorus, and I think if she had had Phosphorus it would probably have checked those haemorrhages she had.

I put her on Phosphorus, 1 dose, repeated it four months afterward, and five and a half months after she began treatment with me, which was four years after she had had her x-ray treatment, she had a period, and she telegraphed me in great excitement, and thereafter she has had periods, although slightly irregular. As yet there is no baby, but if she keeps on we may have one.

I would like, in the discussion, to have those who know about the effects of x-ray on menopause, give statistics of a period coming back after four years.

Another case that I have in mind here is one with a local thick yellow stringy elastic discharge in a very beautiful and very calm young woman. I accent that because the remedy I gave her stands in the book for beautiful and calm people, Kali- bichromicum, and she hadnt a symptom in the world that I could find except this discharge, and she had been under a regular obstetrician who was going to do a repair and various things local treatment with carbolic and iodine. She objected to these.

She has had two doses of Kali bichrom. 1M at 2 month intervals, her discharge is practically among the absent; whether it would have stopped anyway open to question, but it was so typically a Kali bi. discharge that I feel we might add that to our list.

Then there were a couple of cases which really are mental, and yet they come in under the sphere of the sex organs. They were both cases of onanism, one in girl of 27 who had done it from the time she was a child, and I had had her as a patient for aphthae of the mouth, which she had horribly. I put her on Kali mur. which helped her very much. She confessed this other thing to me one day and apparently it was very serious.

She was lifes greatest snob, and she had no reason to be and also she was a great one for washing, washing, washing, which goes psychiatrically with that state of affairs. She certainly had a superiority complex, and had practically no symptoms, but just on the mental haughtiness and insistence on cleanliness, and onanism, I gave her Platinum 2c, one dose. Before doing that I gave her Sac. lac. and told her it would cure her. She was neurotic, I wanted to see what would happen.

She called up a few days afterward and said: “Your medicine doesnt do any good.” I knew it wouldnt. After having tested that on her I sent her Platinum 2c, one dose. In two weeks she came again and said: “I dont know what you gave me, but for the first two days after your dose I was much worse, and from that day until this I havent a sign of it,” and I think she went four months on that remedy, and then she came around and said, “Its coming back.” I gave her another dose, 1M, and at that time she was relieved, then moved away. I havent heard from her since.

There was another case of the same thing in an older woman. The other case also went very well with Platinum.

The other cases are stoppage of periods by getting wet, nausea in pregnancy, all of which are not signal enough to take your time at the end of this long day.

DISCUSSION.

Dr. Wilson: You spoke of the use of x-ray in your one case. I wonder what x-ray in potency might have done. I had a case of an entirely different type, it was a case of cancer of the breast that had gone on to such a point she had been operated on twice, the pectoral muscles had all been removed, there was nothing left but just the ribs covered with skin, everything had been removed, then there was a recurrence in the scar. She went under x-ray treatment, in New York, for that condition, and she was horribly burned all over the shoulder and all over the chest, and the doctors in New York, in the hospital there, finally told her sister that they could do nothing more for her, and advised putting her under a local physician just for observation.

It happened to be my lot, and my first prescription for her was X-ray in potency. It was remarkable to me how the burning sensation where she was burned, and the redness all disappeared and I was just wondering what a potency of X-ray of which there is a proving, might have done in your case where the menstruation had been stopped by the x-ray treatment of the uterus.

Dr. Dienst: Before you close I wanted to add a word as to the efficacy of the homoeopathic remedy in pathological growths.

We men who have quite a bit of country practice run across all sorts of conditions of mankind. A farmers wife called at my office complaining of the usual symptoms that go with haemorrhage and fibroid tumor there is no question about it it is not necessary for me to go into details, but she was morphologically a typical Calcarea individual, so 1 gave her Calc. carb., the 1M potency. This was in August and in the latter part of September I repeated that, but in the 10M potency.

I saw nothing more of her until the latter part of November, when she came in and told me that just a few days previous. during corn husking time when the people got up very early and while the men were at the bran doing their chores, she was getting breakfast, when suddenly her feet grew very cold, she couldnt understand it. She went to the old-fashioned cook stove, opened the oven door and put her feet into the oven: while sitting there she had a fearful downward pressure, and all at once something appeared.

She caught it. It came without a haemorrhage, and here was a tumor twice as large as one of those large pears, a typical fibroid tumor. No haemorrhage with that nor since then, and she has been well all these twenty odd years.

Dr. Underhill: You referred to a case cured by Kali bichromicum, that reminds me of a case I had. I had the entire family with the exception of the old man, so when finally he presented himself as a patient I was very anxious to make good there too, and he complained of having had first one and then another ulcer on the covered parts of the body, on the back and arms, buttocks, and so forth.

There usually would not be more than one or two at a time and he had, I think, two at the time he presented himself for treatment, but I didnt look at the ulcers. I took his symptoms, I waited for half an hour without seeing any daylight at all on the case. I couldnt get anything to hang a remedy on. Finally I said: Let me see that ulcer.”.

As soon as I saw the ulcer I thought of Kali bichromicum. It was large and punched out. I found that he was more apt to have pain from two to five a.m., he had a lot of mucus in his nose and throat and I said, “Blow your nose,” so he did and he took his handkerchief away and he had a string there, so I gave him Kali bichromicum and he has never had an ulcer since.

Dr. Boger: One of the sore trials of curing women of female disorders is to hold the patient when she is getting better all over except that a profuse leucorrhoea has appeared. She wants to get that out of the way when she is getting better and she is feeling fine, but the leucorrhoea is getting worse all the time. Then is when she wants something done.

Dr. Green: When you cure a chronic case of all but an eruption, it appears on the face.

Dr. Wright: May I ask one question? Would someone from the floor tell me what if anything a true homoeopath can do as a local application to the cervix of the uterus for instance?.

Dr. Boger: Usually either cold packs or hot packs or something like that.

Dr. Underhill: You mean in case of ulceration?.

Dr. Wright: Where regular medicine would paint it with iodine, is it good practice to use Calendula tincture?.

Dr. Underhill: I have stopped using local applications in the pelvic tract. Usually you will find they are using antiseptic douches. All those things interfere with the action of your remedy.

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