Charles Gottleib Raue.

Special pathology and diagnostics : with therapeutic hints online

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in the head splitting pain ; in the bowels, limbs and body stitch-like
pain ; great dryness in the mouth, without thirst, or else great thirst,
drinking tumbler after tumbler ; perspiration in short spells, and only
on single parts of the body ; constipation.

Calc. c, fat persons, and those whose menses are too profuse and
return too soon; they sweat easily about the head, and are troubled
constantly with cold and damp feet. Chronic infarcts of the womb.

Canth., constant painful urging and tenesmus in the bladder; like-
wise, in worst eases, when the patients lie unconscious with their arms
stretched out along the side of their body, interrupted by sudden
starting up, screaming, throwing about the arms and even convul-
sions ; all signs of erosions and ulceration of internal organs.

Cham., great agitation of the nervous system ; she seems beside her-
self, with red face and heat all over; she is ill-humored, and can
scarcely restrain herself to treat people with civility ; sometimes one
cheek red and the other pale ; after fits of passion.

Coloc, colicky pains in the bowels, with deadly color of the face and
bending double ; worse after eating or drinking ; partial heat, and
partial coolness of the skin, with quick pulse, vomiting and diarrhoea ;
bitter taste in the mouth ; after indignation.

Crotalus, milk-leg.

Hyoc, typhoid state ; either complete apathy, or else great excita-



422 FEMALE OEGANS.

bility, spasms, jerkings, delirium, wild staring ; tlirowing off bed-
clothes, making herself naked.

Kreosote, putrid state of the womb after child-birth ; confounding
ideas ; loss of memory ; thinks herself well ; discharge of dark, offen-
sive blood from the womb.

Lachesis, constantly lifting the bed-clothes from the abdomen, on
account of an uneasy feeling caused by it ; the pain in the uterus is
relieved by a flow of blood for the time being, but returns soon after-
wards; in bad cases, unconsciousness, livid face, repeated shaking
chills ; skin alternately burning hot and cool ; abdomen distended ;
lochial discharge thin, ichorous ; stool and urine suppressed.

Mercurius, inflammation of the genital organs and ulcers ; moist,
soft tongue, showing the imprints of the teeth, accompanied occasion-
ally with great thirst ; profuse sweat without relief; all worse at
night.

Nuxv., after taking cold, or using different sorts of drugs; in
chronic cases, with bearing down into the vagina and towards the os
sacrum ; constant urging to urinate ; constipation.

Phos., fair, graceful women ; after frequent pregnancies ; pyemic
state and inflammation of the veins.

Puis., after getting the feet wet; frequent chilliness; thirstlessness ;
deficiency of milk ; suppression of the lochial discharge ; mild, tearful
disposition.

Rhus t., constant restless moving; can't lie still; dry tongue, with
red tip ; red rash on the breast ; powerlessness of the lower limbs ;
the lochial discharge turns bloody again ; typhoid symptoms.
Sabina, in metritis hemorrhagica.

Secale, putrescence of the uterus ; abdomen distended, not very
painful ; discharge from the vagina, brownish, offensive ; ulcers on the
external genitals discolored and rapidly spreading; burning hot fever,
interrupted by shaking chills; small, sometimes intermitting pulse;
great anguish, pain in the pit of the stomach, vomiting of decomposed
matter ; offensive diarrhoea ; suppressed secretion of urine ; the skin
is covered with petechial and miliary eruptions, or shows discolored,
inflamed places, with a tendency to mortification ; the patient lies
either in quiet delirium, or grows wild with great anxiety and a con-
stant desire to get out of bed.

Veratrum alb., if commencing with violent fits of vomiting and diar-
rhoea ; hot body ; cold extremities and deadly pale face, covered wdth
cold perspiration ; delirium and great anxiety ; suppressed lochial
discharge ; nymphomania.



DISPLACEMENTS OF THE WOMB. 423

Hydrometra, Haemometpa, Partial or Total Closure of

the Womb,

In consequence of the just considered inflammatory processes, it
happens now and then that exuberant granulations of the mucous
lining or cicatrization of ulcers form adhesions within the neck of
the uterus and thus cause a partial or total closure of its mouth. The
same result may be produced by pseudo-formations within the womb,
or certain flexions of the cervix uteri. In such cases it is obvious
that any secretion within this organ can either not escape at all, or
only with great difl&culty, and under certain favorable circumstances.
The secretion collects and distends the uterus sometimes to a very
considerable size. This distention causes the mucous lining to grow
thin, and its glandular structure, which naturally secretes mucus, to
disappear ; it now approaches the nature of a serous membrane, and
secretes a serous fluid instead of mucus. Thus originates Hydrometra,
or dropsy of the womb.

Hsemomeira it is called, when hlood, instead of serum, collects in the
womb, in consequence of a partial or total closure of its mouth. This
takes place in women who still menstruate ; or the occlusion is a con-
genital imperforation of the organ. In the first instance it is always
attended with contractions of the womb, labor-like pains, or uterine
colic at the period of menstruation, which may succeed in cases of a
partial closure, to press the collected fluid out in gushes ; in the latter
case the menstrual discharge does not take place at all. The existing
trouble may be suspected when repeated menstrual periods pass by
without any flow, although the patient feels all the symptoms of it :
periodical colicky contractions ; bearing-down sensation ; and all the
rest of the symptoms of amenorrhoea and dysmenorrhcea. The ab-
domen commences to enlarge above the os pubis. Only by a physical
examination can we discover the occult complaint.

Therapeutic Hints.— It is clear that, if Homoeopathic treat-
ment of those inflammatory processes could not prevent adhesions
and closure, medicines will not be likely to unclose them. Such cases
require surgical treatment.

Displacements of the Womb.

As the uterus is quite movable, it may be displaced in all direc-
tions. The principal displacements, however, are :

Anteversion, that form in which the fundus of the womb inclines



424 FEMALE OEGANS.

towards the front, leaning upon the bladder and pubis. It may be.
caused by an hypertrophy of its anterior wall ; by peritoneal exudates
or tumors within the abdominal cavity, pressing it forward, or by acci-
dental external injuries or muscular efforts. It causes no particular
symptoms other than those of pressure upon the bladder and rectum.
An examination per vaginam reveals the portio vaginalis inclined
backwards towards the os sacrum.

Eetroversion, in which the fundus of the womb inclines back-
wards towards the os sacrum, or is even pressed down beneath its
promontory. It is found in the early stages of pregnancy ; and may
be caused, like anteversion, by the same abdominal conditions. Its
symptoms consist in a pressure upon the bladder and rectum.

Prolapsus, or falling of the womb. It consists in a descent of
the womb in different degrees; from a mere relaxation or bearing
down upon the upper portion of the vagina, to an actual protrusion of
the womb out of the vagina, prolapsus completus, or procidentia uteri.

As the womb is kept in its natural position by the peritoneum and
the broad ligaments, (which, in fact, are but processes of the peri-
toneum itself.) it is evident that a descent of that organ can take place
only in proportion as there exists relaxation of this apparatus. The
causes for such relaxation may be undue pressure from above ; strain-
ing ; lifting, &c, ; but in a majority of cases we shall find it dependent
upon its own inherent weakness from disease, which makes it at once
amenable to medical treatment.

Its most prominent symptoms are : a sense of weight or bearing
down in the pelvis, as if every thing would issue from the vagina,
worse in walking, standing, and after exertion ; pressure upon the
bladder and rectum, causing a constant desire to urinate and defecate,
often with an inability to accomplish any thing ; more or less leucor-
rhoea. The fact of real prolapsus is readily ascertained by a manual
examination.

Tlierapeutie JSints. — Compare Leucorrhoea.

Ammon. mur., pain as from a sprain in the groin, obliging one to
walk crooked ; menses appear too soon, with pain in the belly and
small of the back ; they flow more abundantly in the night ; discharge
of a quantity of blood with the stool during the catamenia.

Arnica, after a bruise or concussion, which leaves a bruised and
sore feeling in the lower part of the abdomen, so that she cannot walk
erect.



DISPLACEMENTS OF THE WOMB. 425

Argent., pain in the small of the back, which extends towards the
front and downwards.

Aurum, after lifting a heavy load, a sense of weight in the pelvis,
with ischuria and constipation, worse at each menstrual period ; great
dejection of spirits ; longing for death, increasing to a desire for self-
destruction ; or vehement, the least contradiction excites her wrath.

Bellad., pressing early in the morning, as if all the contents of the
abdomen would issue through the genital organs; drawing pain in
the small of the back downwards ; flow of blood between the periods ;
great dryness of the vagina ; frequent, unsuccessful desire to urinate
or to evacuate the bowels ; only a few drops of urine are discharged
from the bladder, and some mucus from the rectum ; dizziness ; roar-
ing in the ears ; congestion to the head.

Calc. c, pressing on the uterus; aching of the vagina; stinging in
the OS uteri ; the menses appear too soon, and are too profuse ; milk-
like leucorrhoea ; inclination to perspire easily about the head ; great
liability to strain a part by lifting ; easily tired by bodily exertions ;
in walking up stairs she feels dizzy and entirely exhausted ; even
talking makes her weak ; great susceptibility to catch cold ; the feet
feel most of the time damp and cold, or else the soles of the feet are
burning hot ; great desire for hard-boiled eggs ; big-belliedness ; scrof-
ulous diathesis.

Calc. phos., every cold causes pains in the joints, and in other places
where the bones unite and form a symphysis or suture.

Cham., abortus; colicky pain and bearing down, with frequent de-
sire to urinate; frequent discharge of coagulated blood, with tearing
pains in the veins of the legs, and violent labor-pains in the uterus ;
she is inclined to be quarrelsome and angry ; can hardly stop talking
about old vexatious things.

China, general weakness in consequence of loss of vital fluids, either
by hemorrhages, profuse diarrhoea, or debilitating illness ; great dis-
position to sweat during motion and sleep ; feels worse from exposure
to the slightest current of air ; all pains are worse from slightest
touch.

Conlum, pain in the mammae before the menses ; pressure from
above downwards, and drawing in the legs during the menses; feeble
or suppressed menses ; sterility ; smarting, excoriating leucorrhoea ;
cough during pregnancy ; cough worse at night, and when lying
down ; vertigo, worse when lying down, or looking round, or going
down stairs ; indurations in the mammae or other glands.

Ferrum jod., retroversion and consequent pressure upon the rec-



426 FEMALE OEGANS.

turn, that slie can neitlier stand nor walk ; constant tenesmus, with
frequent white slimy stools ; scanty, deep-colored urine ; nervous and
hysteric spasms ; scrofulous diathesis.

Ignatia, violent crampy pressing in the region of the uterus, resem-
bling labor-pains, followed by a purulent, corrosive leucorrhcea ; the
menses are scanty, black, and of a putrid odor ; she seeks to be alone,
is brooding to herself, and full of grief; all her pains are aggravated
by drinking coffee or smelling tobacco smoke.

Kali c, pain in the small of the back, as though it were pressed in
from both sides, with labor-like colic and leucorrhcea ; also during
the menses ; the pains in the bowels are apt to recur about three
o'clock every morning ; bloated face in the morning, especially be-
tween the eyebrows and upper lids ; great dryness and itchiness of
the skin ; great tendency to start when being slightly touched.

Lachesis, just as patients with a lachesis-sore-throat cannot bear
any thing touching their neck, so do women afEicted with womb
diseases constantly pull their dress from off" the abdomen ; violent
labor-like pressing from the loins downwards during the menses,
which are scanty ; palpitation of the heart, with numbness in the left
arm ; constant feeling of something in the throat which she cannot
swallow down ; feeling of a ball rolling in the bladder or abdomen,
or in both places ; climacteric period.

Lycop., chronic dryness of the vagina ; pressing through the
vagina on stooping ; chronic suppression of the menses after fright ;
incarcerated flatulence ; varicose veins on the lower extremities ;
jerking and twitching of single limbs or of the whole body, sleeping
or waking ; always wakes up very cross.

Merc, peculiar, weak feeling in the abdomen, as though she had to
keep it up ; close above the genital organs a sensation as if something
heavy were pulling downward, accompanied by a pulling pain in both
thighs, as if the muscles and tendons were too short. During the
menses red tongue, with dark spots and burning ; salt taste in the
mouth; sickly color of the gums, and the teeth are set on edge;
great tendency to perspire ; all the symptoms worse at night ; inexpres-
sible feeling of some internal, insupportable illness.

Natr. mur., pressing and pushing from the side of the abdomen
towards the genital organs early in the morning ; she has to sit down
to prevent a prolapsus uteri ; dryness of the vagina and painful em-
brace ; burning and cutting in the urethra after micturition ; head-
ache on waking every morning; faint, weak voice, and exhaustion



DISPLACEMENTS OF THE WOMB. 427

from talking ; after the abuse of quinine or tlie local application of
nitrate of silver.

Nitp. ac, violent pressing in the hypogastrium, as if every thing
were coming out at the pudendum, with pain in the small of the back,
through the hips and down the thighs ; she feels so weak that she
loses breath and speech. Inclined to looseness of the bowels ; most
violent, cutting pain after an evacuation, lasting for hours ; she feels,
on the whole, better, when riding in a carriage.

Nux vom,, prolapsus after straining by lifting, or after miscarriage;
constant, painful pressing and burning in the uterine region ; pres-
sive pain in the small of the back, worse when turning in bed ; draw-
ing in the thighs ; constant, unsuccessful urging to stool and constant
desire to urinate ; the patient wakes after midnight and lays awake
for hours, then fails into a heavy sleep again, constantly dreaming-
until late in the morning, when she feels disinclined to rise. Always
the first remedy after allopathic drugging.

Platina, great heaviness, pressing in the genitals, extending through
the groins as far as the small of the back ; profuse menses ; great sensi-
tiveness of the parts, with pressing from above down ; internal chilli-
ness and external coldness ; constipation ; feeling of numbness and
rigidity here and there ; also with trembling and palpitation of the
heart ; haughty disposition.

Podoph., great costiveness ; frequent micturition ; weakness and
soreness of the back, especially after washing ; prolapsus ani.

Pulsat., chilliness and paleness of face; bad taste in the morning
and dry tongue without thirst ; is easily moved to tears.

Rhus tox., after a strain or hard labor ; she feels worse after any
long walk ; the pain in the small of the back is relieved by lying on
a hard couch.

Sepia, pressing in the uterus, oppressing the breathing, from above
downwards, as if every thing would come out of the vagina, accom-
panied with colic ; she had to cross her limbs to prevent it ; followed
by a discharge of jelly-like leucorrhoea; slow and difficult evacuation
from the bowels, although the excrements are soft ; pot-belliedness ;
yellow saddle across the bridge of the nose.

Sulphur, weak feeling in the genital organs and pressure on the
parts ; troublesome itching of the pudendum, with pimples all around
and burning in the vagina ; she was scarcely able to sit still ; the
menstrual blood is thick, black, and so acrid that it makes the thighs
sore; burning and smarting leucorrhoea; sudden, imperative urging
to urinate to prevent an involuntary flow; restless and sleepless



428 FEMALE ORGANS.

nights ; congestion of the head with cold feet ; always feels too hot,
especially her feet, which compels her to put them from under the
cover ; walks bent forwards ; all the symptoms worse while standing ;
psoric diathesis.

Uterine Polypi.

They are such as grow on a pedicle or stem from under the mucous
lining into the cavity of the womb, or from under the serous lining
into the cavity of the abdomen ; or they lie embedded in the paren-
chyma of the uterus without pedicles — interstitial fibroids.

They seldom appear before the thirtieth year of age, and their
presence cannot be suspected until the woman complains of a return
of her menses every fourteen days, lasting longer and being more
profuse than usual. A sure diagnosis can be reached only by a phys-
ical examination.

The mucous polypi consist of an exuberant growth of the uterine
mucous lining ; they are usually pediculated ; are either very vascu-
lar, or consist of distended mucous follicles. They are found chiefly
near the orificium uteri, and often emerge from it. They cause violent
hemorrhages and leucorrhoea.

Therapeutic Hints, — As most important remedies compare
Calc. c, Calc. phos., Lycop., Phos., Sanguin., Silic, Staphis., Teucrium,
Thuya.

Cancer of the Womb.

In most cases it is of the medullary kind ; scirrhous and alveolar
cancers are of less frequent occurrence. The degeneration almost
always begins at the vaginal portion, rarely extends to the fundus, is,
however, very apt to spread down the vagina, over to the bladder and
rectum, causing, at the period of its decay, the most horrid destruc-
tion of these parts. Its most important symptoms are pains in the
small of the back, loins, and groins, which grow more and more vio-
lent ; hemorrhages, at first only during the menstrual periods, later at
any time ; and leucorrhoea, which becomes more and more watery,
corroding, and offensive.

The Cauliflower excrescence is a cancroid hypertrophy of
the papillae in the mouth of the womb, which sometimes attains an
enormous size in the shape of cauliflowers. It looks bright red,
bleeds easily, and is prone to cancerous degeneration, in which state



CANCEK OF THE WOMB. 429

it undermines the general constitution by pain and loss of blood, like
cancer of the womb, to wbicb it is similar in all its symptoms. A
certain diagnosis can be gained only by an examination with the
speculum.

Therapeutic Mints.

Arsen., great exhaustion ; restlessness and fits of anguish, with
terrible, sharp, burning pains ; all worse about midnight ; acrid, cor-
roding, and burning discharges, watery, light, or dark-colored, often
very offensive.

Aurum mur., stinging, cutting, pressive pains in the uterine region ;
very offensive discharges ; belching up of wind ; craves nothing but
sour things.

Bellad., painful bearing down in the pelvis, as though every thing
would fall out of the genitals ; a similar pain in the small of the back ;
frequent, transient stitches in the region of the womb ; hemorrhages
from the womb, profuse, often very offensive.

Calc. c, burning soreness in the genital organs; aching in the
vagina ; profuse menstruation ; flow of blood between the monthly
periods ; cold feeling on the top of the head ; great sensitiveness to
cold air and liability to catch cold ; scrofulous diathesis.

Carbo an., burning in the abdomen, extending into the thighs ;
labor-like pain in the pelvis and small of the back, extending into the
thighs, with discharge of slimy, discolored blood ; irregular menses ;
uterus swollen and hard ; cachectic appearance of the face ; earthy
color of the skin ; great weakness.

Carbo veg., paroxysmal spells of burning in the uterine region ;
varicose veins on the external genital organs ; cold knees in bed.

Conium, stitching pain in the womb, accompanied by such symptoms
as accompany pregnancy: nausea and vomiting; craving sour or salt
things ; pain and swelling of the mamm^ during the menses ; dejec-
tion of spirits, &c.

Graphites, cauliflower excrescence ; burning, stitching pains, like
electric shocks, through the womb, extending into the thighs ; great
heaviness in the abdomen when standing, with increased pains and
faintness ; menses only every six weeks, with a discharge of black,
clotted, offensive blood, and an increase of all the sufferings ; con-
stipation ; earthy color of the face ; frequent chilliness ; sad, des-
ponding.

lodium, cutting in the abdomen, with pains in the loins and small
of the back ; uterine hemorrhage at every stool ; indurations of the



430 FESfALE OEGANS.

Uterus ; painfulness and feeling of heaviness in both mamra£e ; they
hang down, relaxed, and lose their fat ; dwindling and falling away
of the mammge ; the patient feels worse from external warmth ; after
the abuse of mercury.

Kreosote, cauliflower excrescence ; awful burning as of red-hot coal
in the pelvis, with discharge of clots of blood having a foul smell ;
bearing down and sense of weight in the pelvis ; drawing pains in
the small of the back and uterine region, extending to the thighs, in-
termingled with stitching pains ; the vagina is swollen and burning
hot ; long-standing leucorrhoea, becoming more and more watery,
acrid, bloody, and ichorous all the time ; frequent hemorrhages from
the womb ; dwindling and falling away of the mammse, with small,
hard, painful lumps in them ; wretched complexion ; great debility ;
sleeplessness.

Lachesis, pain in the parts as if swollen, they do not bear contact,
and have to be relieved of all pressure ; coughing or sneezing causes
stitching pains in the affected parts ; tenacious and acrid menstrual
flow with labor-like pains ; discharge of a few drops of blood from
the nose before the menses, which are scanty and delaying ; especially
indicated during the climacteric period with frequent uterine hemor-
rhages,

Lycopod., drawing in the groin ; burning and gnawing ; chronic
dryness of the vagina; pressing through the vagina on stooping;
discharge of wind through the vagina ; pain in the small of the back,
extending down to the feet ; incarcerated flatulence, with rumbling in
the left hypochondriac region ; red, sandy sediment in the urine ; jerk-
ing of single limbs awake or asleep ; feels worse in general from four
to eight o'clock p. m.

Magn. mup., scirrhous induration of the womb ; uterine spasms
extending to the thighs and occasioning leucorrhoea; discharge of
black clots of menstrual blood, more when sitting than when walking ;
large, hard, difficult stools which crumble off as they are expelled.

Nitr. ac, irregular menstruation in shorter or longer intervals ;
during the intervals a profuse, discolored, brownish, and offensive
leucorrhoea ; great debility, nervousness, and depression of spirits ;
hemorrhoidal tendency ; great pain in the rectum after stools, lasting
for hours, even worse after a diarrhoeic evacuation ; the urine is
very offensive. During a ride in the carriage they feel much better.

Natp. c, induration of the neck of the womb : the os uteri is out of
shape ; pressing in the hypogastrium towards the genital organs, as if
every thing would come out ; metrorrhagia ; putrid leucorrhoea ; head-



METEORRHAGIA. 431

aclie in the sun and from mental labor ; she gets nervous from playing
on the piano, and feels great anxiety during a thunder-storm.

Sepia, induratio colli uteri or vaginae ; painful stiffness in the
uterus ; pressing from above downwards, oppressing the breathing ;
must cross her thighs, in order to get relief; pot-belliedness ; yellow
saddle across the bridge of the nose ; feels worse while riding in a
carriage.

Silic, she feels nauseated during an embrace ; diarrhoea or else great
costiveness before the menses ; increased menses, with repeated parox-
ysms of icy coldness over the whole body at the time of their appear-
ance ; indurations of the mammae ; most of the symptoms make their
appearance about new moon.

Thuya, cauliflower excrescences.



Online LibraryCharles Gottleib RaueSpecial pathology and diagnostics : with therapeutic hints → online text (page 43 of 65)