Dysmenorrhoea

Dysmenorrhoea

1. PRELIMINARY DATA

• No.: 235/2026
• Patient's Name: UVW
• Address: Flat 2103, Sapphire Court, Pune.
• Occupation: Marketing Coordinator (desk job, stress deadlines, irregular meals)
• Religion: Hindu
• Date: 15/08/2026
• Age: 34 Years
• Sex: Female
• Education: M.B.A.
• Status: Married

2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES

3. PERSONAL PAST & FAMILY HISTORY

• Past History: Painful menses since menarche at 13; suppressed with painkillers/OCPs; recurrent ovarian cysts treated conservatively; overweight gain after marriage; frequent acidity.
• Family History: Mother has dysmenorrhoea & PCOD. Sister has endometriosis. Father has hypertension.
• Developmental Landmarks: All milestones were reached at the appropriate age.

4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)

A. Physical Characteristics

• Appetite: Diminished during menses
• Desires: Warm drinks/food (+++), Sweets (+)
• Aversions: Cold food/drinks
• Thirst: Moderate
• Elimination:
  • Urine: Normal
  • Stool: Constipated during periods
  • Perspiration: Scanty
• Sleep: Disturbed by pain; wakes cramping
• Thermal State: Chilly patient (prefers warm, covers abdomen)

B. Reactions - Physical Factors

• Weather: Aggravation in cold weather
• Position: Better lying with knees flexed & warm bottle

5. MENTAL STATE (Psychodynamic & Life-Space)

• Nature: Irritable, weepy during menses
• Anxiety: About pain severity, missing work
• Fear: Fear of infertility, fear worsening condition
• Dreams: Pain, bleeding, being helpless
• Other: Suppressed frustration, feels drained

6. PHYSICAL GENERAL EXAMINATION

• Wt: 68 kg | Ht: 158 cm | Temp: 98.6°F
• RR: 18/min | Pulse: 80 bpm | B.P.: 124/80 mmHg
• Face: Pale during pain
• Tongue: Clean
• Nails: Normal
• Skin: Dry

7. SYSTEMIC EXAMINATION

• Reproductive: Mild lower abdominal tenderness during episodes, no masses
• CVS: S1, S2 Normal
• Respiratory: Clear
• GIT: Normal

8. ANALYSIS AND EVALUATION OF SYMPTOMS

• Mental General: Irritability/weepiness during menses, anxiety about fertility/work, fear worsening (Grade 3)
• Physical General: Chilly, desire warm drinks/food, constipation during periods (Grade 3)
• Particular: Severe cramping dysmenorrhoea with clots, < cold/stress, > warm applications/pressure (Grade 2)

9. SELECTION OF REPERTORY WITH REASON

• Repertory: Kent’s Repertory of Homoeopathic Materia Medica
• Reason: Chronic menstrual disorder with strong Mental Generals (irritability, anxiety) and Physical Generals (thermal, modalities) dominating; Kent suits female rubrics for dysmenorrhoea.

10. TOTALITY OF SYMPTOMS FOR REPERTORISATION

• Irritability/weepiness during menses
• Anxiety about fertility/work
• Fear worsening/infertility
• Desire warm drinks/food
• Chilly patient
• Cramping dysmenorrhoea severe
• Heavy bleeding with clots
• < Cold, stress, lying down

• Warm applications, pressure

• Nausea/vomiting
• Family dysmenorrhoea/PCOD

11. CONVERSION INTO REPERTORIAL RUBRICS

12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)

13. MIASMATIC INTERPRETATION

Dominant Miasm: Psora-Sycotic

14. FINAL STEPS

• Provisional Diagnosis: Dysmenorrhoea (primary, severe)
• Differentiation of Remedies: Compared Pulsatilla with Sepia. Sepia has more indifference/bearing-down, chilly; Pulsatilla matches changeable symptoms, weepiness/irritability during menses, chilly, desire warm drinks, cramping < cold, > warm/pressure, nausea. Belladonna more sudden violent.
• Selection of Remedy (Materia Medica): Pulsatilla matches dysmenorrhoea with cramping pain, heavy clots, weepiness/irritability, chilly patient, desire warm drinks, < cold/stress, > warm applications/pressure (Ref: Allen’s Keynotes, Boericke).
• Selection of Potency: 200C (Chronic menstrual miasmatic case, sensitive constitution)
• Actual Prescription:
  • Pulsatilla 200 — single dose (one dose only, wait & watch)
  • Placebo — 4 pills twice a day for 8 weeks

15. FOLLOW-UP'S TABLE