You are on page 1of 4


Gyandas G. Wadhwani MD (Hom)
Chief Medical Officer (Homoeopathy), Directorate Of Ayush, Government of National
Capital Territory of Delhi. India. E-mail:

A 20 years old girl presented with menorrhagia of one and a half months
duration after allopathic and ayurvedic treatment had failed to provide relief. On
the basis of Falls in love with the coachman, a characteristic described by James
Tyler Kent, single homoeopathic remedy Natrum mur, was prescribed in
ascending LM potencies. Pain relief occurred after the 2 nd dose and by 3rd day
bleeding stopped. The sonography report had revealed a 51x52x53mm 76 ml
hemorrhagic ovarian cyst (pre-treatment), which also cleared during subsequent
ultrasound 3 months later. She has continued to be well ever since with regular
cycles of normal duration. This is a model case study for psychosomatic
Menorrhagia, hemorrhagic ovarian cyst, homoeopathy, psychosomatic medicine,
natrum mur
Heavy or prolonged menstrual periods, or menorrhagia, are the most common
type of abnormal bleeding from the uterus. There are many possible causes of
heavy menstrual bleeding, which include[1]:

Hormonal imbalance, particularly in estrogen and progesterone;

Use of blood thinner medication
Use of IUCD, OCP etc
Pelvic inflammatory disease
Uterine, ovarian, cervical malignancies
Liver, Kidney or Thyroid diseases or platelet disorders that may prevent
clotting from happening
Psychological stress

These patients often require reassurance and support. The allopathic treatment
is usually symptomatic and includes NSAIDs to reduce pain and blood loss along
with hormonal preparations or drugs that favour clotting.

Hemorrhagic ovarian cysts usually result from bleeding into a corpus luteum or
other functional cysts. Pain and/ or a pelvic mass are common presentations and
many cases may remain asymptomatic. They typically resolve within eight weeks
(2 menstrual cycles) and require monitoring only if size of cyst is >5cm or in
peri-menopausal women or if the woman is post-menopausal. The latter may
require surgical assessment and intervention.[2]
The homoeopathic approach in gynaecological conditions is not restricted to/
guided by the female genitilia and its symptomatolgy or condition alone. It
advocates the treatment of the entire female personality, which can be easily
understood as mere removal of uterus or ovaries (viz. in cases of panhysterectomy) or mammae does not make her a male! It is a well known fact
that the subjective experience of physical pathology is profoundly affected by the
psychologic and social context within which the disease process occurs.
Like homoeopathy, the evolving discipline of psychosomatic medicine considers it
necessary to include both the psychosocial concomitants of physical disease and
the cases in which psychosocial issues are core factors in the etiology of physical
complaints and/or disabilities.[3]
I share with you a case of young girl who presented with menorrhagia and
responded to a single homoeopathic remedy, which was selected on the
guidelines of homoeopathic philosophy, when allopathic and ayurvedic medicines
had failed.
Case study
A lean built 20-years-old girl, with a long, thin and wrinkled neck, consulted on
14-9-12 at DGHD WUS Health Centre, South Campus (Regn no 2393) for
protracted heavy menses for last one and a half months along with severe pain
in lower abdomen. On the advice of gynecologist she had undergone serological
investigations (TSH etc.), which were normal.
Ultrasound report dated 9-9-12 revealed a 51x52x53mm hemorrhagic ovarian
cyst in left ovary having volume 76 cc. (see below)
She had taken ayurvedic and allopathic medication with temporary relief.
The homoeopathic consultation further revealed a strong craving for extra table
salt, which she added to her food without even tasting.
She also described herself deeply attached to an 8-10 years older man who was
already committed to another girl. She met this person while his relationship
was going through a rough patch about 6 months previously and he found
comfort in her company. She soon found herself becoming deeply attached to
him and expressed her feelings within a month. Around the same time his
previous relationship restarted, but, seeing the intensity of her feelings, he told
her to continue as a second relationship, to which she agreed. Though the guy
would only occasionally take her calls, never call back, meet only when the other
girl wasn't around, she continued with the relationship, even when she realised
that he was taking advantage of her. The problems started when he abruptly
reduced all communication about 2 months back. In spite of all the painful

experiece/ suffering she could not stop thinking about him or loving him. She
also could not discuss this with any of her friends or family members as she
knew they wouldn't understand.
Analysis & Prescription
The case history at once brought to my mind the Lectures on Homoeopathic
Materia Medica by James Tyler Kent wherein he has written, Unrequited
affection brings on complaints. She is unable to control her affections and falls in
love with a married man. She knows that it is foolish, but lies awake with love
for him. She falls in love with a coachman. She knows that she is unwise, but
cannot help it[4]
Her strong craving for salt further confirmed the remedy selection.
Natrum mur prescribed in LM1 potency twice daily stooped the pain after 2 nd
dose and her bleeding on the third day. She received the remedy in ascending
LM potencies after LM1 was consumed. The following menstrual cycles were
regular of 4-5 days duration and without pain.
In spite of being informed about the spontaneous recovery of the hemorrhagic
ovarian cysts, her parents took her for a repeat ultrasound on 2-12-12, which
turned out to be a normal study. (See below)
Investigation reports
9-9-12 (pre-treatment)

2-12-12 (post-treatment)

Discussion and conclusion

The girls serological markers were within the acceptable limits and barring the
51x52x53 mm (76 ml) hemorrhagic ovarian cyst, there was no abnormality

detected on sonography. The most probable diagnosis for her condition

(menorrhagia) can therefore be dysfunctional uterine bleeding, which may result
from stressful experiences in life.[5]
Her psycho-emotional state strongly reflected the mental make up of a Natrum
mur personality, which has been described beautifully by James Tyler Kent
above, Unable to control her emotions and.Falls in love with a coachman... [4]
She fell for an 8-10 years older guy who was already committed to another
person. Though she understood the impossible situation, she could not control
her feelings.
During the follow-up we could also identify what James Tyler Kent has further
written under the remedy, In cases of this kind Natrum mur will turn her mind
into order, and she will look back and wonder why she was so silly.[] A few
months after the remedy, she was able to overcome her feelings and get over
the relationship and its pain.
The homoeopathic treatment aided her not only at the physical level but also
healed the root cause of the ailment, which was in her unrequitted affection.
This case study is an example of what is identified by psychosomatic medicine as
clinical conditions in which psychosocial issues are core etiological factors.
Similar case studies need to be compiled for the posterity.
As homoeopathic physicians we are nurtured by the fundamental teachings,
which proclaim the unity of life and consider life, health and disease to be
mind-body phenomenon.
I conclude my experience with a quote by Kahlil Gibran, There must be
something strangely sacred in salt. It is in our tears and in the sea.[6]
as accessed on 23-2-15
2. as accessed on
3. Stotland N. Principles of Psychosomatic Medicine. Glob. libr. women's
med.,(ISSN: 1756-2228) 2008; DOI 10.3843/GLOWM.10410
4. Kent JT. Lectures on Homoeopathic Materia Medica. B Jain Publisher (P)
Ltd, India. Reprint Edition 2005; pp 767
5. Tudiver F. Dysfunctional uterine bleeding and prior life stress. J Fam Pract,
1983; 17; 6 pp 999-1003
6. Gibran K. Sand and Foam. As accessed on 23215 at http://www