1. www.facultyofhomeopathy.org Patterns of disturbance Premenstrual Syndrome is any collection of symptoms which appear in the menstrual cycle after ovulation and before menstruation Premenstrual Syndrome can consist of physical and/or emotional symptoms

2. www.facultyofhomeopathy.org Common patterns Lachesis Natrum muriaticum Sepia Pulsatilla

3. www.facultyofhomeopathy.org Lachesis Anger, jealousy, tirades, loquacity. High libido. Bloating, < tight clothes. Flushes of heat. Left sided. Hot. Intolerance of tight clothes. > free discharges, e.g. onset menstrual flow, cool air. < after sleep/waking, morning, heat (sun), alcohol.

4. www.facultyofhomeopathy.org Natrum muriaticum Grief, ailments from grief – can’t cry or weeps alone, < consolation; hides feelings. Irritable, resentful, critical, dwells on upsets; self- doubt/self-criticism. Greasy skin and hair. Cold sores. < sympathy, sea air, exertion, before menses, morning and forenoon. > fresh air, gentle exercise. Desires salt or averse salt. Aversion to fat, slimy food. Thirsty. Desires fresh air; chilly but intolerant of heat.

5. www.facultyofhomeopathy.org Sepia Depressed, apathetic, irritable, put-upon, weary/worn out, averse loved-ones; < consolation. Libido low or lost. Never well since pregnancy. Pelvic bearing down pain Sweaty. Sallow complexion. < cold air, before menses, afternoon and/or evening, before storm. > dancing, strenuous exercise, warmth, thunderstorm. Desires vinegar, pickles and acids. Aversion to meat, fats and rich food which <.

6. www.facultyofhomeopathy.org Pulsatilla Timid, shy, weepy, desires company and consolation/affection. Symptoms changeable. Onset at puberty. < warmth, rest, beginning of motion, twilight, rich foods, fat; > cold, continued gentle motion, open air; after crying, lying on back. Thirstless. Desires pastry and rich food, cold food. Averse fat, hot food. < bread, fat, fruit, pastry, rich food. >open air, < heat, and stuffy/warm rooms.

7. www.facultyofhomeopathy.org Key points Immediately better at onset of menstruation – Lachesis Averse to consolation – Natrum muriaticum Averse to loved ones – Sepia Better from consolation - Pulsatilla

8. www.facultyofhomeopathy.org Prescribing in PMS Potency selection – –Higher potencies for more emotional/mental disturbance –Lower potencies for more physical disturbance Timing of prescription –During symptoms –Before ovulation