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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Handling Pre-Menstrual Syndrome. -An in depth study of Platina
NATIONAL JOURNAL OF HOMOEOPATHY 2003 Sep / Oct VOL V NO 5.
Dr Sushma Jaiswal

NJH-CME was held on 27th Nov 2003 at Dr Vishpala Parthasarathy’s Pali Hill Clinic. Around 30 people attended the CME.
Speakers
1) Dr C H Asrani.
2) Dr Vishpala Parthasarathy

PMS General Aspects
Dr C H Asrani talked in detail regarding PMS, the emotions, the causes, why the symptoms occur, diagnosis, treatment etc.
But what does one expect from a lecture on a simple topic of PMS?(It seemed simple before this lecture!). The introduction to the subject was enough to waken us to the reality of how traumatic,is this problem which strikes almost 95% of women at one time or the other and how it is ignored and is the most neglected part in a woman’s life, more so in India.
Excerpts:
The changes are at both level a) Physical b)Mental Changes when affect- PMS

Symptoms
1. Appear after ovulation
2. Intensify as menstruation approaches
3. Ceases with onset of menses
4. Can affect any age
5. Need treatment, if severe
6. Can present in the form of more than 100 symptoms

Psychological Symptoms
Irritability. Mood swings. Losing temper easily. Loss of confidence and poor motivation. Weeps for no particular reason. Aggressive. Tiredness. Anxiety. Depression etc.

Physical Symptoms
Breast Tenderness. Bloating. Constipation. Muscle and joint pain. Swollen Ankles. Increased appetite. weight gain, Headache. Migraine etc.

Causes
Combination of diet, stress and deficiency of minerals and vitamins.
Increased demand on time, negative in diet and nutrition. Increasing stress
Physical and emotional wear and tear.

Why symptoms occur
1. Craving for chocolates - 20% nutrients are absorbed by the brain in the form of glucose. Sugar to convert into glucose needs insulin.
PMS - Stress increases - so demand increases
Mg is a must for the production of insulin.
But in PMS -Mg decreases -Insulin decreases
So sugar cannot be converted to glucose
Even with enough sugar in blood, brain perceives No glucose crisis situation get glucose ASAP so Craving for sweets, candies, chocolates, pastries, more so Chocolates which contain Mg.
Candies, Chocolates, pastries- contains Refined sugar
Refined Sugar absorbed faster Excess of Insulin
Excess of insulin leads to
Hunger

wt gain
Hypoglycemia

Palpitation
Fainting
Rapidity

Headache
Fatigue

Thus the situation is out of control. Wt gain may seem to us common, but annually a female may put on 10-12 Kgs!!!
Mg - also causes dysmenorrhoea (Now knowing the physiology of the events occurring, it now actually makes sense, why Mag-phos is almost used as the 1st line of treatment and works so well)

Treatment
Mg not widely present in eatables > 300-400 mg daily is the only way to break the cycle
Modern Medicine recommends 100 mg Vit B6 a day .Vit B6 if deficient, more estrogen is produced than body can handle
Increase in Oestrogen - Increase in Adrenalin Anxiety, Nor-Adrenalin Hostility, irritability, Serotonin
Inability to concentrate 
All can be nullified by Dopamine. Dopamine
Induces relaxation, increases mental alertness, Prevents Naand H2O retention.
PMS - Dopamine decreases
Therefore Breast engorgement, Bloating, Oedema feet, Migraine, Headache, of feeling like vice.
Thus Mg & B6 are enough to relieve the symptoms

Essentials of Diagnosis
Symptoms are severe five days before menses - 3 menstrual cycle in a row Ø is 4 days
Interferes with the normal activity
A PMS chart was given to delegates which can record almost 30 symptoms for 12 months - all in one page.
PMS chart At end.

In addition -
Aerobic exercise during menses
Relaxation - Meditation.
Dietary changes - Salt free diet for these 5-6 days decreases Na intake. Encourage the female to talk with the family or the physician.

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