Caulophyllum thalictroides

Rheumatism of small joints. In labor we find deficient pains on account of the exhaustion of the patient; Cauloph. will at once brace up her strength, and produce efficient pains.

Mental.--Patient is fretful and easily displeased.

Head.--Severe headache, with feeling of pressure behind the eyes.

Sexual.--Female: Extraordinary rigidity of the os uteri. Spasmodic and severe pains without progress being made; pains become very weak from exhaustion of patient, on account of long continuance of labor. Thirst and feverishness. False pains; pains are spasmodic, appearing in various parts of the abdomen. Patient seems much exhausted and the pains very inefficient. Menorrhagia, or hæmorrhage occurring after labor, especially hasty labor; flow is very profuse and is due to a want of tonicity of the womb, which is relaxed, and contracts feebly. Convulsions with very weak and irregular labor pains; she feels very weak. Retained placenta with characteristic sense of weakness or exhaustion, and pains too weak. After-pains, after protracted and exhausting labor; spasmodic pains across lower part of abdomen may extend into groins. Lochia, bloody; lasting too long; with passive oozing from relaxed uterus with great exhaustion. Abortion, threatened, with want of uterine tonicity; uterine contractions feeble. Neuralgia of vagina, when the vagina is excessively irritable, and the pain and spasm are intense and continued. Hysteria and uterine displacements with above characteristics. Leucorrhœa burning, producing the characteristic weakness.

Extremities.--Very severe rheumatic pains, of aching, drawing character; erratic, now in one place, now in another. Especially in small joints, fingers, wrists, toes, ankles, etc. Great painful stiffness of affected joints.

Worse.--In open air; from coffee.