TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS

Diseases of the Uterus

“The Womb is Author of a thousand sad Sorrows and innumerable Calamities”. (Democritus)

From Ancient times it was realised that so many diseases of women are rooted in the Uterus (and Ovaries). Not only Menstrual and Fertility issues, but Mental, Emotional and a host of Physical ailments too.

Women’s health depends so much on a smooth and regular menstrual cycle. Many diseases of women can be treated or cured by promoting and regulating Menstruation, and the hormones related to it.

Differential Diagnosis:

From The Practice of Physick, 1663:

“A Cold Distemper of the Womb, is hereby known, In that the woman longs not after Carnal Embracements, and feels little pleasure therein; her Face is soft, whitish, and cloudy; her feeling is dull about her share, Loins, and Thighs; she voids thin and crude Sperm, and with little pleasure; her Courses are suppressed, or they come very sparingly, and keep no constant orderly time, and they are pale and discolored. Add hereunto. Diet preceding of a cooling nature, consisting of a long use of Fruits and Herbs, with much drinking of cold small Drink”.
“A Moist distemper of the Womb is known by the lax, and flap, flaggy, soft habit of the womans body, her much sitting, frequent and almost continual flux of Whites; plenty of Courses, thin and watery; no appetite to fleshly Conjunction; heaviness of her Loins, aptness to miscarry, plenty of Urine, and a moist Diet”.
“A Hot Distemper [of the Womb] is known, by the manly and strong habit of the womans Body, such as is seen in Viragoes and Amazons; by a ruddy countenance, black hair of the Head and Eye-brows; a strong and manly voice; she is frequently disposed to be angry, over prompt to all kind of actions, her thirst cannot be satisfied, her Urine is yellow, her Courses few. their color is a dark red, their heat and acrimony so great, that oftentimes they exulcerate the secret Passages; their Privities itch, and they are prone to carnal Embracements; they are quick and sudden in the voiding of their Seed; they have frequent Pollutions, and lustful Dreams”.
“A Dry distemper of the Womb is known by the small quantity of Courses; Dryness, Itching, and choppings of the Mouth of the Womb, little excretion of Sperm in the Genital Embracement; trouble arising from over much carnal Conjunction, and Leanness”. ’


Western Tradition

Cold disorders of the Uterus
Confection for a Cold and Moist Uterus
Electuary of Gems (Mesue)
Powder of Calamint (Diacalamintha) (Nicholas)
Powder of Galangal Compound (Diagalanga) (Mesue)
Triphera Greater (Triphera Magnus) (Nicholas)
Hiera Picra
Warm the Palace 7 Pill
Oil of Spikenard
Oil of Lillies
Oil of Orris

Oil of Rue
Oil of Pepper
Auscpicious Conqueror (Bkra shis rnam rgyal) (Tibetan)
Podophyllum 25 (‘Ol se nyer lnga) (Tibetan)

Heat disorders of the Uterus
Antelope Horn 14 (Rgya ru bcu bzhi) (Tibetan)
Turmeric Decoction 4 (Yung ba 4) (Tibetan Medicine)
Withania 3 Decoction (Ba spru gsum thang))

Strengthen the Uterus
Decoction of Comfrey and Solomans Seal
Tincture of Cinnamon
Tincture of Sage
Powder to Strengthen the Womb (Culpeper)
Special Powder for Memory (Wirtzung)
Triphera Greater (Triphera Magnus) (Nicholas)
Antidotum Haemagogum (Nicholas)
Auscpicious Conqueror (Bkra shis rnam rgyal) (Tibetan)
Podophyllum 25 (‘Ol se nyer lnga) (Tibetan)

Uterus Pain
1. Diacyminum is good in pains of the Womb
2. Diamargaritum calidum, when there is Weakness

Decoction for the Womb (Schroder)
Tincture of Rue
Tincture of Myrrh
Tincture of Saffron
Tincture of Valerian
Tincture of Wormwood
Philonium Romanum (Galen)
Philonium Hamech
Powder for Uterine Pain (Wirtzung)
Powder for Uterine Pain of Turbith
Powder of Calamint (Diacalamintha) (Nicholas)
Powder of Gum Lacca Minor (Dialacca Minores) (Rhasis)
Powder of Gum Lacca Minor (Dialacca Minores) (Mesue)
Powder of Gum Lacca Major (Dialacca Majores) (Mesue)
Electuary of Saffron (Diacurcuma, Diacrocum) (Mesue)
Electuary of Rhubarb (Unani)
Electuary of Indian leaf (Zenon)
Electuary of Ambergris (Diambra) (Mesue)
Hiera Pachi, or Hiera Archigenis
Hiera Hermetis
Antimoron (Nicholas)
Electuarium Acharistum (Nicholas)
Antidotum Haemagogum (Nicholas)
Musa Aenea (Mesue)
Musa Aenea (Nicholas)

Pill of Sagapen
Pills of Mastic (Mesue)
Antelope Horn 14 (Rgya ru bcu bzhi) (Tibetan)
Podophyllum 25 (‘Ol se nyer lnga) (Tibetan)
Warm the Palace 7 Pill
Oil of Bay
Oil of Orris
Oil of Mastic
Oil of Rue

Oil of Saffron Compound
Oil of Lillies
Oil of the Philosophers
Plaster of Bay Berry
Plaster of Orris

Pain of the Uterus from Cold
Tincture of Cinnamon
Tincture of Nutmeg
Tincture of Valerian
Confection for a Cold and Moist Uterus
Powder of Calamint (Diacalamintha) (Nicholas)
Powder of Cinnamon (Diacinnamonum) (Mesue)
Hiera Picra
Hiera Hermetis
Warm the Palace 7 Pill
Pills of Sagapen
Oil of Elecampane
Auscpicious Conqueror (Bkra shis rnam rgyal) (Tibetan)
Podophyllum 25 (‘Ol se nyer lnga) (Tibetan)

Blood Stagnation of the Uterus
Decoction for the Womb (Schroder)
Tincture of Myrrh
Tincture of Saffron
Antidotum Haemagogum (Nicholas)
Antelope Horn 14 (Rgya ru bcu bzhi) (Tibetan)
Podophyllum 25 (‘Ol se nyer lnga) (Tibetan)

Uterus Abscesses and Hard Swellings
Topically:
1. Lily root boiled in oil softens hardness of the Uterus.
2. Mallow or Hollyhock decoction as a fomentation.
3. Myrrh, Frankincense, Saffron, decocted in wine

Uterine Fibroids
See Uterine Fibroids

Ulcers of the Uterus
1. “a dram of Pills of Bdellium of Mesue, or a scruple every other day, cures the Ulcer of the Womb, and stops the Bleeding”.

Pills of Bdellium
Pills for Uterine Ulcers
Apostles Ointment (topically)

Topically:
1. Honey of Rose (1 oz.), fresh Milk (6 oz.). Use it for 10 days.
2. Douche of Purslane.
3. Ointment of Tutty (Zinc oxide) (2 oz.), dissolve in 8 oz. of Cow Milk. Use as a douche warm.
4. Linseed with Marshmallow root, Fenugreek, Poppy seed, Dill seed, Barley, decoct to from a douche
5. “3 ounces of Barley boiled in 2 pints of water or Whey, with Sugar or Honey, or of Hydromel alone. [or] Honey and Wine, which is strongest,” (Platerus)
6. Decoction of Barley, Lentils, Beans, Celery, Pellitory, Plantane, with Honey. (Platerus)
7. “The juice of a Nettle, and Urine of a Boy, cures the Ulcers of the Womb”. (Platerus)
8. Juice of Purslane, Lettice, Nightshade, Plantain in Milk, or their distilled Waters.

To Purge the Uterus
Troches of Agaric
Antimoron (Nicholas)
Arabian Pills (Nicholas)

Correct Temperament of the Uterus
Syrup of Mugwort
Podophyllum 25 (‘Ol se nyer lnga) (Tibetan)

Strangulation of the Womb
Philonium Romanum
Vinegar of Squill
Syrup of Betony (Augustana)
Syrup of Betony juice
Aromaticum Moschatum (Mesue)

TCM Classification

Qi Stagnation
Hypochondriac distention, cramping pain during menstruation, Premenstrual symptoms, anxiety or depression, toothmarks on the edge of the tongue
Xiao Yao San

Coldness of the Uterus
Feels cold, pale face, pain which is alleviated with warmth, pale or purplish tongue with a deep, slow pulse
Xiang Ai Xiong Gui Yin
Qi Zhen San

Damp Heat
Yellow, foul-smelling discharge, itching, swelling, red tonguer with a yellow coat, rapid and slippery pulse.
Er Miao San
Long Dan Xie Gan Tang

Blood Stagnation
Sharp pain, dark and clotted menstruation, dull complexion, purple lips, tongue and nails, choppy pulse
Tao Hong Si Wu Tang
Gui Zhi Fu Ling Wan
Shao Fu Zhu Yu Tang

Weakness of the Uterus–Blood Deficiency
Pale tongue and face, weak pulse, feels the cold, scanty or pale menstrual blood.
Bu Zhong Yi Qi tang (if with Qi deficiency)
Si Wu Tang


Special Formulas

UTERINE PAIN AND CRAMPING
1. Take a Sweet Apple, make a hole and put in powdered Nutmeg, Mace, Cinnamon, (½ dram ea.) and Clove (½ scruple). and a little Sugar. Roast in embers and give it to eat. “Very good and well known of Women”. (Secrets of Alexis)

A DECOCTION
    Calamint
    Motherwort
    Camomile
    Sage
    Rosemary                           of each a handful
Decoct in wine.
The same may be decocted in Lye water and used to wash the legs, or used as a foot bath.

A POTION
    Motherwort                       1 oz.
    Carrot (seed)                     ½ oz.
    Clarified Honey                2 oz.
Seethe them together (with a little water), then strain and press hard. Add 2 oz. of Chicken broth and 3 oz. of Aniseed Decoction. Give it for 10 days (Secrets of Alexis)

“ANOTHER TRIED OF SOME WOMEN”:
    Nutmeg                             1 dram
    Motherwort root               1 ½ drams
    Indian Spikenard.             1 scruple
Seethe in white wine until one-third is consumed, then strain and add white sugar. Give it every morning and when she has pain. (Secrets of Alexis)


ULCERS OF THE UTERUS

1. “Pills of Bdellium given to a dram at a time, or every day, or once in two days one scruple, do very much good, and stop the blood in case it flow”. (The Practice of Physick, 1663)
2. “Trochisci Alkekengi [Troches of Winter Cherries] … with Opium, are likewise (being powdered) given to drink down, where the Patient is troubled with great pain”.

DECOCTION FOR UTERINE ULCERS
    Senna
    Dodder
    Red Rose
    Indian Myrobalan
Decoct and sweeten with Sugar. Dose: 5 oz.
A physician of Amsterdam cured a women of a Uterine Ulcer with this decoction, while simultaneously useing cleansing douches.

DECOCTION TO HEAL UTERINE ULCERS
    Mugwort, Plantain. 
      Yarrow                           1 handful ea.
    Rhapontic                       ½ oz.
    Agnus Castus seed       1 dram
Decoct in white wine, strain and sweeten with sugar. Give 2–3 oz. in the morning.

PILLS FOR ULCERS OF THE WOMB
    Bdellium                         3 drams
    Myrrh
    Frankincense                  1 dram ea.
    Sarcocolla
    Storax
   Amber
   Chebulic Myrobalans    ½ dram ea.
   Red Coral                         2 scruples
With Syrup of Poppies form pills. A little Opium was added if there is much pain. Give a scruple every other day. (Platerus)

PILLS FOR OLD ULCERS OF THE WOMB
    Comfrey root                   1 oz.
    Plantain
    Yarrow
    Bay leaf                            1 handful ea.
    Agnus Castus                  1 dram
    White Wine                     1 quart
    Honey                               1 pint
Boil and skim it until half is consumed. Give to drink often and apply topically. (Platerus)

MAGISTERIAL SYRUP OF UTERINE ULCERS
    Comfrey root, Polypody 1 oz.
    Citron peel dried             6 drams
    Plantain, Periwinkle,
      Ladies Mantle, Sorrel,
      Maidenhair                     1 handful ea,
    Licorice, Raisins               1 oz. ea.
    Senna                                6 oz.
    Safflower seed bruised  2 oz.
    Agaric                                10 drams
    Musk melon seed
      Aniseed                           3 drams ea.
Decoct in Barley water, strain and infuse Rhubarb ½ oz., Cinnamon 1 dram. Add enough Sugar (or Syrup of Damask Rose and Sugar), to form a Syrup. Take 2 or 3 ounces twice per month.

A DRYING HEALING DOUCHE FOR ULCERS
    Comfrey, Bistort, Plantain,
      Agrimony, Shepherd’s
      Purse, Horsetail, Sanicle,
      Pyrola, Yarrow, Knotgrass,
      Tansy, Bramble, Olive leaf,
      Sumac, Swallow-wort,
      Rose                                3–4 handfuls ea.
    Raisin, Myrrh                    1 oz. ea.
Boil them in steeled Water for an Injection. (Platerus)

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