Caulophyllum, "the Blue Cohosh," is closely related to Actea racem., "the
Black Cohosh," in its action, though belonging to a different family of plants. It acts most
markedly on the female generative organs and on rheumatic states. It has only had one proving,
that by Dr. Burt, the majority of the indications having been derived from tradition and clinical
experience. It has been given with success for chloasma or pityriasis versicolor, curing
incidentally dysmenia at the same time. Reflex symptoms having a uterine origin; headache;
vomiting; hoarseness; rheumatism; cramps and spasms. No other drug produces uterine spasms
- ▸so markedly except Secale.
- ▸Bearing-down pains.
- ▸Paraplegia from disorders of the uterus.
- ▸Left
ovarian and left inframammary pains. Leucorrheea in little girls. The pains are intermittent and
paroxysmal, and fly about from place to place; generally < at night. Great nervous excitement;
tremulous weakness over whole body. Can scarcely speak. Sleepless, restless, nervous; recalling
the effects of coffee, which is incompatible with it. In rheumatic affections the special sphere of
Caulo. is the small joints and muscles. Its action on the muscular tissue of the uterus (whether
gravid or not) is to cause intermittent spasms or contractions (differing from the continuous
contractions of Secale). Its special sphere in labour is: (/) when pains do not come regularly; (2)
when they disappear from exhaustion; and (3) when they are too painful. Nash prescribed Cau/.
3 for a lady of forty, seven months pregnant, who was attacked with severe pain and swelling of
all the finger-joints; wrapping them in mustard was the only thing that relieved her sufficiently to
allow her to get sleep. Caul. relieved the finger pains, but caused such severe labour-like pains
that it had to be discontinued for fear of causing miscarriage. The bearing-down then ceased, and
the finger pains returned and continued till delivery, when they ceased for a few days. Then the
lochia increased to a flooding—passive, dark, liquid; with great weakness and internal trembling
(not visible externally); and now the terrible finger pains returned. Afraid to give Caulo., other
remedies were tried, but in vain. At last Nash gave Caulo. 200, which rapidly cleared up the
whole case. Nash regards "internal trembling" as a strong characteristic when associated with the
weakness; he has cured long-continued passive hemorrhage associated with these symptoms.