Theraneutics.
CIMICIFUGA should be considered in cases of uterine dysfunction where nervous agitation and neuralgic or rheumatic pains accompany or actually demonstrate the characteristic mental and physical fragmentation, as described above. Such a pattern can be seen during prolonged or difficult labor, or afterward, with complications such as retained placenta, postpartum bleeding, subinvolution, etc., as well as in false or premature labor, and during or after abortion, miscarriage, menstruation, or menopause.

The remedy may also be used preventively, where similar episodes have occurred in the past, or appear imminent or threatening. Finally, it is an important remedy for the treatment of long-standing chronic complaints (headaches, arthritis, neuralgias, depression, infertility, repeated miscarriage or premature labor) that began in the same way, but have never resolved.

When indicated, CIMICIFUGA 12 or 30, t.i.d. or g.i.d., can be very helpful in threatened miscarriage or premature labor, if necessary for days or weeks at a time. CIMICIFUGA 200, 3 doses 12 hours apart, repeated weekly as needed, often works well for prevention of miscarriage or premature labor where these have occurred in the past.

In acute situations, such as actual miscarriage, difficult labor, or postpartum depression, CIMICIFUGA 12, 30, 200, or higher may be given up to every half-hour, or even oftener, preferably for at least 4 to 6 doses before changing it. But the proper dosage is as open-ended as the choice of the remedy itself, and must be adapted to the circumstances, above all to the response.

As yet I have given CIMICIFUGA only to adult women, and then only if the symptoms originated in relation to a pregnancy, childbirth, miscarriage, abortion, menstruation, or menopause. But even with these limitations (in large part my own), it remains a deep-acting "constitutional" remedy of surprising range and extraordinary power, and deserves a far wider acquaintance.