Author Introduction:

   Dr. Jyothi Vijaykumar is a leading academician and clinician having 10 years experience, is interested in clinical provings. She is a lecturer in the department of Homoeopathic Materia Medica at A. M. Shaikh Homoeopathic Medical College, Belgaum. Here she present two cases treated with fraxinus Americanus and with a suitable constitutional drug.

Introduction
   Uterine Fibroids are the innocent growths arise in the myometrium; commonly occur in 10% of all gynaecological patients, after 35 yrs. In my experience, maximum number of cases of uterine fibroids presented with menstrual disturbances like Polymennorrhea, Metorrhagia, and Menorrhagia. Patients are anxious, fearful and in most of the cases, they try to avoid surgery. Most of the patients were advised to undergo hysterectomy and few numbers they themselves want to go for hysterectomy because of the haemorrhage. Homoeopathy plays an important role not only removing the symptoms but also reducing the uterine pathology.

   “To cut them out doesn’t cure them, cutting them out removes the effect of the disease, but doesn’t remove the disease itself. It is like cutting off the tops of weeds they grow again, either at the same place or in another place. Months of careful treatment is required for their cure. When thus cured is cured.”-Kent.

   Initially for menstrual disturbances Fraxinus Americana Q works out miraculously, it works like a pessary for uterine bleeding due to fibroids. Once the bleeding comes under control patient is asked to taper down the tincture followed by Constitutional medicine.

Homoeopathic Indications of Fraxinus Americana Q

   Enlarged uterus with fibroids,
   bearing down sensation and cramping pain in feet mostly in afternoon and night.
   Watery, non-irritating leucorrhoea or consequential hemorrhages.

   Dr.J.N.Singhal- 10 to 15 drops “Q” at bed times. Dr. W Boericke MD - recommends 10 to 15 drops. “Q” three times a day.

Fraxinus americana

Clinical Experience

CASE-1
   A lady aged 51 years presented with profuse bleeding followed by menses, remaining for more than a week. She had attained her menopause but suddenly started with bleeding
She came with her Ultrasonogram of two fibroids one in anterior myometrium measuring 2X1.7cms and another in the posterior myometrium measuring 1.4X1.2cms. (Plate I)Her complete case was taken she even had fungal infection of nails, has a habit of working in water in water for longer time, continuously washing her hands in water repeatedly. And meanwhile Fraxinus Americana Q 15 drops three times a day was prescribed. She came after 3 days with no trace of bleeding.
Finally considering the totality Sepia and Nat Mur were coming closer. Finally Sepia 200 single dose was prescribed followed by placebo. Then onwards no bleeding at all. Repeat USG was done report shows uterus without fibroids.( PlateII)

CASE -2
   Another female aged 46 years presented with complaints of bleeding even after 7 days of her menstrual cycle. Her USG reported uterine fibroid measuring 14mmX9mm in anterior myometrium.(plateIII) Initially Fraxinus Americana Q 15 drops 3 times day in half glass of water started.

   She had complaints of headache, acidity before menses, flatulency of lower abdomen with desire for sweet, sour, increased frequency of micturation before menses. Flatulency especially in the afternoon after meals till night. Considering all these symptoms Lycopodium 200/1 dose prescribed with the advice to taper down Fraxinus Americana Q once the bleeding stops. Later followed by placebo, doses of Lycopodium 200 and Bryonia 30/200 in between for her acute complaints. Finally the USG shows no convincing fibroid.(Plate IV)

Conclusion :
   Fraxinus Americana Q can be a similimum which gives quick result, however a constitutional remedy cures in a dynamic way and root it out. Mother tinctures always helpful and save a life of a patient such as cancer, tumours and emergencies , but it should be based on similimum and complementary to the constitutional medicine . To day the modern trend on surgery can be replaced by Homoeopathy. If suitable approach is there rapid cure can be obtained from the patients.