Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

Generalities: The use of this remedy is generally confined to symptoms of the kidneys, bladder, uterus, rectum and anus; inflammatory and hemorrhagic symptoms principally of these parts.

Sabina establishes a turmoil in the circulatory system, with violent pulsations all over the body. The patient is disturbed by heat, is worse in a warm room or from too much clothing. Wants the windows open and to be in the open air (Puls.). This turmoil in the circulatory system is such as might be expected in a hemorrhagic remedy.

Inflammation and bleeding: Tendency to bleed from all the mucous membranes, especially of the kidney, bladder and uterus. It has a decided effect in diminishing knots, enlargements, or varices in veins. The principal action is on the lower bowel, about the anus. Hoemorrhoidal tumors which bleed copiously. Constipation with bleeding hemorrhoids. A sense of fullness in these parts.

A sense of fullness in all the veins of the body, a sense of distension, fullness, puffiness, bloating, with pulsations all over, associated with repeated hemorrhages from the mucous membranes.

Great burning and throbbing. Severe suffering, attended with inflammatory symptoms; bloody urine; inflammation of the bladder with continuous urging to urinate, with the general aggravation from heat and the throbbing all over.

Inflammation of the urethra, with a gonorrhoeal discharge, or a catarrhal discharge in the male. The most important sphere is in menstrual symptoms, and its relation to uterine hemorrhage. In the menstrual symptoms the woman suffers from bearing down, labor-like pains. Most distressing in dysmenorrhoea.

Women: The menses last too long and are too copious, and at times in some subjects the flow does not stop before the next period begins.

Too frequent and prolonged copious menses. A striking feature in this drug, as in a few other remedies, is that the flow is liquid, bright red, intermingled with clots. It suits many cases in which the flow slackens up and remains away for a while and then labor-pains come on, and an enormous, partially decomposed clot is passed and this is followed by a bright red flow. This occurs over and over again.

Such a state comes on after abortion, after labor and in dysmenorrhoea. Accompanying the labor-like pains is a violent pain in the sacrum, to the uterus or pubes. Another striking feature is itching, shooting, knife-like pains, causing the patient to scream out, shooting up the vagina to the uterus, or up as far as the umbilicus. These two features, shooting pains from the back to the front and from. below upwards, with hemorrhages, are striking corroborations.

Belladonna and Sabina are the two most important remedies in abortion at three months. Bell. has the same bearing down pains which expel a clot followed by a copious, bright red flow. But the Bell. state is not like that of Sabina. In Bell. it is a hyperesthesia, oversensitiveness to touch and jar; the patient will not allow the nurse to jar the bed, and the bright red flow is hot, so much so that it is noticeable; the parts over which the flow passes are so sensitive that the blood feels intensely hot to her.

This is in keeping with the oversensitiveness of Bell., to touch, light, motion, jar. If the physician jars the bed a scowl will immediately come over the patient's face. Bell. has many pains, not only shooting up but in every direction, irregular pains and bearing down pains. They come and go like lightning, appear suddenly and disappear suddenly, shooting in every direction. If these symptoms are present you will never need Ergot for its physiological effects.

It has often been argued that in these cases of haemorrhage you "won't have time to get the symptoms." The expert physician will often see all these symptoms in the twinkling of an eye. The actions of the patient, a word dropped by the nurse, and what he has observed himself, will have shown him the remedy.

Abortion: As a medicine to prevent abortion it is one of the first to consider, because the symptoms we know are such as come during abortion, and it is most useful after the membranes have ruptured, or the ovum passed, or when the placenta is about to be expelled.

It establishes the normal activities of the uterus so that it will expel whatever is left behind of these membranes. The curetting is never necessary with the homeopathic remedy. It suggests that there is something defective about the woman's organs.

"Inflammation of the ovaries or uterus after abortion or premature labor."

Violent pains through ovaries and uterus. Aching in the sacrum. as if broken, as if the bones would separate. Most violent, tearing, rending, burning pains, with throbbing in the sacrum, with burning and throbbing all over the body, especially throbbing in parts, whether it be the uterus or bladder.

"Copious hemorrhages, accompanied by uterine colic."

Contractive labor-like pains extending from back to pubes and great urging to urinate.

Women again: The uterine colic described is labor-like, drawing up like colic, but also bearing down as if to expel the clot.

Metrorrhagia, resulting from false plethora; clotted and fluid blood; pain extending from sacrum or lumbar region to pubes, with severe bearing down, extending from lower part of back around abdomen and down thighs; blood bright red, thin, liquid; labor-like pains in lumbar and uterine region, discharge of large clots of blood, bright red, coming in gushes, particularly profuse on motion, etc.

This describes the symptoms from abortion or menstruation.

"Menses too profuse, too early, last too long, partly fluid, partly clotted and offensive; flow in paroxysms; with colic and labor-like pains; pains from sacrum to pubes."

At another time, during the climacteric period, a woman is run down by overwork and much child bearing; she has repeated uterine hemorrhages of this character, bright red intermingled with clots; pain from sacrum. to pubes; she becomes exhausted and anemic, but after a while she again builds up, her face becomes plump and she becomes plethoric, only to be broken by another hemorrhage. Uterine hemorrhage in fibroids.

Chronic catarrh of vagina with granulations, copious leucorrhea. Bloody leucorrhea. Old, prolonged, psoric cases. This medicine especially suits gonorrhea in women. It has all the wart-like excrescences found in Thuja, and found in sycosis.

The Thuja wart is a little sensitive wart, appears to be covered with a thin film, and bleeds from the slightest touch. Sabina cures warty excrescences about the anus, cauliflower excrescences, gonorrhoeal warts about the vulva and about the male genitals.

In the uterine hemorrhages compare it with Ipecacuanha, which has a gush of bright red blood fully as copious as Sabina, but at the beginning of that gush, before it has kept on long enough to produce exhaustion, the face becomes pale, there is nausea and a feeling of faintness, syncope, all out of proportion to the amount of blood lost.

Millefolium produces a gushing flow, but it has a continuous dribbling day after day, a continuous flow of bright red blood.

Secale looks like Sabina, and when it is indicated it should never be given in large quantities. it has the expulsive, bearing down, labor-like pains, with the expulsion of large clots and copious flow, but the flow is dark and offensive and after a short time it becomes thin and watery, leaving a brown stain difficult to wash out; at times tarry, copious and continuous, as if the uterus had no ability to contract.

If you observe the cases in which during labor or abortion crude Ergot had been used, you will notice that the patient has feeble uterine contractions as a resultant condition, and this will be seen during the menses or in the next labor.

The symptoms of Ergot last for years; it is another psora. Large doses may kill the foetus and cause abortion, but she will continue to bleed; the uterus will not contract when she most needs contractions. It produces a paralytic condition, and this is the state we prescribe Secale for. We seldom prescribe it for its primary effect, but rather for the state of sub-involution, when the uterus retains the secundines.

There is a continuous oozing of dark and offensive flow. The picture is more complete if we find that no matter how cool the room is, she does not want heat, but wants to be uncovered, and she is a lean, shrivelled, scrawny, hungry patient with dusky skin; she never takes on fat; is not robust. It produces varicoses of the skin and the skin about the toes becomes dusky, and over the shin bones are dark spots, and she wants to lie with the extremities uncovered. Such patients lose flesh and become shrivelled.

In old, troublesome, lingering hemorrhages, starting up fresh on the slightest provocation, Sabina will stop the gush, the acute stage, but it does not hold, the haemorrhage recurs, and then an antipsoric is needed.

Sulphur is very commonly the remedy, but Psorinum, though not laid down in the books for hemorrhages, after Sulphur has exhausted, itself, will often follow for this oozing and frequent recurrence.

Phosphorus is somewhat like Sabina. it has a copious bright red flow, which may or may not contain clots. The striking features are outside the flow. There is pinched countenance, extremely dry tongue and mouth; violent, unquenchable thirst, craving ice-cold water. The haemorrhage is bright red, in a gush or continuous oozing.

In this way we must study well the hemorrhagic remedies. The physician must be acquainted with the emergency remedies, such as belong to the violent diarrheas, cholera, violent sufferings and hemorrhages. He must have them at his finger ends, and he must be able to compare instantaneously. Blood must be stopped.

Atony of the uterus is a striking feature of Sabina. The uterus will not contract on itself until it has something to contract on, like a clot or mole. Hemorrhages from other parts as well. But other remedies have taken its place in these regions because the individualizing symptoms have not been brought out.

Rheumatism: Much rheumatism and gout; gouty nodosities in the joints; they burn so and are so hot that the patient is compelled to put the hands or feet out of bed.

Gouty cases, especially when the constitutional state changes; an alternation; when the gout is present there will be no hemorrhages, and when there are hemorrhages the gout will be relieved.

An alternation of states The gouty condition of the veins is often a hemorrhagic state.

A Dictionary of Practical Materia Medica, John Henry Clarke

Juniperus sabina. Savin. N. O. Coniferae. Tincture of the young, fresh tops of the branches. Tincture of the oil.

Clinical.─Abortion; after-effects of. After-pains. Boils. Condylomata. Cystitis. Dysmenorrhoea. Gonorrhoea. Gout. Inter-menstrual flow. Leucorrhoea. Menstruation, excessive. Miscarriage. Moles, promotes expulsion of. Nephritis. Nymphomania. Ovaries, affections of. Penis, cartilaginous swelling on. Phimosis. Retained placenta. Rheumatic gout. Strangury. Sycosis. Toothache. Uterus, bleeding from.

Characteristics.─Stapf made the first collection of the symptoms of Sabina, and Hahnemann and his son were among the provers. A number of observations on women who had taken the drug to bring on the menses or procure abortion have also been added; and some cases of fatal poisoning are on record. Sbi. acts as a widespread irritant, inflaming the pyloric end of duodenum and causing patches of inflammation in other portions of the intestines, especially the upper intestines, the omentum and peritoneum (R. T. C.). The action of Sbi. on the generative organs of both sexes is pronounced. It produces figwarts with itching and burning of the external genitals, phimosis of the male, swelling of the dorsum of the penis, gonorrhoea; in the female uterine haemorrhages, and in the case of pregnant women, abortion. The haemorrhage is partly pale red and partly clotted, < from the least motion; but may be > by walking. The flow is in paroxysms, and is accompanied by labour-like pains. A grand characteristic of Sbi. is a pain from sacrum to pubis, and this will be a guiding symptom in a large number of the uterine cases requiring Sbi. Other characteristics are: (1) discharge of blood between the periods with sexual excitement and (2) obscure abdominal pains due to inflammatory states of the peritoneum. In the mental sphere there is much irritability, hysteria, and hypochondriasis, and a peculiar feature of it is that music is intolerable; it produces numbness and goes through bone and marrow. A close botanic ally of Thuja, Sbi. is yet not too close to be complementary to that great anti-sycotic; broad condylomata, fig-warts with much itching and exuberant granulations are characteristic. Like Thuja, it removes wart-like growths from the muco-cutaneous surfaces. It is suited to: chronic ailments of women; arthritic pains; tendency to miscarriage; to the gouty diathesis. Peculiar Sensations are: As if she would fall. As if parts of temporal eminence were pressed asunder. As if skin had grown fast in forehead. As if eyes would be pressed out. As if tooth would burst. As if he had to swallow over a foreign body. As of a lump in throat. As if vomiting would come on. As if something alive in abdomen. Right shoulder-joint as if sprained. Sbi. is one of the remedies which affect the heels. Farrington says it is suited to "plethoric women who suffer from what they call rheumatic inflammation" of the heels. There is an "intermittent aching" in the solar part of the heels. Intermittence and a paroxysmal character are a leading feature with Sbi. Pains are paroxysmal and labour-like Haemorrhage comes in gushes. Suddenly increasing and slowly disappearing pain. The symptoms are < by touch, though pressure >. The dysmenorrhoea pains were > lying on flat of back with limbs extended. < Stooping; sitting bent; letting limbs hang down; motion. Walking > metrorrhagia. Lies on left side during sleep. < Evening, night, and morning. Sleepless and restless after midnight. < In warm air or room. < Warm in bed. > In open air. (Warmth > pain of dysmenorrhoea). Cold applications > wandering pains in joints. < By music. < Taking a deep breath; > exhaling.

Relations.─Antidoted by: Puls. Complementary to: Thuj. Compatible: Ars., Bell., Rhus, Spo. Compare: < By music, Ambr., Thu., Sep. Inter-menstrual flow, Ham., Ambr. Condylomata, Thu., Nit. ac. Haemorrhage < from least motion, Sec. Menses partly fluid, partly clotted, Fer. Retained placenta, Caul., Sec. Promotes expulsion of moles or foreign bodies from uterus, Canth. > In fresh air, Puls. Affections of the heels, Am. m., Led., Puls., Caust., Mang., Ant. c., Grap., Nat. c., Cep. Desires lemonade, Puls. Clotted haemorrhage, Millif., Plat. (Plat. dark; Sbi. bright red). Miscarriage at third month, Croc., Kre. Sensation of something alive in abdomen, Croc., Thu. Suddenly increasing and slowly disappearing pain (Sul. ac. slowly increasing, suddenly disappearing). < In foggy weather, Hyper. < In bed at night, Sul., Merc., Puls., Cham. (toothache), Bry. (rheumatism). Phimosis, Cann., Merc., Sul., Nit. ac., Sep., Thu., Rhus. Tympanites, Tereb. Rheumatism > by cold applications, Led. Menses only when lying down (only at night, Bov., Mg. c.).

SYMPTOMS.

1. Mind.─Dejection, discouragement, and sadness.─Hypochondriacal mood.─Great anxiety and apprehension.─Irritable nerves; music intolerable.─Moroseness with dislike to conversation, esp. when exercising in open air.─Irascibility, with tears and sobs.─Listlessness.─Weakness of memory.

2. Head.─Stupefying vertigo, which occasions falling, with cloudiness of sight.─Giddiness, with congestions to and heat in head.─Attacks of megrim.─Heaviness and distressing pressure in head, often extending from sinciput to nape.─Splitting sensation in forehead and temples.─Circumscribed pain in temples.─Painful constriction in temples.─Drawing pains in head, esp. in forehead and temples.─Shooting pains in head, with smarting or aching, often in entire brain.─Digging and boring in head.─Pulsative headache with heaviness and stupefaction.─The headaches (esp. in temporal eminences, r. side) often appear suddenly, diminish slowly, and return frequently.

3. Eyes.─Tensive pain in eyes, as if muscles too short.─Eyes dull and downcast.─Heat in eyes.─Smarting tears.─Jerking quivering of lids.─Clouds before eyes.

4. Ears.─Pinching in ears.─Hardness of hearing.─(Gets deaf in foggy weather, or any change of weather; also when tired.─R. T. C.)

5. Nose.─Dry coryza.

6. Face.─Face pale, with blue circles round eyes.─Black pores in cheeks and round nose.─Paralytic pain and pressure in zygomatic process.─Lancinations (drawing pain in r. angle of jaw) from the lower jaw to cheekbone (< on touch).

7. Teeth.─Drawing toothache during and after a meal and mastication.─Toothache only when chewing.─Aching and throbbing in teeth, esp. in evening and at night, with sensation as if a tooth were being pulled out, < by drinking, smoking, and by heat of bed, > after rising.─Drawing in teeth in consequence of drinking, eating, and contact with air.─Tearing in roots of molars.─(Toothache after gouty pain in great toe had been driven away by external applications.).─Painful sensibility and white swelling of gum round a carious tooth.─Ulcer in gums.

8. Mouth.─Dryness in mouth.─Putrid exhalation from mouth.─Reddish or white saliva, which becomes frothy when speaking.─Tongue loaded with a white or brownish coating.

9. Throat.─Sore throat during deglutition, as from a foreign body, or an internal swelling in gullet, with pressure and choking.─Dull lancinations in throat.─Dryness in throat with drawing pain.

10. Appetite.─Taste in mouth and throat as from an inveterate coryza.─Mawkish, fat, or bloody taste in mouth.─Bitter taste in mouth and bitter taste of food, esp. of milk and coffee.─Desire for acids, esp. for lemonade.─Acidity in stomach after a meal.─Poor appetite.

11. Stomach.─Empty risings (and heartburn).─Nausea with fulness in stomach.─Vomiting of bile or of (undigested) food eaten the previous day.─Fulness and inflation of region of stomach.─Stomachache.─Lancinations from pit of stomach across back.

12. Abdomen.─Aching in hepatic region.─Tympanitic distension of abdomen.─Quivering in abdomen as if something alive were there; resembling foetal movements.─Contractive pains in abdomen.─Pressive pinchings in abdomen as from a chill or diarrhoea.─Labour-like pains in abdomen to groins; with sensation as if vomiting would come on, without nausea.─Pressing down towards genitals.─Inflammation of intestines.─Pain as from a bruise in abdominal muscles in bed in evening.

13. Stool and Anus.─Evacuations at first soft, then hard.─Loose, soft faeces, with noise, and abundant expulsion of flatus.─Discharge of sanguineous mucus from anus.─Discharge of blood from anus after a hard evacuation.─Bleeding haemorrhoids excessive discharge of bright red blood or blood and mucus.─Painful haemorrhoidal pimples in anus.─Tingling in anus.

14. Urinary Organs.─Retention of urine, with emission drop by drop, and burning sensation and pain in vesical region.─Vesical irritability with gouty diathesis.─Nephritis with retention; ardor urinae.─Urgent want to urinate, with scanty emission.─Frequent violent urging to urinate, with profuse discharge.─Profuse emission of urine, even at night.─Painful inflammation of urethra, with discharge of pus, as in gonorrhoea.

15. Male Sexual Organs.─Inflammatory gonorrhoea, with discharge of pus.─Sycotic excrescences with burning soreness.─Burning sore pain in glans.─Hard (cartilaginous) swelling on dorsum of penis.─Shootings in glans.─Deep redness of glans.─Painful sensibility of prepuce, with difficulty in retracting it.─Fraenum swollen and tight.─Pain in condyloma as from excoriation.─Increased sexual desire, with violent and prolonged erections.

16. Female Sexual Organs.─Almost insatiable desire for coition with corresponding gratification.─Sexual desire greatly increased (almost amounting to nymphomania).─Contractive pain in region of uterus.─Stitches deep in vagina.─Sanguineous congestion in uterus.─Haemorrhages of partly pale red, partly clotted, or of very thin, discoloured, offensive-smelling blood; < on least motion; has to lie perfectly quiet to avoid a profuse discharge after miscarriage.─Metrorrhagia with discharge of clotted or bright-red blood, and pains resembling labour pains in the sacrum and in the groins.─Metrorrhagia, bright blood, < at night.─Catamenia too early and too copious.─Menses continue too long.─Menstrual discharge partly fluid, partly clotted and offensive; it may be either bright red or dark and coagulated; flows mostly in paroxysms, which are brought on by slightest motion; or flow ceases when walking about (menses only when lying down).─Suppressed catamenia with very offensive-smelling leucorrhoea (like meat washings).─Miscarriage (esp. in the third month).─Perceptible swelling of mammae.─Tingling in mammae.─Leucorrhoea, itching, yellowish, fetid, and thick, like starch.─Inflammation of the uterus after parturition.─Retained placenta.─After-pains with sensitiveness of abdomen.

17. Respiratory Organs.─Dry cough, excited by a tickling, or followed at a later period by expectoration of mucus streaked with blood.─Dry, hacking cough, and tickling in the trachea.─Haemoptysis.─Tensive, pressive pain in sternum, not affected by respiration.

18. Chest.─Pressure on chest.─Pressive, spasmodic tension in chest, principally in middle of sternum.─Stitches in l. nipple.─Shooting and pain as from excoriation in xiphoid cartilage, < on taking a full inspiration and on touching the part.─Trembling in the lungs, with dull rattling and crackling.─Lancination (intermittent) in the outside of chest and in clavicles.

19. Heart.─Augmented and extended beating of the heart.─Throbbing in all the blood-vessels.─Pulse unequal; generally quick, strong, and hard.

20. Neck and Back.─Contusive pain in the muscles or vertebrae of neck.─Pressive drawing (labour-like pains) in loins, as far as the inguinal region and down thighs, followed by a bloody, slimy discharge from the vagina.─Paralytic pain in small of back, > (or < bending backward.─Drawing pains in small of back, extending into pubic region.─Pressive tearing and shootings in spine.─Pain in back obliging him to bend inward.─Paralytic pain in back.

21. Limbs.─Drawing, tearing pains, esp. at night; most in wrist-joints and toes, with red, shiny swelling; < from motion and touch.─Stitches in elbows; in heels, extending outward.─Limbs convulsed.─Cracking in joints.

22. Upper Limbs.─Wrenching pain in the joints of the shoulder and hands.─Pain as if sprained in r. shoulder-joint, even during rest.─Paralytic tearing along r. upper arm as far as hand.─Sticking pains on outer condyles of both elbows.─Aching in r. radius, < motion or touch.─Pressive tearings and shootings in arms, forearms, and fingers.─Arthritic rigidity and swelling in joint of wrist, with tearing and shootings; made almost insupportable when the hand hangs down.─Drawing and tearing in bones of hands.─Weakness of hands (when writing).─Distortion of fingers.

23. Lower Limbs.─Furunculus with shooting pain in buttock.─Shooting pains in coxo-femoral articulations when resting on the foot.─Stinging pains in hip-joints in morning and when breathing.─Pressure and drawing in thighs and knees.─Middle of anterior surface of thighs feel bruised and painful; only when walking on the level or stepping down, not when stepping up.─Tearing tension in thighs, with sensation when squatting as if the muscles were too short.─Purulent and lard-like ulcer on tibia.─Intermittent aching on l. heel, lower part where it joins the sole.─Sharp stitches from within out on r. and l. heel.─Pressive tearing in bones of feet.─Red and shining swelling of great toe (gout), with boring and lancinating pain.

24. Generalities.─[A marked characteristic is a pain which is felt all the way between the sacrum and pubis, from one bone to the other─not particularly in front or behind, but right along from the sacrum to the pubis; this pain may be found in labour pains, after-pains, occurring in dysmenorrhoea, etc.; in haemorrhage (particularly uterine) where the blood is in fluid and clots together─as, the liquid blood would flow, then will come a clot, and the blood may be flowing rapidly.─Bleeding from the nose, blood being pale.─Bleeding from inner parts in general.─Menstruation too early; too profuse; blood of light colour; bright-red colour; discharge of blood before the proper period.─Affects particularly the uterus; lower part of chest; wrist; heel; toes; arthritic pain in joints.─Cough with expectoration of pale blood.─In threatened abortion.─< On inspiration; taking a deep breath; affections in general during pregnancy; in a room; in a warm room; on getting warm in bed; women in childbed; after parturition.─> In open air; while breathing out, exhaling.─H. N. G.].─Chronic ailments of women.─Twitching pulsation in the blood-vessels.─Shooting and tearing, arthritic pains, esp. in joints, and sometimes with red and shining swelling of the parts affected.─Gouty nodosities.─Lancinating drawing in hollow bones.─Burning, pressive sensation in periosteum, which is swollen.─Haemorrhage.─Jerking throbbing in all the arteries.─Great weakness and weariness in all limbs, with despondency.─General uneasiness, as from long watching.─Heaviness and indolence of body, obliging him to lie down.

25. Skin.─Itching in skin, with excoriation and ulceration, or scabby places after scratching.─Burning sensation in parts affected when they are touched.─Black pores in skin.

26. Sleep.─Sleeplessness and restlessness after midnight.─Disturbed sleep with frequent waking, ebullition of blood, heat, and perspiration.─Anxious dreams.─Continued dreams, full of fanciful images, and intellectual efforts.─Talking and loud snoring during sleep.─Tendency to lie on l. side when sleeping.

27. Fever.─Shuddering and shivering, with cutis anserina and cloudiness of sight (followed by sleepiness).─Chill in the evening, with attacks of chilliness.─Great chilliness through the day.─Burning heat over the whole body, with great agitation.─Sensation of coldness in whole r. leg.─Heat in face, with icy coldness of feet and hands.─Fever in evening; first shivering, then heat, and lastly perspiration.─Perspiration every night.

Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica (Allen's Keynotes), Henry Clay Allen

Savine (Coniferae)

Chronic ailments of women; arthritic pains; tendency to miscarriages, especially at third month. Music is intolerable: produces nervousness, goes through bone and marrow (causes weeping Thuja). Drawing pains in small of back, from sacrum to pubes, in nearly all diseases (from back, going round the body to pubes, Vib. op.). Ailments: following abortion or premature labor; haemorrhage from uterus; flow partly pale red, partly clotted; worse from least motion (Sec.); often relieved by walking; pain extending from sacrum to pubes. Menses: too early, too profuse, too protracted; partly fluid, partly clotted (Fer.); in persons who menstruated very early in life; flow in paroxysym; with colic and labor-like pains; pains from sacrum to pubes. Discharge of blood between periods, with sexual excitement (Amb.). Retained placenta from atony of uterus; intense after-pains (Caul., Sec.). Menorrhagia: during climacteric, in women who formerly aborted; with early first menses. Inflammation of ovaries or uterus after abortion or premature labor. Promotes expulsion of moles or foreign bodies from uterus (Canth.). Fig warts with intolerable itching and burning; exuberant granulations (Thuja, Nit. ac.).

Relations. - Complementary: to, Thuja. Compare: Calc., Croc., Millef., Sec., Trill. Follows: Thuja in condyloma and sycotic affections.

Aggravation. - From least motion (Sec.); warm air or room (Apis, Puls.).

Amelioration. - In cool, open, fresh air.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Is one of our best remedies for profuse flowing from the female genital organs, as in menorrhagia, metrorrhagia, abortions, or after labor.

These haemorrhages are apt to occur in paroxysms, worse from motion (Secale), blood dark (Kali nit. and Cyclamen), and clotted (Crocus) or partly clotted and partly fluid and watery (Ferrum), the clots being black; from loss of tone in the uterus; (Caulophyl.) after abortion or parturition, with pain from back to pubes. This pain from back to pubes is its grand keynote, and may be found, not only in flooding, but in threatened abortion and menstrual troubles generally. Where is sometimes present the general characteristic of Pulsatilla, "aggravation from warm air and in a warm room, and amelioration in open, cool, fresh air", and in cases of too profuse menstruation; but you cannot give Pulsatilla because it increases the already too profuse flow. Here is where Sabina comes in, for it has the same aggravation and amelioration with the profuse flow. This is an important diagnostic difference between the two remedies and is reliable.

Sabina is indicated in threatened abortion at the third month, especially if the characteristic pain from back to pubes is present. If the pains begin in the back and go around from there and end with cramps in the uterus, Viburnum opulus is the remedy. This kind of pain seems as characteristic for Viburnum as is the other for Sabina.

Sabina has arthritic swelling of the wrist joint; also of the toe joints. This, if occurring in conjunction with its profuse flow from the genitals, may make the choice of remedy lie between it and Caulophyllum in some cases. The ovaries sympathize very much with the uterine troubles of Sabina, especially after abortion, or suppressed gonorrhoea, or leucorrhoeas.