Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

Sepia is suited to tall, slim women with narrow pelvis and lax fibers and muscles; such a woman is not well built as a woman.

A woman who has the hips of a well-built man is not built for child bearing, she cannot perform the functions of a woman without becoming relaxed in the pelvic organs and tissues. Such a build is a Sepia build, very tall, slim, narrow, straight from the shoulders all the way down.

Mind: One of the strongest features of the Sepia patient is found in the mind, the state of the affections. To a great extent, the remedy seems to abolish the ability to feel natural love, to be affectionate. To illustrate it in the language of the mother:

"I know I ought to love my children and my husband, I used to love them, but now I have no feeling on the subject."

The love does not go forth into affection, there is a lack of realization, a lack of ability to register such affections; the love does not manifest itself. Upon reflection it will be seen that the love itself cannot be so changed, but the affections can be as they are the expression of the love.

It is a striking feature of this remedy that the affections are stilled; all things seem strange; she does not realize; she may even be estranged and turned aside from those she loves. This is on the border land of insanity; it is quite a different state of affairs from that when a woman abused by her husband knows in her rational mind that she does not love him.

This state is brought out in a woman during confinement, after uterine and other hemorrhages, after prolonged indigestion; high living with disturbance in the circulation, pallor, enfeeblement of body and mind. It is seldom manifested in a man, but it is a striking feature in the woman. It often comes on when nursing a child, from nursing an over-vigorous child or twins who require much lacteal fluid and drag her down. It may be brought out in a woman who has an overvigorous husband. Excessive sexual excitement and over-indulgence brings on coldness and she becomes a cold woman.

She who has been excitable, nervous, and fidgety becomes the opposite, cold, takes on a stoical state of mind. Yet Sepia has all the excitability of any medicine, aggravated by noises, excitement, company, extreme irritability of tissue and mind; an excitable suicidal patient; melancholy, sits and says nothing; taciturn; answers questions in monosyllables when pressed to answer.

An absence of all joy, inability to realize that things are real; all things seem strange; no affection for the delightful things of life; no joy; life has nothing in it for her. She is worse in company yet dreads to be alone; and when she is in company she is spiteful, in the midst of her dullness of mind she is spiteful; she vents her spite on those she loves best. The Sepia woman permits no opposition to her opinions. The best impression of her is lost if controversy arises.

Skin: The next most general state is a peculiar sallowness which you will need to see to fix in your mind.

Sepia has jaundice, yet this peculiar sallowness is a waxy, anaemic appearance, mottled with yellow, a yellow, sallow tint across the nose and the cheeks described as a yellow saddle across the nose and down the sides of the face.

It is also common for the whole face to be covered with enormous freckles, great brown patches as in pregnancy, brown spots on the cheeks, brown warts, warts that have been red or pink become pigmented; liver spots on the face, chest, and abdomen.

The skin of the face is sallow and doughy, looks as if the muscles were flabby; you will seldom see Sepia indicated in the face that shows sharp lines of intellect; a person who has been thinking a long time has the lines and sharp angles of a thinking person, of one who possesses will and intellect. The Sepia subject is one who is rather stupid and dull, thinks slowly and is forgetful; the mind is anything but active and we see it in the face.

Face: In many instances, however, the Sepia patient is a quick patient, but the dullness of intellect is the most striking feature and it reflects itself upon the face.

The face is generally puffed, often smooth and rounded and marked by an absence of intellectual lines and angles.

This patient is anemic, pale lips and ears, pale, sallow face, fingers and hands become shrivelled, sallow, waxy, bloodless. Sepia establishes a progressing emaciation of the body and the skin becomes wrinkled; the person looks prematurely old; wrinkles intermingled with sallow spots on the face in one who is 35 years of age, making him look as if he were fifty. A child looks like a shrivelled dried up old person.

Bowels: With all complaints there is constipation.

The bowels lose their ability to expel their contents and the patient is always constipated; constipation during pregnancy; slow, difficult stool; stool like sheep dung. Always has a feeling of a lump in the rectum, never able to empty the bowels; though he goes to stool there is always a sensation of a lump remaining in the rectum. When the stool passes into the lower bowel, it is not expelled until there is an accumulation, which presses the stool out.

Hunger: Another feature present in most Sepia patients is a gnawing hunger, seldom satisfied; even though he eats plentifully he feels a gnawing, empty, hungry feeling in the stomach, not relieved by eating or relieved only for a moment. This is striking especially when associated with the constipation and the peculiar state of the affections.

When these symptoms are associated with prolapsus, Sepia will certainly cure, no matter how bad the prolapsus has been or what kind of displacement there is. It is the result of the state of relaxation of all the internal parts as if they were let down, wants a bandage to hold the parts up or wants to place the hand or napkin on the parts; a funneling sensation, better sitting down and crossing the limbs.

When these symptoms group themselves together, the gnawing hunger, the constipation, the dragging down, and the mental condition, it is Sepia and Sepia only. One is not sufficient but it is the combination.

Sepia has a marked catarrhal tendency, tendency to milky discharges from mucous membranes. Long after digestion has ceased and the stomach is empty comes nausea and sometimes vomiting.

It is a catarrhal state of the stomach and when it persists with the milky vomiting, Sepia is very valuable. This is not an uncommon feature in the vomiting of pregnancy. Vomits up food and after emptying the stomach of its contents, vomits or eructates a milky fluid; morning vomiting, first of food, then a milky substance. Do not confound this with vomiting of milk. Some medicines vomit milk alone and Sepia does this also.

Whitish, milky discharges from the posterior nares, from the vagina, excoriating, milky leucorrhea, which at times takes on the appearance of curds, thick, cheesy, and horribly offensive; it has also thick, green and yellow discharges; it has dry crusty formations on mucous membranes.

Nose: Prolonged inveterate catarrh of the nose, thick, green, and yellow crusts are blown from the nose and sometimes are hawked from the posterior nares, thick, leathery formations.

Loss of taste and smell. The smell of cooking food, meat and broth causes nausea. Catarrh of the chest with thick, tenacious, yellow expectoration, accompanied with a violent cough, retching, gagging, violent prolonged retching, vomiting; dry cough and yet there is rattling. Whooping cough; asthmatic cough with retching and loss of urine.

Cough: The cough is a violent one.

Cough during first sleep (Lach., in irritable children Cham.). Tuberculosis. Quick consumption after a suppressed gonorrhea; if given soon enough it will check. Spasmodic dry cough in the evening until midnight; holds the chest during the cough (Bry., Natr. sulph., Phos.)

Skin: Eruptions of the skin.

Tendency to produce herpetic eruptions about the genitals, lips and mouth; ring-worm upon the face and body. It has cured zona, and herpetic eruptions of the labia and foreskin. Vesicular eruptions in the axilla, upon the tip-s of the elbows; eruptions that pile up in great crusts on the elbows; thick crusts form upon the joints; eruptions between the fingers; moist eruptions that pour out a watery fluid, or thick, yellow, purulent fluid.

Sepia produces the induration that belongs to some forms of eruption like epithelioma; indurations will form on the lips and crack and bleed. The scaly eruption that looks like epithelioma is especially Sepia. When the scales come off a yellow, green, ichorous base remains, and as soon as one crust peels off, another forms; finally if torn off prematurely, it bleeds. Sepia has cured epithelioma of the lips, wings of the nose, and eyelids It has cured old indurations caused by the use of a clay pipe, where it continues to form, and beneath it is seen this thick, yellow, purulent exudation.

It is indicated in lumps and lupoid formation on the skin, where there is infiltration; sometimes healing from the centre to form a ring; this is a typical Sepia condition. The hardness and purple color are what are peculiarly Sepia. Sepia stands on a par with Lach. for this purple aspect.

Mind again: Sepia has a hysterical diathesis.

Breaks out in spells of weeping, is sad one minute, gentle, yielding, and in another she is disagreeable, excitable, obstinate. You do not know what she is going to do next. She says and does strange things, makes errors, no dependence can be placed on her; no mental endurance; no affection for her family; whole Mind weak and disordered, not when there is fever, but it is a chronic manifestation of psora or sycosis.

Fear of ghosts; that something unusual will happen; atmosphere full of figures, not seen, but she knows that they are there; departed friends or other forms and very often in accordance with religions belief.

Never happy unless annoying someone; relating her grievances; sarcastic; insulting fear of insanity, poverty.

"Fears to starve, is peevish and feels mortified, easily frightened and full of forbodings."

"Passionate, irritable; the greatest irritability from slight causes, very easily offended.

Vexed and disposed to scold."

Head: The headaches are nervous, bilious, periodic, violent, involving the whole head; congestive.

Generally better lying down, keeping perfectly quiet; worse from ordinary motion, but relieved by violent motion, like most Sepia symptoms in general; she can walk off her sufferings. Stasis of the brain, slowness of thought, mind will not work and, mental labor aggravates the headache. A good substantial sleep relieves it, but if she is awakened after sleeping a short time, the headache is worse.

The same is seen in regard to motion; moving the eyes, head, or body, moving about in a warm room aggravates the pain, but a good, long walk in the open air until she becomes heated up, relieves. It is a sluggish state of the body which requires exercise, and violent exercise to keep it in a state of comfort.

The Sepia symptoms are worse in the open air unless combined with continued motion, better from exercise in the open air and worse in the house. The headache is worse from stooping, motion, coughing, going up stairs, jarring, light, turning the head, lying on the back and from thinking, but continued, hard exercise relieves, as does a tight bandage, and the application of heat, though worse in a warm room.

There are Sepia headaches that particularly affect the occiput, worse in the morning; great pain through the eyes and temples; relieved by sweat, worse on beginning to move; throbbing felt on stooping, worse on going up s airs.

The Phos. headache is relieved by sleep, but continued, rapid motion aggravates. Cannot endure it. Sepia is suited to the old fashioned bilious headaches. It is better from vomiting; the pain gradually increases, loathing of food, then nausea, vomiting and the patient falls asleep and wakens without the headache. Sang. resembles it, is better vomiting, better in a dark room; the direction is different, however.

Neuralgia of the head; periodic sick-headaches in gouty people; violent, congestive headaches in young women sensitive to noise, women of extremely delicate fiber, especially those with dark eyes, dark skin, and who become sallow from sickness. Jaundice often sets in with the headaches; at the close of the headache vomiting, and in a few days jaundice, which passes away but returns again with the next headache.

Headache every morning with nausea; the smell of food repulsive. Sepia takes on a stupid state of mind as mentioned above; will not work; will not answer questions; as if intoxicated, benumbed; eyes and face swollen, sclerotics yellow and jaundice.

This sometimes ends in violent vomiting spells. Craves spicy, pungent, bitter things like beer - in old drunkards with headache; threatening apoplexy.

"Apoplexy in men addicted to drinking and sexual excesses, with a disposition to gout and hemorrhoids, etc."

"Threatening apoplexy in a dissipated, middle-aged man, who is subject to arthritic and hoemorrhoidal complaints; they have usually passed through several light attacks of apoplexy and are frequently visited with prodromic symptoms!"

Under external head we have eruptions and falling out of the hair yellow crusts; oozing of pus and other fluids; vesicles eczema of infants.

Face: Eyes; catarrhal symptoms with vesicles and pustules granular lids ulcers and psoric manifestations; various infiltrative conditions of the eyes and about the eyes; pustules on the margins of the lids, pustules on the globe of the eye, seems as if looking through a gauze; tarsal tumors, agglutination of lids, styes, etc.

The ears discharge thick, yellow pus; offensive.

The nose is a favorite locality; loss of smell; yellow or green thick crusts fill the nose and cannot be blown out; inveterate discharge of thick yellow pus.

"Large offensive-smelling plugs from the nose, often so large that they have to be drawn back into the mouth and expectorated, causing vomiting.

Dry coryza especially of left nostril, following of large lumps of yellow or green mucus or yellow-green crusts with blood from the nose."

This is descriptive of the worst forms of catarrh; very few will let it run on thus far, they apply local treatment and heal the nose up, and, the process at once going to the chest, phthisis pituitosa comes on.

The gums settle away from the teeth. Toothache and neuralgia from taking cold.

Sensation of a lump in the throat (like Lach.), but the latter is better from swallowing. (The same in worm troubles indicates Cina.) Uneasiness of the collar and corsets like Lach. Worse in the first, sleep like Lach.

Stomach: Sepia brings out many things in connection with the appetites, thirst, eating, drinking and stomach, etc.

The Sepia patient is generally conscious of a spoiled stomach, sour and bitter eructations of food, of mucus and bile, sour and bitter vomiting of food and mucus; all-gone, hungry, empty feeling in the stomach sometimes not relieved by eating.

At times a gnawing pain, a sinking, a gnawing hunger which is not always relieved by eating. Almost constant nausea, especially in the morning, nausea and eructations and vomiting of milky fluid; when the stomach is empty, vomiting, spitting up, eructations of milky fluid.

Aversion to food, to the smell of food cooking, like Colch. and Ars. The patient gets up in the morning with an all-gone feeling, distress and fullness in the stomach followed by belching and uprisings of mucus, and milky fluids; vomiting of pregnancy; vomiting of milky water in the morning; this is a characteristic of Sepia.

Acrid, burning eructations; heartburn; rancid eructations, excoriating the throat; pyrosis which is another form of eructation; acrid, sour fluids burning all the way up, causing contraction, tingling, smarting.

Nausea violent; deathly sinking accompanied with an awful anxiety in the stomach.

Phos. has more of the typical hunger which is relieved by eating. The Ignatia patient is always sighing; cannot get rid of "that feeling."

Oleander has an all-gone empty feeling as if he would die; food does not relieve, is not digested, but panes undigested the next day.

Lyc. has an all-gone feeling sometimes not better by eating, felt as markedly before as after eating, and after eating there comes a throbbing.

Kali carb. has it also, without the amelioration from taking food; it is even intensified by eating, which is followed by a sensation of fullness and throbbing.

In severe liver and heart affections the stomach is not able to keep up assimilation; palpitation, great weakness, liver congested, white stool.

Digitalis comes in here with its deathly sinking not better by vomiting. In Sepia this symptom is associated with the loss of affections, the lump in the rectum, with the constipation, etc.

"Pain in the stomach after the simplest food.

Stitches and burning in the stomach.

Pain in the stomach worse by vomiting."

This is peculiar, for vomiting usually relieves the distress. The Sepia stomach becomes like a leather bag, fill it up and the food comes up just as eaten or at times sour or mixed with bile. Inflammation of the liver, enlargement with jaundice, pain, fullness, distension, distress in the region of the liver.

Abdomen: distended with flatus, rumbling and distension. These disturbances are often chronic as in pot-bellied mothers; abdomen covered with brown spots. Sepia has removed tape-worm.

Chronic diarrhea, stools jelly-like, lumpy; alternating diarrhoea and constipation; a great amount of mucus with the stools, whether constipated or diarrheic; hard stool covered with a great quantity of jellylike mucus.

Goes for days without a stool and then sits and strains until a copious sweat breaks out and yet no stool, but after assistance with the finger and prolonged strain a little stool is passed, followed by a cupful of jelly-like mucus, yellow or yellow-white and very offensive.

The acute diarrheas and dysenteries with jelly-like stools are more in keeping with Kali bi. and Colch. This is chronic diarrhoea or in constipation with stool covered with or followed by jelly-like mucus is Sepia.

Do not confound with Graph., which has an enormous stool with much straining and sweating, and coated with and mixed with a substance looking like the cooked white egg, as if covered with albumen.

In Sepia there is much offensiveness; the odor of the stool is unusual, loose stools horribly offensive, foetid; the sweat is foetid, the urine is foetid.

"The stool has a putrid, sourish, foetid smell, expelled suddenly and the whole of it at once."

Sepia is given in a routine way for constipation, when there are few symptoms.

Rectum: There is always a sense of fullness in the rectum after stool; ineffectual straining and sweating in the effort because the patient is weak and exhausted.

Sepia has the ineffectual urging like Nux. She may go for days with no urging and then the effort is as if she were in labor. Prolapse of the rectum. Weight as of a ball in the anus not relieved by stool.

Soreness of the anus. Expulsion of ascarides. Oozing moisture from the rectum, soreness between the buttocks.

Hemorrhoids soon form when the rectum is so packed with feces, and they give additional trouble.

Urinary: There is much urinary trouble; involuntary urination as soon as the child goes to sleep at night.

Sepia is compelled to keep the mind on the neck of the bladder or she will lose the urine; urine is lost when coughing, sneezing, laughing, the slam of a door, a shock, or when the mind is diverted.

Frequent, constant urging to urinate with milky urine that burns like fire and after standing a while a milky, grayish deposit will form which is hard to wash off the vessel. Bloody urine scanty and suppressed, great pain in the kidneys and bladder with great bearing down; sudden desire with tenesmus as if the uterus would come out. Sudden desire to urinate with cutting like knives and chill all over the body, if unable to pass it, as a lady in company.

I remember a pitiable case. A saleswoman was obliged to go to the closet every few minutes; a violent pain like a knife cutting came with the desire to urinate, and if the urine was not passed this pain would hold right on. She was compelled to keep her mind on the urine or she would lose it. She was tall, slim, with sallow face, distressed look, worn and tired. Sepia cured her and she was never troubled again.

The Sepia patient aborts at the third month. All sorts of ulcerative conditions, displacements, dragging down and relaxations. Retained Placenta. Sub involution, all the pelvic organs are tired and weak. Metrorrhagia during the climacteric or during pregnancy, especially at the fifth and seventh months.

Genitals: Both male and female have aversion to the opposite sex.

In the female there is a state as if she had indulged to excess, when this is not the case. No endurance, tired after coition, sleepless nights, sleep full of dreams, jerking of muscles, twitching, leucorrhoea, congestion of the pelvis.

A woman who has been normal in her relations with her husband brings forth a child, and then the thought of sexual relations causes nausea and irritability.

The menstrual symptoms are of all sorts, no particular derangement characterizes Sepia. At one time it was thought that scanty menstruation was the more striking feature, but this is not necessarily so; from provings and clinical observations, it has cured profuse as well as scanty flow. Most violent dysmenorrhoea in girls of delicate fiber, sallow girls.

Sepia comes in when the woman ought to menstruate when the child ceases to nurse; sometimes the child dies and menses ought to be established but do not appear, and the mother runs down, pines away; Sepia will establish the flow.

Calc. is the opposite; the menses come on while the child is nursing. Thick greenish acrid or milky leucorrhea. Leucorrhoea in little girls.

In the male, old sycotic discharge that has resisted injection. Profuse yellow, or milky discharge from the urethra, or the "last drop" painless.

Gonorrhea after the acute symptoms have subsided. Urine loaded with urates, stains everything red and often excoriates, very foetid, associated with prostatitis.

"Gleet; no pain; discharge only during the night, a drop or so staining the linen yellowish; yellowish discharge, no burning or urinating; painless; of a year and a half's standing; orifice of urethra stuck together in the morning, particularly when the sexual organs are debilitated by long continuance of disease or through frequent seminal emissions."

Warts on the genitals; Sepia is useful when these organs have been overused and take on such an appearance. Impotence in the male, loss of sexual feeling in the female.

The close relation between this remedy and Murex is worth considering. The muscular relaxation, dragging down in the abdomen and pelvis, aggravated from exertion and walking, ameliorated by sitting with the limbs crossed and ameliorated by pressure on the genitalia would be like both remedies; but add to this copious menstrual flow and violent sexual desire and Murex must be considered and Sepia eliminated.

Both have extreme empty feeling in the stomach. Sepia has diminished sexual desire and often aversion. Murex has great soreness and congestion of the uterus, and she is constantly reminded of the uterus. Murex has acute pain in right side of uterus which crosses the body diagonally upward to left side of chest, or left breast, It cures violent dysmenorrhoea. It has been useful in cancer of the -uterus. Watery, greenish, thick, bloody leucorrhea, causing itching.

Back: One of Sepia's most general characteristics is the amelioration from violent exercise; worse on beginning to move but better by getting warmed up. This condition is closely related to the back symptoms. There is a great amount of soreness in the back, the spine aches all the way down. Pressure on the spine reveals sore places, spinal irritation.

Aching in the back mostly from the loins to the coccyx, often coming on from sitting, and ameliorated from violent exercise. A peculiar feature is amelioration from hard pressure. The patient commonly puts a book low down on the chair and presses the back against it. Sepia does not seem to get the amelioration from lying upon the back as Natrum mur. does. Stooping aggravates the backache.

''Backache worse from kneeling."

Under symptoms of the lower extremities we find great numbness of the feet.

"Coldness of the legs and feet especially in the evening in bed when the feet get warm the hands get cold; icy coldness of the feet profuse sweat of the feet or sweat of unbearable odor causing. soreness between the toes. Swelling of the limbs better while walking."

The sleep is full of dreams and distress; cannot sleep upon the left side because of palpitation of the heart. Palpitation in sleep, with pulsations and trembling all over the body, pulsations to the finger tips.

In old cases of suppressed malaria, Sepia brings back the chill, but its most useful sphere is after a bad selection of the remedy and the case becomes confused. Where a remedy has been selected for only a part of the case and changed it a little but the patient gets no better.

It will be seen that the fever, chill, and sweat are just as erratic as can be. Natrum mur. is one of the greatest malarial remedies, but it is full of order like China, Sepia is full of disorder.

In a case confused by remedies think of Calc., Ars., Sulph., Sepia and Ipecac. Never give China or Natrum mur. for irregular symptoms and stages.

Sepia is complementary to Natrum mur. Aside from the stupid condition of the mind it has an excitable condition of the general nervous system that is often marked in Natrum mur. as, for instance, being disturbed by a noise, the slam of a door, etc. It produces jerking of the muscles in sleep; constantly wakes from imaginary noises, thinks someone has called her; the last disturbance about the house wakens her.

Worse before and during menses; during pregnancy; after eating during first sleep; change of weather; during a thunderstorm; overwhelming fear.

A Dictionary of Practical Materia Medica, John Henry Clarke

Sepia officinalis. Cuttle Fish. N. O. Cephalopoda. Trituration of dried liquid contained in the ink-bag. [I have found a preparation made from the fresh ink-bag, given to me by Dr. Swallow, of Ningpo, in every way superior to the official preparation, which I now rarely use. The provings and recorded cures were, however, made with the dried ink preparations.]

Clinical.─Alcohol, effects of. Amenorrhoea. Anus, pressure of. Apoplexy. Appetite, depraved. Ascarides. Baldness. Bladder, irritable. Cancer. Change of life. Chloasma. Chorea. Condylomata. Cystitis. Dandriff. Dysmenorrhoea. Dyspepsia. Eczema. Epistaxis. Eyes, affections of. Face, yellow. Freckles. Gleet. Gonorrhoea. Gravel. Herpes; circinatus. Hysteria. Irritation. Jaundice. Leucorrhoea. Liver-spots. Liver, torpid. Menstruation, disordered. Mind, affections of. Nails, pains under. Neuralgia. Nose, inflamed; swollen. Ozaena. Phimosis. Pityriasis versicolor. Pleurisy. Pregnancy, disorders of; vomiting of. Pruritus. Psoriasis. Ptosis. Pylorus, induration of. Quinsy. Rectum, cancer of; fissure of. Ringworm. Sacrum, pain in. Sciatica. Seborrhoea. Smell, sense of, too acute; disordered. Spermatorrhoea. Stye. Toothache. Urine, incontinence of. Uterus, bearing down in. Varicose veins. Warts. Whooping-cough.

Characteristics.─The present use of Sepia in medicine is due to Hahnemann. Some among the ancient physicians (Dioscorides, Plinius, and Marcellus, says Teste) used either the flesh, the eggs, or even the only bone which constitutes the skeleton of this animal, for "leucorrhoea, gonorrhoea, catarrh of the bladder, gravel, spasms of the bladder, baldness, freckles and certain kinds of tetters "─which is sufficiently remarkable in the light of the provings. Sep. is one of the remedies of the Chronic Diseases, and was proved by Goullon, von Gersdorff, Gross, Hartlaub, and Wahle. Sep. is predominantly, but by no means exclusively, a woman's remedy. It affects the generative organs of both sexes, and a large number of the symptoms occurring in other organs have some relation thereto. Teste describes the type to where Sep. is suited as follows: Young people of both sexes, or, rather, persons between pubescence and the critical period of life; of delicate constitutions, with pure white skins, or skins having a rosy tinge; blonde or red hair; nervous or lymphatico-nervous temperaments; exceedingly excitable and anxious for emotions; and, lastly, particularly such as are disposed to sexual excitement, or have been exhausted by sexual excesses. Hering gives these types: (1) Persons of dark hair, rigid fibre, but mild and easy disposition. (2) Women during pregnancy, in childbed and while nursing. (3) Children who take cold readily when the weather changes. (4) Scrofulous persons. (5) Men who have been addicted to drinking and sexual excesses. (6) Pot-bellied mothers, yellow saddle across nose, irritable, faint from least exertion, leuco-phlegmatic constitutions. Bähr gives: "Sanguine, excitable temperaments inclined to congestions." Farrington adds that the Sep. patient is sensitive to all impressions, and that the dark hair is not by any means a necessity. He gives a more complete description: Puffed, flabby persons (less frequently emaciated) with yellow or dirty yellow brown blotched skin; inclined to sweat, especially about genitals, axillae, and back; hot flushes; headache in morning; awaken stiff and tired; subject to disease of sexual organs; the general attitude is never one of strength and healthful ease, but of lax connective tissue, languor, easily produced paresis. Sep. acts on the vital forces as well as on organic tissues. The sphincters are weakened and all non-striated muscles. Sep. disturbs the circulation, causing flushes and other irregularities─throbbings all over; hands hot and feet cold, or vice versa. The flushes run upward and end in sweat with faint, weak feeling. Epistaxis may occur either from a blow, from being in a warm room, or from suppressed menses. The upward direction of the Sep. symptoms is one of its keynotes. The pains of the head shoot upward; and so do the pains in anus, rectum, and vagina. Also coldness as well as the flushes travels from below up. On the other hand night-sweat proceeds from above downward. The head pains proceed from within out. Sep. is one of the remedies which have the "ball" sensation in inner parts. There is vertigo with sensation of something "rolling round" in the head. There is sensation of a ball in inner parts generally; but the most notable one is sensation of a ball in rectum. It may be described as an apple or a potato, and it is not relieved by stool. I have cured both constipation and diarrhoea when that symptom was present. The upward stitches in rectum and vagina, when present, are equally good indications for Sep. in cases of haemorrhoids, prolapse of rectum, and for prolapse or induration of uterus and cervix. As with Murex the chief incidence of Sep. is on the female sexual organs, though with Sep. the menses are generally scanty, as with Murex they are the reverse. Sep. causes engorgement of the uterus going on to induration. There is either prolapse or retroversion. Yellowish green leucorrhoea somewhat offensive. The bearing-down pains of Sep. are of great intensity. They are felt in abdomen and back; and sometimes even seem to interfere with breathing. The bearing down is < standing or walking. The bearing down extends into thighs. There is a constant sense of pressing into vagina, which compels the patient to cross the limbs to prevent prolapse. Connected with the uterine symptoms are: hysteria, erethism, palpitation, orgasm of blood, faintness. The sensation of "goneness" and emptiness, which is one of the characteristics of Sep., is sometimes connected with the pelvic bearing down. The empty sensation is felt in the epigastrium and throughout the abdomen. It is analogous to the great relaxing effect of Sep. on connective tissues. This sinking is common in pregnancy; and Sep. corresponds to many of the troublesome affections of the pregnant state, as─"morning sickness, vomiting of food and bile in morning; of milky fluid; strains so that blood comes up." "The thought of food sickens her; with sense of great weight in anus." Tendency to abortion is met by Sep.; Hering is reported to have said: "All women prone to abortion should take Sep. and Zinc." But Sep. meets many cases of dyspepsia not originating in uterine disorders. It has cured dyspepsia from injury by overlifting. Portal stasis is part of the Sep. action. There is fulness, soreness, and stitches in liver region; as well as stitches in left hypochondrium. The whole urinary tract is irritated, and catarrh of bladder and urethra may be, set up. There is frequent strong urging to urinate. Stitches along the urethra. The relaxed sphincters of Sep. favour enuresis, and the type which it cures is well defined: "The bed is wet almost as soon as the child goes to sleep, always during the first sleep." It meets the enuresis of light-complexioned boys and onanists. In cases of irritable bladder, although the desire is urgent, the discharge of urine may be difficult, and the patient may have to wait a long time. Gonorrhoea after the acute stage has subsided. Gleet and gonorrhoeal warts have been cured with it. Hering gives, "condylomata completely surrounding head of penis." I have cured a crop of small velvety warts completely encircling the mouth of the prepuce. Thuja had failed in the case. In reference to warts, I cured with Sep. 3x trit. a large horn-like wart on the abdomen of a woman. It was as large as a crown-piece but shaped like a bean, and raised a quarter of an inch from the surface. The skin symptoms of Sep. are among its most characteristic features. The skin is delicate, the least injury tends to ulceration. Itching which often changes to burning when scratched. Soreness of skin, humid places on bends of knees. Chloasma. Painful eruption on tip of nose. Herpetic eruption on lips and about mouth. Ringworm-like eruptions every spring on different parts of body. Ringworm on face. Herpes circinatus. Roundness and yellowness of the spots. The nettle-rash of Sep. appears ongoing into open air. It is > in warm room. The itching of Sep. may be desperate, especially when it affects the genitals and anus. The action of Sep. on connective tissues is again exemplified in the selection of the finger-joints as a seat of ulceration. The sweat is pungent in odour, offensive in axillae and soles of feet, causing soreness. The skin and the eyes are near akin, and Sep. causes all kinds of inflammation of eyes and lids, with impaired vision, black spots, green halo, fiery redness. The eye-symptoms are < by rubbing; < pressing lids together; < morning and evening; > bathing in cold water. Sep. is a chilly remedy from lack of vital heat, "chills, so easily"; this is especially the case in chronic diseases. Sep. is often required in chronic nasal catarrh. Nash had a case in which the discharge was thick, bland, and copious. Puls. relieved the catarrh but increased the menstrual flow too much. Sep. cured both. Sep. is also useful where colds inflame the tonsils and tend to cause suppuration. The characteristic sensations in the throat are: Dryness; pressure as if neck-cloth too tight; plug sensation; stinging; stitching pains on swallowing; contraction of throat without swallowing; sensation of plug when swallowing with feeling of constriction. There are some peculiarities about the mental state of Sep. which must be borne in mind: (1) Anxiety: with fear, flushes of heat over face and head; about real or imaginary evils; towards evening. (2) Great sadness and weeping; dread of being alone, of men, of meeting friends; with uterine troubles. (3) Indifferent: even to one's family one's occupation; to one's nearest and dearest. (4) Greedy, miserly. (5) Indolent. The Sep. patient weeps when asked about her symptoms. She is very sensitive, and must not be found fault with. Faints easily" is a note of the Sep. weakness: after getting wet from extremes of heat and cold; riding in a carriage; kneeling at church. Lorbacher (quoted H. M., xxxi. 142) refers to three important indications for Sep. not generally known: (1) Prodromal symptoms of apoplexy; (2) whooping-cough that drag., on interminably; (3) hypostatic pleuritis. The symptoms of Sep. corresponding to the first are: Stiffness of back of neck; staggering vertigo (< exercising in open air); anxiousness and a feeling of fear of severe sickness; intermitting heart beats; torpor and sleepiness. Lorbacher gives this case: A thick-set farmer, 50, inclined to hypochondriasis, troubled from time to time with piles, without being an habitual drinker was addicted to "nips," Gradually abdominal prominence developed; stiffness of neck; vertigo; occasional throbbing headache; slight transient loss of consciousness; anxiety; fear of apoplexy; piles less pronounced and less frequently troublesome than usual. Venesection, performed several times, only partially relieved. Abstinence from alcohol had no decided influence. Sep. 12x was given, four drops twice daily at first, then every other day, and later at increasing intervals. In two months the symptoms were reduced, and gradually passed away. The man lived eight years after this, and had no apoplexy, though he did not give up his "nips." Sep. is indicated in whooping-cough when it has lasted eight weeks or longer, and the paroxysms, though reduced in number and virulence, do not disappear, and occur especially before midnight. The patients are reduced in strength, dyspeptic, irritable, tearful, easily angered or apathetic. Kunkel reports (quoted H. M., xxix. 670) this case of pulmonary affection: A boy, 14, had been under treatment five weeks for cough and hoarseness. Hoarseness < evening; during the day cough with purulent sputa. Slept well but dreamed when he lay on left side. Emaciated. Phos. 10x produced little change. It was now ascertained that there was remarkable tightness of the chest on breathing, with inclination to take a deep breath; this was > in open air, on motion, while at work; < while in the house and at rest. Though the weather was bad he had constant desire to be out of doors. Sep. 10x made a rapid cure. Boenninghausen recommended Sep. in cases of cough, either with or without expectoration, with bloody, blood-streaked, purulent, yellow greenish or stinking sputa, and especially in consumption. Nash mentions a case of cholera infantum which he cured with Sep. on the indication "always < after taking milk." In moisture oozing from the anus he compares it with Ant. c., which has the first place. Sep., says Bähr (i. 359), "affords considerable help in a certain condition of the system which we have so far only noticed in females. After the exacerbation of a chronic gastric catarrh has lasted a few days with intolerable burning pains, the renal region, more particularly the left side, becomes painful, a violent burning pain is felt in this region, and a quantity of saturated, highly-coloured urine is discharged, which deposits copious quantities of urates, or else a clear urine with copious sandy sediment, coated with uric acid. After the discharge the pains generally abate, and only return if the stomach has not been restored to its normal condition." Peculiar Sensations of Sep. are: As if every object were in motion. As if suspended in air. Vertigo as if intoxicated. As if brain crushed. As if head would burst. As if waves of pain rolling up and beating against frontal bone. As if something rolling around in head, with vertigo. Stitches as from needles in head. As if roots of hair were sore; as if cut short near roots. As if eyes would fall out. As of a weight over eyes. As if eyes were gone and a cool wind blew out of sockets. Eyes as if bruised. As if a grain of sand in eye. As if lids too heavy to open. Eyes as if balls of fire. As if lids too tight and did not cover eyeballs. Hollow molar tooth as if swollen and elongated. Gums, as if burned; as if beginning to suppurate. Tongue and cavity of mouth as if scalded. As of plug in throat. Throat as if raw. As if something twisting in stomach and rising to throat. As if viscera turning inside out. As if stomach sore internally. As if something remained lodged in stomach. As if stomach were being scraped. As if a strap as wide as her hand drawn tightly round her waist. Liver as if bursting. As if everything in abdomen turning around. As of a load in abdomen. As if intestines were drawn into a lump. As of something adherent in abdomen. As of something alive in abdomen. Weight or ball in anus. As if bladder full and contents would fall out over pubes. As if drops came out of bladder. As if bladder and urinary organs would be pressed out. As of everything would issue through vulva. As if everything would fall out of uterus. Uterus as if clutched. As if vulva enlarged. As if something heavy would force itself from vagina. As from a weight in sides. As if ribs were broken and sharp points were sticking in flesh. As if cough came from stomach and abdomen. Chest as if hollow; as if sore. Throat as if filled with phlegm. As if breasts were enlarged. As if heart stood still. Back as if she could not turn or raise herself, or as if she had been in a wrong position, almost as if parts had gone to sleep. Sudden pain in back as if struck by a hammer. Pain in back as from subcutaneous ulceration. As if something were going to break in back. As if limbs would refuse to act. As if shoulder dislocated. Feet as if asleep. Right hip-joint as if bruised. Lower limbs as if beaten. As of a mouse running in lower limbs. As if bones of legs were decaying. As if she could feel every muscle and fibre of her right side from shoulder to feet. As of a ball in inner parts. As of an icy hand between scapulae. As if she would suffocate. As if feet stood in cold water up to ankles. As of hot water poured over one. "Stiffness" is a prominent feature of Sep.: stiffness of limbs < after sleep; stiffness of uterine region. A peculiar symptom of Sep. is: "Involuntary jerking of head backward and forward, especially forenoons when sitting." This may occur in hysteria. Open fontanelles in children is an indication for Sep. The symptoms are < by touch (except pain in back, which is > by touch). Pressure >. (Pressing eyelids together <.) Binding head tightly >. Loosening clothes >. Rubbing; and scratching <. < jar; mis-step; slightest blow; overlifting. Many symptoms are both < and > by rest and motion. < Moving arms. Lying on side, and on right side >. Lying on left side <. Lying on back <. Sitting < many symptoms. Faint sitting erect or kneeling. (< Kneeling is characteristic.) Sitting with legs crossed >. Stooping <. Standing <. Hard motion > headache. A short walk fatigues much. Going upstairs <. Dancing and running = no shortness of breath. < Mental labour. < From sexual excesses. < Afternoon and evening. ("Dyspnoea in evening" is characteristic.) < From cold air or during east wind. < In sultry, moist weather. < Before a thunderstorm. < By laundry work. (Sep. is the "washerwoman's remedy."─H. C. Allen.) Stormy weather = suffocating feeling. < After sleep (stiffness of legs). < On failing to sleep or in first sleep. > In open air. (Also─warmth of natural bodily heat; very sensitive to cold air.) Cold water > eyes and teeth. > Warmth of bed or hot applications. Cough < in church. < During and immediately after eating. Milk, fat food, acids <. While eating pulsation in pit of stomach, the more he eats the < it becomes. Empty feeling ceases at supper. < From coitus. I have confirmed the experience of Dr. Swallow, who found the fresh preparation of Sep. (which I prescribe as Sep. fr.) to possess a wider range than the ordinary preparation and to act as an "organ remedy" in a great variety of uterine affections not definitely indicated by the pathogenesis. I have used it in attenuations from the 5th to 30th.]

Relations.─Antidoted by: Smelling Nit. sp. d., by Vegetable acids, Aco., Ant. c., Ant. t., Rhus. It antidotes: Calc., Chi., Merc., Nat. m., Nat. ph., Pho., Sars., Sul. Incompatible: Lach. (but in one case in which Lach. in very high potency had caused intensely distressing rectal tenesmus with alternate inversion and eversion of the anus, Sep. high proved to be the antidote). Complementary: Nat. m. (the cuttle-fish is a salt-water animal), Nat. c., and other Natrum salts; Sul. Followed well by: Nit. ac. Compare: Vesicular eruptions and ulcers about joints, Brx., Mez. Psoriasis, Ars., Ars. i. Chloasma, Lyc., Nux, Sul., Curar. Ringworm, Bac., Calc., Tell. Sadness, Caust., Puls. Mild, easy disposition, Puls. Weeps when asked about her symptoms (Puls., weeps when telling her symptoms). Diseases with sudden prostration and sinking faintness, Murex, Nux m. Washerwoman's remedy, Pho. (Pho., headache after washing). Pains extend from other parts to back (Sabi. the reverse). Pains with shuddering (Puls., with chilliness). Lack of vital heat, especially in chronic diseases (Led. in acute diseases). Coldness of vertex with headache, Ver. (heat of vertex, Calc., Graph., Sul.). Indifferent to his occupation, Fl. ac., Ph. ac. Greedy, miserly, Lyc. Must loosen neckband, Lach. Sensation of ball in inner parts, Lach. Herpes circinatus in isolated spots (Tell. in intersecting rings). Empty feeling > eating, Chel., Pho. Constipation during pregnancy, Alm. Pain in rectum long after stool, Nit. ac., Sul. Urine so offensive must be removed from room (Indium, horribly offensive after standing). Bed wet almost as soon as child goes to sleep, Kre. Old-standing gleet, K. iod. Bearing down as if everything would protrude from pelvis, Agar., Bell., Lil. t., Murex, Sanic. Sight or thought of food sickens, Nux. Smell of cooking food nauseates, Ars., Colch. Itching turns to burning by scratching, Sul. Spine pain < sitting than walking, Cob., Zn., Puls., Can. i. Indurated uterus; vaginismus, Plat. Bearing down, Bell. (Bell. < lying down, Sep. >; Bell. > standing, Sep. <). Cannot expectorate, Caust., Dros., K. ca., Arn. Spurting of urine with cough, Caust., Nat. m., Fer. Eczema of backs of hands, Nat. c. Prolapsus uteri, Nux. (Sep. follows when Nux ceases to act). Ptosis, Gels. (Gels., sluggish mind; suffused red face). Urticaria < in open air, Rx. c. Urticaria, Ast. fl., Nat. m., Apis, Chloral., Urtica. Eye affections of tea-drinkers, Thuj. Dyspepsia with thick urine, Lyc. Indurated uterus, melancholy, Aur. Bearing down, sadness, K. fcy. Bearing down, congestion, aching distress, prolapse, Ust., Sec., Vib. o., Vib. t., Inula., Hedeo, Ziz. Uncontrollable fits of laughter, Croc., Ign. Terrible sadness during menses, Lyc., Nat. m, Nit. ac. (Nat. m. is < or > 10 a.m.) Irritable during menses (Nux, Cham., Mg. m. before and during; Lyc. before). < Kneeling, Coccul., Mg. c. Anxious about health, Calc., Pho. Ozaena, clinkers, Pul., Syph., Pso. Fetid urine, Calc. (Benz. ac. and Nit. ac., strong). Burning, shooting, stitching pains in cervix, Murex. Hot, burning eructations, Pet., K. ca., Hep. Delay in passing water, Ars. (ineffectual desire, Nux). Fear of ghosts, Pho., Pul. Phimosis, Can. s., Merc., Sul., Nit. ac., Thuj. With exhausted feeling in bowels after stool, Plat. Movements of head, Lyc. < From coitus; remedy for women, relaxation of tissue, K. ca. As if struck by a hammer in the back (Naj. in nape). Tongue and mouth as if scalded, Sang. Turning round in abdomen, Nit. ac. (as if machinery working in abdomen). Pain as of subcutaneous ulceration, Puls., Ran. b. Badly healing skin, Hep. Eyes > bathing in cold water, Asar. Sensitiveness, Asar. Apoplexy, Ast. r. (a sea animal). < From milk, Homar. (a sea animal). Chest, Pho.

Causation.─Anger and vexation. Blows. Falls. Jar. Injury. Overlifting (dyspepsia). Snowy air. Tobacco (neuralgia). Laundry work. Wetting. Alcohol. Milk, boiled (diarrhoea). Fat Pork.

SYMPTOMS.

1. Mind.─Sadness and dejection, with tears.─Melancholy and moroseness.─Anguish and inquietude, sometimes with flushes of heat, generally in evening (when walking in open air), and sometimes in bed.─Restlessness, fidgety.─Dread of being alone.─Excessively nervous; sensitive to least noise.─Great uneasiness respecting the health; and about her domestic affairs.─Pensiveness.─Timorous disposition.─Discouragement, often to such an extent as to be disgusted with life.─Indifference to everything (to all surroundings), even to relations.─Repugnance to customary business.─Great disturbance caused by vexation.─Great excitability in company.─Susceptibility and peevishness, with great irascibility.─Quarrelsome and caustic disposition.─Weakness of memory.─Distraction.─Aptness to make mistakes in speaking and writing.─Unfitness for intellectual labour.─Slowness of conception.─Comprehension difficult; heavy flow of ideas.─Language coming slowly.

2. Head.─Confusion of the head, which disables him from performing any mental labour.─Fits of vertigo, esp. when walking in open air, or when writing, or even on least movement of arms.─Vertigo, during which all objects appear to be in motion, or with sensation as of something rolling round in head.─Vertigo in morning, on rising, or in afternoon.─Sensation of coldness on vertex; < from moving head and stooping, > when at rest and in the open air.─Fits of headache, with nausea, vomiting, and shooting or boring pains, which extort cries.─Headache every morning.─Headache, which does not permit the eyes to be opened.─Headache, with excessive desire for coition.─Headache, on shaking or moving head, and also at every step, as if brain were shaken about.─Semilateral headache, sometimes in the evening, after lying down, preceded by heaviness of head.─Paroxysms of hemicrania, stinging pain as from within to without, in one side of head (mostly l.) with nausea (and vomiting) and contraction of eye; < in room and when walking fast, > in open air and when lying on painful side.─Boring headache from within to without, from forenoon till evening, < from motion and stooping, > by rest, when closing the eyes, from external pressure, and sleep.─Heaviness of head.─Pressive cephalalgia above eyes, in the clear daylight; as if the head should burst and the eyes fall out, with nausea.─Expansive pressure in head, sometimes when stooping, as if it were about to burst.─Contraction in head.─Drawing and tearing in and on head, sometimes semilateral.─Lancinating cephalalgia, often semilateral or frontal.─Shooting pains, esp. over l. eye, extorting cries.─Headache at menstrual nisus; with scanty flow.─Headache in terrific shocks.─Involuntary jerking of head backward and forward, esp. in forenoon and when sitting.─Fontanelles remain open, with jerking of the head, pale, bloated face; stomacace, green diarrhoeic stools.─Perspiration on the head, smelling sour, with faintish weakness; < in evening before going to sleep.─Rush of blood to the head.─Throbbing cephalalgia, esp. in occiput (beginning in the morning, < in evening, from least motion, when turning eyes, when lying on back, > when closing eyes and when at rest).─Violent congestion of blood in head, with heat, esp. when stooping.─Coldness of exterior of head.─Disposition to take cold on head from dry, cold wind, and if head gets wet.─Involuntary trembling, and shocks in head.─Mobility of scalp.─Scalp and roots of hair very sensitive to touch.─Itching on head (nose and eyes).─Eruptions on vertex and back part of head, dry, offensive, stinging, itching and tingling, with cracks, extending behind ears, feeling sore when scratching them.─Swelling on one side of head above the temple, with itching; sensation of coldness and tearing in it; < when touching it; > when lying on it, or after rising from bed.─Humid scabs on the head.─(Bald spots on scalp, porrigo decalvans.─R. T. C.).─Falling off of the hair.─Small red pimples on forehead; rough forehead.─Swelling of head, esp. forehead.

3. Eyes.─Heaviness and depression of upper lids.─Pressure on eyeballs.─Itching and smarting in eyes and lids.─Pricking in eyes, by candle-light in evening.─Burning sensation in eyes, esp. in morning on waking.─Inflammation of eyes, with redness of sclerotica, and shooting pains.─Inflammation, redness, and swelling of eyelids, with styes.─Pustules in the cornea.─Scabs in eyebrows.─Glassy, watery eyes, in evening.─Fungus haematodes in cornea.─Dry scabs on lids, esp. on waking in morning.─Yellow colour of sclerotica.─Eyelids pain in morning when awaking as if too heavy, and as if he could not keep them open.─Eyelids red, swollen; styes on them.─Lachrymation, esp. in the morning or nocturnal agglutination of lids.─Quivering and jerking of lids.─Paralysis of the lids, and inability to open them, esp. at night (and evening).─Confused sight, when reading and writing.─Presbyopia.─Weakness of sight, as from amaurosis, with contracted pupils.─Appearances of a veil, black spots, points, sparks, and streaks of lights, before eyes.─Intolerance of reflected light from bright objects.─Green reflection round candle in evening.─Great sensitiveness of eyes to daylight.─Sight vanishes during the menses, > on lying down.

4. Ears.─Otalgia.─Shootings in ears.─Stinging in the l. ear.─Pain in ear, as from excoriation.─Swelling, and purulent eruption, in external ear.─Herpes on lobe of ear, behind the ear and on nape of neck.─Discharge of liquid pus from ear, with itching.─Hearing extremely sensitive, esp. to music.─Hardness of hearing.─Sudden deafness, as if caused by a plug in ears.─Buzzing and roaring before ears.

5. Nose.─Swelling and inflammation of nose, esp. at tip.─Scabs on tip of nose.─Scabby and ulcerated nostrils.─Hardened mucus in nose.─Epistaxis, and discharge of blood, frequently, on blowing nose, after being in the slightest degree overheated, or when the nose has been struck by any thing, even lightly.─Violent bleeding of nose, esp. during menses.─Anosmia.─Smelling too sensitive; too feeble, yellow saddle across the bridge of nose.─Fetid smell in nose.─Ozaena; blowing of large lumps of yellow green mucus or yellow green membranes, with blood, from the nose.─Dry coryza.─Dry coryza, esp. of l. nostril.─Dry mucus, which causes an obstruction in nose.─Violent fluent coryza, with sneezing, pain in occiput, and drawing in limbs.

6. Face.─Paleness and puffiness of face, with blue circles round the eyes, which are red and dull.─Yellowness of face (and of the whites of eyes).─Face emaciated.─Yellow streak on nose, and cheeks, in form of a saddle.─Violent heat in face.─Pale bloatedness of face.─Erysipelatous inflammation, and swelling of one side of face (arising from a carious tooth).─Inflammatory swelling of face, with yellow scurfy pimples, thickly grouped.─Herpes, scurf on face.─Warts on face.─Black pores on face.─Acne < before menses.─Itching, and eruption on face and on forehead; sometimes merely like redness and roughness of skin.─Skin swollen on forehead.─Tumours on the forehead.─Drawing facial pains.─Spasmodic pain and tearing in bones of face.─Neuralgic pains (l. side, from abuse of tobacco).─Dryness and exfoliation of lips.─Tension of lower lip.─Swelling of under lip.─Yellow colour and herpetic eruption round mouth.─Moist and scabious eruptions on the red part of lips, and on chin.─Painful ulcer on internal surface of lips.─Engorgement and painful sensitiveness of submaxillary glands.

7. Teeth.─Toothache, on compressing or touching teeth, and on speaking, also from slightest current of cold air.─Nocturnal toothache, with extreme excitement.─Pulsative shooting, or drawing toothache, extending sometimes into ear (esp. after eating, drinking, or taking anything cold into mouth) or into arms and fingers.─Toothache during the menses.─Toothache; stinging, pulsating, extending into ear during pregnancy, with shortness of breath, with swelled face and swelling of submaxillary glands, < from every cold draught of air, when touching teeth and when talking.─Toothache with violent ebullition of blood, and pulsation in whole body.─Tearing shocks in teeth.─Bluntness, looseness, easy bleeding, and caries of teeth.─Gums dark red.─Swelling, excoriation, ulceration, and easy bleeding of gums.

8. Mouth.─Fetid breath.─Swelling of interior of mouth.─Dryness of the mouth, lips and tongue.─Saline salivation.─Taste bitter, sour, slimy, foul, mostly in morning.─Pain in tongue and palate, as if they had been burnt.─Tip of tongue feels as if scalded.─Excoriation of tongue.─Vesicles on tongue.─Tongue loaded with a white coating.─Soreness of tip of tongue.

9. Throat.─Sore throat, with swelling of glands of neck.─Pressure, as from a plug in throat, or pain as from excoriation, and shootings during deglutition.─Pressure in throat in region of tonsils, as if neck.─cloth were too tight.─Jerking in throat.─Swelling and inflammation of the gullet.─Inflammation, swelling, and suppuration of tonsils.─Dryness in throat, with tension and scraping.─Clammy sensation in throat.─Accumulation of mucus in throat, and on velum palati.─Roughness and burning in fauces; < by hawking.─Hawking up of mucus, esp. in morning.─Expulsion of sanguineous mucus on hawking.

10. Appetite.─Putrid or sour taste.─Too salt taste of food.─Adipsia or excessive thirst, esp. in morning and in evening, sometimes with anorexia.─Great voracity.─Bulimy, with sensation of emptiness in stomach.─Eager desire for wine; for vinegar.─Creates aversion to beer.─Repugnance and dislike to food, esp. to meat, and milk, which produces diarrhoea.─Tobacco smoke disagrees.─Disagreeable risings, with nausea, after eating fat food.─Weak digestion.─After a weal: acidity in mouth, frequent risings, scraping and burning sensation in throat, pulsation in scrobiculus, hiccough, inflation of abdomen, sweat, feverish heat, palpitation of heart, cephalalgia, nausea, vomiting, pains in stomach, etc.

11. Stomach.─Sensation of emptiness in pit of stomach, just below ensiform cartilage; this is a very weak, "gone" feeling, which nothing can satisfy; this symptom may appear in any complication of troubles, in disordered menstruation, etc.─Frequent risings, generally sour or bitter, or else like rotten eggs, or with taste of food.─Painful risings, during which blood comes into mouth.─Acidity, with disgust to life.─Nausea, sometimes when fasting in morning, > by eating a little.─Nausea, with bitter taste and risings.─Nausea from motion of a carriage.─Nausea and vomiting after a meal.─Vomiting of bile and of food (in morning, with headache).─Vomiting of bile and food during pregnancy; straining so hard that blood comes up.─Pains in stomach after a meal, sometimes in evening.─Violent pain in cardia, when food passes into stomach.─Pain in the scrobiculus while walking.─Pressure in stomach, as from a stone, esp. during or after a meal, or else at night.─Contractive spasm in stomach.─Waterbrash, esp. after drinking or eating, or preceded by a whirling sensation in stomach.─Vomiting of milky serum (in pregnant women).─Nocturnal vomiting, with headache.─Cramps in stomach and chest.─Tearing boring in cardiac region, extending to loins.─Cutting boring from stomach towards spine.─Pressive shootings in scrobiculus, and in region of the stomach.─Burning sensation in pit of stomach and scrobiculus.─Throbbing in pit of stomach.─Painful sensation of emptiness in stomach.

12. Abdomen.─Pains in the liver, when riding in a carriage.─Aching, throbbing, and shooting in hepatic region.─Boring or tensive shootings in hypochondria, esp. during movement.─Shootings in l. hypochondrium.─Attacks of contractive pain in r. hypochondrium.─Pain across hypochondrium at night on lying down, > from micturition.─Pain in abdomen, in bed in morning.─Pressure and heaviness in abdomen, with sensation of expansion, as if it were about to burst.─Excessive distension of abdomen.─Heaviness and hardness in abdomen.─Hardness in pyloric region.─Soreness of abdomen in pregnant women.─Enlargement of abdomen (in women who have had children).─Dropsical swelling of abdomen.─Abdominal spasms, with a clawing pain, as if intestines were twisted.─Incisive colic, esp. after corporeal exercise, or at night, with desire to evacuate.─Digging, cuttings, and aching in the abdomen.─Pain, as from a bruise in intestines.─Coldness in abdomen.─Burning sensation and shootings in abdomen, esp. in l. side, and sometimes extending into thigh.─Sensation of emptiness in abdomen.─Lancinations in groins.─Brownish spots on abdomen.─Movements and borborygmi in abdomen, esp. after a meal.─Excessive production and incarceration of flatus.

13. Stool and Anus.─Constipation during pregnancy.─Ineffectual want to evacuate, or only with emission of slime and flatus.─Slow, inefficient evacuations, like sheep dung.─Scanty evacuations, with straining and tenesmus.─Faeces too soft.─Difficult discharge even of soft stool.─Great difficulty in discharging stool, which seems to stick in anus or rectum as if a ball or potato was there.─Difficult stool with sensation of weight in abdomen.─Gelatinous evacuations (small), with gripings (and tenesmus).─Debilitating diarrhoea.─Greenish diarrhoea, often of a putrid or sour smell, esp. in children.─Diarrhoea after boiled milk.─Whitish or brownish colour of stools.─Discharge of blood during the evacuation.─Contractive pain and tension, itching, tingling, burning, and shooting in anus and rectum.─Oozing from rectum.─Slimy discharge from rectum, with shooting and tearing pains.─Affections of anus and rectum where there are sharp, shooting, lancinating pains running up into abdomen.─Prolapsus recti, esp. during an evacuation.─Weak feeling in rectum in bed.─Congestion, of blood in anus.─Inactivity of the bowels.─Protrusion of haemorrhoids from rectum (when walking; bleeding when walking).─Bleeding haemorrhoids.─Excoriation between the buttocks.─Contractive pain in perinaeum.─Ring of condylomata round anus.

14. Urinary Organs.─Frequent (and ineffectual) want to urinate (from pressure on bladder and tension in hypogastrium).─Aching in bladder.─Feeling as if bladder were greatly distended.─Emission of urine at night (has to rise frequently).─Involuntary discharge of urine at night, esp. in first sleep.─Deep-coloured urine, red like blood.─Turbid urine, with red, sandy, or brick-coloured sediment.─With white sediment and a cuticle on surface.─Profuse fetid urine, with white sediment.─Urine with a sanguineous deposit.─Sediment to the urine like clay, as if clay were burnt on the bottom of the vessel.─Urine very offensive; cannot be endured in room.─Cramp in bladder, burning sensation in bladder and urethra.─Smarting in urethra, esp. when urinating.─Incisive pains and shootings in urethra.─Discharge of mucus from the urethra, as in chronic gonorrhoea.

15. Male Sexual Organs.─Profuse perspiration of genitals, and esp. of scrotum.─Itching round the genital organs.─Itching eruption on the glans and prepuce.─(Crop of small, velvety gonorrhoeal warts round margin of prepuce).─Pseudo-gonorrhoea of an acid salt smell.─Ulcers on glans and prepuce.─Pains in the testes.─Cutting in testes.─Swelling of scrotum.─Weakness of genital organs.─Increased sexual desire, with frequent erections (continued erections at night).─Frequent pollutions.─Discharge of prostatic fluid, after urinating, and during a difficult evacuation.─Intellectual, moral, and physical fatigue after coition, and pollutions.─In either sex, complaints from coition.

16. Female Sexual Organs.─Excoriation in vulva, and between thighs, sometimes before menses (soreness and redness of labia and perinaeum).─Great dryness of vulva and vagina, esp. after menses; painful to touch.─Internal and external heat in genitals.─Con tractive pain in vagina.─Swelling, redness, and moist itching eruption on labia minora.─Bearing down in uterus, which obstructs respiration.─Pressure as if everything would protrude through the vulva (with oppression of breathing).─Pains in both groins and bearing down, with constipation but no leucorrhoea; sleep heavy and non-refreshing, coldness all over, tongue flabby (cured in stout woman, 35.─R. T. C.). Prolapsus of the vagina.─Violent stitches in the vagina upwards.─Prolapsus uteri, with congestion, with yellow leucorrhoea.─Prolapsus, with inclination of fundus to l., causing numbness in l. lower half of body, with pain, > when lying, esp. on r. side, tenderness of os uteri.─Induration of cervix; burning, shooting, sticking pains.─Metrorrhagia; during climaxis or during pregnancy.─Menses too profuse.─Menses suppressed, or too feeble, or else too early (appearing only in morning).─When menses fail to appear in mothers who do not nurse, with inflation of abdomen.─Colic before menses.─During menses: irritability, melancholy, toothache, headache, nose-bleed, and painful weariness in limbs, or spasmodic colic and pressure towards the parts.─Must cross her limbs to prevent protrusion of the parts.─Dull, heavy pain in ovaries; esp. l.─Sterility.─Leucorrhoea, or a yellow or greenish red water, or purulent and fetid, sometimes with inflation of abdomen, or shootings in vagina.─Leucorrhoea in place of menses.─Leucorrhoea like milk, with soreness of pudenda.─Itching, corrosive leucorrhoea.─Inclination to miscarriages.─Abortion after the fifth month.─tendency to abort fifth to seventh month.─Shootings in mammae.─Excoriation of nipples (which bleed and seem about to ulcerate).─Nipples cracked across the crown.─Induration of breasts; scirrhus, stitches, tender, burning pains.─Excoriation in children.─Sudden hot flushes of climaxis, with momentary sweat, weakness and great tendency to faint.─Retained placenta after miscarriage.─Soreness of abdomen, feels motions of child too sensitively.─During pregnancy yellow brown spots on face.─Terrible itching of vulva causing abortion.─Offensive excoriating lochia, very long lasting.

17. Respiratory Organs.─Roughness and soreness of larynx and throat.─Sensation of dryness in larynx.─Hoarseness with coryza.─Sensation of dryness in trachea.─Cough, excited by a tickling in larynx or chest.─Dry cough, which seems to arise from stomach, esp. when in bed in evening (till midnight), and often with nausea and bitter vomiting.─Moist cough, after a chill.─Cough only during day, or which wakens one at night.─Expectoration profuse and whitish.─Cough, with copious expectoration of mucus, generally putrid, or of a salt taste, often only in morning or evening, and frequently accompanied by noise, weakness, and pains as from excoriation in chest (as if it were raw).─Cough with expectoration in morning, no expectoration in evening, or with expectoration at night, none in day; very severe cough in morning on rising, and expectoration of a great quantity of badly tasting substance.─Nocturnal cough, with cries, suffocation, and retching.─Cough, like whooping-cough.─Attacks of spasmodic cough, like whooping-cough, caused by tickling in chest or from tickling extending from larynx to abdomen, with expectoration only in morning, evening and at night of greenish-grey pus, or of milk-white, tough mucus, sometimes disagreeably sweet, which has to be swallowed again.─Cough < when lying on l. side; from acids.─Cough excited by a tickling sensation, and accompanied by constipation.─Difficult expectoration (or being obliged to swallow again what had been raised).─Yellow-greenish purulent expectoration during the cough.─Expectoration of blood while lying down.─Sanguineous expectoration, when coughing, morning and evening, with expectoration of mucus by day.─Lancinations in chest or back during cough.

18. Chest.─Dyspnoea, oppression of chest, and shortness of breath, when walking and ascending, as well as when lying down in bed, in evening, and at night.─Pain in sides of chest, when inspiring or coughing.─Stitch in l. side of chest and scapula when breathing and coughing.─Oppression on chest produced by an accumulation of mucus, or by too profuse expectoration.─Pain in chest from movement.─Pressure in chest, esp. when in bed in evening.─Heaviness, fulness, and tension in chest.─(Hepatisation of middle and lower lobes of r. lung.─Skinner).─Pain in chest, as from excoriation.─Cramps in chest.─Itching and tickling in chest.─Sensation of emptiness in chest.─Shootings and prickings in chest, and sides of chest, sometimes during an inspiration, and when coughing, as well as from intellectual exertion.─Brown spots on chest.─The chest symptoms cease, or are > by pressure of hand on thorax.

19. Heart.─Ebullition (congestion) of blood in chest, and violent palpitation of heart.─Intermittent palpitation of heart.─Palpitation: in evening in bed with beating in all arteries; during digestion; with stitches in l. side of chest.─Heart gives an occasional hard thump.─Wakes up with violent beating of heart.─Nervous palpitation > by walking fast.

20. Neck and Back.─Tetters on nape, and behind ears.─Claret-coloured spots on neck, and under chin.─Furunculus on neck.─Perspiration on back, and under axillae.─Swelling and suppuration of axillary glands.─Humid tetters under axillae.─Pressure and stitches in r. shoulder-blade.─Stiffness in small of back and neck.─Pains in loins and back, with burning tearing.─Throbbing in loins.─Weakness in loins when walking.─Incisive pains, pressure, digging and spasmodic tearings in back.─Rigidity of back and nape.─Pain in the back, and small of back particularly with stiffness; > by walking.─Tearing in back during menses, with chills, heat, thirst and contraction of chest.─Aching and dull pain in lumbar and sacral regions, extending to thighs and legs.─Sprained pain over hips, in evening in bed, and in afternoon.─Shivering in back.─Brownish spots on back.─Reddish herpetic spots above hip, and both sides of neck.─Stitches posteriorly above r. hip; she could not lie on r. side, and when touched it felt sore.─Stitches in back when coughing.─Itching eruption on back.

21. Limbs.─Drawing in all the limbs.─Drawing and tearing (paralytic pains) in, limbs and joints (with weakness).─Heaviness of the limbs.─Arthritic pains in joints.─Tension in limbs as if they were too short.─Easy going to sleep of limbs, esp. after manual labour.─Stiffness and want of flexibility in joints.─Easy dislocation and spraining of limbs.─Commotions and jerks in limbs night and day.─Restlessness and throbbing in all the limbs, which admits of no rest in any place.─Frequent stretchings.─Want of stability in limbs.─Coldness of hands and feet; but moist.

22. Upper Limbs.─Wrenching pain (as from dislocation) in shoulder-joint, esp. on lifting or holding anything.─Lassitude in arms.─Sensation of stiffness or coldness in arms, as if paralysed.─Drawing, paralytic pain in arm and shoulder-joint, extending to fingers.─Swelling and suppuration of axillary glands.─Shootings in arms, wrist, and fingers on fatiguing or moving them.─Painful tension in arms, and joints of elbow and fingers, as if caused by contraction.─Inflammatory, deep red, hard, marbled swelling in middle of arms.─Pustules on arms, with violent itching.─Stiffness of joints of elbow and hands.─Brownish spots, herpetic skin, and itching scabs an elbow (scaling off).─Itching vesicles on back of hand, and tips of fingers.─Itch and scabs on hands (soldiers' itch).─Herpes on backs of hands.─Swelling of hand, with eruption of vesicles, like pemphigus.─Shootings in wrist on moving the hand.─Burning heat in palms.─Cold sweat on hands.─Malignant scabies, and scabs on hands.─Arthritic drawing and shootings in joints of fingers.─Distortion of fingers.─Painless ulcers on joints, and on tips of fingers.─(Tingling in tips of fingers, which wakes her up on going to sleep, after which sleeps well all night.─R. T. C.).─Warts on hands and fingers; on sides of fingers; horny.─Flaws on fingers.─Deformed nails.─Panaritium, with throbbing and shooting pains.

23. Lower Limbs.─Pain as if bruised in r. hip-joint.─Pain in hips, with tearing shootings.─Pain in buttocks and thighs, after having been seated for some time.─Spasms in buttocks at night, in bed, when stretching out the limb.─Paralytic weakness of legs, esp. after a paroxysm of passion.─Stiffness of legs, as far as hip-joint, after having been seated a short time.─Coldness in legs and feet (esp. in evening in bed).─Swelling of legs and feet (< when sitting or standing, > when walking).─Cramp in thighs when walking.─Tearing lancinations, or shocks in thighs and tibia, so as to extort cries.─Furunculi on thigh and in hams.─Drawing and tearing shootings in knees, hams, and heels.─Painful swelling of knees.─Synovitis of knee-joints in housemaids (R. T. C.).─Stiffness in joints of knee and ankle.─Cramps in Calves, sometimes at night.─Restlessness of legs every evening (with formication in them).─Itching pimples on legs and instep.─Drawing pain in legs and great toes.─Shootings in tibia and instep.─Sensation in legs, as if a mouse were running over them.─Jerking in feet when sleeping.─Ulcers on instep.─Stiffness in heels and joints of feet, as from contraction.─Pricking and burning sensation of feet.─Tingling and numbness in soles of feet.─Profuse, or else suppressed (offensive) perspiration of feet (causing soreness between toes).─Stinging in the heels.─Tension in tendo-Achillis.─Ulcers on heel, arising from corrosive vesicles.─Indolent ulcers on joints and tips of toes.─Corns on feet, with shooting pain.─Deformity of toenails.

24. Generalities.─[Affections in general appearing in l. side; r. upper and r. lower extremities; eyelids internal ear; hearing very sensitive; region of liver; inner lower belly l. shoulder-blade; back and small of back; axilla; axillary glands, esp. where there are darting pains through them; upper and lower extremities and joints; r. lumbar region, with a violent pressing or bearing-down pain; nails turn yellow.─Dark hair; pale face; exanthema on face, lips, nose, forehead.─Bleeding from inner parts.─Spasms: clonic; tonic; cataleptic; great restlessness of the body; great aversion to washing.─Debility in general or of particular parts.─Sensations: of a ball in inner parts; pain as if part would burst, were pressed or pushed asunder; cramping or drawing pains in inner or outer parts; sensations of emptiness or hollowness in any part, esp. when accompanied by a fainting sensation; jerking in the muscles or elsewhere, as they may be felt in the head when talking, etc.; knocking, throbbing, or pulsation in inner parts; pressing as of a heavy load; vibration like dull tingling or buzzing in the body.─< In early morning; forenoon; evening, particularly before falling asleep; on waking; stooping; during inspiration; while in company; while coughing; after coitus; after eating; from exertion of the mind; during fever; female complaints generally; from loss of fluids; masturbation; music; milk; fat pork; during and after perspiration; during pregnancy; riding in a car; from riding on horseback, in a swing, etc.; from sexual excesses; during first hours of sleep; in snow air; from stretching the affected part; while nursing a child; from water and washing; from getting wet; females having leucorrhoea; during confinement esp.─> From drawing up the limb; moving; exertion of body; drinking cold water; in solitude; when walking quickly.─H. N. G.].─Shooting and pricking pains in the limbs, and other parts of the body.─Burning pains in different parts of the body.─Pains, which are > by external heat.─Pains, by fits, with shuddering.─Wrenching pain, esp. on exerting the parts affected, and also at night, in heat of bed.─Rheumatic pains, with swelling of the parts affected, perspiration easily excited, chilliness or shivering, alternately with heat.─Great disturbance, caused by vexation.─Easy benumbing of the limbs (arms and legs) esp. after manual labour.─Stiffness and want of flexibility in the joints.─Easy dislocation and spraining of the limbs.─Tendency to strain the back.─Commotions and jerks in the limbs night and day.─Jerking in the muscles.─Fits of uneasiness, and of hysterical spasms.─Swelling and suppuration of the glands.─Renewal or < of several sufferings, during and immediately after a meal.─The symptoms disappear during violent exercise, except when taken on horseback, and are < during repose, also in the evening, at night, in the heat of the bed (and in the forenoon).─Painful sensibility of the whole body.─Violent ebullition of blood, even at night, with pulsation throughout the body.─Great swelling of body, with shortness of breath, without thirst.─Heaviness, and physical indolence.─Paroxysms of weakness, and hysterical or other forms of syncope.─Fainting fits.─Lassitude, with trembling.─Want of energy, sometimes only on waking.─The patient is soon fatigued, when walking in the open air.─Great tendency to take cold, and sensibility to cold air, esp. in a north wind.─Feverish shivering, syncope, and afterwards coryza, after getting wet.

25. Skin.─Skin yellow, like jaundice; chapping of the skin, or cracks may extend deeply into the tissues, and this is < by washing in water; exanthema in general, particularly when it is disposed to crack.─Ulceration of the exanthema; bed sores; brown sphacelus.─Tetters in general.─Ulcers suppurating; pus too copious; swollen; with proud flesh.─Salt rheum.─Excessive sensibility of the skin.─Soreness of skin and humid places in bends of joints.─Itching in different parts (face, arms, hands, back, hips, abdomen and genitals) which changes to a burning sensation.─Itching and eruption of pimples in the joints.─Excoriation, esp. in the joints.─Dry and itching eruptions, like scabies.─Dry itch; bad effects where itch has been suppressed by Merc. or Sul.─Brown, or vinous, or else reddish, and herpetic spots on skin.─Annular desquamation (annular herpes).─Moist, scabious herpes, with itching and burning sensation.─Boils and blood-boils.─Engorged glands.─Scirrhous indurations.─Eruptions of vesicles, like pemphigus.─Itching, stinging, lancinating, burning, or sometimes indolent ulcers (knuckles, finger-joints, tips of fingers, joints and tip of toes).─Corns, with shooting pain.─Deformity of nails.─Hepatic spots.─Warts: on neck with horny excrescences in centre; small, itching, flat on hands and face; large hard seed warts; dark colour and painless; (large horny wart on abdomen).

26. Sleep.─Strong disposition to sleep during day, and early in evening.─Attacks of coma, returning in a tertian type.─Falling asleep late; complaints preventing sleep; sleeping late in the morning; waking frequently during the night; very sleepy in the morning; sleeplessness before midnight; sleepiness without sleep.─Awakens at 3 a.m. and cannot go to sleep again.─Sleeplessness from over-excitement.─Early waking, and lying awake for a long time.─Frequent waking, without apparent cause.─Agitated sleep, with violent ebullition of blood, continued tossing, fantastic, anxious, frightful dreams, and frequent starts (screaming), with fright.─The sleeper fancies himself called by name.─Unrefreshing sleep; sensation in morning, as from insufficient sleep.─Lascivious dreams.─Talking, cries, and jerking of limbs, during sleep.─Nightly delirium.─Wanderings, anguish, feverish heat, and agitation in the body, toothache, colic, cough, and many other sufferings at night.

27. Fever.─Pulse full and quick during night and then intermitting; during day slow.─Pulse accelerated by motion and being angry.─Pulsation in all the blood-vessels.─Shuddering (chilliness) during pains.─Coldness of single parts.─Want of vital heat.─Frequent shivering, esp. when out of doors in evening, and from every movement.─Flushes of heat at intervals during day, esp. afternoon and evening, while sitting or in open air, generally with thirst or redness of face.─Paroxysm of heat (transient), esp. when seated, and walking in open air, also when angry, or engaged in important conversation.─Paroxysm of heat (and of shivering) with thirst.─During chill more thirst than during heat.─Continued heat, with redness of face and violent thirst.─Fever, with thirst, during shivering, pains in the limbs, icy coldness of the hands and feet, and deadness of the fingers.─Perspiration in general; perspires too easily; single parts perspire too easily; perspiration with anxiety; with restlessness; sour-smelling or offensive.─Internal chilliness with external heat.─Perspiration while seated.─Profuse perspiration on the slightest movement (more after than during exercise).─Perspiration only on upper part of body.─Nocturnal perspiration, sometimes cold (on breast, back, and thighs).─Perspiration in morning, sometimes of an acid smell.─Intermittent fever, followed by violent heat and inability to collect one's senses; this is followed by profuse perspiration.

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

Cuttle Fish (Mollusca)

Adapted to persons of dark hair, rigid fibre, but mild and easy disposition (Puls.). Diseases of women: especially those occurring during pregnancy, child- bed and lactation; or diseases attended with sudden prostration and sinking faintness (Murex, Nux m.); "the washerwoman's remedy." complaints that are brought on by or aggravated after laundry work. Pains extend from other parts to the back (rev. of Sab.); are attended with shuddering (with chilliness, Puls.). Particularly sensitive to cold air, "chills so easily;" lack of vital heat, especially in chronic diseases (in acute diseases, Led.). Sensation of a ball in inner parts; during menses, pregnancy, lactation; with constipation, diarrhoea, haemorrhoids, leucorrhoea and all uterine affections. Faints easily: after getting wet; from extremes of heat or cold; riding in a carriage; while kneeling at church. Coldness of the vertex with headache (Ver. - heat of vertex, Calc., Graph., Sulph.). Anxiety: with fear, flushes of heat over face and head; about real or imaginary friends; with uterine troubles. Great sadness and weeping. Dread of being alone; of men; of meeting friends; with uterine troubles. Indifferent: even to one's family; to one's occupation (Fl. ac., Phos. ac.); to those whom she loves best. Greedy, miserly (Lyc.). Indolent: does not want to do anything, either work or play; even an exertion to think. Headache: in terrific shocks; at menstrual nisus, with scanty flow; in delicate, sensitive, hysterical women; pressing, bursting < motion, stooping, mental labor, > by external pressure, continued hard motion. Great falling of the hair, after chronic headaches or at the climacteric. Yellowness: of the face; conjunctiva; yellow spots on the chest; a yellow saddle across the upper part of the cheeks and nose; a "tell tale face" of uterine ailments. All the coverings of the neck felt too tight and were constantly loosened (Lach.). Herpes circinatus in isolated spots on upper part of body (in intersecting rings over whole body, Tell.). Pot-belliness of mothers (of children, Sulph.). Painful sensation of emptiness, "all-gone" feeling in the epigastrium, relieved by eating (Chel., Mur., Phos.). Tongue foul, but becomes clear at each menstrual nisus, returns when flow ceases; swelling and cracking of lower lip. Constipation: during pregnancy (Alum.); stool hard, knotty, in balls, insufficient, difficult; pain in rectum during and long after stool (Nit. ac., Sulph.); sense of weight or ball in anus, not > by stool. Urine: deposits in a reddish clay-colored sediment which adheres to the vessel as if it has been burned on; fetid, so offensive must be removed from the room (horribly offensive after standing, Indium). Enuresis: bed is wet almost as soon as the child goes to sleep (Kreos.); always during the first sleep. Gleet: painless, yellowish, staining linen; meatus glued together in morning; obstinate, of long standing (Kali iod.); sexual organs, weak and exhausted. Violent stitches upward in the vagina; lancinating pains from the uterus to the umbilicus. Prolapsus of uterus and vagina; pressure and bearing down as if everything would protrude from pelvis; must cross limbs tightly to "sit close" to prevent it; with oppression of breathing (compare Agar., Bell., Lil., Murex, Sanic.). Irregular menses of nearly every form - early, late, scanty, profuse, amenorrhoea or menorrhagia - when associated with the above named symptoms. Morning sickness of pregnancy: the sight or thought of food sickens (Nux); the smell of cooking food nauseates (Ars., Coch.). Dyspnoea: < sitting, after sleep, in room, > dancing or walking rapidly. Erythism; flushes of heat from least motion; with anxiety and faintness; followed by perspiration over whole body; climacteric (Lach., Sang., Sulph., Tub.); ascends, from pelvic organs. Itching of skin; of various parts; of external genitalia; is > scratching; and is apt to change to burning (Sulph.).

Relations. - Complementary: Natrum mur. Inimical: to, Lach., should not be used before or after; to, Puls, with which it should never be alternated. Similar: to, Lach., Sang., Ustil., in climacteric irregularities of the circulation. Frequently indicated after: Sil., Sulph. A single dose often acts curatively for many weeks.

Aggravation. - In afternoon or evening; from cold air or dry east wind; sexual excesses; at rest; sultry moist weather; before a thunderstorm (Psor.).

Amelioration. - Warmth of bed, hot applications; violent exercise. Many symptoms, especially those of head, heart and pelvis, are both < and > by rest and exercise. It antidotes mental effects of overuse of tabacco, in patients of sedentary habits who suffer from over-mental exertion.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Bearing down pains, must sit close and cross her legs to keep something from coming down out of the vagina. Sense of fullness in the pelvic organs, and pressure down into the anus, as if a ball or weight; oozing of moisture.

Flushes of heat and perspiration at the climacteric.

Painful sense of emptiness or goneness at the pit of the stomach.

General relaxation, weak, faints while kneeling at church; falling womb and pelvic organs; drooping eyelids, weak back < on walking.

Cachectic, yellow face, with yellow saddle across face and nose; moth patches; ringworms.

Modalities: < standing, mental labor, sexual excess, jar, after sleep, laundry work; milk (diarrhoea), climacteric kneeling at church, > sitting with legs crossed, loosening clothes, open air.

Sensation of a ball in inner parts; during menses, pregnancy, lactation, great sadness and weeping. Dread of being alone; of meeting friends, indifferent, even to one's family, to one's occupation; to those whom she loves.

Headache: in terrific shocks; pressing, bursting < motion, stooping mental labor, > by pressure, continued fast motion.

Urine: deposits a reddish clay sediment, which adheres to the vessel; foetid, offensive, must be removed from room.

Enuresis: bed wet almost as soon as the child goes to sleep; during first sleep, violent stitches upward in the vagina.

Dyspnoea; < sitting, after sleep, in room, > dancing or walking rapidly.

* * * * *

This is another of our wonderful remedies of which the dominant school knows nothing, except they have learned it from us. Its chief sphere of action seems to be in the abdomen and pelvis, especially in women. No remedy produces stronger symptoms here. We quote from different but equally good observers.

"Sensation of bearing down in the pelvic region, with dragging pains from the sacrum; or feeling of bearing down of all the pelvic organs." (Hahnemann).

"Labour-like pains accompanied with a feeling as though she must cross her legs and 'sit close' too keep something from coming out through the vagina." (Guernsey).

"Pain in uterus, bearing down, comes from back to abdomen, causing oppression of breathing; crosses limbs to prevent protrusion of parts."(Hering).

"Prolapsus of the uterus, of the vagina, with pressure as if everything would protrude." (Lippe).

"Experience has shown its value in cases of ulceration and congestion of the os and cervix uteri. Its use supercedes all local applications." (Dunham).

No higher authority than the united testimony of these five of our best observers could be brought to show the action of Sepia upon the pelvic organs.

Now when we come to examine the provings in Allen's Encyclopaedia, we find that these symptoms were mainly produced by Hahnemann and his provers, and Hahnemann advocated proving remedies in the 30th, and some of them were produced by the 200th, especially those most strongly verified by black-faced type.

We confess that we cannot understand how so many question the value of potencies for proving or curing, and most of all do we wonder at Dr. T. F. Allen himself "going back" on potencies above the 12th. Such a course looks very much to us like "kicking against the pricks" or, in other words, trying to fight the truth. But we must be charitable.

Sepia, like Sulphur, affects the general circulation in a very marked manner. Flashes of heat with perspiration and faintness is almost as characteristic of this remedy as of Sulphur. But there are, with Sepia, more apt to be associated with them the pelvic symptoms already given, and they are also more apt to occur in connection with the climacteric. Indeed, these flashes often seem with Sepia to start in the pelvic organs and from thence to spread over the body.

But this irregularity of circulation extends as far as that of Sulphur. The hands and feet are hot alternately, that is, if the feet are hot, the hands are cold, and vice versa. There is not so much sensation of burning with Sepia as with Sulphur, but there is actual heat, and the venous congestion, which seems to be the real state of the organs where the pressive bearing down et cetera is left, is also accompanied with much throbbing and beating.

This local congestion to the pelvic organs is not simply sensational. There are actual displacement in consequence of it, and the long continued congestion results in inflammations, ulcerations, leucorrhoeas and even malignant or cancerous disorganizations. Induration with a painful sense of stiffness in the uterine region is characteristic.

This pelvic congestion also affects the rectum in a marked degree. The rectum prolapses, there is a sensation of fullness, or of a foreign substance as of a ball or weight, and oozing of moisture from the rectum. Indeed, the rectal and anal symptoms are almost as strong as the uterine and vaginal. It is impossible to enumerate all the symptoms connected with the circulatory disturbances of Sepia in such a work as this, only a general study of the Materia Medica can do it.

The urinary organs come in for their share of symptoms. The same pressure and fullness consequent upon the portal congestion reaches here. We will now proceed to give what we have found to be particularly valuable symptoms under the various organs in this region, "Pressure on bladder and frequent micturition with tension in lower abdomen." "Sediment in the urine like clay; as if clay was burnt on the bottom of the vessel; urine very offensive (Indium), can't endure to have it in the room, it is reddish or may be bloody." This is found mostly with women. With children there is one peculiar symptom which has often been verified. "The child always wets the bed during its first sleep."

Upon the male organs I have found it particularly useful in chronic gleet. There is not much discharge, but a few drops, perhaps, which glue up the orifice of the urethra in the morning; but it is so persistent and the usual remedies will not "dry it up". In my early practice I used to use a weak injection of Sulphate of Zinc, but it used to annoy me that I could not do it without resorting to local measures. Sepia does it in the majority of cases and Kali iodatum will do it in the rest. I have, where there was a thick discharge of long standing and the smarting and burning on urinating continued, several times finished the case with Capsicum.

As a rule, this long continued slight, passive gleety discharge is a result of weakness of the male genitals, as is shown by a flaccidity of the organs and frequent seminal emissions. The emissions are thin and watery. Sepia covers all of this and often sets all to rights in a short time.

The mental symptoms of Sepia are like Pulsatilla, in that she is sad and cries frequently without knowing the reason why. So if in a tearful mind with uterine disturbances Pulsatilla should fail you, the next remedy to be studied is Sepia. But there is another condition of mind not found under Pulsatilla or any other remedy in the same degree, and that is, that, notwithstanding there is no sign of dementia from actual brain lesion, the patient, contrary to her usual habit, becomes indifferent to her occupation, her house work, her family or their comfort, even to those whom she loves the best. This a very peculiar symptom and a genuine keynote for the exhibition of Sepia.

Upon the head Sepia is one of our best remedies in hemicrania of women of the Sepia temperament, and who are suffering from uterine trouble which we have already described. Another peculiar headache is, that the pain comes in terrific shocks, so as to jerk the head in spite of the patient.

There are three remedies that have prominently drooping eyelids (Causticum, Gelsemium and Sepia). of course, the other symptoms must decide which is the one indicated in the case at hand. So far as the nose is concerned Sepia is often of use in chronic catarrh. I had a case in which the discharge was thick, bland and in large quantities. Pulsatilla would relieve the catarrhal trouble but would, at the same time, increase the menstrual flow too much, but Sepia cured both. The chronic will sometimes have to be made between Kali bichromicum and Sepia in these chronic catarrhs, but it is generally easy, although the local symptoms are much alike.

"Yellow saddle across upper part of cheeks and nose, and yellow spots on the face", is a characteristic of great value, but the yellowness and yellow spots do not always stop here.

You may find them in abundance on the abdomen. The whole surface of the body may be yellow like jaundice. The face of the Sepia patient is the most "tell tale" face I know, and if you find it upon a woman you may always find her leading symptoms in connection with her menstrual and uterine functions.

There is one symptom of Sepia upon the stomach that is also very characteristic, viz., a "painful sensation of emptiness, goneness or faintness“. The patient will call it an "all gone" feeling. Of course you remember that Ignatia and Hydrastis Canadensis have this symptom very strongly. Other remedies also have it in more or less marked degree but none so strongly in connection with uterine symptoms as Sepia, unless perhaps it be Murex purpurea, and you will not often have much difficulty in choosing between these last two if you carefully examine all the symptoms. I have often thought that this symptom, so persistent and severe, might be due to the actual emptying of the upper abdomen by the prolapsed womb, dragging everything after itself into the pelvic cavity. It is so in Stannum and Lilium tigrinum, and the weakness of the natural supports (ligaments) of the uterus being remedied (not supplanted by the pessaries and artificial supports of various kinds) the distressing symptoms disappear. Vomiting in pregnancy with this "all gone" feeling is often cured by Sepia; also the thought or smell (Colch.) of food sickens her. I mentioned the "sense of weight or a ball in the rectum" when writing of the pelvic congestion of Sepia. This sensation is not relieved by stool. Sepia is a remedy for constipation, and that of a very obstinate character. Like Selenium it has great straining; but manual aid is necessary to accomplish the stool. This is mostly in children.

I once cured a very obstinate case of entero-colitis (so-called cholera infantum), after the complete failure of two eminent allopaths, with Sepia, the leading symptom being, "always worse after taking milk". Oozing of moisture from the anus finds its remedy here sometimes, but oftener in Antimonium crudum. The Sepia patient is very weak. "A short walk fatigues her very much." She faints easily from extremes of cold or heat, after getting wet, from riding in a carriage, while kneeling at church, and on other trifling occasions. This fainting, or sense of sinking faintness, may be found in pregnancy, child bed, or during lactation; or, again, it may come on after hard work, such as "laundry work;" so it has come to be called the "washer woman's" remedy. Phosphorus have washer woman's toothache.

SKIN. "Itching often changes to burning when scratching" (Sulph.) "Soreness of skin; humid places in bend of knees." "Brown spots in face, chest, abdomen; chloasma" Herpes circinates "Large suppurating pustules constantly renewing themselves". "Acarus itch, pruritus; tettery eruptions, etc." Sepia, like Sulphur, has many forms of eruption on the skin, and indeed there is great general resemblance between these two antipsorics. They follow each other well. Of course that is always providing they are indicated by the symptoms, which is often the case. I do not believe in the so-called incompatibles as some do. I should give Causticum after Phosphorus, Silicea after Mercury, or Rhus tox. after Apis mel. if I found them indicated.