Sabina sabin.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

FEMALE PELVIC ORGANS: UTERUS. Rectum. Nerves. Fibrous and serous tissues: Small joints. Heels.

Worse

Nightly. HEAT: Bed. Room. Exercise. Pregnancy. Climacteric. Foggy weather.

Better

Cold. Cool, open air.

General

Hot, full-blooded females; with rheumatic or gouty- hæmorrhagic tendency, epistaxis, heamaturia, etc. Violent pulsations. Fulness. Red, shiny swelling. Acutely inflamed arthritic nodes.

Particulars

Music is unbearable. Bursting toothache. Craves lemonade. Abdomen plethoric; quivering, as if alive in. Piles, alternate with pains in limbs. Itching, excited genitals. PAIN FROM LUMBAR REGION FORWARD TO PUBES or reverse; or shooting up vagina. Gushes of fluid, hot or watery blood, mixed with (dark) clots, from uterus; < motion; with joint pains. Abortion; habitual; at 3rd month. Bleeding between periods. Foul, acrid leucorrhœa. Pruritus of pregnancy. Crawling in nipples. Gout in r. big toe. Foul itching, burning, moist, figwarts. Intolerable, burning heat.

Related

Complementary: Thu. Related: Caul. Pul.

Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica

H. C. Allen · Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica · homeoint.org / Medi-T HTML text; edition not stated by the mirror (first edition 1898, Allen d. 1909)

Keynote

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

Relations

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

Aggravation

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

Amelioration

In cool, open, fresh air.

Key-Notes to the Materia Medica

Henry N. Guernsey · Key-Notes to the Materia Medica · homeoint.org / Médi-T HTML text (Guernsey d. 1885; public domain)

General

A marked characteristic is a pain which is felt all the way between the sacrum and pubis, from one bone to the other--not particularly in front or behind, but right along from the sacrum to the pubis. This pain may be found in labor pains, after-pains, occurring in dysmenorrhœa, etc.

In hæmorrhage (particularly uterine), where the blood is in fluid and clots together--as, the liquid blood will flow then will come a clot, and the blood may be flowing rapidly; bleeding from the nose, blood being pale; bleeding from inner parts in general. Menstruation too early; too profuse; blood of light color; bright red color; discharge of blood before the proper period.

Affects particularly the uterus; lower part of the chest; wrist; heel; toes; joints of the toes; arthritic pain in the joints. Cough with expectoration of pale blood. In threatened abortion.

Worse

On inspiration; taking a deep breath; affections in general of females during pregnancy; in a room; in a warm room; on getting warm in bed; women in child-bed; after parturition.

Better

In the open air; while breathing out, exhaling.

Remedies following

Bellad., Pulsat., Rhus tox., Sulphur. Sometimes Arsen., Spongia.

Antidotes

Camphor., Pulsat.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Drawing pains and dragging in the small of the back, extending into the pubic region. Hemorrhage from the uterus, in paroxysms; worse from motion; blood dark and clotted from loss of tone in uterus; also after abortion or confinement; with pain from back to pubes.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Savine

General

Has a special action on the uterus; also upon serous and fibrous membranes; hence its use in gout. Pain from sacrum to the pubis. Hæmorrhages, where blood is fluid and clots together. Tendency to miscarriage, especially at third month. Violent pulsations; wants windows open.

Mind

Music is intolerable, produces nervousness.

Head

Vertigo with suppressed menses. Bursting headache, suddenly coming and going slowly. Rush of blood to head and face. Drawing pains in masseter muscles. Teeth ache when chewing.

Stomach

Heartburn. Desire for lemonade. Bitter taste (Rhus). Lancinating pain from pit of stomach across back.

Abdomen

Bearing-down, constrictive pain. Colic, mostly in hypogastric region. Tympanitic distention.

Rectum

Sense of fullness. Constipation. Pain from back to pubis. Hæmorrhoids, with bright red blood; bleed copiously.

Urine

Burning and throbbing in region of kidneys. Bloody urine; much urging. Bladder inflamed with throbbing all over. Inflammation of urethra.

Male

Inflammatory gonorrhœa, with pus-like discharge. Sycotic excrescences. Burning, sore pain in glans. Prepuce painful with difficulty in retracting it. Increased desire.

Female

Menses profuse, bright. Uterine pains extend into thighs. Threatened miscarriage. Sexual desire increased. Leucorrhœa after menses, corrosive, offensive. Discharge of blood between periods, with sexual excitement (Ambr). Retained placenta; intense after-pains. Menorrhagia in women who aborted readily. Inflammation of ovaries and uterus after abortion. Promotes expulsion of moles from uterus (Canth). Pain from sacrum to pubis, and from below upwards shooting up the vagina. Hæmorrhage; partly clotted; worse from least motion. Atony of uterus.

Back

Pain between sacrum and pubis from one bone to another. Paralytic pain in small back.

Extremities

Bruised pains in anterior portion of thighs. Shooting in heels and metatarsal bones. Arthritic pain in joints. Gout; worse, in heated room. Red, shining swelling. Gouty nodosities (Ammon phos).

Skin

Fig-warts, with intolerable itching and burning. Exuberant granulations (Thuj; Nit ac). Warts. Black pores in skin.

Modalities

Worse, from least motion, heat, warm air. Better, in cool fresh air.

Relationship

Complementary: Thuja.

Compare: Sanguisorba (Venous congestion and passive hæmorrhages; varices of lower extremities; dysentery. Long lasting profuse menses with congestion to head and limbs in sensitive, irritable patients. Climacteric hæmorrhages. Use 2x attenuation). Sanguisuga.--The leech--(Hæmorrhages, especially bleeding from anus. Use 6x). Rosmarinus (menses too early; violent pains followed by uterine hæmorrhage. Head heavy, drowsy. Chilly with icy coldness of lower extremities without thirst, followed by heat. Memory deficient). Croc; Calc; Trill; Ipec; Millef; Erig.

Antidote: Puls.

Dose

Locally, for warts, tincture. Internally, third to thirtieth potency.

Leaders in Homoeopathic Therapeutics

E. B. Nash · Leaders in Homoeopathic Therapeutics · homeoint.org / Médi-T HTML text (Nash d. 1917; public domain)

Leaders

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

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

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

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

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Hypochondriacal mood. Low-spirited and joyless.

Head

Giddiness, with congestions to and heat in the head. Headache, especially in temporal eminences (right side), suddenly appearing and slowly disappearing.

Face

Pale face ; eyes lustreless, with blue rings around them. Black pores in the face and on the nose.

Mouth and Throat

Drawing toothache, almost only caused by masticating. Toothache at night as if the tooth were burst ; worm from the heat of the bed. Swelling of the gums around the broken teeth. White saliva, becoming frothy when talking. Desire for acids, especially lemonade. Bitter taste of the food, of the milk and coffee. Vomiting of bile, of undigested food eaten on the previous day. Stitches in the pit of the stomach, extending to the back. Tympanitis ; bloatedness of the abdomen. Labor-like pains in the abdomen. Soreness of the abdominal muscles. Pressing down towards the genitals.

Stool and Anus

Diarrhœa, with much flatulence. Discharge of blood and mucus ; bleeding, hæmorrhoids.

Urinary Organs

Frequent violent urging to urinate, with profuse discharge. Retention of urine, with discharge by drops, with burning.

Genital Organs

Men. Inflammatory gonorrhœa, with discharge of pus. Cartilaginous swelling on the penis. Sycotic excrescences, with burning soreness. Painfulness of the prepuce, with difficulty in drawing it back. Sexual desire increases, with violent continuous erections. Women. Menstruation too early and too profuse. Hæmorrhages, with partly pale-red, partly clotted or of very thin, discolored, offensive-smelling blood ; worse on the least motion ; has to lie perfectly quiet to avoid a profuse discharge after miscarriage. Miscarriage, especially in the third month. Very offensive-smelling leucorrhœa after suppressed menstruation. Stitches deep in the vagina. Inflammation of the uterus after parturition. Increased sexual desire, almost amounting to nymphomania.

Back

Labor-like pains drawing down into the groins.

Extremities

Upper. Arthritic stiffness and swelling of the wrist-joint, with tearing and stinging, made almost insupportable when the hand hangs down. Lower. Stinging pains in the hip-joints in the morning and when breathing. Users with a bottom like lard on the tibia. Swelling, redness and stitches in the big toe (gout).

Generalities

Red, shining swelling of the affected parts. Arthritic complaints ; tearing, stinging in the joints after they become swollen ; arthritic nodosities. Chronic ailments of women. Twitching pulsation in the blood-vessels.

Sleep

Sleeplessness and restlessness after midnight, with heat and profuse perspiration. Lies on the left side during sleep.

Fever

Pulse unequal ; generally quick, strong and hard. Violent beating of the veins in the whole body. Chill in the evening, with attacks of chilliness. Great chilliness through the day. Chilliness, with obscuration of sight, followed by sleepiness. Sensation of coldness in the whole (right) leg. Insupportable burning heat, with restlessness in the whole body. Flushes of heat in the face, with chilliness over the whole body and coldness of the hands and feet. Perspiration every night.

Skin

Black pores in the skin. Drawing pains through the long bones.

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

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

Clinical

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

Characteristics

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

Relations

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

Mind

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

Head

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

Eyes

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

Ears

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

Nose

Dry coryza.

Face

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

Teeth

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

Mouth

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

Throat

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

Appetite

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

Stomach

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

Abdomen

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

Stool and Anus

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

Urinary Organs

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

Male Sexual Organs

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

Female Sexual Organs

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

Respiratory Organs

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

Chest

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

Heart

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

Neck and Back

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

Limbs

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

Upper Limbs

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

Lower Limbs

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

Generalities

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

Skin

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

Sleep

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

Fever

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

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

Mind

Music is intolerable to her.
Much irritability of temper, hysteria.
Hypochondriacal mood.
Great tiredness and laziness, with a feeling of deep-seated inward trouble, which makes him melancholy and sad.
Irritability of temper, with sour stomach and great anxiety ; hypochondriacal mood ; rheumatic subjects.

Sensorium

Vertigo : especially in morning, fears she will fall ; everything turns black before her eyes ; suppressed menses ; with congestion to and heat in head ; when standing ; as if he would fall ; with obscuration of vision.

Inner head

Headache, especially in temporal eminences, as if parts were pressed asunder ; it comes suddenly, disappears gradually and recurs frequently.
Frontal headache, pressing down on eyes as if they would be pressed out ; < in morning on rising ; > in open air.
Transitory tensive pain in forehead, as if skin had grown fast, with tension in eyes.
Pressure and dulness in head, especially in forehead.
Sense of painful stricture over temples.
Circumscribed pain in each temporal region.

Sight and eyes

Lustreless eyes.

Hearing and ears

Buzzing in ears.

Smell and nose

Dry coryza.
Epistaxis, preceded by dulness and pressure in forehead.
Redness of skin around alæ nasi, painful to touch.

Upper face

Flushes of heat in face, with chilliness all over and coldness of hands and feet.
Pale face ; eyes lustreless with blue rings around them.
Pimples on cheeks and forehead.
Black pores in face and on nose.

Teeth and gums

Drawing toothache caused by masticating.
Throbbing toothache, appearing toward evening and at night, < after eating and from warmth of bed ; sensation as if tooth would burst ; throbbing in all the bloodvessels ; belching ; profuse discharge of bright red blood from genitalia
between periods.
Toothache after a gouty pain in great toe had been driven away by external applications.
Toothache evening and night.
Tearing pain in roots of molars.
Swelling of gums around broken teeth.

Taste, speech, tongue

Bitter taste of food, of milk and coffee.

Inner mouth

Offensive breath.
Dryness of mouth and œsophagus without thirst.
Dryness of mouth and throat ; the saliva is quite white, and becomes frothy while talking.

Palate and throat

Dryness in throat with drawing pain.
Sensation of swelling in throat, as if he had to swallow over a foreign body.
Sensation of a lump in throat ; when trying to swallow, cannot ; can swallow food.

Appetite, thirst. desires, aversions

Constant desire for acids (especially lemonade) and roasted coffee.
Appetite poor.

Hiccough, belching, nausea and vomiting

Burning in stomach ; morning sickness.
Heartburn and sour eructations, especially when sitting bent, which position also aggravates other symptoms.
Paroxysms of nausea and qualmishness when she is in a crowd.
Frequent empty retching.
Vomiting : of bile ; of undigested food eaten day previous.

Scrobiculum and stomach

Stitches in pit of stomach, extending to back.
Frequent burning in pit of stomach, with drawing, twisting and gurgling in bowels, bearing down toward sexual organs.

Abdomen and loins

Tympanitis ; bloatedness of abdomen ; rumbling in evening, in a warm room.
Writhing and pinching in abdomen, in umbilical region ; frequently recurring with increasing violence and a sensation as if vomiting would come on, without nausea.
Slight sensation of motion in abdomen, as if something were alive.
Quivering in abdomen, as if there were something alive in it, resembling foetal movements.
Labor-like pains in abdomen, down groins.
Soreness of abdominal muscles.
Pressing down toward genitals.

Stools and rectum

Diarrhœa : with pain extending from back through to pubes ; in rheumatic or gouty women ; with much flatulence.
Stools : of blood and mucus ; frequent urging, finally a liquid portion is discharged, followed by a hard portion.
Constipation : stools hard, difficult and painful ; pain from back to pubes.
Hemorrhoids with discharge of bright red blood, causing pain in back, from sacrum to pubes, biting sore pain in the varices, especially during morning stool.
Hemorrhoids with excessive discharge of bright red blood or blood mixed with mucus ; cutting, pressive pain low down in abdomen ; pressing, urging pain in sphincter ani ; constant urging to stool ; itching and burning in anus ;
paroxysmal stitching pain in small of back.

Urinary organs

Nephritis, with retention of urine, or discharge by drops, with burning ; ardor urinæ in rheumatic subjects.
Vesical irritability, depending on gouty diathesis.
Diminished discharge of red urine, with strangury.
Frequent violent urging to urinate, with profuse discharge.
Urine bloody and albuminous.

Male sexual organs

Sexual desire increased, with violent continuous erections.
Inflammatory gonorrhœa, with discharge of pus.
Rheumatic gonorrhœa.
Glans penis dark red, with burning soreness to touch ; painfulness of prepuce, cannot retract it ; attacks of pain in frenum præputii. θ Gleet.
Hard swelling on penis.
Sycotic excrescences, with burning soreness.
Fig-warts with intolerable itching and burning ; exuberant granulations.

Female sexual organs

Increased sexual desire almost amounting to nymphomania ; almost insatiable desire for an embrace.
Ovaritis, stitches in vagina, deep from before backward.
Inflammation of ovaries or uterus after abortion or premature labor.
Contractive pain in region of uterus.
Uterine pains running from back to groins.
Painful active congestions of uterus.
Acute metritis ; metritis hæmorrhagica.
Lateral and posterior displacements of uterus from general atony.
Remittent but fixed pain in uterus, at times stitching in character ; < during menstruation ; colic with the menses ; long-continued leucorrhœal discharge after menses ; pain during an embrace ; uterus enlarged or swollen
(mother died of carcinoma uteri).
The os tincæ is open, the blood looks red, the discharge is profuse and paroxysmal, especially during motion. θ Threatened abortion.
Discharge of blood between periods, with sexual excitement.
Copious hemorrhages, accompanied by uterine colic ; contractive labor-like pains extending from back to pubes and great urging to urinate.
Pain or feeling of malaise, extending between sacrum and pubes and experienced in those points. θ Metrorrhagia.
Metrorrhagia : resulting from plethora ; clotted and fluid blood, pain extending from sacrum or lumbar region, to pubes ; with severe bearing down, extending from lower part of back around abdomen and down thighs, blood bright red, thin,
liquid ; labor-like pains in lumbar and uterine region, discharge of large clots of blood, bright red, coming in gushes, particularly profuse on motion, os uteri being constantly open ; < by least motion, often > by walking ; produced by great irritability of organism,
in patients who have menstruated very early in life and very freely, and have always had more or less tendency to miscarriage.
Without any apparent cause menses recurred three times during the month, each time very abundant and lasting three days ; the following month while carrying a heavy burden a stream of blood suddenly gushed from genitals, attended with violent
hypogastric pains, weakness of head almost amounting to vertigo ; paleness of face ; eyes heavy, lustreless ; great thirst ; little appetite, loose stool ; urine red by admixture of blood ; drawing, bearing-down pains from fundus of uterus toward sacrum and
along broad ligaments to each side, appearing periodically, accompanied at one time by a discharge of black fluid, at another, of coagulated blood ; when the pains are absent she has constant hemorrhage ; pains > by pressure ; least motion increases discharge ;
hypogastrium distended ; has a doughy feeling, but only tender on firm pressure ; temperature of skin not elevated, that of extremities lowered ; pulse full, soft, quick ; sleep uneasy ; frequent shivering and mental anxiety. θ Metrorrhagia.
After miscarriage (two months ago) placenta remained fourteen days ; had a constant hemorrhage which could not be stopped ; a tampon relieved, but when removed hemorrhage returned ; had occasional labor-like pains which caused some strings and shreds to pass.
Protracted uterine hemorrhage arising from a loss of tone in vessels of uterus, whether from disease or weight and pressure of fetus in utero ; blood dark and clotted ; gouty subjects.
Menses : too profuse, too early ; last too long ; partly fluid, partly clotted and offensive ; flow in paroxysms ; with colic and labor-like pains ; pains from sacrum to pubes.
Low grade of asthenic fever, violent menorrhagia ; set in with great violence, discharge red, clotted, partly fluid, accompanied by a pain running from back through to pubes ; the noise of the piano seemed to set her distracted.
In poor health for two years, from living in a damp house in an ague neighborhood ; had chills several times ; menses profuse, with large coagulated, conical clots. θ Menorrhagia.
Girl, æt. 14, had menstruated for more than a year and always irregularly ; there was an almost incessant discharge of bright-red blood for four weeks, so that it was impossible to determine the actual periods of commencement of menstruation ; walking very much lessened the
hemorrhage, but it returned again very soon. θ Menorrhagia.
Five months after delivery, very profuse discharge of blood, with pains in back and labor-like pressing toward pubes ; for six days constant dribbling interrupted by profuse gushes of blood with discharge of large masses of dark coagula accompanied by labor-like pains ; <
from motion ; rapid prostration ; pale face ; vertigo ; chilliness ; uterus prolapsed, os pointing to left side while fundus lay on opposite side. θ Menorrhagia.
Menorrhagia during climacteric period in women who formerly aborted.
Dysmenorrhœa accompanied by violent headache ; menses generally delayed, lasting about seven days, scanty, coming for a few minutes at a time, then ceasing for six or eight hours, bright, clotted, without flow ; pain in hypogastrium going to
back ; feeling of obstruction internally ; dragging pain in back and pain throughout lower extremities which seems deep seated ; easiest position is on flat of back with limbs extended ; pain < walking, > from warmth ; severe pain in head principally in
anterior part and eyes, < stooping, walking, > from pressure ; nausea, at times vomiting ; feverishness ; cold hands and feet ; pulse 120 ; violent rapid pulsation felt throughout body, except in head ; no premonitory symptoms, pain coming about two hours
after menses and ceasing on second day.
Dysmenorrhœa with violent pain extending from back through to pubes, rheumatic in origin.
Kate R., 16 years old, has not yet menstruated, suffered three years ago from intermittent fever, and since then complained of frontal headaches pressing down on eyes as if it would push them out ; < in morning when rising, > in fresh air ; cachectic features with
blue rings around eyes, especially in morning, toothache most severe at night in bed, > walking about, < by eating ; paroxysms of nausea and qualmishness when in a crowd ; frequent burning in pit of stomach, drawing, twisting and gurgling in bowels, lasting for hours ;
bearing down toward sexual organs ; shortness of breath ; palpitation at every motion, especially when ascending ; pressing pains in chest ; heaviness of lower extremities, with painfulness of thighs when walking ; drawing ; tearing pains in extremities,
especially at night ; great lassitude and sleepiness. θ Chlorosis primaria amenorrhoeica.
Anna L., 17 years old, strong constitution, menstruated in her thirteenth year ; menses returned regularly until they became suppressed about 18 months ago from immoderate dancing ; complains since of severe vertigo, especially in morning and after exertion, so that she is
afraid of falling, and everything turns black before her eyes ; pressing pains in forehead ; burning in ears, greenish-yellow corroding leucorrhœa ; shortness of breath, palpitation, sweats easily, painful lassitude ; leuco-phlegmatic expression ; cheeks and
forehead covered with pimples ; constant desire for acids and roasted coffee. θ Chlorosis secundaria metastatica.
Yellowish, ichorous, fetid leucorrhœa, and painful discharges of fetid blood every two weeks ; at climaxis.
Leucorrhœa : of pudenda ; of consistence of starch ; copious, milky, causing itching ; ropy, glairy from cervical canal ; with drawing pains in broad of back through to pubes.
Corrosive leucorrhœa since commencement of first pregnancy, causing soreness and itching of thighs.
Stitches from below upward deep in vagina.
Condylomata which itch and burn.
Cysts in vulva, sensitive or with tearing pains during rest.
Stitches in left nipple.
Voluptuous itching in nipples.

Pregnancy. parturition. lactation

Promotes the expulsion of moles.
Tendency to abortion, especially at third month ; discharge of bright-red, partly clotted blood, < from any motion ; pain from sacrum to pubes.
Greatest anxiety ; constant fear that she will abort ; for last two days on slightest motion, discharge of blood, alternately bright red, fluid and dark or in clots ; labor-like pains from back to pubes ; external genitals hot to touch ; os uteri dilated half an
inch. θ Threatened abortion.
During fifth month of pregnancy labor pains come on at regular intervals of about fifteen minutes, with a slight but unceasing flow of bright-red blood. θ Threatened abortion.
Profuse flow of blood from vagina ; os considerably dilated ; vagina filled with dark coagulated blood ; chilly ; nausea ; great thirst ; much prostration ; third month of pregnancy.
Hemorrhage of dark-red blood, at times fluid, at others clotted ; not the slightest pain in back or hypogastrium ; great prostration. θ Threatened abortion.
Miss Rose L., about 22 years old, a thin, delicate female of nervous temperament, forsaken and unhappy ; seven months pregnant ; morning sickness with loss of appetite and diarrhœa ; some blood has passed at intervals of two and three
weeks ; profuse metrorrhagia and diarrhœa ; flooding much < by moving or going to chamber, when it flows profusely and is of an arterial color ; constant pain from sacral region to pubes ; child has not moved since two days ; face pale, she begins to feel
faint ; os dilated and patulous (delivered two months later of a healthy child).
After a miscarriage violent hemorrhages, lasting each time eight to ten days ; during first five days profuse discharge of bright-red fluid blood, without pain.
Uterine hemorrhage of four weeks' duration after abortion.
Retained placenta after abortion ; free discharge of blood ; mouth of uterus closed ; patient very nervous.
Premature rupture of membranes and free escape of liquor amnii ; occurred forty days previous to labor, caused by overwork and followed by labor pains and discharge of blood.
On eighth day after labor, reappearance of blood, lochial discharge having already ceased ; on ninth day three attacks of hemorrhage, discharge profuse, containing a large number of clots, < on rising, causing loss of consciousness ; heat over whole body with sweat, face
cold and pale.
Atony of uterus ; painless loss of dark-red blood immediately after delivery ; discharge of fluids and clots with each pain.
Retained placenta ; pain, or an uneasy, bad feeling, extending from sacrum to pubes ; a slight sensation of motion in abdomen ; intense after-pains, notwithstanding the retention, with discharge of fluid blood and clots in about equal proportion with every pain.
Retained placenta from atony of uterus.
After-pains with sensitiveness of abdomen.
Metritis after parturition.

Voice and larynx. trachea and bronchia

Crawling and tickling in larynx exciting cough and mucous expectoration.
Dry, hacking cough and tickling in trachea ; expectoration streaked with blood next day.

Respiration

Shortness of breath.

Inner chest and lungs

Intermittent stitches in clavicle.
Tensive pain with pressure in middle of sternum, neither increased by expectoration nor inspiration.
Pressing pains in chest.
Hæmoptysis.

Heart, pulse and circulation

Palpitation at every motion, especially when ascending.
Pulse unequal ; generally quick, strong and hard.
Violent beating of bloodvessels in whole body.

Neck and back

Constant pain in small of back, obliging him to bend the back inward.
Paralytic pain in small of back ; would like to stretch ; > bending backward.
Drawing pains in small of back, extending to pubic region.
Indescribable uneasiness in lumbar vertebræ ; dragging sensation from behind forward resembling weak labor pains.
Weariness in lumbar region.
Labor-like pains drawing down into groins.

Upper limbs

Pain as if sprained, in right shoulder joint, even during rest.
Pressive pain in both upper arms, near elbow joint, from without inward, < on touch and motion.
Paralytic tearing along right upper arm as far as hand.
Stinging in both upper arms, from within outward, near elbow joints.
Aching pain in right radius, < from motion or touch.
Arthritic stiffness and swelling of wrist joint, with tearing and stinging, made almost insupportable when hand hangs down.

Lower limbs

Rheumatism of metatarso-phalangeal joint of big toe, characterized by great swelling, bright shining red ; intense sensibility to touch and motion ; < at night ; high fever.
Heaviness of legs, with painfulness of thighs when walking.
Stinging pains in hip joints, in morning and when breathing.
Sensation of coldness in whole (r.) leg.
Ulcers on tibia, with a lardaceous base.
Swelling, redness and stitches in big toe. θ Gout.
The middle of anterior surface of his thighs feels bruised and painful.
Tearing pain with pressure in metacarpal bones of both feet.
Sharp stitches from within outward in heels.
Painful drawing in joints of right toes, < during a walk.

Limbs in general

Drawing, tearing pains in extremities, especially at night.
A man æt. 42 ; haggard, emaciated, stooping gait, thin, grey hair, hollow eyes, skin of an ashy hue ; from time to time dry cough, with dyspnœa ; complains of weakness and decrepitude, no strength to work, little appetite, slow digestion, sleep
restless and full of dreams, sticky sweat toward morning ; here and there through joints a gouty lamelike pain, now in shoulder and elbow joint, now in hip and knee ; pains < in a warm room and > in open air ; pains usually in one side of body, mostly right ;
troublesome pulsation in different bloodvessels, especially when taking a deep breath, < in evening in bed, which he has to leave again, not being able to return until morning ; transitory, tensive pain in forehead, with sensation as if skin had grown fast, with tension in
eyes ; redness of skin around alæ nasi, painful to touch ; dryness of mouth and œsophagus without thirst ; collection of white frothy mucus, filling corners of mouth when talking ; sensation of a body in throat, which he tries to swallow but cannot, it offers no
impediment to swallowing of food ; heartburn and sour eructations, especially when sitting bent, which likewise aggravates the other symptoms ; > from sitting erect, from moving and stretching limbs, for which he has na involuntary desire ; rumbling and gurgling in abdomen,
especially in evening, in warm room ; great tiredness and laziness, with a feeling of deep-seated inward trouble, which makes him melancholy and sad. θ Chronic rheumatism.
Great weakness and weariness of limbs, with tearing pains at night ; when very warm ; > in cold air.
Red and shining swelling of great toe, with excessive pains, < by least touch or motion ; heaviness of affected limbs ; fever < in evening ; wandering pains, burning, affecting one joint after another, especially big toe and hand ; >
by cool applications ; changes her position often to get relief. θ Arthritis.

Rest. position. motion

Rest : tearing pains in cysts ; pain in shoulder joint.
Lying on flat of back with limbs extended, easiest position during dysmenorrhœa.
Must lie down : heaviness of body.
Sitting bent : heartburn and sour eructations <.
Standing : vertigo.
Stooping : pain in head <.
When hand hangs down : tearing and stinging in wrist joint <.
Must bend the back inward : pain in small of back.
Elevating limbs : > pain in ulcers.
Rising : discharge of clots <.
Changes position often to get relief : arthritis.
Motion : profuse discharge from uterus ; palpitation ; always increases discharge ; palpitation ; pain in upper arms < ; pain in right radius < ; pain in big toe <.
Moving and stretching limbs : eructations and heartburn >.
Walking : metrorrhagia > ; lessened hemorrhage ; dysmenorrhœa < ; pain in head < ; painfulness of thighs ; drawing in toes <.
Ascending : palpitation <.
Lies on left side : during sleep.

Nerves

Feels weary and weak in all her limbs with great despondency.
Heaviness and indolence of body, obliging him to lie down.
Great lassitude and heaviness.
Very tired and lazy.
Is very nervous and hysterical, and if she becomes pregnant is almost sure to abort about third month.
Nervousness so great that music becomes unbearable, it goes through bone and marrow.

Sleep

Sleeplessness and restlessness after midnight, with heat and profuse perspiration.
Lies on left side during sleep.

Time

Morning : vertigo < ; frontal headache < ; pain in varices during stool ; pain in hip joints ; toward, sticky sweat ; tenseness in ulcer <.
During day : great chilliness.
Toward evening : toothache.
Evening : rumbling in abdomen ; pulsation in different bloodvessels < in bed ; fever < ; chill with shivering ; tenseness in ulcer <.
Night : toothache ; pains in extremities < ; pain in great toe < ; drawing and tearing in extremities <.
After midnight : sleepless and restless.

Temperature and weather

Warmth of bed, toothache < ; pain (dysmenorrhœa) > ; pain in ulcer <.
Warm room : rumbling in abdomen ; rheumatic pains < ; gout <.
Open air : frontal headache > ; rheumatic pains > ; tenseness in ulcer >.
Cool applications : wandering pains in joints >.
Cool air : weariness and weakness of limbs > ; gout >.

Fever

Chill in evening with attacks of shivering.
Great chilliness during day.
Shivering with obscuration of sight, followed by sleepiness.
Burning heat of whole body, with great restlessness.
Flushes of heat in face, rest of body chilly, hands and feet cold.
Sweats easily ; sweat every night.

Attacks, periodicity

Paroxysms : discharge from uterus ; of nausea and qualmishness.
At intervals of fifteen minutes : labor pains.
Periodically : pains in uterus.
Every night : sweat.
Three times during month : menses.
Every two weeks : painful discharge of fetid blood.

Locality and direction

Right : pain in shoulder joint ; tearing in upper arm ; aching in radius ; coldness in leg ; painful drawing in joints of toes.
Left : stitches in nipple ; lies on side during sleep.
From before backward : stitches in vagina.
From behind forward : dragging in lumbar vertebræ.
From below upward : stitches in vagina.
From within outward : stinging in upper arms ; stitches in heels.
From without inward : pressive pain in arms.

Sensations

As if she would fall ; as if parts of temporal eminence were pressed asunder ; as if eyes would be pressed out ; as if skin had grown fast on forehead ; as if tooth would burst ; as if he had to swallow over a foreign body ; as of a lump in
throat ; as if vomiting would come on ; as if something were alive in abdomen ; r. shoulder joint as if sprained.
Pain : in temporal eminences ; from back through to pubes ; in frenum ; in uterus from back to groins ; throughout lower extremities ; from sacral region to pubes ; in small of back.
Violent pains : in hypogastric region ; from back to pubes.
Severe pain : in head and eyes.
Tearing pain : in roots of molars ; in cysts, in vulva ; in wrist joints ; in metacarpal bones of both feet ; in extremities.
Paralytic tearing : along upper arm as far as hand.
Throbbing pain : in teeth.
Stitches : in pit of stomach ; to back ; in vagina ; in left nipple ; in clavicle ; in big toe ; in heels.
Stitching pain : in small of back ; in uterus.
Cutting pressive pain : low down in abdomen.
Pinching : in abdomen.
Dragging pain : in back.
Pressing urging pain : in sphincter ani.
Pressing pain : in chest ; in forehead ; in upper arms.
Tensive pain : in forehead ; in middle of sternum ; in broad of back through to pubes ; in small of back ; in joints of right toes ; in extremities.
Contractive pain : in region of uterus.
Aching pain : in right radius.
Bearing-down pains : from fundus of uterus toward sacrum and along the broad ligaments to each side.
Drawing pain : in teeth ; in throat.
Labor-like pains : in abdomen down groins.
Paralytic pain : in small of back.
Lamelike pain : in joints.
Burning sore pain : in the varices ; in glans penis.
Circumscribed pain : in each temporal region.
Dragging sensation : in lumbar vertebræ.
Burning : in stomach ; in pit of stomach ; in anus ; of condylomata.
Stinging : in both upper arms ; in wrist joint ; in hip joints.
Soreness : of abdominal muscles ; of thighs.
Painfulness : of thighs.
Painful stricture : over temples.
Throbbing : in all bloodvessels.
Tension : in eyes.
Pressure : in head ; in forehead ; in metacarpal bones of both feet.
Pressing : on eyes ; toward genitals.
Heaviness : of lower extremities.
Dulness : in head ; in forehead.
Drawing, twisting and gurgling : in bowels.
Writhing : in abdomen.
Weariness : in lumbar region ; of limbs.
Weakness : of head ; of limbs.
Dryness : of mouth and œsophagus ; of throat.
Tickling : in larynx ; in trachea.
Crawling : in larynx.
Itching : in anus ; of pudenda ; of thighs ; of condylomata ; voluptuous, in nipples.
Coldness : of hands and feet ; in right leg.

Tissues

Drawing pains through long bones.
Red, shining swelling of affected parts.
Gout ; arthritic complaints ; tearing, stinging in joints after they become swollen ; < in heated room ; > in cool air or cool room ; arthritic nodes.
Chlorosis.
Throbbing in all the bloodvessels.
Hemorrhages.

Touch. passive motion. injuries

Touch : skin around alæ nasi painful ; glans penis sore ; pains in upper arms < ; pain in right radius < ; intense sensibility of great toe.
Pressure : pains in uterus > ; hypogastrium tender ; pain in head >.

Skin

Black pores in skin, especially of face.
Fig-warts, with intolerable itching and burning ; exuberant granulations.
Deep ulcers ; prickling feeling of tenseness in ulcer ; < morning and evening, exertion, touch, warmth of bed ; > open air, cold, raising or elevating limbs.

Stage of life, constitution

Chronic ailments of women ; arthritic pains ; tendency to miscarriage.
Gouty diathesis.
Girl, æt. 12, came into puberty at the age of eleven ; dysmenorrhœa.
Girl, æt. 14, tall, thin, scrofulous, has menstruated for more than a year ; menorrhagia.
Girl, æt. 16, not yet menstruated, suffered three years ago from intermittents, since then complaining ; amenorrhœa.
Girl, æt. 17, strong constitution, menstruated in her thirteenth year ; suppressed 18 months ago from immoderate dancing ; amenorrhœa.
Girl, æt. 19, sanguine temperament, thin, weakly constitution, menstruated regularly since sixteenth year, seven years ago had hæmoptysis ; metrorrhagia.
Woman, æt. 21, delicate, nervous, always aborted at third month after slightest mental disturbance, hemorrhage being profuse ; threatened abortion.
Mrs. D., æt. 21, nervous temperament, suffering since her first pregnancy ; leucorrhœa.
Miss R. L., æt. 22, nervous temperament, thin, delicate, forsaken and unhappy, seven months pregnant ; threatened abortion.
Young lady, æt. 23, in good health ; menorrhagia.
XO., æt. 24, medium height, dark complexion, dark hair, nervous temperament, very fond of music, suffering for years ; dysmenorrhœa.
Woman, æt. 24 ; threatened abortion.
Miss P., æt. 25, ill two years ; amenorrhœa and anemia.
Woman, æt. 26, delivered two months ago, since then suffering ; uterine hemorrhages.
Mrs. J., æt. 27, mother of two children ; retained placenta after abortion.
Mrs. S., æt. 26, brunette, married ten years ; uterine hemorrhage.
Servant girl, æt. 30, tall, thin ; metrorrhagia.
Mrs. A., æt. 30, in poor health for two years, from living in a damp house in an ague neighborhood, having had chills several times ; menorrhagia.
Woman, æt. 30, on ninth day after second labor ; uterine hemorrhage.
Woman, æt. 30, strong, sanguine choleric temperament, aborted four times, now three months pregnant ; threatened abortion.
Woman, æt. 32, three months pregnant ; threatened abortion.
Mrs. N., æt. 38, nine months married ; dystocia.
Woman, æt. 40, sanguine temperament, passed through four pregnancies, waters each time escaping eight days before labor ; threatened abortion.
Man, æt. 42 ; chronic rheumatism.
Woman, well built, phlegmatic temperament, delivered five months ago, since then has not menstruated ; menorrhagia.

Relations

Antidoted by : Pulsat .
Compatible : Arsen., Bellad., Pulsat., Rhus tox., Spongia, Sulphur .
Complementary to : Thuja .
Compare : Arnica, Calc. ostr., Coccul., Crocus, Ipecac., Millef., Ruta, Secale, Trillium .

Lectures on Homoeopathic Materia Medica

James Tyler Kent · Lectures on Homoeopathic Materia Medica · homeoint.org / Séror HTML text (Kent d. 1916; public domain)

Generalities

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

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

Inflammation and bleeding

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

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

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

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

Women

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

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

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

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

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

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

Abortion

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

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

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

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

"Copious hemorrhages, accompanied by uterine colic."

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

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

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

This describes the symptoms from abortion or menstruation.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Rheumatism

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

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

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

The Therapeutics of Fevers

H. C. Allen · The Therapeutics of Fevers · 1902 Library of Congress printing (Allen d. 1909; public domain)

Characteristic

Chronic ailments of women ; arthritic pains ; tendency to miscarriages, especially at third month.

Music is intolerable ; produces nervousness, goes through bone and marrow (causes weeping, Thuja).

Drawing pains in small of back, from sacrum to pubes, in nearly all diseases (from back, going round the body to pubes, Vib. op.).

Ailments : following abortion or premature labor ; hemorrhage from uterus ; flow partly pale red, partly clotted ; worse from least motion (Sec.) ; often relieved by walking ; pain extending from sacrum to pubes.

Menses : too early, too profuse, too protracted ; partly fluid, partly clotted (Fer.) ; in persons who menstruated very early in life ; flow in paroxysms ; with colic and labor-like pains ; pains from sacrum to pubes.

Discharge of blood between periods, with sexual excitement (Amb.).

Retained placenta from atony of uterus ; intense after-pains (Caul., Sec.).

Menorrhagia : during climacteric, in women who formerly aborted ; with early first menses.

Inflammation of ovaries or uterus after abortion or premature labor.

Promotes expulsion of moles or foreign bodies from uterus (Canth.).

Fig warts with intolerable itching and burning; exuberant granulations (Thuja, Nit. ac.).

Aggravation

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

Amelioration

In cool, open, fresh air.

Chill

In evening, with attacks of shivering chilliness all day; one chill after another. Shivering with obscuration of sight, followed by sleepiness.

Shuddering, with gooseflesh.

Cold sensation in r. limb, as if standing in ice water (Sep.).

Heat

Burning of whole body, with great restlessness.

Flushes of heat in face, rest of body chilly; with icy cold hands and feet.

Sweat

Night sweats. Sweats easily; every night; profuse on feet.