Sepia sep.

Venous circulation: Digestive tract. Portal system. FEMALE PELVIC ORGANS. Nerves. Skin.

COLD: AIR; North wind. Wet. Snowy. Sexual excesses. Before menses. Pregnancy. Abortion. Morning and evening. After first sleep.

VIOLENT MOTION. Warmth. Cold drinks.

Draggy, relaxed females -lithæmic, plethoric, - subject to prolapses or easy dislocations. Uterine reflexes. Symptoms settle in back; shoot up, < rectum, vagina, etc.; backward, head (l), ileo-cæcal region, ovary, etc., or cause shuddering. AS OF A LUMP or a rolling over internally. Weak, empty, hollow feeling; in epigastrium, chest, muscles, lumbar back, hips, knees, etc., or fulness. Milky discharges. Bleedings.

Angry, sensitive and irritable and miserable. Sensitive to pain. Anxious fear; over trifles. Averse, to one's own; to sympathy; to company; yet dreads solitude. Stifled affections. Poor memory. Sad irritability, alternating with indifference or sulkiness. Sexually minded. Sad over her health and domestic affairs. Indifference. Stupid, wants to go away. Headache; over l. eye; alternate sides of occiput; < lying on it; heavy on vertex; shootings; bursting. Hemicrania. Jerks head back and forth. Drooping eyelids. Red, itching tarsi. Falling out feeling in eyes. Sees motes, flashes, zigzags, photopsies; then collapse. Odors are repulsive. NOSE; BROWN STRIPE ACROSS (Menis.); pressive pain at root; foul plugs or green crusts from. Dark circles under eyes. Changing of color of face. Chloasma. Numb malar bones. Swollen, cracked lower lip. Mouth feels burnt. Hawks mucus or foul, cheesy grains in A.M. Taste cheesy, fishy or bitter-sour. Ascending throat colds. Eructates tough, foamy mucus. Nausea at tought or smell of food; in A.M. Vomits; solids only; milky. Gnawing hunger. Craves acids. FAINT SINKING AT EPIGASTRIUM, not > eating, or a lump in. Griping in gall-bladder, < stooping. Falling out or heavy bearing down feeling in hypogastrium; holds it or crosses legs. Pot belly. Stool, then gelatinous mucus. Diarrhœa, from boiled milk. Rectum constricted and powerless; no urging for days. Obstipation. As of a ball in anus. Piles, prolapsing; sticking; of pregnancy. Oozing from anus. Slow urination; cutting before. Enuresis, during first sleep; < coughing, sneezing, etc. THICK, FOUL URINE; ADHERENT, RED, SANDY SEDIMENT, or white, gritty. Menses absent; at puberty; after weaning, etc. Grasping, burning or sticking in uterus (os). Sub-involution. WEAK, DRAGGING OR BEARING DOWN FEELING; must sit close or hold parts. Tends to abort. Labia swelled; abscessed. Leucorrhœa; in large lumps; foul; gonorrhœal. Stomach cough; < rapid change of temperature; with foul sputum. Circulation, irregular; seems to stagnate. Palpitation; visible; ascends to occiput. General pulsation. Ebullitions at night. Overful blood-vessels. Collar feels tight. Aching; inter-scapular; LUMBAR-paralytic-wants it pressed. Purple hands. Cold knees or heels. Skin blotched; raw, rough, hard or cracked, < flexures. Herpes. Ringworm. Itching vesicules. Boils in axillæ. Thick crust on elbows. Ulcers, on small joints. Epithelioma of eyelids, lips, etc. Skin; wine colored. Spots on the skin. Loud talking in sleep. Dreams if lies on l. side. Easily chilled. Chilly, with air-hunger. Cold; in spots; on vertex; between scapulæ; feet, in bed. Sudden weakness; then anxious, hot flushes. Hot hands, with cold feet or vice versa. Sweat, easy; with orgasms; on genitals, axillæ or back. Irregular fevers.

Complementary: Nat-m. Pho. Related: Caus. Gel. Lil-t. Nat-m. Pul.

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.).

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.

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

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.

Great indifference to all surroundings; comprehension difficult; affections of the intellect.

Smelling too sensitive; too feeble, yellow saddle across the bridge of the nose.

Skin yellow, like jaundice; chapping of the skin, or cracks may extend deeply into the tissues, and this is aggravated by washing in water; corns with jerking or darting pains; exanthema in general, particularly when it is disposed to crack; dry itch, often finding bad effects where the itch has been suppressed by Mercur. or Sulphur; eruptions peeling off; ulceration of the exanthema; bed sores; brown sphacelus. Tetters in general especially if they chap; tetters circular in form. Ulcers suppurating; pus too copious; swollen; with proud flesh. Salt rheum.

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.

Coldness of single parts; perspiration in general; perspires too easily; single parts perspire profusely; perspiration with anxiety; with restlessness; sour-smelling. Internal chilliness with external heat.

Sensation of emptiness in the pit of the stomach, just below the 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. Want of appetite. Taste bitter, saltish; eructations. Vomiting of bile.

Cough with expectoration in the morning, no expectoration in the evening; or with expectoration at night, none in the day; very severe cough in the morning on rising, and expectoration of a great quantity of badly tasting substance; expectoration purulent; with saltish taste.

Male: Discharge of prostatic juice; nocturnal pollutions. In either sex, complaints from coition. Female: Complaints generally of all kinds of the female organs of generation, internally and externally; labor-like pains which are felt chiefly in the back, accompanied with a feeling as though she must cross the legs and "sit close" to keep something from coming out through the vagina; threatened abortion; tendency to abort fifth to seventh month. Menses too late; flowing only in the morning; complaints before menstruation; yellow leucorrhœa which stings and burns.

Great difficulty in voiding stool, which seems to stick in the anus or rectum as if a ball or a "potato" were there; bloody stool; affections of the anus; rectum, particularly where there are sharp, shooting, needle-like, or lancinating pains running up into the abdomen; hæmorrhoids with the same pain; difficult stool with sensation of weight in the abdomen.

Sediment to the urine like clay, as if clay were burnt on the bottom of the vessel; urine very offensive--can't endure to have it in the room; reddish; bloody.

Of emptiness in the pit of the stomach, etc. (see Gastric); of a ball in inner parts; pain as if parts would burst, were pressed or pushed asunder; cramping, or drawing pains in inner or outer parts; sensations of emptiness or hollowness in any part, especially 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.

Affections in general appearing in the left side; right upper and right lower extremities; eyelids; internal ear; hearing very sensitive; region of the liver; inner lower belly; left shoulder-blade; back and small of the back: axilla; axillary glands, especially where there are darting pains through them; upper and lower extremities, and joints; lumbar region, with a violent pressing or bearing-down pain; nails turn yellow. Dark hair; pale face, exanthema on the face, lips, nose, forehead. Bleeding from inner parts. Spasms clonic; tonic; cataleptic; great restlessness of the body, can't keep still; great aversion to washing. Debility in general, or of particular parts.

In early morning; in forenoon; in evening, particularly before falling asleep; on waking; stooping; during inspiration; while in company; while coughing; after cohabitation; after eating; from exertion of the mind; during fever; female complaints generally; from loss of fluids; from masturbation; from music; from milk; fat pork; during and after perspiration; during pregnancy; riding in a car; from riding 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 leucorrhœa; during confinement especially.

From drawing up the limb; from moving; from exertion of the body; in solitude; from drinking cold water; when walking quickly.

Bellad., Calc. carb., Conium, Lycop., Nux vom., Pulsat., Rhus tox., Silic., Sulphur.

Sweet Spirits of Nitre, Dulcam.

Yellow saddle across the nose; also yellow spots on the face. Brown liver spots on the skin, especially on the chest and abdomen. Sensation as if everything would come out on the vagina; she has to cross her limbs to prevent it. Leucorrhoea; yellow like milk or pus; or of bad smelling fluids; excoriating. Weakness and pain in back; grows worse on sitting still. Especially suited to persons with dark hair; for women, and particularly during pregnancy, in child-bed and while nursing.

Inky Juice of Cuttlefish (SEPIA)

Acts specially on the portal system, with venous congestion. Stasis and thereby ptosis of viscera and weariness and misery. Weakness, yellow complexion, bearing-down sensation, especially in women, upon whose organism it has most pronounced effect. Pains extend down to back, chills easily. Tendency to abortion. Hot flashes at menopause with weakness and perspiration. Upward tendency of its symptoms. Easy fainting. "Ball" sensation in inner parts. Sepia acts best on brunettes. All pains are from below up. One of the most important uterine remedies. Tubercular patients with chronic hepatic troubles and uterine reflexes. Feels cold even in warm room. Pulsating headache in cerebellum.

Indifferent to those loved best. Averse to occupation, to family. Irritable; easily offended. Dreads to be alone. Very sad. Weeps when telling symptoms. Miserly. Anxious toward evening; indolent.

Vertigo, with sensation of something rolling round in head. Prodromal symptoms of apoplexy. Stinging pain from within outward and upward mostly left, or in forehead, with nausea, vomiting; worse indoors and when lying on painful side. Jerking of head backwards and forwards. Coldness of vertex. Headache in terrible shocks at menstrual nisus, with scanty flow. Hair falls out. Open fontanelles. Roots of hair sensitive. Pimples on forehead near hair.

Thick, greenish discharge; thick plugs and crusts. Yellowish saddle across nose. Atrophic catarrh with greenish crusts from anterior nose and pain at root of nose. Chronic nasal catarrh, especially post-nasal, dropping of heavy, lumpy discharges; must be hawked through the mouth.

Muscular asthenopia; black spots in the field of vision; asthenic inflammations, and in connection with uterine trouble. Aggravation of eye troubles morning and evening. Tarsal tumors. Ptosis, ciliary irritation. Venous congestion of the fundus.

Herpes behind ears on nape of neck. Pain as if from sub-cutaneous ulceration. Swelling and eruption of external ear.

Yellow blotches; pale or sallow; yellow about mouth. Rosacea; saddle-like brownish distribution on nose and cheeks.

Tongue white. Taste salty, putrid. Tongue foul, but clears during menses. Swelling and cracking of lower lip. Pain in teeth from 6 pm till midnight; worse on lying.

Feeling of goneness; not relieved by eating (Carb an). Nausea at smell or sight of food. Nausea worse lying on side. Tobacco dyspepsia. Everything tastes too salty (Carbo beg; Chin). Band of pain about four inches wide encircling hypochondria. Nausea in morning before eating. Disposition to vomit after eating. Burning in pit of stomach. Longing for vinegar, acids, and pickles. Worse, after milk, especially when boiled. Acid dyspepsia with bloated abdomen, sour eructations. Loathes fat.

Flatulent, with headache. Liver sore and painful; relieved by lying on right side. Many brown spots on abdomen. Feeling of relaxation and bearing-down in abdomen.

Bleeding at stool and fullness of rectum. Constipation; large, hard stools; feeling of a ball in rectum, cannot strain; with great tenesmus and pains shooting upward. Dark-brown, round balls glued together with mucus. Soft stool, difficult. Prolapsus ani (Pod). Almost constant oozing from anus. Infantile diarrhœa, worse from boiled milk, and rapid exhaustion. Pains shoot up in rectum and vagina.

Red, adhesive, sand in urine. Involuntary urination, during first sleep. Chronic cystitis, slow micturition, with bearing-down sensation above pubis.

Organs cold. Offensive perspiration. Gleet; discharge from urethra only during night; no pain. Condylomata surround head of penis. Complaints from coition.

Pelvic organs relaxed. Bearing-down sensation as if everything would escape through vulva (Bell; Kreoso; Lac c; Lil t; Nat c; Pod); must cross limbs to prevent protrusion, or press against vulva. Leucorrhœa yellow, greenish; with much itching. Menses Too late and scanty, irregular; early and profuse; sharp clutching pains. Violent stitches upward in the vagina, from uterus to umbilicus. Prolapse of uterus and vagina. Morning sickness. Vagina painful, especially on coition.

Dry, fatiguing cough, apparently coming from stomach. Rotten-egg taste with coughing. Oppression of chest morning and evening. Dyspnœa; worse, after sleep; better, rapid motion. Cough in morning, with profuse expectoration, tasting salty (Phos; Ambr). Hypostatic pleuritis. Whooping-cough that drags on. Cough excited by tickling in larynx or chest.

Violent, intermittent palpitation. Beating in all arteries. Tremulous feeling with flushes.

Weakness in small of back. Pains extend into back. Coldness between shoulders.

Lower extremities lame and stiff, tension as if too short. Heaviness and bruised feeling. Restleness in all limbs, twitching and jerkings night and day. Pain in heel. Coldness of legs and feet.

Frequent flushes of heat; sweat from least motion. General lack of warmth of body. Feet cold and wet. Shivering, with thirst; worse, towards evening.

Herpes circinatus in isolated spots. Itching; not relieved by scratching; worse in bends of elbows and knees. Chloasma; herpetic eruption on lips, about mouth and nose. Ringworm-like eruption every spring. Urticaria on going in open air; better in warm room. Hyperidrosis and bromidrosis. Sweat on feet, worse on toes; intolerable odor. Lentigo in young women. Ichthyosis with offensive odor of skin.

Worse, forenoons and evenings; washing, laundry-work, dampness, left side, after sweat; cold air, before thunder-storm. Better, by exercise, pressure, warmth of bed, hot applications, drawing limbs up, cold bathing, after sleep.

Complementary: Nat mur; Phosph. Nux intensifies action. Guaiacum often beneficial after Sepia.

Inimical: Lach; Puls.

Compare: Lil.; Murex; Silica; Sulph; Asperula-Nacent oxygen. Distilled water charged with the gas--(leucorrhœa of young girls and uterine catarrh); Ozonum (sacral pain; tired feeling through pelvic viscera and perineum); Dictamnus--Burning Bush--(Soothes labor pains); (metrorrhagia, leucorrhœa, and constipation; also somnambulism). Lapathum (Leucorrhœa with constriction and expulsive effort through womb and pain in kidneys).

Twelfth, 30th and 200th potency. Should not be used too low or be repeated too frequently. On the other hand Dr. Jousset's unique experience is that is should be continued for some time in strong doses. 1x twice a day.

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.

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; fœtid, 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.

Dyspnœa; < 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 Encyclopædia, 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, leucorrhœas 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.

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

Sadness with weeping. Great indifference, even to one's family. Restlessness, fidgety. Great excitability in company. Dread of being alone. Is easily offended and inclined to be vehement. Sadness about one's health and her domestic affairs. Anxiety, with flushes of heat. Aversion to one's occupation. Heavy flow of ideas. Weak memory.

Stupefaction in the head (which disables him from performing any mental labor). Vertigo ; when walking in the open air, as if all the objects were moving around one, or as if suspended in the air, with unconsciousness ; when rising from the bed ; in the afternoon. Paroxysms of hemicrania, stinging pain as from within to without, in one side of the forehead or side of the head (mostly in the left side), with nausea (and vomiting) and contraction of the eye ; worse in the room and when walking fast, better in the open air and when lying on the painful side. Boring headache from within to without, from the forenoon till evening, worse from motion and stooping, relieved by rest, when closing the eyes, from external pressure, and sleep. Pressing headache, as if the head should burst and the eyes fall out, with nausea. Sensation of coldness on the vertex ; worse from moving the head and stooping, better when at rest and in the open air. Pulsating headache in the cerebellum, beginning in the morning, worse in the evening, from the least motion, when turning the eyes, when lying on the back, better when closing the eyes and when at rest. Headache, as from commotion of the brain when stepping or when shaking the head, better when sitting up or from slow exercise. Shooting pains, especially over the left eye, extorting cries. External coldness of the head. Eruptions on the vertex and back part of the head dry, offensive stinging, itching and tingling, with cracks, extending behind the ears, feeling sore when scratching them. Swelling on one side of the head above the temple, with itching ; sensation of coldness and tearing in it ; worse when touching it ; better when lying on it, or after rising from the bed. Involuntary jerking of the head backwards (or forward), principally in the forenoon and when sitting. Sensitiveness of the roots of the hair ; worse in the evening, to contact, cold north wind, when lying on the painless side, and burning after scratching. Fontanelles remain open, with jerking of the head, pale bloated face, stomacace, green diarrhœic stools. Perspiration on the head, smelling sour, with faintish weakness ; worse in the evening before going to sleep. Disposition to take cold on the head from dry, cold wind, and if the head gets wet. Itching on the head (nose and eyes). Falling off of the hair. Small red pimples on the forehead ; rough forehead.

Pressure on the eyeballs. Inflammation of the eyes, with redness and stinging pain. Burning of the eyes in the morning. Lachrymation in the morning and evening. The eyelids pain in the morning when awaking, as if they were too heavy, and as if he could not keep them open. Inability to open the eyelids at night. Heaviness and falling down of the upper eyelids as if they were paralyzed. Inflammation of the eyelids ; nightly agglutination of the eyes. Eyelids red, swollen ; styes on them. Great sensitiveness of the eyes to the light of day. Yellow color of the white of the eyes. Black spots hovering and swimming before the eyes. Sparks before the eyes. Green halo around the light of the candle. Pustules or fungus hæmatodes on the cornea.

Stinging in the (left) ear. Discharge of thin matter from the ear. Much itching in the affected ear. Over-sensitiveness to music. Swelling of and eruptions on the external ear. Tetters on the lobe of the ear, behind the ear (and on the neck).

Nose swollen and inflamed, especially on the tip. Tip of the nose scurfy. Ulcerated nostrils. Stoppage of the nose ; dry coryza. Violent bleeding of the nose, and blowing of blood from the nose. Loss of smell, or fetid smell before the nose. Ozœna ; blowing of large lumps of yellow green mucus or yellow green membranes, with blood, from the nose.

Pale yellow puffiness of the face, with blue margins around the eyes. Yellow color of the face (and of the white of the eyes). Yellow saddle across the nose and face. Yellowness around the mouth. Tetters around the mouth. Moist, scaly eruptions in the red parts of the lips and on the chin. Swelling of the under lip. Erysipelas and swelling of one side of the face from the root of a decayed tooth. Herpes, scurfs and black pores in the face. Neuralgic pains in the face (left side, from abuse of tobacco).

Toothache ; stinging, pulsating, extending to the ear during pregnancy, with shortness of breath, with swelled face and swelling of the submaxillary glands, aggravated from every cold draft of air, when touching the teeth, and when talking. The teeth are dull, loose, bleed easily and decay rapidly. Gums painfully swollen, bleeding without any cause. Bad smell from the mouth. Tongue and cavity of the mouth feel as if scalded. Tongue coated white. Soreness of the tip of the tongue. Dryness of the throat, with tension and scraping. Soreness and stinging in the throat, with swelling of the submaxillary glands. Sensation as of a plug in the throat. Hawking up of mucus in the morning.

Taste putrid or sour. Food tastes too salt. Canine hunger and sensation of emptiness in the stomach. Thirst in the morning or thirstlessness. After eating, acidity in the mouth and bloatedness of the abdomen. Aversion to meat and milk, which cause diarrhœa. Eructations, sour or like rotten eggs, or bitter. Eructations which cause blood to rise in the mouth. Water-brash after drinking or eating. Acidity of the stomach (with disgust for life). Nausea, especially in the morning and while fasting or when riding in a carriage. Nausea and vomiting after eating. Vomiting of pregnant women, sometimes of milky water. Vomiting, of bile and food, in the morning, with headache. Painful sensation of emptiness in the stomach and abdomen. Pain in the stomach after eating. Pressure in the stomach, as from a stone, especially after eating or at night. Cutting, boring, from the region of the stomach towards the spine. Burning in the stomach. Pulsation in the pit of the stomach. Rumbling in the abdomen, especially after eating. Soreness of the abdomen in pregnant women in the abdomen, pressing, cutting, stinging burning, coldness. Stitches in the liver and left hypochondrium. Pot-belliedness of mothers. Brown spots on the abdomen.

Constipation ; urging to stool ineffectual, with discharge of mucus or flatulence only. Stool insufficient, retarded, like sheep-dung. Insufficient stool, with straining and tenesmus. Constipation during pregnancy. Difficult discharge even of the soft stool. Diarrhœa ; stools green, smelling sour, very debilitating ; after eating boiled milk. Small jelly-like stools, with tenesmus. Discharge of blood with the stool. Prolapsus ani (during stool). Pain in the rectum, as from contraction. In the rectum and anus, itching, burning and stinging. Oozing from the rectum. Discharge of mucus, with stinging and tearing. Prolapsus of the hæmorrhoidal tumor.

Frequent urging to urinate, from pressure on the bladder. Frequent micturition ; even at night he has to rise frequently. Involuntary discharge of urine at night, especially in the first sleep. Burning in the bladder and in the orifice of the urethra. Smarting in the urethra when urinating. Urine : turbid, with sediment of red sand ; blood-red, with white sediment and a cuticle on the surface ; very offensive, with much white sediment.

Men. Continued erections at night. The prepuce ulcerates and itches continually. Weakness of the genitals ; they perspire profusely, especially the scrotum. Scrotum swollen. Cutting in the testes. After coition great weakness in the knees. Women. Pressure, as if every thing would protrude (with oppression of breathing). Prolapsus of the uterus, of the vagina. Induration of the neck of the uterus. Violent stitches in the vagina, upwards. Redness, swelling and itching humid eruption on the labiæ. Catamenia too early and too profuse, or too scanty, or suppressed. During menstruation, depression, toothache, headache, bleeding of the nose, and soreness in the limbs. Leucorrhœa, of yellow or greenish water, like pus, or of bad-smelling fluids. Inclination to miscarriages.

Roughness and soreness of the larynx and throat. Hoarseness, with coryza and dry cough from titillation in the throat. Sensation of dryness in the larynx. Dry cough, especially in the evening, in bed till midnight, frequently with nausea and bitter vomiting. Cough, especially evening and morning, with salty expectoration ; with rattling of mucus in the chest ; with expectoration only in the morning, or only during the night ; cough only during the day, or cough which wakens one at night. Expectoration, profuse, purulent, offensive, whitish, green, tasting salt. Cough, with soreness in the chest ; stitches in the chest or back. Expectoration difficult, or being obliged to swallow again what had been raised. Attacks of spasmodic cough, like hooping-cough ; coughs in frequent succession, caused by tickling in the chest or from tickling extending from the larynx to the abdomen, with expectoration only in the morning, evening and at night of yellow, greenish-gray pus, or of milk-white, tough mucus, tasting salt, bitter, putrid or disagreeably sweet, which has to be swallowed again. Cough worse when at rest, when lying on the (left) side ; from acids. Itching and tickling in the chest. Sensation of emptiness in the chest. Stitch in the left side of the chest and scapula when breathing and coughing. Dyspnœa ; oppression of the chest and shortness of breath when walking. Congestion of blood to the chest, with violent palpitation of the heart. Brown spots on the chest. Soreness of the nipples. The chest symptoms cease and are relieved by pressure of the hand on the thorax.

Pressure and stitches in the right shoulder-blade. Stiffness in the small of the back and neck. Stitches posteriorly above the right hip ; she could not lie on the right side, and when touched it felt sore. Weakness in the small of the back when walking. Pulsation in the small of the back. Stitches in the back when coughing. Perspiration in the back and arm-pit. Humid tetter in the arm-pit.

Upper. Paralytic drawing and tearing in the arm and arm-pit to the fingers. Pain as from dislocation in the shoulder-joint. Stiffness of the elbow-joint. Stitches in the joints of the arm, hands and fingers. Swelling and suppuration of the axillary glands. Burning in the palms of the hands. Cold perspiration on the hands. Cold hands (and feet). Herpes (scaling off) on the elbows. Painless ulcers on the joints and tips of the fingers. Itch and scabs oil the hands (soldiers' itch). Lower. Cramp pain ill the hip-joint. Pain as if bruised in the right hip-joint. Stiffness of the legs up to the hip-joint, after sitting for a short time. Swelling of the limbs and feet ; worse when sitting or standing, better when walking. Stiffness of the knee-joint and ankle. Spasms in the buttocks at night, in bed, when stretching out the limb. Restlessness in the legs every evening, with formication in them. Coldness in the legs and feet, especially in the evening in bed. Burning in the feet. Profuse perspiration of the feet. Stinging in the heels and in the corns. Tension in the tendo-Achilles. Ulcer on the heel from a spreading blister. Painless ulcers on the joints and tips of the toes.

Heaviness in the body. Stiffness of the joints (hands, knees and feet). Arthritic pains in the joints. Tearing in the muscles. Excessive sensitiveness of the body to pain. Sensation of contraction in outer parts. Sore pain in inner and outer parts. Burning pain, especially in inner parts. Bleeding from inner parts. Congestions at night, with palpitation of the heart and pulsation all over. Jerking and twitching of the head and limbs during the day. Twitching in the muscles. Inflammatory swellings. Stinging pains in the limbs, inner parts, bones. Tingling in outer parts. The limbs go to sleep easily after manual labor. Vibrations like dull tingling in the body. Sensation as of a ball in inner parts. Fainting, after getting wet ; from riding in a carriage, and while kneeling in church. A short walk fatigues much. Aversion to the open air. Want of natural heat. Weakness of the joints. Hysterical spasms.

Great sleepiness in day-time. Frequent awaking from sleep without cause. Talks aloud during sleep. Twitching of the limbs during sleep. Awakens in the morning at 3 o'clock and cannot go to sleep again. Ebullitions at night, with restlessness. Nightly delirium.

Pulse full and quick during the night and then intermitting, during the day slow. The pulse is accelerated by motion and being angry. Pulsation in all the blood-vessels. Chill frequently setting in after previous heat. Chilliness in the open air, in the evening, and from every movement. During the chill more thirst than during the heat. Chilliness with the pains. Flushes of heat at intervals during the day, especially in the afternoon and evening, while sitting or in the open air, generally with thirst and redness of the face. Profuse perspiration, more after than during exercise. Continuous, debilitating sweats. Continuous night and morning sweats. Perspiration only on the upper part of the body. Perspiration smelling sour or offensive. Intermittent fever, with thirst during the chill ; pain in the limbs ; hands and feet icy cold ; the fingers feel as if they were dead ; followed by violent heat and inability to collect one's senses ; this is followed by profuse perspiration.

Itching in the face, on the arms, hands, hips, feet, abdomen and genitals, changing to burning when scratching. Soreness of the skin and humid places in the bends of the joints. Brown spots, or claret-colored, tetter-like spots on the skin. Pemphigus ; ring-worms ; boils ; blood-boils. Ulcers, painless (knuckles, finger-joints, tips of the fingers, joints and tips of the toes), or itching, stinging and burning. Humid tetters, with itching and burning. Lymphatic swellings. Crippled nails.

The pains extend from other parts to the back. Especially suitable for persons with dark hair and for women, especially during pregnancy, in childbed, and while nursing. Aggravation in the forenoon and evening ; from mental exertion, from washing in water, from stretching the affected limb, when at rest, sitting, on bending down, after sexual excesses, after eating. Amelioration from warm air, on and after rising from the bed or seat and drawing up the limbs ; from violent exercise, except riding on horseback. Bad effects from masturbation. Sepia follows well after Pulsatilla.

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.]

Alcohol, effects of. Amenorrhœa. Anus, pressure of. Apoplexy. Appetite, depraved . Ascarides. Baldness. Bladder, irritable. Cancer. Change of life . Chloasma. Chorea. Condylomata. Cystitis. Dandriff . Dysmenorrhœa. Dyspepsia. Eczema . Epistaxis. Eyes, affections of. Face, yellow. Freckles . Gleet. Gonorrhœa. Gravel. Herpes; circinatus. Hysteria. Irritation . Jaundice. Leucorrhœa. Liver-spots. Liver, torpid. Menstruation, disordered. Mind, affections of. Nails, pains under . Neuralgia. Nose, inflamed; swollen. Ozæna. 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. Seborrhœa. Smell, sense of, too acute; disordered. Spermatorrhœa. Stye. Toothache. Urine, incontinence of. Uterus, bearing down in . Varicose veins. Warts. Whooping-cough.

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 "leucorrhœa, gonorrhœa, 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, axillæ, 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 versâ . 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 diarrhœa when that symptom was present. The upward stitches in rectum and vagina, when present, are equally good indications for Sep . in cases of hæmorrhoids, 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 leucorrhœa 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. Gonorrhœa after the acute stage has subsided. Gleet and gonorrhœal 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 axillæ 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. Bœnninghausen 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 scapulæ. 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. ("Dyspnœa 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.]

Continue in Clarke 29 more passages →

Weak memory.
Heavy flow of ideas ; inability for mental activity ; it is an exertion to think.
Felt all day as if he did not care what happened ; no desire to work, inattentive, absent-minded ; indolent mood.
Language comes very slowly, has to drag out the words to express ideas ; forget the chief points.
Uses wrong words when writing.
Great indifference to everything ; no proper sense of life.
Every few minutes inclined to cry, without knowing the cause.
Great sadness and frequent attacks of weeping which she can scarcely suppress.
Very sad with unusual lassitude.
Sad and gloomy mood, mostly when walking in open air and in evening.
Sad about her health and domestic affairs, discontented with everything.
Gloominess ; she feels unfortunate without cause.
Dark forebodings about his disease in regard to the future.
Felt that unless he held on to something he should scream.
Depression on awaking in morning.
Very nervous ; great excitability in company ; restless, fidgety ; wants to go from one bed to another.
Nerves very sensitive to the least noise.
Fits of involuntary weeping and laughter.
Aversion to one's occupation and family.
Dread of being alone.
Anxiety : with fear, flushes of heat over face ; about real or imaginary evils ; toward evening.
Great indifference to one's family, to those they love best.
Is easily offended and inclined to be vehement.
Great irritability alternating with indifference.
Greedy, miserly.
After overexertion of mind, bookkeepers, etc.
Quiet, introspective, rarely speaks a word voluntarily, sits for hours occupied with her knitting, her answers are intelligent but curt.
Propensity to suicide from despair about his miserable existence.
Fears to starve, is peevish, and feels mortified, easily frightened and full of evil forebodings.
After metrorrhagia oversensitive, exalted nervous state ; hasty speech accompanied by quick gestures ; eyes fiery and glistening ; pulse 110 ; her movements were like those of a passionate person ; if she could not talk her friends had to relate stories
continually in a quick way ; at times in the opposite state, gave short answers and desired to be alone ; was then moody and feigned sleep ; the nights became more and more anxious and restless ; she could not describe how terrible they were.
Contradictory, quarrelsome, complaining about others.
Passionate, irritable.
Fretful and out of humor for all business.
Greatest irritability from slightest causes ; very easily offended.
Vexed and disposed to scold.
Impatience when sitting, like an uneasiness in bones.
Violent bursts of anger with furious gestures.
Great nervous irritability, with sadness, despondency and absentmindedness ; everything seems strange to her ; least exertion seems a great effort ; it seems as if she could not understand anything and would have to learn anew everything she wished
to do ; greatest indifference to everything, the death of a near relative, or some happy occurrence, leaves her equally unaffected ; no trace of her former love for friends or even for her child ; aversion for social intercourse amounting to contempt ; constant
ill-humor ; at times headache with anxiety, < lying down ; head also hurts externally ; confusion and throbbing in head ; constant pains in occiput, < lying ; oversensitive to noise ; frequent pains in back extending down into legs and feet ;
circulation and action of heart weak, sensation as if heart stood still ; menses irregular ; at times nervous twitchings ; screams on least provocation ; strength and general condition good ; > in a warm climate, also after nosebleed ; < after coffee and
opium.

Continue in Hering 47 more passages →

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.

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.

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.

Continue in Kent 104 more passages →

Adapted to persons of dark hair, rigid fibre, but mild and easy disposition.

Diseases of women; particularly 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 or are 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 disease (in acute disease, Ledum).

Faints easily: after getting wet; from extremes of heat or cold; riding in a carriage; while kneeling in church.

Sensation of a ball in inner parts; during menses, pregnancy, lactation; with constipation, diarrhœa, hemorrhoids, leucorrhœa and uterine affections.

Coldness on the vertex with headache (Ver.—heat of vertex, Cal., Graph., Sul.).

Anxiety: with fear, flushes of heat over face and head; about real or imaginary evils; toward evening.

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.

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; conjunctivæ; yellow spots on the chest; a yellow saddle across upper part of cheeks and nose.

Herpes circinnatus in isolated spots on upper part of body (in intersecting rings over whole body, Tell.).

Painful sensation of emptiness, "all-gone feeling," in the epigastrium, not > by eating (Chel., Murex, Phos.)

Pot-belliedness of mothers (of children, Sulph.).

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 (Nitr. ac., Rat., Sul.); sense of weight or ball in anus, not > by stool.

Urine: deposits a reddish, clay-colored sediment, which adheres to the vessel as if it had been burnt on; fetid, so offensive must be removed from the room (fetid after standing, Indium).

Enuresis: the 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.

Prolapse of uterus and vagina; pressure and bearing down as if everything would protrude from pelvis; must cross her limbs to prevent it; with oppression of breathing (Agar., Lil., Murex).

Irregular menses of nearly every form—early, late, scanty, profuse, amenorrhœa or menorrhagia—when associated with above-named symptoms.

Morning sickness of pregnancy; the sight or thought of food sickens (Nux); the smell of cooking food nauseates (Ars., Colch.).

Dyspnœa: < 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.); ascend from pelvic organs.

Itching of skin; of various parts; of external genitalia; is not > by scratching, and is apt to change to burning (Sulph.).

Complementary: Natrum mur.

Inimical: to, Lach., should not be used before or after; to, Puls., with which it should never be alternated.

Often indicated after: Silicea, Sulphur.

A single dose often acts curatively for many weeks.

In afternoon or evening; from cold air or dry east wind; sexual excesses; at rest; sultry, moist weather; before a thunderstorm.

Warmth of bed, hot applications; violent exercise.

Many symptoms, especially those of head, heart and pelvis, are both < and > by rest and exercise.

Many types; quotidian most common. Monthly (Nux, Puls.—every six or twelve months, Lach.). Quotidian; tertian; quartan. Bilious, remittent, malarial, typhoid.

9 or 10 A. M.—4 to 6 P. M. Indefinite periods; time not marked.

In women, uterine diseases, menstrual delays, suppression or irregularities are often present. Constitutional chronic disease usually found.

With thirst. Shaking chill for an hour in the evening, with brown, acrid-smelling urine; he must lie down. Chilliness from every motion, though in a warm room (Nux). Chill commencing in fingers and toes (Nat.) in chest (Apis) and between shoulder-blades in back (Caps.). Violent headache during chill, external warmth is unbearable (Puls.). Icy coldness of the whole body, she could not get warm in warm room. At 11 A. M. a shaking chill, beginning with very cold feet, thence over whole body; she had to lie down, became hot at 4 A. M., and slight sweat during night over whole body. Chill, with icy cold hands and warm feet, or vice versa. Very cold feet, with headache, evening and in the morning. Icy cold and damp feet all day, like standing in cold water up to ankles, (Lyc., Puls.—icy coldness of right limb, as in cold water, Sab.). Coldness, with deadness of the limbs and fingers.

With less thirst than in chill. Attacks of flushes of heat, as if hot water were poured over one (Rhus), with redness of face, sweat of the whole body, with anxiety, without thirst or dryness of throat. Flushes of heat from the least exercise. Violent rising of heat to the head, alternating with chilliness in lower limbs. Heat ascends (Nat., Ver.). Face hot from talking. Feet hot at night. Vertigo, unable to collect one's senses.

Profuse in the morning after awaking (see Samb.). Sweat worse from least exertion, mental or physical, walking, writing, eating (Bry., Psor., Sul.); smelling like elder blossoms. Cold night sweat on breast, back, thighs and male genitals. Sour night sweat. Sweat from above downwards to calves of legs, every third night.

Pulsations in all the blood vessels (Nat.); violent beating after waking, from anger or mental emotions; pulse full, quick, intermitting, with an occasional hard "thump" of the heart.

Coated white, with vesicles in old cases. Food tastes too salt (Carbo v., Cinch.). Aversion to meat (Arn.).

Canine hunger, or complete loss of appetite.

Chill; monthly, with thirst, < by every motion, < by external warmth; icy cold feet up to ankles; deadness of limbs and fingers.

Heat; without thirst, red face, in flushes, as if hot water were poured over body; heat ascends; sweat with heat.

Sweat; profuse after waking (Rum., Samb.); from least exertion, mental or physical; of single parts; odor of elder blossoms.

A good picture of a spoiled case—of Cinchonism—of suppression of paroxysm, of menses, of rheumatism, of eruptions. The face is yellow, sallow, dirty, doughy, yellow patches here and there; the so-called "old malarial," often found in the tropics

Weak memory.
Heavy flow of ideas.
Inability for mental activity.
Fits of involuntary weeping and laughter.
Aversion to one's occupation.
Sadness about one's health and her domestic affairs.
Dread of being alone.
Anxiety: with fear, flushes of heat over the face; about real or imaginary evils.
Antagonistic states; imagines what he does not want to; uses wrong words knowing them to be so, etc.
Great indifference even to one's family, to those one loves best.
Is easily offended and inclined to be vehement.
Great irritability alternating with indifference.
Greedy, miserly.
Great excitability in company.
Restless, fidgety.
After overexertion of the mind, as with book keepers, etc.

Stupefaction of the head.
Momentary attacks of giddiness when walking in open air or while writing.
Congestion of blood to the head.
Heaviness of the head.

Paroxysms of hemicrania, stinging pain from within outward, in one (mostly left) side of head or forehead with nausea, vomiting and contraction of pupils; worse in-doors and when walking fast; better in open air, and when lying on painful side.
Boring headache from within outward, forenoon till evening, feels as if he would die; worse from motion and stooping; relieved by rest, when closing eyes, from external pressure, and sleep and when enough has been had.
Shooting pains in-out, especially over left eye, extorting cries, with vomiturition.
Pressing or bursting headache as if eyes would fall out, or head burst, worse from stooping, motion, coughing or shaking the head; continued hard motion relieves headache.
Pulsating headache in cerebellum, beginning in morning, lasting till noon, or sometimes till evening; aggravated from least motion, when turning eyes, when lying on back; better when lying on side when closing eyes when at rest and in dark room.
Beating: in head; in occiput.
Headache, with aversion to all food.

Involuntary jerking of head backward and forward, especially forenoons and when sitting.
Fontanelles remain open, with jerking of head pale, bloated face, stomacace, green, diarrhœic stools.
Sensation of coldness on vertex, worse when moving head and stooping; better when at rest and in open air.
Disposition to take cold from dry cold wind, or getting head wet.
Sweat on head smelling sour, with faintish weakness in evening before sleep or in morning.
Violent itching, like from insects, on occiput or behind cars.
Eruption on vertex and back part of head, dry, offensive stinging, itching and tingling, with cracks; feeling sore when scratching.
Sensitiveness to roots of hair, worse in evening, to contact, to cold North wind, when lying on painless side, burning after scratching.
Falling off of the hair.

Dulness of sight; also when writing; sees only one-half of the object clearly, the other half is obscured.
Many black spots before eyes.
Green halo around candle light.
Great sensitiveness of eyes to light of day.
Prickling in eyes, evenings from candle-light.
Yellow color of whites of eyes.
Lachrymation, morning and evening.
Burning in eyes in morning.
Inflammation of eyes, with redness of white; stitching and pressure in eyes.
Follicular conjunctivitis, worse in summer; eyelids will close.
Redness of eyelids, with styes on them.
Nightly agglutination of eyes, or dry scurf on the eyelids on waking.
Pustules on cornea, also fungus hæmatodes.
Acne-like pustules on edges of lids; the latter feel tight.
Painful heaviness of upper lids on awaking.

Continue in Hering 42 more passages →

Triturations should be made of the pure Sepia (the inky juice of the cuttle-fish).

It produces general relaxation, fatigue and exhaustion, with loss of power of upper lids, extremities, abdominal muscles, etc., etc. ▶ Many symptoms point to an inactive, even congested liver. ▶ Weakness of the female sexual organs seems to be its most prominent feature. ▶ The indications of herpetic eruptions are marked and have proved very useful in practice.

Nat. m., Puls. , Sulph., Lyc., Pod., Lil. tig., Murex, Carbo v., Rhus t., Graph., Berb.

Swelling of whole body, face, abdomen, legs and arms to wrists, with shortness of breath, fever every two or three days, chills alternating with heat, sweat with the heat. ▶ Unpleasant exhalation from body after getting warm in bed. ▶ Trembling; anxious, with cold sweat on forehead. ▶ Jerking here and there, with sticking; J. sensation here and there in body, also in head, right and left sides. ▶ Spasms as from nervous weakness, pulse sometimes weak, sometimes spasmodic.

Paralytic sticking here and there, then immobility of the part. ▶ Pains in various parts; P. on left side; in all parts on which she sits or lies; in muscles of abdomen and limbs on waking; sudden; wandering; burning in different parts, agg. lower part of left hypochondrium. ▶ Burning constriction in shoulders, chest and throat evenings. ▶ General drawing, even in bones of arm; cramping, in right shoulder and whole right side. ▶ Lame sore feeling all day. ▶ Sensation of a heavy cold. ▶ Symptoms of catarrhal fever, with weakness in lower limbs and drawing in arms. ▶ Feeling as if she could easily strain herself. ▶ Fulness about 1 or 2 P.M. in left axilla, then right, then in groin. ▶ Pulsation through body, agg. in whole left chest; in head and limbs, agg. night; sensation as if heart filled all cavities of body, with labored, muffled beating. ▶ Wavelike sensation through body and down arms and legs, then sudden interruption of wave and expansion, with sharp rheumatic pain. ▶ Excitement of whole body. ▶ Restlessness; he must rise at night and walk about; during menses, with drawing pain in lower limbs and abdomen, with rumbling, so that she must remain in bed two days, in second forenoon palpitation and dyspnœa.

▶ Goneness, especially in stomach. ▶ Weakness; in morning during menses; in morning; in morning on waking; in morning on rising; in morning, with uneasiness in abdomen; at 9 A.M.; about breakfast time; in forenoon; in afternoon after sleep; at 7 P.M.; at 9.45 P.M.; from continued speaking; after an emission, with sensitiveness to damp air, vertigo, turbid urine and constipation; with short breath; with stupid feeling in head and tightness on chest; as from nausea, in morning on waking; from walking half an hour, so that he was nauseated and could not breath, air-passages seemed drawn together as far as of stomach.

▶ Indolence; in afternoon after a meal, with sleepiness; after a meal; of mind and body, with difficult breathing. ▶ Heaviness. ▶ Heavy stupid feeling towards evening. ▶ Faintness in forenoon; in morning on rising in bed, with loss of thought, then chilliness, with gooseflesh and yawning, tongue pale, pulse weak and slow; F. about midnight, with sweat, consciousness, but inability to talk or move a finger, in the midst of the paroxysm a sort of dream that he was fighting with a ghost, soon a second faint, with dream of being lost in a forest; during a slow ride; with heat and then coldness. ▶ Numbness in all nerves in evening, and in tongue, with dullness of head and absence of thought. ▶ Paralyzed feeling from vexation.

Continue in Allen 146 more passages →

Tremulous weakness, with weariness, sleepiness.
Restlessness after sitting a long time.
Emaciation; takes cold easily.
Symptoms are < sitting quietly.
A feeling of weakness, especially of goneness in the epigastric region, particularly during the menses and in the morning.
Faintness, with heat and coldness alternately.
Jaundiced hue.
General aggravation both morning and evening, sometimes from washing in water.

Apathy.
Anxiety.
Sadness in the morning on waking.
An irritable, fault-finding disposition.
Indisposed to mental labor, which aggravates the headache.
Stupid, forgetful; cannot collect thoughts to answer the simplest questions.

Boring neuralgic headaches during rest, > external pressure, with vomiting.
Brain feels loose on shaking the head.
One-sided tearing or shooting headache in the evening after lying down.
Rush of blood to the head on stooping, with bursting pain.
Drawing from over the left eye to the occiput; > after eating.
Falling out of the hair; the roots of the hair seem sore to the touch.

Pain as from sand in the eyes; < closing the eyes or rubbing the lids.
Burning, dry, gritty feeling in the eyes.
Heaviness, especially when reading.
Eyes tend to close.
Lachrymation morning and evening.
Scaly eruption on the upper lid.
Itching on the margins of lids.
Development of pustules or vesicles on conjunctiva.
Vision vanishes, with anæmia, particularly during the menses, with weakness; > lying down.
Whites of the eyes yellow.
Yellow or green shimmer around the light in the evening.
Black spots or a veil seem to be before the eyes.

Sneezing, with dry coryza.
Tip of the nose inflamed and swollen.
Nostrils ulcerated.
Blows blood from the nose, especially in the morning after rising and in the evening, particularly during the menses.

Yellow across the upper part of the face and around the mouth.
Herpetic eruptions on the lips.

Swelling and bleeding of the gums.
The teeth decay rapidly, with various pains from hot or cold things, and from every draught of cold air.
General relief of the toothache from inhaling cold air, (though it may be < a draft of air across the face).

Difficult swallowing as from a lump in the throat.

Appetite, with hasty eating (sometimes aversion to all food, especially to animal food).
General loss of thirst.
Eructations from eating a little.
Sour or painful eructations.
Nausea in the morning or from riding in a carriage.
Vomiting, with great straining, even vomiting of blood.
Gnawing in the stomach, > eating, with a feeling of sinking down and weakness.
A feeling of emptiness, with nausea, even on thinking of food.

Distention, as from flatulence, with burning and shooting pains, extending into the chest or down the thighs.
A feeling of heaviness or of emptiness.
Pains over the region of the liver, with soreness and shooting, or a feeling of fullness.
Dragging; the pains in the hypogastric region extend into the genitals in women.
Pressing down, as if the contents of the abdomen or pelvis would be forced downward, particularly during menses.
This pelvic distress is felt at night on waking, especially during the day when standing or walking; even when sitting or lying down.

Hæmorrhoids protrude when walking or during stool; painful and sore to touch.
Constipation and hard, difficult stool, often mixed with mucus.
Diarrhœa after boiled milk.

A feeling of pressure on the bladder, with frequent micturition and tension.
Urging, with bearing down in the pelvic region.
Urine slimy, offensive, deposits a yellow, pasty sediment or turbid and clay-colored, with reddish sediment.
Urine deposits a sediment which stains the vessel red, like powdered brick.

Clinical:
Cystitis, with constant desire and dragging in the bladder, but with slow micturition.
Nocturnal enuresis.
An adherent red sediment seems to be quite characteristic.

Dryness of the vagina and external genitals, < after menses.
Heavy dragging as though the uterus and internal organs would be forced downward; has to cross her legs to prevent threatening protrusion.
Leucorrhœa; yellowish, profuse, acrid or milky, with burning pain and excoriation; or purulent and fetid.
Menstruation too late and scanty, or sometimes early and scanty; at times entirely suppressed, giving place to the leucorrhœa, as above.

Cough in the evening and at night in bed, spasmodic, prevents sleep, causes pain in the pit of the stomach.
Seems to come from tickling in the larynx or at times, seems to be reflex from indigestion or even constipation, often > eating.
Rarely a loose night cough, < before midnight in bed, with oppression of the chest, rattling in the throat.
Cough < both evening and morning, with nausea and bitter vomiting.

Palpitation in the evening in bed, and throbbing through all the blood vessels.

Stiffness in the back and neck.
Pain and weakness in the small of the back, with dragging, extending into the hips.
Tired pain in the sacrum, > pressure.

General heaviness and bruised feeling; or lameness and stiffness of the lower extremities.

Roughness, herpetic eruptions, with itching.
Yellow or brownish spots, particularly on the face and neck.
Itching, particularly in the bends - elbows and knees.
The skin becomes rough and moist after scratching, which somewhat relieves.

Very sleepy during the day, falls asleep as soon as she sits down.
Sleeplessness at night, but wakes late, with difficulty, and has no desire to rise in the morning.
Waking at night from frightful dreams, with screaming out.
Sleep disturbed by rushes of blood, by heaviness of the legs and by anxious dreams; talks in sleep.

Shivering through the day, < towards evening, with thirst.
General lack of warmth of the body.
Paroxysms of heat while sitting down and while walking in the open air.
Feet are cold and wet, especially in the morning and evening, even in bed.
Flushes of heat as from a dash of hot water, then general sweat, with anxiety, without thirst.
Sudden flushes of the head and face.
Sweat in the morning after waking, and on moderate exertion.

SEPIA. SEPIA SUCCUS.

This brownish black juice (before me used only for drawing) is found in a sac in the abdomen of the large sea animal, called cuttlefish. This the animal occasionally squirts out, to darken the water around it, probably in order to secure its prey, or to conceal itself from its enemies. The juice-bladder of this animal, which is most frequently found in the Mediterranean Sea, is dried, and then exposed for sale in Rome to draughtsmen, and is to be gotten thence. This dry sepia juice (sepia) is easily dissolved in water in all proportions, but in this, its raw state, it is insoluble in alcohol. This sepia is prepared for homœopathic use like other dry and crude medicinal substances (see conclusion of Part I., Chron. Dis.). Sepia has proved especially useful, when after a choice otherwise agreeing with the symptoms of the disease, one or another of the following ailments were also present : Dejection and weeping ; gloominess ; melancholy ; pensiveness ; discouragement ; anxiety in the evening in bed ; anxiety and apprehensiveness with flushes of heat ; readiness to take fright ; aversion to one's occupation ; indifference toward his family ; momentary fits of vertigo with unconsciousness, while walking in the open air and while writing ; vertigo ; weak memory ; muddled feeling in the head and incapacity for mental work ; heaviness of the head ; headache with nausea ; fits of gout in the head with a boring pain, compelling the person to scream and with vomiting ; beating headache, especially in the occiput ; rush of blood to the head, when stooping ; coldness on the head ; itching on the head, in the nose and in the ears ; falling out of the hair ; the head jerks forward ; incapacity of opening the eyelids at night ; heaviness and sinking down of the upper eyelid ; pressure in the eyes ; pricking in the eyes, in the evening by candle light ; nightly agglutination of the eyes ; swelling of the eyes in the evening ; dry scurf on the edge of the eyelids, in the morning on awaking ; far-sightedness ; sensation of a gauze before the eyes ; black points and fiery streaks before the eyes ; black spots flitting before the eyes ; amaurosis, with contracted pupils ; excessive sensitiveness of the hearing to music ; difficulty in hearing ; roaring and rushing sound before the ears ; chronically inflamed and eruptive tip of the nose ; frequent blowing of blood from the nose ; frequent epistaxis ; defect in smelling ; yellowness of the face ; itching in the face ; erysipelatous inflammation and swelling of the whole side of the face, starting from the hollow root of a tooth [Gll.] ; dry lips which peel off ; swelling of the gums ; bleeding of the gums ; soreness of the gums ; shooting toothache ; dryness of the mouth ; fetor from the mouth ; white-coated tongue ; soreness of the tip of the tongue ; contractive twitching in the throat ; viscidity in the throat ; hawking up of mucus, in the morning ; thirst in the morning ; voracity ; acidity in the mouth, after a meal ; aversion to eating ; aversion to meat and to milk ; the food will not go down ; great eagerness for food ; greediness ; disagreeable eructation with nausea, after eating fat things ; eructation ; sour eructation ; eructation with the taste of the ingesta ; waterbrash, especially after drinking ; waterbrash with previous qualmishness and writhing about in the stomach ; pressive shooting pain in the scrobiculus cordis and the gastric region ; beating in the scrobiculus cordis ; pain in the scrobiculus cordis when walking ; stomachache, after supper ; perspiration after eating ; pressure in the stomach while eating ; pressure in the stomach after a meal ; difficult digestion ; after eating, scratching and burning, extending up the fauces ; emptiness in the stomach ; shooting in the liver ; burning in the stomach and the abdomen ; boring in the hypochondria ; shooting in the left hypochondrium ; burrowing, pressure and cutting in the hypogastrium ; pressure in the hypogastrium, extending up into the precordial region ; sensation as of something lodged and of hardness in the hypogastrium ; bloated abdomen in mothers ; sensation of emptiness in the abdomen ; coldness of the abdomen ; dropsy of the abdomen ; frequent generation and incarceration of flatus ; rumbling and growling in the abdomen, especially after eating ; colic after bodily exercise, ineffectual call to stool ; retarded stool ; evacuation too soft ; mucous stool ; passage of blood with the stool ; discharge of mucus from the rectum, without stool, with shooting and tearing extending up the anus and rectum ; insufficient stool ; evacuation like laurel berries ; burning in the rectum during stool ; oozing of moisture from the rectum ; crawling in the rectum ; itching in the anus ; pressure of blood to the anus ; protrusion of the varices of the rectum ; prolapsus of the rectum during stool ; urging to urinate, nocturnal micturition ; involuntary micturition during the first sleep ; dark urine ; erosion in the urethra during micturition ; painfulness of the testicle, weakness of the genitals ; itching about the genitals ; swelling of the scrotum ; suppressed menses ; pressure and bearing down on the genitals ; soreness in the pudenda and between the thighs ; heat in and on the genitals ; menses too weak ; bruised pains during the menses ; flow of yellow water from the vagina. Stoppage of the nose ; troublesome dryness of the nose ; coryza ; stuffed coryza ; hoarseness ; the catarrh changes into coryza ; cough in the morning and evening, with salty expectoration ; cough from irritation and tickling with constipation ; expectoration which is hard to detach ; shortness of breath in walking ; asthma, tightness of the chest and shortness of breath in walking, in ascending and in lying abed in the evening ; pressure in the sternum ; ebullition in the chest ; sore aching in the middle of the chest ; pain in the chest from moving ; oppression of the chest ; shooting in the left side of the chest ; stitches in the chest, when working with the head ; pain in the side, during breathing and coughing ; pain in the sacrum ; pressive pain in the sacrum ; beating in the sacrum ; weakness in the sacrum while walking ; pain in the back and sacrum ; frequent pain in the back, burrowing, cutting and pressing ; chilliness in the back ; itching eruption on the back ; tearing and cramp in the back ; stiffness of the back ; stiffness of the nape ; sweat in the axillæ ; humid herpes below the left axilla ; weariness of the arms ; straining in the arms ; sprained pain in the shoulder-point ; tension in the fore-arm ; paralytic drawing in the arm, so that he has to allow it to sink down ; shooting in the wrist, when moving it ; burning in the palms ; cold sweat on the hands ; malformation of the finger-nails ; tearing shooting from the upper edge of the pelvis around the inguinal articulation, extending anteriorly to the thighs ; paralytic sensation in the legs ; coldness of the lower limbs and feet ; jerks like stitches in the thigh, compelling him to draw up the limb ; stitches in the tibiæ ; running along in the leg as from a mouse ; drawing pain in the legs and in the big toe ; cramp in the calves ; swelling of the legs and feet ; shooting on the dorsum of the foot ; burning and pricking in the feet ; twitching in the foot during the siesta ; sweating of the feet ; checked sweat of the feet ; burning in the feet ; crawling and going to sleep of the soles of the feet ; stitches in the corns ; the arms and legs go to sleep, especially after manual labor ; rigidity and lack of suppleness of the joints of the hands, the knees and the feet ; ulcers of the joints of the fingers and the toes ; restlessness and beating in all the limbs ; burning pains in many parts of the body ; attacks of flying heat ; heat from anger and during important conversations ; fits of heat, while sitting and when walking in the open air ; ebullitions of the blood ; palpitation ; perspiration while sitting ; copious perspiration during slight bodily exercise ; lack of natural bodily warmth ; sensitiveness to the open air ; readiness to catch cold ; easily overstrained ; tearing boring extending from the gastric region to the lumbar vertebræ ; cramp in the stomach, simultaneously with a fit of asthma ; muscular twitching of the limbs ; brownish spots on the chest, the abdomen and the back ; jerks and twitches of the limbs by day ; frequent extension and stretching of the limbs ; great ill effects from vexation ; tremulous weariness ; indolence and awkwardness of the body ; lack of strength ; lack of strength ; lack of strength on awaking ; lack of firmness in the body ; fits of weariness ; readily tired when taking a walk ; when exerting the body, stitches in the arm ; drowsiness by day ; drowsiness, too early in the evening ; illusion in sleep, that he was being called ; ravings during sleep ; many dreams ; anxious, frightful dreams ; frequent awaking at night, without cause ; unrefreshing sleep ; night-sweat ; morning-sweat ; sour morning-sweat. Too strong an action seems to be relieved by vegetable acids, but the strongest antidote is smelling of sweet spirits of nitre ; less effective is the smelling of the billionth attenuation of Antimonium crudum, or tartrate of antimony ; but in cases where the circulation has been too much excited, smelling of a potency of aconitum napellus. The abbreviations of my fellow-provers are : Gll., Goullon ; Gff., von Gersdorff ; Gr., Gross ; Htb., Hartlaub ; Whl., Wahle. [*].

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Sep. / (SS-Black) / Septa.

Sepia,-How oft the ladies,
Look to thee in their distress;
When their wombs are sore and tender,
And prolapsing downward press.
And their menses out of order
Time and quantity not right;
Suffering, too, with leucorrhoea,
Showing yellow stain or white.
Having gloomy moods, with weeping
Or complete indifference;
Headache all the day with nausea,
Temple pains the most intense.
Watery eyes at morn and even,
Chafed with pressure as from sand;
Seeing speckles black or fiery,
Sore from walking in the wind.
Nose inflammed and sore and swollen,
Bleeding when the "Times" appear;
Face of yellow earthy color,
Toothache reaching to the ear.
Cough when lying down at even,
Cough with stitches in the side,
Cough with salty yellow sputum,
And with stifled breath allied.
Stomach tender, pit pulsating,
Empty feeling in the bowel;
Morning sickness, eructation
Tasting sour-bitter-foul.
Abdomen enlarged and tender,
Feeling heavy, pressing down;
Stitches in the liver region,
Face discolored, yellow, brown.
Stools like balls, with itching anus,
Stitches up the rectum sent;
Urine of a clay-like color
With a foul red sediment.
Heat in flushes, trembling faintness,
Sense of coldness round the head;
Nightly sweats, and sweats from motion,
Nightly wetting of the bed.
Sometimes eased by rapid motion,
Better in the open air;
Mostly worse at morn and even,
Worse when sitting on a chair.

Septa,-Has a sense of coldness about the head.

Septa Che-val opens the gold Cave for Agar, the Knight.

This Septa,-Who is subject to yellow discoloration of the face,-Is up at old Sue Plum's.

Sense of Coldness About the Head: Sep., Chel., Val., Pho., Nat. m., Sil., Aur., Cal. c., Ver. a., Agar., Arg. n.

Yellow Patches on the face-Liver Spots: Sep., Pho., Con., Sul., PB.

Indicated principally in diseases of women, preferably of dark hair, rigid fibre, milk disposition; in menstrual irregularities, uterine displacements, affections occurring during pregnancy, lying-in, and lactation; in the constipation connected with these troubles. Described as "washer-woman's remedy;" "everything goes to the back."

Yellow spots on the face; yellow saddle across the nose.

Burning pain and sensation of dragging in small of the back.

Attacks of prostration and sinking weakness, coming on suddenly, without actual fainting.

Goneness and faintness at the epigastrium, better from eating.

Backache, worse from standing and walking, better from sitting or lying down.

General pelvic distress, better from pressure from without and from crossing the legs.

Pressing and dragging sensation over sacrum and hips, with burning pressure in the spine.

All the pains seem to go to the back.

Great sensitiveness to cold air; deficiency of vital heat.

Indifference to everything; indolent, dreads even to think of doing anything; dreads meeting an old fried; sad; weeps easily.

Tongue foul, but clean during menses.

Taste offensive, slimy, putrid, like rotten egg, with eructations of the same character.

Constipation; stools hard, knotty, in balls; sense of weight or of a ball in the anus, not relieved by stool; stool difficult, with pain in the rectum, lasting for a long time.

Child wets the bed as soon as it goes to sleep.

Urine deposits a pinkish sediment, firmly adhering to the vessel. Offensive.

Herpetic eruptions in isolated spots on the upper part of the body; itching not better from scratching, but changing to a burning sensation.

Worse from cold; from sexual excesses; in the evening.

Better in the warm bed; from hot applications.

Incapable of mental exertion. Distraction. Great weakness of memory. Anxiousness in evening in bed. Anxiety with flying heat. Easily startled. Crying out. Indifference to his family. Angry, sensitive, irritable, very excitable when in company. Mores. Despondent about his health.

As though' all surrounding objects were moving, or he was being wafted in the air, with inability to collect his senses especially in the open air.

Dulness in Attacks of outward boring pains extort soreness and causes vomiting. Weight on vertex. Unilateral outward sticking in forehead or one (mostly 1.) side with drawing together of eyes. Heaviness in temples and forehead with violent congestion, in evening after lying down it terminates in a one - sided tearing pain. Throbbing in: In occiput. Distensive pressing pain. Feeling: Of a ball rolling about in, as if brain were loose and shattered Ulcerative pain in occiput. Worse: forenoon, towards night, slightest moving or shaking of, turning eyes, striking foot against anything, stooping, lying on back, sitting, Better: Rest, external pressure, closing eyes, after sleep, warmth, continued vigorous motion, open air, in darkness raising up, lying on painful side.

Cold feeling on vertex. (Chin.). Foul dry eruption with sticking itching crawling, smarting when scratched, and crack on vertex, occiput and behind ears. Swelling over one temple with coldness, tearing and itching therein. Crawling itching most on occiput and behind ears, worse from scratching which is followed by pimples, denuded spots, thickening of scalp and raw sensitiveness. Painfully sensitive roots of hair, burning after scratching. Involuntarily jerks it backward (and forward) mostly in AM and when sitting quietly. Open fontanelle. Takes cold in, from dry, cold winds or getting it wet. Worse: touch: early in morning and toward evening, at rest, rising from bed, cold north wind, on side on which he is not lying. Better: Lying upon part.

Inflammation and sticking in, with sensitiveness to daylight. Gauze or black spots before. Sparks before. Inability to open them at night. Feeling as if they would fall out. Falling of one upper lid, as from paralysis. Inflammatory swelling of lids, Yellow, sclerotic. Freight. Yellow halo about candle light in evening.

Sticking in. Oversensitive to music.

Cancer of. Dry, stooped. Inflammation and swelling of tip. Ulcerated nostrils. Want of smell. Fluent coryza with hoarseness. Nosebleed. Sneezing.

Sallow. Yellow, especially about mouth and transversely across nose and cheeks. Pale, puffy. Skin, red and rough. Milk crust. Scurfs on lips and about chin.

Become hollow. Sticking or drawing ache with great agitation. Swollen, bleeding gums. Throbbing ache going up into ear and down arms to fingers with prickling therein with difficult breathing, swelled face and submaxillary glands, during pregnancy.

Aphthae. Sensation of a lump sticking in throat when swallowing. Sticking sore throat when swallowing. White coat on tongue. Offensive breath.

Taste: Sour or foul, in mouth. Food tastes salt.

Sticking or throbbing in pit of. Spasmodic pressure in. Burning in. Severe pain in cardiac orifice when swallowing food. Empty sensation in, and in abdomen.

Hypochondria: Pain (sticking) in liver from motion or when riding.

Appetite: Ravenous hunger and gluttony. Aversion to food. Especially meet and milk. thirstlessness.

Eructations: Sour. Painful.

Nausea: In morning while fasting and when driving. Vomiting: Bile, during pregnancy, first bitter water, then food.

Adherent and indurated sensation in. Burning and sticking in. Pot belly (in mothers), (colch., Pod.) Tearing pains which spread from abdomen into chest and thigh. Excoriation in groins.

Flatulence. - rumbling and grumbling in abdomen after eating.

Violent urging, discharge of mucus only too soft. Constipation with delayed stool. Diarrhoea: Exhausting, after milk, green (of children).

Prolapsed, during stool. Protruding, bleeding hemorrhoids.

Dark. Frequent urging with inability to urinate. Involuntary urination during first sleep. Smarting in urethra when urinating.

Weak and sweating constantly. Increased sexual desire. Prolapsus uteri. Downward pressure in uterus, causing oppression of breathing. Violently itching rash inside of labia.

Menses. - Dark, too early and too profuse, with increased bodily complaints. Suppressed. Corrosive leucorrhoea.

Paroxysms of spasmodic cough following each other in rapid succession, excited by tickling in chest from larynx to stomach. With salty expectoration early in morning and in evening. With copious, salty or foul tasting expectoration, dark bloody in early morning and evening, and a milky tenacious mucus during day. Expectoration: Yellow, green or gray pus, tasting bitter, putrid, flat, sour or repulsively sweet with an unpleasant odor, in loosened with difficulty and is swallowed, Dry stomach cough, in evening in bed, with nausea and bitter vomiting.

Roughness and soreness in and in throat.

Oppression of during profuse as well as stopped expectoration. Roughness and soreness in. Itching and tickling in. Tightness of, at night and when walking. Constriction of. Intense orgasm in, with violent palpitation. Shocks and stitches in, when breathing and during mental exertion. Empty feeling in. Pulmonary consumption following inflammation of. Heaviness and fullness in. Rattling in. Palpitation. Better, Pressure of hand.

Neck: Drawing and sticking in nape.

Back: Stiffness, extending up to nape. Burning tearing in lumbar region. Symptoms fly from other parts to back. (Calc - c) Pressing and sticking in scapulae. Feels as if something adhered in sacral region.

Scurfs on hands. Burning of palms. Exfoliation of skin of palms. Painless ulcers upon knuckles and tips of fingers. Panaritia.

Drawing in thighs. Paralysis of legs, especially after anger. Stiffness of legs after sitting a short times. Coldness of legs and feet. Spreading blisters and painless ulcers upon heels and joints as well as tips of tons. Crippled too nails. All the flexures of the joints become sore.

Want of flexibility in wrist, knee and ankle joints. Sticking pains in limbs. Painful sensitiveness of every part of entire body. Great sensitiveness to cold north wind. Easily takes cold. Getting wet is followed by a violent chill, the fainting attacks, then coryza. Intense nightly orgasm of blood with palpitation. Restlessness and throbbing in all limbs. Burning pain in many parts of body. Want of natural bodily heat. Excessively bad effects from anger. Weakness on awaking. Symptoms cease during violent motion (except riding) but appear in their greatest intensity when sitting quietly in morning and evening.

Painless ulcers. Excoriation in bends of joints. Moist herpes with itching and burning. Hypersensitive.

Restless, from ebullition of blood. Late falling to. Great day sleepiness.

Pulse: at night rapid and full, often intermittent, slow during day. Accelerated especially by anger and motion. Great ebullition of blood and throbbing in blood vessels. Chill: Often first appears after the previous heat. Alternating with heat. Chilliness in evening in open air and from every movement. More thirst with chill than with the heat. Shivering during pains: Want of natural vital heat. Heat: Attacks of flying heat during day, especially in afternoon and evening, while sitting as well as when in open air, and from mental excitement, mostly with thirst and redness of face. Attacks of heat as though" dashed with hot water. Sweat: Copious, more after, than during motion. Continued debilitating. Constant night and morning s. Only on upper part of body. Profuse, after slight exertion, with faint like weakness, motion. Anxious, offensive, sour or smelling like elder blossoms. Sour, on feet.

Allied Remedies: ACO., Agar., Ag-v., Ani - c., ant-t., ap., Ars., Asaf., Bar - c., BELL., Bry., Calc-c., Carb - v., CAUST., CHIN., Clem., cupr., Dros., Dulc., Euphor, Gel., Graph., Hep., Kre., Lyc., MAG-M., Men, Merc., Nat-c., NIT-AC., Nux - v., Phos., PULS., Rhod., RHUS-T., Selen., SIL., SUL., Verat-a., Sepia intensified the action of Lil - tig. Nux - v intensified the action of Sepia. complementary. - Nat-m., Phos., Puls.

Stiffness of the joints (hands, feet and knees).

Stinging pain in the limbs.

Painful sensitiveness of all parts of the body.

Great sensitiveness to cold air.

After getting wet, afterwards fainting spells and finally coryza.

Coryza of a profuse character.

At night palpitation of the heart and pulsation through the whole body.

Restlessness and pulsation in all the limbs.

Want of animal heat.

Bad effects from anger.

The symptoms are relieved from violent exertions, but reappear most violently when sitting quietly in the forenoon and evenings.

Aggravation during and right after eating.

Amelioration from external heat.

Tension in the limbs, as if too short.

Twitching and jerking of the limbs night and day.

Twitching in the muscles.

Restlessness in all the limbs with anxiety which does not permit him to remain quiet anywhere.

Sensation of emptyness and debility in the stomach and abdomen.

Pulsation in the pit of the stomach, pot-belliedness of mothers, and ailments during pregnancy.

Suppressed menstruation.

Left ovarian soreness and bearing-down sensation in the uterus.

Coldness of the legs and feet.

Intermittent fever with thirst during the chill only.

Dullness and want of interest, especially in the family.

Also lack of interest in his occupation.