Sabina

Stapf made the first collection of the symptoms of Sabina, and Hahnemann

and his son were among the provers. A number of observations on women who had taken the

drug to bring on the menses or procure abortion have also been added; and some cases of fatal

poisoning are on record. Shi. acts as a widespread irritant, inflaming the pyloric end of

duodenum and causing patches of inflammation in other portions of the intestines, especially the

• ▸upper intestines, the omentum and peritoneum (R.
• ▸T.
• ▸C.
• ▸).
• ▸The action of Sbi.
• ▸on the generative

organs of both sexes is pronounced. It produces figwarts with itching and burning of the external

genitals, phimosis of the male, swelling of the dorsum of the penis, gonorrhoea; in the female

uterine haemorrhages, and in the case of pregnant women, abortion. The hemorrhage is partly

pale red and partly clotted, < from the least motion; but may be > by walking. The flow is in

paroxysms, and is accompanied by labour-like pains. A grand characteristic of Sbi. is a pain from

sacrum to pubis, and this will be a guiding symptom in a large number of the uterine cases

requiring Sbi. Other characteristics are: (/) discharge of blood between the periods with sexual

excitement and (2) obscure abdominal pains due to inflammatory states of the peritoneum. In the

mental sphere there is much irritability, hysteria, and hypochondriasis, and a peculiar feature of it

is that music is intolerable; it produces numbness and goes through bone and marrow. A close

botanic ally of Thuja, Sbi. is yet not too close to be complementary to that great anti-sycotic;

broad condylomata, fig-warts with much itching and exuberant granulations are characteristic.

Like Thuja, it removes wart-like growths from the muco-cutaneous surfaces. It is swited to:

chronic ailments of women; arthritic pains; tendency to miscarriage; to the gouty diathesis.

Peculiar Sensations are: As if she would fall. As if parts of temporal eminence were pressed

• ▸asunder.
• ▸As if skin had grown fast in forehead.
• ▸As if eyes would be pressed out.
• ▸As if tooth

• ▸would burst.
• ▸As if he had to swallow over a foreign body.
• ▸As of a lump in throat.
• ▸As if vomiting

• ▸would come on.
• ▸As if something alive in abdomen.
• ▸Right shoulder-joint as if sprained.
• ▸Sbi.
• ▸is one

of the remedies which affect the heels. Farrington says it is suited to "plethoric women who

suffer from what they call rheumatic inflammation" of the heels. There is an "intermittent

aching" in the solar part of the heels. Intermittence and a paroxysmal character are a leading

feature with Shi. Pains are paroxysmal and labour-like Hemorrhage comes in gushes. Suddenly

increasing and slowly disappearing pain. The symptoms are < by touch, though pressure >. The

dysmenorrhcea pains were > lying on flat of back with limbs extended. < Stooping; sitting bent;

• ▸letting limbs hang down; motion.
• ▸Walking > metrorrhagia.
• ▸Lies on left side during sleep.
• ▸<

• ▸Evening, night, and morning.
• ▸Sleepless and restless after midnight.
• ▸< In warm air or room.
• ▸<

• ▸Warm in bed.
• ▸> In open air.
• ▸(Warmth > pain of dysmenorrhoea).
• ▸Cold applications > wandering

pains in joints. < By music. < Taking a deep breath; > exhaling.

Music is intolerable, produces nervousness.

Dejection, discouragement, and sadness —Hypochondriacal mood.—Great anxiety and

apprehension.—Irritable nerves; music intolerable.-—Moroseness with dislike to conversation, esp.

• ▸when exercising in open air.
• ▸—Irascibility, with tears and sobs.
• ▸—Listlessness.
• ▸—Weakness of

memory.

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

Stupefying vertigo, which occasions falling, with cloudiness of sight.—Giddiness, with

congestions to and heat in head.—Attacks of megrim.—Heaviness and distressing pressure in

head, often extending from sinciput to nape.—Splitting sensation in forehead and

• ▸temples.
• ▸—Circumscribed pain in temples.
• ▸—Painful constriction in temples.
• ▸—Drawing pains in

head, esp. in forehead and temples.—Shooting pains in head, with smarting or aching, often in

entire brain—Digging and boring in head.—Pulsative headache with heaviness and

• ▸stupefaction.
• ▸—The headaches (esp.
• ▸in temporal eminences, r.
• ▸side) often appear suddenly,

diminish slowly, and return frequently.

Tensive pain in eyes, as if muscles too short.—Eyes dull and downcast.—Heat in

• ▸eyes.
• ▸—Smarting tears.
• ▸—Jerking quivering of lids.
• ▸—Clouds before eyes.

Pinching in ears —Hardness of hearing.—(Gets deaf in foggy weather, or any change of

• ▸weather; also when tired.
• ▸—R.
• ▸T.
• ▸C.
• ▸)

Face pale, with blue circles round eyes.—Black pores in cheeks and round

• ▸nose.
• ▸—Paralytic pain and pressure in zygomatic process.
• ▸—Lancinations (drawing pain in r.
• ▸angle

of jaw) from the lower jaw to cheekbone (< on touch).

Dryness in mouth.—Putrid exhalation from mouth.—Reddish or white saliva, which

becomes frothy when speaking.—Tongue loaded with a white or brownish coating.

Drawing toothache during and after a meal and mastication —Toothache only when

chewing.—Aching and throbbing in teeth, esp. in evening and at night, with sensation as if a

tooth were being pulled out, < by drinking, smoking, and by heat of bed, > after rising. —Drawing

in teeth in consequence of drinking, eating, and contact with air—Tearing in roots of

molars.—(Toothache after gouty pain in great toe had been driven away by external

• ▸applications.
• ▸).
• ▸—Painful sensibility and white swelling of gum round a carious tooth.
• ▸—Ulcer in

gums.

Sore throat during deglutition, as from a foreign body, or an internal swelling in

gullet, with pressure and choking.—Dull lancinations in throat —Dryness in throat with drawing

pain.

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

Taste in mouth and throat as from an inveterate coryza—Mawkish, fat, or bloody

• ▸taste in mouth.
• ▸—Bitter taste in mouth and bitter taste of food, esp.
• ▸of milk and coffee.
• ▸—Desire for

• ▸acids, esp.
• ▸for lemonade.
• ▸—Acidity in stomach after a meal.
• ▸—Poor appetite.

Empty risings (and heartburn).—Nausea with fulness in stomach.—Vomiting of

bile or of (undigested) food eaten the previous day.—Fulness and inflation of region of

stomach.—Stomachache.—Lancinations from pit of stomach across back.

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

Aching in hepatic region.—Tympanitic distension of abdomen.—Quivering in

abdomen as if something alive were there; resembling foetal movements.—Contractive pains in

abdomen.—Pressive pinchings in abdomen as from a chill or diarrhoea.—Labour-like pains in

abdomen to groins; with sensation as if vomiting would come on, without nausea.—Pressing

down towards genitals.—Inflammation of intestines.—Pain as from a bruise in abdominal muscles

in bed in evening.

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

Evacuations at first soft, then hard.—Loose, soft feces, with noise, and

abundant expulsion of flatus.—Discharge of sanguineous mucus from anus.—Discharge of blood

from anus after a hard evacuation.—Bleeding hemorrhoids excessive discharge of bright red

blood or blood and mucus.—Painful hemorrhoidal pimples in anus.—Tingling in anus.

Retention of urine, with emission drop by drop, and burning sensation

and pain in vesical region.—Vesical irritability with gouty diathesis.—Nephritis with retention;

ardor urinee.—Urgent want to urinate, with scanty emission.—Frequent violent urging to urinate,

with profuse discharge.—Profuse emission of urine, even at night.—Painful inflammation of

urethra, with discharge of pus, as in gonorrhcea.

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

• ▸Menses profuse, bright.
• ▸Uterine pains extend into thighs.
• ▸Threatened miscarriage.
• ▸Sexual desire increased.
• ▸Leucorrhoea after menses, corrosive, offensive.
• ▸Discharge of blood between periods, with sexual excitement (Ambr).
• ▸Retained placenta; intense after-pains.
• ▸Menorrhagia in women who aborted readily.
• ▸Inflammation of ovaries and uterus after abortion.
• ▸Promotes expulsion of moles from uterus (Canth).

Pain from sacrum to pubis, and from below upwards shooting up the vagina. Haemorrhage; partly clotted; worse from least motion. Atony of uterus.

Almost insatiable desire for coition with corresponding

gratification.—Sexual desire greatly increased (almost amounting to nymphomania).—Contractive

pain in region of uterus.—Stitches deep in vagina.—Sanguineous congestion in

uterus.—Hzmorrhages of partly pale red, partly clotted, or of very thin, discoloured, offensive-

smelling blood; < on least motion; has to lie perfectly quiet to avoid a profuse discharge after

miscarriage.—Metrorrhagia with discharge of clotted or bright-red blood, and pains resembling

labour pains in the sacrum and in the groins.—Metrorrhagia, bright blood, < at night—Catamenia

too early and too copious.—Menses continue too long.—Menstrual discharge partly fluid, partly

clotted and offensive; it may be either bright red or dark and coagulated; flows mostly in

paroxysms, which are brought on by slightest motion; or flow ceases when walking about

(menses only when lying down).—Suppressed catamenia with very offensive-smelling

• ▸leucorrhcea (like meat washings).
• ▸—Miscarriage (esp.
• ▸in the third month).
• ▸—Perceptible swelling of

mamme.—Tingling in mamme.—Leucorrheea, itching, yellowish, fetid, and thick, like

starch.—Inflammation of the uterus after parturition —Retained placenta.—A fter-pains with

sensitiveness of abdomen.

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

Inflammatory gonorrhea, with discharge of pus.—Sycotic

excrescences with burning soreness.—Burning sore pain in glans.—Hard (cartilaginous) swelling

• ▸on dorsum of penis.
• ▸—Shootings in glans.
• ▸—Deep redness of glans.
• ▸—Painful sensibility of prepuce,

with difficulty in retracting it—Fraenum swollen and tight.—Pain in condyloma as from

excoriation.—Increased sexual desire, with violent and prolonged erections.

Dry cough, excited by a tickling, or followed at a later period by

expectoration of mucus streaked with blood.—Dry, hacking cough, and tickling in the

trachea—Heemoptysis.—Tensive, pressive pain in sternum, not affected by respiration.

Pressure on chest.—Pressive, spasmodic tension in chest, principally in middle of

• ▸sternum.
• ▸—Stitches in |.
• ▸nipple.
• ▸—Shooting and pain as from excoriation in xiphoid cartilage, < on

taking a full inspiration and on touching the part.—Trembling in the lungs, with dull rattling and

crackling.—Lancination (intermittent) in the outside of chest and in clavicles.

Augmented and extended beating of the heart.—Throbbing in all the blood-

vessels.—Pulse unequal; generally quick, strong, and hard.

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

Contusive pain in the muscles or vertebre of neck.—Pressive drawing

(labour-like pains) in loins, as far as the inguinal region and down thighs, followed by a bloody,

slimy discharge from the vagina—Paralytic pain in small of back, > (or < bending

backward.—Drawing pains in small of back, extending into pubic region.—Pressive tearing and

shootings in spine.—Pain in back obliging him to bend inward.—Paralytic pain in back.

Wrenching pain in the joints of the shoulder and hands.—Pain as if sprained

• ▸in r.
• ▸shoulder-joint, even during rest.
• ▸—Paralytic tearing along r.
• ▸upper arm as far as

• ▸hand.
• ▸—Sticking pains on outer condyles of both elbows.
• ▸—Aching in r.
• ▸radius, < motion or

touch.—Pressive tearings and shootings in arms, forearms, and fingers.—Arthritic rigidity and

swelling in joint of wrist, with tearing and shootings; made almost insupportable when the hand

hangs down.—Drawing and tearing in bones of hands.—Weakness of hands (when

writing).—Distortion of fingers.

Furunculus with shooting pain in buttock —Shooting pains in coxo-femoral

articulations when resting on the foot.—Stinging pains in hip-joints in morning and when

breathing.—Pressure and drawing in thighs and knees.—Middle of anterior surface of thighs feel

bruised and painful; only when walking on the level or stepping down, not when stepping

up.—Tearing tension in thighs, with sensation when squatting as if the muscles were too

short.—Purulent and lard-like ulcer on tibia —Intermittent aching on |. heel, lower part where it

• ▸joins the sole.
• ▸—Sharp stitches from within out on r.
• ▸and |.
• ▸heel.
• ▸—Pressive tearing in bones of

feet.—Red and shining swelling of great toe (gout), with boring and lancinating pain.

24. Generalities—[A marked characteristic is a pain which is felt all the way between the

sacrum and pubis, from one bone to the other—not particularly in front or behind, but right along

from the sacrum to the pubis; this pain may be found in labour pains, after-pains, occurring in

dysmenorrheea, &c.; in haemorrhage (particularly uterine) where the blood is in fluid and clots

together—as, the liquid blood would flow, then will come a clot, and the blood may be flowing

rapidly.—Bleeding from the nose, blood being pale —Bleeding from inner parts in

general.—Menstruation too early; too profuse; blood of light colour; bright-red colour; discharge

of blood before the proper period.—Affects particularly the uterus; lower part of chest; wrist;

heel; toes; arthritic pain in joints—Cough with expectoration of pale blood.—In threatened

abortion.—< On inspiration; taking a deep breath; affections in general during pregnancy; in a

room; in a warm room; on getting warm in bed; women in childbed; after parturition. —> In open

• ▸air; while breathing out, exhaling.
• ▸—H.
• ▸N.
• ▸G.
• ▸].
• ▸—Chronic ailments of women.
• ▸—Twitching

pulsation in the blood-vessels.—Shooting and tearing, arthritic pains, esp. in joints, and

sometimes with red and shining swelling of the parts affected.—Gouty nodosities.—Lancinating

drawing in hollow bones.—Burning, pressive sensation in periosteum, which is

swollen—Heemorrhage.—Jerking throbbing in all the arteries —Great weakness and weariness in

all limbs, with despondency.—General uneasiness, as from long watching.—Heaviness and

indolence of body, obliging him to lie down.

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

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

Itching in skin, with excoriation and ulceration, or scabby places after

scratching. —Burning sensation in parts affected when they are touched.—Black pores in skin.

Sleeplessness and restlessness after midnight.—Disturbed sleep with frequent waking,

ebullition of blood, heat, and perspiration.—Anxious dreams.—Continued dreams, full of fanciful

images, and intellectual efforts.—Talking and loud snoring during sleep.—Tendency to lie on 1.

side when sleeping.

Shuddering and shivering, with cutis anserina and cloudiness of sight (followed by

sleepiness).—Chill in the evening, with attacks of chilliness——Great chilliness through the

day.—Burning heat over the whole body, with great agitation.—Sensation of coldness in whole r.

leg.—Heat in face, with icy coldness of feet and hands.—Fever in evening; first shivering, then

heat, and lastly perspiration.—Perspiration every night.

• ▸Abortion; after-effects of.
• ▸After-pains.
• ▸Boils.
• ▸Condylomata.
• ▸Cystitis.
• ▸Dysmenorrheea.

• ▸Gonorrheea.
• ▸Gout.
• ▸Inter-menstrual flow.
• ▸Leucorrhea.
• ▸Menstruation, excessive.
• ▸Miscarriage.

• ▸Moles, promotes expulsion of.
• ▸Nephritis.
• ▸Nymphomania.
• ▸Ovaries, affections of.
• ▸Penis,

• ▸cartilaginous swelling on.
• ▸Phimosis.
• ▸Retained placenta.
• ▸Rheumatic gout.
• ▸Strangury.
• ▸Sycosis.

Toothache. Uterus, bleeding from.

• ▸Antidoted by: Puls.
• ▸Complementary to: Thu}.
• ▸Compatible: Ars.
• ▸, Bell.
• ▸, Rhus, Spo.

• ▸Compare: < By music, Ambr.
• ▸, Thu.
• ▸, Sep.
• ▸Inter-menstrual flow, Ham.
• ▸, Ambr.
• ▸Condylomata,

• ▸Thu.
• ▸, Nit.
• ▸ac.
• ▸Hemorrhage < from least motion, Sec.
• ▸Menses partly fluid, partly clotted, Fer.

Retained placenta, Caul., Sec. Promotes expulsion of moles or foreign bodies from uterus, Canth.

• ▸> In fresh air, Puls.
• ▸Affections of the heels, Am.
• ▸m.
• ▸, Led.
• ▸, Puls.
• ▸, Caust.
• ▸, Mang.
• ▸, Ant.
• ▸c.
• ▸, Grap.
• ▸,

• ▸Nat.
• ▸c.
• ▸, Cep.
• ▸Desires lemonade, Puls.
• ▸Clotted hemorrhage, Millif.
• ▸, Plat.
• ▸(Plat.
• ▸dark; Sbi.
• ▸bright

• ▸red).
• ▸Miscarriage at third month, Croc.
• ▸, Kre.
• ▸Sensation of something alive in abdomen, Croc.
• ▸,

• ▸Thu.
• ▸Suddenly increasing and slowly disappearing pain (Sul.
• ▸ac.
• ▸slowly increasing, suddenly

• ▸disappearing).
• ▸< In foggy weather, Hyper.
• ▸< In bed at night, Sul.
• ▸, Merc.
• ▸, Puls.
• ▸, Cham.

• ▸(toothache), Bry.
• ▸(rheumatism).
• ▸Phimosis, Cann.
• ▸, Merc.
• ▸, Sul.
• ▸, Nit.
• ▸ac.
• ▸, Sep.
• ▸, Thu.
• ▸, Rhus.

Tympanites, Tereb. Rheumatism > by cold applications, Led. Menses only when lying down

• ▸(only at night, Bov.
• ▸, Mg.
• ▸c.
• ▸).

Complementary: Thuja.

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

Antidote: Puls.

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

The use of this remedy is generally confined to symptoms of the

kidneys, bladder, uterus, rectum and anus ; inflammatory and haemorrhagic symptoms principally of these parts. Sabina establishes a turmoil in the circulatory system, with violent pulsations all over the body.

The patient is disturbed by heat, is worse in a warm room or from too

much clothing. Wants the windows open and to be in the open air

(Puls.). This turmoil in the circulatory system is such as might be

expected in a haemorrhagic remedy. Tendency to bleed from all the

mucous membranes, especially of the kidney, bladder and uterus. It

has a decided effect in diminishing knots, enlargements, or varices in

veins. The principal action is on the lower bowel, about the anus.

Hsemorrhoidal tumors which bleed copiously. Constipation with

bleeding haemorrhoids. A sense of fulness in these parts. A sense of

fulness in all the veins of the body, a sense of distension, fulness, puffiness, bloating, with pulsations all over, associated with repeated

bsemorrhages from the mucous membranes. Great burning and throbbing in the region of the kidneys. Severe suffering, attended with

inflammatory symptoms ; bloody urine ; inflammation of the bladder

with continuous urging to urinate, with the general aggravation from

heat and the throbbing all over.

Inflammation of the urethra, with a gonorrhoeal discharge, or a catarrhal discharge in the male. The most important sphere is in menstrual symptoms, and its relation to uterine haemorrhage. In the menstrual symptoms the woman suffers from bearing down, laborJike

pains. Most distressing in dysmenorrhoea. The menses last too long

and are too copious, and at times in some subjects the flow does not

• ▸stop before the next period begins.
• ▸Too frequent and prolonged copious menses.
• ▸A striking feature in this drug, as in a few other remedies, is that the flow is liquid, bright red, intermingled with clots.
• ▸It

suits many cases in which the flow slackens up and remains away for

a while and then labor-pains come on, and an enormous, partially decomposed clot is passed and this is followed by a bright red flow. This

occurs over and over again. Such a state comes on after abortion,

after labor and in dysmenorrhoea. Accompanying the labor-like pains

is a violent pain in the sacrum to the uterus or pubes. Another striking

feature is itching, shooting, knife-like pains, causing the patient to

scream out, shooting up the vagina to the uterus, or up as far as the

umbilicus. These two features, shooting pains from the back to the

front and from below upwards, with haehorrhages, are striking corroborations.

Belladonna and Sabina are the two" most important remedies in abortion at three months. BelL has the same bearing down pains which

expel a clot followed by a copious, bright red flow. But the BelL state

is not like that of Sabina. In Bell it is a hyperaesthesia, oversensitiveness to touch and jar ; the patient will not allow the nurse to jar the

bed, and the bright red flow is hot, so much so that it is noticeable ; the

parts over which the flow passes are so sensitive that the blood feels

intensely hot to her. This is in keeping with the oversensitiveness of

BelL, to touch, light, motion, jar. If the physician jars the bed a scowl

will immediately co-me over the patient's face. BelL has many pains,

not only shooting up but in every direction, irregular pains and bearing down pains. They come and go like lightning, appear suddenly

and disappear suddenly, shooting in every direction. If these symptoms are present you will never need Ergot for its physiological effects.

It has often been argued that in these cases of haemorrhage you 'Von’t

have time to get the symptoms." The expert physician will often see

all these symptoms in the twinkling of an eye. The actions of the patient, a word dropped by the nurse, and what he has observed himself,

will have shown him the remedy.

As a medicine to prevent abortion it is one of the first to consider,

8lO

because the symptoms we know arc such as come during abortion, and

it is most useful after the membranes have ruptured, or the ovum

passed, or when the placenta is about to be expelled. It establishes

the normal activities of the uterus so that it will expel whatever is left

behind of these membranes. The curetting is never necessary with

the homoeopathic remedy. It suggests that there is something defective about the woman's organs.

“Inflammation of the ovaries or uterus after abortion or premature

labor." Violent pains through ovaries and uterus. Aching in the

sacrum as if broken, as if the bones would separate. Most violent tearing, rending, burning pains, with throbbing in the sacrum, with burning and throbbing all over the body, especially throbbing in parts,

whether it be the uterus or bladder. “Copious haemorrhages, accompanied by uterine colic." Contractive labor-like pains extending from

back to pubes and great urging to urinate. The uterine colic described

is labor-like, drawing up like colic, but also bearing down as if to expel

the clot. Metrorrhagia, resulting from false plethora ; clotted and

fluid blood ; pain extending from sacrum or lumbar region to pubes,

with severe bearing down, extending from lower part of back around

abdomen and down thighs ; blood bright red, thin, liquid ; labor-like

pains in lumbar and uterine region, discharge of large clots of blood,

bright red, coming in gushes, paiticularly profuse on motion, etc.

This describes the symptoms from abortion or menstruation. “Menses

too profuse, too early, last too long, partly fluid, partly clotted and

offensive ; flow in paroxysms ; with colic and labor-like pains ; pains

from sacrum to pubes."

At another time, during the climacteric period, a woman is run down

by overwork and much child bearing ; she has repeated uterine haemorrhages of this character, bright red intermingled with clots ; pain from,

sacrum to pubes ; she becomes exhausted and anaemic, but after a while

she again builds up, her face becomes plump and she becomes plethoric,

only to be broken by another haemorrhage. Uterine haemorrhage in

fibroids.

Chronic catarrh of vagina with granulations, copious leucorrhoea.

• ▸Bloody leucorrhoea.
• ▸Old, prolonged, psoric cases.
• ▸This medicine especially suits gonorrhoea in women.
• ▸It has all the wart-like excrescences found in Thuja, and found in sycosis.
• ▸The Thuja wart is a

little sensitive wart, appears to be covered with a thin film, and bleeds

from the slightest touch. Sabina cures warty excrescences about the

anus, cauliflower excrescences, gonorrhoeal warts about the vulva and

about the male genitals.

In the uterine haemorrhages compare it with Ipecacuanha, which has

a gush of bright red blood fully as copious as Sabina, but at the begim

ning of that gush, before it has kept on long enough to produce cx-

SABINA 8ll

haustion, the face becomes pale, there is nausea and a feeling of faintness, syncope, all out of proportion to the amount of blood lost. Mi7iefolium produces a gushing flow, but it has a continuous dribbling day

after day, a continuous flow of bright red blood. Stcale looks like

Sabina, and when it is indicated it should never be given in large quantities. It has the expulsive, bearing down, labor-like pains, with tho

expulsion of large clots and copious flow, but the flow is dark and

offensive and after a short time it becomes thin and watery, leaving a

brown stain difficult to wash out ; at times tarry, copious and continuout, as if the uterus had no ability to contract. If you observe the

cases in which during labor or abortion crude Ergot had been used,

you will notice that the patient has feeble uterine contractions as a

resultant condition, and this will be seen during the menses or in the

next labor. The symptoms of Ergot last for years ; it is another psora.

Large doses may kill the feetus and cause abortion, but she will continue to bleed ; the uterus will not contract when she most needs contractions. It produces a paralytic condition, and this is the state wo

prescribe Secale for. We seldom prescribe it for its primary effect,

but rather for the state of sub-involution, when the uterus retains thO

secundines. There is a continuous oozing of dark and offensive flow.

The picture is more complete if we find that no matter how cool the

room is she does not want heat, but wants to be uncovered, and she is

a lean, shrivelled, scrawny, hungry patient with dusky skin ; she never

takes on fat ; is not robust. It produces varicoses of the skin and the

skin about the toes becomes dusky, and over the shin bones are dark

spots, and she wants to lie with the extremities uncovered. Such patients lose flesh and become shrivelled.

In old, troublesome, lingering haemorrhages, starting up fresh on the

slightest provocation, Sabina will stop the gush, the acute stage, but it

does not hold, the haemorrhage recurs, and then an antipsoric is needed.

Sulphur is very commonly the remedy, but Psorinum, though not laid

down in the books for haemorrhages, after Sulphur has exhausted

itself, will often follow for this oozing and frequent recurrence.

Phosphorus is somewhat like Sabina. It has a copious bright red

flow, which may or may not contain clots. The striking features are

outside the flow. There is pinched countenance, extremely dry tongue

and mouth ; violent, unquenchable thirst, craving ice<old water. The

haemorrhage is bright red, in a gush or continuous oozing.

In this way we must study well the haemorrhagic remedies. The

physician must be acquainted with the emergency remedies, such as

belong to the violent diarrhoeas, cholera, violent sufferings and haemorrhages, He must have them at his finger ends, and he must be able

to compare instantaneously. Blood must be stopped.

Atony of the uterus is a striking feature of Sabina. The uterus will

8i2

SANOUINARU

not contract on itself until it has something to contract on, like a clot

or mole. Haemorrhages from other parts as well. But other remedies have taken its place in these regions because the individualizing

symptoms have not been brought out.

Much rheumatism and gout ; gouty nodosities in the joints ; they

burn so and are so hot that the patient is compelled to put Ae hands or

feet out of bed. Gouty cases, especially when the constitutional state

changes ; an alternation ; when the gout is present there will be no

haemorrhages, and when there are haemorrhages the gout will be relieved. An alternation of states. The gouty condition of the veins is

often a haemorrhagic state.

Drawing, tearing pains, esp. at night; most in wrist-joints and toes, with red, shiny

swelling; < from motion and touch.—Stitches in elbows; in heels, extending outward.—Limbs

convulsed.—Cracking in joints.