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Materia Medica

Sambucus Nigra

Elder
33 sectionsBoericke · 12Clarke · 21

At a glance

Cardinal features · auto-extracted from Boericke · Clarke
  • Profuse sweat
  • Constant fretfulness

Essence

Prologue
Boericke

Elder

Acts especially on the respiratory organs. Dry coryza of infants, snuffles, oedematous swellings. Profuse sweat accompanies many affections.

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Keynotes

Characteristics
Clarke

The leaves of Samb. n. have an unpleasant odour when bruised, which is

supposed to be offensive to most insects, and a decoction of them is sometimes used by

gardeners to keep off caterpillars from delicate plants. By village herbalists the inner bark as well

as the leaves are employed for making an ointment, and the flowers serve for fomentations, or

are made into a medicinal tea; while the berries are the principal ingredient in Elderberry wine

  • (Treas.
  • of Bot.
  • ).
  • If sheep that have the rot can get at the bark and young leaves they will soon
  • cure themselves (Green).
  • Millspaugh says of Samb.
  • canad.
  • that a decoction or ointment of the

flowers and leaves was used as an application to large wounds "to prevent deleterious

consequences from flies." He also says that the bark contains Viburnic acid, which is identical

with Valerianic acid. This no doubt accounts for the odour, and suggests a relationship in action

between Sambucus, Valerian, and the Viburnums."Spasm" will be found common to all. In

Samb. the spasm affects mainly the respiratory system—larynx, chest, and nasal passages. Samb.

  • n.
  • was proved by Hahnemann, and appears in Z.
  • VM.
  • P.
  • One of the chief notes of the remedy is

Sdema: dropsical swellings in various parts of the body, especially legs, instep, and feet. This

sdema, when it affects the nose, may give rise to obstruction, as in the "snuffles" of infants with

dry coryza, preventing breathing and nursing. When it occurs lower down in the tract it causes

dyspnsa: the child awakens suddenly nearly suffocated, face livid, blue, sits up in bed; turns blue,

gasps for breath, which it finally gets; attack passes off but is again repeated; child inspires but

cannot expire; sleeps into the attack. The breathing is rattling. Croup, whooping-cough, asthma,

may all manifest this group of symptoms. Nash once relieved with the 200th a very bad case of

asthma, having attacks of suffocation of the above kind. The patient was an old lady. The relief

was accompanied by a profuse flow of urine, which carried off a large amount of dropsical

effusion in her legs and abdomen.—It was mentioned above that the croupy attack "passes off but

is again repeated." This tendency of attacks to recur is another note of the remedy. Another grand

characteristic is: Profuse sweat during waking hours; dry heat when asleep. This feature marks

Samb., as the remedy in some phthisical cases and many febrile conditions. Other fever

peculiarities are: Deep, dry cough precedes the fever paroxysm; fever without thirst; dreads

  • uncovering.
  • The Sensations of Samb.
  • are: As if head were filled with water.
  • Skull as if stretched.

As if suffocating. The symptoms are > by pressure and being tightly bound. Leaning against a

  • hard edge = painful pressure in abdomen with nausea.
  • Contusions = dark red swelling.
  • Rest <.
  • <

Lying down; in bed; on left side. Head low <; must sit up to regain breath. Motion < generally.

  • Motion of head = tension and dizziness.
  • Sleep <.
  • < About midnight; after midnight; 2 to 3 a.
  • m.
  • (roused with sense of stoppage of air tubes).
  • < Uncovering.
  • < Dry, cold air.
  • < Cold drink while
  • overheated.
  • < From fright or mental emotion.
  • Fright = suffocative attack.
  • Samb.
  • is suited to

diseases of scrofulous children which affect the air passages especially; to persons previously

robust and fleshy suddenly become emaciated. Effects of mental emotion, anxiety, grief,

excessive sexual indulgence.

Mentals

Mind
Boericke
  • Sees images when shutting eyes.
  • Constant fretfulness.
  • Very easily frightened.
  • Fright followed by suffocative attacks.
Symptoms — Mind
Clarke

Great tendency to take fright (trembling, anxiety, and restlessness).—Fright followed

by suffocative attacks, with bluish, bloated face.—Peevishness (constant fretfulness), during

which everything makes a disagreeable impression.—Periodical delirium, with frightful visions

(and hallucinations).

Modalities

Modalities
Boericke
Worse
sleep, during rest, after eating fruit
Better
sitting up in bed, motion

Head

Symptoms — Head
Clarke

Dizziness and confusion in the head, esp. during movement; on rising.—Headache as

from intoxication.—Tension in head during movement as if it contained water.—Pressure and

expansion in head.—Pressive, tearing headaches in forehead and temples.—Sudden shocks in the

  • brain.
  • —Sudden jerks through head.
  • —Digging pain in vertex.
  • —Tearing stitch through I.
  • half of

occiput, frequently returning and lasting a long time, with a dull sensation in the intervals.—The

  • head is bent backwards.
  • —Erysipelas |.
  • side of head, ear much swollen.
  • —Scurf on head with

intolerable itching.—Skull feels as if stretched.

Ears

Symptoms — Ears
Clarke

Sharp stitches in (r.) inner ear with cramp pain in it.—Itching creeping in ears and in

throat.

Nose

Symptoms — Nose
Clarke

Sensation of numbness in nose, with itching on bridge.—Sanguineous congestion in

nose, with sensation of heaviness in point of nose.—Obstruction of nose, with accumulation of

  • thick and viscid mucus in nostrils.
  • —Snuffles of children.
  • —Dry coryza of children.
  • —Child starts

up suddenly as if suffocating.

Face

Face
Boericke

Turns blue with cough. Red, burning spots on cheeks. Heat and perspiration of face.

Symptoms — Face
Clarke

Face bluish (or dark blue) and bloated or pale and earthy.—Circumscribed redness on

cheeks.—Sensation of numbness and tension in cheeks, as from being swollen.—Red, burning

spots on cheeks and nose.—Gnawing pressure in bones of upper jaw.—Great heat of face —Heat

and perspiration in face.

Mouth

Symptoms — Teeth
Clarke

Odontalgia with tearing and lancinations in all the teeth, and with a sensation as if

cheeks were swollen.

Stomach

Symptoms — Stomach
Clarke

Vomiting in morning, first of milk (or food), that has been taken, and of mucus,

afterwards of bile-—Pressure in stomach.—Acute lancinations under the stomach, < by pressing

upon it.

Abdomen

Abdomen
Boericke

Colic, with nausea and flatulence; frequent watery, slimy stools.

Symptoms — Abdomen
Clarke

Pinchings (colic pain) in abdomen as from a chill, with (much flatulence and)

  • expulsion of flatus.
  • —Shootings in the |.
  • side of hypogastrium.
  • —Pain in abdomen as from a

bruise.—Spasmodic tearings, shootings, and pinchings in abdominal muscles.—Pressive pain in

abdomen, with nausea, when resting it against a hard (edge or) body.

Urinary

Symptoms — Urinary Organs
Clarke

Frequent want to urinate, with copious emission, also at night.—Deposits

a heavy sediment.—Urine of deep yellow.—Emission of urine in too small a stream.

Urine
Boericke

Profuse urine with dry heat of skin. Frequent micturition, with scanty urine. Acute nephritis; dropsical symptoms, with vomiting.

Respiratory

Respiratory
Boericke
  • Chest oppressed with pressure in stomach, and nausea Hoarseness with tenacious mucus in larynx.
  • Paroxysmal, suffocative cough, coming on about midnight, with crying and dyspnoea.
  • Spasmodic croup.
  • Dry coryza.
  • Sniffles of infants; nose dry and obstructed.
  • Loose choking cough.
  • When nursing child must let go of nipple, nose blocked up, cannot breathe.
  • Child awakes suddenly, nearly suffocating, sits up, turns blue. Cannot expire (Meph).
  • Millar's asthma.
Symptoms — Respiratory Organs
Clarke

Hoarseness from accumulation of viscid mucus in

larynx.—Inflammation of larynx and trachea; croup; accumulation of mucus in

larynx.—Whooping-cough; suffocative, hollow, deep cough caused by a spasm in chest, with

expectoration only during the day of small quantities of tough mucus.—The cough is < at or soon

after midnight, during rest, when lying in bed, or with the head low, from dry, cold air—Deep,

hoarse, hollow cough, with agitation and thirst.—Continued cough with abundant expectoration

of a salt taste, or of sweetish mucus.—Attack of suffocating cough, with cries, in

children.—Cough with cries, as from a pain in the gullet-—Wheezing and quick

respiration.—Obstructed respiration when lying down.—Spasmodic paroxysm of suffocation at

night, with tears, great agitation, and tossing of the hands (when waking after midnight out of a

slumber, with half-open eyes and mouth, with bloated blue hands and face, and heat without

thirst).—Great difficulty in breathing.—Quick, wheezing, crowing breathing.

Chest

Symptoms — Chest
Clarke

Oppression at the chest, with lancinations in (1.) side (below nipple); or with aching

under sternum.—Pressure on sternum, with a counter-pressure from spine to

sternum.—Oppression of chest, with pressure in stomach, nausea, and weakness.—Pressive pain

in chest.—Sudden sensation of contraction in sides of chest.

Symptoms — Heart
Clarke

Orgasm in whole body.—Occasional omission of heart-beat.—Angina pectoris where

pressure proceeds from spine in individuals formerly fat and robust, now emaciated from mental

emotions, sexual excesses, or seminal losses.—Pulse generally very frequent and small;

sometimes slow, full, sometimes intermitting.

Neck & Back

Symptoms — Neck and Back
Clarke

Pressive heaviness in nape.—Deep, incisive lancinations in muscles of

  • neck.
  • —Sweat on throat and neck with children.
  • —Pains in loins with drawing pressure.
  • —Incisive

blows in loins.—Aching in middle of spine during repose and movement.—Lancinations in

scapulé.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Drawing in forearms and bones of hands.—Dark blue bloatedness of the

  • forearms and hands.
  • —Paralytic heaviness in elbow-joint.
  • —Lancinations in wrists.
  • —Trembling of

hands (when writing).—Tearings in joints of fingers.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Spasmodic drawings and shootings in thighs.—Tension in tendons of ham as

if they were too short.—Acute (deep) lancinations in tibia.—Sensation of coldness, numbness, and

deadness in the middle of (r.) tibia —Sdematous swelling of feet as far as knees. —Tearing in legs

and ankles.—Icy-cold feet with warmth of the body.

24. Generalities—We are often led to this remedy when we find a great deal of perspiration,

occurring with any other trouble, which may last all the time, or it may come and go in

paroxysms; it is sometimes found in phthisis; perspiration with disinclination to undress or be

  • uncovered; heat with inclination to be covered (H.
  • N.
  • G.
  • ).
  • —Asthma with suffocative attacks of

breathing; patient may be well enough while awake, but sleeps into the trouble; loud respiration

with no mucous rattle—Babies with snuffles; can't breathe well through nose.—Asthma Millari

  • (H.
  • N.
  • G.
  • ).
  • —Symptoms < uncovering; while lying down; while resting.
  • —> From moving; on

rising; while walking; from wrapping up warmly.—General ebullition of blood in evening after

lying down, with sensation of trembling.—Sudden drawing over whole surface of body,

frequently recurring when seated.—The majority of the symptoms manifest themselves during

repose and are dispersed by movement.—Dropsical swelling of whole body.—Great emaciation.

Extremities

Extremities
Boericke
  • Hands turn blue.
  • OEdematous swelling in legs, insteps, and feet.
  • Feet icy cold.
  • Debilitating night-sweats (Salvia; Acet ac).

Skin

Skin
Boericke

Dry heat of skin during sleep. Bloated and swollen; general dropsy; profuse sweat on waking.

Symptoms — Skin
Clarke

Bloatedness and dark red swelling, with tension after contusions.—Sdema;

anasarca.—Blotches on face.—Red spots on cheeks here and there with burning

sensation.—Tingling itching of skin.—Sudden painful drawing in all points over surface while

sitting.

Sleep

Symptoms — Sleep
Clarke

Disposition to sleep without being able to sleep. —During sleep dry heat, after

  • awakening profuse perspiration.
  • —(Sleeps with arms above head.
  • ).
  • —Frequent waking with a start,

with anguish, trembling, and obstructed respiration, amounting almost to

suffocation.—Incomplete sleep, with mouth and eyes half open.—Lascivious dreams.

Fever

Fever
Boericke

Dry heat while sleeping. Dreads uncovering. Profuse sweat over entire body during waking hours. Dry, deep cough precedes the fever paroxysm.

Symptoms — Fever
Clarke

Shuddering, with shivering, icy coldness of hands and feet, and pricking tingling in

skin.—Shivering and shaking before going to sleep —Insupportable heat without thirst, with dread

  • to be uncovered.
  • —Fever with excessive perspiration, esp.
  • at night.
  • —Profuse perspiration day and

night, but only when awake; first breaking out in the face.—Very debilitating

perspiration.—Night-sweats, except on head, < towards morning.—Continued perspiration while

awake, changing into dry heat as soon as one goes to sleep.—Intermittent fever: chills over whole

body, with cold hands and feet; followed by intolerably dry heat, without any thirst,

accompanied by dread of being uncovered, afterwards copious sweat, without any thirst; the

sweat even continues during the apyrexia.—Pulse generally small and very quick, at times

intermitting.

Clinical

Clinical
Clarke
  • Angina pectoris.
  • Asthma.
  • Chest, oppression of.
  • Coryza, dry.
  • Cough.
  • Croup.
  • Emaciation.
  • Headaches, catarrhal.
  • Hoarseness.
  • Hydrocele.
  • Ileus.
  • Laryngismus.
  • Perspirations.
  • Phthisis.
  • Scurf.
  • "Snuffles.
  • " Starting.
  • Whooping-cough.

Relations

Relations
Clarke
  • (Samb.
  • c.
  • may be regarded as practically identical with Samb.
  • n.
  • ) Antidoted by: Ats.
  • ,
  • Camph.
  • Antidote to: Ars.
  • (relieves ailments from abuse of Arsen.
  • ).
  • Compatible: Bell.
  • , Con.
  • , Nux,
  • Pho.
  • , Rhus, Sep.
  • Follows well: Op.
  • (effects of fright).
  • Compare: In Millar's asthma, Ar.
  • dracont.

Dyspnsa; inspires, cannot expire, Chlorum, Meph. Sleeps into the attack, Lach. Peculiarities of

  • sweating, Chi.
  • and Con.
  • (sweats as soon as he closes his eyes to sleep—opp.
  • of Samb.
  • ), Thuj.

(sweats on uncovered parts), Puls. (one-sided sweats). Dreads uncovering, Nux (must be covered

  • in every stage).
  • Fat people emaciate suddenly, Iod.
  • , Tub.
  • Effects of excessive sexual indulgence,
  • Pho.
  • ac.
  • , K.
  • ph.
  • Tenacious mucus in larynx, K.
  • bi.
  • Sleepy but cannot sleep, Bell.
  • Effects of cold
  • drink when over-heated, Bels.
  • (Bels.
  • = acne; Samb.
  • = phthisis).
  • Effects of dry cold, Aco.
  • Snuffles, Am.
  • c.
  • , Nux.
  • Plants containing Valerianic or Viburnic acid, Valer.
  • , Vib.
  • o.
  • , Vib.
  • t.
Relationship
Boericke

Compare: Ipec; Meph; Opium; Sambucus Canadensis (great value in dropsies; large doses required-fluid extract, 1/4 to 1 teaspoonful three times daily).

Antidotes: Ars; Camph.

Posology

Dose
Boericke

Tincture, to sixth potency.

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.
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