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Materia Medica

Saponinum

25 sectionsClarke · 25
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Keynotes

Characteristics
Clarke

Saponin. has had a somewhat extensive proving (in potencies ranging from 1x

  • to 30th), conducted by A.
  • J.
  • Hills.
  • One prover, who took the 30th, for many years a sufferer from

articular rheumatism, had none of his usual pains during the proving, and a great enlargement of

the left knee was entirely removed. Two female provers had marked disturbance of the menstrual

functions, especially pain and sufferings before the flow. A miliary eruption, and colic and

leucorrhcea before the menses, pain better but not removed when the flow was established.

Severe sore throat, < right side, was experienced by several provers, and Hills had so much

swelling of the tonsils that he was obliged to abandon the proving. Nausea and vomiting, colic

and diarrhoea, were among the symptoms, and a particular one was "nausea more in cesophagus

and throat, < in a warm room." This < by warmth was met with in relation to many symptoms,

and is probably a keynote. At the same time there was much chilliness, and lowered temperature

is a characteristic feature. One of the provers who took the 12th had had his temperature reduced

to 96° on the second day. Allen (Appendix) records an experiment which bears on this: 0.1

gramme of Saponin. was injected into the left thigh of a man. The immediate effect was to

produce intense local inflammation resembling erysipelas, but much more painful; the pain

extended to knee and hip, and the glands of the groin swelled. For the first three hours there was

rapid increase of temperature, which fell to normal in twenty-four hours. The next two days there

was a little fever, evidently kept up by the local irritation, but by the fifth day the temperature

had fallen to 93° and the pulse to 65. (The intense local irritation bears on the skin symptoms of

the proving, large numbers of boils being produced.) The other symptoms of this experiment

were marked bodily and mental depression; and exophthalmos and strabismus of the left eye (the

side injected). Among the Peculiar Symptoms of Sap. are: Involuntary emission of urine when

walking. Roughness of mucous membrane of mouth, with raised papillz on palate and tongue.

Strawberry tongue. The symptoms were markedly < by moving; even motion of the eyes <

  • mental labour.
  • < By warmth.
  • > By cold; by cold bathing; while sitting.
  • < Swallowing.
  • Desire to

vomit and defecate, < when quiet. > By stool; by onset of menses.

Mentals

Symptoms — Mind
Clarke

Marked bodily and mental depression.—Irritable; cross; wants to be let

alone.—Disinclined to study.—Inability to fix mind; to recall names.

Generals

Symptoms — Generalities
Clarke
  • Restlessness.
  • —Muscular weakness.
  • —Exhaustion.
  • —Faintness: and prostration;

with the chill.

Head

Symptoms — Head
Clarke

Dizziness and nausea on stooping.—Dizziness followed the vomiting.—Dull, heavy

headache, with depression; < 4-6 p.m.—After moving about in morning, dull, heavy sensation in

head, mostly forehead, esp. over |. orbit, < stooping; eyeball sore and aches; later pain spreads to

occiput; heat in forehead > pressure and cold, much < bending over.—Headache < by least

mental labour or motion.—Severe pain in head, with throbbing carotids; < |. side—Head

exceedingly irritable, cannot turn it or even move eyes without causing nausea.—Headache in

temples; sensation as if both temples were pressed out—Sharp pain in 1. temple.

Eyes

Symptoms — Eyes
Clarke

Could not turn eyes up or around they felt so sore; moving them = pain to dart back to

occiput.—Sensation of fulness in eyes, evening.—Conjunctiva yellow and a little

  • congested.
  • —Vision dull.
  • —Pain, exophthalmos and strabismus of |.
  • eye (from a subcutaneous

injection into |. thigh).

Nose

Symptoms — Nose
Clarke

Dry coryza and frequent sneezing.—R. nostril plugged in morning, with

headache.—Dull pain at root of nose and in temples.—Nose cold and pale.

Face

Symptoms — Face
Clarke

Miliary eruption on face, neck, and head before menses.—Face pale.—Lips dry and

burning.

Mouth

Symptoms — Mouth
Clarke

Tongue coated yellowish white on back; red on tip and edges; raised papillze

  • (strawberry tongue), esp.
  • on tip.
  • —Tongue brown in centre, deep yellow on edges.
  • —Hard palate

rough.—Salivation.—Taste: sweet, sickish; flat; acrid.

Throat

Symptoms — Throat
Clarke

Tough, tenacious mucus on posterior nares, extending to larynx.—Throat sore, <r.

side, feeling of constriction, hardly able to swallow.—Throat: smarting, scraping, raw,

rough.—Irritation as from dust—Tonsils much swollen, bright red.

Stomach

Symptoms — Stomach
Clarke

No appetite —Loathing of food for two days till nausea set in—Thirst not > by

drinking.—Nausea, retching, vomiting of greenish-yellow fluid; with agonising pain in both

temples, which disappeared as desire to vomit was >.—On returning home one cold night from

place of amusement nausea in cesophagus and throat as soon as she got comfortably warm; as

nausea increased cold feeling began at tips of fingers and toes and slowly spread to abdomen,

where they met, giving an electric-like shock; then followed griping pain and diarrhoea and

vomiting.—Sinking at pit of stomach without appetite; with fulness and heat in forehead.

Abdomen

Symptoms — Abdomen
Clarke

Dull pain in 1. hypochondrium, changing to epigastrium, very severe, then

  • shooting up under |.
  • scapula, < motion, > sitting —Painful stitches in 1.
  • hypochondrium.
  • —Dull
  • pain in umbilical region after each stool.
  • —Colic 3 a.
  • m.
  • on waking.
  • —For twenty-four hours

preceding menses, colic, cramps, and profuse watery leucorrhoea, > when menses

established —Sudden colic, > immediately by stool.—Pain in |. inguinal region.

Stool

Symptoms — Stool and Anus
Clarke

Intense itching in rectum, afternoon and night.—Burning in

rectum.—Smarting in anus, with constipation.—Constant urging, stool insufficient, rather

  • white.
  • —Desire for stool in evening as well as morning.
  • —Diarrhcea with tenesmus.
  • —Stool: profuse

diarrheeic, painless but urgent; with colic; first hard, then liquid, becomes involuntary; brownish,

slimy; desire to defecate or vomit as soon as there is a little ease, both < by warmth.

Urinary

Symptoms — Urinary Organs
Clarke

Kidneys torpid; sharp pain in region of r. kidney.—Burning during

micturition.—Waked early to pass water, which left brickdust sediment.—Involuntary emission of

water on walking.—Urine more profuse and high-coloured.

Female

Symptoms — Female Sexual Organs
Clarke

Menses delayed and diminished.—Menses: a week early; profuse,

<on motion; blood dark red; paralysed bearing down all through period (unusual); before

menses, shuddering all over body, intolerable aching in back and lower limbs; wants to be let

alone.—Colic with menses.—For twenty-four hours preceding menses, colic, cramps, and profuse

watery leucorrhcea; when menses established pain was less, but persisted through the four days

of the period, leaving her weak and depressed.—Fine miliary eruption on face, neck, and head

before menses.

Respiratory

Symptoms — Respiratory Organs
Clarke

At 4 p.m. peculiar cough, which is excited at every forced inspiration

through nose, only one cough at a time.

Chest

Symptoms — Chest
Clarke

Formication deep in tissue of lung.—Repeated sharp stabbing in r. lung; middle lobe;

  • dull aching in 1.
  • lung —Dull pains through thorax.
  • —At time of chill constriction in 1.
  • chest.

Neck & Back

Symptoms — Back
Clarke

Back and limbs tired walking, boots feel extremely heavy. —Dull throbbing in I.

scapula, running up.—Severe dull pain in small of back, and sense of weight as if all clothes

hanging from back; this sense of supporting a heavy weight extended to hips and knees, < from

jar of riding in horse cars.—Dull aching in lumbo-sacral region, extending down thighs, with

increased tingling in soles.—Lancinating pains in loins, < walking.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Sudden pain in |. arm, apparently muscular, in region of insertion of deltoid;

arms weak, muscles exhausted, as after lifting heavy weights —Pain in bones of I.

forearm.—Numbness and tingling in 1. third and little fingers (ulnar nerve).

Lower Limbs

Symptoms — Lower Limbs
Clarke

Dull aching in lower limbs; and 1. loin; muscular pains.—Dull pain in 1.

lower limb.—Aching in calves.—Soles sore, swollen, tender, numb, and tingling.

Skin

Symptoms — Skin
Clarke

Miliary eruption before menses.—Angry-looking pustules on chest.—Boils, single or

in crops.—Itching and crawling tingling in various parts.

Sleep

Symptoms — Sleep
Clarke
  • Sleepy.
  • —Sleepy but cannot sleep.
  • —Cannot sleep well after 4 or 5 a.
  • m.
  • —Waking
  • early, 5.
  • 30 a.
  • m.
  • (a very unusual symptom with the prover).
  • —Sleep disturbed by dreams; dreamed

of urinating.

Fever

Symptoms — Fever
Clarke

Slight chill accompanied by faintness.—Severe chill over back on going into warm

room.—As nausea increased an icy feeling crept up extremities, commencing at very tip of

fingers and toes, gradual in ascent and descent, when the two currents met in abdomen it was as

if electricity had been applied to them, giving a shock which almost made me jump.—During day

great coldness of limbs, hands and feet feel as if damp stockings on.—Temperature

lowered.—Temperature rose steadily for three hours (after subcutaneous injection of 0.1 grm.

into inner I. thigh), then gradually fell to normal, which it reached in twenty-four hours; for the

next two days there was some fever, but on the fifth day the temperature was far below the

normal, reaching the collapse point of 930; the pulse, which was somewhat elevated at first, fell

  • to 65 on the fifth day.
  • —Feverish and weak.
  • —Head hot, skin dry.
  • —A sensation of spreading heat,

commencing in chest and spreading both ways, esp. to head.

Clinical

Clinical
Clarke
  • Boils.
  • Constipation.
  • Diarrhoea.
  • Dysmenia.
  • Enuresis, when walking.
  • Exophthalmos.
  • Fever.
  • Headache.
  • Leucorrhcea.
  • Rheumatism.
  • Sleeplessness.
  • Spleen, pains in.
  • Strabismus.

Temperature lowered. Tongue, strawberry.

Relations

Relations
Clarke
  • Compare: Tough mucus, K.
  • bi.
  • > Onset of menses, Lach.
  • Spleen pain, Cean.
  • Kidney
  • pain, Santal.
  • < By movement; moving eyes, Bry.
  • Sleepy but cannot sleep, Bell.
  • Early waking,
  • Bels.
  • , Nux.
  • < In warm room, Puls.
  • As if damp stockings on, Calc.
  • , Sanic.
  • Strawberry tongue,
  • Frag.
  • , Bac.
  • Involuntary emission of urine when walking, Fer.
  • , Caust.
  • Compare also, Seneg.

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.

Additional notes

Symptoms — Limbs
Clarke

Exhausted, weary feeling in limbs, with slight inclination to nausea.—Weakness in

hands and feet.

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