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Materia Medica

Sarsaparilla Officinalis

Smilax
42 sectionsBoericke · 13Clarke · 27Kent · 2

Essence

Prologue
Boericke

Smilax (SARSAPARILLA)

Renal colic; marasmus and periosteal pains due to venereal disease. Eruptions following hot weather and vaccinations; boils, and eczema. Urinary symptoms well marked.

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Keynotes

Characteristics
Clarke

Scarlatinin has been used, like other nosodes, for the prevention and for cure

of the disease from which it takes origin. But its well-known affinity for the skin, throat and

kidneys suggests its applicability for affections of those organs.

Mentals

Mind
Boericke

Despondent, sensitive, easily offended, ill humored and taciturn.

Symptoms — Mind
Clarke

Anxiety, with trembling of the feet——The mental depression is caused by the pains;

anxiety also occurs after seminal emissions.—Thinking about the food he has eaten =

nausea.—Despondency, gloominess, amounting to despair.—Moroseness and ill-humour, with

inclination to work, but unfitness for exertion.—Irascibility and susceptibility.—Fickleness

(changeable disposition).—Impatient; thinks she cannot bear the headache; child cannot bear the

itching.

Generals

Symptoms — Generalities
Clarke

Shooting, tearing, pressive pains.—Darting, pricking sensation in

bones.—Paralytic tearing in all joints and limbs, often accompanied by trembling of hands and

feet, painful tearings in head and pinchings in abdomen.—Arthritic pains (after taking cold in the

water; from suppressed gonorrhoea), with diminished secretion of urine.—Rigidity and

  • immobility of the limbs.
  • —Hot and dense swellings.
  • —Great lassitude, esp.
  • in lower

limbs.—Lassitude in the hands and feet—Emaciation.—The pains cause depression of spirits.

Modalities

Modalities
Boericke
Worse
dampness at night, after urinating, when yawning, in spring, before menses

Head

Head
Boericke
  • Pains cause depression.
  • Shooting pain from above right temporal region.
  • Pains from occiput to eyes.
  • Words reverberate in ear to the root of nose.
  • Periosteal pains due to venereal disease.
  • Influenza.
  • Scalp sensitive.
  • Eruptions on face and upper lip.
  • Moist eruption on scalp.
  • Crusta lactea beginning in face.
Symptoms — Head
Clarke

Vertigo after gazing fixedly on an object for some time.—Vertigo, with nausea and

sour risings.—Heaviness in head.—Dull, stupid feeling, cannot keep mind fixed on

study.—Staggers, falls forward in open air.—Headache with nausea and sour

vomiting.—Lancinating or pressive headache, or else pressive and lancinating at same

  • time.
  • —Pressing and stitching pains in |.
  • side of head.
  • —Semilateral spasmodic pains in head, as if

head were squeezed in a vice, with cloudiness of eyes or flickering, necessity to lie down, and

vibration in brain at every word that is uttered —Inner semilateral head, either side; old neuralgic

headaches.—Neuralgic headache, r. side, throbbing, stitching, starting from occiput—(Headache

  • which = jerking of head to one side and screaming.
  • —Griggs.
  • ).
  • —Sensation as of tight band around

head and forehead, which is very painful; as if the hat were too tight, has to remove it often and

involuntarily, but without relief—Sound in the head as if a bell were striking, when

  • talking.
  • —Throbbing pains in head.
  • —Noise and buzzing in head.
  • —Pressive and incisive, or

pressive, lancinating drawing and tearing pains in exterior of head, < by touch and by

  • walking.
  • —Seborrhcea cured by decoction (R.
  • T.
  • C.
  • ).
  • —Sensibility of scalp.
  • —Falling off of

hair.—Plica polonica.

Eyes

Symptoms — Eyes
Clarke

Pains in eyes, caused by daylight.—Aching in eyes, esp. in evening when reading by

  • candle-light.
  • —Shootings in eyes.
  • —Burning sensation in eyes and lids.
  • —Stinging in eyes on
  • closing lids, violent pain when closed eyes are pressed on.
  • —Quivering of r.
  • upper lid.
  • —Itch-like

eruption on lids.—Agglutination of lids in morning.—Red stripe from cornea to outer

canthus.—Internal canthi blue and swollen.—Cloudiness before eyes, like a fog; < after

emissions.—A red colour is reflected from white paper in evening. —Flickering before eyes with

headache.—Halo round candle.

Ears

Symptoms — Ears
Clarke
  • Shootings in ears.
  • —Shooting pains from |.
  • ear to root of nose.
  • —Contraction and

pressure in ears.—Burning, itching scabs on lobes of ear.—Tinkling and ringing in ears.

Nose

Symptoms — Nose
Clarke

Epistaxis.—Scabious eruption upon, under, and in nose.—Dry coryza and obstruction of

  • nose.
  • —Very thick mucus in nose.
  • —Base of nose and eyes swollen.
  • —R.
  • nostril stopped up and

scabby.—Pain in nose, inflamed spots on septum.

Face

Symptoms — Face
Clarke

Face yellow, wrinkled, old-looking —Pimples.—Facial eruption.—Itching eruption on

forehead, with burning sensation, and oozing after having scratched.—Rough, pale-red spots on

forehead.—Thick scabs on the face (like milk crust).—Rigidity and tension in masseters and

maxillary joints.—Herpes on upper lip.—Purulent and itching vesicles on chin.

Mouth

Mouth
Boericke

Tongue white; aphthae; salivation; metallic taste; no thirst. Fetid breath.

Symptoms — Teeth
Clarke

Toothache, with drawing tearings, from a cold current of air or from cold

  • drinks.
  • —Upper teeth sensitive, set on edge.
  • —Tearing in gums.
  • —Gums swollen, with pain as from

excoriation.

Throat

Symptoms — Throat
Clarke

Sore throat (r. side), with shooting pain during deglutition —Spasmodic pressure at

throat, like strangulation, with obstructed respiration; must loosen cravat.—Dryness and

roughness in throat, esp. in morning.—Accumulation of viscid mucus in throat —Trichotomous

ulcers after suppression of plica polonica.

Stomach

Symptoms — Appetite
Clarke

Want of appetite.—Bitter, or acid and clammy, or else sweetish, metallic, and

herbaceous taste.—Bread has a bitter taste—Insipidity of food.—After a meal sensation of

emptiness in stomach, as while fasting, or else disgust when merely thinking of what has been

eaten.—A fter eating stomach has no sensation, feels as if he had eaten nothing.—After eating a

little, distended as if he had eaten much.—< From warm diet, > from cold.—Drinking water =

vomiting.—Thirst, esp. for water, also in morning.

Symptoms — Stomach
Clarke

Long-continued vomiting, "as if all the bowels would be emptied out"; vomiting

very painful, as the vomiting subsided diarrhoea came on, the diarrhoea being painless —Heart

burn, dryness of cesophagus.

Abdomen

Abdomen
Boericke

Rumbling and fermentation. Colic and backache at same time. Much flatus; cholera infantum.

Stool

Symptoms — Stool
Clarke

Painless diarrhoea following painful vomiting.—Profuse diarrhoea continuing all night.

Symptoms — Stool and Anus
Clarke

Hard, retarded, and scanty feeces, often with urgent want to

evacuate.—Painful, difficult evacuations, with contractive pains in the abdomen and violent

downward pressure.—Obstinate constipation, with frequent want to urinate.—Pitchy, sticky,

adhesive stools —Blood with Stool.—Loose, acrid, corrosive evacuations, with pains in

abdomen.—Fainting during an evacuation.—Pain as from excoriation, and burning itching in

anus.—Wakened in night with sore pain in anus, which changes into a (burning) itching which

lasts all day.

Urinary

Symptoms — Urinary Organs
Clarke

Diminished secretion of urine.—Frequent discharge of pale, copious

urine.—Tenesmus, with pressure on bladder, and discharge of a white and turbid matter, mixed

with mucus.—Frequent and ineffectual want to urinate, or with scanty emission.—Frequent

urination with hard stool.—Burning while urine passes with discharge of elongated

flakes.—Frequent and profuse emission of pale urine, day and night, often without any sensation

  • in urinary organs.
  • —Turbid urine, like clay water.
  • —Fiery, scanty, red urine.
  • —Thread-like flakes in

urine.—Blood in urine towards the end of an emission (after which the pain, when urinating,

  • abates).
  • —Urine charged with gravel or small pebbles.
  • —(Nephritic calculi.
  • ).
  • —Where the patient

has gravel, and there is considerable deposit in the urine which looks like grey sand; also pus in

urine.—Great pain just as the urine ceases to flow; excessive pain in urethra which may run back

into abdomen.—The infant cries before and during micturition, passes large quantities of

sand.—Can pass urine only when standing; when he sits it dribbles—Burning sensation in urethra

during every urination.—(Burning in urethra with incontinence of urine, < in daytime, < when

urine is high-coloured, and < after drinking beer.—Much scalding up urethra while urinating,

  • urine high-coloured with lithates, enuresis day and night.
  • —R.
  • T.
  • C.
  • ).
  • —Cramps in bladder, with

contractive pain.—Stones in the bladder.—Discharge of pus from the urethra, as in

gonorrhoea.—Jerking sensation along male urethra.—Pain at meatus urinarius with women.

Urinary
Boericke
  • Urine scanty, slimy, flaky, sandy, bloody.
  • Gravel.
  • Renal colic.
  • Severe pain at conclusion of urination.
  • Urine dribbles while sitting.
  • Bladder distended and tender.
  • Child screams before and while passing urine.
  • Sand on diaper.
  • Renal colic and dysuria in infants.
  • Pain from right kidney downward.
  • Tenesmus of bladder; urine passes in thin, feeble stream.
  • Pain at meatus.

Female

Female
Boericke

Nipples small, withered, retracted.

Before menstruation, itching and humid eruption of forehead. Menses late and scanty. Moist eruption in right groin before menses.

Symptoms — Female Sexual Organs
Clarke

Catamenia retarded, scanty, and acrid; very copious, even to

haemorrhage (in an old maid).—During menses, want to urinate, excoriation between thighs,

pinchings in abdomen, and squeezing, as if by a claw, in loins and pit of

stomach.—Dysmenorrhcea, began in morning, with bitter vomiting, diarrhoea, and fainting fits,

with exceedingly cold sweats; 1. breast so tender held her hand in front of it to avoid

contact.—Mucous leucorrhcea.—Leucorrheea: on walking; pain at meatus urinarius after

urinating. —Climaxis: asthma < lying down; back pains < by pressure.—Suppuration of

breasts.—Nipples retracted; shrivelled, insensitive, not irritable.

Male

Male
Boericke
  • Bloody, seminal emissions.
  • Intolerable stench on genitals.
  • Herpetic eruption on genitals.
  • Itching on scrotum and perineum.
  • Syphilis; squamous eruption and bone pains.
Symptoms — Male Sexual Organs
Clarke

Fetid exhalation from genital organs.—Inflammation and redness of

  • glans.
  • —_(Blennorrhcea).
  • —Herpes on the prepuce.
  • —Desire for coition, with frequent and painful

pollutions.—Bloody pollutions; spermatic cords swollen, sexual excitement makes them ache and

sensitive.—Swelling of cords from unrequited sexual excitement.—Bad effects from gonorrhoea

suppressed by Mercury.—Old dry sycotic warts remaining after mercurial treatment for gouty

pains.

Respiratory

Symptoms — Respiratory Organs
Clarke

Violent cough from a tickling sensation of ulceration in gullet, or

from a roughness in throat.—Short and obstructed respiration.—Violent dyspnoea and choking

from a sensation of constriction in throat, and which forces the removal of all clothing from

throat and chest.

Chest

Symptoms — Chest
Clarke

Spasmodic oppression of chest.—Frequent recurrence of deep respiration.—Sensation

as if a foreign body had stopped in the back on taking a full inspiration.—Pressure on chest, often

with shortness of breath.—Pressive pain on sternum, < by touching it.—Shooting in sides of chest,

which often forces patient to bend double—Tensive pain in exterior of chest, as from

contraction, on rising up.

Neck & Back

Symptoms — Neck and Back
Clarke

Painful pressure and tension in back and nape of neck, with lancinations

on least movement of trunk or head.—Lancinations between shoulder-blades and in muscles of

neck.—Stitches in back through into chest on least motion.—Swelling on one side of neck, painful

  • to touch.
  • —Contusive pain in loins, esp.
  • while stooping, and afterwards.
  • —Pains from small of

back down spermatic cords; < at night and from motion; after emissions.—Tingling in

loins.—Tensive pain from loins to hips on least movement.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Tearings and pressive shootings in arms, forearms, and joints of hands and

  • fingers (principally on motion).
  • —Sweating of hands.
  • —Herpes on hands.
  • —Numbness of

fingers.—Pain in tips of fingers (bruised and sore), as from subcutaneous ulceration.—Purulent

vesicles on fingers.—Deep rhagades in skin of fingers (with burning pains).

Lower Limbs

Symptoms — Lower Limbs
Clarke

Affections of any kind in general, appearing in r. lower extremity; r. lower

  • side (H.
  • N.
  • G.
  • ).
  • —Pressive tearing and shooting in thighs, knees, and legs.
  • —Lassitude in thighs

and knee-joints.—Swelling and stiffness of knees, with shootings.—Red, herpetic spots on

  • calves.
  • —Rigidity of legs, as from contraction.
  • —Cramps in legs and calves of the legs.
  • —Drawing
  • tearing in r.
  • big toe.
  • —Painful pressive throbbing and throbbing-shooting inner side r.
  • sole, later

on whole sole when sitting.—Painful sensibility of soles—Tension and swelling of feet, with heat

and redness.—Coldness of feet, esp. before going to bed.

Extremities

Extremities
Boericke
  • Paralytic, tearing pains.
  • Trembling of hands and feet.
  • Burning on sides of fingers and toes.
  • Onychia, ulceration around ends of fingers, cutting sensation under nails.
  • Rheumatism, bone pains; worse at night.
  • Deep rhagades on fingers and toes; burn under nails.
  • Tetter on hands; ulceration around ends of fingers (Psorin).
  • Cutting sensation under nails (Petrol).
  • Rheumatic pains after gonorrhoea.

Skin

Skin
Boericke
  • Emaciated, shriveled, lies in folds (Abrot; Sanic), dry, flabby.
  • Herpetic eruptions; ulcers.
  • Rash from exposure to open air; dry, itching; comes on in spring; becomes crusty.
  • Rhagades; skin cracked on hands and feet.
  • Skin hard, indurated.
  • Summer cutaneous affections.
Symptoms — Skin
Clarke

Itching, sometimes over whole body, esp. in evening, in bed, and in morning when

rising.—Red and dry pimples, which itch only when body is warm.—Miliary eruption on going

into fresh air from a warm room.—Nettle-rash—Fine rash on skin of forehead.—Exanthema like

  • milk crust.
  • —Purulent vesicles.
  • —Ulcers after abuse of Mercury.
  • —Skin slow to heal.
  • —Herpes on
  • almost all parts of body (esp.
  • on prepuce).
  • —Warts.
  • —Many little warts —(Horses lose hair with
  • eruptions.
  • ).
  • —Shrivelled skin.
  • —Great emaciation, the skin becomes shrivelled or it lies in

folds—Deep, burning, painful rhagades (on fingers).

Sleep

Symptoms — Sleep
Clarke

Complaints concomitant to yawning.—< When yawning.—Sleep early in

evening.—Nocturnal sleeplessness and frequent waking.—Frightful dreams with frequent starts.

Fever

Symptoms — Fever
Clarke

Shiverings night and day.—Chilliness predominating, day and night).—Coldness,

even near the fire, over whole body, except face and chest, but principally in feet—Rigor, mostly

in forenoon, running from feet upwards.—Heat in the evening, with ebullition of blood,

palpitation of heart, and perspiration (only) on forehead.

Scammonium.

  • Convolvulus scammonia.
  • Scammony.
  • N.
  • O.
  • Convolvulacez.
  • Triturations of the dried milky

juice of the root.

Clinical

Clinical
Clarke
  • Diarrheea.
  • Liver, griping pain in.
  • Esophagus, dryness of.
  • Spinal cord, drawing in.

Vomiting.

Characteristics——Allen says Schinus is an evergreen shrub, native of Mexico and South

America, and frequently cultivated in Southern California under the names "Pepper tree" and

  • "Chili pepper.
  • " The symptoms were observed by Dr.
  • P.
  • W.
  • Poulson on a young lady who ate a

few berries after dinner, and on himself. Poulson ate leaves as well as berries, and he had

heartburn, griping in liver, and "a kind of drawing sensation as in the spinal cord and

cerebellum."

Relations

Relationship
Boericke

Complementary: Merc; Sep.

  • Compare: Berb; Lycop; Nat m; Petrol; Sassafras; Saururus-Lizard's tail--(Irritation of kidneys, bladder, prostate and urinary passages.
  • Painful and difficult micturition; cystitis with strangury).
  • Cucurbita citrellus-Water-melon.
  • Infusion of the seed acts promptly in painful urination with constriction and backache, relieves pain and stimulates flow

Antidote: Bell.

Posology

Dose
Boericke

First to sixth potency.

Kent's Lecture

Lecture (part 1)
Kent

Suitable in old syphilitics whose complaints have been suppressed by

Mercury ; mind and body in a state of prostration ; paralytic weakness

of the lower extremities, no endurance ; the heart palpitates on exertion ; suffocation on the least exertion ; always tired ; ulcers here and

there on the body; the skin is flabby and full of distress at night.

Bone-pains worse at night, Sars. antidotes the Merc, and establishes

reaction.

Marasmus of children from hereditary syphilis ; emaciation about the

neck ; dry, purple, copper-like eruptions ; no assimilation.

The child is always passing sand in its diaper, yellowish, or whitish

like chalk ; the child s<:ream8 when it is about to urinate, because it

8i8

remembers how painful the passing of urine is. Sometimes at the

close of urination it gives forth an unearthly yell. This symptom is

found in old broken down constitutions, a clutch in the bladder just as

it shuts down causes him to carry out ; pain at the end of urination.

Old debauches, enfeebled by wine and women, with weak heart,

lungs, brain, and bladder, emaciated and shrivelled. Prematurely old,

a man of forty looks to be eighty, feet swollen, totters about on a staff.

Nux will palliate in early periods of breakdown, but the time comes

when he is weak in body and mind and must have such remedies as

Sars., Lack., Secale, etc.

Children emaciated ; face looks like old people ; big belly ; dry, flabby

skin ; mushy passages.

Eruptions appear in the Spring. All the venous remedies are braced

up by Winter and go down in the Spring, as Lack., Secale and Hamam-

Catarrh of the bladder and kidneys. Involuntary urination of chib

dren at night in bed, in feeble children. There is a spasmodic condition of the sphincter when sitting to urinate, which makes the act impossible in that position, but when he stanch up the urine flows freely.

This is especially important when the symptom occurs in women, because they have great difficulty in urinating while standing. Copious

urine at night ; he floods the bed, but during the day he can pass it

only when standing.

Lecture (part 2)
Kent

It is fifteen years since I reported the following case and the man

has remained well ever since: ‘‘A man, a?t. 52, addicted to whiskey for

years, had a copious flow of blood from the bowels some four months

ago ; the exertion of walking a few blocks causes suffocation ; after the

loss of blood, feet began to swell, both limbs to middle of thigh very

oedematous, has had two or three nondescript chills ; a few months ago,

sudden paralytic weakness of left arm and leg, passed off in three

hours, leaving a numbness in left hand and a tearing pain in left side

of face and head ; no appetite ; bloody discharge with stools ; feels as if

in a dream all the time ; loss of memory ; face covered with varicose

veins and very red ; general venous stasis ; feeling on the top of the

head as if struck with a hammer ; must pavss urine several times in a

night ; urine thick and cloudy after standing ; but clear when first

passed ; has had much worry from financial troubles ; cannot pass urine

when sitting at stool, but flows freely when he is standing, albumen in

the urine.*’ When Sars. can take such a man, 52 years old, and restore

him to health it is worth considering.

“Jerking sensation along the male urethra.” “Each time she makes

water, air passes out of the urethra with a gurgling noise.’* This

symptom is common in catarrh of the bladder ; it is caused by fermem

tation of the mucus and consequent formation of gas. “Frequent ineffectual urging to urinate with diminished secretion.*'

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

Paralytic tearing in all joints and limbs, often accompanied by trembling of hands

and feet, painful tearings in head, and pinchings in abdomen.—Rigidity and immobility of

limbs.—Lassitude in the hands and feet.

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