Sepia

• ▸Skinner (H.
• ▸W.
• ▸, xxxv.
• ▸246) gave a supply of Septic.
• ▸10m (F.
• ▸C.
• ▸) to a volunteer

going to South Africa, with instructions to take a globule every four hours if attacked with

anything like sinking or typhoid fever. The young man wrote home that "Septiccemin is like

magic in diarrhoea and dysentery in camp life," and asked for more, as his supply was largely

drawn on by his friends.

• ▸Anger and vexation.
• ▸Blows.
• ▸Falls.
• ▸Jar.
• ▸Injury.
• ▸Overlifting (dyspepsia).
• ▸Snowy air.

• ▸Tobacco (neuralgia).
• ▸Laundry work.
• ▸Wetting.
• ▸Alcohol.
• ▸Milk, boiled (diarrhoea).
• ▸Fat Pork.

• ▸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.

Sadness and dejection, with tears——Melancholy and moroseness.—Anguish and

inquietude, sometimes with flushes of heat, generally in evening (when walking in open air), and

• ▸sometimes in bed.
• ▸—Restlessness, fidgety.
• ▸—Dread of being alone.
• ▸—Excessively nervous; sensitive

to least noise.—Great uneasiness respecting the health; and about her domestic

affairs —Pensiveness.—Timorous disposition —Discouragement, often to such an extent as to be

disgusted with life —Indifference to everything (to all surroundings), even to

relations —Repugnance to customary business.—Great disturbance caused by vexation.—Great

excitability in company.—Susceptibility and peevishness, with great irascibility —Quarrelsome

• ▸and caustic disposition.
• ▸—Weakness of memory.
• ▸—Distraction.
• ▸—Aptness to make mistakes in

speaking and writing —Unfitness for intellectual labour.—Slowness of

conception.—Comprehension difficult; heavy flow of ideas Language coming slowly.

• ▸[Affections in general appearing in 1.
• ▸side; r.
• ▸upper and r.
• ▸lower extremities;

eyelids internal ear; hearing very sensitive; region of liver; inner lower belly |. shoulder-blade;

back and small of back; axilla; axillary glands, esp. where there are darting pains through them;

upper and lower extremities and joints; r. lumbar region, with a violent pressing or bearing-down

pain; nails turn yellow.—Dark hair; pale face; exanthema on face, lips, nose, forehead.—Bleeding

from inner parts.—Spasms: clonic; tonic; cataleptic; great restlessness of the body; great aversion

to washing.—Debility in general or of particular parts.—Sensations: of a ball in inner parts; pain

as if part would burst, were pressed or pushed asunder; cramping or drawing pains in inner or

outer parts; sensations of emptiness or hollowness in any part, esp. when accompanied by a

fainting sensation; jerking in the muscles or elsewhere, as they may be felt in the head when

talking, &c.; knocking, throbbing, or pulsation in inner parts; pressing as of a heavy load;

vibration like dull tingling or buzzing in the body.—< In early morning; forenoon; evening,

particularly before falling asleep; on waking; stooping; during inspiration; while in company;

while coughing; after coitus; after eating; from exertion of the mind; during fever; female

complaints generally; from loss of fluids; masturbation; music; milk; fat pork; during and after

perspiration; during pregnancy; riding in a car; from riding on horseback, in a swing, &c.; 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 leucorrhcea; during

confinement esp.—> From drawing up the limb; moving; exertion of body; drinking cold water;

• ▸in solitude; when walking quickly.
• ▸—H.
• ▸N.
• ▸G.
• ▸].
• ▸—Shooting and pricking pains in the limbs, and

other parts of the body.—Burning pains in different parts of the body.—Pains, which are > by

• ▸external heat.
• ▸—Pains, by fits, with shuddering.
• ▸—Wrenching pain, esp.
• ▸on exerting the parts

affected, and also at night, in heat of bed —Rheumatic pains, with swelling of the parts affected,

perspiration easily excited, chilliness or shivering, alternately with heat.—Great disturbance,

caused by vexation.—Easy benumbing of the limbs (arms and legs) esp. after manual

labour.—Stiffness and want of flexibility in the joints.—Easy dislocation and spraining of the

• ▸limbs.
• ▸—Tendency to strain the back.
• ▸—Commotions and jerks in the limbs night and day.
• ▸—Jerking

in the muscles.—Fits of uneasiness, and of hysterical spasms.—Swelling and suppuration of the

glands.—Renewal or < of several sufferings, during and immediately after a meal.—The

symptoms disappear during violent exercise, except when taken on horseback, and are < during

repose, also in the evening, at night, in the heat of the bed (and in the forenoon).—Painful

sensibility of the whole body.—Violent ebullition of blood, even at night, with pulsation

throughout the body.—Great swelling of body, with shortness of breath, without

thirst—Heaviness, and physical indolence.—Paroxysms of weakness, and hysterical or other

forms of syncope.—Fainting fits —Lassitude, with trembling —Want of energy, sometimes only

on waking.—The patient is soon fatigued, when walking in the open air—Great tendency to take

cold, and sensibility to cold air, esp. in a north wind.—Feverish shivering, syncope, and

afterwards coryza, after getting wet.

• ▸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.

Confusion of the head, which disables him from performing any mental labour.—Fits

of vertigo, esp. when walking in open air, or when writing, or even on least movement of

arms.—Vertigo, during which all objects appear to be in motion, or with sensation as of

something rolling round in head.—Vertigo in morning, on rising, or in afternoon.—Sensation of

coldness on vertex; < from moving head and stooping, > when at rest and in the open air.—Fits of

headache, with nausea, vomiting, and shooting or boring pains, which extort cries —Headache

every morning.—Headache, which does not permit the eyes to be opened.—Headache, with

excessive desire for coition.—Headache, on shaking or moving head, and also at every step, as if

brain were shaken about.—Semilateral headache, sometimes in the evening, after lying down,

preceded by heaviness of head.—Paroxysms of hemicrania, stinging pain as from within to

without, in one side of head (mostly 1.) with nausea (and vomiting) and contraction of eye; < in

room and when walking fast, > in open air and when lying on painful side.—Boring headache

from within to without, from forenoon till evening, < from motion and stooping, > by rest, when

closing the eyes, from external pressure, and sleep.—Heaviness of head.—Pressive cephalalgia

above eyes, in the clear daylight; as if the head should burst and the eyes fall out, with

nausea.—Expansive pressure in head, sometimes when stooping, as if it were about to

burst.—Contraction in head.—Drawing and tearing in and on head, sometimes

semilateral—Lancinating cephalalgia, often semilateral or frontal Shooting pains, esp. over 1.

eye, extorting cries.—Headache at menstrual nisus; with scanty flow.—Headache in terrific

shocks.—Involuntary jerking of head backward and forward, esp. in forenoon and when

sitting.—Fontanelles remain open, with jerking of the head, pale, bloated face; stomacace, green

diarrhceic stools.—Perspiration on the head, smelling sour, with faintish weakness; < in evening

• ▸before going to sleep.
• ▸—Rush of blood to the head.
• ▸—Throbbing cephalalgia, esp.
• ▸in occiput

(beginning in the morning, < in evening, from least motion, when turning eyes, when lying on

back, > when closing eyes and when at rest).—Violent congestion of blood in head, with heat,

• ▸esp.
• ▸when stooping.
• ▸—Coldness of exterior of head.
• ▸—Disposition to take cold on head from dry,

cold wind, and if head gets wet.—Involuntary trembling, and shocks in head.—Mobility of

scalp.—Scalp and roots of hair very sensitive to touch.—Itching on head (nose and

eyes).—Eruptions on vertex and back part of head, dry, offensive, stinging, itching and tingling,

with cracks, extending behind ears, feeling sore when scratching them.—Swelling on one side of

head above the temple, with itching; sensation of coldness and tearing in it; < when touching it;

> when lying on it, or after rising from bed.—Humid scabs on the head.—(Bald spots on scalp,

• ▸porrigo decalvans.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Falling off of the hair—Small red pimples on forehead; rough

forehead.—Swelling of head, esp. forehead.

• ▸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.

Heaviness and depression of upper lids.—Pressure on eyeballs.—Itching and smarting in

eyes and lids.—Pricking in eyes, by candle-light in evening —Burning sensation in eyes, esp. in

morning on waking.—Inflammation of eyes, with redness of sclerotica, and shooting

pains.—Inflammation, redness, and swelling of eyelids, with styes—Pustules in the

• ▸cornea.
• ▸—Scabs in eyebrows.
• ▸—Glassy, watery eyes, in evening.
• ▸—Fungus heematodes in

• ▸cornea.
• ▸—Dry scabs on lids, esp.
• ▸on waking in morning.
• ▸—Yellow colour of sclerotica—Eyelids

pain in morning when awaking as if too heavy, and as if he could not keep them open.—Eyelids

red, swollen; styes on them.—Lachrymation, esp. in the morning or nocturnal agglutination of

lids.—Quivering and jerking of lids —Paralysis of the lids, and inability to open them, esp. at

• ▸night (and evening).
• ▸—Confused sight, when reading and writing.
• ▸—Presbyopia.
• ▸—Weakness of

sight, as from amaurosis, with contracted pupils.—Appearances of a veil, black spots, points,

sparks, and streaks of lights, before eyes.—Intolerance of reflected light from bright

objects.—Green reflection round candle in evening.—Great sensitiveness of eyes to

daylight.—Sight vanishes during the menses, > on lying down.

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

• ▸Otalgia.
• ▸—Shootings in ears.
• ▸—Stinging in the |.
• ▸ear.
• ▸—Pain in ear, as from

excoriation.—Swelling, and purulent eruption, in external ear—Herpes on lobe of ear, behind the

ear and on nape of neck.—Discharge of liquid pus from ear, with itching.—Hearing extremely

• ▸sensitive, esp.
• ▸to music.
• ▸—Hardness of hearing.
• ▸—Sudden deafness, as if caused by a plug in

ears.—Buzzing and roaring before ears.

• ▸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.

Swelling and inflammation of nose, esp. at tip —Scabs on tip of nose.—Scabby and

ulcerated nostrils Hardened mucus in nose.—Epistaxis, and discharge of blood, frequently, on

blowing nose, after being in the slightest degree overheated, or when the nose has been struck by

• ▸any thing, even lightly.
• ▸—Violent bleeding of nose, esp.
• ▸during menses.
• ▸—Anosmia.
• ▸—Smelling too

sensitive; too feeble, yellow saddle across the bridge of nose.—Fetid smell in nose.—Ozzna;

blowing of large lumps of yellow green mucus or yellow green membranes, with blood, from the

• ▸nose.
• ▸—Dry coryza.
• ▸—Dry coryza, esp.
• ▸of |.
• ▸nostril—Dry mucus, which causes an obstruction in

nose.—Violent fluent coryza, with sneezing, pain in occiput, and drawing in limbs.

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

Paleness and puffiness of face, with blue circles round the eyes, which are red and

• ▸dull.
• ▸—Yellowness of face (and of the whites of eyes).
• ▸—Face emaciated.
• ▸—Yellow streak on nose,

• ▸and cheeks, in form of a saddle.
• ▸—Violent heat in face.
• ▸—Pale bloatedness of face.
• ▸—Erysipelatous

inflammation, and swelling of one side of face (arising from a carious tooth).—Inflammatory

swelling of face, with yellow scurfy pimples, thickly grouped.—Herpes, scurf on face.—Warts on

• ▸face.
• ▸—Black pores on face.
• ▸—Acne < before menses.
• ▸—Itching, and eruption on face and on

forehead; sometimes merely like redness and roughness of skin.—Skin swollen on

forehead.—Tumours on the forehead—Drawing facial pains.—Spasmodic pain and tearing in

bones of face—Neuralgic pains (1. side, from abuse of tobacco).—Dryness and exfoliation of

• ▸lips.
• ▸—Tension of lower lip.
• ▸—Swelling of under lip.
• ▸—Yellow colour and herpetic eruption round

mouth.—Moist and scabious eruptions on the red part of lips, and on chin.—Painful ulcer on

internal surface of lips—Engorgement and painful sensitiveness of submaxillary glands.

• ▸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.

Fetid breath.—Swelling of interior of mouth—Dryness of the mouth, lips and

• ▸tongue.
• ▸—Saline salivation.
• ▸—Taste bitter, sour, slimy, foul, mostly in morning.
• ▸—Pain in tongue

and palate, as if they had been burnt.—Tip of tongue feels as if scalded.—Excoriation of

tongue.—Vesicles on tongue.—Tongue loaded with a white coating —Soreness of tip of tongue.

Toothache, on compressing or touching teeth, and on speaking, also from slightest

current of cold air.—Nocturnal toothache, with extreme excitement.—Pulsative shooting, or

drawing toothache, extending sometimes into ear (esp. after eating, drinking, or taking anything

cold into mouth) or into arms and fingers —Toothache during the menses.—Toothache; stinging,

pulsating, extending into ear during pregnancy, with shortness of breath, with swelled face and

swelling of submaxillary glands, < from every cold draught of air, when touching teeth and when

talking. —Toothache with violent ebullition of blood, and pulsation in whole body.—Tearing

shocks in teeth.—Bluntness, looseness, easy bleeding, and caries of teeth—Gums dark

red.—Swelling, excoriation, ulceration, and easy bleeding of gums.

Sore throat, with swelling of glands of neck.—Pressure, as from a plug in throat, or

pain as from excoriation, and shootings during deglutition—Pressure in throat in region of

• ▸tonsils, as if neck.
• ▸—cloth were too tight.
• ▸—Jerking in throat.
• ▸—Swelling and inflammation of the

gullet.—Inflammation, swelling, and suppuration of tonsils—Dryness in throat, with tension and

scraping.—Clammy sensation in throat—Accumulation of mucus in throat, and on velum

palati—Roughness and burning in fauces; < by hawking —Hawking up of mucus, esp. in

morning.—Expulsion of sanguineous mucus on hawking.

• ▸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.

Putrid or sour taste-—Too salt taste of food.—Adipsia or excessive thirst, esp. in

morning and in evening, sometimes with anorexia.—Great voracity.—Bulimy, with sensation of

emptiness in stomach.—Eager desire for wine; for vinegar.—Creates aversion to

beer.—Repugnance and dislike to food, esp. to meat, and milk, which produces

diarrhcea—Tobacco smoke disagrees.—Disagreeable risings, with nausea, after eating fat

food.—Weak digestion.—A fter a weal: acidity in mouth, frequent risings, scraping and burning

sensation in throat, pulsation in scrobiculus, hiccough, inflation of abdomen, sweat, feverish

heat, palpitation of heart, cephalalgia, nausea, vomiting, pains in stomach, &c.

Sensation of emptiness in pit of stomach, just below 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, &c.—Frequent risings, generally sour or

bitter, or else like rotten eggs, or with taste of food. —Painful risings, during which blood comes

into mouth.—Acidity, with disgust to life —-Nausea, sometimes when fasting in morning, > by

eating a little—Nausea, with bitter taste and risings.—Nausea from motion of a carriage-—Nausea

and vomiting after a meal.—Vomiting of bile and of food (in morning, with

headache).—Vomiting of bile and food during pregnancy; straining so hard that blood comes

up.—Pains in stomach after a meal, sometimes in evening.—Violent pain in cardia, when food

passes into stomach.—Pain in the scrobiculus while walking.—Pressure in stomach, as from a

• ▸stone, esp.
• ▸during or after a meal, or else at night.
• ▸—Contractive spasm in stomach.
• ▸—Waterbrash,

esp. after drinking or eating, or preceded by a whirling sensation in stomach.—Vomiting of milky

serum (in pregnant women).—Nocturnal vomiting, with headache.—Cramps in stomach and

chest.—Tearing boring in cardiac region, extending to loins. —Cutting boring from stomach

towards spine.—Pressive shootings in scrobiculus, and in region of the stomach.—Burning

sensation in pit of stomach and scrobiculus.—Throbbing in pit of stomach.—Painful sensation of

emptiness in stomach.

• ▸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.

Pains in the liver, when riding in a carriage —Aching, throbbing, and shooting in

• ▸hepatic region.
• ▸—Boring or tensive shootings in hypochondria, esp.
• ▸during movement.
• ▸—Shootings

• ▸in |.
• ▸hypochondrium.
• ▸—Attacks of contractive pain in r.
• ▸hypochondrium.
• ▸—Pain across

hypochondrium at night on lying down, > from micturition.—Pain in abdomen, in bed in

morning.—Pressure and heaviness in abdomen, with sensation of expansion, as if it were about to

• ▸burst.
• ▸—Excessive distension of abdomen.
• ▸—Heaviness and hardness in abdomen.
• ▸—Hardness in

pyloric region.—Soreness of abdomen in pregnant women.—Enlargement of abdomen (in women

who have had children).—Dropsical swelling of abdomen.—Abdominal spasms, with a clawing

pain, as if intestines were twisted.—Incisive colic, esp. after corporeal exercise, or at night, with

desire to evacuate.—Digging, cuttings, and aching in the abdomen.—Pain, as from a bruise in

• ▸intestines.
• ▸—Coldness in abdomen.
• ▸—Burning sensation and shootings in abdomen, esp.
• ▸in I.
• ▸side,

and sometimes extending into thigh.—Sensation of emptiness in abdomen.—Lancinations in

• ▸groins.
• ▸—Brownish spots on abdomen.
• ▸—Movements and borborygmi in abdomen, esp.
• ▸after a

meal.—Excessive production and incarceration of flatus.

• ▸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 diarrhoea, worse from boiled milk, and rapid exhaustion.
• ▸Pains shoot up in rectum and vagina.

Constipation during pregnancy.—Ineffectual want to evacuate, or only with

emission of slime and flatus.—Slow, inefficient evacuations, like sheep dung.—Scanty

evacuations, with straining and tenesmus.—Feces too soft.—Difficult discharge even of soft

stool.—Great difficulty in discharging stool, which seems to stick in anus or rectum as if a ball or

potato was there.—Difficult stool with sensation of weight in abdomen.—Gelatinous evacuations

(small), with gripings (and tenesmus).—Debilitating diarrhoea.—Greenish diarrhoea, often of a

• ▸putrid or sour smell, esp.
• ▸in children.
• ▸—Diarrhoea after boiled milk.
• ▸—Whitish or brownish colour

of stools.—Discharge of blood during the evacuation —Contractive pain and tension, itching,

tingling, burning, and shooting in anus and rectum.—Oozing from rectum.—Slimy discharge from

rectum, with shooting and tearing pains.—Affections of anus and rectum where there are sharp,

shooting, lancinating pains running up into abdomen.—Prolapsus recti, esp. during an

• ▸evacuation.
• ▸—Weak feeling in rectum in bed.
• ▸—Congestion, of blood in anus.
• ▸—Inactivity of the

bowels.—Protrusion of hemorrhoids from rectum (when walking; bleeding when

• ▸walking).
• ▸—Bleeding heemorrhoids.
• ▸—Excoriation between the buttocks.
• ▸—Contractive pain in

perineeum.—Ring of condylomata round anus.

Frequent (and ineffectual) want to urinate (from pressure on bladder and

tension in hypogastrium).—Aching in bladder.—Feeling as if bladder were greatly

distended.—Emission of urine at night (has to rise frequently).—Involuntary discharge of urine at

• ▸night, esp.
• ▸in first sleep.
• ▸—Deep-coloured urine, red like blood.
• ▸—Turbid urine, with red, sandy, or

brick-coloured sediment.—With white sediment and a cuticle on surface.—Profuse fetid urine,

with white sediment.—Urine with a sanguineous deposit.—Sediment to the urine like clay, as if

clay were burnt on the bottom of the vessel.—Urine very offensive; cannot be endured in

room.—Cramp in bladder, burning sensation in bladder and urethra.—Smarting in urethra, esp.

when urinating.—Incisive pains and shootings in urethra.—Discharge of mucus from the urethra,

as in chronic gonorrheea.

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

• ▸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.
• ▸Leucorrhoea 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.

Excoriation in vulva, and between thighs, sometimes before

menses (soreness and redness of labia and perineum).—Great dryness of vulva and vagina, esp.

after menses; painful to touch.—Internal and external heat in genitals.—Con tractive pain in

vagina.—Swelling, redness, and moist itching eruption on labia minora.—Bearing down in uterus,

which obstructs respiration.—Pressure as if everything would protrude through the vulva (with

oppression of breathing).—Pains in both groins and bearing down, with constipation but no

leucorrhcea; sleep heavy and non-refreshing, coldness all over, tongue flabby (cured in stout

• ▸woman, 35.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸Prolapsus of the vagina.
• ▸—Violent stitches in the vagina

upwards.—Prolapsus uteri, with congestion, with yellow leucorrhcea.—Prolapsus, with inclination

• ▸of fundus to 1.
• ▸, causing numbness in |.
• ▸lower half of body, with pain, > when lying, esp.
• ▸on r.

side, tenderness of os uteri.—Induration of cervix; burning, shooting, sticking

• ▸pains.
• ▸—Metrorrhagia; during climaxis or during pregnancy.
• ▸—Menses too profuse.
• ▸—Menses

suppressed, or too feeble, or else too early (appearing only in morning).—When menses fail to

appear in mothers who do not nurse, with inflation of abdomen.—Colic before menses.—During

menses: irritability, melancholy, toothache, headache, nose-bleed, and painful weariness in

limbs, or spasmodic colic and pressure towards the parts.—Must cross her limbs to prevent

• ▸protrusion of the parts.
• ▸—Dull, heavy pain in ovaries; esp.
• ▸1.
• ▸—Sterility—Leucorrheea, or a yellow

or greenish red water, or purulent and fetid, sometimes with inflation of abdomen, or shootings

in vagina.—Leucorrhcea in place of menses.—Leucorrheea like milk, with soreness of

• ▸pudenda.
• ▸—Itching, corrosive leucorrhoea.
• ▸—Inclination to miscarriages.
• ▸—Abortion after the fifth

month.—tendency to abort fifth to seventh month—Shootings in mamme.—Excoriation of

nipples (which bleed and seem about to ulcerate).—Nipples cracked across the

crown.—Induration of breasts; scirrhus, stitches, tender, burning pains.—Excoriation in

children.—Sudden hot flushes of climaxis, with momentary sweat, weakness and great tendency

to faint—Retained placenta after miscarriage.—Soreness of abdomen, feels motions of child too

sensitively —During pregnancy yellow brown spots on face.—Terrible itching of vulva causing

abortion.—Offensive excoriating lochia, very long lasting.

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

Profuse perspiration of genitals, and esp. of scrotum.—Itching round

the genital organs.—Itching eruption on the glans and prepuce.—(Crop of small, velvety

gonorrhceal warts round margin of prepuce).—Pseudo-gonorrhcea of an acid salt smell.—Ulcers

• ▸on glans and prepuce.
• ▸—Pains in the testes —Cutting in testes.
• ▸—Swelling of scrotum.
• ▸—Weakness

of genital organs.—Increased sexual desire, with frequent erections (continued erections at

night).—Frequent pollutions.—Discharge of prostatic fluid, after urinating, and during a difficult

evacuation.—Intellectual, moral, and physical fatigue after coition, and pollutions.—In either sex,

complaints from coition.

• ▸Dry, fatiguing cough, apparently coming from stomach.
• ▸Rotten-egg taste with coughing.
• ▸Oppression of chest morning and evening.
• ▸Dyspnoea; 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.

Roughness and soreness of larynx and throat.—Sensation of dryness

• ▸in larynx.
• ▸—Hoarseness with coryza.
• ▸—Sensation of dryness in trachea.
• ▸—Cough, excited by a

tickling in larynx or chest.—Dry cough, which seems to arise from stomach, esp. when in bed in

evening (till midnight), and often with nausea and bitter vomiting.—Moist cough, after a

chill—Cough only during day, or which wakens one at night.—Expectoration profuse and

whitish.—Cough, with copious expectoration of mucus, generally putrid, or of a salt taste, often

only in morning or evening, and frequently accompanied by noise, weakness, and pains as from

excoriation in chest (as if it were raw).—Cough with expectoration in morning, no expectoration

in evening, or with expectoration at night, none in day; very severe cough in morning on rising,

and expectoration of a great quantity of badly tasting substance.—Nocturnal cough, with cries,

suffocation, and retching.—Cough, like whooping-cough.—Attacks of spasmodic cough, like

whooping-cough, caused by tickling in chest or from tickling extending from larynx to abdomen,

with expectoration only in morning, evening and at night of greenish-grey pus, or of milk-white,

tough mucus, sometimes disagreeably sweet, which has to be swallowed again.—Cough < when

lying on 1. side; from acids.—Cough excited by a tickling sensation, and accompanied by

constipation.—Difficult expectoration (or being obliged to swallow again what had been

raised).—Y ellow-greenish purulent expectoration during the cough.—Expectoration of blood

while lying down.—Sanguineous expectoration, when coughing, morning and evening, with

expectoration of mucus by day.—Lancinations in chest or back during cough.

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

Dyspncea, oppression of chest, and shortness of breath, when walking and ascending,

as well as when lying down in bed, in evening, and at night.—Pain in sides of chest, when

inspiring or coughing.—Stitch in 1. side of chest and scapula when breathing and

coughing.—Oppression on chest produced by an accumulation of mucus, or by too profuse

• ▸expectoration.
• ▸—Pain in chest from movement.
• ▸—Pressure in chest, esp.
• ▸when in bed in

evening.—Heaviness, fulness, and tension in chest.—(Hepatisation of middle and lower lobes of r.

• ▸lung.
• ▸—Skinner).
• ▸—Pain in chest, as from excoriation.
• ▸—Cramps in chest.
• ▸—Itching and tickling in

chest.—Sensation of emptiness in chest.—Shootings and prickings in chest, and sides of chest,

sometimes during an inspiration, and when coughing, as well as from intellectual

exertion.—Brown spots on chest.—The chest symptoms cease, or are > by pressure of hand on

thorax.

Ebullition (congestion) of blood in chest, and violent palpitation of

heart.—Intermittent palpitation of heart —Palpitation: in evening in bed with beating in all

arteries; during digestion; with stitches in |. side of chest.—Heart gives an occasional hard

thump.—Wakes up with violent beating of heart—Nervous palpitation > by walking fast.

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

Tetters on nape, and behind ears.—Claret-coloured spots on neck, and

under chin.—Furunculus on neck.—Perspiration on back, and under axillee—Swelling and

• ▸suppuration of axillary glands.
• ▸—Humid tetters under axillaze.
• ▸—Pressure and stitches in r.
• ▸shoulder-

blade.—Stiffness in small of back and neck.—Pains in loins and back, with burning

• ▸tearing.
• ▸—Throbbing in loins.
• ▸—Weakness in loins when walking.
• ▸—Incisive pains, pressure,

digging and spasmodic tearings in back.—Rigidity of back and nape.—Pain in the back, and small

of back particularly with stiffness; > by walking.—Tearing in back during menses, with chills,

heat, thirst and contraction of chest.—Aching and dull pain in lumbar and sacral regions,

extending to thighs and legs.—Sprained pain over hips, in evening in bed, and in

• ▸afternoon.
• ▸—Shivering in back.
• ▸—Brownish spots on back.
• ▸—Reddish herpetic spots above hip, and

• ▸both sides of neck.
• ▸—Stitches posteriorly above r.
• ▸hip; she could not lie on r.
• ▸side, and when

touched it felt sore—Stitches in back when coughing.—Itching eruption on back.

Wrenching pain (as from dislocation) in shoulder-joint, esp. on lifting or

holding anything.—Lassitude in arms.—Sensation of stiffness or coldness in arms, as if

paralysed.—Drawing, paralytic pain in arm and shoulder-joint, extending to fingers.—Swelling

and suppuration of axillary glands.—Shootings in arms, wrist, and fingers on fatiguing or moving

them.—Painful tension in arms, and joints of elbow and fingers, as if caused by

contraction.—Inflammatory, deep red, hard, marbled swelling in middle of arms.—Pustules on

arms, with violent itching.—Stiffness of joints of elbow and hands.—Brownish spots, herpetic

skin, and itching scabs an elbow (scaling off).—Itching vesicles on back of hand, and tips of

• ▸fingers.
• ▸—Itch and scabs on hands (soldiers' itch).
• ▸—Herpes on backs of hands.
• ▸—Swelling of hand,

with eruption of vesicles, like pemphigus.—Shootings in wrist on moving the hand.—Burning

• ▸heat in palms.
• ▸—Cold sweat on hands.
• ▸—Malignant scabies, and scabs on hands.
• ▸—Arthritic drawing

and shootings in joints of fingers.—Distortion of fingers Painless ulcers on joints, and on tips of

fingers.—(Tingling in tips of fingers, which wakes her up on going to sleep, after which sleeps

• ▸well all night.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Warts on hands and fingers; on sides of fingers; horny.
• ▸—Flaws on

fingers.—Deformed nails.—Panaritium, with throbbing and shooting pains.

• ▸Pain as if bruised in r.
• ▸hip-joint.
• ▸—Pain in hips, with tearing shootings.
• ▸—Pain

in buttocks and thighs, after having been seated for some time.—Spasms in buttocks at night, in

bed, when stretching out the limb.—Paralytic weakness of legs, esp. after a paroxysm of

passion.—Stiffness of legs, as far as hip-joint, after having been seated a short time.—Coldness in

legs and feet (esp. in evening in bed).—Swelling of legs and feet (< when sitting or standing, >

when walking).—Cramp in thighs when walking.—Tearing lancinations, or shocks in thighs and

tibia, so as to extort cries.—Furunculi on thigh and in hams.—Drawing and tearing shootings in

knees, hams, and heels.—Painful swelling of knees.—Synovitis of knee-joints in housemaids (R.

• ▸T.
• ▸C.
• ▸).
• ▸—Stiffness in joints of knee and ankle—Cramps in Calves, sometimes at

night—Restlessness of legs every evening (with formication in them).—Itching pimples on legs

and instep—Drawing pain in legs and great toes.—Shootings in tibia and instep.—Sensation in

legs, as if a mouse were running over them.—Jerking in feet when sleeping.—Ulcers on

instep.—Stiffness in heels and joints of feet, as from contraction —Pricking and burning sensation

of feet.—Tingling and numbness in soles of feet—Profuse, or else suppressed (offensive)

perspiration of feet (causing soreness between toes).—Stinging in the heels.—Tension in tendo-

Achillis.—Ulcers on heel, arising from corrosive vesicles.—Indolent ulcers on joints and tips of

toes——Corns on feet, with shooting pain —Deformity of toenails.

• ▸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.

• ▸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.

Skin yellow, like jaundice; chapping of the skin, or cracks may extend deeply into the

tissues, and this is < by washing in water; exanthema in general, particularly when it is disposed

• ▸to crack.
• ▸—Ulceration of the exanthema; bed sores; brown sphacelus.
• ▸—Tetters in general.
• ▸—Ulcers

suppurating; pus too copious; swollen; with proud flesh.—Salt rheum.—Excessive sensibility of

the skin.—Soreness of skin and humid places in bends of joints —Itching in different parts (face,

arms, hands, back, hips, abdomen and genitals) which changes to a burning sensation.—Itching

• ▸and eruption of pimples in the joints.
• ▸—Excoriation, esp.
• ▸in the joints.
• ▸—Dry and itching eruptions,

• ▸like scabies.
• ▸—Dry itch; bad effects where itch has been suppressed by Merc.
• ▸or Su/.
• ▸—Brown, or

vinous, or else reddish, and herpetic spots on skin.—Annular desquamation (annular

herpes).—Moist, scabious herpes, with itching and burning sensation.—Boils and blood-

boils—Engorged glands.—Scirrhous indurations—Eruptions of vesicles, like

pemphigus.—Itching, stinging, lancinating, burning, or sometimes indolent ulcers (knuckles,

finger-joints, tips of fingers, joints and tip of toes).—Corns, with shooting pain.—Deformity of

nails.—Hepatic spots.—Warts: on neck with horny excrescences in centre; small, itching, flat on

hands and face; large hard seed warts; dark colour and painless; (large horny wart on abdomen).

Strong disposition to sleep during day, and early in evening.—Attacks of coma,

returning in a tertian type.—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.
• ▸—Awakens at 3 a.
• ▸m.
• ▸and cannot go to sleep

again.—Sleeplessness from over-excitement.—Early waking, and lying awake for a long

time.—Frequent waking, without apparent cause. —Agitated sleep, with violent ebullition of

blood, continued tossing, fantastic, anxious, frightful dreams, and frequent starts (screaming),

with fright—The sleeper fancies himself called by name.—Unrefreshing sleep; sensation in

morning, as from insufficient sleep.—Lascivious dreams.—Talking, cries, and jerking of limbs,

during sleep.—Nightly delirtum.—Wanderings, anguish, feverish heat, and agitation in the body,

toothache, colic, cough, and many other sufferings at night.

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

Pulse full and quick during night and then intermitting; during day slow.—Pulse

accelerated by motion and being angry.—Pulsation in all the blood-vessels.—Shuddering

(chilliness) during pains.—Coldness of single parts —Want of vital heat—Frequent shivering, esp.

when out of doors in evening, and from every movement.—Flushes of heat at intervals during

day, esp. afternoon and evening, while sitting or in open air, generally with thirst or redness of

face.—Paroxysm of heat (transient), esp. when seated, and walking in open air, also when angry,

or engaged in important conversation.—Paroxysm of heat (and of shivering) with thirst.—During

chill more thirst than during heat.—Continued heat, with redness of face and violent

thirst.—Fever, with thirst, during shivering, pains in the limbs, icy coldness of the hands and feet,

and deadness of the fingers —Perspiration in general; perspires too easily; single parts perspire

too easily; perspiration with anxiety; with restlessness; sour-smelling or offensive.—Internal

chilliness with external heat.—Perspiration while seated.—Profuse perspiration on the slightest

movement (more after than during exercise).—Perspiration only on upper part of

body.—Nocturnal perspiration, sometimes cold (on breast, back, and thighs).—Perspiration in

morning, sometimes of an acid smell.—Intermittent fever, followed by violent heat and inability

to collect one's senses; this is followed by profuse perspiration.

Septicaeminum.

Nosode of Septiczemia (Swan). Attenuations made from contents of a septic abscess.

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

Inimical: Lach; Puls.

Compare: Lit; Murex; Silica; Sulph; Asperula-Nacent oxygen. Distilled water charged with the gas--(leucorrhoea of young girls and uterine catarrh); Ozonum (sacral pain; tired feeling through pelvic viscera and perineum); Dictamnus--Burning Bush--(Soothes labor pains); (metrorrhagia, leucorrhoea, and constipation; also somnambulism). Lapathum (Leucorrhoea 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.

Sepia is suited toi tall, slim w^omcn 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 : ‘1 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 docs not love him.

This state is brought out in a woman during confinement, after uterine and other haemorrhages, 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 arc 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. It is also common for the whole face to be covered with enormous freckles, great

brown patches as in pregnancy, brown spots on the cheeks, brown

warts, warts that have been red or pink become pigmented ; liver spots

on the face, chest, and abdomen. The skin of the face is sallow and

doughy, looks as if the muscles were flabby : you will seldom see Sepia

indicated in the face that shows sharp lines of intellect ; a person who

has been thinking a long time has the lines and sharp angles of a

thinking person, of one who possesses will and intellect. The Sepia

subject is one who is rather stupid and dull, thinks slowly and is forgetful ; the mind is anything but active and we see it in the face. _ In

many instances, however, the Sepia patient is a quick patient, but the

dullness of intellect is the most striking feature and it reflects itself

upon the face. The face is generally puffed, often smooth and rounded

and marked by an absence of intellectual lines and angles.

This patient is anaemic, pale lips and ears, pale, sallow face, fingers

and hands become shrivelled, sallow, waxy, bloodless. Sepia establishes a progressing emaciation of the body and the skin becomes

wrinkled ; the person looks prematurely old ; wrinkles intermingled

'With sallow spots on the face in one who is 35 years of age, making

him look as if he were fifty. A child looks like a shrivelled dried up

old person.

With all complaints there is constipation. The bowels lose their

ability to expel their contents and the patient is always constipated ;

constipation during pregnancy ; slow, difficult stool ; stool like sheep

dung. Always has a feeling of a lump in the rectum, never able to

empty the bowels ; though he goes to stool there is always a sensation

of a lump remaining in the rectum. When the stool passes into the

lower bowel, it is not expelled until there is an accumulation, which

presses the stool out.

Another feature present in most Sepia patients is a gnawing hunger,

seldom satisfied ; even though he eats plentifully he feels a gnawing,

empty, hungry feeling in the stomach, not relieved by eating or relieved only for a moment. This is striking especially when associated

with the constipation and the peculiar state of the affections.

When these symptoms are associalied with prolapsus, Sepia will certainly cure, no matter how bad the prolapsus has been or what kind of

displacement there is. It is the result of the state of relaxation of all

the internal parts as if they were let down, wants a bandage to hold

the parts up or wants to place the hand or napkin on the parts ; a

funncling sensation, better sitting down and crossing the limbs.

When these symptoms group themselves together, the gnawing hunger, the constipation, the dragging down, and the mental condition, il

is Sepia and Sepia only. One is not sufficient but it is the combination.

Sepia has a marked catarrhal tendency, tendency to milky discharges

from mucous membranes. Long after disgestion has ceased and the

stomach is empty comes nausea and sometimes vomiting. It is a catarrhal state of the stomach and when it persists with the milky vomiting, Sepia is very valuable. This is not an uncommon feature in the

vomiting of pregnancy. Vomits up food and after emptying the stomach of its contents, vomits or eructates a milky fluid ; morning vomiting, first of food, then a milky substance. Do not confound this with

vomiting of milk. Some medicines vomit milk alone and Sepia does

this also.

-Whitishj milky disc^ajges fruiu the posterior nares, from, the vagina,

SEPU

excoriating, milky leucorrhoea, which at times takes on the appearance

of curds, thick, cheesy, and horribly offensive ; it has also thick, green

and yellow discharges ; it has dry crusty formations on mucous membranes.

Prolonged inveterate catarrh of the nose, thick, green, and yellow

crusts are blown from the nose and sometimes are hawked from the

posterior nares, thick, leathery formations. Loss of taste and smell.

The smell of cooking food, meat and broth causes nausea. Catarrh of

the chest with thick, tenacious, ycllov/ expectoration, accompanied with

a violent cough, retching, gagging, violent prolonged retching, vomiting ; dry cough and yet there is rattling. Whooping cough ; asthmatic

cough with retching and loss of urine. The cough is a violent one.

Cough during first sleep [Lack,, in irritable children Cham,). Tuberculosis. Quick consumption after a suppressed gonorrhoea ; if given

soon enough it will check. Spasmodic dry cough in the evening until

• ▸midnight ; holds the chest during the cough {Bry.
• ▸, Natr.
• ▸sulph,, Phos.
• ▸)

Eruptions of the skin. Tendency to produce herpetic eruptions

about the genitals, lips and mouth ; ring-worm upon the face and body.

It has cured zona, and herpetic eruptions of the labia and foreskin.

Vesicular eruptions in the axilla, upon the tips of the elbows ; eruptions

that pile up in great crusts on the elbows ; thick crusts form upon the

joints ; eruptions between the lingers ; moist eruptions that pour out a

watery fluid, or thick, yellow, purulent fluid.

Sepia produces the induration that belongs to some forms of eruption like epithelioma ; indurations will form on the lips and crack and

bleed. The scaly eruption that looks like epithelioma is especially

Sepia. When the scales come off a yellow, green, ichorous base remains, and as soon as one crust peels off, another forms ; finally if torn

off prematurely, it bleeds. Sepia has cured epithelioma of the lips,

wings of the nose, and eyelids It has cured old indurations caused

by the use of a clay pipe, where it continues to form, and beneath it is

seen this thick, yellow, purulent exudation. It is indicated in lumps

and lupoid formation on the skin, where there is infiltration ; sometimes

healing from the centre to form a ring ; this is a typical Sepia condition. The hardness and purple color are what are peculiarly Sepia.

Sepia stands on a par with Lack, for this purple aspect.

Sepia has a hysterical diathesis. Breaks out in spells of weeping,

is sad one minute, gentle, yielding, and in another she is disagreeable,

excitable, obstinate. You do not know what she is going to do next.

She says and does strange things, makes errors, no dependence can be

placed on her ; no mental endurance ; no affection for her family ; whole

mind weak and disordered, not when there is fever, but it is a chronic

manifestation of psora or sycosis. Fear of ghosts ; that something unusual will happen ; atmosphere full of figures, not seen, but she knows

that they are there, departed friends or other forms and very often in

accordance with religions belief. Never happy unless annoying some

one ; relating her grievances ; sarcastic ; insulting ; fear of insanity,

poverty. 'Tears to starve, is peevish and feels mortilied, easily frightened and full of forbodings.’’ "Passionate, irritable ; the greatest

irritability from slight causes, very easily offended. Vexed and disposed to scold.’’

The headaches are nervous, bilious, periodic, violent, involving the

whole head ; congestive. Generally better lying down, keeping perfectly quiet ; worse from ordinary motion, but relieved by violent motion, like most Sepia symptoms in general ; she can walk off her sufferings. Stasis of the brain, slowness of thought, mind will not work and

mental labor aggravates the headache. A good substantial sleep relieves it, but if she is awakened after sleeping a short time, the headache is worse. The same is seen in regard to motion ; moving the eyes,

head, or body, moving about in a warm room aggravates the pain, but

a good, long walk in the open air until she becomes heated up, relieves.

It is a sluggish state of the body which requires exercise, and violent

exercise to keep it in a state of comfort. The Sepia symptoms are

worse in the open air unless combined with continued motion, better

from exercise in the open air and worse in the house. The headache

is worse from stooping, motion, coughing, going up stairs, jarring,

light, turning the head, lying on the back and from thinking, but continued, hard exercise relieves, as does a tight bandage, and the application of heat, though worse in a warm loom.

There are Sepia headaches that particularly affect the occiput, worse

in the morning ; great pain through t3ie eyes and temples ; relieved by

sweat, worse on beginning to move ; throbbing felt on stooping, worse

on going up stairs.

• ▸The Phos, headache is relieved by sleep, but continued, rapid motion aggravates.
• ▸Cannot endure it.
• ▸Sepia is suited to the old fashioned bilious headaches.
• ▸It is better from vomiting ; the pain gradually increases, loathing of food, ilien nausea, vomiting and the patient

falls asleep and wakens without the headache. Sang, resembles it, is

better vomiting, better in a dark room ; the direction is different, however.

Neuralgia of the head ; periodic sick-headaches in gouty people ; violent, congestive headaches in young women sensitive to noise, w^omen

of extremely delicate fiber, especially those with dark eyes, dark skin,

and who become sallow from sickness. Jaundice often sets in with the

headaches ; at the close of the headache vomiting, and in a few days

jaundice, which passes away but returns again with the next headache.

Headache every morning with nausea ; the smell of food repulsive.

Sepia takes on a stupid state of mind as mentioned above ; will not

work ; will not answer questions ; as if intoxicated,, benumbed ; eyes

and face swollen, sclerotics yellow and jaundice. This sometimes

ends in violent vomiting spells. Craves spicy, pungent, bitter things

like beer — in old drunkards with headache ; threatening apoplexy-

‘‘Apoplexy in men addicted to drinking and sexual excesses, with a

disposition to gout and haemorrhoids, etc.” “Threatening apoplexy in

a dissipated, middle-aged man, who is subject to arthritic and haemorrhoidal complaints ; they have usually passed through several light attacks of apoplexy and are frequently visited with prodromic symptoms.”

Under external head we have eruptions and falling out of the hair ;

yellow crusts ; oozing of pus and other fluids ; vesicles : eczema of infants.

Eyes ; catarrhal symptoms with vesicles and pustules ; granular lids ;

ulcers and psoric manifestations ; various infiltrative conditions of thei

eyes and about the eyes ; pustules on the margins of the lids, pustules

on the globe of the eye, seems as if looking through a gauze ; tarsaltumors, agglutination of lids, styes, etc.

The ears discharge thick, yellow pus ; offensive.

The nose is a favourite* locality ; loss of smell ; yellow or green thick

crusts fill the nose and cannot be blown out ; inveterate discharge of

thick yellow pus. ‘'Large offensive-smelling plugs from the nose,

often so large that they have to be drawn back into the mouth and

expectorated, causing vomiting. Di*y coryza especially of left nostril.

Blowing of large lumps of yellow or green mucus or yellow-green

cursts with blood from the nose.” This is descriptive of the worst

forms of catarrh ; very few will let it run on thus far, they apply lo(;al

treatment and heal the nose up, and, the process at once going to the

chest, phthisis pituitosa comes on.

The gums settle away from the teeth. Toothache and neuralgia

from taking cold.

Sensation of a lump in the throat (like Lack,), but the latter is better from swallowing. (The same in worm troubles indicates Cina.)

Uneasiness of the collar and corsets like Lach^ Worse in the first

sleep like Lack.

Sepia brings out many things in connection with the appetites, thirst,

eating, drinking and stomach, etc. The Sepia patient is generally conscious of a spoiled stomach, sour and bitter eructations of food, of

mucus and bile, sour and bitter vomiting of food and mucus ; all-gone,

hungry, empty feeling in the stomach sometimes not relieved by eating.

At times a gnawing pain, a sinking, a gnawing hunger which is not

always relieved by eating. Almost constant nausea, especially in the

morning, nausea and eructations and vomiting of milky fluid ; when the

stomaeh is empty, vomiting, spitting up, eructations of milky fluid.

Aversion to food, to the smell of food cooking, like Colch. and Ars.

The patient gets up in the morning with an all-gone feeling, distress

and fulness in the stomach followed by belching and uprisings of mucus, and milky fluids ; vomiting of pregnancy ; vomiting of milky water

in the morning ; this is a characteristic of Sepia.

Acrid, burning eructations ; heartburn ; rancid eructations, excoriating the throat ; pyrosis which is another form of eructation ; acrid,

sour fluids burning all the way up, causing contraction, tingling, smarting.

Nausea violent ; deathly sinking accompanied with an awful anxiety

in the stomach.

Phos, has more of the typical hunger which is relieved by eating.

The Ignatia patient is always sighing ; cannot get rid of ‘‘that feeling.*'

Oleander has an all-gone empty feeling as if he would die ; food

docs not relieve, is not digested, but passes undigested the next day.

Lyc, has an all-gone feeling sometimes not better by eating, felt as

markedly before as after earing, and after eating there comes a throb*

Wng.

Kali curb, has it also, without the amelioration from taking food ; it

is even intensified by eating, which is followed by a sensation of fuh

ness and throbbing.

In severe liver and heart affections the stomach is not able to keep

up assimilation : palpitation, great weakness, liver congested, white

stool. Digitalis comes in here with dts deathly sinking not better by

eating. In Sepia this symptom is fessociated with the loss of affections, the lump in the rectum, with the constipation, etc.

“Pain in the stomach after the simplest food. Stitches and burning

in the stomach. Pain in the stomach worse by vomiting.” This is

peculiar, for vomiting usually relieves the distress. The Sepia stomach becomes like a leather bag, fill it up and the food comes up just as

eaten or at times sour or mixed with bile.

Inflammation of the liver, enlargement with jaundice, pain, fulness,

distension, distress in the region of the liver.

Abdomen distended with flatus, rumbling and distension. These disturbances are often chronic as in pot-bellied mothers ; abdomen covered with brown spots.

Sepia has removed tape-worm.

Chronic diarrhoea, stools jelly-like, lumpy ; alternating diarrhoea and

constipation ; a great amount of mucus with the stools, whether constipated or diarrhoeic ; hard stool covered with a great quantity of jellylike mucus. Goes for days without a stool and then sits and strains

until a copious sweat breaks out and yet no stool, but after assistance

with the finger and prolonged strain a little stool is passed, followed

by a cupful of jelly-like mucus, yellow or yellow-white and very offensive.

The acute diarrhoeas and dysenteries with jelly-like stools are more

in keeping with Kali bi, and Colch, This is chronic diarrhoea or in

constipation with stool covered with or followed by jelly-like mucus

is Sepia.

Do not confound with Graph,, which has an enormous stool with

much straining and sweating, and coated with and mixed with a substance looking like the cooked white egg, as if covered with albumen.

In Sepia there is much offensiveness ; the odor of the stool is unusual, loose stools horribly offensive, foetid ; the sweat is foetid, the

urine is foetid. “The stool has a putrid, sourish, foetid smell, expelled

suddenly and the whole of it at once.’* Sepia is given in a routine

way for constipation, when there are few symptoms. There is always

a sense of fulness in the rectum after stool ; ineffectual straining and

sweating in the effort because the patient is weak and exhausted.

Sepia has the ineffectual urging like Nux. She may go for days with

no urging and then the effort is as if she were in labor. Prolapse of

the rectum. Weight as of a ball in the anus not relieved by stool.

Soreness of the anus. Expulsion of ascaridcs. Oozing moisture from

the rectum, soreness l>etween the buttocks.

Haemorrhoids soon form when the rectum is so packed with faeces,

and they give additional trouble.

There is much urinary trouble ; involuntary urination as soon as the

child goes to sleep at night. Sepia is compelled to keep the mind on

the neck of the bladder or she will lose the urine ; urine is lost when

coughing, sneezing, laughing, the slam of a door, a shock, or when the

mind is diverted. Frequent, constant urging to urinate with milky

urine that burns like fire and after standing a while a milky, greyish

deposit will form which is hard to wash off the vessel. Bloody urine,

scanty and suppressed, great pain in the kidneys and bladder with great

bearing down ; sudden desire with tenesmus as if the uterus would

come out. Sudden desire to urinate with cutting like knives and chill

all over the body, if unable to pass it, as a lady in company. I remember a pitiable case. A saleswoman was obliged to go to the closet

every few minutes ; a violent pain like a knife cutting came with the

desire to urinate, and if the urine was not passed this pain would hold

tight on. She was compelled to keep her mind on the urine or she

would lose it. She was tall, slim, with sallow face, distressed look,

worn and tired. Sepia cured her and she was never troubled again.

The Sepia patient aborts at the third month. All sorts of ulcerative;

conditions, displacements, dragging down and relaxations. Retained

placenta. Subinvolution, all the pelvic organs arc tired and weak.

Metrorrhagia during the climacteric or during pregnancy, especially

at the fifth and seventh months.

Both male and female have aversion to the opposite sex. In the?

female there is a state as if she had indulged to excess, when this is

not the case. No endurance, tired after coition, sleepless nights, sleep

full of dreams, jerking of muscles, twitching, leucorrhoca, congestion

of the pelvis. A woman who has been normal in her relations with

her husband brings forth a child, and then the thought of sexual relations causes nausea and irritability.

The menstrual symptoms are of all sorts, no particular derangement

characterizes Sepia. At one time it was thought that scanty menstruation was the more striking feature, but this is not necessarily so ; from

provings and clinical observations, it has cured profuse as well as scanty

flow.

Most violent dysmenorrhoea in girls of delicate fiber, sallow girls.

Sepia comes in when the woman ought to menstruate when the child

ceases to nurse ; sometimes the child dies and menses ought to be established but do not appear, and the mother runs down, pines away ;

Sepia will establish the flow\

Calc, is the opposite ; the menses come on while the child is nursing.,

Thick greenish acrid or milky Icucorrhtra. Leucorrhcea in little girls.

In the male, old sycotic discharge that has resisted injection. Profuse yellow, or milky discharge from the urethra, or the “last drop,''

painless. Gonorrhoea after the acute symptoms have subsided. Urine

loaded with urates, stains everything red and often excoriates, very

foetid, associated with prostatitis. ‘‘Gleet ; no pain ; discharge only

during the night, a drop or so staming the linen yellowish ; yellowish

discharge, no burning or urinating ; |)ainless ; of a year and a half's

standing ; orifice of urethra stuck together in the morning, particularly

when the sexual organs arc debilitated by long continuance of disease

or through frequent seminal emissions."

Warts on the genitals ; Sepia is useful when these organs have been

overused and take on such an appearance. Impotence in the male,

loss of sexual feeling in the female.

The close relation between this remedy and Mur ex is worth considering. The muscular relaxation, dragging down in the abdomen and

pelvis, aggravated from exertion and walking, ameliorated by sitting

with the limbs crossed and ameliorated l)y pressure on the genitalia

would be like both remedies ; but add to this copious menstrual flow'

and violent sexual desire and Murex must be considered and Sepia

eliminated. Both have extreme empty feeling in the stomach. Sepia

has diminished sexual desire and often aversion. Murex has great

soreness and congestion of the uterus, and she is constantly reminded

of the uterus. Murex has acute pain in right side of uterus which

crosses the body diagonally upward to left side of chest, or left breast.

It cures violent dysmenorrhoea. It has been useful in cancer of the

uterus. Watery, greenish, thick, bloody leucorrhoea, causing itching.

Drawing in all the limbs.—Drawing and tearing (paralytic pains) in, limbs and joints

• ▸(with weakness).
• ▸—Heaviness of the limbs.
• ▸—Arthritic pains in joints.
• ▸—Tension in limbs as if they

• ▸were too short.
• ▸—Easy going to sleep of limbs, esp.
• ▸after manual labour.
• ▸—Stiffness and want of

flexibility in joints.—Easy dislocation and spraining of limbs.—Commotions and jerks in limbs

night and day.—Restlessness and throbbing in all the limbs, which admits of no rest in any

• ▸place.
• ▸—Frequent stretchings.
• ▸—Want of stability in limbs.
• ▸—Coldness of hands and feet; but moist.