Sepia - General symptoms

GENERAL

General

(Morning), Melancholy.

on waking depression. after waking, anxiety.

ill-humor. obscuration of head.

in bed, vertigo. on rising, vertigo.

jerking of head backward, dull headache.

when rising, heaviness of head.

on waking, headache. when rising, jerks in the head.

frontal headache. on rising, stitches over left orbit.

after rising, beating headache in vertex.

heaviness in occiput. redness of the eyes.

burning in eyes. ulceration with agglutination on the eyes.

lachrymation. in bed, at 6 o'clock, sneezing.

on awaking, sour taste.

bitter taste. thirst. bitter eructations.

nausea. in bed, stomachache.

pain in right side of abdomen.

cough. dyspnoea. oppression of chest.

heaviness in back. sweat.

(Evening), Sadness.

anxiety. headache. frontal headache.

7 to 8 o'clock, headache in forehead.

stitches in occiput. agglutination of the eyes.

lachrymation. during menses, nosebleed.

from 6 P.M., to 1 A.M., jerking toothache.

9 P.M., thirst. eructations.

distension of abdomen.

cough. oppression of chest.

oppression of breathing.

uneasiness in the legs.

pain in corns. on walking out of doors, faint feeling.

complaints. chilliness.

(Walking), Vertigo.

pain around hypochondria.

stitching pain in transverse colon.

protrusion of haemorrhoids.

bleeding of haemorrhoids.

discharge of blood from vagina.

pressing pain on lower left rib.

backache. aching between shoulders.

pain in hip. cramp in thigh.

tension in right thigh and hip-joint.

jerking in muscles of thighs.

tearing in right thigh.

tearing stitches in thighs.

pain in tendons at ankle.

tension at bend of ankle-joint.

heaviness of feet. pain.

sweat..

Feel very much depressed, at 7 A.M.

feel like quarrelling with everybody.

became very much excited about a mere trifle, and said some very sharp things (feeling ashamed of it at the same time).

at 10 A.M. (seventh day).

feel very cross and nervous, at 7 A.M. (eighth day).

very irritable, and don't want to talk or be talked to, at 7 A.M. (tenth day),.

I am becoming thick-headed, for it seems as if I could not remember the things that I knew yesterday.

it is hard work for me to think or study.

it seems as if my mind were hedged in, as if it were circumscribed, as, for instance, I cannot compare two things, e. g., Bryonia ^Bryonia with another drug.

cannot get out of a narrow line of thought.

it seems as if my mind were enervated (third day). I feel irritable, and it is hard work for me to fix my mind on my studies (fourth day). I don't wish to study.

my mind is not so clear as common (fifth day). Things trouble me.

when I study, cannot apply my mind to the subject, but constantly think of something else.

worrying about something all the time (sixth day). It is hard work to think (eighth day),.

It seems to me that I have taken cold by the sensation, although I have not exposed myself.

head troubles me very much.

the anterior and posterior nares and the pharynx seem as though they had been skinned.

these feelings are mostly confined to the right side.

head feels dull and heavy, and there is a thick yellow mucous discharge from the right side, and on putting the finger into the nose, it becomes bloody.

the sensation is the same that I once had after snuffing persulphate of iron into the nose, a kind of excoriated sensation (third day),.

Following the perspiration, headache in the right side of the head and face, not severe, but with a surging sensation in the forehead, like waves of pain rolling up and beating against the frontal bone (after forty minutes).

pain in head more severe.

still on the right side (after one hour and a half).

somewhat abated after eating dinner (after two hours).

increased again in ten minutes.

severe pain in the head, extending somewhat to the left side of the forehead, with the flush (after two hours and three-quarters).

less severe (after four hours).

slight increase (after five hours).

pressive headache, all the time, in the evening, most in the frontal region, lasting till midnight, but abating after going to bed (first day).

headache returned, but not so severe as yesterday.

pain in forehead quite violent (after three hours).

violent pain in the head, mostly in the forehead and malar bones, with heat in the forehead (after five hours).

headache relieved by rest and sleep for three hours, in the afternoon (after eleven hours, second day).

some headache and pain in the face, but not marked, unless she thinks about it, then the pain is quite severe (after three hours).

headache abated (after nine hours, third day).

general dull headache all day, with pallor of face (fourth and fifth days).

headache abating (sixth day),.

Suddenly struck with a severe sore pain in right side of head (sixth day).

it then gradually went round to the left side, till at last of the whole head became like a soft bladder, intensely hot, and covered with wheals, large oblong blotches all over.

the pain was so severe, and the head so sore, that he dared not touch it.

indeed, he could not lie on the softest pillow.

it then went round to occiput, most painful.

on eighth night was nearly raving.

the last severe attack was in the cerebellum.

the organ of amativeness seemed to swell out like two eggs, throbbing and intensely sore.

the lumps felt quite soft and puffy, similar to the wheals on forehead,.

I got up in the morning with boring pain over the right eye, and rheumatic pain in the region of the insertion of the temporal muscles of the coronoid process, which was entirely relieved for a few minutes after eating and while eating.

this pain was worse on the right side, although it slightly extended to the left side in the same region, and into the right temporal region (fifth day),.

*Heavy pressing pain over the left eye, extending towards the side of the head, about 3.30 P.M.

sensation of great fulness deep in the left orbit, at 4 P.M.

headache confined to the left side, better in the evening.

made worse by shaking the head.

better in the open air.

when I went to bed, 11.30 P.M., very slight headache (first day).

occasionally darting pains, extending from the left eye over the side of the head towards the occiput.

the pain in the left orbit and left side of the head continued all day long, as described yesterday, a heavy pressing pain or fulness, with occasional darts through the eyeball and side of the head.

headache better after meals (second day).

about 8 o'clock, had some pain, as yesterday, and it lasted all day.

no particular time of aggravation.

headache aggravated by mental labor (third and fourth days).

awoke in the morning with slight headache, which grew worse towards 9 A.M., lasting so for about an hour, when it abated (fifth day),.

During lecture, my eyes felt as if they would draw within themselves, and the lecturer seemed to be receding from my vision very slowly, and seemed to be a great distance from me.

I tried to dispel it by rubbing my eyes, but that had no effect.

it ended in nausea. at 11 A.M. (tenth day).

same condition of eyes.

it makes me very nervous (eleventh day),.

Slight soreness of the outer corner of the left upper eyelid.

slight itching of the inner surface.

at 5 P.M. (seventh day).

increased soreness of the eyelid (eighth day).

lid much swollen. eye half close.

swelling beneath the lower lid.

oedematous, looks as if stung by a bee.

lid sore to touch and on closing the eye.

slight itching of the inner surface, causing the eye to water (ninth day).

eye somewhat better (twelfth day),.

Pustules on the conjunctiva of the left eye.

no pain, but I noticed a mist gathering before my eyes, and in this mist seemed to float black objects looking like tadpoles, with their heads pointing to the centre and their tails radiating, at 7 A.M.

much better, at 11 A.M.

much worse than this morning.

the mist causes nausea, at 2 P.M. (fifty-eighth day). Same as yesterday morning, at 7 A.M.

same as yesterday, at 11 A.M.

aggravated as yesterday at this hour, but more painful, at 2 P.M. (fifty-ninth day). Eyes better (sixtieth day). Eyes all right (sixty-first day). Again affected (sixty-fifth day),.

While walking in the cold wind I experienced dull pain through both ears, at 4.30 P.M.

the pain seemed to come from within outward (the first time I ever had earache), (third day).

walking in the wind caused the ears to ache.

the pain is dull and dragging, passing forward into the parotid gland and backward into the mastoid process of the temporal bone.

relieved by the warmth of the room.

at 5 P.M. (fourth day).

earache from being in the open air.

relieved when entering a warm room.

at 5 P.M. (seventh and ninth days),.

Feeling as if she had taken cold, with soreness and burning in the nostrils and aching in the alae nasi.

the right nostril feels stuffed, yet there is a slight watery discharge, in the evening.

nose symptoms abating after going to bed (first day).

nose burning and painful, especially at the root of the nose (after two hours).

the whole feeling is one of a severe cold in the head (after five hours, second day),.

Fine rash over her body, particularly about the bends of the elbows and knees.

this was attended by prickling, tingling, and itching.

while in a warm room it remained out, and she felt well.

if she passed into a cold room, the eruption would disappear, and she would then have the most severe rheumatic pains in and about these joints (nineteenth day).

it had extended over the arms to the axillae, and over the lower extremities to the groins.

when warmly dressed, and in a warm room, she felt well.

when exposed to cold or severe weather, the eruption and the rheumatic condition returned (fifty-third day). When the eruption makes its appearance, it is attended with profuse sweat, which usually lasts two or three days,.

Several pimples on cheeks and wrists, which are very sore, and of a pustular character at first, then resemble chicken-pox (sixth day).

pimples still on cheeks (for ten weeks).

pimples on cheeks just before and during menstruation (for three months).

the pimples were attended by burning and soreness.

when opened. pus and blood were discharged, and a small pit was left at the seat of the pimple,.

Since the thirty-second day I have had a vesicular eruption on the scalp, chest, back of the shoulders, and also on the calves of the legs, and on the knee-joints.

a few of the vesicles became pustules, and when squeezed yielded a tough sticky matter.

but pressure was painful and made them look angry.

those on the scalp itched.

brushing the hair was agreeable, but combing or scratching made the pustules sore.

the brush brings off more scales than usual.

the skin of the nose is also peeling (forty-fourth day),.

Pustules in the right groin and between coccyx and anus.

they feel hard like shot (sixty-first day).

pustules in groin very painful.

quite a number along the posterior border and inferior angle of the left scapula (sixty-second day).

pustules forming on the crista ilii from the spine to the middle of each bone (sixty-third day).

pustules very painful, which make me irritable (sixty-fourth day).

pustules indistinct on my body (sixth-fifth day),.

Throat dry and hot, with paroxysms of pain, attended by lachrymation, in the afternoon.

worse at 8 P.M. a raw feeling in the posterior nares, with dryness and rigidity in the throat below.

throat so dry as to seem like a board.

in swallowing it seemed as if the opposing parts would not blend, they were so dry and rigid.

frequent paroxysms of pain in throat, with lachrymation.

fauces red (twenty-second day).

throat worse after sleeping, with paroxysms of pain, attended by lachrymation, relieved for a time by detaching mucus, which had to be swallowed.

throat bright red. feeling of dryness and rigidity in the throat, and of rawness in the posterior nares (twenty-third day),.

Pressure and cutting in the throat, when swallowing, with a coating of mucus in the throat.

on attempting to hawk up the mucus the pressure and cutting are aggravated, with a sensation as if the throat were cut with shears, followed by bleeding.

dulness of the head, heat over the whole body, fever, pulse 108, followed by a stupid condition, in which he did not know whether he was awake or asleep.

during the night frequent waking, with great accumulation of mucus in the throat and distressing dreams.

on rising the next morning weakness, sweat on the forehead, and qualmishness, so that he lay down again,.

Cough frequently dry, whooping, and choking, with pain in the pit of the stomach, and scraping, raw, sore pain in the larynx, which is not felt when swallowing saliva.

the cough does not awake her from sleep, but after awaking it becomes very severe and continuous.

at times there is a rattling in the trachea, resulting in mucous expectoration,.

All the time I had violent palpitation of the heart, as though it would force its way through the thoracic wall.

this was relieved by walking a long distance and walking very fast (second day).

return of palpitation (fourth day).

severe palpitation (thirty-sixth day).

less severe (thirty-seventh day).

another attack of palpitation (seventy-second and seventy-third days),.

Pulse, A.M., 84. P.M., 80 (forty-first day before the proving).

P.M., 84 (fortieth day).

A.M., 83. P.M., 80 (thirty-ninth day).

A.M., 80. P.M., 78. (thirty-eighth day).

A.M., 72. P.M., 73 (thirty-seventh day).

A.M., 76. P.M., 78 (thirty-sixth day).

A.M., 75. P.M., 75 (thirty-fifth day).

A.M., 76. P.M., 72 (thirty-fourth day).

A.M., 73. P.M., 78 (thirty-third day).

A.M., 74. P.M., 77 (thirty-second day).

A.M., 73. P.M., 75 (thirty-first day).

A.M., 74. P.M., 72 (thirtieth day before the proving).

A.M., 90. P.M., 80 (third day of proving).

A.M., 82. P.M., 80 (fourth day).

A.M., 80. P.M., 75 (fifth day).

A.M., 74. P.M., 75 (sixth day).

1 P.M., 80. 6 P.M., 74 (seventh day).

A.M., 74 (eighth day),.

Pulse 92, at 6 P.M. 87, at 9 P.M. (first day).

88, at 9 A.M. 82, at 9 P.M. (second day).

80, at 9 A.M. (third day).

83, at 1 P.M. (fourth day).

96, at 9 A.M. 83, at noon (fifth day).

78, at 9 P.M. (sixth day).

80, at 9 P.M. (seventh day).

86, at 8 P.M. (fifteenth day).

80, at 10 P.M. (nineteenth day).

74, at 9 P.M. (twenty-first day).

78, at 9 P.M. (twenty-third day).

78, at 10 P.M. (twenty-fifth day).

66, at 10 P.M. (twenty-ninth day).

77, at noon. 76, at 9 P.M. (thirtieth day),.

On waking from nap, at 7.30 P.M., pain in the lumbar region, more on the left side.

pain in the lumbar region all night of a dull aching character (second night).

pain in back better this forenoon.

pain in the lumbar region somewhat but not much better, in the evening (third day).

pain in the back all day, more of a dull ache (fourth day).

still some pain in the back (fifth day). Never had any form of backache before I took this medicine,.

Great distress in the stomach, it is sensitive to the pressure of the clothes, and there is an aching and throbbing, relieved by slight eructations.

in the afternoon the distress is worse.

it is sore and sensitive as a boil.

even walking is painful from the jarring.

this almost entirely ceases after supper.

some flatulence in the evening (fifteenth day),.

Attack of nausea, in the morning, when taking a walk, everything grew black before the eyes, he felt feverish from 1 to 6 P.M., with tearing in the limbs, accompanied with constant nausea.

in the evening weakness, even to fainting, with melancholy.

everything affected the nervous system, he was very easily startled.

at night discharge of great quantity of very fetid flatus (after four days),.

Abdomen very much distended after the least bit of food.

felt some relief from loosening the clothes, but the distension soon returned, causing more distress than before, as it seemed to give the abdomen more room to expand (third day). Abdomen tympanitic, at 4 P.M. (fifth day). At 10 P.M., abdomen very much distended.

since dinner, at 6 P.M. (seventh day). Bloated abdomen after eating the least bit of food.

discharge of flatus does not relieve it (fourteenth to sixteenth day),.

Sensation of bearing down in the pelvic region, with a slight dragging pain from the sacrum (fourth and fifth days).

pelvic symptoms increase.

more weight and bearing down.

more pain extending into the loins and down the thighs in front, with constriction of the sphincter (sixth day).

symptoms of the pelvic region last the longest (seventh day),.

Distress in the pelvis, with the sick feeling, at 9 A.M., increasing during the forenoon.

waked from a nap, at 4 P.M., with the distress aggravated and feeling somewhat gloomy, but battling against it.

after supper, at 6 P.M., all my bad feelings left me.

at 9 P.M., the bearing-down feeling in the abdomen returned (second day). At 9 A.M., the dragging and pressing sensation in the abdomen returned.

pressure as though the contents would issue through the genital organs.

pressing outwards in the hypogastric region, as if the bladder would fall out over the os pubis, partially relieved by hard pressure (third day). The pelvic distress was noticeable through the whole night, at waking intervals, and relief only momentary by lying on either side with the legs flexed on the thighs and the thighs on the abdomen (third night). I waked this morning without the distress, but it returned on stirring, and increased before breakfast.

distress in the hypogastric region through the day, as of overdistended bladder, that could not be endured.

worse by continually sitting and lying.

better on walking about.

it disappeared on eating supper.

at 9 A.M. suddenly ill, with the bearing-down feeling greatly increases in the abdomen.

pelvic symptoms aggravated, at P.M., after sleep.

the distress was relieved on eating supper, and returned at 9 P.M. (ninth day). The pelvic distress and bearing down have returned.

they last all day, with dull feeling in the head and desire to sit or lie still with eyes closed.

amelioration after supper.

sick in my room from 9 A.M. to 6 P.M. (sixteenth day). Bearing-down sensation, with the menses (eighteenth day). Feeling of crowding and pressing downwards (nineteenth day). Downward pressure in abdomen.

Bowels moved (in twelve hours).

four movements during the day, and slight pain and some tenesmus during stool. (The bowels had always been remarkably regular, one stool each morning), (first day).

stool about every two hours until the afternoon of this day.

stool natural, but towards night it was diarrhoeic, with tenesmus before and during stool, and burning of anus after stool, and feeling of intense bearing down in region of the anus (second day),.

Bowels moved three times (thirty-first day).

natural stool (thirty-second day).

no stool (thirty-third day).

bowels moved twice (thirty-eighth day).

painful urging to stool, which was hard and in lumps, and considerable bleeding from the rectum after stool, at 6 A.M.

bowels moved freely and without pain, at 7 P.M.

moved quite freely at 10 P.M. (forty-fifth day).

two stools (fifty-third day).

one stool (fifty-fourth day).

at 6.30 A.M. and 8 A.M. (sixty-second day).

three stools (sixty-eighth day).

two stools (eightieth day),.

Very difficult movement of soft small stool, insufficient, with constant urging and inability (fifth day).

soft, small, insufficient, with great straining, followed by great heaviness in abdomen, and pain in pelvis and thighs from the straining (sixth day).

small, very difficult, very insufficient stool, with great urging and straining (seventh day).

urging to stool, with pressure and straining, but no evacuation (eighth day).

urging to stool, with flatus, but no stool, in the morning and at 10 A.M.

very slight stool. constant and severe urging, at 9 P.M. (ninth day).

small, soft, insufficient stool.

less urging (tenth day).

no stool nor desire (eleventh day).

stool free, with little straining (twelfth day),.

Suffered from constipation, which caused bleeding, and weight and pain in the rectum (twenty-third day).

stool with less pain (twenty-fourth day).

during the past ten days I have suffered much from constipation and from piles, with severe pains across the lower part of the abdomen, extending down the inside of the thighs, both abdomen and thighs feeling sore to touch (fortieth day),.

During the day, increased frequency of micturition (first day).

fulness in the bladder, urging continually to micturition (fifth day).

micturition almost every hour during the day (ninth day).

micturition more frequent than yesterday, not painful, but with a constant uneasiness, as of great fulness in the bladder (twenty-first day).

nearly every hour in the afternoon (twenty-second day).

increased frequency of micturition (twenty-ninth day). Urine during the proving, amber-colored.

slightly turbid. sp. gr. 1030.

strongly acid. bile pigment.

marked proof of bile acid, in large quantity. Normal urine.

amber-colored. slightly turbid.

sp. gr. 1028. no sugar.

no albumen. no bile pigment.

slight trace of bile acid,.

After heat, redness and puffiness of the face, which lasted two hours, and during a following paleness of the face, lasting many hours, an inability to urinate of fourteen hours' duration, followed by the desire to urinate every one-fourth hour, with scanty discharge.

these periods of retention and urging to urinate recurred several times.

the last of these retention lasted twenty hours, notwithstanding much drinking (first day),.

Urine, average quantity, 28 ounces.

average sp. gr. 1022, fortieth to twentieth day before the proving.

average quantity 30 2/3 ounces.

average sp. gr. 1022 (for five days before the proving).

20 ounces, sp. gr. 1027, on standing it grew cloudy and deposited a white sediment (first day).

23 ounces, sp. gr. 1022 (second day).

24 ounces, sp. gr. 1024, clear, no sediment (third day).

23 ounces, sp. gr. 1021 (fourth day).

24 ounces, sp. gr. 1024 (fifth day).

26 ounces, sp. gr. 1024 (after Sepia 30, sixth day).

19 ounces, sp. gr. 1028.

on standing, a brickdust sediment, and vessel covered with white substance and looking like ground glass (seventh day).

19 ounces, sp. gr. 1027.

bad odor. red deposit of a deeper color.

smarting in the urethra while urinating (eighth day).

22 ounces, sp. gr. 1023.

no sediment (ninth day).

24 ounces, sp. gr. 1022 (tenth day).

28 ounces. sp. gr. 1022 (eleventh day).

31 ounces, sp. gr. 1021.

no sediment. looks healthy (twelfth day).

at noon, passed urine which was clear.

sp. gr. 1026. on standing four hours it deposited a brickdust sediment, and the walls of the glass were coated white.

at 9 P.M., urine showed sp. gr. 1034, and was flocky when voided, and on standing two hours there was a dark brickdust deposit, and the sides of the vessel were thickly coated with a white substance (thirteenth day),.

Urinated freely (after third dose).

passed a little urine, 2 ounces, sp. gr. 1031 (at 11 P.M., first day), which presented next morning the following phenomena Reaction slightly acid.

deposit of a white adherent film.

sediment at bottom of tube slightly pinkish.

the sediment readily dissolved on slight heat (not by a few drops of Nitric Acid ^{nitric acid}), and displayed under the microscope amorphous particles, and on standing a long time (forty-eight hours), crystals of uric acid appeared. At 8.15 A.M., passed 12 ounces urine, sp. gr. 1029.

at noon, 9 ounces, sp. gr. 1023.

total amount 53 ounces (a cold day), (second day). The urine of last night had a heavy white deposit, showing the same characters as before.

8.15 A.M. passed 15 ounces, sp. gr. 1021 (third day),.

Urine clear, amber-colored, acid, free from sediment, film, or cloud, passed about every six or eight hours.

average daily quantity (winter) about 45 ounces.

sp. gr., A.M., 1029. P.M. (5 P.M.) 122 (before the proving).

passed 48 ounces, sp. gr. in morning, as usual, 1029 (before taking any Sepia).

at 5.45 P.M., it was 1022 (first day).

9 A.M., sp. gr. 1029. clear as usual.

9.30 P.M., sp. gr. 1029.

quantity, 42 ounces in twenty-four hours (second day).

8 A.M., sp. gr. 1032. 6 P.M., 1030.

amount, 45 ounces. this urine deposited after a few hours, a white filmy sediment on the sides of the glass, and on the rod left in it, not removable by water alone, nor by Aceticum Acidum ^{acetic acid}.

removable by Causticum ^caustic potassa, by ammonia, or by Nitric Acid ^{nitric acid}.

not otherwise examined (third day).

urine smells badly, looks turbid.

8 A.M., sp. gr. 1031 (fourth day), .

8 ounces of urine A.M., 18 ounces at noon, 10 ounces 10.30 P.M.

total, 36 ounces. sp. gr. 1022, A.M.

1015, noon. 1022, 10.30 P.M. (thirty-fourth day).

12 ounces, A.M. 8 ounces, noon.

12 ounces, 10.30 P.M.

total, 32 ounces. sp. gr. 1020, A.M.

1014, noon. 1022, 10.30 P.M. (thirty-fifth day).

9 1/2 ounces, A.M. 8 ounces, noon.

10 ounces, 10.30 P.M.

total, 27 1/2 ounces. sp. gr. 1016, A.M.

1020, noon. 1015, 10.30 P.M. (thirty-sixth day).

8 ounces, A.M. 20 ounces, noon.

7 ounces, 10.30 P.M. total, 35 ounces.

sp. gr. 1015, A.M. 1014, noon.

1024, 10.30 P.M. (thirty-seventh day).

9 1/2 ounces, A.M. 10 ounces, noon.

12 ounces, 10.30 P.M. (4 ounces, 1016, midnight).

total, 35 1/2 ounces. sp. gr. 1020, A.M.

1010, noon. 1016, 10.30 P.M. (thirty-eighth day).

10 ounces, A.M. 11 ounces, noon.

10 ounces, 10.30 P.M. (9 ounces, 1026, midnight).

total, 40 ounces. sp. gr. 1018, A.M.

1016, noon. 1024, 10.30 P.M. (thirty-ninth day),.

Urine, sp. gr. 1022, A.M.

1005 (due to eating a sour orange), P.M. (twenty-fifth day before the proving).

1012 A.M., 1026 P.M. (twenty-fourth day).

1026 A.M., 1028 P.M. (twenty-third day).

1020 A.M., 1022 P.M. (twenty-second day).

1022, A.M. and P.M. (twenty-first and twentieth days).

1022 A.M., 1012 P.M. (nineteenth day).

1020 A.M., 1024 P.M. (eighteenth day).

1012 P.M. (seventeenth day).

1024 A.M., 1026 P.M. (sixteenth day).

1012 A.M. (fifteenth day).

1028 P.M. (fourteenth day).

1022 A.M., 1028 P.M. (thirteenth day).

1022 A.M., 1026 P.M. (twelfth day).

1020 A.M., 1012 P.M. (eleventh day).

1014 A.M., 1028 P.M. (tenth day).

1020 A.M., 1016 P.M. (ninth day).

1014 A.M., 1024 P.M. (eighth day).

1020 A.M. (seventh day).

1020 P.M. (sixth day).

1018 A.M., 1028 P.M. (fifth day).

1024 A.M., 1026 P.M. (fourth day).

1020 A.M., 1026 P.M. (third day).

1020 A.M. (second day).

1020 A.M., 1022 P.M. (first day before the proving).

1012 A.M. smarting pain in urethra (first day of proving).

sp. gr. 1022 A.M., 1026 P.M. (second day).

1024 A.M., 1032 P.M. (fourth day).

1022 A.M., 1028 P.M. sharp pain along canal of urethra (fifth day).

sp. 1024 A.M., 1030 P.M.

urine high-colored.

quickly gets turbid, and stains bottom of vessel.

occasional stitches along urethra (sixth day).

sp. gr. 1024 A.M., 1030 P.M.

smarting and tingling pain in the urethra (eighth day).

sp. gr. 1026 A.M., 1032 P.M. (ninth day).

1024 A.M., 1026 P.M. (tenth day).

1022 A.M. (eleventh day).

1028 A.M., 1030 P.M. (twenty-eighth day).

1030 A.M. (twenty-ninth day).

urine remained high-colored.

became quickly turbid, and a fine reddish sediment was noticed, in the morning, in the urine passed the previous evening (twelfth to twenty-third day). The quantity of urine was so small as to alarm me.

not more than 8 ounces in twenty-four hours.

constant irritation and desire to urinate (thirty-eighth to fortieth day),.

9 A.M., 9 ounces of urine, sp. gr. 1028.

2 P.M., 9 ounces, sp. gr. 1022.

7 P.M., 10 ounces, sp. gr. 1024.

midnight, 10 ounces, sp. gr. 1024.

total, 38 ounces (first day).

9 A.M., 8 ounces, sp. gr. 1027.

2 P.M., 6 ounces, sp. gr. 1027.

7 P.M., 7 ounces, sp. gr. 1028.

midnight, 8 ounces, sp. gr. 1028.

total, 29 ounces (second day).

9 A.M., 9 ounces, sp. gr. 1028.

2 P.M., 7 ounces, sp. gr. 1026.

7 P.M., 7 ounces, sp. gr. 1032.

midnight 4 ounces, sp. gr. 1025.

total, 27 ounces (third day).

9 A.M., 9 ounces, sp. gr. 1025.

2 P.M., 6 ounces, sp. gr. 1027.

7 P.M., 7 ounces, sp. gr. 1027.

midnight, 8 ounces, sp. gr. 1031.

total, 30 ounces (fourth day).

9 A.M., 8 ounces, sp. gr. 1028.

2 P.M., 7 ounces. 7 P.M., 7 ounces, sp. gr. 1026.

midnight, 7 ounces, sp. gr. 1032.

total, 29 ounces (fifth day).

9 A.M., 8 1/2 ounces, sp. gr. 1026.

2 P.M., 7 ounces. 7 P.M., 9 ounces, sp. gr. 1021.

midnight, 11 ounces, sp. gr. 1022.

total, 36 1/2 ounces (sixth day).

9 A.M., 13 ounces, sp. gr. 1024.

2 P.M., 7 ounces. 7 P.M., 10 ounces, sp. gr. 1024.

midnight, 4 ounces, sp. gr. 1032.

total, 34 ounces (seventh day),.

Average quantity of urine, 6 ounces five times in twenty-four hours.

normal color. no sediment.

sp. gr. 1020 (forty-first day before the proving).

1030 (fortieth, thirty-ninth, and thirty-eighth days).

A.M., 1022. P.M., 1028 (thirty-seventh day).

A.M., 1020. P.M., 1030 (thirty-sixth day).

A.M., 1022. P.M., 1020 (thirty-fifth day).

P.M., 1030 (thirty-fourth, thirty-third, and thirty-second days).

P.M., 1028 (thirty-first day).

A.M., 1022. P.M., 1029 (thirtieth day before the proving).

sp. gr. 1030. dark red, less quantity, passed only three times (third day).

A.M., sp. gr. 1030. P.M., 1030.

three times, 6 ounces each times.

a yellowish-red deposit adheres to vessel.

urine brick-red in color (fourth day).

A.M. and P.M., sp. gr. 1030.

very scanty, deep red.

no desire to urinate. pass but little at a time (fifth day).

A.M., sp. gr. 1030. P.M., 1025.

as on fifth day (sixth day).

P.M., sp. gr. 1025. very scanty.

red deposit on side of glass (seventh day).

A.M., sp. gr. 1022. noon, 1030.

urine very high-colored.

it looks like powdered brick (eighth day).

the urine remains dark red until the twenty-third day,.

Sensation of fulness in the left axillary gland, in a few minutes leaving the left and appearing in the right axilla (after one hour and a half).

the sense of fulness returned about from 1 to 2 P.M., first in the left, then in the right axilla, then to the groin, during lecture.

in the evening an occasional soreness in the axilla (fourth day).

axillary glands still somewhat sore (twelfth and thirteenth days),.

A quiet refreshing rest at night, waking in the morning always with a consciousness of feeling very well.

my general condition is exceedingly languid, in the morning.

I cannot get dressed until a cup of café noir is brought to me.

the third and fourth mornings after taking the medicine I did not care for my coffee,.

He raised himself about midnight, as if in delirium, began to laugh.

on being questioned he closed his eyes tightly, sat quite stiff, with outstretched arms and hands and tightly set teeth.

after drinking a swallow of water he asked what he was to do with so much water in his stomach, yet he drank more, held up his hand bend, as if holding the glass, laughed and said, "Now this is strange, this water did not agree quite well;" afterwards talked of three doctors who were coming, and referred to persons as if they were standing about,.

A distinct chill at 9 A.M., followed by fever, with chilliness across the stomach and bowels, and chilliness between the shoulders.

the sweat that followed the fever was exceedingly offensive and pungent.

her feet, which had always been subject to perspiration (not offensive), now gave forth a most offensive odor (third day). One hour after a dose she felt a coldness between the shoulders, and then a general chilliness over the body, followed by sudden loss of strength and weakness about the chest, and she broke out into a profuse perspiration over the chest and neck.

the hands and feet became cold as ice.

her face pale. she thought she should vomit, but was relieved on getting up and moving about (eleventh day),.

Intermittent fever, returning frequently during the day, at indefinite periods, first general heat, with sweat in the face, violent thirst, and bitterness of the mouth.

then chill, with general coldness even in the face, with inclination to vomit, pressure in the forehead, extending into the temples.

during the heat, vertigo, as if he would fall,.

Feverish heat, with chilly shivering, accompanied by dull and heavy pain in the forehead, after previous flickering before the eyes, as from a thousand suns, with heat and pressure in the eyes.

also much nausea, great oppression of the chest, as if everything were constricted, yet without shortness of breath, from morning until evening (after seventy-two hours),.

Hot flush over face and whole head, lasting but a few seconds, instantly followed by slight perspiration (after forty minutes).

flush over the head, with the headache (after two hours and three-quarters).

slight flush, with slight perspiration and slight increase of pain in the head (after five hours).

flush of heat in face and head, followed by perspiration on the same parts (after nine hours, third day, and after eleven hours, fourth day),.

Attack of sensation as of an icy-cold hand between the scapulae, then coldness over the whole body, then spasm of chest as if suffocating, lasting several minutes, then clonic convulsions of right lower limb with jerking of it, and jerking of the right arm when the leg is held quiet.

lastly there remains a trembling of the lower limb, continuing the whole day (after ten days),.

Attack of drawing pressive pain in the region of navel, followed by discharge of mucus from the rectum, with violent urging and stitches.

soon afterwards congestion of blood to chest, with anxiety and restlessness, which after dinner turned to a sort of fever, with alternating internal heat and a chilliness, with sweat on the head from 1 to 4 P.M., then headache, which left a pain in nape of neck.

the following day the same condition returned,.

About midnight, a sort fainting fit, lasting for one-fourth hour, accompanied by profuse sweat, with consciousness, but without the ability to talk or to move a finger.

in the midst of the paroxysm, he had a sort of dream in which he was fighting with a ghost.

he had scarcely recovered from this faint before he fell into a second, with a dream of being lost in a forest,.

Feel very tired this morning (third, fifth, and sixth days).

beginning to feel tired and listless, at 8 A.M. (thirteenth day).

feel very sick. have a heavy cold, never had such before.

lungs very sore. harsh distressing cough, worse from going from cold air to warm room, and vice versâ (twenty-first day).

very languid all day (twenty-seventh day).

feel very stupid (eighty-seventh day).

feeling very tired I took a dose of Nux Vomica ^Nux vomica, after which I found all my symptoms returning, pustules on the conjunctiva, throat, and tongue, also the loss of memory (one hundred and ninth day).

much better (one hundred and tenth day).

entirely relieved (one hundred and eleventh day),.

Prolapsus uteri, with inclination of the fundus to the left side, producing a numb feeling in the entire lower half of the left side of the body, with dull aching pain constantly.

also the same aching pain in the pelvic region, somewhat relieved by the recumbent posture, especially when lying on the right side.

tenderness of the os uteri (first and third days),.

One sharp darting pain in the right ovarian region, (seventeenth day).

pain in right ovary. the dull ovarian pain is sharper on inspiration (nineteenth day).

pain in right ovary, worse in the afternoon (twentieth day).

dull pain in the right ovary, with occasional sharp shooting pains (twenty-second day).

steady pain in the right ovarian region and backache (twenty-third day).

pain in right ovary, soreness on pressure after sleep, in afternoon. Felt too badly to move (twenty-fourth day),.

Some yellowish leucorrhoeal discharge, with the bearing down in pelvic organs, in the morning.

slightly, bloody and increased in quantity, at 10 A.M.

more profuse, yellowish, creamy, or slightly bloody, at 9 P.M. (ninth day).

(none in the morning).

slightly yellow and somewhat bloody, offensive slightly, in the evening (tenth day).

glairy, amber-colored, slightly offensive, occasionally bloody (eleventh day).

sanguineous, in gushes, but not profuse (thirteenth day),.

Menses began to flow one week too soon (sixth day).

dark, scant, and fetid (seventh day).

menses began to flow. dark clotted blood (thirty-eighth day).

very scant all day (thirty-ninth and fortieth days).

very scant and membranous, and very painful (forty-first day).

better, but not entirely relieved (forty-second day).

menses made their appearance, with pain (seventy-second day).

very scanty and pale, and very acrid, no pain (seventy-fourth day),.

Sepia acts specially on the portal system, with venous congestion. Stasis and thereby ptosis of viscera and weariness and misery. Weakness, yellow complexion, bearing-down sensation, especially in women, upon whose organism it has most pronounced effect. Pains extend down to back, chills easily. Tendency to abortion. Hot flashes at menopause with weakness and perspiration. Upward tendency of its symptoms. Easy fainting. "Ball" sensation in inner parts. Sepia acts best on brunettes. All pains are from below up. One of the most important uterine remedies. Tubercular patient with chronic hepatic troubles and uterine reflexes. Feels cold even in warm room. Pulsating headache in cerebellum.

Draggy, relaxed females -lithaemic, plethoric, - subject to prolapses or easy dislocations

Uterine reflexes Symptoms settle in back; shoot up, worse rectum, vagina, etc

; backward, head [left], ileo-caecal region, ovary, etc, or cause shuddering

AS OF A LUMP or a rolling over internally Weak, empty, hollow  feeling; in epigastrium, chest, muscles, lumbar back, hips, knees, etc, or fulness

Milky discharges

Bleedings

Angry, sensitive and irritable and miserable

Sensitive to pain

Anxious fear; over trifles Averse, to one's own; to sympathy; to company; yet dreads solitude

Stifled affections

Poor memory

Sad irritability, alternating with indifference or sulkiness

Sexually minded

Sad over her health and domestic affairs

Indifference Stupid, wants to go away

Headache; over l

eye; alternate sides of occiput; worse lying on it; heavy on vertex; shootings; bursting

side

Hemicrania

Jerks head back and forth

Drooping eyelids Red, itching tarsi

Falling out feeling in eyes

Sees motes, flashes, zigzags, photopsies; then collapse

Odors are repulsive

NOSE; BROWN STRIPE ACROSS (Menis---- ); pressive pain at root; foul plugs or green crusts from

Dark circles under eyes

Changing of color of face

Chloasma

Numb malar bones

Swollen, cracked lower lip

Mouth feels burnt

Hawks mucus or foul, cheesy grains in A

Taste cheesy, fishy or bitter-sour

Ascending throat colds

Eructates tough, foamy mucus

Nausea at tought or smell of food; in A

Vomits; solids only; milky

Gnawing hunger

Craves acids

FAINT SINKING AT EPIGASTRIUM, not better eating, or a lump in

Griping in gall-bladder, worse stooping

Falling out or heavy bearing down feeling in hypogastrium; holds it or crosses legs

Pot belly

Stool, then gelatinous mucus

Diarrhoea, from boiled milk

Rectum constricted and powerless; no urging for days

Obstipation

As of a ball in anus

Piles, prolapsing; sticking; of pregnancy

Oozing from anus

Slow urination; cutting before

Enuresis, during first sleep; worse coughing, sneezing, etc

THICK, FOUL URINE; ADHERENT, RED, SANDY SEDIMENT, or white, gritty

Menses absent; at puberty; after weaning, etc

Grasping, burning or sticking in uterus (os)

Sub-involution

WEAK, DRAGGING OR BEARING DOWN FEELING; must sit close or hold parts

Tends to abort

Labia swelled; abscessed

Leucorrhoea; in large lumps; foul; gonorrhoeal

Stomach cough; worse rapid change of temperature; with foul sputum

Circulation, irregular; seems to stagnate

Palpitation; visible; ascends to occiput

General pulsation

Ebullitions at night

Overful blood-vessels

Collar feels tight

Aching; inter-scapular; LUMBAR-paralytic-wants it pressed

Purple hands

Cold knees or heels

Skin blotched; raw, rough, hard or cracked, worse flexures

Herpes

Ringworm

Itching vesicules

Boils in axillae

Thick crust on elbows

Ulcers, on small joints

Epithelioma of eyelids, lips, etc

Skin; wine colored

Spots on the skin

Loud talking in sleep

Dreams if lies on l

Easily chilled

Chilly, with air-hunger

Cold; in spots; on vertex; between scapulae; feet, in bed

Sudden weakness; then anxious, hot flushes

Hot hands, with cold feet or vice versa

Sweat, easy; with orgasms; on genitals, axillae or back

Irregular fevers

Sepia officinalis. Cuttle Fish. N. O. Cephalopoda. Trituration of dried liquid contained in the ink-bag.

circinatus. Hysteria. Irritation. Jaundice. Leucorrhoea. Liver-spots. Liver, torpid. Menstruation, disordered. Mind, affections of. Nails, pains under. Neuralgia. Nose, inflamed.

swollen. Ozaena. Phimosis. Pityriasis versicolor. Pleurisy. Pregnancy, disorders of.

fissure of. Ringworm. Sacrum, pain in. Sciatica. Seborrhoea. Smell, sense of, too acute.

disordered. Spermatorrhoea. Stye. Toothache. Urine, incontinence of. Uterus, bearing down in. Varicose veins. Warts. Whooping-cough.

which is sufficiently remarkable in the light of the provings. Sepia ^Sep. is one of the remedies of the Chronic Diseases, and was proved by Goullon, von Gersdorff, Gross, Hartlaub, and Wahle. Sepia ^Sep. is predominantly, but by no means exclusively, a woman's remedy. It affects the generative organs of both sexes, and a large number of the symptoms occurring in other organs have some relation thereto. Teste describes the type to where Sepia ^Sep. is suited as follows Young people of both sexes, or, rather, persons between pubescence and the critical period of life.

of delicate constitutions, with pure white skins, or skins having a rosy tinge.

blonde or red hair. nervous or lymphatico-nervous temperaments.

exceedingly excitable and anxious for emotions.

and, lastly, particularly such as are disposed to sexual excitement, or have been exhausted by sexual excesses. Hering gives these types ($51$) Persons of dark hair, rigid fibre, but mild and easy disposition. (2) Women during pregnancy, in childbed and while nursing. (3) Children who take cold readily when the weather changes. (4) Scrofulous persons. (5) Men who have been addicted to drinking and sexual excesses. (6) Pot-bellied mothers, yellow saddle across nose, irritable, faint from least exertion, leuco-phlegmatic constitutions. Bähr gives "Sanguine, excitable temperaments inclined to congestions." Farrington adds that the Sepia ^Sep. patient is sensitive to all impressions, and that the dark hair is not by any means a necessity. He gives a more complete description Puffed, flabby persons (less frequently emaciated) with yellow or dirty yellow brown blotched skin.

inclined to sweat, especially about genitals, axillae, and back.

hot flushes. headache in morning.

awaken stiff and tired.

subject to disease of sexual organs.

the general attitude is never one of strength and healthful ease, but of lax connective tissue, languor, easily produced paresis. Sepia ^Sep. acts on the vital forces as well as on organic tissues. The sphincters are weakened and all non-striated muscles. Sepia ^Sep. disturbs the circulation, causing flushes and other irregularities.

throbbings all over. hands hot and feet cold, or vice versâ. The flushes run upward and end in sweat with faint, weak feeling. Epistaxis may occur either from a blow, from being in a warm room, or from suppressed menses. The upward direction of the Sepia ^Sep. symptoms is one of its keynotes. The pains of the head shoot upward.

and so do the pains in anus, rectum, and vagina. Also coldness as well as the flushes travels from below up. On the other hand night-sweat proceeds from above downward. The head pains proceed from within out. Sepia ^Sep. is one of the remedies which have the "ball" sensation in inner parts. There is vertigo with sensation of something "rolling round" in the head. There is sensation of a ball in inner parts generally.

but the most notable one is sensation of a ball in rectum. It may be described as an apple or a Solanum Tuberosum ^potato, and it is not relieved by stool. I have cured both constipation and diarrhoea when that symptom was present. The upward stitches in rectum and vagina, when present, are equally good indications for Sepia ^Sep. in cases of haemorrhoids, prolapse of rectum, and for prolapse or induration of uterus and cervix. As with Murex ^Murex the chief incidence of Sepia ^Sep. is on the female sexual organs, though with Sepia ^Sep. the menses are generally scanty, as with Murex ^Murex they are the reverse. Sepia ^Sep. causes engorgement of the uterus going on to induration. There is either prolapse or retroversion. Yellowish green leucorrhoea somewhat offensive. The bearing-down pains of Sepia ^Sep. are of great intensity. They are felt in abdomen and back.

and sometimes even seem to interfere with breathing. The bearing down is agg. standing or walking. The bearing down extends into thighs. There is a constant sense of pressing into vagina, which compels the patient to cross the limbs to prevent prolapse. Connected with the uterine symptoms are hysteria, erethism, palpitation, orgasm of blood, faintness. The sensation of "goneness" and emptiness, which is one of the characteristics of Sepia ^Sep., is sometimes connected with the pelvic bearing down. The empty sensation is felt in the epigastrium and throughout the abdomen. It is analogous to the great relaxing effect of Sepia ^Sep. on connective tissues. This sinking is common in pregnancy.

and Sepia ^Sep. corresponds to many of the troublesome affections of the pregnant state, as.

"Symphoricarpus Racemosus ^{morning sickness}, vomiting of food and bile in morning.

of milky fluid. strains so that blood comes up." "The thought of food sickens her.

with sense of great weight in anus." Tendency to abortion is met by Sepia ^Sep..

Hering is reported to have said "All women prone to abortion should take Sepia ^Sep. and Zincum Metallicum ^Zinc." But Sepia ^Sep. meets many cases of dyspepsia not originating in uterine disorders.

It has cured dyspepsia from injury by overlifting.

Portal stasis is part of the Sepia ^Sep. action.

There is fulness, soreness, and stitches in liver region; as well as stitches in left hypochondrium.

The whole urinary tract is irritated, and catarrh of bladder and urethra may be, set up.

There is frequent strong urging to urinate.

Stitches along the urethra.

The relaxed sphincters of Sepia ^Sep. favour enuresis, and the type which it cures is well defined "The bed is wet almost as soon as the child goes to sleep, always during the first sleep." It meets the enuresis of light-complexioned boys and onanists.

In cases of irritable bladder, although the desire is urgent, the discharge of urine may be difficult, and the patient may have to wait a long time.

Gonorrhoea after the acute stage has subsided.

Gleet and gonorrhoeal warts have been cured with it.

Hering gives, "condylomata completely surrounding head of penis." I have cured a crop of small velvety warts completely encircling the mouth of the prepuce. Thuja ^Thuja had failed in the case.

In reference to warts, I cured with Sepia ^Sep. 3x trit. a large horn-like wart on the abdomen of a woman.

It was as large as a crown-piece but shaped like a bean, and raised a quarter of an inch from the surface.

The skin symptoms of Sepia ^Sep. are among its most characteristic features.

The skin is delicate, the least injury tends to ulceration.

Itching which often changes to burning when scratched.

Soreness of skin, humid places on bends of knees.

Chloasma. Painful eruption on tip of nose.

Herpetic eruption on lips and about mouth.

Ringworm-like eruptions every spring on different parts of body.

Ringworm on face. Herpes circinatus.

Roundness and yellowness of the spots.

The nettle-rash of Sepia ^Sep. appears ongoing into open air.

It is amel. in warm room.

The itching of Sepia ^Sep. may be desperate, especially when it affects the genitals and anus.

The action of Sepia ^Sep. on connective tissues is again exemplified in the selection of the finger-joints as a seat of ulceration.

The sweat is pungent in odour, offensive in axillae and soles of feet, causing soreness.

The skin and the eyes are near akin, and Sepia ^Sep. causes all kinds of inflammation of eyes and lids, with impaired vision, black spots, green halo, fiery redness.

The eye-symptoms are agg. by rubbing.

agg. pressing lids together.

agg. morning and evening.

amel. bathing in cold water. Sepia ^Sep. is a chilly remedy from lack of vital heat, "chills, so easily".

this is especially the case in chronic diseases. Sepia ^Sep. is often required in chronic nasal catarrh.

Nash had a case in which the discharge was thick, bland, and copious. Pulsatilla ^Puls. relieved the catarrh but increased the menstrual flow too much. Sepia ^Sep. cured both. Sepia ^Sep. is also useful where colds inflame the tonsils and tend to cause suppuration.

The characteristic sensations in the throat are Dryness; pressure as if neck-cloth too tight; plug sensation; stinging; stitching pains on swallowing; contraction of throat without swallowing; sensation of plug when swallowing with feeling of constriction.

There are some peculiarities about the mental state of Sepia ^Sep. which must be borne in mind ($51$) Anxiety with fear, flushes of heat over face and head.

about real or imaginary evils.

towards evening. (2) Great sadness and weeping.

dread of being alone, of men, of meeting friends.

with uterine troubles. (3) Indifferent even to one's family one's occupation.

to one's nearest and dearest. (4) Greedy, miserly. (5) Indolent.

The Sepia ^Sep. patient weeps when asked about her symptoms.

She is very sensitive, and must not be found fault with.

Faints easily" is a note of the Sepia ^Sep. weakness after getting wet from extremes of heat and cold; riding in a carriage; kneeling at church.

Lorbacher (quoted H. M., xxxi. 142) refers to three important indications for Sepia ^Sep. not generally known ($51$) Prodromal symptoms of apoplexy; (2) whooping-cough that drag., on interminably; (3) hypostatic pleuritis.

The symptoms of Sepia ^Sep. corresponding to the first are Stiffness of back of neck; staggering vertigo (agg. exercising in open air); anxiousness and a feeling of fear of severe sickness; intermitting heart beats; torpor and sleepiness.

Lorbacher gives this case A thick-set farmer, 50, inclined to hypochondriasis, troubled from time to time with piles, without being an habitual drinker was addicted to "nips," Gradually abdominal prominence developed.

stiffness of neck. vertigo.

occasional throbbing headache.

slight transient loss of consciousness.

anxiety. fear of apoplexy.

piles less pronounced and less frequently troublesome than usual.

Venesection, performed several times, only partially relieved.

Abstinence from alcohol had no decided influence. Sepia ^Sep. 12x was given, four drops twice daily at first, then every other day, and later at increasing intervals.

In two months the symptoms were reduced, and gradually passed away.

The man lived eight years after this, and had no apoplexy, though he did not give up his "nips." Sepia ^Sep. is indicated in whooping-cough when it has lasted eight weeks or longer, and the paroxysms, though reduced in number and virulence, do not disappear, and occur especially before midnight.

The patients are reduced in strength, dyspeptic, irritable, tearful, easily angered or apathetic.

Kunkel reports (quoted H. M., xxix. 670) this case of pulmonary affection A boy, 14, had been under treatment five weeks for cough and hoarseness.

Hoarseness agg. evening; during the day cough with purulent sputa.

Slept well but dreamed when he lay on left side.

Emaciated. Phosphorus ^Phos. 10x produced little change.

It was now ascertained that there was remarkable tightness of the chest on breathing, with inclination to take a deep breath; this was amel. in open air, on motion, while at work; agg. while in the house and at rest.

Though the weather was bad he had constant desire to be out of doors. Sepia ^Sep. 10x made a rapid cure.

Boenninghausen recommended Sepia ^Sep. in cases of cough, either with or without expectoration, with bloody, blood-streaked, purulent, yellow greenish or stinking sputa, and especially in consumption.

Nash mentions a case of cholera infantum which he cured with Sepia ^Sep. on the indication "always agg. after taking milk." In moisture oozing from the anus he compares it with Antimonium Crudum ^{Ant. c.}, which has the first place. Sepia ^Sep., says Bähr (i. 359), "affords considerable help in a certain condition of the system which we have so far only noticed in females.

After the exacerbation of a chronic gastric catarrh has lasted a few days with intolerable burning pains, the renal region, more particularly the left side, becomes painful, a violent burning pain is felt in this region, and a quantity of saturated, highly-coloured urine is discharged, which deposits copious quantities of urates, or else a clear urine with copious sandy sediment, coated with uric acid.

After the discharge the pains generally abate, and only return if the stomach has not been restored to its normal condition." Peculiar Sensations of Sepia ^Sep. are As if every object were in motion.

As if suspended in air.

Vertigo as if intoxicated.

As if brain crushed. As if head would burst.

As if waves of pain rolling up and beating against frontal bone.

As if something rolling around in head, with vertigo.

Stitches as from needles in head.

As if roots of hair were sore; as if cut short near roots.

As if eyes would fall out.

As of a weight over eyes.

As if eyes were gone and a cool wind blew out of sockets.

Eyes as if bruised. As if a grain of sand in eye.

As if lids too heavy to open.

Eyes as if balls of fire.

As if lids too tight and did not cover eyeballs.

Hollow molar tooth as if swollen and elongated.

Gums, as if burned; as if beginning to suppurate.

Tongue and cavity of mouth as if scalded.

As of plug in throat. Throat as if raw.

As if something twisting in stomach and rising to throat.

As if viscera turning inside out.

As if stomach sore internally.

As if something remained lodged in stomach.

As if stomach were being scraped.

As if a strap as wide as her hand drawn tightly round her waist.

Liver as if bursting. As if everything in abdomen turning around.

As of a load in abdomen.

As if intestines were drawn into a lump.

As of something adherent in abdomen.

As of something alive in abdomen.

Weight or ball in anus.

As if bladder full and contents would fall out over pubes.

As if drops came out of bladder.

As if bladder and urinary organs would be pressed out.

As of everything would issue through vulva.

As if everything would fall out of uterus.

Uterus as if clutched.

As if vulva enlarged. As if something heavy would force itself from vagina.

As from a weight in sides.

As if ribs were broken and sharp points were sticking in flesh.

As if cough came from stomach and abdomen.

Chest as if hollow; as if sore.

Throat as if filled with phlegm.

As if breasts were enlarged.

As if heart stood still.

Back as if she could not turn or raise herself, or as if she had been in a wrong position, almost as if parts had gone to sleep.

Sudden pain in back as if struck by a hammer.

Pain in back as from subcutaneous ulceration.

As if something were going to break in back.

As if limbs would refuse to act.

As if shoulder dislocated.

Feet as if asleep. Right hip-joint as if bruised.

Lower limbs as if beaten.

As of a mouse running in lower limbs.

As if bones of legs were decaying.

As if she could feel every muscle and fibre of her right side from shoulder to feet.

As of a ball in inner parts.

As of an icy hand between scapulae.

As if she would suffocate.

As if feet stood in cold water up to ankles.

As of hot water poured over one. "Stiffness" is a prominent feature of Sepia ^Sep. stiffness of limbs agg. after sleep; stiffness of uterine region.

A peculiar symptom of Sepia ^Sep. is "Involuntary jerking of head backward and forward, especially forenoons when sitting." This may occur in hysteria.

Open fontanelles in children is an indication for Sepia ^Sep. The symptoms are agg. by touch (except pain in back, which is amel. by touch).

Pressure amel. (Pressing eyelids together agg.) Binding head tightly amel.

Loosening clothes amel.

Rubbing; and scratching agg. agg. jar; mis-step; slightest blow; overlifting.

Many symptoms are both agg. and amel. by rest and motion. agg.

Moving arms. Lying on side, and on right side amel.

Lying on left side agg.

Lying on back agg. Sitting agg. many symptoms.

Faint sitting erect or kneeling. (agg. Kneeling is characteristic.) Sitting with legs crossed amel.

Stooping agg. Standing agg.

Hard motion amel. headache.

A short walk fatigues much.

Going upstairs agg. Dancing and running = no shortness of breath. agg.

Mental labour. agg. From sexual excesses. agg.

Afternoon and evening. ("Dyspnoea in evening" is characteristic.) agg.

From cold air or during east wind. agg.

In sultry, moist weather. agg.

Before a thunderstorm. agg.

By laundry work. (Sep. is the "washerwoman's remedy.").

warmth of natural bodily heat.

very sensitive to cold air.) Cold water amel. eyes and teeth. amel. Warmth of bed or hot applications. Cough agg. in church. agg. During and immediately after eating. Milk, fat food, acids agg. While eating pulsation in pit of stomach, the more he eats the agg. it becomes. Empty feeling ceases at supper. agg. From coitus. I have confirmed the experience of Dr. Swallow, who found the fresh preparation of Sepia ^Sep. (which I prescribe as Sepia ^Sep. fr.) to possess a wider range than the ordinary preparation and to act as an "organ remedy" in a great variety of uterine affections not definitely indicated by the pathogenesis. I have used it in attenuations from the 5th to 30th.

Psoriasis, Arsenicum Album ^Ars., Arsenicum Album ^Ars. i. Chloasma, Lycopodium ^Lyc., Nux Vomica ^Nux, Sulphur ^Sul., Curar.

Ringworm, Bac., Calc Carb ^Calc., Tell.

Sadness, Causticum ^Caust., Pulsatilla ^Puls.

Mild, easy disposition, Pulsatilla ^Puls.

Weeps when asked about her symptoms (Pulsatilla ^Puls., weeps when telling her symptoms).

Diseases with sudden prostration and sinking faintness, Murex ^Murex, Nux Vomica ^Nux m. Washerwoman's remedy, Phosphorus ^Pho. (Phosphorus ^Pho., headache after washing).

Pains extend from other parts to back (Sabi. the reverse).

Pains with shuddering (Pulsatilla ^Puls., with chilliness).

Lack of vital heat, especially in chronic diseases (Led. in acute diseases).

Coldness of vertex with headache, Ver. (heat of vertex, Calc Carb ^Calc., Graphites ^Graph., Sulphur ^Sul.).

Indifferent to his occupation, Fl. ac., Acid Phos ^{Ph. ac.} Greedy, miserly, Lycopodium ^Lyc.

Must loosen neckband, Lachesis ^Lach.

Sensation of ball in inner parts, Lachesis ^Lach.

Herpes circinatus in isolated spots (Tell. in intersecting rings).

Empty feeling amel. eating, Chelidonium Majus ^Chel., Phosphorus ^Pho.

Constipation during pregnancy, Alm.

Pain in rectum long after stool, Nitric Acid ^{Nit. ac}., Sulphur ^Sul.

Urine so offensive must be removed from room (Indium, horribly offensive after standing).

Bed wet almost as soon as child goes to sleep, Kreosotum ^Kre.

Old-standing gleet, Kali Iodatum ^{K. iod}.

Bearing down as if everything would protrude from pelvis, Agaricus Muscarius ^Agar., Belladonna ^Bell., Lilium Tigrinum ^Lil. t., Murex ^Murex, Sanic.

Sight or thought of food sickens, Nux Vomica ^Nux.

Smell of cooking food nauseates, Arsenicum Album ^Ars., Colchicum Autumnale ^Colch.

Itching turns to burning by scratching, Sulphur ^Sul.

Spine pain agg. sitting than walking, Cob., Zincum Metallicum ^<">Zincum Metallicum ^Zn., Pulsatilla ^Puls., Can. i. Indurated uterus; vaginismus, Platinum Metallicum ^Plat.

Bearing down, Belladonna ^Bell. (Belladonna ^Bell. agg. lying down, Sepia ^Sep. amel.; Belladonna ^Bell. amel. standing, Sepia ^Sep. agg.).

Cannot expectorate, Causticum ^Caust., Drosera Rotundifolia ^Dros., Kali Carb ^{K. ca.}, Arnica ^Arn.

Spurting of urine with cough, Causticum ^Caust., Nat Mur ^{Nat. m}., Fer.

Eczema of backs of hands, Natrum Carbonicum ^{Nat. c}.

Prolapsus uteri, Nux Vomica ^Nux. (Sep. follows when Nux Vomica ^Nux ceases to act).

Ptosis, Gelsemium Sempervirens ^Gels. (Gelsemium Sempervirens ^Gels., sluggish mind; suffused red face).

Urticaria agg. in open air, Rx. c. Urticaria, Ast. fl., Nat Mur ^{Nat. m}., Apis Mel ^Apis, Chloralum ^Chloral., Urtica Urens ^Urtica.

Eye affections of tea-drinkers, Thuja ^Thuj.

Dyspepsia with thick urine, Lycopodium ^Lyc.

Indurated uterus, melancholy, Aurum Metallicum ^Aur.

Bearing down, sadness, K. fcy.

Bearing down, congestion, aching distress, prolapse, Ustilago Maydis ^Ust., Secale Cornutum ^Sec., Viburnum Opulus ^Vib. o., Viburnum Opulus ^Vib. t., Inula Helenium ^Inula., Hedeoma Pulegioides ^Hedeo, Ziz.

Uncontrollable fits of laughter, Crocus Sativus ^Croc., Ignatia ^Ign.

Terrible sadness during menses, Lycopodium ^Lyc., Nat Mur ^{Nat. m}, Nitric Acid ^{Nit. ac}. (Nat Mur ^{Nat. m}. is agg. or amel. 10 a.m.) Irritable during menses (Nux Vomica ^Nux, Chamomilla ^Cham., Mg. m. before and during; Lycopodium ^Lyc. before). agg.

Kneeling, Cocculus Indicus ^Coccul., Mg. c. Anxious about health, Calc Carb ^Calc., Phosphorus ^Pho.

Ozaena, clinkers, Pulsatilla ^Pul., Syphilinum (Luesinum) ^Syph., Psorinum ^Pso.

Fetid urine, Calc Carb ^Calc. (Benzinum ^Benz. ac. and Nitric Acid ^{Nit. ac}., strong).

Burning, shooting, stitching pains in cervix, Murex ^Murex.

Hot, burning eructations, Pet., Kali Carb ^{K. ca.}, Hep Sulph Calc ^Hep. Delay in passing water, Arsenicum Album ^Ars. (ineffectual desire, Nux Vomica ^Nux).

Fear of ghosts, Phosphorus ^Pho., Pulsatilla ^Pul.

Phimosis, Can. s., Merc Viv ^Merc., Sulphur ^Sul., Nitric Acid ^{Nit. ac}., Thuja ^Thuj.

With exhausted feeling in bowels after stool, Platinum Metallicum ^Plat.

Movements of head, Lycopodium ^Lyc. agg.

From coitus; remedy for women, relaxation of tissue, Kali Carb ^{K. ca.} As if struck by a hammer in the back (Naj. in nape).

Tongue and mouth as if scalded, Sanguinaria Canadensis ^Sang.

Turning round in abdomen, Nitric Acid ^{Nit. ac}. (as if machinery working in abdomen).

Pain as of subcutaneous ulceration, Pulsatilla ^Puls., Ran. b. Badly healing skin, Hep Sulph Calc ^Hep. Eyes amel. bathing in cold water, Asarum Europaeum ^Asar.

Sensitiveness, Asarum Europaeum ^Asar.

Apoplexy, Ast. r. (a sea animal). agg.

From milk, Homar. (a sea animal).

Chest, Phosphorus ^Pho.

Causation.

SEPIA SUCCUS.

Sepia brownish black juice (before me used only for drawing) is found in a sac in the abdomen of the large sea animal, called cuttlefish. This the animal occasionally squirts out, to darken the water around it, probably in order to secure its prey, or to conceal itself from its enemies.

The juice-bladder of this animal, which is most frequently found in the Mediterranean Sea, is dried, and then exposed for sale in Rome to draughtsmen, and is to be gotten thence.

Sepia dry sepia juice (sepia) is easily dissolved in water in all proportions, but in this, its raw state, it is insoluble in alcohol.

Sepia sepia is prepared for homoeopathic use like other dry and crude medicinal substances (see conclusion of Part I., Chron. Dis.). Sepia has proved especially useful, when after a choice otherwise agreeing with the symptoms of the disease, one or another of the following ailments were also present

Dejection and weeping.

gloominess. melancholy.

pensiveness. discouragement.

anxiety in the evening in bed.

anxiety and apprehensiveness with flushes of heat.

readiness to take fright.

aversion to one's occupation.

indifference toward his family.

momentary fits of vertigo with unconsciousness, while walking in the open air and while writing.

vertigo. weak memory. and incapacity for mental work.

heaviness of the head.

headache with nausea. fits of gout in the head with a boring pain, compelling the person to scream and with vomiting.

beating headache, especially in the occiput.

, when stooping. coldness on the head.

itching on the head, in the nose and in the ears.

falling out of the hair.

the head jerks forward.

incapacity of opening the eyelids at night.

heaviness and sinking down of the upper eyelid.

pressure in the eyes. pricking in the eyes, in the evening by candle light.

nightly agglutination of the eyes.

swelling of the eyes in the evening.

dry scurf on the edge of the eyelids, in the morning on awaking.

. black points and fiery streaks before the eyes.

black spots flitting before the eyes.

amaurosis, with contracted pupils.

excessive sensitiveness of the hearing to music.

difficulty in hearing.

roaring and . chronically inflamed and eruptive tip of the nose.

frequent blowing of blood from the nose.

frequent epistaxis. yellowness of the face.

itching in the face. erysipelatous inflammation and swelling of the whole side of the face, starting from the hollow root of a tooth.

dry lips which peel off.

swelling of the gums.

soreness of the gums. shooting toothache.

dryness of the mouth. fetor from the mouth.

white-coated tongue. soreness of the tip of the tongue.

contractive twitching in the throat.

viscidity in the throat.

hawking up of mucus, in the morning.

thirst in the morning.

voracity. aversion to eating.

aversion to meat and to milk.

the food will not go down.

great eagerness for food.

greediness. disagreeable eructation with nausea, after eating fat things.

. eructation with the taste of the ingesta.

waterbrash, especially after drinking.

waterbrash with previous qualmishness and writhing about in the stomach.

pressive shooting pain in the scrobiculus cordis and the gastric region.

beating in the scrobiculus cordis.

pain in the scrobiculus cordis when walking.

, after supper. perspiration after eating.

pressure in the stomach while eating.

pressure in the stomach after a meal.

difficult digestion. after eating, scratching and burning, extending up the fauces.

. shooting in the liver.

burning in the stomach and the abdomen.

boring in the hypochondria.

shooting in the left hypochondrium.

burrowing, pressure and cutting in the hypogastrium.

pressure in the hypogastrium, extending up into the precordial region.

sensation as of something lodged and of hardness in the hypogastrium.

bloated abdomen in mothers.

sensation of emptiness in the abdomen.

coldness of the abdomen.

dropsy of the abdomen.

frequent generation and incarceration of flatus.

and growling , especially after eating.

colic after bodily exercise, ineffectual call to stool.

retarded stool. mucous stool.

passage of blood with the stool.

discharge of mucus from the rectum, without stool, with shooting and tearing extending up the anus and rectum.

insufficient stool. evacuation like laurel berries.

burning in the rectum during stool.

oozing of moisture from the rectum.

crawling in the rectum.

itching in the anus. pressure of blood to the anus.

protrusion of the varices of the rectum.

. urging to urinate, nocturnal micturition.

involuntary micturition during the first sleep.

dark urine. erosion in the urethra during micturition.

painfulness of the testicle, weakness of the genitals.

itching about the genitals.

swelling of the scrotum.

suppressed menses. pressure and bearing down on the genitals.

soreness in the pudenda and between the thighs.

heat in and on the genitals.

menses too weak. bruised pains during the menses.

of yellow water .; .

Stoppage of the nose. troublesome dryness of the nose.

. stuffed coryza. hoarseness.

the catarrh changes into coryza.

cough in the morning and evening, with salty expectoration.

cough from irritation and tickling with constipation.

expectoration which is hard to detach.

shortness of breath in walking.

asthma, tightness of the chest and shortness of breath in walking, in ascending and in lying abed in the evening.

pressure in the sternum.

ebullition in the chest.

sore aching in the middle of the chest.

pain in the chest from moving.

oppression of the chest.

shooting in the left side of the chest.

stitches in the chest, when working with the head.

pain in the side, during breathing and coughing.

pain in the sacrum. pressive pain in the sacrum.

beating in the sacrum.

weakness in the sacrum while walking.

pain in the back and sacrum.

frequent pain in the back, burrowing, cutting and pressing.

chilliness in the back.

itching eruption on the back.

tearing and cramp in the back.

stiffness of the back.

. sweat in the axillae.

humid herpes below the left axilla.

weariness of the arms.

straining in the arms.

sprained pain in the shoulder-point.

tension in the fore-arm.

, so that he has to allow it to sink down.

shooting in the wrist, when moving it.

burning in the palms. cold sweat on the hands.

malformation of the finger-nails.

tearing shooting from the upper edge of the pelvis around the inguinal articulation, extending anteriorly to the thighs.

paralytic sensation in the legs.

. jerks like stitches in the thigh, compelling him to draw up the limb.

stitches in the tibiae.

running along in the leg as from a mouse.

drawing pain in the legs and in the big toe.

cramp in the calves. swelling of the legs and feet.

shooting on the dorsum of the foot.

burning and pricking in the feet.

twitching in the foot during the siesta.

. checked sweat of the feet.

burning in the feet. crawling and going to sleep of the soles of the feet.

stitches in the corns.

the arms and legs go to sleep, especially after manual labor.

rigidity and lack of suppleness of the joints of the hands, the knees and the feet.

ulcers of the joints of the fingers and the toes.

restlessness and beating in all the limbs.

burning pains in many parts of the body.

. heat from anger and during important conversations.

fits of heat, while sitting and when walking in the open air.

ebullitions of the blood.

palpitation. perspiration while sitting.

copious perspiration during slight bodily exercise.

. sensitiveness to the open air.

readiness to catch cold.

easily overstrained. tearing boring extending from the gastric region to the lumbar vertebrae.

cramp in the stomach, simultaneously with a fit of asthma.

muscular twitching of the limbs.

brownish spots on the chest, the abdomen and the back.

. frequent extension and stretching of the limbs.

great ill effects from vexation.

tremulous weariness. indolence and awkwardness of the body.

lack of strength. lack of strength.

lack of strength on awaking.

lack of firmness in the body.

fits of weariness. readily tired when taking a walk.

when exerting the body, stitches in the arm.

drowsiness by day. drowsiness, too early in the evening.

illusion in sleep, that he was being called.

ravings during sleep. many dreams.

anxious, frightful dreams.

frequent awaking at night, without cause.

unrefreshing sleep. night-sweat.

morning-sweat. sour morning-sweat.

Too strong an action seems to be relieved by vegetable acids, but the strongest antidote is smelling of sweet spirits of nitre.

less effective is the smelling of the billionth attenuation of Antimonium Crudum ^{Antimonium Crudum}, or tartrate of antimony.

but in cases where the circulation has been too much excited, smelling of a potency of Aconite ^{aconitum napellus}.

Dejected, sad.

After two hours' heat, redness and puffiness of the face, followed by many hours' paleness, for fourteen hours there is inability to urinate, followed by a repeated urging to urinate, every quarter of an hour, when but little is discharged.

then several such periods of suppression and of urging to urinate.

in the last period, despite of much drinking the suppression of urine lasts for twenty hours (1st d.).

* * * * *

Attack of nausea, in the morning, while walking.

things turned black before his eyes, there was heat from one P.M. till six P.M. with tearing in all the limbs, with long-continued nausea.

in the evening, weakness even to swooning, with melancholy.

everything affected his nerves, he was very easily frightened.

at night an inordinate quantity of very fetid flatus was discharged (aft. 4 d.).

Attack of pressive drawing pain in the umbilical region, then mucous discharge from the anus, with violent urging and shooting.

soon after, a rush of blood to the chest, with anxiety and restlessness, which after dinner passed into a sort of fever.

alternately internal heat and chill, with perspiration on the head from one till four o'clock, then a headache which left behind it a certain pain in the nape.

it returns in the same way on the following day.

Attack of a sensation as from an icy-cold hand between the scapulae, then coldness all over the body, then cramp on the chest as if he should suffocate, for several minutes.

then clonic convulsions of the right lower limb and twitching therein, and twitching of the right arm, when the leg was held fast.

finally trembling in the lower limbs all day (aft. 10 d.).

He rises up about midnight, as if delirious, and begins to laugh.

when questioned, he presses his eyes shut, and sits quite rigid, with stretched out arms and hands and with clenched teeth.

after taking a drink of water, he asks, what he should do with the great quantity of water in his stomach, but he drank more, and held up his hand partly closed, as if he was still holding the tumbler, and laughed and said "This is nice, the water has prevailed." Then he talked of three couriers, who were coming, and pointed to people, who according to him were standing about, here and there.

About midnight, during a profuse sweat, a sort of syncope, for a quarter of an hour, with consciousness, but without ability to speak or to move a finger.

he lay in the deepest faint, like a dream, in which he contended with a spirit.

scarcely awakened from this, he feel into a second swoon, with a dream, as if he had gone astray in a wood.

At 2 A.M. awaking from violent colic, at times also a pressive pain above and around the navel, attended with a trembling motion of the heart, which is externally sensible (without palpitation), with a full pulse.

accompanied with nausea and sensation of great lassitude.

three nights in succession, with great dryness of the mouth.;.

With febrile heat and intermingled shaking chills, a severe headache, a dull and heavy feeling in the forehead, after previous flickering of light before the eyes, as from a thousand suns, with heat and pressure therein.

attended with much nausea and oppression of the chest, as if everything was constricted, but without short breath, from morning till evening (aft. 72 h.).

Intermittent fever, frequently by day, at indefinite periods.

first, a general heat, with perspiration of the face, violent thirst and bitterness in the mouth.

then again a chill with general coldness in the face, with inclination to vomit, pressure in the forehead extending to the temple.

during the heat, vertigo, as if she should sink down.

Ink of Cuttlefish. Hahnemann. Mollusks.

* * * *

Rest 3, 4, 27. Lying on painful side 3; on painless side 4; on left side 27.

on back 3.Sitting 4, 33. Standing 33. Rising 33. Stooping 3, 4, 31. Motion 3, 40. Exertion 32, 40. Walking 2, 3, 26, 31, 33, 36, 40. Stretching 36. Kneeling 36. Legs crossed 23. Writing 2. Shaking head 3. Moving head 4. Turning head 6. Closing eyes 3. Turning eyes.

Sepia is suited to tall, slim women 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.

"I 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 Sepia 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 does not love him.

Sepia state is brought out in a woman during confinement, after uterine and other hemorrhages, 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 are 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.

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.

The face is generally puffed, often smooth and rounded and marked by an absence of intellectual lines and angles.

Sepia patient is anemic, 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.

Bowels 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.

Hunger 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 associated 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 funneling 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, it 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 digestion 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.

Whitish, milky discharges from the posterior nares, from the vagina, excoriating, milky leucorrhea, 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.

Loss of taste and smell. The smell of cooking food, meat and broth causes nausea. Catarrh of the chest with thick, tenacious, yellow 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.

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 tip-s of the elbows.

eruptions that pile up in great crusts on the elbows.

thick crusts form upon the joints.

eruptions between the fingers.

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 Lachesis ^Lach for this purple aspect.

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.

"Fears to starve, is peevish and feels mortified, easily frightened and full of forbodings."

"Passionate, irritable; the greatest irritability from slight causes, very easily offended.

Vexed and disposed to scold."

ly 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 room.

There are Sepia headaches that particularly affect the occiput, worse in the morning; great pain through the eyes and temples; relieved by sweat, worse on beginning to move; throbbing felt on stooping, worse on going up s airs.

The Phosphorus ^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, then nausea, vomiting and the patient falls asleep and wakens without the headache. Sanguinaria Canadensis ^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, women 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.

Sepia 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 hemorrhoids, etc."

"Threatening apoplexy in a dissipated, middle-aged man, who is subject to arthritic and hoemorrhoidal 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.

The ears discharge thick, yellow pus; offensive.

The nose is a favorite 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.

Dry coryza especially of left nostril, following of large lumps of yellow or green mucus or yellow-green crusts with blood from the nose."

Sepia is descriptive of the worst forms of catarrh; very few will let it run on thus far, they apply local 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 Lachesis ^Lach), but the latter is better from swallowing. (The same in worm troubles indicates Cina ^Cina) Uneasiness of the collar and corsets like Lachesis ^Lach Worse in the first, sleep like Lachesis ^Lach

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

Aversion to food, to the smell of food cooking, like Colchicum Autumnale ^Colch and Arsenicum Album ^Ars The patient gets up in the morning with an all-gone feeling, distress and fullness 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.

Phosphorus ^Phos has more of the typical hunger which is relieved by eating. The Ignatia ^Ignatia patient is always sighing; cannot get rid of "that feeling"

Oleander ^Oleander has an all-gone empty feeling as if he would die; food does not relieve, is not digested, but panes undigested the next day.

Lycopodium ^Lyc has an all-gone feeling sometimes not better by eating, felt as markedly before as after eating, and after eating there comes a throbbing.

Kali Carb ^{Kali carb} has it also, without the amelioration from taking food; it is even intensified by eating, which is followed by a sensation of fullness and throbbing.

In severe liver and heart affections the stomach is not able to keep up assimilation; palpitation, great weakness, liver congested, white stool.

"Pain in the stomach after the simplest food.

Stitches and burning in the stomach.

Pain in the stomach worse by vomiting."

Sepia 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, fullness, distension, distress in the region of the liver.

Chronic diarrhea, stools jelly-like, lumpy; alternating diarrhoea and constipation; a great amount of mucus with the stools, whether constipated or diarrheic; 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 diarrheas and dysenteries with jelly-like stools are more in keeping with Kali Bich ^{Kali bi} and Colchicum Autumnale ^Colch This is chronic diarrhoea or in constipation with stool covered with or followed by jelly-like mucus is Sepia

Do not confound with Graphites ^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.

Sepia has the ineffectual urging like Nux Vomica ^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 ascarides. Oozing moisture from the rectum, soreness between the buttocks.

Hemorrhoids soon form when the rectum is so packed with feces, and they give additional trouble.

Urinary 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, grayish 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 right 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. Sub involution, all the pelvic organs are tired and weak. Metrorrhagia during the climacteric or during pregnancy, especially at the fifth and seventh months.

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, leucorrhoea, 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 Carb ^Calc is the opposite; the menses come on while the child is nursing. Thick greenish acrid or milky leucorrhea. Leucorrhoea 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.

"Gleet. no pain. discharge only during the night, a drop or so staining the linen yellowish.

yellowish discharge, no burning or urinating.

painless. of a year and a half's standing.

orifice of urethra stuck together in the morning, particularly when the sexual organs are 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 Sepia and Murex ^Murex 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 by pressure on the genitalia would be like both remedies.

but add to this copious menstrual flow and violent sexual desire and Murex ^Murex must be considered and Sepia eliminated.

Aching in the back mostly from the loins to the coccyx, often coming on from sitting, and ameliorated from violent exercise. A peculiar feature is amelioration from hard pressure. The patient commonly puts a book low down on the chair and presses the back against it. Sepia does not seem to get the amelioration from lying upon the back as Nat Mur ^{Natrum mur} does. Stooping aggravates the backache.

''Backache worse from kneeling."

Under symptoms of the lower extremities we find great numbness of the feet.

"Coldness of the legs and feet especially in the evening in bed when the feet get warm the hands get cold; icy coldness of the feet profuse sweat of the feet or sweat of unbearable odor causing. soreness between the toes. Swelling of the limbs better while walking."

The sleep is full of dreams and distress; cannot sleep upon the left side because of palpitation of the heart. Palpitation in sleep, with pulsations and trembling all over the body, pulsations to the finger tips.

In old cases of suppressed malaria, Sepia brings back the chill, but its most useful sphere is after a bad selection of the remedy and the case becomes confused. Where a remedy has been selected for only a part of the case and changed it a little but the patient gets no better.

It will be seen that the fever, chill, and sweat are just as erratic as can be. Nat Mur ^{Natrum mur} is one of the greatest malarial remedies, but it is full of order like China ^China, Sepia is full of disorder.

In a case confused by remedies think of Calc Carb ^Calc., Arsenicum Album ^Ars., Sulphur ^Sulph., Sepia and Ipecacuanha ^Ipecac. Never give China ^China or Nat Mur ^{Natrum mur} for irregular symptoms and stages.

Sepia is complementary to Nat Mur ^{Natrum mur} Aside from the stupid condition of the mind it has an excitable condition of the general nervous system that is often marked in Nat Mur ^{Natrum mur} as, for instance, being disturbed by a noise, the slam of a door, etc. It produces jerking of the muscles in sleep.

constantly wakes from imaginary noises, thinks someone has called her.

the last disturbance about the house wakens her.

Worse before and during menses; during pregnancy; after eating during first sleep; change of weather; during a thunderstorm; overwhelming fear.

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

holds the chest during the cough (Bryonia ^Bry., Natr. Sulphur ^sulph., Phosphorus ^Phos).

One of Sepia's most general characteristics is the amelioration from violent exercise.

worse on beginning to move but better by getting warmed up. This condition is closely related to the back symptoms. There is a great amount of soreness in the back, the spine aches all the way down. Pressure on the spine reveals sore places, spinal irritation.

Bearing down pains, must sit close and cross her legs to keep something from coming down out of the vagina. Sense of fullness in the pelvic organs, and pressure down into the anus, as if a ball or weight; oozing of moisture.

Flushes of heat and perspiration at the climacteric.

Painful sense of emptiness or goneness at the pit of the stomach.

General relaxation, weak, faints while kneeling at church; falling womb and pelvic organs; drooping eyelids, weak back worse on walking.

Cachectic, yellow face, with yellow saddle across face and nose; moth patches; ringworms.

Modalities worse standing, mental labor, sexual excess, jar, after sleep, laundry work; milk (diarrhoea), climacteric kneeling at church, better sitting with legs crossed, loosening clothes, open air.

Sensation of a ball in inner parts; during menses, pregnancy, lactation, great sadness and weeping. Dread of being alone; of meeting friends, indifferent, even to one's family, to one's occupation; to those whom she loves.

Headache in terrific shocks; pressing, bursting worse motion, stooping mental labor, better by pressure, continued fast motion.

Urine deposits a reddish clay sediment, which adheres to the vessel; foetid, offensive, must be removed from room.

Enuresis bed wet almost as soon as the child goes to sleep; during first sleep, violent stitches upward in the vagina.

Dyspnoea; worse sitting, after sleep, in room, better dancing or walking rapidly.

Sepia is another of our wonderful remedies of which the dominant school knows nothing, except they have learned it from us. Sepia's chief sphere of action seems to be in the abdomen and pelvis, especially in women. No remedy produces stronger symptoms here. We quote from different but equally good observers.

"Sensation of bearing down in the pelvic region, with dragging pains from the sacrum; or feeling of bearing down of all the pelvic organs." (Hahnemann).

"Labour-like pains accompanied with a feeling as though she must cross her legs and 'sit close' too keep something from coming out through the vagina." (Guernsey).

"Pain in uterus, bearing down, comes from back to abdomen, causing oppression of breathing; crosses limbs to prevent protrusion of parts."(Hering).

"Prolapsus of the uterus, of the vagina, with pressure as if everything would protrude." (Lippe).

"Experience has shown its value in cases of ulceration and congestion of the os and cervix uteri. Sepia's use supercedes all local applications." (Dunham).

No higher authority than the united testimony of these five of our best observers could be brought to show the action of Sepia upon the pelvic organs.

Now when we come to examine the provings in Allen's Encyclopaedia, we find that these symptoms were mainly produced by Hahnemann and his provers, and Hahnemann advocated proving remedies in the 30th, and some of them were produced by the 200th, especially those most strongly verified by black-faced type.

We confess that we cannot understand how so many question the value of potencies for proving or curing, and most of all do we wonder at Dr. T. F. Allen himself "going back" on potencies above the 12th. Such a course looks very much to us like "kicking against the pricks" or, in other words, trying to fight the truth. But we must be charitable.

Sepia, like Sulphur ^Sulphur, affects the general circulation in a very marked manner. Flashes of heat with perspiration and faintness is almost as characteristic of Sepia as of Sulphur ^Sulphur. But there are, with Sepia, more apt to be associated with them the pelvic symptoms already given, and they are also more apt to occur in connection with the climacteric. Indeed, these flashes often seem with Sepia to start in the pelvic organs and from thence to spread over the body.

But this irregularity of circulation extends as far as that of Sulphur ^Sulphur. The hands and feet are hot alternately, that is, if the feet are hot, the hands are cold, and vice versa. There is not so much sensation of burning with Sepia as with Sulphur ^Sulphur, but there is actual heat, and the venous congestion, which seems to be the real state of the organs where the pressive bearing down et cetera is left, is also accompanied with much throbbing and beating.

Sepia pelvic congestion also affects the rectum in a marked degree. The rectum prolapses, there is a sensation of fullness, or of a foreign substance as of a ball or weight, and oozing of moisture from the rectum. Indeed, the rectal and anal symptoms are almost as strong as the uterine and vaginal. It is impossible to enumerate all the symptoms connected with the circulatory disturbances of Sepia in such a work as this, only a general study of the Materia Medica can do it.

The urinary organs come in for their share of symptoms. The same pressure and fullness consequent upon the portal congestion reaches here. We will now proceed to give what we have found to be particularly valuable symptoms under the various organs in this region, "Pressure on bladder and frequent micturition with tension in lower abdomen." "Sediment in the urine like clay; as if clay was burnt on the bottom of the vessel.

Upon the male organs I have found it particularly useful in chronic gleet. There is not much discharge, but a few drops, perhaps, which glue up the orifice of the urethra in the morning; but it is so persistent and the usual remedies will not "dry it up." In my early practice I used to use a weak injection of Sulphate of Zincum Metallicum ^Zinc, but it used to annoy me that I could not do it without resorting to local measures. Sepia does it in the majority of cases and Kali Iodatum ^{Kali iodatum} will do it in the rest. I have, where there was a thick discharge of long standing and the smarting and burning on urinating continued, several times finished the case with Capsicum Annuum ^Capsicum.

As a rule, this long continued slight, passive gleety discharge is a result of weakness of the male genitals, as is shown by a flaccidity of the organs and frequent seminal emissions. The emissions are thin and watery. Sepia covers all of this and often sets all to rights in a short time.

The mental symptoms of Sepia are like Pulsatilla ^Pulsatilla, in that she is sad and cries frequently without knowing the reason why. So if in a tearful mind with uterine disturbances Pulsatilla ^Pulsatilla should fail you, the next remedy to be studied is Sepia. But there is another condition of mind not found under Pulsatilla ^Pulsatilla or any other remedy in the same degree, and that is, that, notwithstanding there is no sign of dementia from actual brain lesion, the patient, contrary to her usual habit, becomes indifferent to her occupation, her house work, her family or their comfort, even to those whom she loves the best. This a very peculiar symptom and a genuine keynote for the exhibition of Sepia.

Upon the head Sepia is one of our best remedies in hemicrania of women of the Sepia temperament, and who are suffering from uterine trouble which we have already described. Another peculiar headache is, that the pain comes in terrific shocks, so as to jerk the head in spite of the patient.

There are three remedies that have prominently drooping eyelids (Causticum ^Causticum, Gelsemium Sempervirens ^Gelsemium and Sepia). of course, the other symptoms must decide which is the one indicated in the case at hand. So far as the nose is concerned Sepia is often of use in chronic catarrh. I had a case in which the discharge was thick, bland and in large quantities. Pulsatilla ^Pulsatilla would relieve the catarrhal trouble but would, at the same time, increase the menstrual flow too much, but Sepia cured both. The chronic will sometimes have to be made between Kali Bich ^{Kali bichromicum} and Sepia in these chronic catarrhs, but it is generally easy, although the local symptoms are much alike.

"Yellow saddle across upper part of cheeks and nose, and yellow spots on the face," is a characteristic of great value, but the yellowness and yellow spots do not always stop here.

You may find them in abundance on the abdomen. The whole surface of the body may be yellow like jaundice. The face of the Sepia patient is the most "tell tale" face I know, and if you find it upon a woman you may always find her leading symptoms in connection with her menstrual and uterine functions.

There is one symptom of Sepia upon the stomach that is also very characteristic, viz., a "painful sensation of emptiness, goneness or faintness." The patient will call it an "all gone" feeling. Of course you remember that Ignatia ^Ignatia and Hydrastis Canadensis ^{Hydrastis Canadensis} have this symptom very strongly. Other remedies also have it in more or less marked degree but none so strongly in connection with uterine symptoms as Sepia, unless perhaps it be Murex ^{Murex purpurea}, and you will not often have much difficulty in choosing between these last two if you carefully examine all the symptoms. I have often thought that this symptom, so persistent and severe, might be due to the actual emptying of the upper abdomen by the prolapsed womb, dragging everything after itself into the pelvic cavity. It is so in Stannum Iodatum ^Stannum and Lilium Tigrinum ^Lilium tigrinum, and the weakness of the natural supports (ligaments) of the uterus being remedied (not supplanted by the pessaries and artificial supports of various kinds) the distressing symptoms disappear. Vomiting in pregnancy with this "all gone" feeling is often cured by Sepia; also the thought or smell (Colchicum Autumnale ^Colch.) of food sickens her. I mentioned the "sense of weight or a ball in the rectum" when writing of the pelvic congestion of Sepia. This sensation is not relieved by stool. Sepia is a remedy for constipation, and that of a very obstinate character. Like Selenium ^Selenium it has great straining.

I once cured a very obstinate case of entero-colitis (so-called cholera infantum), after the complete failure of two eminent allopaths, with Sepia, the leading symptom being, "always worse after taking milk." Oozing of moisture from the anus finds its remedy here sometimes, but oftener in Antimonium Crudum ^{Antimonium crudum}. The Sepia patient is very weak. "A short walk fatigues her very much." She faints easily from extremes of cold or heat, after getting wet, from riding in a carriage, while kneeling at church, and on other trifling occasions. This fainting, or sense of sinking faintness, may be found in pregnancy, child bed, or during lactation; or, again, it may come on after hard work, such as "laundry work;" so it has come to be called the "washer woman's" remedy. Phosphorus ^Phosphorus have washer woman's toothache.

SKIN. "Itching often changes to burning when scratching" (Sulphur ^Sulph.) "Soreness of skin; humid places in bend of knees." "Brown spots in face, chest, abdomen.

Dose

Twelfth, 30th and 200th potency. Should not be used too low or to 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.

Region

Venous circulation Digestive tract

Portal system FEMALE PELVIC ORGANS

Nerves

Skin

Characteristics

The present use of Sepia in medicine is due to Hahnemann. Some among the ancient physicians (Dioscorides, Plinius, and Marcellus, says Teste) used either the flesh, the eggs, or even the only bone which constitutes the skeleton of this animal, for "leucorrhoea, gonorrhoea, catarrh of the bladder, gravel, spasms of the bladder, baldness, freckles and certain kinds of tetters "

H. C. Allen.) Stormy weather = suffocating feeling. agg. After sleep (stiffness of legs). agg. On failing to sleep or in first sleep. amel. In open air. (Also)