Sabina - General symptoms

GENERAL

General

In the morning there was a small spot on the inner side of the left leg scratched raw and ulcerated.

this little ulcer was again painful and itching on the second morning.

the scab was scratched off leaving an impure base.

in the evening there was also a slight but painful itching areola.

this areola was redder every morning, and the ulcer was painful even when not touched.

in the evening the areola was paler and painful only on pressure (it disappeared after stopping the drug),.

On the inner side of the left leg, a small spot, which had been scratched open, looks unclean and ulcerated.

this ulcer is painful on the second morning, and itches.

the scab is scratched off.

this leaves an impure base.

smaller areola in the evening, but always itching painfully.

this areola is redder every morning, and the ulcer is painful without being touched.

in the evening the areola is paler and painful only on pressure.

it disappears after ceasing to take the drug,.

Violent itching of one spot on the outer portion of the right leg below the middle, early in the morning.

after scratching, the skin is found excoriated, with burning pain and water oozing out.

it remains so for three days, and then becomes covered with a thick scab, which lasts about eight days.

itching in the border of the scab, and when this is scratched off, there is much and ready bleeding.

afterwards a sensitive red cicatrized skin remains for a long while, and is painful to pressure.

there are similar spots in the upper and inner portion of the left ear (twelfth day),.

Violent itching on a red spot on the outer portion of the right leg, below the middle, in the morning.

after scratching a part of the skin was found to be denuded, with burning pain and watering.

this continued, became first covered with a thick scab on the third day, which lasted eight days, with itching about the margins, and when scratched much, and easy bleeding.

afterwards it remained sensitive for a long time.

the scar was red, painful to pressure.

similar spots appeared on the upper and inner portions of the left ear twelve days afterwards,.

When sitting bent, sensation in the region of the stomach as if distended with air, which causes a distressing pressure, which is relieved for a short time by eructations of gas.

when remaining in that position for a longer time, it becomes very painful, and descends lower down into the left side of the abdomen.

it disappears entirely when sitting erect,.

Visible swelling on the dorsum of the penis, not far from the glans, the skin over which is movable.

the swelling feels like a cartilage, is flat towards the median line, but with a swollen border externally, is painless even to pressure, becomes harder during an erection, more manifest, with a peculiar, dull, tensive sensation, for eight weeks,.

Stiffness of the left wrist-joint, with some luxation pain.

in a few days the pain changed to a tearing sticking and distension of the joint, with incessant weeping and being beside herself.

she had to move the painful hand from side to side with the sound one or to keep it straight.

the hand could not be allowed to hang down.

continuing several days (Aconite ^Aconitum relieved the pain),.

Arthritic pain in the great toe of the right foot.

it was red, shining, swollen, with violent boring-sticking pains.

she was neither able to move foot nor toe, nor was she able to bear the least pressure upon it, stocking or bedcover (this continued several days).

afterwards this pain appeared in the right wrist, the hand was stiff, and the same pains were felt in it, unable to grasp the least thing with it.

afterwards it changed from the right to the left hand,.

The menses, which generally appeared four or five days too early, appeared at the right time for only a few hours, and looked watery, on the next day pure blood appeared, but only for two hours, and so in succession for four days,.

the scantiness of the discharge was probably owing to the large size of the dose, she had taken drops.

the next period was normal.

Has a special action on the uterus; also upon serous and fibrous membranes; hence its use in gout. Pain From sacrum to the pubis. hemorrhages, where blood is fluid and clots together. Tendency to miscarriage, especially at third month. Violent pulsations; wants windows open.

Hot, full-blooded females; with rheumatic or gouty-haemorrhagic tendency, epistaxis, heamaturia, etc

Violent pulsations

Fulness

Red, shiny swelling

Acutely inflamed arthritic nodes

Music is unbearable

Bursting toothache Craves lemonade

Abdomen plethoric; quivering, as if alive in

Piles, alternate with pains in limbs

Itching, excited genitals

PAIN FROM LUMBAR REGION FORWARD TO PUBES or reverse; or shooting up vagina Gushes of fluid, hot or watery blood, mixed with (dark) clots, from uterus; worse motion; with joint pains

Abortion; habitual; at 3rd month

Bleeding between periods

Foul, acrid leucorrhoea

Pruritus of pregnancy

Crawling in nipples

Gout in r

big toe

Foul itching, burning, moist, figwarts

Intolerable, burning heat

FEMALE PELVIC ORGANS UTERUS

Juniperus sabina. Savin. N. O. Coniferae. Tincture of the young, fresh tops of the branches. Tincture of the oil.

Abortion. after-effects of. After-pains. Boils. Condylomata. Cystitis. Dysmenorrhoea. Gonorrhoea. Gout. Inter-menstrual flow. Leucorrhoea. Menstruation, excessive. Miscarriage. Moles, promotes expulsion of. Nephritis. Nymphomania. Ovaries, affections of. Penis, cartilaginous swelling on. Phimosis. Retained placenta. Rheumatic gout. Strangury. Sycosis. Toothache. Uterus, bleeding from.

Stapf made the first collection of the symptoms of Sabina, and Hahnemann and his son were among the provers. A number of observations on women who had taken the drug to bring on the menses or procure abortion have also been added.

and some cases of fatal poisoning are on record. Sbi. acts as a widespread irritant, inflaming the pyloric end of duodenum and causing patches of inflammation in other portions of the intestines, especially the upper intestines, the omentum and peritoneum (R. T. C.). The action of Sbi. on the generative organs of both sexes is pronounced. It produces figwarts with itching and burning of the external genitals, phimosis of the male, swelling of the dorsum of the penis, gonorrhoea.

in the female uterine haemorrhages, and in the case of pregnant women, abortion. The haemorrhage is partly pale red and partly clotted, agg. from the least motion.

but may be amel. by walking. The flow is in paroxysms, and is accompanied by labour-like pains. A grand characteristic of Sbi. is a pain from sacrum to pubis, and this will be a guiding symptom in a large number of the uterine cases requiring Sbi. Other characteristics are ($51$) discharge of blood between the periods with sexual excitement and (2) obscure abdominal pains due to inflammatory states of the peritoneum. In the mental sphere there is much irritability, hysteria, and hypochondriasis, and a peculiar feature of it is that music is intolerable.

it produces numbness and goes through bone and marrow. A close botanic ally of Thuja ^Thuja, Sbi. is yet not too close to be complementary to that great anti-sycotic.

broad condylomata, fig-warts with much itching and exuberant granulations are characteristic. Like Thuja ^Thuja, it removes wart-like growths from the muco-cutaneous surfaces. It is suited to chronic ailments of women.

arthritic pains. tendency to miscarriage.

to the gouty diathesis. Peculiar Sensations are As if she would fall. As if parts of temporal eminence were pressed asunder. As if skin had grown fast in forehead. As if eyes would be pressed out. As if tooth would burst. As if he had to swallow over a foreign body. As of a lump in throat. As if vomiting would come on. As if something alive in abdomen. Right shoulder-joint as if sprained. Sbi. is one of the remedies which affect the heels. Farrington says it is suited to "plethoric women who suffer from what they call rheumatic inflammation" of the heels. There is an "intermittent aching" in the solar part of the heels. Intermittence and a paroxysmal character are a leading feature with Sbi. Pains are paroxysmal and labour-like Haemorrhage comes in gushes. Suddenly increasing and slowly disappearing pain. The symptoms are agg. by touch, though pressure amel. The dysmenorrhoea pains were amel. lying on flat of back with limbs extended. agg. Stooping.

sitting bent. letting limbs hang down.

motion. Walking amel. metrorrhagia. Lies on left side during sleep. agg. Evening, night, and morning. Sleepless and restless after midnight. agg. In warm air or room. agg. Warm in bed. amel. In open air. (Warmth amel. pain of dysmenorrhoea). Cold applications amel. wandering pains in joints. agg. By music. agg. Taking a deep breath.

amel. exhaling.

Savin. Stapf. Coniferae.

* *

The use of Sabina is generally confined to symptoms of the kidneys, bladder, uterus, rectum and anus; inflammatory and hemorrhagic symptoms principally of these parts.

Sabina establishes a turmoil in the circulatory system, with violent pulsations all over the body. The patient is disturbed by heat, is worse in a warm room or from too much clothing. Wants the windows open and to be in the open air (Pulsatilla ^Puls). This turmoil in the circulatory system is such as might be expected in a hemorrhagic remedy.

Inflammation and bleeding Tendency to bleed from all the mucous membranes, especially of the kidney, bladder and uterus. It has a decided effect in diminishing knots, enlargements, or varices in veins. The principal action is on the lower bowel, about the anus. Hoemorrhoidal tumors which bleed copiously. Constipation with bleeding hemorrhoids. A sense of fullness in these parts.

A sense of fullness in all the veins of the body, a sense of distension, fullness, puffiness, bloating, with pulsations all over, associated with repeated hemorrhages from the mucous membranes.

Great burning and throbbing. Severe suffering, attended with inflammatory symptoms; bloody urine; inflammation of the bladder with continuous urging to urinate, with the general aggravation from heat and the throbbing all over.

Inflammation of the urethra, with a gonorrhoeal discharge, or a catarrhal discharge in the male. The most important sphere is in menstrual symptoms, and its relation to uterine hemorrhage. In the menstrual symptoms the woman suffers from bearing down, labor-like pains. Most distressing in dysmenorrhoea.

Women The menses last too long and are too copious, and at times in some subjects the flow does not stop before the next period begins.

Too frequent and prolonged copious menses. A striking feature in Sabina, as in a few other remedies, is that the flow is liquid, bright red, intermingled with clots. It suits many cases in which the flow slackens up and remains away for a while and then labor-pains come on, and an enormous, partially decomposed clot is passed and this is followed by a bright red flow. This occurs over and over again.

Such a state comes on after abortion, after labor and in dysmenorrhoea. Accompanying the labor-like pains is a violent pain in the sacrum, to the uterus or pubes. Another striking feature is itching, shooting, knife-like pains, causing the patient to scream out, shooting up the vagina to the uterus, or up as far as the umbilicus. These two features, shooting pains from the back to the front and from. below upwards, with hemorrhages, are striking corroborations.

Belladonna ^Belladonna and Sabina are the two most important remedies in abortion at three months. Belladonna ^Bell has the same bearing down pains which expel a clot followed by a copious, bright red flow. But the Belladonna ^Bell state is not like that of Sabina In Belladonna ^Bell it is a hyperesthesia, oversensitiveness to touch and jar.

the patient will not allow the nurse to jar the bed, and the bright red flow is hot, so much so that it is noticeable.

the parts over which the flow passes are so sensitive that the blood feels intensely hot to her.

Sabina is in keeping with the oversensitiveness of Belladonna ^Bell, to touch, light, motion, jar. If the physician jars the bed a scowl will immediately come over the patient's face. Belladonna ^Bell has many pains, not only shooting up but in every direction, irregular pains and bearing down pains. They come and go like lightning, appear suddenly and disappear suddenly, shooting in every direction. If these symptoms are present you will never need Secale Cornutum ^Ergot for its physiological effects.

It has often been argued that in these cases of haemorrhage you "won't have time to get the symptoms." The expert physician will often see all these symptoms in the twinkling of an eye. The actions of the patient, a word dropped by the nurse, and what he has observed himself, will have shown him the remedy.

Abortion As a medicine to prevent abortion it is one of the first to consider, because the symptoms we know are such as come during abortion, and it is most useful after the membranes have ruptured, or the ovum passed, or when the placenta is about to be expelled.

It establishes the normal activities of the uterus so that it will expel whatever is left behind of these membranes. The curetting is never necessary with the homeopathic remedy. It suggests that there is something defective about the woman's organs.

"Inflammation of the ovaries or uterus after abortion or premature labor."

Violent pains through ovaries and uterus. Aching in the sacrum. as if broken, as if the bones would separate. Most violent, tearing, rending, burning pains, with throbbing in the sacrum, with burning and throbbing all over the body, especially throbbing in parts, whether it be the uterus or bladder.

"Copious hemorrhages, accompanied by uterine colic."

Contractive labor-like pains extending from back to pubes and great urging to urinate.

Women again The uterine colic described is labor-like, drawing up like colic, but also bearing down as if to expel the clot.

Metrorrhagia, resulting from false plethora.

clotted and fluid blood.

pain extending from sacrum or lumbar region to pubes, with severe bearing down, extending from lower part of back around abdomen and down thighs.

blood bright red, thin, liquid.

labor-like pains in lumbar and uterine region, discharge of large clots of blood, bright red, coming in gushes, particularly profuse on motion, etc.

Sabina describes the symptoms from abortion or menstruation.

"Menses too profuse, too early, last too long, partly fluid, partly clotted and offensive; flow in paroxysms; with colic and labor-like pains; pains from sacrum to pubes."

At another time, during the climacteric period, a woman is run down by overwork and much child bearing.

she has repeated uterine hemorrhages of this character, bright red intermingled with clots.

pain from sacrum. to pubes.

she becomes exhausted and anemic, but after a while she again builds up, her face becomes plump and she becomes plethoric, only to be broken by another hemorrhage. Uterine hemorrhage in fibroids.

The Thuja ^Thuja wart is a little sensitive wart, appears to be covered with a thin film, and bleeds from the slightest touch. Sabina cures warty excrescences about the anus, cauliflower excrescences, gonorrhoeal warts about the vulva and about the male genitals.

In the uterine hemorrhages compare it with Ipecacuanha ^Ipecacuanha, which has a gush of bright red blood fully as copious as Sabina, but at the beginning of that gush, before it has kept on long enough to produce exhaustion, the face becomes pale, there is nausea and a feeling of faintness, syncope, all out of proportion to the amount of blood lost.

Millefolium ^Millefolium produces a gushing flow, but it has a continuous dribbling day after day, a continuous flow of bright red blood.

Secale Cornutum ^Secale looks like Sabina, and when it is indicated it should never be given in large quantities. it has the expulsive, bearing down, labor-like pains, with the expulsion of large clots and copious flow, but the flow is dark and offensive and after a short time it becomes thin and watery, leaving a brown stain difficult to wash out.

at times tarry, copious and continuous, as if the uterus had no ability to contract.

If you observe the cases in which during labor or abortion crude Secale Cornutum ^Ergot had been used, you will notice that the patient has feeble uterine contractions as a resultant condition, and this will be seen during the menses or in the next labor.

The symptoms of Secale Cornutum ^Ergot last for years.

it is another psora. Large doses may kill the foetus and cause abortion, but she will continue to bleed.

the uterus will not contract when she most needs contractions. It produces a paralytic condition, and this is the state we prescribe Secale Cornutum ^Secale for. We seldom prescribe it for its primary effect, but rather for the state of sub-involution, when the uterus retains the secundines.

There is a continuous oozing of dark and offensive flow. The picture is more complete if we find that no matter how cool the room is, she does not want heat, but wants to be uncovered, and she is a lean, shrivelled, scrawny, hungry patient with dusky skin.

she never takes on fat.

is not robust. It produces varicoses of the skin and the skin about the toes becomes dusky, and over the shin bones are dark spots, and she wants to lie with the extremities uncovered. Such patients lose flesh and become shrivelled.

In old, troublesome, lingering hemorrhages, starting up fresh on the slightest provocation, Sabina will stop the gush, the acute stage, but it does not hold, the haemorrhage recurs, and then an antipsoric is needed.

Sulphur ^Sulphur is very commonly the remedy, but Psorinum ^Psorinum, though not laid down in the books for hemorrhages, after Sulphur ^Sulphur has exhausted, itself, will often follow for this oozing and frequent recurrence.

Phosphorus ^Phosphorus is somewhat like Sabina it has a copious bright red flow, which may or may not contain clots. The striking features are outside the flow. There is pinched countenance, extremely dry tongue and mouth.

violent, unquenchable thirst, craving ice-cold water. The haemorrhage is bright red, in a gush or continuous oozing.

In this way we must study well the hemorrhagic remedies. The physician must be acquainted with the emergency remedies, such as belong to the violent diarrheas, cholera, violent sufferings and hemorrhages. He must have them at his finger ends, and he must be able to compare instantaneously. Blood must be stopped.

Atony of the uterus is a striking feature of Sabina The uterus will not contract on itself until it has something to contract on, like a clot or mole. Hemorrhages from other parts as well. But other remedies have taken its place in these regions because the individualizing symptoms have not been brought out.

Rheumatism Much rheumatism and gout; gouty nodosities in the joints; they burn so and are so hot that the patient is compelled to put the hands or feet out of bed.

Gouty cases, especially when the constitutional state changes; an alternation; when the gout is present there will be no hemorrhages, and when there are hemorrhages the gout will be relieved.

An alternation of states The gouty condition of the veins is often a hemorrhagic state.

Is one of our best remedies for profuse flowing from the female genital organs, as in menorrhagia, metrorrhagia, abortions, or after labor.

These haemorrhages are apt to occur in paroxysms, worse from motion (Secale Cornutum ^Secale), blood dark (Kali Nitricum ^{Kali nit}. and Cyclamen Europaeum ^Cyclamen), and clotted (Crocus Sativus ^Crocus) or partly clotted and partly fluid and watery (Ferrum Met ^Ferrum), the clots being black; from loss of tone in the uterus.

(Caulophyllum Thalictroides ^Caulophyl.) after abortion or parturition, with pain from back to pubes. This pain from back to pubes is its grand keynote, and may be found, not only in flooding, but in threatened abortion and menstrual troubles generally. Where is sometimes present the general characteristic of Pulsatilla ^Pulsatilla, "aggravation from warm air and in a warm room, and amelioration in open, cool, fresh air," and in cases of too profuse menstruation; but you cannot give Pulsatilla ^Pulsatilla because it increases the already too profuse flow. Here is where Sabina comes in, for it has the same aggravation and amelioration with the profuse flow. This is an important diagnostic difference between the two remedies and is reliable.

Sabina is indicated in threatened abortion at the third month, especially if the characteristic pain from back to pubes is present. If the pains begin in the back and go around from there and end with cramps in the uterus, Viburnum Opulus ^Viburnum Viburnum Opulus ^opulus is the remedy. This kind of pain seems as characteristic for Viburnum Opulus ^Viburnum as is the other for Sabina.

Sabina has arthritic swelling of the wrist joint; also of the toe joints. This, if occurring in conjunction with its profuse flow from the genitals, may make the choice of remedy lie between it and Caulophyllum Thalictroides ^Caulophyllum in some cases. The ovaries sympathize very much with the uterine troubles of Sabina, especially after abortion, or suppressed gonorrhoea, or leucorrhoeas.

Dose

Locally, for warts, tincture. Internally, third to thirtieth potency.

Region

Rectum

Nerves

Fibrous and serous tissues Small joints Heels