Sepia - General symptoms - Kent Lectures

GENERAL

General

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.